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THE ILLINOIS LEGISLATIVE RESPONSE: Hospitals and Nursing Homes

THE ILLINOIS LEGISLATIVE RESPONSE: Hospitals and Nursing Homes. 2011: AMENDMENT OF THE ILLINOIS HOSPITAL LICENSING ACT , “ Safe patient handling policy ” (210 ILCS 85/6.25), Public Act 097-0122, effective 1-1-2012 - - Overall policy: Patient safety, dignity, choice

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THE ILLINOIS LEGISLATIVE RESPONSE: Hospitals and Nursing Homes

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  1. THE ILLINOIS LEGISLATIVE RESPONSE:Hospitals and Nursing Homes

  2. 2011: AMENDMENT OF THE ILLINOIS HOSPITAL LICENSING ACT, “Safe patient handling policy” • (210 ILCS 85/6.25), Public Act 097-0122, effective 1-1-2012 • -- Overall policy: Patient safety, dignity, choice • Patients know best what works for them • Fewer injuries to patients as well as hospital workers • Maintenance of patient dignity and comfort

  3. -- Requirement of safe lifting team • Expertise in both manual and mechanical lifting and moving • Patient and caregiver injury prevention • Enhanced staff productivity • High patient and staff satisfaction

  4. -- A policy of advising patients of a range of transfer and lift options, including adjustable equipment, mechanical lifts, and a safe lifting team -- The right of a competent patient/guardian to choose among the range of transfer and lift options

  5. -- Documentation of an assessment and plan for the patient’s lifting and movement • upon admission and as status changes; • including choices of patient/guardian among range of transfer and lift options.

  6. -- Training of nurses and other direct patient care providers on • safe lifting policies and techniques and current lifting equipment • Best practice: annual refresher training for all health care workers.

  7.  -- Incorporation of such safe lifting procedures, techniques, and equipment as are consistent with applicable federal law. WATCH FOR: • The DOJ/HHS guidelines on access for people with mobility disabilities; • U.S. Access Board’s standards for accessible medical diagnostic equipment.

  8. 2012: AMENDMENT OF THE ILLINOIS • NURSING HOME CARE ACT, • “Safe resident handling policy” • (210 ILCS 45/3-206.05), Public Act 97-0866, effective 1-1-2013 • Same terms as hospital bill but with more detail in • Definition of adjustable equipment • Training of safe lifting teams

  9. Adjustable equipment: • Includes, but is not limited to, • Wheelchairs • Commode chairs, shower benches and gurneys • Weight scales • Adjustable beds • Call buttons and bed controls • Physical therapy platform tables, exercise machines

  10. Training of safe lifting teams • Equipment • Types • Operation • Selection • Safe use • Location • Condition • Manual lifting and moving • Risk assessment • Advising residents • Documenting

  11. Some data on benefits of safe lifting teams • Federal AHRQ (Agency for Health Care Research and Quality), recent findings from Miami Valley Hospital (Dayton, OH) safe lifting team program, http://www.innovations.ahrq.gov/content.aspx?id=1813 : • Staff back and shoulder injuries reduced by 70% and no injuries to trained lifting team • More than 2000 hours of nursing staff time freed up annually • High nurse, family, and patient satisfaction

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