Dose Reconstruction Production

DR Production

In the early days of the NIOSH Dose Reconstruction Program, it was not unusual for dose reconstructions to take considerable time (sometimes several years) to complete.

The Department of Labor (DOL) began accepting claim applications on July 31, 2001, and sent the first batch of cases to NIOSH for dose reconstruction on October 11, 2001.

However, the responsibilities given to NIOSH for the compensation program were new to the agency at that time. The infrastructure, rules and regulations, technical documents, and other processes and procedures needed for dose reconstruction were not yet in place.

NIOSH’s dose reconstruction program has matured over time through the development of:

  • more than 250 technical documents (Site Profiles, Technical Basis Documents, and Technical Information Bulletins)

  • efficient methods, tools, and techniques

  • standardization of the methods, procedures, and reports used in dose reconstruction

As a result, the average number of days needed to process dose reconstructions for initial referrals has decreased.

In May 2021, we paused some functions to modernize and secure our data, applications, and systems. The length of time cases have been with DCAS significantly increased when the pause started and peaked in October 2021 (see Figure 1). We have since restored many of the functions put on pause. The processes in place now have steadily reduced the age of our cases.

Age of Cases Since the Pause Began (2021-2024)

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100200300# of Cases4/30/20217/16/202110/1/202112/17/20213/4/20225/20/20228/5/202210/21/20221/6/20233/24/20236/9/20238/25/202311/10/20231/26/20244/12/20246/28/20249/13/2024
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Age of Cases Since the Pause Began (2021-2024)
Data table showing data for the chart figure.
Not Applicable4/30/2021Press command, modifier, or enter key to sort by 4/30/2021 in ascending order5/7/2021Press command, modifier, or enter key to sort by 5/7/2021 in ascending order5/14/2021Press command, modifier, or enter key to sort by 5/14/2021 in ascending order5/21/2021Press command, modifier, or enter key to sort by 5/21/2021 in ascending order5/28/2021Press command, modifier, or enter key to sort by 5/28/2021 in ascending order6/4/2021Press command, modifier, or enter key to sort by 6/4/2021 in ascending order6/11/2021Press command, modifier, or enter key to sort by 6/11/2021 in ascending order6/18/2021Press command, modifier, or enter key to sort by 6/18/2021 in ascending order6/25/2021Press command, modifier, or enter key to sort by 6/25/2021 in ascending order7/2/2021Press command, modifier, or enter key to sort by 7/2/2021 in ascending order7/9/2021Press command, modifier, or enter key to sort by 7/9/2021 in ascending order7/16/2021Press command, modifier, or enter key to sort by 7/16/2021 in ascending order7/23/2021Press command, modifier, or enter key to sort by 7/23/2021 in ascending order7/30/2021Press command, modifier, or enter key to sort by 7/30/2021 in ascending order8/6/2021Press command, modifier, or enter key to sort by 8/6/2021 in ascending order8/13/2021Press command, modifier, or enter key to sort by 8/13/2021 in ascending order8/20/2021Press command, modifier, or enter key to sort by 8/20/2021 in ascending order8/27/2021Press command, modifier, or enter key to sort by 8/27/2021 in ascending order9/3/2021Press command, modifier, or enter key to sort by 9/3/2021 in ascending order9/10/2021Press command, modifier, or enter key to sort by 9/10/2021 in ascending order9/17/2021Press command, modifier, or enter key to sort by 9/17/2021 in ascending order9/24/2021Press command, modifier, or enter key to sort by 9/24/2021 in ascending order10/1/2021Press command, modifier, or enter key to sort by 10/1/2021 in ascending order10/8/2021Press command, modifier, or enter key to sort by 10/8/2021 in ascending order10/15/2021Press command, modifier, or enter key to sort by 10/15/2021 in ascending order10/22/2021Press command, modifier, or enter key to sort by 10/22/2021 in ascending order10/29/2021Press command, modifier, or enter key to sort by 10/29/2021 in ascending order11/5/2021Press command, modifier, or enter key to sort by 11/5/2021 in ascending order11/12/2021Press command, modifier, or enter key to sort by 11/12/2021 in ascending order11/19/2021Press command, modifier, or enter key to sort by 11/19/2021 in ascending order11/26/2021Press command, modifier, or enter key to sort by 11/26/2021 in ascending order12/3/2021Press command, modifier, or enter key to sort by 12/3/2021 in ascending order12/10/2021Press command, modifier, or enter key to sort by 12/10/2021 in