10/7/2014
TITLE: Establishing and Maintaining
Effective and Productive Safety
Committees AND Preventing Falls
Stephanie Angst
Environmental Services Consultant
Ray Miller, BS, MSOSH, GP
Direct Supply Dir. of Risk & Safety Solutions
Rice Management Inc./Rice Health Care Facilities
262 245 7402; [email protected]
414 405 0492; [email protected]
6767 N. Industrial Rd. Milwaukee WI 53223
> WORK HISTORY: Started out in long term care as a NHA ( a “very long time ago”).
Worked in both for-profit and non-profit. Licensed NHA with a BA in health care.
Worked in AL and SNF settings. Started in her current position 10 years ago.
Senior Living success starts here.
PRESENTERS:
> CURRENT RESPONSIBILITIES: Now works with maintenance, housekeeping, and
laundry (18 SNFs, 3 RCACs, 2 ILs, and 1 CBRF). Focuses on federal/state/local
regulatory compliance. (OSHA, safety/security, workers comp, staff education and training,
policy/procedure development), equipment/system purchases, managing contracts and
service agreements, and general plant operations.
>
Has 33+ years in HC safety/risk (28+ years in post-acute care)
>
Is a former corporate safety director for several LTC companies
>
Spent his career developing risk & safety strategies, programs & solutions
>
Now serves on the AHCA Emergency & Disaster Preparation Committee
>
Is a founding member of the Direct Supply-sponsored Loss Prevention Forum
Stephanie Angst, Rice Management
Brad Kurtz, Direct Supply
Today?
How is you Safety Committee doing?
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
TITLE: Establishing/Maintaining
Effective and Productive Safety
Committees AND Preventing Falls
3
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
Description
TITLE: Establishing/Maintaining
Effective and Productive Safety
Committees AND Preventing Falls
Objectives
Participants will be better able to:
… this session will cover practical, real-world approaches
using examples of success, forms and committee structures
and guidelines for involving the committee in the prevention
of resident falls.
1. Knowledge: Define the roles and responsibilities of an
effective safety committee to include risk and safety
prevention, mitigation, hazard assessment, documentation
and compliance
2. Comprehension: Understand how to use the safety
committee to better prevent employee incidents, decrease
WC losses, investigate and document employee incidents
and reduce/mitigate resident falls
3. Application: Develop, implement and maintain an effective
safety committee structure.
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
1
10/7/2014
TITLE: Establishing/Maintaining
Effective and Productive Safety
Committees AND Preventing Falls
Agenda
TITLE: Establishing/Maintaining
Effective and Productive Safety
Committees AND Preventing Falls
Agenda
Have you ever served on a dead, dying
or useless committee?
Committees
1st Step: Poor Design
1. WHY have a Safety Committee
1. WHY have a Safety Committee
2. WHAT a Safety Committee should do
2. WHAT a Safety Committee should do
3. HOW to strengthen and run a Safety Committee
3. HOW to strengthen and run a Safety Committee
4. ALSO use “focus programs” Reducing Risk of Falls:
a. Assessments
b. Near Miss Reporting
4. ALSO use “focus programs” Reducing Risk of Falls:
a. Assessments
b. Near Miss Reporting
2nd Step: Decreasing Effectiveness
3rd Step: Committee of the Living Dead
SAFETY COMMITTEES: “I’ve seen a few succeed, but I’ve seen
many more flounder. After their initial enthusiasm wears off,
members realize that the committee is not functioning well …”
Curtis Chambers, CSP / owner OSHA Training Services
That’s when many members loose interest and it gets HARD.
“WHO” caused it?
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
Why Have a Safety Committee?
Not
Required
1. Staff know their jobs best –
better than managers, safety geeks, etc.
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
Then why
bother?
2. Builds morale & reduces incidents
• They can be a pain
3. Offers Staff a voice regarding safety issues
• NO fed. requirement for
safety committees
4. Creates a culture of safety & engenders Staff buy-in
“When the input and value of the committee and its
members are recognized, employees, supervisors
and managers welcome its services.
“A safety committee’s potential value and benefit is
only as good as its defined purpose, functions,
activities and FOLLOW THROUGH.”
