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

2. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 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 Sharps Injuries among Hospital Workers in Massachusetts, 2010 LINK TO CDC “SHARPS INJURY PREVENTION” http://www.cdc.gov/sharpssafety/ 2

3. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 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 3

4. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 4 GHA WORKER SAFETY PROJECT 4 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. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 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 https://advocacy.gha.org/Home/Workforce/WorkforceLine.aspx Ongoing Events / Content Experts: 4 th Thursday of Each Month from 1-2 PM + All Webinars Recorded 5

6. 6 GHA WS RESOURCES: 2014 Recorded Webinars

7. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 7 7 BEST PRACTICES: WORKER SAFETY LEADERSHIP Top management and leadership rounding considers environmental risks to worker safety during safety inspections Yes No

8. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 8 BEST PRACTICES: WORKER SAFETY 8 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. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 9 BEST PRACTICES: WORKER SAFETY 9 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. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 10 BEST PRACTICES: WORKER SAFETY 10 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 treat injured 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/ModelReturnTo WorkProgram.pdf http://sbwc.georgia.gov/sites/sbwc.georgia.gov/files/related_files/site_page/ModelReturnTo WorkProgram.pdf

11. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 11 BEST PRACTICES: WORKER SAFETY 11 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. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 12 BEST PRACTICES: WORKER SAFETY 12 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. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 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 13

14. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 14 BEST PRACTICES: WORKER SAFETY 14 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. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 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: DCH TRAINING CALENDAR: http://www.georgiaems.net/uploads/2/0/3/8/20382471/hcpp_training_calendar_au gust_1_2014.pdf 15

16. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 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-workplacehttp://sbwc.georgia.gov/drug-free-workplace 16

17. 17 5 Hospitals, > 7000 Employees

18. 18 5 Hospitals, > 7000 Employees

19. 19 5 Hospitals, > 7000 Employees

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24. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 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. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 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 3 rd or each month – send to Lynne Hall (lhall@gha.org)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)jallred@gha.org due 15 th of month (about 45 days after end of reporting month). Next Coaching Call CDI Working Session August 7, 1 -2 pm 25