1 A Pilot Project to Evaluate the Use of Exposure Control Plans for Bloodborne Pathogens In Private Dental Practices 2 OSAP in Partnership with NIOSH James M. Boiano, MS, CIH Project Officer Susan H. McCrone, Ph.D., R.N Consultant 3 Purpose of the study: Evaluate the extent to which exposure control plans mandated by the OSHA BBP Standard (29CFR 1910.1030) are implemented in private dental offices General Dental Practices Periodontics Pediatric Dentistry Oral Surgery 4 Background: The revision to OSHA's BBP standard added new requirements for employers, including additions to the exposure control plan and maintenance of a sharps injury log. Compliance with standards significantly reduces the risk that workers will contract a bloodborne disease in the course of their work This was primarily based on hospital data 5 6 Process Used for the Project Advisory committee Literature review Survey design & questions Survey population and distribution plan Field test Survey launch Analysis of results Advisory Committee 7 members 3 committee consultants 1
1 project manager 2 NIOSH staff 7 8 9 Focus of the Survey Questions Practice characteristics Role of person(s) answering the questions ECP use or not Elements included in ECP Engineering controls and other IP&S activities used Focus of the Survey Questions PPE provided; training provided Occurrence of any exposure incidents and steps taken Potential use of info resources and organizations for assistance Facilitators and barriers Field Testing 9 active dental office team members (dentists, dental assistants and dental hygienists) Dental practices in 3 states in different regions (rural, suburban and large cities) 10 11 Field Testing Solo general dentist & specialist-owned practice to large multi-specialty group practice Conducted pre-test of web version of survey than adapted based upon comments Survey Sample Publishing partner with double-opt-in email list of 49,172 GP dentists and dental specialists in the U.S. Other dentist specialists including endodontists, oral pathologists, orthodontists, prosthodontists, and public health dentists were NOT included in the sample because they either do not work in private practice and/or were at relatively low risk of exposure to BBPs These other specialists totaled 8,597 which gave us a total survey population of 40,575 dentists Represents nearly 30% of private practice dentists 12 Survey Sample Email invitation with a link to the survey sent to 40,575 dentists and dentists in the selected specialties 2
Multiple email reminders over 1 month 13 JANUARY PROMOTION News feature Inside Dentistry Social media campaign Pre-survey notification e-blast Aegis & OSAP National press release Webpage on OSAP site 14 FEBRUARY PROMOTION Web ads on all Aegis publication sites Email blast to OSAP database Weekly blasts to OSAP members American Dental Association runs story First, second and third email reminder blasts to original Aegis list of 40,575 private practices Survey extension announcement in national press release 15 MARCH PROMOTION AAPD membership email and link ADA News story and link AAP membership email and link ADA Executive Director includes request and link in bi-weekly Leadership Update Weekly blasts to OSAP members 16 17 Participation Aegis 1,196 OSAP 131 AAPD 23 ADA 10 AAP 2 Total 1362 Response Rates 1,362/40,575 3.4% 1,036/40,575 2.6% Private dental practices 3
18 19 Description of Practice Private practice, non franchised 88.9% Private practice, franchised 3.3% Private practice, other 7.8% (N=1059) States Represented by Respondents 47 states represented States with highest representation California 8.9% New York 6.6% Texas 6.2% Ohio 6.0% (N=650) 20 Geographic Location of the Practice Large city (> 100,000) 34.9% Medium city (50,000-100,000) 20.5% Small city or non-rural town 20.2% Suburb (developed area adjacent to city) 14.5% Rural area (characterized by farms) 10.0% (N=650) (N=650) 21 Role of the Person Completing the Survey Retired or not currently in practice 1.1% Dentist owner of the practice 62.3% Dentist non-owner in the practice 11.9% Dental hygienist 11.4% Dental assistant or other staff providing 6.5% chairside assistance at least 50% time Front office or clerical staff (0-<50% time) 3.4% Other 3.6% 4
22 Does the practice currently have a person responsible for OSHA compliance? Yes 88.4% No 7.7% Don t know 3.9% (N=1005) 23 Does the practice currently have a written Exposure Control Plan? Yes 71.5% No 6.4% We refer to a published plan 17.9% but don t have our own Don t know 4.2% (N=929) 24 Future Actions Complete data analyses Disseminate 25 5
Thank you Questions??? 6