SPHM LEAPT Initiative at
Ascension Health
Bob Williamson
LEAPT Project Director
April 24, 2014
Presentation Objectives
Explain why Ascension Health is addressing
patient handling injuries as a LEAPT initiative
Demonstrate the importance of aligning patient
and associate safety objectives related to
mobilization
Answer questions about adopting a SPHM
program at your hospital
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Clinical Excellence • April 24, 2014
This is not a new topic…
“Occasionally the
complaint is made that a
nurse has injured her
back or strained herself in
some way in moving a
patient.
This will generally be
because she has failed to
do the lifting properly.”
(Nursing: It’s Principles
and Practices, 1898)
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Clinical Excellence • April 24, 2014
Slide 4
• 62% of RNs indicated that
suffering a disabling
musculoskeletal injury
was one of their top 3
safety concerns (ANA
2011)
• 80% of nurses reported
working despite
experiencing frequent
musculoskeletal pain
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Clinical Excellence • April 24, 2014
Slide 5
• 12% of RNs leave
annually due to back
pain or injury
• 20% transfer to a
different department,
position, or area of
employment due to pain
or injury
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Clinical Excellence • April 24, 2014
SPHM LEAPT Goals:
Aim:
1.
To reduce the incidence of
injuries to associates
related to manual handling
and lifting of patients by
50% against baseline
2.
To create a sustainable
SPHM program and
culture of safety as a
result of program adoption
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Clinical Excellence • April 24, 2014
Additional Considerations
• Change the mind set of “sacrificing my safety to care for
my patient”
to…
“Quality care starts with my safety”
• Accepting that safe associates = safer patients
• Language of Caring

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Common language which empowers staff with scripting on how to
discuss both patient and personal/associate safety
Clinical Excellence • April 24, 2014
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Objectives of our SPHM Initiative
1. Establish a Culture of Safety – Define your “Burning Platform”
2. Implement and sustain a SPHM program - SmartMOVES
3. Incorporate ergonomic design elements utilizing Human Factor
principles
4. Select and adopt SPHM technology (low & high technology)
5. Establish an evidence based model for education, training and
maintaining competence
6. Integrate patient centered mobilization checklists, definitions, and
interventions
7. Establish a comprehensive evaluation program
8. Engage Leadership and assure sustainability
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Clinical Excellence • April 24, 2014
Interventions to date:
• Introduce curriculum on patient mobilization
• Adopted “low tech” approaches and use of existing
equipment at each hospital
• Selected “Facility Champs” at each Pilot Hospital
• Selected “Super Users” at each Pilot Hospital
• Conducted three tiers of mobilization education
− Two day Boot Camp for Facility Champions
− Four hours of education for Super Users
− Two or four hours for direct care providers
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Clinical Excellence • April 24, 2014
Interventions planned:
• Monitor compliance and competency with all
care providers
• Define the elements for ongoing orientation &
associate competency
• Establish place-holders for reoccurring budget
requests
• Integrating Leadership Methods (Daily Safety
Huddles, Rounding to Influence, 5:1 Feedback, etc.)
• Logistics, logistics, logistics…
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Clinical Excellence • April 24, 2014
Lessons Learned
Low tech approaches
are well received
Provide adequate
resources of time and
equipment
Engage care providers
& emphasize ownership
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Clinical Excellence • April 24, 2014
Lessons Learned
Old habits are hard to
break…
Associate education is
expensive so do it well!
Leadership engagement
is a non-negotiable item
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Clinical Excellence • April 24, 2014
Questions
Bob Williamson
LEAPT Project Director
rwilliamson@ascensionhealth.org
Margie Berviller
LEAPT Project Manager
mberviller@ascensionhealth.org
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Clinical Excellence • April 24, 2014