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Safe Patient Handling Program – Measures to Tell the Story Marnie Myhre, MS, PT, CEA Manager Injury Prevention – EOHS Fairview May 8, 2012 1

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Page 1: Safe Patient Handling Program – Measures to Tell the Story Patient Handling Program – Measures to Tell the Story Marnie Myhre, ... patient falls & weights ... • Assign training

Safe Patient Handling Program – Measures to Tell the Story

Marnie Myhre, MS, PT, CEA

Manager Injury Prevention – EOHS

Fairview

May 8, 2012

1

Page 2: Safe Patient Handling Program – Measures to Tell the Story Patient Handling Program – Measures to Tell the Story Marnie Myhre, ... patient falls & weights ... • Assign training

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

Page 3: Safe Patient Handling Program – Measures to Tell the Story Patient Handling Program – Measures to Tell the Story Marnie Myhre, ... patient falls & weights ... • Assign training

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

Page 4: Safe Patient Handling Program – Measures to Tell the Story Patient Handling Program – Measures to Tell the Story Marnie Myhre, ... patient falls & weights ... • Assign training

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

Page 5: Safe Patient Handling Program – Measures to Tell the Story Patient Handling Program – Measures to Tell the Story Marnie Myhre, ... patient falls & weights ... • Assign training

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

Page 6: Safe Patient Handling Program – Measures to Tell the Story Patient Handling Program – Measures to Tell the Story Marnie Myhre, ... patient falls & weights ... • Assign training

6

0.00

0.50

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1.50

2.00

2.50

3.00

Patient Handling Injuries per 100 Employees By Care Group

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

Source: OHM

Page 7: Safe Patient Handling Program – Measures to Tell the Story Patient Handling Program – Measures to Tell the Story Marnie Myhre, ... patient falls & weights ... • Assign training

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

Page 8: Safe Patient Handling Program – Measures to Tell the Story Patient Handling Program – Measures to Tell the Story Marnie Myhre, ... patient falls & weights ... • Assign training

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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",

Page 9: Safe Patient Handling Program – Measures to Tell the Story Patient Handling Program – Measures to Tell the Story Marnie Myhre, ... patient falls & weights ... • Assign training

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Injury Count by Patient Handling Activity – East Bank

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

Source: OHM

Page 10: Safe Patient Handling Program – Measures to Tell the Story Patient Handling Program – Measures to Tell the Story Marnie Myhre, ... patient falls & weights ... • Assign training

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

Page 11: Safe Patient Handling Program – Measures to Tell the Story Patient Handling Program – Measures to Tell the Story Marnie Myhre, ... patient falls & weights ... • Assign training

Equipment purchased and not usedWhy?

WHY NOT???

Page 12: Safe Patient Handling Program – Measures to Tell the Story Patient Handling Program – Measures to Tell the Story Marnie Myhre, ... patient falls & weights ... • Assign training

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

Page 13: Safe Patient Handling Program – Measures to Tell the Story Patient Handling Program – Measures to Tell the Story Marnie Myhre, ... patient falls & weights ... • Assign training

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

Page 14: Safe Patient Handling Program – Measures to Tell the Story Patient Handling Program – Measures to Tell the Story Marnie Myhre, ... patient falls & weights ... • Assign training

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

Page 15: Safe Patient Handling Program – Measures to Tell the Story Patient Handling Program – Measures to Tell the Story Marnie Myhre, ... patient falls & weights ... • Assign training

The secret of success is constancy of purpose.

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