NORA Healthcare and Social Assistance Council
Meetings
The NORA Healthcare and Social Assistance Council meets in person annually and two to three other times during the year meets quarterly. Workgroups meet more frequently during the year, usually by teleconference.
Regular Meetings
February 25, 2021 1:00 – 2:00 pm ET (virtual meeting)
- Welcoming Remarks
- Needlestick injury and COVID-19 information from NIH NIEHS
Amber Mitchell, DrPH, MPH, CPH, President, Executive Director, International Safety Center - West Virginia’s Experience with COVID-19 Vaccination
Christopher Martin, MD, MSc, Professor, West Virginia University School of Public Health - SEIU’s COVID-19 Vaccination Survey Efforts
Elizabeth Royal, MA, Coordinator, SEIU National Nurse Alliance - Discussion and Questions
David Weissman, MD, NIOSH Healthcare and Social Assistance Program Manager
Bonnie Rogers, DrPH, COHN-S, FAAN, FAAOHN, LNCC, University of North Carolina, NORA Sector Council Co-Chair
June 24, 2021 1:00 – 2:30 pm ET (virtual meeting)
- Welcoming remarks
- American Rescue Plan Health Worker Mental Health Initiative
Tom Cunningham, NIOSH - OSHA Violence Enforcement Since 2004
Michael Hodgson, OSHA
- New Joint Commission Requirements Related to Workplace Violence in Hospitals
Barbara Braun and Meghann Adams, The Joint Commission
- COVID-19 Vaccine Hesitancy in Healthcare Workers
Jagdish Khubchandani, New Mexico State University
- Discussion and Questions
October 28, 2021 1:00 -2:30 pm ET (virtual meeting)
- Welcoming Remarks
- Request for Information: Interventions to Prevent Work-Related Stress and Support Health Worker Mental Health<
Megan Casey, NIOSH - EPINet Results
Amber Mitchell, International Safety Center
- S. Nurse Staffing Shortage
Ruth Francis, American Nurses Association - COVID-19 Vaccine Boosters
Richard Quartarone, CDC COVID-19 Vaccine Task Force
- The Health of Home Health Care Workers: Findings from BRFSS
Madeline Sterling, Cornell Medicine - Discussion and Questions
July 8, 2020 1:00 – 3:00 pm ET (virtual meeting)
An Update on Healthcare Services in the Next Phase of COVID-19
- Welcoming Remarks
- David Weissman, MD, NIOSH Healthcare and Social Assistance Program Manager
- Bonnie Rogers, DrPH, COHN-S, FAAN, FAAOHN, LNCC, University of North Carolina, NORA Sector Council Co-Chair
- Professional Organization Perspective
- Kendra McMillan, RN, MPH, Senior Policy Advisor, American Nurses Association
- Home Care Perspective
- Margaret Quinn, ScD, CIH, Director, Safe Home Care Project, UMass Lowell
- Pia Markkanen, ScD, Safe Home Care Project, UMass Lowell
- Susan Sama, ScD, RN, Safe Home Care Project, UMass Lowell
- Joint Commission Perspective
- David Baker, MD, MPH, FACP, Executive Vice President for Health Care Quality Evaluation, The Joint Commission
- Union Perspective
- Elizabeth Royal, MA, Coordinator, SEIU National Nurse Alliance
- Dental Perspective
- Eve Cuny, MS, Organization for Safety, Asepsis and Prevention
- Hospitals System Perspective
- Clay Marsh, MD, Vice President & Executive Dean for Health Sciences, WVU Medicine
- Union Perspective
- Jane Thomason, MPH, Industrial Hygienist, National Nurses United
- Discussion and Questions
- David Weissman, MD, NIOSH Healthcare and Social Assistance Program Manager
- Bonnie Rogers, DrPH, COHN-S, FAAN, FAAOHN, LNCC, University of North Carolina, NORA Sector Council Co-Chair
November 4, 2020 1:30 – 2:30 pm ET (virtual meeting)
- Welcoming Remarks
- Occupational Well-being in Healthcare
