Smithsonian Institution AOHC Presentation following ACOEM Recognition with Corporate Health Achievement Award
Who are We? Th S The Smithsonian is the world's largest museum ith i i th ld' l t and research complex: • 19 museums and galleries • The National Zoological Park g • 9 research facilities • 168 Affiliate Museums • ~30 million visits annually by people from across • the nation and from around the world • the nation and from around the world • 188 million website visits • 137 million artifacts, works of art, and • specimens • 6.4 million digital records available online 1.8 • million library volumes • 100,000 cubic feet of archival material • Numerous cultural programs and events (eg • Numerous cultural programs and events (eg., • Asian Pacific American Program, the Center for • Folk life and Cultural Heritage) 2
Smithsonian and OSHEM Personnel 3
Secretary Assistant Undersecretary Undersecretary Secretary for Undersecretary for Finance and for History, Art, y, , Ed Education & ti & f for Science S i Administration and Culture Access Designated g Safety and Health Official (DASHO) Office of Safety, Health, and Environmental Management Occupational Occupational Environmental Fire Protection Safety Health Services Management
Greater Emphasis on Employee Health & Safety p p y y Smithsonian Institution FY2007 Goal 16: Smithsonian Institution FY2007 Goal 16: a) Establish a Zero Injuries goal for the Smithsonian and include a safety ‐ related performance standard in all manager and supervisory performance plans b) Create an Occupational Health Risk Management Program that fosters improved employee health and Program that fosters improved employee health and productivity 5
National Safety Month Rallies y NSM 2006 NSM 2008 NSM 2010 Secretary Lawrence M. Small Acting Secretary Cristián Samper Secretary G. Wayne Clough 6
Identified Employee Health Risk Factors p y SI values in color 80% Prehypertension 70% Overweight and Obesity 60% Pre ‐ diabetes 50% Inadequate Exercise 40% High Cholesterol 30% 30% Depression D i Smoking 20% US values in gray 10% All conditions listed above All di i li d b 0% Sources: http://archinte.ama ‐ assn.org/cgi/content/full/164/19/2126 http://www.ncbi.nlm.nih.gov/pubmed/15199035 http://www diabetes org/about diabetes jsp http://www.diabetes.org/about ‐ diabetes.jsp http://www.cdc.gov/MMWR/preview/mmwrhtml/mm5232a2.htm#tab1 http://www.wrongdiagnosis.com/c/cholesterol/prevalence.htm#prevalence_intro 7 http://www.nimh.nih.gov/health/publications/the ‐ numbers ‐ count ‐ mental ‐ disorders ‐ in ‐ america.shtml http://www.infoplease.com/ipa/A0762370.html
Overweight and Obesity Costs g y Duke Health and Safety Surveillance System – Obesity Surveillance System Obesity and Workers’ Compensation Costs: medical (ER, doctor) medical (ER, doctor) lost workdays indemnity (damages, suffering losses) suffering, losses) Source: Ostbye, T. et al. Arch Intern Med 2007;167:766 ‐ 773. 8
Spotlight: Overweight and Obesity at SI p g g y Body Mass Index (BMI) – calculated number used as a screening tool for population assessment of overweight and obesity BMI Formula: weight (kg) / [height (m)]2 1% 4% Extremely Obese (BMI is > 40) Extremely Obese (BMI is > 40) 30% 30% 36% Obese (BMI is 30 – 39.9) 29% Overweight (BMI = 25 – 29.9) Normal weight (BMI = 18.5 – 24.9) Underweight (BMI = < 18.5) Percentages represent employees participating Percentages represent employees participating in targeted physical exam 9
Costs of Lost Productivity at SI y Sick Leave ($) Sick Leave (hrs) Presenteeism ($) Presenteeism (hrs) FY06 $11.5M 380,263 ($58M) (1,900,000) FY07 $12.4M 399,935 ($62M) (2,000,000) Annual sick leave utilization SI ‐ wide approaching 200 full time equivalents (FTEs) in each year Assume only a 5:1 presenteeism to absenteeism ratio: productivity loss in FY06 of ~ 900 FTEs productivity loss in FY07 of ~ 950 FTEs productivity loss in FY07 of 950 FTEs 10
Smithsonian Institution Strategic Plan: 2010 – 2015 g Key priority: “Enabling Our Mission Through Organizational i i h h i i l Excellence” • Objective: Attract, maintain, and • optimize a productive, motivated, • and creative workforce • Strategy: Encourage and maintain • an organizational culture that • embraces safety, health and wellness 11
Travel: Vaccines/Medication/Education / / Altitude Prophylaxis Hepatitis A Hepatitis B Influenza J. Encephalitis J Encephalitis Malaria Prophylaxis Fluconazole Meningitis Meningitis Polio Booster Rabies Rabies Booster Rabies Titer Tetanus/diphtheria Tetanus/diphtheria/pertussis T Travelers Diarrhea l Di h TB Test Typhoid Yellow Fever 6PD prior to Chloroquine & Primaquine DEET Repellant for Skin DEET Repellant for Skin Permethrin Repellant for Cloth MMRII Varicella 12
