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Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2011. Incorporating Occupational Information in Electronic Health Records: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13207.
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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

Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2011. Incorporating Occupational Information in Electronic Health Records: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13207.
×
 

     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

Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2011. Incorporating Occupational Information in Electronic Health Records: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13207.
×

     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

Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2011. Incorporating Occupational Information in Electronic Health Records: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13207.
×

     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

Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2011. Incorporating Occupational Information in Electronic Health Records: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13207.
×

     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
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2011. Incorporating Occupational Information in Electronic Health Records: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13207.
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Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2011. Incorporating Occupational Information in Electronic Health Records: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13207.
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Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2011. Incorporating Occupational Information in Electronic Health Records: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13207.
×
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Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2011. Incorporating Occupational Information in Electronic Health Records: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13207.
×
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Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2011. Incorporating Occupational Information in Electronic Health Records: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13207.
×
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Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2011. Incorporating Occupational Information in Electronic Health Records: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13207.
×
Page 63
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2011. Incorporating Occupational Information in Electronic Health Records: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13207.
×
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Each year in the United States, more than 4,000 occupational fatalities and more than 3 million occupational injuries occur along with more than 160,000 cases of occupational illnesses. Incorporating patients' occupational information into electronic health records (EHRs) could lead to more informed clinical diagnosis and treatment plans as well as more effective policies, interventions, and prevention strategies to improve the overall health of the working population. At the request of the National Institute for Occupational Safety and Health, the IOM appointed a committee to examine the rationale and feasibility of incorporating occupational information in patients' EHRs. The IOM concluded that three data elements - occupation, industry, and work-relatedness - were ready for immediate focus, and made recommendations on moving forward efforts to incorporate these elements into EHRs.

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