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HCP Effectiveness
Industrial Audiology
26
Audiology
Graduate
07/05/2018

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Cards

Term
Determining HCP Effectiveness:
-Assumption: on-going ___ is needed
-___ & ___-effective changes WILL need to be made.
Definition
assessment; Timely; cost
Term
Evaluate the entire program at least ___
Definition
annually
Term
Management’s Roles:
-Ensure that the HCP is evaluated ___
-Recruit & keep HCP ___
-Provide adequate ___ (personnel & funds)
-Attend to ___ from employees
-Accept & fix ___
-Determine & carry out ___ measures for non compliance
Definition
annually; personnel; resources; comments; deficiencies; disciplinary
Term
HC P Team’s Responsibilities:
-Commit adequate ___
-Be dedicated to continuous ___
-Effectively communicate ___ to employees & management
-Find problems ___; use ___ practices; look for ___ STS instead of waiting for OSHA STS
-Ask ___, collaborate, find ___
-___ information from audiometric data
Definition
time; improvement; findings; sooner; best; NIOSH; questions; solutions; Analyze
Term
Workers’ Responsibilities:
-Give ___ to management & HCP team
-Discuss problems, concerns, difficulties re: changes for _____ and/or ___
-Attend to noise ___; promptly report any ___
-Help ___ problems and ___ any noise controls
Definition
feedback; noise control and/or HPDs; levels; changes; correct; maintain
Term
Ways to Evaluate HCP Effectiveness: 1. Evaluate workers’ ___ ___ 2. Check for ___ to regulation (e.g. OSHA) 3. Check for any ___ in the implementation of the program’s components 4. ___ improvements 5. Evaluate ___ of each component of the HCP
Definition
audiometric thresholds; compliance; deficiencies; Quantify; effectiveness
Term
Check for Compliance to Regulation:
-Read the ___
-Make or find a relevant ___ ___
-Consider ___ practices
-OSHA check list on ___ website
-Note: compliance based on check lists does NOT necessarily mean the HCP ___ ___
Definition
regulation; check list; best; NIOSH; is effective
Term
Program Deficiencies:
-Ask management & workers via ___ and/or ___ ___
-Can use checklist (for regulation) to see if ___ exist between groups
Definition
interviews; focus groups; discrepancies
Term
What are some examples of deficiencies?
Definition
-HPDs: 5/10 companies said they evaluated HPD effectiveness, but they did NOT derate NRRs
-Annual training was never or intermittently done at 3/10 companies; others showed DVD in English only (even to those without English language fluency)
Term
Advantages and Limitations of Interviews:
-Can identify problems areas ___
-Potential for reporting bias: Workers may not want negative ___ due to reports, Afraid they will ___ jobs, factory to ___ due to lack of compliance, some are afraid of ___ with management
Definition
quickly; consequences; lose; close; disagreement
Term
These are a qualitative research tool used to gauge opinions,
attitudes, determine effectiveness of procedures, make recommendations
Definition
Focus groups
Term
Advantages and Limitations of Focus Groups:
-Good for those with ___ levels of literacy
-Can provide ___ information
-Comments are ___
-Listeners can ___ on others’ responses
-Need a good facilitator to handle different ____
-Time consuming to ___ ___
Definition
lower; detailed; spontaneous; build; personalities; analyze data
Term
Information That Can Be Used To Gauge Program Effectiveness:
-____ w/ audiometric testing
-______ compliance
-___ ___ statistics
-Audiometric data ___
Definition
Compliance; HPD; Noise exposure; evaluation
Term
Compliance with audiometric testing:
-# of persons enrolled in HCP with current ___ (w/in last yr)/# enrolled in ______ x 100
-Example: 100 have current audio in place where 200 total are enrolled in HCP = 50%. Figure out why only 50% have complied
Definition
audio; HCP
Term
Compliance with HPD Use:
-# of persons ___ using HPDs (through random checks)/ # ___ to use HPDs x 100
-Example: 12 are seen using HPDs in an area where 20 are required to use HPDs
-Next steps?
Definition
observed; required; Find out reasons for low compliance rate and introduce strategies to increase compliance rate
Term
Noise Exposure Statistics Percentage of workers in potentially hazardous noise:
-Based on ___ (8hr TWA above 84 dBA w/3dB exchange rate)
-Based on ___ noise (peak SPLs of 140 dB or higher)
-During ___ tasks
-Number of ___ or ___ where engineering noise controls were implemented
-Noise controls in ___ (difference in pre- & post-controls)
-Percentage of workers ___ from HCP due to reduced noise dose
Definition
dosimetry; impact; certain; areas; machines; dB; removed
Term
Audiometric Data:
-Look for ___ changes in each worker; use ___ method & restricted database (n =30)
-Overall program evaluation: 1. look at ___ of audiometric data. 2. compare the rate of STS of ___-___ workers to those ___ ___ to noise
Definition
significant; systematic; integrity; noise-exposed; not exposed
Term
What are some factors that could reduce integrity of audiometric data?
Definition
Poor test environment, Poor procedures (headphone placement, instructions, etc.), Poor calibration, and Inaccurate/poor data recording
Term
What is Considered an “Effective HCP”?
Definition
STS rate of 3 to 6% or STS rate of 3% or less (NIOSH)
Term
Limitations of Using STS Rates:
-STS rates can appear low if ___ is high
-A high percentage of prior ___ revisions can make the current STS rate appear low
-Changes in ___ or ___ can lower STS rates because changes may mask decreases in hearing.
Definition
turnover; baseline; practices; equipment
Term
How can you evaluate the effectiveness of noise measures?
Definition
Ask employees about noise levels
Term
How could you evaluate the effectiveness of noise controls?
Definition
Test workers’ knowledge about controls & what is needed to maintain controls. Test managers too
Term
What is a way you could evaluate the effectiveness of audiometric monitoring?
Definition
Find out about employees’ knowledge about audiometric results.
Term
What is a way you could evaluate the effectiveness of HPDs?
Definition
Ask everyone to show proper insertion & removal of HPDs.
Term
What is a way you could evaluate the effectiveness of training and motivation?
Definition
Give pre- & post-tests after annual training sessions.
Term
What is a way you could evaluate the effectiveness of the program effectiveness?
Definition
Examine compensation claims.
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