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LEAPT / GAPP Hospital Worker Safety Initiative January 9, 2014

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Page 1: January 9, 2014. Worker Injury Statistics $$$ Costs Direct WC Costs Loss/ Run Reports - medical costs - lost wages / indemnity - Amount

LEAPT / GAPPHospital

Worker Safety Initiative

January 9, 2014

Page 2: January 9, 2014. Worker Injury Statistics $$$ Costs Direct WC Costs Loss/ Run Reports - medical costs - lost wages / indemnity - Amount

Worker Injury Statistics

Analysis: Hospital Worker Injuries

Page 3: January 9, 2014. Worker Injury Statistics $$$ Costs Direct WC Costs Loss/ Run Reports - medical costs - lost wages / indemnity - Amount

Analysis: Hospital Worker Injury Types

Page 4: January 9, 2014. Worker Injury Statistics $$$ Costs Direct WC Costs Loss/ Run Reports - medical costs - lost wages / indemnity - Amount

Analysis:RN Worker Injuries

Page 5: January 9, 2014. Worker Injury Statistics $$$ Costs Direct WC Costs Loss/ Run Reports - medical costs - lost wages / indemnity - Amount

$$$ Costs

Direct WC Costs

Loss/ Run Reports - medical costs - lost wages / indemnity - Amount allotted for reserves

Analysis: Hospital Worker Injuries

Page 6: January 9, 2014. Worker Injury Statistics $$$ Costs Direct WC Costs Loss/ Run Reports - medical costs - lost wages / indemnity - Amount

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

Analysis: Hospital Worker Injuries

Page 7: January 9, 2014. Worker Injury Statistics $$$ Costs Direct WC Costs Loss/ Run Reports - medical costs - lost wages / indemnity - Amount

UMC Brackenridge: Synergistic effect on Patient Safety?

Page 8: January 9, 2014. Worker Injury Statistics $$$ Costs Direct WC Costs Loss/ Run Reports - medical costs - lost wages / indemnity - Amount

ROOT CAUSES?

-Hospital Culture

-Workplace Harassment / Bullying / Violence

-Worker Fatigue (Physical or Emotional)

-Staffing / Patient Acuity

-Lack of Tools / Equipment

- Personnel Turnover

Analysis: Hospital Worker Injuries

Page 9: January 9, 2014. Worker Injury Statistics $$$ Costs Direct WC Costs Loss/ Run Reports - medical costs - lost wages / indemnity - Amount

Membership:

- Occupational Health Specialists- Nursing Leadership- Risk Management - Human Resources- Facilities Management / Engineering- Emergency Preparedness

Formation of Advisory Council

Page 10: January 9, 2014. Worker Injury Statistics $$$ Costs Direct WC Costs Loss/ Run Reports - medical costs - lost wages / indemnity - Amount

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” 

Advisory Council Objectives:

Page 11: January 9, 2014. Worker Injury Statistics $$$ Costs Direct WC Costs Loss/ Run Reports - medical costs - lost wages / indemnity - Amount

1. Quarterly Snapshot Survey

2. Annual Culture of Patient Safety Survey

3. McNeary’s Claims Data

4. Vaccination records from National Healthcare Safety Network (NHSN)

5. Monthly data submission:

◦ - Worker Injury Rate◦ - DART◦ - Employee Turnover

LEAPT Hospital Data Analysis

Page 12: January 9, 2014. Worker Injury Statistics $$$ Costs Direct WC Costs Loss/ Run Reports - medical costs - lost wages / indemnity - Amount

TOOLS

Page 13: January 9, 2014. Worker Injury Statistics $$$ Costs Direct WC Costs Loss/ Run Reports - medical costs - lost wages / indemnity - Amount

TOOLS

Page 14: January 9, 2014. Worker Injury Statistics $$$ Costs Direct WC Costs Loss/ Run Reports - medical costs - lost wages / indemnity - Amount

TOOLS

Page 15: January 9, 2014. Worker Injury Statistics $$$ Costs Direct WC Costs Loss/ Run Reports - medical costs - lost wages / indemnity - Amount

TOOLS

Page 16: January 9, 2014. Worker Injury Statistics $$$ Costs Direct WC Costs Loss/ Run Reports - medical costs - lost wages / indemnity - Amount

BEST PRACTICE EXAMPLE- St. Vincent’s Health

Page 17: January 9, 2014. Worker Injury Statistics $$$ Costs Direct WC Costs Loss/ Run Reports - medical costs - lost wages / indemnity - Amount

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

Page 18: January 9, 2014. Worker Injury Statistics $$$ Costs Direct WC Costs Loss/ Run Reports - medical costs - lost wages / indemnity - Amount

BEST PRACTICES EXAMPLE – UMC Brackenridge

Page 19: January 9, 2014. Worker Injury Statistics $$$ Costs Direct WC Costs Loss/ Run Reports - medical costs - lost wages / indemnity - Amount

BEST PRACTICES EXAMPLE –UMC Brackenridge

Page 20: January 9, 2014. Worker Injury Statistics $$$ Costs Direct WC Costs Loss/ Run Reports - medical costs - lost wages / indemnity - Amount

BEST PRACTICES EXAMPLE (Safe Patient Handling) VA Hospital Tampa

Page 21: January 9, 2014. Worker Injury Statistics $$$ Costs Direct WC Costs Loss/ Run Reports - medical costs - lost wages / indemnity - Amount

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! 

“SAFETY ACROSS THE BOARD”

Page 22: January 9, 2014. Worker Injury Statistics $$$ Costs Direct WC Costs Loss/ Run Reports - medical costs - lost wages / indemnity - Amount

CUSP Training TeamSTEPPS Six Sigma Content Experts Coaching Calls ? Other

GHA Support


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