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REQUIREMENTS AND POLICIES MANUAL

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Health Services Program Overview

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    Title:

    Health Services Program Overview

    Publication date:

    4/29/2022

    Effective date:

    2/15/2007

    BRIEF

    Policy Summary

    Lawrence Berkeley National Laboratory (Berkeley Lab) offers a Health Services Program to protect and promote the health of employees. This document outlines the functions delegated to Health Services.

    Who Should Read This Policy

    All Berkeley Lab employees

    To Read the Full Policy, Go To:

    The POLICY tab on this wiki page

    To Read the ES&H Program Details, Go To:

    ES&H Manual Chapter 3, Health Services
    Contact Information
    Health Services
    (510) 486-6266
    https://ehs.lbl.gov/service/health-services/


    Title:

    Health Services Program Overview

    Publication date:

    4/29/2022

    Effective date:

    2/15/2007

    POLICY

    A. Purpose

    In accordance with U.S. Department of Energy (DOE) regulations, Lawrence Berkeley National Laboratory (Berkeley Lab) offers a comprehensive Health Services Program to protect and promote the health of employees. This document outlines the functions and authorities delegated to Health Services.

    B. Persons Affected

    Eligible Berkeley Lab employees and affiliates, and selected job candidates (eligible workers include any Laboratory employee who works on-site for more than 30 days in a 12-month period or is enrolled in a Laboratory medical surveillance program)

    C. Exceptions

    First aid and/or emergency services may be provided to subcontractors and guests until they are referred to their employer for industrial injury care or their personal physician for nonindustrial illnesses.

    D. Policy Statement

    The Berkeley Lab Health Services Program provides comprehensive occupational medicine services to Berkeley Lab full-time employees, part-time employees who work for more than 30 days in a 12-month period, and all employees who participate in a medical surveillance program.
    The programmatic goals of Health Services are to:

    • Ensure that employees are physically and psychologically capable of performing their assigned duties;
    • Ensure that employees with an occupational illness or injury receive medical care and rehabilitation;
    • Encourage all employees to maintain their physical and mental health; and
    • Assist in maintaining a healthy and safe work environment.

    To meet these goals, Health Services' Clinical Program offers a variety of services and resources to Berkeley Lab employees. The clinic and offices for the program are located on-site, in the Building 26 medical facility.
    Clinical staff provide the following services and resources as a part of this program:

    • Conducting medical surveillance examinations;
    • Offering health evaluations for the purpose of initial and continuing assessment of employee fitness for duty;
    • Administering immunizations offered as part of work-related exposures or regulatory requirements (e.g., bloodborne pathogens, SARS-COV-2, travel medicine);
    • Providing first aid, initial assessment of injuries and illnesses, and appropriate referrals;
    • Providing case management for occupational health issues; and
    • Contributing to health promotion through the Wellness Program.

    In addition to these direct services, the program staff works closely with other EHS staff to coordinate an effective Medical Surveillance Program and with staff from Human Resources to help implement the Laboratory's Return-to-Work Policy. Health Services also supports Berkeley Lab's provision of employee benefits through the Integrated Disability and Absence Management Services team, which provides counseling and assists injured and ill employees to rehabilitate and return to work safely. The Human and Animal Regulatory Committees (HARC) Office in Health Services coordinates the Lab's animal welfare and human subjects protection programs, including the associated oversight committees.

    E. Roles and Responsibilities

    See ES&H Manual Chapter 3 for roles and responsibilities related to the execution of this policy's implementation.

    Role

    Responsibility

    Laboratory Medical Director

    • Maintains a license for the practice of medicine in the state of California.
    • Plans and implements the occupation medicine services.
    •  Participates in worker protection teams to build and maintain necessary partnerships among workers, their representatives, managers, and safety and health protection specialists in establishing and maintaining a safe and healthful workplace.
    • Determines the content of the worker health evaluations, see Medical Evaluation Policy.
    • Reviews and approves the medical and behavioral aspects of employee counseling and health promotional programs.
    • Reviews the medical aspects of immunization programs, bloodborne pathogens programs, and biohazardous waste programs to evaluate their conformance to applicable guidelines.
    • Develops and periodically reviews medical emergency response procedures included in site emergency and disaster preparedness plans. The medical emergency responses must be integrated with nearby community emergency and disaster plans.

