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Feasibility Study for Electronic Fitness for Duty Medical Examination Reporting and Oversight.

  • 2016-11-01

Filetype[PDF-1.36 MB]


  • English
    • Details You May Also Like

    Details:

    • Subject/TRT Terms:
    • Publication/ Report Number:
      FMCSA-RRR-12-001
    • Resource Type:
      Tech Report
    • Geographical Coverage:
      United States
    • Abstract:
      This report examines the institutional and high-level technology aspects associated with potential mandated

      electronic reporting of every commercial driver license (CDL) driver fitness-for-duty medical examination

      performed by a medical examiner on the National Registry of Certified Medical Examiners (NRCME). To gauge

      views and concerns of effected stakeholders, the research team developed a “Base Scenario” outlining the elements

      of the potential system. A review via interviews was conducted, a similar concept administered by the Federal

      Aviation Administration was examined, ongoing electronic medical records initiatives in the Department of Health

      and Human Services were examined, and related third-party system approaches were studied. A historical review

      was conducted of related recommendations from Congress and other institutions, including the Commercial

      Driver’s License Advisory Committee. Implementation of the NRCME will improve the quality of medical

      examinations. However, it will not close the number of significant gaps that allow fraud. Based on the findings of

      these reviews and stakeholder input, three alternative approaches to a mandated electronic records system were

      examined, including a nationally-based system, a distributed State-based system, and a distributed medical

      examiner-based system. Architectural approaches were defined and analyzed relating to each approach. The

      researchers concluded that the most effective approach for Federal Motor Carrier Safety Administration

      consideration would be a nationally-managed system that would address the gaps. Appendix C outlines a proof of

      concept to test and evaluate the recommendations for implementing electronic transmission and housing of medical

      status and examination reports in an accessible database.

    • Format:
      PDF
    • Funding:
      BPA DTMC 75-08-A-00001, Task orderDTMC 75-09-J-00033
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