LEAPT / GAPP Topic: Worker Safety

1. LEAPT / GAPPTopic: Worker Safety February 6, 2014

2. CURRENT OSHA REQUIRMENTS FOR HOSPITALS 2014 OSHA Form 300: Log of Work-Related Injuries and Illnesses. This form is used to record specific details about what happened, to whom, where, and how. The type of injury or illness and source is also recorded, as well as the resulting number of days away, restricted, or transferred to a different work assignment.

3. CURRENT OSHA REQUIRMENTS FOR HOSPITALS 2014 OSHA Form 300A: Summary of Work-Related Injuries and Illnesses. This form provides an annual summary of the number of cases, number of days away from work/ transferred/restricted, and number of each type of injury and illness. It is posted for employee review between February 1 and April 30 of the following year.

4. CURRENT OSHA REQUIRMENTS FOR HOSPITALS 2014 2 OSHA Form 301: Injury and Illness Incident Report. This form records detailed information about each incident, including the date and time of the incident, how long the employee had been on the job, a description of the task the employee was performing before the incident, a description of what happened, a description of the injury or illness and affected body parts, and identification of the source of the injury. The date of death is recorded if the injury was fatal. This form must be kept for five years. An employer may use an alternate form as long as it includes all of the required fields. Many hospitals use their workers’ compensation incident forms to meet this requirement.

5. OSHA FORMULA FOR “TOTAL CASE INCIDENT RATE (TCIR)” and “DAYS AWAY, RESTRICTED OR TRANSFERRED (DART)”

6. website RESOURCES

7. Workers safety 2

8. Workers safety 3

9. TCIR TCIR

10. dart DART

11. LEAPT Hospital Data Analysis • Quarterly Snapshot Survey • Annual Culture of Patient Safety Survey • McNeary’s Claims Data • Vaccination records from National Healthcare Safety Network (NHSN) • Monthly data submission: • - Worker Injury Rate • - DART • - Employee Turnover

12. GAPP GAPP GAPP

13. GAPP GAPP

14. TCIR TCIR

15. DART DART

16. Next Steps NEXT STEPS / INNOVATIONS?

17. FUTURE EDUCATIONAL PROGRAMS: • FUTURE EDUCATIONAL PROGRAMS: • CONTENT EXPERTS / HOSPITAL PRESENTATIONS? • March:  OSHA forms and requirements • April:  Safe Patient Handling  • May:  Workplace Bullying  (NIOSH) • June:  Employee Access to an Occupational Specialist  • July:   Needle stick / Exposure  Prevention  • Aug:  Employee Fatigue • September:Staffing model with consideration of patient acuity /  lifting risk

18. MARK YOUR CALENDARS! • *LEAPT Driver Event: Culture of Safety including Worker Safety, Part I Thursday, February 20 from 2:00 – 3:00 PM • *LEAPT Driver Event: Culture of Safety including Worker Safety, Part IIThursday, February 27 from 2:00 – 3:00 PM. • * AFFINITY GROUP FOR WORKER SAFETY WebEx Events the 4thThursday each month. • *March 27th from 11-12 PM

19. UPCOMING DEADLINES! • HEN DATA SUBMISSION: JANUARY ___ • LEAPT CHECKLIST AND TOC LOGS*: MARCH 3, 2014 • * Worker Safety “Test of Change” examples

20. THANK YOU! • Jean Allred, Project Manager Worker Safety • (770) 249-4546 • Cell: 205 352-8321 • jallred@gha.org

21. Analysis: Hospital Worker Injuries • Worker Injury Statistics

22. Analysis:RN Worker Injuries

23. Analysis: Hospital Worker Injuries • $$$ Costs • Direct WC Costs • Loss/ Run Reports • - medical costs • - lost wages / indemnity • - Amount allotted for reserves

24. Analysis: Hospital Worker Injuries • Indirect Costs (2.5 X Costs of Claim!) • Staff accommodations for modified duty • Supervisor times • Decreased Staff Morale (decreases productivity • Costs related to Replacement Workers

25. UMC Brackenridge: Synergistic effect on Patient Safety?

26. Analysis: Hospital Worker Injuries ROOT CAUSES? -Hospital Culture -Workplace Harassment / Bullying / Violence -Worker Fatigue (Physical or Emotional) -Staffing / Patient Acuity -Lack of Tools / Equipment - Personnel Turnover

27. Formation of Advisory Council Membership: • Occupational Health Specialists • Nursing Leadership • Risk Management • Human Resources • Facilities Management / Engineering • Emergency Preparedness

28. Advisory Council Objectives: Guidance and support to participating LEAPT Hospitals: • Atlanta Medical Center • Chatuge Regional Hospital • Dekalb Medical Center • Habersham Medical Center • Ty Cobb Regional Medical Center “17 hospitals in Georgia participating in one of six LEAPTS, have been given a great honor and a great responsibility” 

29. TOOLS

30. TOOLS

31. TOOLS

32. TOOLS

33. BEST PRACTICE EXAMPLE- St. Vincent’s Health

34. BEST PRACTICES EXAMPLE(Nurse Fatigue) Midland Memorial Hospital (NC)

35. BEST PRACTICES EXAMPLE – UMC Brackenridge

36. BEST PRACTICES EXAMPLE –UMC Brackenridge

37. BEST PRACTICES EXAMPLE (Safe Patient Handling) VA Hospital Tampa

38. Safety Across the Board • “SAFETY ACROSS THE BOARD” • Plan-Do-Study-Act • Small, Controlled Trials • Not seeking perfection, but multiple rapid cycles of improvement.  • Motto: Implement now and adapt later. • Figure out what works to assure reliable implementation of known successful practices. • Use of front line staff to institutionalize ongoing engagement in safety across the board!