UPMC Horizon Safe Patient

Handling Policy

Considerations to effectively meet Healthy People 2020

objectives through policy and behavior change

Mark Bianco
Public Health Intern
Summer 2014

Healthy People 2020

Overarching Goals
Purpose
o Identify nationwide health improvement priorities
o Provide measurable objectives and goals
o Engage multiple sectors to take actions

Overarching Goal
Attain high-quality, longer lives free of preventable
disease, disability, injury and premature death.

Occupational Safety And Health. (n.d.). . Retrieved June 1, 2014, from

http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicId=30

Healthy People 2020

Occupational Safety and Health
Objective OSH- 2.1
Reduce work-related injuries in private sector industries resulting in
medical treatment, lost time from work, or restricted work activity.

2008 Baseline: 4.2 injuries per 100 full-time workers

2020 Target: 3.8 injuries per 100 full-time workers

Occupational Safety And Health. (n.d.). . Retrieved June 1, 2014, from

http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicId=30

Where Does
UPMC Horizon Stand?
Work-Related Injury Rates in Private Sector Industries
Comparison of UPMC Horizon with Healthy People Baseline (2008)
and Healthy People 2020 Objective OSH-2.1
UPMC Horizon
Healthy People Baseline (2008)
Healthy People 2020 Objective
8.2
7

6.7

2013.0

2014.0

Rate Per 100 Employees

2012.0

Occupational Safety And Health. (n.d.). . Retrieved June 1, 2014, from

http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicId=30

Horizon Injury Totals

May 2013- 2014

40
35
30
25

Number of Injuries

20

38
33

15
10

26

24

5
0

BBP*

Falls

Other

*BBP= Blood Borne Pathogen

Data from UPMC WorkPartners and UPMC Horizon Human Resources

Strains

Focus on Strains in
Nursing Departments
Ranked 3rd out of 4 conditions
High concentration of injury on nursing floors
o Definitive cohort
o Large staff
o Encompass issue within a single program

Nursing Department Injuries

(Two West, IMCU, MAC, LDRP, Three West)

Percentage
22%

20%

20%

BBP*

Falls

Other

38%

Strains

Data from UPMC WorkPartners and UPMC Horizon Human Resources

Need for Patient Handling

Program

Over 60% strains due to patient handling

One of the most preventable injuries
Puts both staff and patients in danger

Meeting Expectations
We are committed to providing patients with exceptional care
in an environment that promotes quality and safety,
in a manner that exceeds patient expectations
Data from UPMC WorkPartners and UPMC Horizon Human Resources

Purpose

To provide an intensive, multi-dimensional and evidence based Safe

Patient Handling Program, not only to address the burden of financial
losses due to occupational injuries, but to also deliver the
highest quality of care and safety to our patients.

Quality and Safety

We create a safe environment where quality is our guiding principle.

American Nursing Associations

Handle with Care Campaign

Manual patient handling is unsafe and directly responsible for

musculoskeletal disorders among nurses.

Patient handling can be performed safely with the use of assistive

equipment and devices.

There exists a simultaneous reduction of risk for injury among

nursing staff and improvement in quality of care for patients.

Castro, A. B. Handle With Care: The American Nurses Association's Campaign to Address Work-Related Musculoskeletal Disorders. The
Online Journal of Issues in Nursing, 9. Retrieved June 1, 2014, from
http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume92004/No3Sept04/
HandleWithCare.html

Hill-Rom Patient
Handling Assessment
5 year $195,294 program

o Certified safe patient handling team

o Availability of extensive equipment

Pros

o Full analysis was taken on expenditures

o Critical analysis during planning process
o Alleviate pressure on Wellness Committee

Cons

o $62,000 based on initial rollout

o Over $71,000 in lift accessories
o Lack considerations of healthcare changes
$17,000 was to spent on TCC
o Program lacks social cognition and behavior change

How Can This

Work for Horizon?
Purchasing of minimal equipment
o Equipment Needed
Mechanical lifts
Accessories
Gait belts
Slideboards
Drop arm bedside commode

