Safe Patient Handling Program – Measures to Tell the Story

Marnie Myhre, MS, PT, CEA

Manager Injury Prevention – EOHS

Fairview

May 8, 2012

1

Develop a compelling story

Information Gathering• Gathered information from:

EOHS - Injury Data Risk - Work Comp costs Supply Chain - Costs of equipment Training costs Human Resources - general info - staff attrition/replacement,

patient falls & weights Research - Best Practice and Successes of other SPH programs

Improving the Patient Experience

Patient handling equipment:• Reduced awkward and forceful handling of patients• Less patient anxiety over handling and movement• Reduced skin shears-maintaining skin integrity • Dignity of patients is maintained• Reduced patient falls• A secure process for patients

Program StrategyIdentify primary needs and optimize spending1st year:• Install ceiling lifts in remodels/new construction and high injury areas• Establish lateral transfer program system-wide• Trained staff in use of equipment2nd year focus:• Provide equipment to depts with highly dependent patients & high

injury areas - Ceiling lifts in all hospitals• Implement support processes• Educate staff• Set expectations3rd year• Continue with installation of ceiling lifts Continue with training and

ongoing competencies• Review gaps in program

Present Quarterly and Annual Reports

Present Quarterly Injury/Illness reports to:• Environment of Care/Safety Committee at each entity• SPH Information to SPH committee• Managers

Present Annual Injury/Illness reports to:• Senior Leadership• Leadership council at each entity

6

0.00

0.50

1.00

1.50

2.00

2.50

3.00

Patient Handling Injuries per 100 Employees By Care Group

Q4 - 2011Q3 - 2011Q2 - 2011Q1 - 2011

Source: OHM

7

$0.00

$10,000.00

$20,000.00

$30,000.00

$40,000.00

$50,000.00

$60,000.00

$70,000.00

$80,000.00

Work Comp Costs from Patient Handling Cases by Care Group

Q4 - 2011Q3 - 2011Q2 - 2011Q1 - 2011

Source: OHM

8

0

1

2

3

4

5

6

5356

-504

0 N

UR

SIN

G F

LOA

T P

OO

L

3019

-407

0 IN

TER

ME

DIA

TE C

AR

E U

NIT

6B

3081

-411

5 C

AR

DIO

LOG

Y 6

C

4031

-524

0 P

RE

& P

OS

T O

P C

AR

E

3014

-429

5 TR

AN

SP

LAN

T 6D

5346

-930

8 P

ATI

EN

T E

SC

OR

TS

4021

-512

0 O

PE

RA

TIN

G R

OO

M

3012

-402

0 C

AR

DIO

VA

SC

ULA

R IC

U 4

E

3096

-423

5 S

UR

G U

NIT

- 7B

4211

-607

1 O

T - P

HY

S D

IS &

CA

RD

IA

UMC5356 UMC3019 UMC3081 UMC4031 UMC3014 UMC5346 UMC4021 UMC3012 UMC3096 UMC4211

SPH

Inju

ry C

ount

Top 10 Patient Handling Injuries by Dept

Q4 - 2011Q3 - 2011Q2 - 2011Q1 - 2011

Criteria:Company =  "FVHXXXXX", Work Related = Y, Demographic  Care Group= ""U of M Med Center‐UMC", Injury Date: Between 1/1/2011 and 12/31/2011OSHA Stat <> "L", Accident Type = "BM" Or "LIFTP" Or "OVE" Or "PUSP" Or "PUSM" Or "SP", Activity Starts with "SPH",

0

1

2

3

4

5

6

7

8

9

10

32

1 12

3

22

2

2

2

1 1

1 1

2

2

52

3

SPH

Inj

ury

Cou

nt

Injury Count by Patient Handling Activity – East Bank

Q4 - 2011Q3 - 2011Q2 - 2011Q1 - 2011

Source: OHM

0400800

1,2001,6002,0002,4002,8003,2003,6004,0004,4004,8005,2005,6006,0006,4006,8007,2007,6008,0008,400

2006 2007 2008 2009 2010 2011

Day

s

Safe Patient HandlingReduction in Lost and Restricted Days

for Patient Handling Injuries

LWD RWD

Data Source: OHM as of 03/08/2012Criteria: Company Code =FVHXXXXX, Work Related Status = y and OSHA Stat <> L. This population encompasses SPH program specified locations for Airmat/Ceiling Lift use job codes specifically identified as those belonging to Patient Handlers Activity Starts with SPH

Equipment purchased and not usedWhy?

WHY NOT???

Addressing Patient Handling Injuries

Injury prevention staff receives notices of all lifting injuries:• We review each patient handling case• Contact employee and the manager• Meet with employee and together meet with manager to

discuss the incident and prevention techniques• Assign training module that is applicable to the case

13

$0.00

$200,000.00

$400,000.00

$600,000.00

$800,000.00

$1,000,000.00

$1,200,000.00

2006 2007 2008 2009 2010 2011

Cos

ts

Year

System Safe Patient HandlingWorkers’ Compensation Cost Savings

for Patient Handling Injuries

Data Source: OHM as of 3/05/2012. work comp file as of 2/22/2012Work Comp Costs: Paid Medical + Paid  Expense + Paid Indemnity Costs

ConclusionSPH program is an ongoing program with bumps and

challenges. Reliable measures help to know where we are and what we need to improve.

Essential components of a SPH program:• Collaboration throughout the system – many key players• Maintain the SPH program vision and action plan in focus• Support of Leadership• Communication: keep everyone informed

The secret of success is constancy of purpose.

Benjamin Franklin