    Health Services

    • Occupational medical physicians, occupational health nurses, physician assistants, nurse practitioners, psychologists, employee assistance counselors, and other occupational health personnel providing occupational medicine services must be licensed, registered, or certified as required by federal or California law.
    • Monitors ill and injured workers to facilitate their rehabilitation and safe return to work and to minimize lost time and its associated costs.
    • Must place an individual under medical restrictions when health evaluations indicate that the worker should not perform certain job tasks.
    • Must notify the worker and contractor management when employee work restrictions are imposed or removed.
    • On a timely basis, communicates results of health evaluations to management and safety and health protection specialists to facilitate the mitigation of worksite hazards.
    • Includes measures to identify and manage the principal preventable causes of premature morbidity and mortality affecting worker health and productivity.
    • Health Services must include programs to prevent and manage these causes of morbidity when evaluations demonstrate their cost effectiveness.

    Berkeley Lab management

    • Provides occupational health providers access to the workplace for evaluation of job conditions and issues relating to workers' health.
    • Provides the opportunity to participate in worker safety and health team meetings and committees.

    F. Definitions/Acronyms

    See ES&H Manual Chapter 3 for technical terms related to the details of this policy and its implementation.

    Term

    Definition

    Eligible worker

    A Berkeley Lab employee who works on-site more than 30 days in a 12-month period, or is enrolled for any length of time in a Laboratory medical surveillance or exposure monitoring program

    G. Recordkeeping Requirements

    Role

    Recordkeeping Requirement

    Health Services

    • A record containing any medical, health history, exposure history, and demographic data collected for the occupational medicine purposes must be developed and maintained for each employee for whom medical services are provided. All occupational medical records must be maintained in accordance with Executive Order 13335, Incentives for the Use of Health Information Technology.
    • Employee medical, psychological, and employee assistance program records must be kept confidential, protected from unauthorized access, and stored under conditions that ensure their long-term preservation. Psychological records must be maintained separately from medical records and in the custody the designated psychologist in accordance with 10 CFR 712.38(b)(2).
    • Access to these records must be provided in accordance with DOE regulations implementing the Privacy Act and the Energy Employees Occupational Illness Compensation Program Act.
    • Staff must ensure that the work-related injuries and illnesses of its workers and subcontractor workers are recorded and reported accurately and consistent with DOE reporting directives (§ 851.23).

    Berkeley Lab management

    • Notifies Health Services when an employee has been off work for more than five consecutive work days due to illness or injury (or an equivalent time period for those individuals on an alternative work schedule).
    • Must provide the occupational medicine providers access to hazard information by promoting its communication, coordination, and sharing among operating and environment, safety, and health protection organizations.
    • Must provide the occupational medicine providers with access to information on the following:
      • Current information about actual or potential work-related site hazards (chemical, radiological, physical, biological, or ergonomic);
      • Employee job-task and hazard analysis information, including essential job functions;
      • Actual or potential worksite exposures of each employee; and
      • Personnel actions resulting in a change of job functions, hazards or exposures.
    • Provides occupational health providers information on worker safety and health team meetings and committees.
    • Must make available to the occupational medicine provider appropriate access to information from health, disability, and other insurance plans (de-identified as necessary) in order to facilitate prevention and management of causes of morbidity and mortality.

