Data Components of Illness and Injury Surveillance at DOE Sites

DOE-STD-1190-2007

ORISE, under contract to the Office of Illness and Injury Prevention Programs, serves as the

Illness and Injury Surveillance Data Center. The Data Center collects the data, checks for

errors, ensures integrity of the data, manages the Illness and Injury Surveillance database,

provides quality assurance, and analyzes the data. The Data Center is also responsible for

coding diagnostic information in a standardized manner by trained nosologists. On request,

the Data Center will return a copy of all coded data to the site that initially submitted it for

use by on site analysts. The Data Center prepares initial drafts of reports that include an

analysis of the observed illness and injury trends and provide information for "quick

response" requests from DOE HQ or a participating site.

Each facility selects a site data coordinator who takes primary responsibility for

coordinating the collection and transmission of surveillance data to the Data Center. The

site data coordinator is the primary IISP point of contact at the site and coordinates with

other site staff who participate as needed. The site data coordinator is expected to have

training and experience in areas such as medical terminology, medical records or data

management, direct or indirect access to the medical, safety (OSHA), and roster data, and an

understanding of the organization of the site that facilitates identification of persons in the

organizations responsible for the various data required for illness and injury surveillance.

4. DATA COMPONENTS OF ILLNESS AND INJURY

SURVEILLANCE AT DOE SITES

Data collection focuses on contractor and subcontractor workers who are eligible to obtain return-

to-work (RTW) clearances through the site occupational medicine clinic, and for whom the

necessary personnel and medical records are available. The health data of subcontractor workers

who are not required to clear through the contractor's medical system are not accessible to the IISP;

they are, therefore, not included in illness and injury surveillance. Federal workers are not included

in the IISP because they are not generally required to use the on site medical clinics and are not

governed by the Occupational Safety and Health Act in the same manner as the Act addresses the

safety and health of contractor workers. Several different types of information must be identified

by the site Illness and Injury Surveillance data coordinator before data collection can proceed. It is

the site data coordinator's responsibility to identify the organizations that maintain these data and to