Patient Mobility Team“Lift Team” Proposal

Susan Crabtree

Lynn Kirman

Background

Pushing issues– Nursing shortage– Aging workforce– Increase in patient size– Union activity– Focus on Patient Safety – JCAHO Standards– Increasing WC costs – Failure of “proper body mechanics”– Recruitment/Retention tool

GAMC RN Characteristics

NDNQI RN Satisfaction Data 2005

42

58

44

64

0

10

20

30

40

50

60

70

Mean Age % >40

Comparision Hospitals 2004 GAMC 2005

“Enough Help to Move Pts.?”

% "Yes" Enough Help to Move Patients 2005 by Unit- RN's Only

100

82 82 80 80

71 7167

60 60 58

50 50

4236 36

17

0

20

40

60

80

100

120

1

% Ye

s

4 West CSDU ER CCU PACU SICU SSDU 2 E P2 OPS Rehab PSDU TCU OR Med 2 NICU CC Flt

NDNQI RN Satisfaction 2005% "Yes" - Enough Help Moving Patients

0

10

20

30

40

50

60

70

80

90

Rates

All Units, All Hosp. 2004 GAMC 2005 Top Quartile, All Units 2004

Elements of a Complete Program

Employee Safety Committee – in place

“Safe Patient Handling” Policy

Patient handling devices – house-wide, easy access

Periodic ergonomic assessments of nursing workplace.

Lift Team On-going training Preventative back

exercise program Standardized data

collection and reporting – track, trend, revise

GAMC “Patient Mobility Team”

0700 – 1930 7 days/wk, 2 person team C.N.A. required – 5% increase Supervisor – Terry Novelli / Donna Cramer Dispatched thru Escort Process or directly by

pager (TBD) Would also coach/instruct floor staff on transfer

and lifting techniques.

Worker’s Compensation Costs

Strain/Injury Due to Patient Handling

0

100000

200000

300000

400000

500000

600000

700000

800000

2001 1246 $487,434.76 $221,041.43 $708,476.19

2002 674 $359,472.60 $204,756.69 $546,229.29

2003 955 $248,516.09 $210,285.86 $458,801.95

2004 209 $80,258.28 $95,055.11 $175,313.39

2005 (05/05) 7 $11,181.60 $30,036.82 $41,218.42

Days Lost Medical Paid Medical Reserves Incurred

Financial Analysis

Costs Before Lift Team– Direct Costs (Average of 2002 & 2003) - $502,516

Medical Paid, Medical Reserves = Incurred Costs (also includes temporary disability payments)

– Indirect Costs (Average of 2002 & 2003) - $244,350 Lost days ($25.00 x 12 hours x 814.5 days)

– Total W/C Patient Handling Costs = $746,866

Financial Analysis (continued)

Costs Before Lift Team $746,866 Costs After Lift Team (25% reduction in workers injuries)

– Lift Team Wage Costs - $157,467– Direct Costs - $376,887– Indirect Costs - $183,263– Equipment Costs - $15,000 per year

(Depreciation - $75,000 over 5 years)

– Total W/C Patient Handling Costs $732,616 Total Savings $14,249 Return on Investment – 8%

Equipment Costs

Capital (first year - $30,000 – includes taxes)

– Equipment to be shared by units (for example CSDU and CCU)

5 mobile hoist heavy duty (444 lbs) = $18,711.80 1 floor lift heavy duty (600 lbs) = $6,478.09

Additional Equipment– Gait belts– Sliders– Slings

Lift Team Roll-Out

Approval by Operations Council - done

Evaluate and Order Equipment – in process

Hire necessary staff – in process

Provide appropriate training on equipment for new staff – PT working on this

Provide training/orientation for nursing staff on lift team procedures

Start date – September, 2005