ascending order12/17/2021Press command, modifier, or enter key to sort by 12/17/2021 in ascending order12/24/2021Press command, modifier, or enter key to sort by 12/24/2021 in ascending order12/31/2021Press command, modifier, or enter key to sort by 12/31/2021 in ascending order1/7/2022Press command, modifier, or enter key to sort by 1/7/2022 in ascending order1/14/2022Press command, modifier, or enter key to sort by 1/14/2022 in ascending order1/21/2022Press command, modifier, or enter key to sort by 1/21/2022 in ascending order1/28/2022Press command, modifier, or enter key to sort by 1/28/2022 in ascending order2/4/2022Press command, modifier, or enter key to sort by 2/4/2022 in ascending order2/11/2022Press command, modifier, or enter key to sort by 2/11/2022 in ascending order2/18/2022Press command, modifier, or enter key to sort by 2/18/2022 in ascending order2/25/2022Press command, modifier, or enter key to sort by 2/25/2022 in ascending order3/4/2022Press command, modifier, or enter key to sort by 3/4/2022 in ascending order3/11/2022Press command, modifier, or enter key to sort by 3/11/2022 in ascending order3/18/2022Press command, modifier, or enter key to sort by 3/18/2022 in ascending order3/25/2022Press command, modifier, or enter key to sort by 3/25/2022 in ascending order4/1/2022Press command, modifier, or enter key to sort by 4/1/2022 in ascending order4/8/2022Press command, modifier, or enter key to sort by 4/8/2022 in ascending order4/15/2022Press command, modifier, or enter key to sort by 4/15/2022 in ascending order4/22/2022Press command, modifier, or enter key to sort by 4/22/2022 in ascending order4/29/2022Press command, modifier, or enter key to sort by 4/29/2022 in ascending order5/6/2022Press command, modifier, or enter key to sort by 5/6/2022 in ascending order5/13/2022Press command, modifier, or enter key to sort by 5/13/2022 in ascending order5/20/2022Press command, modifier, or enter key to sort by 5/20/2022 in ascending order5/27/2022Press command, modifier, or enter key to sort by 5/27/2022 in ascending order6/3/2022Press command, modifier, or enter key to sort by 6/3/2022 in ascending order6/10/2022Press command, modifier, or enter key to sort by 6/10/2022 in ascending order6/17/2022Press command, modifier, or enter key to sort by 6/17/2022 in ascending order6/24/2022Press command, modifier, or enter key to sort by 6/24/2022 in ascending order7/1/2022Press command, modifier, or enter key to sort by 7/1/2022 in ascending order7/8/2022Press command, modifier, or enter key to sort by 7/8/2022 in ascending order7/15/2022Press command, modifier, or enter key to sort by 7/15/2022 in ascending order7/22/2022Press command, modifier, or enter key to sort by 7/22/2022 in ascending order7/29/2022Press command, modifier, or enter key to sort by 7/29/2022 in ascending order8/5/2022Press command, modifier, or enter key to sort by 8/5/2022 in ascending order8/12/2022Press command, modifier, or enter key to sort by 8/12/2022 in ascending order8/19/2022Press command, modifier, or enter key to sort by 8/19/2022 in ascending order8/26/2022Press command, modifier, or enter key to sort by 8/26/2022 in ascending order9/2/2022Press command, modifier, or enter key to sort by 9/2/2022 in ascending order9/9/2022Press command, modifier, or enter key to sort by 9/9/2022 in ascending order9/16/2022Press command, modifier, or enter key to sort by 9/16/2022 in ascending order9/23/2022Press command, modifier, or enter key to sort by 9/23/2022 in ascending order9/30/2022Press command, modifier, or enter key to sort by 9/30/2022 in ascending order10/7/2022Press command, modifier, or enter key to sort by 10/7/2022 in ascending order10/14/2022Press command, modifier, or enter key to sort by 10/14/2022 in ascending order10/21/2022Press command, modifier, or enter key to sort by 10/21/2022 in ascending order10/28/2022Press command, modifier, or enter key to sort by 10/28/2022 in ascending order11/4/2022Press command, modifier, or enter key to sort by 11/4/2022 in ascending order11/11/2022Press command, modifier, or enter key to sort by 11/11/2022 in ascending order11/18/2022Press command, modifier, or enter key to sort by 11/18/2022 in ascending order11/25/2022Press command, modifier, or enter key to sort by 11/25/2022 in ascending order12/2/2022Press command, modifier, or enter key to sort by 12/2/2022 in ascending order12/9/2022Press command, modifier, or enter key to sort by 12/9/2022 in ascending order12/16/2022Press command, modifier, or enter key to sort by 12/16/2022 in ascending order12/23/2022Press command, modifier, or enter key to sort by 12/23/2022 in ascending order12/30/2022Press command, modifier, or enter key to sort by 12/30/2022 in ascending