Patient Mobility Team
“Lift Team” Proposal
Susan Crabtree
Lynn Kirman
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
GAMC RN Characteristics
NDNQI RN Satisfaction Data 2005
70
64
58
60
50
44
42
40
30
20
10
0
Mean Age
% >40
Comparision Hospitals 2004
GAMC 2005
“Enough Help to Move Pts.?”
NDNQI RN Satisfaction 2005
% "Yes" - Enough Help Moving Patients
% "Yes" Enough Help to Move Patients 2005 by Unit- RN's Only
120
90
80
100
100
70
82
80
60
% Yes
50
40
82
80
80
71
71
67
60
60
60
58
50
50
42
36
40
30
20
36
17
20
10
0
0
Rates
All Units, All Hosp. 2004 GAMC 2005 Top Quartile, All Units 2004
1
4 West CSDU ER CCU PACU SICU SSDU 2 E P2 OPS Rehab PSDU TCU OR Med 2 NICU CC Flt
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
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.
Worker’s Compensation Costs
Strain/Injury Due to Patient Handling
800000
700000
600000
500000
400000
300000
200000
100000
0
Days Lost
Medical Paid
Medical Reserves
Incurred
2001
1246
$487,434.76
$221,041.43
$708,476.19
2002
674
$359,472.60
$204,756.69
$546,229.29
2003
955
$248,516.09
$210,285.86
$458,801.95
2004
209
$80,258.28
$95,055.11
$175,313.39
7
$11,181.60
$30,036.82
$41,218.42
2005 (05/05)
Financial Analysis

Costs Before Lift Team
–
Direct Costs (Average of 2002 & 2003) - $502,516

–
Indirect Costs (Average of 2002 & 2003) - $244,350

–
Medical Paid, Medical Reserves = Incurred Costs (also
includes temporary disability payments)
Lost days ($25.00 x 12 hours x 814.5 days)
Total W/C Patient Handling Costs = $746,866
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
Total Savings
Return on Investment – 8%
$732,616
$14,249
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
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