Transcript Implementation of 10 CFR 851

Implementation of 10
CFR 851
Jim Johnson
AnovaWorks, PLLC
246 N. Mission St.
Wenatchee, WA 98801
509-662-1955
[email protected]
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The Challenge:
Implementing “851” – translating the ideal into the real.
Players
Rules
Tools
Players
DOE management
Site management
Safety
Occ. Med.
I. H.
Unions
Players
#1. There are lines.
DOE management
Site management
Safety
Occ. Med.
I. H.
Unions
Players
#2. The lines are oriented to each other.
DOE management
Site management
Safety
Occ. Med.
I. H.
Unions
Players
#3. The lines intersect.
DOE management
Site management
Safety
Occ. Med.
I. H.
Unions
Implementing “851” is a process of creating
the rules and tools that channel the
behaviors of people in different disciplines
to work together in a way that produces a
desirable, predictable and compliant
outcome.
Players
Rules and Tools
Ideal “851” Input
DOE management
Site management
Safety
Occ. Med.
I. H.
Unions
Real Effective Safety
Program Output
The first step - Players
Know the players.
Understand their differences.
Manage the interfaces.
Rules: Procedures
Procedures govern behaviors.
 Behaviors determine outcomes.
 Define and control the work process.
 Assure communication and compliance.

Rules
Interfaces for a New Hire Exam
Contractor Scheduler
Labor Relations
Safety
Worker
DOE
Union
Occupational
Occupational
Occupational
Occupational
Occupational
Occupational
Medicine
Medicine
Medicine
Medicine
Medicine
Medicine
Scheduling
Drug Screen/MRO Result
Fit For Duty Decision
Evaluation Results
Records/Compliance
Drug Screen/FFD Decision
Rules
A good procedure has the 4 C’s
Captured
 Complete
 Congruent
 Changeable

Rules
Captured: Written or Diagramed

Benefits:
– It’s real. Used for training. Used for managing.

Form:
– Written – More precise, less usable, easy to change.
– Diagramed – Less precise, more functional, harder to
change, intuitive.
Richland Clinic, Reception, New Hire Entry, Wed. 8-11 AM
Reception
Greet
ID
Record Time
On Time
On Schedule
Y
N
DS Result
Present
Y
N
DS Result
Negative
Correctible
Today
Reception
Y
Nursing
Provider
Testing
Exceptional
Priority
N
Incoming
Data
Complete
Accurate
N
Y
Y
N
Contractor Scheduler
N
Correctible
Today
Y
N
Reception
Begin
Exam
Nursing
Plan reschedule today
Record Time
Y
Y
Complete
Correct
N
Reschedule another day
Or
Discontinue process
Record Time
Complete
Correct
In-clinic
packet
Enter
Data
Complete:
Richland Clinic, Reception, New Hire Entry, Wed. 88-11 AM
Reception
Greet
ID
Record Time
On Time
On Schedule
Y
N
DS Result
Present
Y
N
DS Result
Negative
Correctible
Today
Reception
Y
Nursing
Provider
Testing
Exceptional
Priority



N
Incoming
Data
Complete
Accurate
N
Y
Y
N
Contractor Scheduler
N
Correctible
Today
Y
N
Reception
Begin
Exam
Nursing
Plan reschedule today
Record Time
Y
Y
Complete
Correct
N
Reschedule another day
Or
Discontinue process
Record Time
Complete
Correct
Who does what, when, where, and how.
All contingencies.
Include the users in development.
In-clinic
packet
Enter
Data
Congruent:
Richland Clinic, Reception, New Hire Entry, Wed. 88-11 AM
Reception
Greet
ID
Record Time
On Time
On Schedule
Y
N
DS Result
Present
Y
N
DS Result
Negative
Correctible
Today
Reception
Y
Exceptional
Priority
Nursing

Complete
Accurate
N
Y
Y
N
Contractor Scheduler
Begin
Exam
Reception
Nursing
Plan reschedule today
Record Time
N
Incoming
Data
N
Correctible
Today
Y
N
Provider
Testing
Y
Y
Complete
Correct
In-clinic
packet
Enter
Data
N
Reschedule another day
Or
Discontinue process
Record Time
Your procedures
Match up
Complete
Correct
Your partner disciplines procedures
Changeable
Richland Clinic, Reception, New Hire Entry, Wed. 88-11 AM
Reception
Greet
ID
Record Time
On Time
On Schedule
Y
N
DS Result
Present
Y
N
DS Result
Negative
Correctible
Today
Reception
Y
Nursing
Provider
Testing
Exceptional
Priority


N
Incoming
Data
Complete
Accurate
N
Y
Y
N
Contractor Scheduler
N
Correctible
Today
Y
N
Reception
Begin
Exam
Nursing
Plan reschedule today
Record Time
Y
Y
Complete
Correct
In-clinic
packet
Enter
Data
N
Reschedule another day
Or
Discontinue process
Record Time
Complete
Correct
Individuals don’t change procedures, teams change procedures.
Training, reinforcement/measurement; management
Rules summary

Theory:
– Good procedures
– Good Behaviors
Good Behaviors
Good Outcome
Capture procedures and make them
complete, congruent, and changeable.
 Put constant effort into training,
reinforcement/measurement,
management.

Tools: The things we use to support
our process.
Increase Efficiency
 Forms
 Support Communication
