Partnerships in surveillance and prevention.
McCauley-LA; Heumann-M; Lapidus-J; Rischitelli-G
NIOSH 2004 Jun; 1-125
This study addressed the NORA designated priority area of Surveillance Research Methodology and was based on a collaboration between the Center for Research on Occupational and Environmental Toxicology (CROET) at Oregon Health and Science University (OHSU), the Environmental and Occupational Epidemiology (EOE) section of the Oregon Department of Human Services (DHS), and major insurers for Workers' Compensation (WC) in Oregon. This collaboration brought together experts in epidemiology, surveillance, WC, and insurance plans for industry to advance the knowledge of worker injury and illness surveillance. Specifically we addressed the disparities in data available in the state-mandated WC system and those available in the databases held by private insurers and self-insured companies. We also provided insurers that collaborated in this project evidence of the utility of surveillance data in understanding the nature of their occupational injuries and illnesses. This research plan was developed to assess the feasibility and potential utility of compiling WC claims data from multiple insurers into a common database for monitoring all types of WC claims. The transformation of claims data from multiple insurers provided a broad view across insurers, indicated any need for taxonomy development and standardization to facilitate the merging of data, and provided the mechanism to compare illness and injury claims in relation to key variables. Upon successful merging of data from multiple insurers, differences were determined between disabling and "medical-only" claims among different insurers according to type of injury/illness, age and gender of claimants, and type of industry. Comparisons were made in the profile of occupational injury and illness available in state WC databases and the profile available in data from insurers. This project demonstrated the utility of complete insurer databases in monitoring illness and injury trends and patterns of claims. The partnership with individual insurers provided the insurers with new insights into their loss claim patterns. The project also demonstrated the significant barriers to meaningful merging of multiple insurer databases.
Surveillance-programs; Statistical-analysis; Epidemiology; Demographic-characteristics; Age-factors; Racial-factors; Sex-factors; Injuries; Traumatic-injuries
Final Grant Report
Research Tools and Approaches: Surveillance Research Methods
National Institute for Occupational Safety and Health
Oregon Health & Science University, Portland, Oregon