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Understand SSA users' needs for occupational information for disability benefits adjudication. Research methodology, results, and discussion presented.
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SSA’S USER NEEDS ANALYSIS (UNA) FOR THE OCCUPATIONAL INFORMATION SYSTEM (OIS) CONTENT MODEL Shirleen Roth and Michael Dunn Social Security Administration Office of Program Development and Research January 2010
Overview • Objectives • Research Question • Research Participants • Development • Methodology • Results • Discussion Social Security Administration
The Two Worlds of Work Social Security Administration
Objectives • Primary Objective: Development of OIS Content Model • Secondary Objective: Inform Future Integration of the OIS into SSA’s Disability Claims Processes Social Security Administration
Research Question • What occupational, vocational, and medical-vocational information does SSA need or would SSA like to have in order to adjudicate claims for adult disability benefits? Social Security Administration
Research Participants • Research participants were SSA users of occupational information (that is, SSA disability adjudicators and reviewers). • SSA is respectful of needs and contributions of other users of occupational information. Social Security Administration
SSA UNA Development • Evolved out of a series of prior investigations • Physical and Mental Demands of Work Questionnaire • UNA Pretest Atlanta, GA • UNA Pretest Chicago, IL Social Security Administration
Methodology: Sampling Frame • SSA headquarters components and DDS offices in the Philadelphia region • Particular office selection based on: • Public Law (P.L.) 104-13, The Paperwork Reduction Act (1995) • Our ability to obtain a professional and geographically diverse sample Social Security Administration
Methodology: Sampling Frame • Factors considered in office selection: • Time and resource constraints • Goal was to include at least three DDS offices • Centralized and decentralized DDS office structures • Service areas with potential differences in industries or occupations • Willingness to participate Social Security Administration
Participating Offices • Disability Determination Services (DDS), Maryland • DDS Clarksburg, West Virginia • DDS, Greensburg, Pennsylvania • Office of Disability Adjudication and Review (ODAR), Office of Appellate Operations • Office of Operations, Atlanta Regional Office, Center for Disability Operations • Office of Operations, Chicago Regional Office, Center for Disability • Office of Quality Performance (OQP), Atlanta Disability Quality Branch (DQB) • OQP, Baltimore DQB • OQP, Chicago DQB • Office of Retirement and Disability Policy, Office of Medical and Vocational Expertise Social Security Administration
Methodology: Interviews • Presented to participants as a brainstorming activity • Semi-structured design • Questions • Written responses were analyzed in conjunction with digital recordings • Digital recordings • Duration of one hour Social Security Administration
Methodology: Interviews • Nine Impairments selected: • Herniated nucleus pulposus of the lumbar spine • Osteoarthritis of the upper and lower extremities • Depression • Ischemic heart disease • Chronic obstructive pulmonary disease • Borderline intellectual functioning • Cerebrovascular accident • Schizophrenia • Multiple Sclerosis Social Security Administration
Sample Questionnaire • Picture an individual with (insert impairment); what work-related limitations or restrictions might a person have as a result of this impairment? • Additional follow-up questions provided for each impairment. Social Security Administration
Methodology: Focus Groups • Primary source of information in the UNA • Developed to: • Elicit users’ perceptions of the essential physical and mental/cognitive requirements of work, and • Elicit any ideas for later integration of the OIS into SSA’s disability claims processes, including improvements in documenting a claimant’s allegations and past relevant work. Social Security Administration
Sample Questions • Based on your interview, what are some of the requirements of work (physical/mental) with regards to the various impairments discussed? • Do you have any comments or suggestions regarding how to obtain information about the claimant’s functioning more efficiently? • Do you have any comments or suggestions regarding how to obtain information about the claimants past work more efficiently? Social Security Administration
Results • Physical Data • Sensory Data • Environmental Data • Mental Data • Task Data • Workplace Tolerances, Flexibilities, and Standards • General Comments and Suggestions Social Security Administration
Discussion of Results • Generated a substantial number of ideas and opinions from subject matter experts, • Produced consistent responses in terms of Content Model data elements and measurements, • Generated unique ideas for later integration of the OIS into SSA’s disability claims process, and • Produced wish list of items for new OIS. Social Security Administration
Discussion of Results • Themes • Content Model: Worker Traits and Work Demands • Updated Occupational Information Versus an Updated Dictionary of Occupational Titles • Data Versus Their Application • Classification: US Labor Market Connection • Data Suggestions for Work History and Transferability Assessments • Work Options Social Security Administration