California Workers' Compensation Surveillance

加州工人赔偿监督

• 批准号: 8919144
• 负责人: ROBERT HARRISON
• 金额: $ 19.96万
• 依托单位: PUBLIC HEALTH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-06-01 至 2018-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8919144
• 关键词: California; Workers; Compensation; Surveillance

 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.

 描述（申请人提供）：该提案旨在增强加州利用现有州级工人赔偿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）确定趋势、新出现的问题、高风险行业和工人群体; 3）制定工作场所干预建议。我们的具体目标包括：1.将联合收割机加州工人赔偿信息系统（WCIS）索赔数据与季度就业和工资普查以及其他分母来源（包括美国社区调查）相结合，以按NAICS行业和雇主规模制定每全职当量（FTE）的WC索赔率，包括对来自各种分母数据来源的费率估计值进行敏感性分析。2.向公众分发一份数据分析报告，其中包括以下方面的WC索赔率：1）仅医疗和误工索赔; 2）NIOSH诺拉行业部门、NAICS行业、雇主规模类别;以及3）身体受伤/患病部位、性质和原因。3.总结加州的WCIS和分母数据库的实用性和局限性。4.创建一个可供医疗机构访问的去识别WC病例数据集，包括首次受伤报告（FROI）字段，并与NIOSH协调对加州WC成本的评估。 计算加州WC索赔率的方法是，将每年的WCIS索赔与QCEW数据库中的企业FEIN进行匹配，按NAICS行业代码和企业规模汇总索赔和索赔人，并将NAICS员工分母与ACS按NAICS行业的每周工作小时数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。 加州的厕所系统是全国最大的。作为拥有医疗账单数据的非独家WC基金国家，WCIS为增加职业伤害和疾病监测提供了丰富的数据来源。 加州 在劳动局有一个成熟的研究单位，是劳动局的一个很好的整合部分，CDPH和劳动局有合作的历史，使用数据来增加政策的变化，包括重要的健康和安全法规，包括与阿片类药物使用有关的WC法规，背部手术，和CTS。 增加行业费率提高了我们实施新的工人保护和干预措施的能力，并扩大了卫生间在监督方面的使用。