Travel Medicine Travel Medicine 200 160 120 80 FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 13
Zoonosis Program Zoonosis Program 800 600 400 FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 14
Injury /Illness Ra ate 0.0 1.0 2.0 3.0 4.0 5.0 6.0 6 0 7.0 4 .06 4 4.02 3.85 3 3.96 3 .83 3.7 72 3.7 70 3.59 9 3.29 3.16 3.07 2.88 2.55 2.42 2.34 2.20 2 2.11 1. 95 1.8 5 1.83 3 1.70 1.66 1.56 Injury Trends 2004 – 2011 1.54 1.50 SI TOTAL RECORDABLE INJURY / ILLNESS RATES 1.55 1.52 j 1.45 1.51 1.60 1.55 1.57 1.62 y 1.64 1.57 1.59 1.71 1.65 1.63 BLS - Museums & Zoos - 4.5 1.65 1.60 1.53 1.60 1.61 1.56 1.47 1.61 1.65 1.63 1.65 1.68 1.73 1.66 1.76 6 1.79 9 1.75 5 1.9 91 2.04 2 2.03 2 1. .98 1.9 92 1.8 5 1.8 88 1.9 94 2 .02 1. 97 2 .00 22 .00 2.10 2 2.08 2.22 2.36 2.49 2.58 2.61 2.60 2.72 2.83 2.79 2.90 2.74 2.77 2.74 2.66 2.63 2.60 2.52 2.42 BLS-Museums & TRCR = 3.11 Government TRCR = 4.5 Federal Zoos SI TRCR 15
AIRS: The Sonic Boom of Injury Reporting j y p g • AIRS database using Medgate Platform Medgate Platform • Automated System allows employees and supervisors to electronically report incidents of occupational injury and illness. j y • AIRS Training • Use of AIRS database 16
Nurse Case Management Nurse Case Management 400 300 200 FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 17
COP (Temporary Disability) ( p y y) Year Year Expenditure Expenditure 2005 $234,013 2006 $120,840 2007 2007 $139,182 $139,182 2008 $108,102 2009 $86,535 2010 $136,977 , 2011 $146,156 18
Federal DOL Chargeback (Indemnity) g ( y) Year Year Charge Charge 2005 $3,601,149 2006 $3,597,517 2007 2007 $3,833,955 $3,833,955 2008 $3,589,358 2009 $3,459,195 2010 $3,502,399 , , 2011 $3,421,929 19
Post ‐ Offer/Pre ‐ Hire Physical Exams: CDL / y Year Year Exams Exams 2006 28 • Program based upon 2007 31 DOT Regulations • No job modifications • Key Interfaces: 2008 37 o OHR o OEEMA 2009 2009 28 28 o OGC o OFMR 2010 23 2011 41 20 Smithsonian Directive 218 20
Post ‐ Offer/Pre ‐ Hire Physical Exams: OPS / y • New set of standards tailored to Smithsonian requirements • Written by subject matter expert who • Written by subject matter expert who wrote physical standards for the FBI • Associated Policy for SI written by OHS and OPS in coordination with OHS and OPS in coordination with OPM lawyer who wrote the CFR standards • Policy approved – next step is to y pp p revise current SD covering random drug testing to include physical standards • 200 ‐ 300 exams/year anticipated 21 21 21
Unique Hazards In Museum Collections q • Hg felt treatments • Silk weighting with antimony, arsenic, chromium, lead i h i l d • Paleontological fossil prep (radiation, asbestos, silica); • Geosciences (toxic minerals, radiation) • Pesticides on organic & ethnographic specimens & h h objects (arsenicals, mercury vapor, naphthalene vapor) • Formaldehyde as a fluid F ld h d fl id preservative 22
OSHA Hazard Communication at SI Facilities • Written facility “HazCom” plans • Where applicable, written laboratory safety plans • Maintenance of room ‐ by ‐ room Chemical Inventories • Employee access to Material Safety Data Sheets (MSDS) • Hazard Labels & Warnings on • Hazard Labels & Warnings on Chemical Containers • New employees trained upon hire with periodic refreshers 23
Occupational Exposure Monitoring p p g SI employs strategies for early detection and identification of exposure risks and exposure related health effects before they exposure risks and exposure ‐ related health effects before they result in disease or injury include: • Exposure assessments through comprehensive industrial p g p hygiene surveys, review vs. most stringent OELs • Implementation of effective controls to reduce exposures (product substitution, safe work practices, (product substitution, safe work practices, engineering/ventilation, PPE) • Referral of employees exceeding OELs to medical monitoring/health surveillance program monitoring/health surveillance program 24
Respirator Program p g 250 150 FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 25
Hearing Conservation Program g g 300 200 100 FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 26
Blood ‐ Borne Pathogen Program g g 900 600 300 0 FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 27
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