- Lauren Benishek, PhD, Johns Hopkins Armstrong Institute for Patient Safety and Quality
- NIOSH’s Elastomeric Half Mask Respirator Federal Register Notice (FRN)
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- Lee Greenawald, PhD, NIOSH
- Vaccine Initiatives
- David Weissman, MD, NIOSH
- Discussion and Questions
February 27, 2019 1:00-2:00 pm ET (virtual meeting)
- Welcome
- NORA HCSA Agenda
- Federal HIV/AIDS Initiative
- Workgroup/Project Updates
- Worker Safety/Patient Safety
- Sharps Safety and Infectious Disease
- Other updates
- 2019 Sector Council Workgroup Meeting
- Update on Surgical Smoke by Bradley King, NIOSH
- Open Forum
May 30, 2019 1:00-2:00 pm ET (virtual meeting)
- Welcome
- Roll Call
- Presentation: Fatal and Severe Injuries among Veterinarians
CDR Christa Hale, NIOSH - August 2019 Sector Council Workgroup Meeting
- Workgroup/Project Updates
- Open Forum
August 8-9, 2019 in Silver Spring, MD and online
August 8, 2019 8:00 am – 4:30 pm
- Welcome
Ruth Francis, American Nurses Association - Introductions, Objectives, and Review of Agenda
Bonnie Rogers, NORA HCSA Sector Council Co-Chair
Randall Nett, NORA HCSA Sector Council Co-Chair, NIOSH
Organizational Updates
- Update from NIOSHpdf icon
David Weissman, NIOSH HCSA Program Manager - Update on NIOSH Research in the HCSA Sectorpdf icon
Megan Casey, NIOSH HCSA Program Coordinator, NIOSH - Update from the American Nurses Association
Ruth Francis, American Nurses Association
Research Updates: Violence in the HCSA Sector
- Direct-care workers: violence injuries in hospitalspdf icon (remote)
Matt Groenewold, NIOSH - Oregon Workplace Violence Initiativepdf icon
Lynda Enos, HumanFit, LLC - Workplace violence and restructuring of the healthcare industry (remote)
Jane Thomason, National Nurses United
Research Updates: Hazardous Exposures
- Glove and gown use when administering antineoplastic drugs among pregnant and non-pregnant nursespdf icon (remote)
Tina Lawson, NIOSH - Ethylene Oxide as a Medical Serilant (remote)
Peter Orris, University of Illinois at Chicago - Sharps Injuries among Healthcare Personnelpdf icon (remote)
Audrey Reichard, NIOSH - Enforcement of the OSHA Bloodborne Pathogen Standardpdf icon
Amber Mitchell, International Safety Center
Research Updates: Safe Patient Handling and Slips, Trips and Falls
- SEIU Caregiver Kicks Programpdf icon (remote)
Leslie Philips and Merissa Clyde, SEIU - Safe Patient Handlingpdf icon
Toni Hilton, Veterans Health Administration - Revisions to the Safe Patient Handling & Mobility National Standards: An Update
Ruth Francis, American Nurses Association - Application of Exoskeletons for Safe Patient Handling—a Feasibility Studypdf icon (remote)
Liying Zheng, NIOSH - Safe Patient Handling and Patient Outcomes—Current Evidence and Research Gapspdf icon
Lynda Enos, HumanFit, LLC - Toileting-Related Injuries: A Focused Reviewpdf icon
Peg Graham, QUA, Inc. - Open Discussion
Bonnie Rogers, NORA HCSA Sector Council Co-Chair
Randall Nett, NORA HCSA Sector Council Co-Chair, NIOSH - Adjourn
Friday, August 9th 8:00 am – 12:00 pm
- Welcome Back and Review of Agenda
Bonnie Rogers, NORA HCSA Sector Council Co-Chair, University of North Carolina
Randall Nett, NORA HCSA Sector Council Co-Chair, NIOSH
Research Updates: Other Healthcare Personnel
- Infection Control in Oral Healthcarepdf icon (remote)
Eve Cuny, Organization for Safety, Asepsis and Prevention (OSAP) - Respiratory Disease among Dental Practitionerspdf icon
