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A Workshop Agenda Thursday, June 2, 2011 Keck Center of the National Academies 500 Fifth Street, NW Room 100 Washington, DC 8:00-8:45 a.m. Opening Session Welcome and Introductions David Wegman, Chair, Institute of Medicine (IOM) Committee on Occupational Information and Electronic Health Records Opening Remarks John Howard, National Institute for Occupational Safety and Health Discussion 8:45-10:30 Panel 1: Making Meaningful Change by Integrating Occupational Information in Electronic Health Records Facilitators: Laura Obbard and Curtis Cole Panel Framing Questions: How does capturing occupational data improve care in your area (e.g., by 59

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60 APPENDIX A improving clinical efficiency and quality, reducing health disparities, engaging patients and families)? With regard to occupational data, what level of specificity is required to effectively inform clinical decision making? What current evidence or cost savings data are you familiar with that occupational data can impact patient care in each area? How could incorporating this information in an electronic health record (EHR) enhance care? 8:45-8:50 Speaker Introductions 8:50-9:05 Improving Quality in Clinical Practice Robert McLellan, Dartmouth-Hitchcock Medical Center 9:05-9:20 Improving Efficiency in Clinical Practice James Tacci, Xerox 9:20-9:35 Reducing Health Disparities Sherry Baron, National Institute for Occupational Safety and Health (NIOSH) 9:35-9:50 Engaging Patients and Their Families in Care—Workplace Wellness Gregory Wagner, Mine Safety and Health Administration 9:50-10:30 Discussion 10:30-10:45 Break 10:45 a.m.-12:15 p.m. Panel 2: Opportunities for Public Health Use Facilitator: Robert Harrison Panel Framing Questions: What are the challenges of collecting occupational information in electronic

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61 APPENDIX A health records that will be useful for enhancing public health efforts? What issues need to be considered so that occupational data in electronic health records will be usable and useful for public health purposes? What are your recommendations on next steps? 10:45-10:50 Speaker Introductions 10:50-11:05 Lessons Learned from Using Primary Care Data for Public Health Purposes Christie Eheman, Centers for Disease Control and Prevention (CDC) Wendy Blumenthal, CDC 11:05-11:20 Finding New Associations Between Work and Health Kathleen Kreiss, NIOSH 11:20 a.m.-12:15 p.m. Discussion 12:15-1:00 Lunch 1:00-2:45 Panel 3: Opportunities for Clinical Use Facilitators: Sundaresan Jayaraman and Letitia Davis Panel Framing Questions: Is occupational information being collected in the EHR in your system? o If so, how have these data been used or what is the plan for using this information? What types of occupational information were collected and at what level of specificity? o If not, has the collection of occupational information been considered? What could this information bring to your practice? How do you see this

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62 APPENDIX A information being most easily collected and most productively used? What are the challenges of collecting useful occupational information? What occupational information should be collected so that clinical decision support could be added to the EHR? 1:00-1:05 Speaker Introductions 1:05-1:20 Occupational Health Clinic Perspective Linda Cocchiarella, Long Island Occupational and Environmental Health Center 1:20-1:35 Managing Injury and Disease in the Workplace Paul Papanek, University of California, Los Angeles 1:35-2:05 Primary Care Perspectives Edward Zuroweste, Migrant Clinicians Network Jack Chapman, Gainesville Eye Associates (via phone) 2:05-2:45 Discussion 2:45-3:00 Break 3:00-5:00 Panel 4: Feasibility—Implementation Issues Facilitators: Catherine Staes, Robert Greenes, and George Stamas Panel Framing Questions: What are the best strategies to ensure that the occupational data being collected are standardized and useful? What level of specificity is required to ensure meaningful use? What are the challenges and barriers associated with current occupation classification systems? Does the current

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63 APPENDIX A classification system cover all of the occupational information that should be included in electronic health records? What factors are important in determining if and how clinical decision-support tools will be developed and incorporated? 3:00-3:05 Speaker Introductions 3:05-3:20 Standardization of Terms and Interoperability Chris Chute, Mayo Clinic 3:20-3:35 Occupational Information and Health Billing Records Jennifer Taylor, Drexel University 3:35-3:50 Occupation Coding Melissa Chiu, U.S. Census Bureau 3:50-4:05 Implementation Perspective Toby Samo, AllScripts 4:05-4:20 Health System Perspective Roman Kownacki, Kaiser Permanente 4:20-5:00 Discussion 5:00-5:15 Concluding Remarks David Wegman 5:15 Adjourn Workshop

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