Employee Incentives Improving Employee Safety at Spartanburg Regional Denise by woa13050

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									                           Improving Employee Safety
                            at Spartanburg Regional




Denise Hollis, RN, COHPM
    Mike Arntz, CHSP
    Spartanburg Regional Healthcare System
SRMC, Hospital for Restorative Care, network of
  physician offices in both Carolinas, Home Health,
  EMS, etc.
Our Mission: Delivering quality care for life.
Our Vision: To be recognized as a provider of excellent
  healthcare services that improve the quality of life for
  the communities we serve.
As the largest healthcare provider in Spartanburg
  County with 4900 employees serving 5 counties, we
  have a long-standing commitment to patient safety
  excellence.
                             Goal
        To support and improve the
   quality of life, health and safety of our
    employees through adopting a culture
            of safe work behaviors.
Reduce employee injury, increase retention with a safer workplace,
    reduce medical costs.
          Improving Employee Safety
           at Spartanburg Regional

                       Plan:
I. Training for managers and supervisors-
   proper handling of employee injuries.
II. Enhanced Accident Investigation by
   department management and Safety.
III. Continuation of ongoing worker safety
   projects such as the Sharp Object Injury
   Reduction Team (SOIRT).
            Improving Employee Safety
             at Spartanburg Regional

IV. Worker safety education to encourage safe behaviors
   and create a culture of worker safety. Ex. SafetyFirst
   Fair.
V. Progression towards a minimal lift environment
VI. Implementation of an Employee Safety Incentive
   Program.
VII. Ergonomic Services
VIII. Enhance Employee Health assessments
                  Achieving the GOAL

1.   Employee –safety education, participation in safe
     work behaviors, incentives for working safely, raises
     awareness resulting in the acceptance of a culture of
     safety.
2.   Management interest, support, accountability, and
     education. Post accident investigation to prevent
     future injury. Reward employees for exhibiting
     employee safety behaviors.
                    Achieving the GOAL

3. Employee Health and Rehab services include
    assessment of employees to determine their ability
    to perform the essential functions of the job.
•   Employee Health - Preplacement, return to work,
    and Fit For Duty assessments. Case Management
    Injury Cases.
•   Rehab-Functional Job analysis, Pre work screens,
    Functional Capacity Exams, Ergonomic services.

4. Minimal lift patient handling, a system wide
    expectation.
                 2001 through 2007
        SRHS’s multifaceted approach results;
Reduction in number and severity of employee
  injury/illness

• Reduction in Gross incurred workers’ compensation
  medical costs by 74% .

• Reduction in DART and TCIR by greater than 40%.
                                                                  Spartanburg Regional Healthcare System
                                                                            Safety First Results
                                                                  TOTAL Workers' Compensation Costs
                                                                        Gross Incurred Cost by Year
                                                                                                                                                   Chart by Wendy Stephenson,
                                                                  PHTS Source Data Risk Master 12.31.07
                                                                                                                                                   Denise Hollis
                                                                                                 Minimal Lift Pilot in Sept.    Pre w ork screens
                                                                                                 RTW enhanced, Nurse            Ergonomic Services.
                                        Fit for Duty Evaluations 02   Enhanced Employee Health   Case management,               EH RTW, Fit For Duty exams enhanced.
      $3,500,000                                                      functions in 03, 04
                           $3,148,848                                                            Safety First aw areness,
                                                                      Strengthened Return to     Management education
                                                                      Work. Enhanced
                                                                                                       Safety First Incentive
                                                                      Transitional Duty.
      $3,000,000                                                                                       Program, Safety First
                                                $2,676,516                                             Fair Sept.
                                                                                                                                   Est. Transitional Duty Work Pool
                                                                                                       Accident Investigation

      $2,500,000                                                                                                                   Minimal Lift system-w ide roll out
                                                                                                                                   for most units by October 31.
                                                                      $1,986,357                                                   4 Implementation Phases from
                                                                                                                                   March to October
      $2,000,000                                                                          $1,787,087


                                                                                                               $1,439,331
      $1,500,000


                                                                                                                                       $819,267
      $1,000,000

                                                                                                                                                             $435,500
        $500,000



               $0
                           2001                 2002                  2003               2004                  2005                 2006                   2007
                                                                           Gross Incurred by Claim Year
*One incident Removed in 2004.
                                                             Spartanburg Regional Healthcare System
                                                                       SafetyFirst Results
                                                                  Workers' Compensation Costs
                                                         Patient Handling by Gross Incurred Cost by Year
                                                                                                                                              Chart by Wendy Stephenson,
                                                             PHTS Source Data Risk Master 12.31.07
                                                                                                                                              Denise Hollis

                                                                                                                            Pre w ork screens
                                                                                              Minimal Lift Pilot in Sept.
                                     Fit for Duty Evaluations 02                                                            Ergonomic Services.
                                                                   Enhanced Employee Health   RTW enhanced, Nurse
      $1,600,000                                                                                                            EH RTW, Fit For Duty exams enhanced.
                                                                   functions in 03, 04        Case management,
                            $1,426,604
                                                                   Strengthened Return to     Safety First aw areness,
                                                                   Work. Enhanced             Management education
      $1,400,000                                                   Transitional Duty.

