LEAPT / GAPP Hospital Worker Safety Initiative

1. LEAPT / GAPPHospital Worker Safety Initiative January 9, 2014

2. Analysis: Hospital Worker Injuries • Worker Injury Statistics

3. Analysis: Hospital Worker Injury Types

4. Analysis:RN Worker Injuries

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

6. 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

7. UMC Brackenridge: Synergistic effect on Patient Safety?

8. 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

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

10. 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” 

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. TOOLS

13. TOOLS

14. TOOLS

15. TOOLS

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

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

18. BEST PRACTICES EXAMPLE – UMC Brackenridge

19. BEST PRACTICES EXAMPLE –UMC Brackenridge

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

21. “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! 

22. GHA Support • CUSP Training • TeamSTEPPS • Six Sigma • Content Experts • Coaching Calls • ? Other