Willing and motivated nursing staff

Human Resources and Wellness Committee

o Policy development
o Capacity and resources to develop and implement program

UPMC Horizon Safe Patient

Handling Overview
Policy Development
Multi-faceted program rollout
o Pilot Phase
o Soft Policy Rollout
o Full Implementation

Establish a Handling Team

Train team in workshops
Follow the PRECEDE-PROCEED Planning Model

PRECEDE PROGRAM PLANNING MODEL

Program Development

Phase 4
Administrative and
Policy Assessment
And Intervention
Alignment

Phase 3
Educational &
Ecological
Assessment

Phase 2
Epidemiological Assessment

Phase 1
Social
Assessment

Predisposition

Health

Reinforcement

Program

Behavior

Health

Quality of
Life

Enablement

Program Implementation

McKenzie,J.F.,Neiger,B.L.,&Thackeray,R.(2013).Models
forProgramPlanninginHealthPromotion.HealthPromotion
Programs().Glenview,IL:PearsonEducation,Inc..

UPMC HORIZON SAFE

PATIENT HANDLING PROGRAM
Program Development
Phase 4
Administrative and
Policy Assessment
And Intervention
Alignment

Phase 3
Educational &
Ecological
Assessment

Phase 2
Epidemiological Assessment

Phase 1
Social
Assessment

Predisposition

Safe Patient
Handling
Program

Workshop

Policy

-Recognition of
unsafe procedures
-Competent
equipment usage

Reinforcement
Safe Patient
Handling Team

Proper patient
lifting
techniques and
procedures

Health
and
Safety of
UPMC
Horizon

Delivery of
Quality Care

Enablement

-Availability of
equipment
-Policy
-Take a Healthy
Step

Program Implementation

McKenzie,J.F.,Neiger,B.L.,&Thackeray,R.(2013).
ModelsforProgramPlanninginHealthPromotion.Health
PromotionPrograms().Glenview,IL:PearsonEducation,
Inc..

Safe Patient
Handling Policy
Scope and Distribution
Procedure

o Compliance and utilization

o Education and training
o Patient handling equipment

Pilot Phase Program Elements

o Purchasing of equipment
o Handling Team Training
o Assessment and evaluation

Safe Patient
Handling Team
Recruitment

o Team of 10-12 nurses

o Encompass each department

Workshops

o Information on safe patient handling

o Information on Safe Patient Handling policy
o Equipment competency

Behavior Change Methods

o Social cognition
o Subtle education

Evaluation

Discussion
Questions
Comments
Recommendations

Works Cited
Castro, A. B. Handle With Care: The American Nurses Association's Campaign to Address Work-Related Musculoskeletal
Disorders. The Online Journal of Issues in Nursing, 9. Retrieved June 1, 2014, from
http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume92004/No3S
ept04/HandleWithCare.html
Collins, J. W., Bell, J. L., & Gronqvist, R. Developing Evidence-Based Interventions to Address the Leading Causes of Worker's
Compensation Among Healthcare Workers. Rehabilitation Nursing, 35, 225-261. Retrieved June 1, 2014, from
http://www2a.cdc.gov/nioshtic-2/BuildQyr.asp?s1=20037986&PageNo=1&RecNo=1&View=f
Occupational Safety And Health. (n.d.). Retrieved June 1, 2014, from
http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicId=30
Lippincott Procedures. (2014, April 4). Retrieved June 1, 2014, from http://lippincottsolutions.com/solutions/procedures
McKenzie, J. F., Neiger, B. L., & Thackeray, R. (2013). Models for Program Planning in Health Promotion. Health Promotion
Programs. Glenview, IL: Pearson Education, Inc..
Occupational Safety And Health. (n.d.). Retrieved June 1, 2014, from
http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicId=30
Safe Patient Handling. (2014, February 21). . Retrieved July 12, 2014, from
http://www.cdc.gov/niosh/topics/safepatient/default.html#pubs