Randy Nett, NIOSH - ‘Real-time’ heat stress among surgeons while performing surgerypdf icon
Jill Byrne, Case Western Reserve University
Research Updates: Safety Culture
- Differences in healthcare coverage, health-related behaviors and health outcomes among patient care aides by healthcare setting
Sharon Silver, NIOSH - The interdependence of safety climate and occupational safety and health management systemspdf icon
Ted Scharf, NIOSH - Improving Safety Culture in the HCSA Sector: An Update from the December 2018 Workshoppdf icon
Megan Casey, NIOSH - Safety Culture Curriculumpdf icon
Bonnie Rogers, UNC
Next Steps for the HCSA NORA Sector Council
- Ideas for Future NORA Projects
Bonnie Rogers, NORA HCSA Sector Council Co-Chair
Randall Nett, NORA HCSA Sector Council Co-Chair, NIOSH - Closing Discussion
Bonnie Rogers, NORA HCSA Sector Council Co-Chair
Randall Nett, NORA HCSA Sector Council Co-Chair, NIOSH - Adjourn
November 14, 2019 1:30 – 3:00 pm ET (virtual meeting)
- Welcome and roll call
- Presentation: SPHM in Doctor of Physical Therapy Curriculum: A Case Report
Jamie Haines, PT, DScPT, Central Michigan University
Margaret Arnold, PT, CEES, CSPHP, Early Mobility.com
- Workgroup/Project Updates
- Open Forum
February 28, 2018 1:00-2:00 pm ET (virtual meeting)
- Welcome
- Collaborative on Clinician Well-Being and Resilience
- AAN’s Position Statement on Nurse Fatigue
- Workgroup Updates
- Veterinary and Animal Care
- Hazardous Drugs and Chemicals
- Update on Agenda Development
- Commonalities among NORA objectives
- Next Meeting
June 14, 2018 1:00-2:30 pm ET (virtual meeting)
- Welcome
- Update on Agenda Development
- Dental Practitioner Idiopathic Pulmonary Fibrosis (IPF) Mortality
- Joint Commission Sentinel Event Alert on Violence
- Regional Meetings
- Workgroup/Project Updates
- Sharps Safety and Infectious Disease
- Worker Safety/Patient Safety
March 1, 2017 1:00-2:30 pm ET (virtual meeting)
- Welcome
- Agenda Development
- Agenda Workgroups
- Worker Safety & Patient Safety Workgroup
- Infectious Diseases and Sharps Safety
- Safe Patient Handling & Slips, Trips and Falls
- Hazardous Drugs and Chemicals
- Veterinary Medicine/Animal Care
- Setting- specific Healthcare Workers
- Childcare, Social Service and Low Wage Workers
- Next Meeting
- Open Forum
July 11, 2017 1:00-2:30 pm ET (virtual meeting)
- Welcome
- Review Draft Agenda
- Worker Safety & Patient Safety
- Infectious Diseases and Sharps Safety
- Safe Patient Handling & Slips, Trips and Falls
- Hazardous Drugs and Chemicals
- Veterinary Medicine/Animal Care
- Setting- specific Healthcare Workers
- Next Steps
- Open Forum
October 12, 2017 1:00-2:30 pm ET (virtual meeting)
- Welcome
- Introducing Randall Nett, MD, MPH
- Roll Call
- Update on Agenda Development
- Current Intelligence Briefing (CIB) on Asthma and Allergies Among Laboratory Animal Workers
- Third Decade Planning
- Next Meeting in January
- Open Forum
November 10, 2016 1:00-2:30 pm ET (virtual meeting)
- Welcome
- What is NORA?
- Meeting logistics
- Council Objectives for Third Decade
- NORA 3 Tasks and Planning
- Introduction of Sector Council Members
- Open Forum
NORA Healthy Work Design in the HCSA Sector Workshop (Dec 2018)
December 6-7, 2018 in Washington, DC
Objective: The objective of this workshop is to summarize the current work being done to improve health and safety culture in the healthcare sector and identify opportunities for our NORA Sector Council to become more engaged.
