Ergonomics for Health Care Employees. Presented By: Cheryl King-Reeder; Sr. Claims Specialist/HUB Int l and Dennis Downing, CEO/FIT

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Ergonomics for Health Care Employees Presented By: Cheryl King-Reeder; Sr. Claims Specialist/HUB Int l and Dennis Downing, CEO/FIT

Ergonomics The applied science of equipment design, as for the workplace, intended to maximize productivity by reducing operator fatigue and discomfort. The American Heritage Stedman's Medical Dictionary from Greek ergon work + ( eco) nomics manage

Health Care Applications Nursing Charting Patient Care Bed size, height, adjustability Patient Handling-Lateral, Raise, Lower Flooring Tables, Desks and Stands Equipment Lighting Sterilization Surgery Material Handling

Health Care Applications Non-Clinical Kitchen-Shelving heights, oven, sink heights, handles, flooring, pot sizes, tray systems, stove heights, walk-in and freezer shelving, cutting and chopping with knives, food prep, etc. Housekeeping-Beds, carts, laundry, flooring, cleaning machines, bucket and mops, sterilization issues.. Admin-desks, computers, chairs, sit-to-stand stations, keyboard trays Labs-Counter heights, chairs heights, microscopes, racks of samples/specimens. Ultrasonographers, Other Specialists. Maintenance-TV, air conditioning, trades people, tools Warehouse

Work vs Life 40 hour week = what % of your life? Engineering Fixes Help at Work Can t Re-engineer the world 80% of people experience back injuries despite advances in ergonomics

Sprain/Strains Effect on Costs and Production 25 Acute Care Facilities 3-Year Study of WC Data 50% of Frequency 70% of Incurred Workers Compensation costs 69% of Lost Work Days

BASIS for FIT RESEARCH If a problem persists you haven t discovered or corrected the true cause.

What is the underlying cause of MSD s?..

Spine 101 How Many Cylinders 4, 6 or 8? How Many Bones Make up the Spine? How Many Curves in the Spine? What is the Most Harmful Motion to the Spine?

MICRO-TRAUMA the Enemy Work and LIFE Lifting Children Children Lifting Backpacks(20%) Lifting Laundry Getting in and out of Vehicles Yard Work Incorrect posture at computers

BIONOMICS TM BIO = body + NOMICS = manage How to prevent physical stress How to relieve the accumulation of physical stress

Traditional Training Methods Video Lecture Web Based Orientation

24/7 Solutions Ergonomics + Bionomics

Barriers to Implement Injury Prevention Initiative Healthcare Unpredictability and Life Emergencies Selflessness of Care Givers Limited Staffing-Nurses and Non-Nursing Management-Spending Issues; Preoccupation with other Problems-Do They Care? Union Existing Culture TIME vs Expense

What If Benefits for Employee. Less Pain and Discomfort Continue Doing their Profession Better Morale-Home and at Work Better Attitudes with Colleagues/Patients Well-Being Sensations Productive People are Happier

What If Benefits for Less Absenteeism Employer Windfall Savings Potential Costs of Lost Time Significantly Reduced Less Claim Administration Time and Expense Less Presenteeism Happier Employees WE CARE

Hillcrest Medical Center Claims Summary By Year 1999 2000 2001 2002 $3,467,509 $3,264,452 $2,160,166 F.I.T. Training/Patient Handling Equipment Implemented July 2000 (Start Of Fiscal Year 2001) $1,100,000 1999 2000 2001 2002 Totals include Indemnity and Medical costs.

Hillcrest Medical Center Lost Work Days Summary By Year 2,437 1999 2000 2001 1,349 518 1999 2000 2001 F.I.T. Training/Patient Handling Equipment Implemented July 2000 (Start Of Fiscal Year 2001)

Tulsa Regional Medical Center Lost Work Days Summary By Year 1999 1,728 2000 181 2001 156 F.I.T. Training/Patient Handling Equipment Implemented July 2000 (Start of Fiscal Year 2001)

TO: FROM: RE: HHS Employees Don Lorack, HHS President and CEO Oklahoma Department of Labor Award of Excellence I am very pleased to announce that Hillcrest HealthCare System, and its 16 hospitals and 50 physician clinics, was awarded the Oklahoma Department of Labor s 2002 Award of Excellence. This prestigious honor was awarded to only eight companies across the state that showed significant reduction in workplace incidents and workers compensation cost-savings. Labor Commissioner Brenda Reneau-Wynn presented the award to HHS for its innovative and creative ideas in workplace safety and health at the annual Governor s Conference on Safety and Health in Oklahoma City last week. Over the past year, we have reduced the number of workplace incidents and lowered the potential risk to our workers dramatically through several innovative programs. These programs include BackSafe, an ergonomic program offered to all metropolitan hospital employees, and the minimal lift program, mechanical lift equipment that allows employees to transfer patients from bed to bed, bed to chair and bed to standing position without injuring themselves. I would like to recognize members of the HHS family that played an instrumental role in reducing the number of workplace injuries by improving areas of potential risk. These employees include Cheryl King, HHS Workers Compensation Manager; Kelly Deal, HHS Safety Officer; Sue Parnell, Minimal Lift Program Coordinator; Denna Romero, HHS Workers Compensation Case Manager; and Joell Hill, Regional Safety Coordinator. Additionally, I would like thank all of their co-workers, our managers, and most importantly, all of you who care for our patients and work diligently to keep both yourselves and the patients as safe as possible each and every day. Thank you.

Frank R. Howard Memorial Hospital Workers Compensation Losses per paid FTE $6,000 $5,099 $5,000 $4,000 $3,000 $2,919 $2,000 $1,000 $881 $106 $1,150 $522 $136 $0 1999 2000 2001 2002 2003 2004 2005 F.I.T. Program Implemented 2001 Insurance implemented Jan 2003 Self

UCSD Medical Center Workers Compensation s Medical Group Injury Prevention Program

UCSD Medical Group Injury Data Injuries by fiscal year 35 30 25 20 15 FIT Backsafe/Sitting safe Training Completed In September 2007 10 5 0 FY 04/05 FY 05/06 FY 06/07 FY 07/08 FY 08/09 Med Group

Q & A Conclusion

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