Flow of claims through the dose reconstruction process.
Health Phys 2003 Jun; 84(Suppl):S211
The dose reconstruction of EEOICP A claims requires the performance of more than 100 discrete process steps. These activities include the assembly of personnel monitoring data, review of site characterization data, conduct of the claimant interview, and performance of the actual reconstruction of internal and external dose. NIOSH staff health physicists processed a number of compensation claims to completion during the initial development stages of the dose reconstruction program. That effort involved an individual NIOSH health physicist performing each step required for complete dose reconstruction. While this system was invaluable for the development of dose reconstruction methodology and guidance documents, it would not provide the claims processing capacity to meet the program needs. A program objective to process more than 200 claims per week has been established to clear the existing case backlog and provide an acceptable turnaround time for newly submitted claims. The pool of available health physicists, possessing the broad expertise required for the individual approach, is inadequate to meet this program objective. Therefore, a compartmentalized system of claims processing has been established in which each task is performed sequentially by individuals possessing the skills and expertise needed for that particular function. This allows health physicists to focus on the tasks requiring their expertise while permitting others to perform those tasks that do not require that qualification. Health physicists may also be assigned tasks within their areas of specialty and for which they are most qualified. Additional objectives of the claims processing model are to enhance dose reconstruction efficiency and accuracy by providing feedback mechanisms for lessons learned, allow for immediate identification of claim status, and to both track and meet the various contractually required claims processing metrics.
Dose-response; Exposure-assessment; Mathematical-models; Radiation-exposure; Radiation-measurement; Nuclear-energy; Nuclear-radiation; Data-processing; Decision-making; Health-physicists; Task-performance; Work-capacity; Technical-personnel
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Abstract; Conference/Symposia Proceedings
MJW Corporation Inc., Williamsville, New York