    H. Implementing Documents

    Document Number

    Other Reference

    Title

    Type

    02.013.002.001

    ES&H Manual Chapter 3

    Health Services

    Program


    ES&H Manual Ch.3.6

    Medical Surveillance and Evaluation Programs

    Program

    07.07.023.001


    Non-ionizing Radiation

    Program

    07.07.022.001


    Noise

    Program

    07.07.005.001


    Chemical Safety Hazards and Controls

    Program

    07.07.002.001


    Asbestos Hazards and Controls

    Program

    07.07.019.001


    Lead Hazards and Controls

    Program

    07.07.003.001


    Beryllium Hazards and Controls

    Program

    07.07.032.001


    Respiratory Protection

    Program

    07.07.013.001


    Exposure Assessment

    Program

    07.07.025.001


    Forklifts and Other Powered Industrial Trucks

    Program

    07.07.008.001


    Cranes, Hoisting, and Rigging Safety

    Program

    07.07.004.001

     ES&H Manual Chapter 26

    Biosafety

    Program


    ES&H Manual Chapter 46

    COVID-19 Prevention Program

    Program

    I. Related Berkeley Lab Policies

    • Medical Separation Policy, 02.12.002.000
    • Sick Leave Policy, 02.07.002.000
    • Family and Medical Leave Policy, 02.07.003.000
    • Workers' Compensation Policy, 02.06.008.000
    • Health Promotion Program, 02.13.005.000

    J. Contact Information

    Health Services
    (510) 486-6266
    https://ehs.lbl.gov/service/health-services/

    K. Revision History

    Date

    Revision

    By whom

    Revision Description

    Section(s) affected

    Change Type

    1/2/2012

    1

    P. Lichty

    Rewrite for RPM

    All

    Minor

    8/13/2013

    1.1

    P. Lichty

    Remove Health Services responsibilities and references for HARC and
    Disability Management

    Policy Statement, Roles and Responsibilities, Definitions

    Minor

    4/29/2022

    2.0

    T. Durrani

    Overhaul of policy language to conform with ES&H Manual, Chapter 3

    All

    Minor

    DOCUMENT INFORMATION

    Title:

    Health Services Program Overview

    Document number

    02.13.002.000

    Revision number

    2.0

    Publication date:

    4/29/2022

    Effective date:

    2/15/2007

    Next review date:

    4/29/2027

    Policy Area:

    Health Services

    RPM Section (home)

    Human Resources

    RPM Section (cross-reference)

    none

    Functional Division

    EHS

    Prior reference information (optional)

    ES&H Manual, Chapter 3, Section 3.2

    Source Requirements Documents

    • 10 CFR 851, Appendix A, Section 8, Occupational Medicine, DOE 443.1C, Protection of Human Research Subjects
    • 10 CFR 745, Protection of Human Subjects
    • 45 CFR 46, Protection of Human Subjects

    Related Berkeley Lab Policies

    • Medical Separation Policy, 02.12.002.000
    • Sick Leave Policy, 02.07.002.000
    • Family and Medical Leave Policy, 02.07.003.000
    • Workers' Compensation Policy, 02.06.008.000

    Implementing Documents

    Document Number

    Other Reference

    Title

    Type

    02.013.002.001

    ES&H Manual, Chapter 3

    Health Services

    Program


    ES&H Manual, Ch.3.6

    Medical Surveillance and Evaluation Programs

    Program

    07.07.023.001


    Non-ionizing Radiation

    Program

    07.07.022.001


    Noise

    Program

    07.07.005.001


    Chemical Safety Hazards and Controls

    Program

    07.07.002.001


    Asbestos Hazards and Controls

    Program

    07.07.019.001


    Lead Hazards and Controls

    Program

    07.07.003.001


    Beryllium Hazards and Controls

    Program

    07.07.032.001


    Respiratory Protection

    Program

    07.07.013.001


    Exposure Assessment

    Program

    07.07.025.001


    Forklifts and Other Powered Industrial Trucks

    Program

    07.07.008.001


    Cranes, Hoisting, and Rigging Safety

    Program

    07.07.004.001


    Biosafety

    Program


    ES&H Manual, Chapter 46

    COVID-19 Prevention Program

    Program

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