Thursday, December 6 8:00 am – 5:00 pm ET
- Welcome and Introductions
Bonnie Rogers, NORA HCSA Sector Council Co-Chair, University of North Carolina
Randall Nett, NORA HCSA Sector Council Co-Chair, NIOSH
Defining Safety Culture and OSH (occupational safety and health) in Healthcare
- Safety Culture – Safety Climate: Background and General Perspectives
Dave DeJoy, NORA Healthy Work Design and Well-Being Program Co-Chair, University of Georgia - Healthy Work Design and Well-Being (HWD) Cross-Sector Program
Naomi Swanson, NORA Healthy Work Design and Well-Being Program Co-Chair, NIOSH
Regina Pana-Cryan, NORA Healthy Work Design and Well-Being Program Co-Chair, NIOSH - Healthy Work Design for the Environment of Care
Robert McLellan (via Adobe Connect), Past ACOEM President, Geisel School of Medicine at Dartmouth
Updates from National Efforts
- Andrew Levinson, OSHA
- Systems Approaches to Improve Patient Care by Supporting Clinician Well-Being
Pascale Carayon (via Adobe Connect)
University of Wisconsin-Madison
Study Co-Chair, Systems Approaches to Improve Patient Care by Supporting Clinician Well-Being, A Consensus Study from the National Academies of Sciences, Engineering and Medicine - Healthy Work Design in the HCSA Sector
Ron Smith, LS3P
Doug Erickson, Facilities Guidelines Institute - Safety Culture and Leadership: A View from The Joint Commission
Barbara Braun The Joint Commission Presentation slidesCdc-pdfpdf icon - Critical Care Societies Collaborative: Prevention & Management of Burnout
Curtis Sessler, Virginia Commonwealth University
Critical Care Societies Collaborative on Prevention & Management of Burnout
Case Studies and Special Topics
- NIOSH’s Center for Productive Aging and Work
- Jim Grosch (via Adobe Connect), NIOSH
- Risk Assessment: The Backbone of Laboratory Safety
Natasha Griffith (via Adobe Connect), CDC Center for Surveillance, Epidemiology, and Laboratory Services, Division of Laboratory Systems - Workforce Safety Initiative Virginia Mason Health System
Alison Bradywood (via Adobe Connect), Virginia Mason Health System - Denise Abbott (via Adobe Connect)
New York State Zero Lift Taskforce, Communications Workers of America Local 1168 - Free From Harm
Tejal Gandhi (via Adobe Connect), Institute for Healthcare Improvement - Safe Patient Handling and Mobility National Program Veterans Health Administration
Tony Hilton, Veterans Health Administration - Safety in home care: linking worker and patient safety for healthy aging & healthy work
Margaret Quinn, University of Massachusetts, Lowell - Lagging or Leading? Re-Conceptualizing our Notion of Occupational Injuries as Performance Indicators of Occupational Safety
Patrick Yorio (via Adobe Connect), NIOSH National Personal Protective Technology Laboratory
Friday, December 7th 8:00 am – 12:00 pm ET
- Welcome Back
Bonnie Rogers, NORA HCSA Sector Council Co-Chair, University of North Carolina
Randall Nett, NORA HCSA Sector Council Co-Chair, NIOSH - Research and r2p Efforts to improve Safety climate in Construction
Linda Goldenhar (via Adobe Connect), The Center for Construction Research and Training - Introduction to the Implementation Worksheet
- Topic Identification
- Prioritizing Topics
- Implementation Plan for Selected Topics and Next Steps
- Adjourn
Email NORACoordinator@cdc.gov for a copy of the transcripts of the recordings.
Participants assembled the following resources after the workshop:
Safety Culture
IHI/NPSF: Leading a Culture of Safety: A Blueprint for Success. (Self-assessment tool also available): http://www.ihi.org/resources/Pages/Publications/Leading-a-Culture-of-Safety-A-Blueprint-for-Success.aspxexternal icon
Joint Commission: Center for Transforming Healthcare, Oro™ 2.0 (an online organizational assessment with resources designed to guide hospital leadership through the high reliability journey, specifically within the areas of: Leadership Commitment, Safety Culture, Performance Improvement). Also, various other resources.
