Risk-Informed Decision Making Erik P. Mettler, M.P.A., M.P.H. Associate Commissioner for Food and Veterinary Medicine September 29, 2014
Erik P. Mettler, M.P.A., M.P.H. Associate Commissioner for Food and Veterinary Medicine September 29, 2014.
Dec 21, 2015
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Risk-Informed Decision Making
Erik P. Mettler, M.P.A., M.P.H.Associate Commissioner for Food and Veterinary Medicine
September 29, 2014
Working Definition for a Risk-Informed Decision Making System“a systematic means by which to facilitate
decision making to reduce public health risk in light of limited resources and additional factors that may be considered.”
Enhancing Food Safety(IOM/NRC 2010)
3
Steps in a Risk-Informed Food Safety System
Step 1:Strategic Planning
Step 2:Public Health Risk Ranking
(ranking of hazards)
Step 3:Targeted Information Gathering on Risks and Consideration of Other
Factors That May Influence Decision Making
Step 4:Analysis and Selection of
Intervention(s)
Step 5:Design of an
Intervention Plan
Step 6:Monitoring and Review
CFSAN Risk Management Framework
5
Risk-InformedDecision-
Making• System/Process/Strategy
• Criteria (Public Health Risk & Beyond)
• Transparency/Communication
• Evaluation
• Generation of Risk Information
• Risk Tools
• Risk Ranking/Risk Assessment
Risk RankingThe relative risk of multiple hazards are
ranked based on public health outcomes
Hazard
Hazard
Hazard
Hazard
HazardHazard
HazardPublic Health
Criteria
Risk
Risk
Risk
Risk
Risk
Risk
Risk
Wo
rst
risk
s
Graphic from HG Claycamp
Risk-Informed PrioritizationRisk management decision-making may
consider additional factors
Non-Public Health Criteria
Risk
Risk
Risk
Risk
Risk
Risk
Risk
Risk
Risk
Risk
Risk
Risk
Risk
Risk
Wo
rst
risk
s
Man
agem
ent o
rder
CostsFeasibility
of Mitigation
MandatesStakeholder
Concerns
Focus of Meeting
8
Step 1:Strategic Planning
Step 2:Public Health Risk Ranking
(ranking of hazards)
Step 3:Targeted Information Gathering on Risks and Consideration of Other
Factors That May Influence Decision Making
Step 4:Analysis and Selection of
Intervention(s)
Step 5:Design of an
Intervention Plan
Step 6:Monitoring and Review
High Risk
Foods
Most Significant
Contaminants
Surveillance
Programs
Sampling
Programs
Data Collectio
n
Focus of Future Meetings
9
Step 1:Strategic Planning
Step 2:Public Health Risk Ranking
(ranking of hazards)
Step 3:Targeted Information Gathering on Risks and Consideration of Other
Factors That May Influence Decision Making
Step 4:Analysis and Selection of
Intervention(s)
Step 5:Design of an
Intervention Plan
Step 6:Monitoring and Review
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