NYS Labor Department’s Role in Safe Patient Handling

2. NYS Labor Department’s Role in Safe Patient Handling • On Site Consultation private sector employers • On Site Surveys • In 2007 performed 75 survey visits for nursing home providers. • Training • http://www.labor.state.ny.us/workerprotection/safetyhealth/safetyhealthtourism.shtm • Provide Information

4. NYS Labor Department’s Role in Safe Patient Handling • Public Employee Safety and Health Bureau • Strategic Plan Activities

5. Phase I 1999-2003 • Team of Safety and Health Specialists Selected • Focus- Educate on Resident Handling, Sharps Injuries, Workplace Violence • Sharps Injury Prevention Conferences Held Throughout New York • Recordkeeping Training Conducted • Meeting with Stakeholders Held • Unions • Administrators • Healthcare Associations • Partnerships Developed with Stakeholders • Best Practices in Safe Resident Handling Identified- Paula Pless • Employee Injury Prevention Conferences Held Throughout New York Focusing on Safe Resident Handling Additional Topics: • Workplace Violence • Bloodborne Pathogens • Slips, Trips and Falls

6. Phase I Injury Rate Results: • 1998 Baseline 16.6 • 1999 16.1 (3.5% Decrease) • 2000 14.2 (14.9% Decrease) • 2001 12.5 (25.0% Decrease) • 2002 14.0 (15.8% Decrease) • 2003 16.6 (See Lessons Learned)

7. Lessons Learned After Phase I Recordkeeping Issues: OSHA Recordkeeping regulation was changed effective 2002 Records after 2002 can not be compared to those from previous years Numerous Recordkeeping errors on OSHA / PESH Logs were identified Recordkeeping session held in EVERY Public Nursing Home Log of Work Related Injuries and Illnesses corrected for 2003 2003 Corrected Injury Rate = 13.6 therefore 18.1% Reduction compared to Baseline Facilities were having difficulty sustaining success The Team took a close look at what the data showed Facilities with on-site visits by PESH had a 7% Injury Rate reduction Facilities with no visit had a 7% increase 14% Difference between these facilities Facilities requesting a PESH consultation - 18.7% Injury Rate reduction Refocused resources for next 5 years- Comprehensive Consultations or inspection in facilities with highest injury rates Injury Prevention Conferences changed focus to “Sustaining Safe Patient Handling Programs”

8. Phase II 2004-2008 Meeting with Administrators held to describe consultation/inspection approach Each provided injuries rates for their facility Identified nursing homes with highest injury rates Offered free consultation or placed on inspection list Consultations requested by all targeted facilities Comprehensive Consultations conducted in Nursing Homes with highest Injury Rates Additional training provided to staff CSEA’s Healthcare Ergonomics Training Alzheimer’s Association’s- approaching challenging behaviors USF Safe Patient Handling and Movement Conferences Best Practices in Safe Resident Handling-Paula Pless Future Plans: Employee Injury Prevention Conferences focusing on sustaining success with Safe Patient Handling program Nursing Home Resource CD Model SPH program developed Revisit Nursing Homes with highest injury rates

9. Phase II Injury Rate Results: • 2002 Baseline 14.0 • 2004 12.4 (11.4% Decrease) • 2005 11.7 (16.4% Decrease) • 2006 11.6 (17.1% Decrease) • 2007 10.5 (25.0% Decrease) • 2008

10. New York State Public Nursing Homes33.7% Decrease

11. What’s Next? • The next 5 years we will build on the successes and improve on the struggles. • Branch out to other employers: • OMH • OMRDD