1. SPHM LEAPT Initiative at Ascension Health Bob Williamson LEAPT Project Director April 24, 2014

2. 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 Presentation Objectives Clinical Excellence April 24, 2014

3. 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

4. Slide 4 4 Clinical Excellence April 24, 2014 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

5. Slide 5 5 Clinical Excellence April 24, 2014 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

6. 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

7. 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  Common language which empowers staff with scripting on how to discuss both patient and personal/associate safety 5 7Clinical Excellence April 24, 2014

8. 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 Objectives of our SPHM Initiative Clinical Excellence April 24, 2014

9. 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 Interventions to date: Clinical Excellence April 24, 2014

10. 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 Interventions planned: Clinical Excellence April 24, 2014

11. 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

12. 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

14. Questions Bob Williamson LEAPT Project Director rwilliamson@ascensionhealth.org Margie Berviller LEAPT Project Manager mberviller@ascensionhealth.org Clinical Excellence April 24, 2014 14