WORKER SAFETY PROJECT OVERVIEW: “Caring For our Caregivers”

1. WORKER SAFETY PROJECT OVERVIEW: “Caring For our Caregivers” July 24, 2014 Jean Allred Georgia Hospital Association Nancy Curdy DeKalb Medical Center

2. Follow up items from June 26, 2014 • Management and Prevention of Needle Stick Injuries- Angela K. Laramie, Massachusetts Department of Public Health • Sharps Injuries among Hospital Workers in Massachusetts, 2010  - Massachusetts Department of Public Health LINK TO CDC “SHARPS INJURY PREVENTION” http://www.cdc.gov/sharpssafety/

3. Leading Edge Advanced Practice Topics (LEAPT) • Subset of Hospital Engagement Network (HEN) • LEAPT Work Project effective November 2013 • 6 National LEAPT Entities • 17 Hospitals in Georgia • GHA 5 LEAPT Work Topics • APPROACH: Innovative Ideas, Use of Frontline Staff, Rapid cycles of improvement / Tests of Change

4. GHA WORKER SAFETY PROJECT • Multi- disciplinary Advisory Council / 5 Topic Hospitals • Identify Worker Safety Resources • Establish Best Practices through Rapid Cycle Improvement / Tests of Change • Monthly Data Collection: OSHA Logs (TCIR and DART rates) and Monthly Employee Turnover • Quarterly Snapshot Survey incorporates Current Best Practices Identified

5. WORKER SAFETY RESOURCES GHA Website Page: Worker Safety https://quality.gha.org/Home/HospitalEngagementNetwork/LEAPTGAPP/WorkerSafety.aspx • OSHA ROADMAP FOR HOSPITALS • LUCIAN LEAPE “Through the Eyes of the Workforce” • CDC “Sharps Injury Prevention” “Vaccination Programs” • GHA Weekly Newsletter: Workforce Line https://advocacy.gha.org/Home/Workforce/WorkforceLine.aspx • Ongoing Events / Content Experts: 4thThursday of Each Month from 1-2 PM + All Webinars Recorded

6. GHA WS RESOURCES: 2014 Recorded Webinars

7. BEST PRACTICES: WORKER SAFETY LEADERSHIP Top management and leadership rounding considers environmental risks to worker safety during safety inspections Yes No

8. BEST PRACTICES: WORKER SAFETY HAZARDS IDENTIFICATION Hospital environmental rounds evaluate environmental risks to worker safety. Yes No If you answered "Yes" to "Hospital Environmental rounds evaluate environmental risks to worker safety:" Frequency environmental rounds conducted: Monthly Quarterly

9. BEST PRACTICES: WORKER SAFETY VIOLENCE PREVENTION Hospital has a violence prevention plan that: Reflects a “zero tolerance” policy Yes No Addresses patient or family member disruptive or abusive behavior Yes No

10. BEST PRACTICES: WORKER SAFETY HANDLING OF WORKER INJURIES: • Hospital has an accident review committee responsible for oversight and investigation of all worker injuries Yes No • Hospital reports employee injury data to the hospital board Yes No • Hospital has a workforce health management program or a work-site health center/ clinic staffed by Occupational Specialists to treatinjured or sick employees Yes No • Hospital has a “return to work”*program that promotes the individual employee’s expertise and values their contribution to the organization until they are able to resume their normal duties.   Yes No *http://sbwc.georgia.gov/sites/sbwc.georgia.gov/files/related_files/site_page/ModelReturnToWorkProgram.pdf

11. BEST PRACTICES: WORKER SAFETY SAFE PATIENT HANDLING: Hospital has adopted a “Safe Patient Handling Mobility, and Injury Prevention” program, which includes the following components: (Check all that apply) Not applicable Specific lift device guidelines Incorporates a “Team” or “Code/Alert” approach Frontline Staff provides input in development and implementation of program

12. BEST PRACTICES: WORKER SAFETY EMPLOYEE FATIGUE EVALUATION: Hospital assesses employee fatigue as a contributing factor when investigating employee injury events and serious patient events that include (check all that apply): • Has the employee worked > 12 hours • Has the employee worked > 60 hours within 7 days preceding the event • Has the employee worked > 3 consecutive 12 hour shifts • (NEW) Did the employee have at least 5 hours of sleep prior to the shift start

13. BEST PRACTICES: WORKER SAFETY FATIGUE MANAGEMENT Staff scheduling process includes “guard rails” to restrict pre-scheduled work hours to <  60 hours within 7 days and  < 3 consecutive 12 hour shifts Yes No

14. BEST PRACTICES: WORKER SAFETY OSHA SAFETY AND HEALTH MANAGEMENT PROGRAM: • Hospital has Occupational Safety and Health Management System, also known as an Injury and Illness Prevention Program in place   Yes No • Staff Engagement – Employees assist with Safety and Health Management Program design, implementation, evaluation and investigation of incidents  Yes No • Patients and Family Members are educated regarding Hospital Hazards and how to report  Yes No

15. BEST PRACTICES: WORKER SAFETY CAREGIVER RESILIENCE: Hospital employees have access to individuals trained in Critical Incident Debriefing*, such as a Chaplain, or Licensed Clinical Social Worker for staff support during times of extreme stress / crisis. Yes No *DCH TRAINING CALENDAR: http://www.georgiaems.net/uploads/2/0/3/8/20382471/hcpp_training_calendar_august_1_2014.pdf

16. BEST PRACTICES: WORKER SAFETY GEORGIA WORKERS COMPENSATION PROGRAM: Hospital  is certified by  Georgia State Board of Workers' Compensation as a drug-free workplace*.Yes No * http://sbwc.georgia.gov/drug-free-workplace

17. 5 Hospitals, > 7000 Employees

18. 5 Hospitals, > 7000 Employees

19. 5 Hospitals, > 7000 Employees

24. UPCOMING WORKER SAFTEY EVENTS • Ergonomic / Safe Patient Handling “Train the Trainer” Workshop JULY 28, 2014 9-4 PM • Enhancing Caregiver Resilience –Dr. Brian Sexton JULY 29, 2014 8-4 PM • National LEAPT Cross Pollination Event Worker Safety and “Safety Across the Board” JULY 29, 2014 4-5 PM

25. 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 August 7, 1 -2 pm