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2Designing the Age Friendly Workplace
The MAP Table
Action Area Examples
The Work Environment
UP NEXT
The Individual
Work/Life Balance - Work Arrangements
- Community Support
3Designing the Age Friendly Workplace
• Ergonomics is fitting the “work” to the “worker”
• Goals include:
– increasing efficiency and productivity
– eliminating errors
– providing a safe work situation
• Good design will “fit” everyone
Ergonomics
4Designing the Age Friendly Workplace
Universal Design (UD)
An approach to the design of products, services and environments to be as usable as possible by as many people as possible regardless of age, ability or situation.
- Wikipedia
5Designing the Age Friendly Workplace
Principles of Universal Design
• Fairness in use
• Flexibility in use
• Simple and intuitive
• Noticeable information
• Tolerance for error
• Low physical effort
• Size and space for approach and use
13Designing the Age Friendly Workplace
Given That Physical Job Demands Mean Different Things for Different Workers…
14Designing the Age Friendly Workplace
Let’s Find Some Universal Solutions For Changes In…
• Endurance
• Strength
• Flexibility
• Joint range of motion (e.g. reach)
• Balance
• Reaction time
• Manual dexterity
• Chronic conditions (e.g. arthritis)
• Vision
• Light sensitivity
• Hearing
• Temperature sensitivity
• Learning and memory
• Sleep disorders
• Healing time
15Designing the Age Friendly Workplace
Reduce Physical Demands to Match Capacity
• Think about a “zero lift” policy• Use mechanical assists• Position work/loads optimally• Reduce reaches – even with light
loads!• Organize work with good
work/rest cycles
23Designing the Age Friendly Workplace
Balance and Reaction Time
• Practice good housekeeping• Use slip resistant materials on
floors• Provide good lighting on stairs,
etc.• Provide handrails
24Designing the Age Friendly Workplace
Balance and Reaction Time
• Avoid uneven surfaces…repair and maintain floors
• Provide color contrast for uneven surfaces
• Install shallow-angle stairways instead of ladders
25Designing the Age Friendly Workplace
Manual Dexterity
Hand tremors make setting screws difficult
Fixture with cone-shaped guides
26Designing the Age Friendly Workplace
Vision
• Provide lighting levels appropriate to the task – e.g. precision work vs viewing a monitor
• Provide more individual control over lighting
• Eliminate glare• Add color contrast
27Designing the Age Friendly Workplace
Contrast Example…
Dark letters on a light background
Dark letters on a dark background
28Designing the Age Friendly Workplace
Vision
• Use clear, large signage and written print• Position gauges and displays well
29Designing the Age Friendly Workplace
Vision
• Eliminate the need to adapt to bright light from dark and vice versa
• Reduce visual “clutter” – keep visual targets clean and clear
30Designing the Age Friendly Workplace
Hearing
• Keep signals in a
mid-frequency range• Reduce background
noise• Reduce echoing with
good acoustics
32Designing the Age Friendly Workplace
Learning and Memory
• Make procedures short and clearly written
• Provide job support aids (“cheat sheets”)
• Allow more time to learn new tasks
• Minimize distractions
33Designing the Age Friendly Workplace
Learning and Memory
• Design similar equipment to operate in similar ways
• Provide both visual and audio cues
• Allow longer response time
• Allow longer decision making time
34Designing the Age Friendly Workplace
Learning and Memory
• Reduce tasks requiring short term memory
• Slow the rate of information presented
• Reduce multi-tasking work
36Designing the Age Friendly Workplace
Questions
• Who else might benefit from the ergonomist’s suggestions?
• What are some potential reasons NPI spent money on new tools and workbenches?
• How would this situation be handled in your organization?
