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 2 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) 3 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 4 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 5 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 6 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 7 Common language which empowers staff with scripting on how to discuss both patient and personal/associate safety Clinical Excellence • April 24, 2014 5 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 8 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 9 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… 10 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 11 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 12 Clinical Excellence • April 24, 2014 Questions Bob Williamson LEAPT Project Director rwilliamson@ascensionhealth.org Margie Berviller LEAPT Project Manager mberviller@ascensionhealth.org 14 Clinical Excellence • April 24, 2014