1. Patient Mobility Team “Lift Team” Proposal Susan Crabtree Lynn Kirman

2. Background Pushing issues – Nursing shortage – Aging workforce – Increase in patient size – Union activity – Focus on Patient Safety – JCAHO Standards – Increasing WC costs – Failure of “proper body mechanics” – Recruitment/Retention tool

3. GAMC RN Characteristics

4. “Enough Help to Move Pts.?”

5. Elements of a Complete Program Employee Safety Committee – in place “Safe Patient Handling” Policy Patient handling devices – house-wide, easy access Periodic ergonomic assessments of nursing workplace. Lift Team On-going training Preventative back exercise program Standardized data collection and reporting – track, trend, revise

6. GAMC “Patient Mobility Team” 0700 – 1930 7 days/wk, 2 person team C.N.A. required – 5% increase Supervisor – Terry Novelli / Donna Cramer Dispatched thru Escort Process or directly by pager (TBD) Would also coach/instruct floor staff on transfer and lifting techniques.

7. Worker’s Compensation Costs

8. Financial Analysis Costs Before Lift Team – Direct Costs (Average of 2002 & 2003) - $502,516 Medical Paid, Medical Reserves = Incurred Costs (also includes temporary disability payments) – Indirect Costs (Average of 2002 & 2003) - $244,350 Lost days ($25.00 x 12 hours x 814.5 days) – Total W/C Patient Handling Costs = $746,866

9. Financial Analysis (continued) Costs Before Lift Team $746,866 Costs After Lift Team (25% reduction in workers injuries) – Lift Team Wage Costs - $157,467 – Direct Costs - $376,887 – Indirect Costs - $183,263 – Equipment Costs - $15,000 per year (Depreciation - $75,000 over 5 years) – Total W/C Patient Handling Costs $732,616 Total Savings $14,249 Return on Investment – 8%

10. Equipment Costs Capital (first year - $30,000 – includes taxes) – Equipment to be shared by units (for example CSDU and CCU) 5 mobile hoist heavy duty (444 lbs) = $18,711.80 1 floor lift heavy duty (600 lbs) = $6,478.09 Additional Equipment – Gait belts – Sliders – Slings

11. Lift Team Roll-Out Approval by Operations Council - done Evaluate and Order Equipment – in process Hire necessary staff – in process Provide appropriate training on equipment for new staff – PT working on this Provide training/orientation for nursing staff on lift team procedures Start date – September, 2005