California Workers' Compensation Surveillance

 描述（由申请人提供）：该提案旨在增强加州使用现有州级工人赔偿 (WC) 数据进行公共卫生监测的能力，包括 1) 收集、分析、解释、使用和传播有关职业伤害、疾病、死亡和危险暴露发生率的调查结果； 2) 识别趋势、新出现的问题、高风险行业和工人群体； 3) 制定工作场所干预措施的建议。我们的具体目标包括： 1. 将加州工人赔偿信息系统 (WCIS) 索赔数据与就业和工资季度普查以及其他分母来源（包括美国社区调查）相结合，按 NAICS 行业和雇主规模制定每全职当量 (FTE) 的 WC 索赔率，包括对各种分母数据源的比率估计值进行敏感性分析。 2. 向公众分发数据分析报告，其中包括 1) 纯医疗索赔和误工索赔的 WC 索赔率； 2) NIOSH NORA 行业部门、NAICS 行业、雇主规模类别； 3) 身体受伤/患病的部位、性质和原因。 3. 总结加州 WCIS 和分母数据库的效用和局限性。 4. 创建可公开访问的去识别化厕所病例数据集，包括首次伤害报告 (FROI) 字段，并与 NIOSH 协调对加州厕所成本的评估。 加州 WC 索赔率的计算方法是，将每年的 WCIS 索赔与机构 FEIN 的 QCEW 数据库中的机构进行匹配，根据 NAICS 行业代码和机构规模对索赔和分母进行求和，并将 NAICS 员工分母与 NAICS 行业的 ACS 每周工作时间和每年工作周数进行匹配。监测系统评估将包括敏感性分析和成本计算， 并总结有关数据库的技术信息。 加利福尼亚州的厕所系统是全国最大的。作为拥有医疗账单数据的非排他性 WC 基金国家，WCIS 为加强职业伤害和疾病监测提供了丰富的数据源。 加利福尼亚州 DIR 设有一个既定的研究单位，该单位是劳工机构的一个完整的组成部分，CDPH 和 DIR 有着合作使用数据来增强政策变化的历史，包括重要的健康和安全法规，包括与阿片类药物使用、背部手术和 CTS 相关的 WC 法规。 增加行业税率可以提高我们实施新的工人保护和干预措施的能力，并扩大 WC 的监控用途。

 DESCRIPTION (provided by applicant): The proposal seeks to enhance the capacity of California to use existing state-level workers' compensation (WC) data to conduct public health surveillance including 1) collection, analysis, interpretation, use, and dissemination of findings on the incidence of occupational injuries, illnesses, deaths and exposures to hazards; 2) identification of trends, emerging issues, high-risk industries and worker populations; and 3) development of recommendations for workplace interventions. Our specific aims include: 1. Combine California Workers Compensation Information System (WCIS) claims data with Quarterly Census of Employment and Wages and other denominator sources, including the American Community Survey, to develop rates of WC claims per full time equivalent (FTE) by NAICS industries and employer sizes, including sensitivity analyses among rate estimates from various denominator data sources. 2. Distribute a data analysis report for the public that includes rates of WC claims by 1) medical-only and lost- time claims; 2) NIOSH NORA industry sectors, NAICS industries, employer size categories; and 3) injury/illness part of body, nature, and cause. 3. Summarize the utility and limitations of California's WCIS and denominator databases. 4. Create a publically accessible de-identified WC case dataset including First Report of Injury (FROI) fields, and coordinate with NIOSH an assessment of California WC costs. California WC claim rates will be calculated by matching each year's WCIS claims to an establishment in the QCEW database by establishment FEIN, summing claims and denominators by NAICS industry codes and establishment size, and matching NAICS employee denominator with hours worked per week and weeks worked per year from ACS by NAICS industry. A surveillance system evaluation will include sensitivity analyses and cost calculations, and summarize technical information about the databases. California's WC system is the largest in the country. As a non-exclusive WC fund state with medical billing data, WCIS provides a rich data source for increased occupational injury and illness surveillance. California has an established research unit at DIR that is a well-integrated part of the labor agency, and CDPH and DIR have a history of collaborating to use data to augment policy changes including important health and safety regulations, including WC regulations related to opioid use, back surgery, and CTS. Adding industry rates increases our capacity to implement new worker protections and interventions and expands the use of WC for surveillance purposes.