order1/6/2023Press command, modifier, or enter key to sort by 1/6/2023 in ascending order1/13/2023Press command, modifier, or enter key to sort by 1/13/2023 in ascending order1/20/2023Press command, modifier, or enter key to sort by 1/20/2023 in ascending order1/27/2023Press command, modifier, or enter key to sort by 1/27/2023 in ascending order2/3/2023Press command, modifier, or enter key to sort by 2/3/2023 in ascending order2/10/2023Press command, modifier, or enter key to sort by 2/10/2023 in ascending order2/17/2023Press command, modifier, or enter key to sort by 2/17/2023 in ascending order2/24/2023Press command, modifier, or enter key to sort by 2/24/2023 in ascending order3/3/2023Press command, modifier, or enter key to sort by 3/3/2023 in ascending order3/10/2023Press command, modifier, or enter key to sort by 3/10/2023 in ascending order3/17/2023Press command, modifier, or enter key to sort by 3/17/2023 in ascending order3/24/2023Press command, modifier, or enter key to sort by 3/24/2023 in ascending order3/31/2023Press command, modifier, or enter key to sort by 3/31/2023 in ascending order4/7/2023Press command, modifier, or enter key to sort by 4/7/2023 in ascending order4/14/2023Press command, modifier, or enter key to sort by 4/14/2023 in ascending order4/21/2023Press command, modifier, or enter key to sort by 4/21/2023 in ascending order4/28/2023Press command, modifier, or enter key to sort by 4/28/2023 in ascending order5/5/2023Press command, modifier, or enter key to sort by 5/5/2023 in ascending order5/12/2023Press command, modifier, or enter key to sort by 5/12/2023 in ascending order5/19/2023Press command, modifier, or enter key to sort by 5/19/2023 in ascending order5/26/2023Press command, modifier, or enter key to sort by 5/26/2023 in ascending order6/2/2023Press command, modifier, or enter key to sort by 6/2/2023 in ascending order6/9/2023Press command, modifier, or enter key to sort by 6/9/2023 in ascending order6/16/2023Press command, modifier, or enter key to sort by 6/16/2023 in ascending order6/23/2023Press command, modifier, or enter key to sort by 6/23/2023 in ascending order6/30/2023Press command, modifier, or enter key to sort by 6/30/2023 in ascending order7/7/2023Press command, modifier, or enter key to sort by 7/7/2023 in ascending order7/14/2023Press command, modifier, or enter key to sort by 7/14/2023 in ascending order7/21/2023Press command, modifier, or enter key to sort by 7/21/2023 in ascending order7/28/2023Press command, modifier, or enter key to sort by 7/28/2023 in ascending order8/4/2023Press command, modifier, or enter key to sort by 8/4/2023 in ascending order8/11/2023Press command, modifier, or enter key to sort by 8/11/2023 in ascending order8/18/2023Press command, modifier, or enter key to sort by 8/18/2023 in ascending order8/25/2023Press command, modifier, or enter key to sort by 8/25/2023 in ascending order9/1/2023Press command, modifier, or enter key to sort by 9/1/2023 in ascending order9/8/2023Press command, modifier, or enter key to sort by 9/8/2023 in ascending order9/15/2023Press command, modifier, or enter key to sort by 9/15/2023 in ascending order9/22/2023Press command, modifier, or enter key to sort by 9/22/2023 in ascending order9/29/2023Press command, modifier, or enter key to sort by 9/29/2023 in ascending order10/6/2023Press command, modifier, or enter key to sort by 10/6/2023 in ascending order10/13/2023Press command, modifier, or enter key to sort by 10/13/2023 in ascending order10/20/2023Press command, modifier, or enter key to sort by 10/20/2023 in ascending order10/27/2023Press command, modifier, or enter key to sort by 10/27/2023 in ascending order11/3/2023Press command, modifier, or enter key to sort by 11/3/2023 in ascending order11/10/2023Press command, modifier, or enter key to sort by 11/10/2023 in ascending order11/17/2023Press command, modifier, or enter key to sort by 11/17/2023 in ascending order11/24/2023Press command, modifier, or enter key to sort by 11/24/2023 in ascending order12/1/2023Press command, modifier, or enter key to sort by 12/1/2023 in ascending order12/8/2023Press command, modifier, or enter key to sort by 12/8/2023 in ascending order12/15/2023Press command, modifier, or enter key to sort by 12/15/2023 in ascending order12/22/2023Press command, modifier, or enter key to sort by 12/22/2023 in ascending order12/29/2023Press command, modifier, or enter key to sort by 12/29/2023 in ascending order1/5/2024Press command, modifier, or enter key to sort by 1/5/2024 in ascending order1/12/2024Press command, modifier, or enter key to sort by 1/12/2024 in ascending order1/19/2024Press command, modifier, or enter key to sort by 1/19/2024 in ascending