Presented by Edward J. Roth, III Aultman Health Foundation, President & CEO

Presented by Edward J. Roth, III Aultman Health Foundation, President & CEO

Center for Performance Center for Excellence Legends Landing Athletic Fields Hotel & Conference Center Hall of Fame Retail HOF/NFL Family Experience HALL OF FAME VILLAGE

Vertically Integrated Health System 5,500 Team Members 900 Volunteers 300 Women s Board Members Serving a Region of 12 Counties and > 800,000 Healthcare Delivery System 3 Hospitals Post-Acute Care Facility Compassionate Care Center Community Outpatient Centers Over 600 Physicians on Staff Regional Specialty Programs AultCare Health Plans Fully Insured Plans Self Insured Plans Medicare Advantage Plan Aultman College Associate Degrees in Nursing and Radiography RN to BSN Completion Bachelor of Science in Nursing Program in 2017 400 Students

1. Pay Attention to Detail 2. Communicate Clearly 3. Think Critically 4. Cross Monitor 5. Speak Up for Safety Using ARCC Ask a Question Request a Change I Have a Concern Use Chain of Command

Serious Safety Event (SSE) Number to Reflect ALL harm on campus 55% Increase in Variance Reporting Will Richards, Security Kristen Fowler, Cath Lab

Workplace Safety Workplace Violence

1. Medication Errors 2. Diagnostic Errors 3. Discharge Practices to Post-Acute, Home Care 4. Workplace Safety 5. Hospital Facility Safety 6. Reprocessing Issues (Medical Tools) 7. Sepsis 8. Super Superbugs 9. Cyber-Insecurity of Medical Devices 10.Transparency with Quality Data

Source: www.osha.gov One of the most hazardous places to work U.S. hospitals have recorded 6.8 work-related injuries and illness for every 100 full-time employee in 2011 (almost twice the rate for private industry as a whole)

Source: www.osha.gov In 2011, U.S. hospitals recorded 58,860 work-related injuries and illnesses that caused employees to miss work. In terms of lost-time rates, it is more hazardous to work in a hospital than in construction or manufacturing.

Source: www.osha.gov Hospital workers lift, reposition, and transfer patients who have limited mobility. Other unique risks include neddlesticks and violence. Caregivers feel an ethical duty to do no harm to patients. Some will put their own safety and health at risk to help a patient. Employees must react to unpredictable events with split-second decisions.

Top Five Causes of Injury Among Hospital Workers 4% 13% 9% 49% Overexertion and Bodily Reaction Slips, Trips, and Falls Contact with Objects 25% Violence Exposure to Substances Source: www.osha.gov

Source: www.osha.gov

Takes a Toll on Workers and Families Lives Disrupted Career Changes Affects Identity Affects Income Worker Injuries Can Adversely Affect Customer Safety and Satisfaction Workplace Injury and Illness Can Come at High Costs to Organization

Team Approach Annual Safety Education 24-Hour On-Line Incident Reporting Policy Management Incident Analysis Strong Transitional/Light Duty Work Program Safe Patient Handling Committee Needle Stick Campaign

Violent acts, including physical assaults and threats of assault, directed toward persons at work or on duty.

Source: ohsinsider.com

Violence is becoming more common inside U.S. hospitals. 2010 Report from Joint Commission Hospitals saw significant increases in assault, rape and homicide from 2007-2010. About 3% of U.S. hospitals experienced a shooting incident between 2000-2011 = 154 Shootings # of physical and sexual assaults increased by 37% from 2010 to 2013, including 8 homicides in 2012. 91% of perpetrators were men 32% of perpetrators were in a current or estranged relationship with a victim 25% were current or former hospital employees 27% used violence in an act of revenge 21% ended in suicide 14% ended in death of an ill hospitalized relative Source: www.advisory.com

Staffing Presence & Awareness Mass Notification System Increased security presence Self-defense devices Self-defense course for Aultman staff, students & volunteers Campus Safety Removal of exterior obstructions impacting line of sight or lighting (trees, shrubs) Installing parking lot lighting upgrades (LED) Consolidate off-shift parking to designated areas Security Infrastructure Assessment of security camera system Addition of emergency call boxes on campus Upgrade security command post Assess structure of security force Formation of Board Campus Safety Sub-Committee

Serious Safety Event (SSE) Number to Reflect ALL harm on campus 55% Increase in Variance Reporting Will Richards, Security Kristen Fowler, Cath Lab