CPWR (construction) – Safety Climate Assessment Tool – S-CAT website: www.safetyclimateassessment.orgexternal icon ; materials for small contractors: https://cpwr.com/research/s-cat-sc-small-contractorsexternal icon
American College of Healthcare Executives (ACHE) Leading a Culture of Safety: A Blueprint for Success: http://safety.ache.org/external icon
Clinical Well-Being/Burnout
Systems Approaches to Improve Patient Care by Supporting Clinician Well-Being, A consensus study by the National Academies of Sciences, Engineering, and Medicine: www.nas.edu/supportingclinicianwellbeingexternal icon
National Academy of Medicine Action Collaborative on Clinician Well-Being and Resilience. Breaking Silence, Breaking Stigma (commentary): https://nam.edu/breaking-silence-breaking-stigma/external icon
Critical Care Societies Collaborative (CCSC) webpage on ICU Burnout: http://ccsconline.org/optimizing-the-workforce/burnoutexternal icon
Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care. From the Lucian Leape Institute Roundtable on Joy, Meaning, and Workforce Safety. Download at www.npsf.org/lliexternal icon
IHI Framework for Improving joy in work: http://www.ihi.org/resources/Pages/IHIWhitePapers/Framework-Improving-Joy-in-Work.aspxexternal icon
Facilities Design
Facility Guidelines Institute – Safety Risk Assessment (SRA) Toolkit (for healthcare planning, design, and construction): https://www.healthdesign.org/sra/about/guideexternal icon
Also: Guidelines documents for hospitals, residential health care and support facilities, and outpatient facilities.
Connection Between Patient Safety and Worker Safety
Loeppke R, Boldrighini J, Bowe J, et al. Interaction of Health Care Worker Health and Safety and Patient Health and Safety in the US Health Care System: Recommendations From the 2016 Summit. J Occup Environ Med.
2017 Aug;59(8):803-813. doi: 10.1097/JOM.0000000000001100. PubMed PMID: 28796664. Available at: https://acoem.org/Advocacy/Joint-Statements-Summit-Recommendations/Interaction-of-Health-Care-Worker-Health-and-Patient-Health-and-Safety-in-the-US-Health-Care-Systemexternal icon
IHI/NPSF: IHI: Free from Harm. Accelerating Patient Safety Improvement Fifteen Years after To Err is Human: www.npsf.org/free-from-harm/external icon
Joint Commission: Improving Patient and Worker Safety. Opportunities for Synergy, Collaboration, and Innovation: https://www.jointcommission.org/improving_patient_worker_safety/external icon
Miscellaneous
Joint Commission: Targeted Solutions Tool®, currently four TST modules: Hand Hygiene, Safe Surgery, Hand-Off Communications, and Preventing Falls with injury.
Veterans Administration: Safe Patient Handling resources: https://www.publichealth.va.gov/employeehealth/patient-handling/index.aspexternal icon; VA Safe Patient Handling App: https://mobile.va.gov/app/safe-patient-handlingexternal icon
Aging Worker: National Center for Productive Aging at Work https://www.cdc.gov/niosh/topics/productiveaging/; Designing the Age Friendly Workplace
https://agefriendlyworkplace.squarespace.com/external icon; Finnish Institute of Occupational Health (FIOH) Work Ability Index: https://healthy-workplaces.eu/previous/all-ages-2016/en/tools-and-publications/practical-tools/work-ability-indexexternal icon; EU-OSHA Healthy Workplaces for All Ages E-guide
https://osha.europa.eu/en/tools-and-publications/e-guide-all-agesexternal icon
Laboratory risk management: Laboratory Biorisk Management, eds, Salerno RM, Gaudioso J. CRC Press: https://www.crcpress.com/Laboratory-Biorisk-Management-Biosafety-and-Biosecurity/Salerno-Gaudioso/p/book/9781466593640external icon; ISO 9001 Quality management system; ISO 14001 Environmental management system; ISO 27001 Information security management system; ISO 31000 Risk management; ISO 35001 Laboratory biorisk management system; ISO 45001 Occupational health & safety management systems; Institute of Risk Management (theirm.org); Risk Management Association (rmahq.org)
Total Worker Health® (Policies, programs, and practices that integrate protection from work-related safety and health hazards with promotion of injury and illness prevention efforts to advance worker well-being): https://www.cdc.gov/niosh/twh/default.html
Citations to websites external to NIOSH do not constitute NIOSH endorsement of the sponsoring organizations or their programs or products. Furthermore, NIOSH is not responsible for the content of these websites. All Web addresses referenced in this document were accessible as of the publication date.