order1/26/2024Press command, modifier, or enter key to sort by 1/26/2024 in ascending order2/2/2024Press command, modifier, or enter key to sort by 2/2/2024 in ascending order2/9/2024Press command, modifier, or enter key to sort by 2/9/2024 in ascending order2/16/2024Press command, modifier, or enter key to sort by 2/16/2024 in ascending order2/23/2024Press command, modifier, or enter key to sort by 2/23/2024 in ascending order3/1/2024Press command, modifier, or enter key to sort by 3/1/2024 in ascending order3/8/2024Press command, modifier, or enter key to sort by 3/8/2024 in ascending order3/15/2024Press command, modifier, or enter key to sort by 3/15/2024 in ascending order3/22/2024Press command, modifier, or enter key to sort by 3/22/2024 in ascending order3/29/2024Press command, modifier, or enter key to sort by 3/29/2024 in ascending order4/5/2024Press command, modifier, or enter key to sort by 4/5/2024 in ascending order4/12/2024Press command, modifier, or enter key to sort by 4/12/2024 in ascending order4/19/2024Press command, modifier, or enter key to sort by 4/19/2024 in ascending order4/26/2024Press command, modifier, or enter key to sort by 4/26/2024 in ascending order5/3/2024Press command, modifier, or enter key to sort by 5/3/2024 in ascending order5/10/2024Press command, modifier, or enter key to sort by 5/10/2024 in ascending order5/17/2024Press command, modifier, or enter key to sort by 5/17/2024 in ascending order5/24/2024Press command, modifier, or enter key to sort by 5/24/2024 in ascending order5/31/2024Press command, modifier, or enter key to sort by 5/31/2024 in ascending order6/7/2024Press command, modifier, or enter key to sort by 6/7/2024 in ascending order6/14/2024Press command, modifier, or enter key to sort by 6/14/2024 in ascending order6/21/2024Press command, modifier, or enter key to sort by 6/21/2024 in ascending order6/28/2024Press command, modifier, or enter key to sort by 6/28/2024 in ascending order7/5/2024Press command, modifier, or enter key to sort by 7/5/2024 in ascending order7/12/2024Press command, modifier, or enter key to sort by 7/12/2024 in ascending order7/19/2024Press command, modifier, or enter key to sort by 7/19/2024 in ascending order7/26/2024Press command, modifier, or enter key to sort by 7/26/2024 in ascending order8/2/2024Press command, modifier, or enter key to sort by 8/2/2024 in ascending order8/9/2024Press command, modifier, or enter key to sort by 8/9/2024 in ascending order8/16/2024Press command, modifier, or enter key to sort by 8/16/2024 in ascending order8/23/2024Press command, modifier, or enter key to sort by 8/23/2024 in ascending order8/30/2024Press command, modifier, or enter key to sort by 8/30/2024 in ascending order9/6/2024Press command, modifier, or enter key to sort by 9/6/2024 in ascending order9/13/2024Press command, modifier, or enter key to sort by 9/13/2024 in ascending order
6-9 Months27364042496889961091221301481631781962102222252322362502382602672812682151471321219964513423171914888887554662128355652607488145152143142138134134129130138130131126104105989092948883809211210711411111811210810098899188908070626368616167697975766674666460646049504859607388839281808691101108109107100968485798877797167626566645672564848456061657167728084102103104120121136150167144141140141138158168156162159159169
9-12 Months52477778911141319232932354058748687988184553332343232312827313232363634352925211713128654311111111151216192524263232535255545247423633313034312428303031272825233035353436333538373738374238353434363835333434312926262422212322232422222725252825302929272832323132303030312830272520181613111111121091518181822252526333332333125252630
> 1 YearN/A1111111111223357888944556455564344556689101110111213141515121211101088665544445555544445111216182220202130293131313233343332323535353738373939424444485356586061677073747879838385878790919290949593878684797473757677767677788080807981798283848789919292929290888379797573676565585150484544434137
Skipped data table.

Figure 1: Age of Cases Since the Pause Began (2021-2024)

This graph shows how long cases stay with DCAS. DCAS starts tracking the time when we get the case from DOL. We stop tracking the time when we send the draft dose reconstructions to claimants. Our goal is to finish dose reconstructions within five months after getting the last needed data.

Summary:

  • Case times increased starting in May 2021 and peaked in October 2021

  • Unworkable cases as of September 13, 2024:

    • 37 cases older than 12 months

    • 8 of the 30 cases between 9 and 12 months

  • We cannot work some cases primarily because we are waiting to receive:

    • More information we requested from claimants, DOE, or DOL; or a

    • Technical document revision