LEAPT / GAPP “Caregiver Safety”

1. LEAPT / GAPP“Caregiver Safety” August 28, 2014 Jean Allred, GHA WS Project Lead Pat Horton, GHA Workforce Coordinator Nancy Curdy, DeKalb Medical Center (LEAD) Teri Newsome, Habersham Medical Center (LEAD)

2. July 24, 2014GAPP/HEN Coaching – Worker’s Safety WebinarFEEDBACK Suggestions on how the Georgia Hospital Association Research and Education Foundation (GHAREF) can improve this meeting: • Continue real time best practices • OSHA speakers would be helpful • Polling is much easier with voting rather than asking everyone to speak out. As a result of this program are you going to make any changes to your practice or hospital?: • Add the Worker Injury Report to GB. (3 Hospitals) • Continue to integrate Worker and Patient Safety/ more emphasis on Safe Patient Handling • Review with our committee and trend the worker injuries. Have a meeting on Thursday 7-31-14 to review with team. • Give consideration to the addition of the worked time factors to investigation of worker injuries. (5 Hospitals) • Accident review committee (3 Hospitals) • We have been planning a safety week to promote worker safety and injury prevention and this will be helpful to guide us. How can GHA assist you in making these changes or addressing obstacles? • Share sample policy and procedures • Update on upcoming OSHA Standards. • Continue educational opportunities • Clarify the data requirements

3. Pat Horton: HOSPITAL EMPLOYEE “STORY”

4. “Caring For our Caregivers”INITIATIVE: November 2013 “Multi disciplinary Advisory Council / 5 Topic Hospitals” “Identify Worker Safety Resources” “Establish Best Practices” “Outcomes / Metrics” “SPREAD June 2014”

5. 2014 Monthly GA LEAPT Worker Injury Total Case Incident Rate (TCIR) • These figures represent 5 Hospital Systems with > 7000 Hospital Employees. • May results are trending down below target for Total Case Incident • Rate (TCIR).

6. 2014 Monthly Ga LEAPT Worker Safety Days Away, Restricted or Transferred (DART) Rate • These figures represent 5 Hospital Systems with > 7000 Hospital Employees. • June and July Topic Hospitals activities around these injuries • involve a targeted focus on Ergonomics and Safe Patient Handling / Mobility • Program development.

7. 2014 Monthly GA LEAPT Employee Turnover Rate (All Hospital Employees) • These figures represent 5 Hospital Systems with > 7000 Hospital Employees. • Employee Turnover rates trended an all-time high for May. Human Resource professionals attribute this to expected seasonal changes and • unrelated to WS.

8. “CAREGIVER SAFETY”Where to Start? 1. Establish- a Team of “stakeholders” Suggest representatives from Occupational / Employee Health, Human Resources, Risk Management, Nursing, Quality, …. 2.Complete - OSHA’s Self –Assessment Tool: “How Safe is my Hospital?” 3. Evaluate - Employee Turnover, and Culture of Safety Survey Results 4. First Step Suggestions- Hospital Governing Board review of Worker Injury data Safe Patient Handling / Use of Low Tech Devices

10. “HOW SAFE IS MY HOSPITAL FOR WORKERS?”

11. “HOW SAFE IS MY HOSPITAL FOR WORKERS?”

12. “HOW SAFE IS MY HOSPITAL FOR WORKERS?”

13. “HOW SAFE IS MY HOSPITAL FOR WORKERS?”

14. “HOW SAFE IS MY HOSPITAL FOR WORKERS?”

17. OSHA Safety and Health Management System Crosswalk with The Joint Commission Standards Management Leadership

18. OSHA Safety and Health Management System Crosswalk with The Joint Commission Standards

19. Employee Involvement

20. OSHA Safety and Health Management System Crosswalk with The Joint Commission Standards

21. Worksite Analysis

22. Hazard Prevention and Control

23. Annual Evaluation

24. WORKER SAFETY DATA COLLECTION 2013 Benchmark and Monthly Reporting LINK TO DATA SUBMISSION: https://quality.gha.org/Home/HospitalEngagementNetwork/LEAPTGAPP/LEAPTGAPPDataSubmission.aspx

25. 2013 OSHA and MONTHLY DATA REPORTING (GHA Website Survey) • TCIR RATE: NUMERATOR: Total number of OSHA recordable incidents occurring for time period (2013 or Monthly) = ____ DENOMINATOR: Total number of hours worked by all employees for time period (2013 or Monthly) = ____ 2. DART RATE: NUMERATOR: Total number of OSHA recordable incidents resulted in days away, restricted or transferred for time period (2013 or Monthly) = ___ DENOMINATOR:Total number of hours by all employees in the for time period (2013 or Monthly) = ____

27. EMPLOYEE TURNOVER REPORTING(GHA Website Survey) TURNOVER NUMERATOR: Total Number of Employees who left in 2013 and for each Month = ____ TURNOVER DENOMINATOR: (Total Number of Employees in the beginning of the Year / Month = __) + (Total Number of Employees at the end of the Year / Month = __) Divided by 2 for an average # of employees

28. Worker Safety Data Collection Strategies:Breaking down Silos • Nancy Curdy, DeKalb Medical Center • Teri Newsome, Habersham Medical Center

30. LEAPT GAPP Updates • Mandatory Meeting Attendance • Coaching Calls of Each “SPREAD TOPIC” and Sepsis Discussion Second Thursday of month. Must complete an evaluation. • If you miss a call you can listen to the recording within 1 week. Complete evaluation if applicable, and notify topic lead that you listened to get credit. • Data Submission: • Due 3rd or each month – send to Lynne Hall (lhall@gha.org) • TOC (1 for sepsis and 1 for additional topic area) • Checklist (1 per hospital) • Worker Safety Data (if in WS group) Send to Jean Allred (jallred@gha.org) • due 15th of month (about 45 days after end of reporting month). • Next Coaching Call CDI Working Session September 4, 2014 1 -2 pm • Worker Safety Future Topics: Workplace Violence (SEPTEMBER) OSHA Compliance for Hospitals (OCTOBER)