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Safety and Ergonomics for Extended Care Facilities

Safety and Ergonomics for Extended Care Facilities. Course Development Team. Mike Rienerth, Ergonomics Consultant, BWC Mike Donohue, Safety Consultant, BWC Greg Nartker, Ergonomics Consultant, BWC George Kunz, Safety Consultant, BWC

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Safety and Ergonomics for Extended Care Facilities

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  1. Safety and Ergonomics for Extended Care Facilities

  2. Course Development Team • Mike Rienerth, Ergonomics Consultant, BWC • Mike Donohue, Safety Consultant, BWC • Greg Nartker, Ergonomics Consultant, BWC • George Kunz, Safety Consultant, BWC • Rick Hughes, Manager of Occupational Safety & Health, Ohio Masonic Homes • Mel Tobias, Safety Compliance Manager, Sprenger Retirement Centers • Marty Grant, Curriculum Designer, BWC

  3. BWC - Safety & Hygiene Services • Consultative services to assist with safety, ergonomics, and occupational health issues • Already paid for through WC premiums • Non–regulatory; no enforcement power • No reporting to enforcement agencies

  4. Definition “Extended-care facilities” include: • Nursing homes • Mental health facilities • Full-time care facilities • Long-term care facilities • Other?

  5. COURSE OBJECTIVES • Gain a better appreciation for the benefits of an effective safety & health process • Learn about tools and resources that can be used to enhance safety management systems • Review common OSHA compliance requirements for extended care facilities

  6. COURSE OBJECTIVES • Learn about tools and resources that can be used to assist with OSHA compliance • Review common ergonomic issues and control measures for extended care facilities • Discuss management strategies that can assist in the implementation of safety and ergonomics improvements

  7. What are your objectives? • Introduce yourself • Name • Occupation • Facility • Mention one of your objectives for attending this course

  8. Key Questions • Who is responsible for safety at your facility? • Who is accountable for safety performance at your facility?

  9. Regulatory Compliance • Ohio Department of Health (ODH) • Resident safety • Joint Commission for Accreditation of Health Organizations (JCAHO) • Resident safety • Occupational Safety & Health Administration (OSHA) • Staff safety

  10. OSHA 5(a)(1) – General Duty Clause • 1970 OSH Act • Each employer shall furnish… a workplace free of recognized hazards…

  11. OSHA Recordable Injury/Illness Incidence Rates

  12. What is Your Facility’s OSHA Recordable Incidence Rate? IR = # of OSHA Recordables x 200,000 # of exposure hours (hrs. worked) The IR represents the number of OSHA recordable injuries/illnesses per 100 full time workers over a given period of time

  13. Days Away, Restricted and/or Transferred (DART Rate) (BLS)

  14. Estimate your Experience

  15. Types of Injuries in EC Facilities

  16. Money Matters What does your facility currently pay? • Workers’ compensation coverage • Healthcare insurance • Liability insurance • Property insurance • Other

  17. What are the Costs of an Ineffective Safety Process? • The average cost for a medical only injury in Ohio is $800 • The average cost for a lost-time injury in Ohio is $44,000 (medical + indemnity + reserves) • Average workers’ comp premiums for a base rated 100-bed facility are about $160,000/year • Average workers’ comp premiums for a group rated 100-bed facility are about $80,000/year

  18. Average Annual Workers’ Comp Premiums for EC Facilities Experience Modifier (EM)

  19. Employer Rating Plan History

  20. What are Some Other Costs of an Ineffective Safety Process? • 10 to 20% of people leave the nursing profession due to injury • Average turnover rate of STNAs in nursing homes is 50-60% • Average cost to recruit, hire, and train a STNA = $2,000 - $ 3,000 • The average cost of OSHA citations for HC facilities is approximately $10,000 to $15,000 per inspection

  21. Iceberg AnalogyAccident Cost Direct Costs • Medical Payments • Compensation Breaking in substitute Temporary workers Poor efficiency due to break-up of crew Indirect or Hidden Costs Loss of good will Supervisor time to investigate Damaged equipment Overtime by employees Administrative costs Change in WC rating Lost time by fellow workers

  22. What motivates safety activities in your facility?

  23. Safety & Ergonomics ProcessThe Benefits • Compliance and hazard prevention • Reduced injuries and lost time • Lower worker compensation costs • Lower absenteeism and turnover • Better employee relations and morale • Better Quality Care!

  24. Strengths and Weaknesses • What is one thing that your facility does well to ensure staff safety? • What is one thing that you feel your facility needs to address to improve staff safety?

  25. Elements of an Effective Safety & Ergonomics Process • Management Commitment • Employee Involvement • Accountability • Documentation • Integration • Communication • Monitoring/Evaluation • Flexibility • Continuous Improvement

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