                                                                                                   Safety First Incentive      Est. Transitional Duty Work Pool
      $1,200,000                                                   $1,061,533                      Program, Safety First
                                              $1,050,893                                                                       Minimal Lift system-w ide roll out
                                                                                                   Fair Sept.
                                                                                                   Accident Investigation      for most units by October 31.
                                                                                                                               4 Implementation Phases from
      $1,000,000                                                                                                               March to October


        $800,000


        $600,000                                                                        $484,391
                                                                                                               $427,785

                                                                                                                                 $322,329
        $400,000


        $200,000                                                                                                                                         $86,953



               $0
                           2001              2002                  2003               2004                  2005                2006                   2007
                                                                        Gross Incurred by Claim Year
*One incident Removed in 2004.
                   OSHA defined Total Case Incident Rate:
        injuries treated beyond basic first aid, and all sharps injuries


                                               Total Case Incident Rate (TCIR)
                                                       622 (Hospitals)
12


                                      10.10
10
     8.70                                     8.60          8.60
            8.30                                                     8.26
                   8.10 8.10
8                                                    7.70
                                                                            6.98                      7.06
                                                                                   6.70
                                                                                                             6.00 5.76
6                                                                                         5.59 5.46
                                                                                                                                4.99

                                                                                                                         4.04
4



2



0
               National                       South Carolina                       PHT                           SRMC

                                    2003 2004 2005 2006 2007
      Cases counted in this measurement are all injuries that require treatment beyond basic first aid
      and all sharps injuries.

     OSHA State & National stats, SRHS OSHA 300 log         2/2008
       OSHA defined DART: Lost work days, days transferred to another job, and/or
                          transitional duty (restrictions).


                                            Days Away Restricted or Transferred (DART)
                                                         622 (Hospitals)
 4
         3.6                                                  3.6
                                                3.5
3.5            3.4
                       3.3                3.3          3.3
                                3.2

 3
                                                                                                                     2.71
                                                                                  2.63

2.5                                                                        2.3
                                                                                         2.15                               2.11
                                                                                                       1.96
 2                                                                                              1.88                                      1.87



1.5

                                                                                                                                   1.03
 1                                                                                                            0.87



0.5


 0
                     National                   South Carolina                           PHT                                SRMC
                                                2003         2004   2005   2006      2007
  Cases counted in this measurement are all injuries that have resulted in an injured worker losing work, being
  transfered due to the injury, or having restriction/limitations placed on their current job tasks.


      OSHA State & National stats, SRHS OSHA 300 log 2/2008
             Reducing the Risks
          Employee Incentive Program


• Studies show incentives as most beneficial as awareness
  of employee safety. Keep them thinking Safety.
• Reward employee safety behaviors with SF cards.
• Studies show that safety awareness benefits both patient
  and employee safety.
                       Employee Incentives

    Create a culture of Safety by Rewarding Employee Safety Behaviors
•    Supervisor confirmed training/classes attended
•    Performs Intervention to prevent healthcare worker injury (PPE, lift
     assist, sharps safety)
•    Intervention in unsafe situation
•    Equipment safety/ intervention and instruction
•    Safe driving practices- (driving while on duty)
•    Interventions to encourage building safety behaviors
                   Safety Awareness Campaigns


1. Utilized a variety of overall and department specific safety
   education including SafetyFirst Newsletter, Story Boards,
   Employee Safety Fairs.

2. Development of an Employee SafetyFirst internal website.

3. Required Training for managers and supervisors including
   accountability for a safe work environment.
       Improving Employee Safety
        at Spartanburg Regional

• The majority of healthcare injuries result
  from sharps injuries and patient handling
  injuries. (Pushing, pulling, moving,
  manipulating a patient.)
• Increased obesity in the general population,
  heavier patients.
• An aging workforce.
         Pilot Minimal Lift Program
• Established Patient Handling Policy and Procedure
• Selected 5 key areas with the highest rate of patient
  lifting/pushing/pulling injuries. (46 injuries in the 5 areas
  in 6 months).
• Trained Mobility Coaches from each area, trained all
  employees in these areas.
• Purchased patient lift equipment, educated patients on the
  use.
 Results: Reduction of employee injuries from 46 to 0.
After reviewing the return on investment for the pilot areas,
  leadership approved system-wide implementation of the
  SafetyFirst Minimal Lift Program.
 System Wide Minimal Lift Implementation


• Nursing Department accepted ownership of the program
  and appointed a coordinator
• Participation of 29 Nursing Units for a total of 34 Areas
• Appointed 150 Transfer Mobility Coaches on each shift
  and on each unit
 System Wide Minimal Lift Implementation

• Trained 750+ Employees initially, and annually
• Intranet Listing of Equipment Location/Use/
  Policies/Procedures/Etc.
• Each patient is initially assessed for mobility needs,
  appropriate equipment is assigned, Patient Care Plan is a
  part of the chart.
• Equipment is made readily available.
• Employees are accountable for proper use.
       Improving Employee Safety
        at Spartanburg Regional

                   SRHS
A healthier workplace, with a focus on
 employee injury prevention and caring
 compassionately for those that are injured.
                           Contacts:
Denise Hollis, RN, COHPM        Mike Arntz, CHSP
Employee Health Director        ROH, Senior Practice Mgr
dhollis@srhs.com                marntz@srhs.com
(864) 560-6192                  (864) 562-5208

								
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