A partnership of the Healthcare Association of New York State and the Greater New York Hospital Association

NYSPFP Safe Patient Handling Data Office Hours

October 24, 2017

NYS PARTNERSHIP FOR PATIENTS

Agenda

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CMS Announces HIIN“We have made significant progress in keeping patients safe – an estimated 2.1 million fewer patients harmed, 87,000 lives saved, and nearly $20 billion in cost-savings from 2010 to 2014 – and we are focused on accelerating improvement efforts.”

Patrick Conway, MDCMS Acting Principal Deputy Administrator

and Chief Medical Officer

○ HIIN initiative is currently in year 2○ 16 HIINs across the country will:

○ Be part of CMS' QIO initiative and continue the work started by the HENs under the national Partnership for Patients initiative

○ Work to improve patient safety and catalyze measurable reductions in patient harm nationally through education, collaboration, and engagement of acute care hospitals

○ Participation in HIIN satisfies hospitals’ requirement to participate in a PSO

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NYSPFP HIIN Overview

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CMS Goals Moving Forward

And…

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CMS Required Areas of Focus

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Major Initiatives: Intensive Focused Education and Conferences

Other Initiatives: Unit Based Approach –Tailored Hospital Support

• Adverse Drug Events• Ventilator-Associated Events/Delirium• Surgical Site Infections• Severe Sepsis and Septic Shock• Clostridium difficile/Antibiotic

Stewardship/Multi-Drug Resistant Organisms

• Readmissions• Culture of Safety• Disparities • SPH - Worker Safety

• CAUTI• CLABSI• VTE• Falls/Pressure Ulcers

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Safe Patient Handling○ Goal:

○ To support hospitals' efforts to reduce the rate of musculoskeletal injuries related to patient handling activity.

○ Approach:○ NYSPFP will provide SPH education and best practice sharing

opportunities to improve safety for both patients and workers. NYSPFP will support hospitals' efforts to:○ Ensure that hospital-specific SPH goals and objectives align with

hospitals' existing safety initiatives.○ Ensure integration with hospitals' teamwork and communication efforts

by focusing on the intersection of worker safety and reducing patient harm.

○ Align internal SPH activities with the New York State SPH law requirements.

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NYSPFP Safe Patient Handling Events○ Past NYSPFP Events

○ NYSPFP Safe Patient Handling Webinar: Fostering a Culture of Safety that Integrates Patient and Worker Safety○ Thursday, April 20, 2017

11:00 a.m. - 12:00 p.m.○ View Webinar Recording:

https://www.nyspfp.org/Members/Initiatives/BuildingCulture/SPH/MeetingMaterials.aspx

○ Future NYSPFP Events○ NYSPFP Safe Patient Handling Webinar: Gaining Cultural

Acceptance○ January 10, 2018

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NY Workers Compensation SPH Credit

○ Regulation 119 issued from the Department of Financial Services stipulates that companies who develop, implement, and maintain safe patient handling programs may receive up to a 2.5% NY workers compensation safe patient handling credit .

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NYS Safe Patient Handling Program Requirements○ SPH committee (by January 2016)○ SPH Program (January 2017)

○ SPH policy

○ Conduct and document a “patient handling hazard assessment” ○ Reassess as deemed necessary

○ Conduct annual and ongoing formal training for staff○ Develop an “incident investigation” process and post- investigation

review, including a plan of correction ○ Consider existing review processes/committees in place○ Employee has the right to refuse to participate in patient handling or movement, if

reasonable and made in good faith

○ Conduct annual performance evaluation of your SPH program○ Evaluations for proper engineering and design as it relates to:

○ New construction, facility renovations

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NYS Insurance Fund: SPH Compliance Checklist

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Worker Safety/Safe Patient Handling - Outcome Measure

○ Musculoskeletal injuries from patient handling activity per 100 direct care providers○ Numerator: Number of musculoskeletal injuries from

patient handling activities among direct care providers○ Denominator: Total hours worked by direct care

providers

(Numerator * 200,000) / Denominator

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Musculoskeletal injuries from patient handling activity per 100 direct care providers

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Data Portal Entry

○ Data Submission Method: ○ Hospital-specific data entry into NYSPFP data collection

portal by hospital-assigned data entry contact person○ Data Submission Time Period:

○ Monthly – the 15th of each month○ Data Submission Deadline:

○ Submit data to NYSPFP within 45 days○ Data Entry Tutorial Available at NYSPFP.org

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Discussion/Hospital Presentations

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○ How has your hospital used data to evaluate the effectiveness of your SPH programs?

○ What challenges have you faced while collecting and/or submitting data?

○ What additional support can NYSPFP provide to promote collection and reporting of SPH data?

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Next Steps○ Identify your hospital’s NYSPFP SPH data entry

contact ○ Provide name, role, email address to NYSPFP Project

Manager to set-up data portal access and provide instruction

○ Contact your NYSPFP Project Manager for: ○ One-on-one assistance○ Support with data reporting○ Support with action planning

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Tools and Resources

○ Visit www.NYSPFP.org for available resources on worker safety and safe patient handling

○ Safe Patient Handling Workgroup Report to the Commissioner of Health○ https://www.health.ny.gov/statistics/safe_patient_handling/

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THANK YOU!