38Designing the Age Friendly Workplace
Keys to Success
• Work on the core, not the peripheral...or, people won’t care- One of 2 to 3 most important challenges to the organization- Something several people must contribute to- Is “ripe”… really makes sense NOW
• Focus directly on performance results...or, you will get lost in endless gearing up
• Deliberately create high impact early wins; steadily broaden the circle...or, you will not generate momentum
• Create a compelling story to invite involvement
Copyright © 2007 Starting Point
39Designing the Age Friendly WorkplaceCopyright © 2007 Starting Point
Case Study: State mental hospital
A large residential institution for long-term care
40Designing the Age Friendly Workplace
Situation Analysis
• Numerous incidents of violence every day
• No goal for incident reduction
• No accountability for incident reduction
• Nurses, orderlies, psychiatrists, psychologists, and social workers not working together
• Many ideas about how to reduce violence -- but no plan
Copyright © 2007 Starting Point
41Designing the Age Friendly Workplace
Initial Approach
• Formed a team
• Assigned nursing supervisor to be team leader
• Explained to team members the severity of the problem
• Asked team to set an improvement goal
• Began tracking each incident for analysis
Copyright © 2007 Starting Point
42Designing the Age Friendly Workplace
Narrowing Down to a Short-Term Achievable Result
From: Poor morale, many injuries, lack of control
Copyright © 2007 Starting Point
43Designing the Age Friendly Workplace
Narrowing Down to a Short-Term Achievable Result
To: Improve safety for nurses
Copyright © 2007 Starting Point
44Designing the Age Friendly Workplace
To: Reduce levels of violence in 6 wards
Copyright © 2007 Starting Point
Narrowing Down to a Short-Term Achievable Result
45Designing the Age Friendly Workplace
To: Reduce incidents of violence in Wards A and B by 10% within 2 months (from 42 to 38)
Copyright © 2007 Starting Point
Narrowing Down to a Short-Term Achievable Result
46Designing the Age Friendly Workplace
October Goal
45
40
35
30
25
20
15
10
5
0
Numberofincidents
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31
Date
Month to date42
38
Septemberactual
Octobergoal
47Designing the Age Friendly Workplace
Incident Tracking Sheet
Date PatientTime of Day Location
Staff on
DutyUse of
Medication
Use of
Quiet
Room
Lead to
More?
Copyright © 2007 Starting Point
48Designing the Age Friendly Workplace
Early Findings
Two patients causing 45% of incidentsAction: Use quiet room
Incidents tended to happen at mealtimesAction: Change staffing patterns
Medication and quiet room not being usedAction: Use - particularly with two key patients. Train people to administer medication safely
Less “snowballing” due to united staff presence
Copyright © 2007 Starting Point
49Designing the Age Friendly Workplace
Results: Incidents in October
Numberofincidents
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31
October date
42
38
September
Octobergoal
Octoberresults
19
45
40
35
30
25
20
15
10
5
0
50Designing the Age Friendly Workplace
Keys to Success
• Work on the core, not the peripheral...or, people won’t care- One of 2 to 3 most important challenges to the organization- Something several people must contribute to- Is “ripe”… really makes sense NOW
• Focus directly on performance results...or, you will get lost in endless gearing up
• Deliberately create high impact early wins; steadily broaden the circle...or, you will not generate momentum
• Create a compelling story to invite involvement
Copyright © 2007 Starting Point
51Designing the Age Friendly Workplace
Other Examples of Specific Action Items
“Create 100 new jobs in our poor, rural community”Versus “Conduct an economic development
study of our county” “Within 15 months, cut in half the time to build a
house and increase the percentage of people we offer housing solutions to by 30%”Versus “Re-engineer our processes to be more
efficient and effective”
SPECIFIC
SPECIFIC
VAGUE
VAGUE
52Designing the Age Friendly Workplace
OTHERWISE, THIS WILL
BE JUST ANOTHER
LEADERSHIP COURSE ! !
Copyright © 2007 Starting Point
53Designing the Age Friendly Workplace
Funneling to an Early Win
From: A safer workplace for older employees
To: Fewer injuries among older employees
To: Reduced number of slips, trips and falls
To: Early win: Repair walkway outside building 4
54Designing the Age Friendly Workplace
Your Turn: The MAP Table
ExamplesAction Area
The Work
Environment
55Designing the Age Friendly Workplace
Your Turn: Funneling
From:
To:
To:
To: Early win:
From:
To:
To:
To:
56Designing the Age Friendly Workplace
Fitting Action Items into Action Plans
Action Area What Who When How Challenges Next Steps
The Work Environment
Action Item: __________________________________
Who’s the leader? ___________________________________
When will it be done? ___________________________________
How will it get accomplished? ____________________________
What are some initial challenges for this Action Item?:
___________________________________________________________________________________