5. Supports open communication across management & Staff
• WI does not have an
osha-approved state plan
6. Provides:
• i.e. You’re not REQUIRED
to have a workplace
safety committee
a.
Staff involvement & responsibility for the safety program
b.
Valuable insights for incident investigation & program review
Mylene Kellerman
Safety and Health Supervisor
USF; 12/07/2012
https://www.osha.gov/dcsp/osp/
What has your experience been?
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
http://www.blr.com/Workplace-Safety/Safety-Administration/Safety-Committees
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
http://www.usfsafetyflorida.com/Resources/Consultant-s-Corner/Safety-CommitteesJust-Hype-or-Do-They-Really-Benefit-a-Company
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10/7/2014
Committee members should have authority* to:
TITLE: Establishing/Maintaining
Effective and Productive Safety
Committees AND Preventing Falls
Agenda
What does success look like?
Success
“Members
of management
1.* Identify
problems
and seek solutionsfully support the
time spent by committee members on safetycommittee activities and the Safety Committee
3. Ensure thathas
the changes
made are
effective & maintained
an adequate
budget.”
2. Implement needed policies to ensure effectiveness
Robyn Morrison, ED,
1. WHY have a Safety Committee
2. WHAT a Safety Committee should do
WorkSafeMT (http://www.worksafemt.com/)
3. HOW to strengthen and run a Safety Committee
Earl Capps,
HR and Safety Manager
Filters Fast, Charlotte, N.C.
4. ALSO use “focus programs” Reducing Risk of Falls:
a. Assessments
b. Near Miss Reporting
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
https://www.youtube.com/watch?v=8uK4sSa6k6w
3
10/7/2014
What determines the Committee’s
How did they achieve success?
chances for success?
Success
Five Elements Your Committee’s
Purpose Could / SHOULD Include
Purpose
SIDEBAR: OSHA Updated Injury Reporting
Requirements Effective 1/1/2015
osha
Update
• Incident vs. Injury
1] Have a clear purpose
2] Committed to that purpose
A. ACT: • “Near miss” discussion to follow
• 10 min. in an all-staff mtg
B. COMMUNICATE: • Drills (???)
EFFECTIVE DATE: Jan. 1, 2015
1] Employees 2] Management 3] Other Committees 4] ???
IMPACT: Employers required to notify OSHA of work-related
fatalities within 8 hours, and work-related in-patient
hospitalizations, amputations or losses of an eye within 24 hrs.
C. CREATE and MAINTAIN:
3] Consistently follow through
• FOCUS programs*
• Compliance
1] Safe Work Environment 2] Quality of Life 3] ???
D. EMPOWER and ENGAGE:
4] Have the right resources (time, training, tools)
1] Employees 2] Departments 3] ???
• New Managers
• Current Managers
E. EDUCATE, ADVOCATE, MOTIVATE, INVITE, CELEBRATE*
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
http://www.usfsafetyflorida.com/Resources/Consultant-s-Corner/Safety-CommitteesJust-Hype-or-Do-They-Really-Benefit-a-Company
CELEBRATE
Key Points
1] incident 2] near-miss 3] corrective action 4] prevention 5] improvement 6] compliance
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
How Do You Know How Your
Committee Is Doing?
PREVIOUSLY: An employer reported only work-related fatalities
and in-patient hospitalizations of 3 or more employees.
LINK:
https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=NEWS_RELEASES&p_id=26673#.VBLunN_gZw4.email
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
Metrics
TITLE: Establishing/Maintaining
Effective and Productive Safety
Committees AND Preventing Falls
Agenda
Can be measured directly:
1. Active Member Participation
2. Consistent Management Support
3. Reduced frequency, severity & cost of WC incidents
Cannot be measured easily BUT is observable:
1. Culture of Resident and Employee Safety
1. WHY have a Safety Committee
2. WHAT a Safety Committee should do
3. HOW to strengthen and run a Safety Committee
4. ALSO use “focus programs” Reducing Risk of Falls:
a. Assessments
b. Near Miss Reporting
2. QUALITY OF LIFE for ALL
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
4
10/7/2014
How do you engage Staff in a process?
Anatomy of a pit stop – the “Committee”
Recruit
Orient
Engagement
Monitor
and Modify
What does a
Common
Purpose
Influence
Satisfaction
Engagement
Participation
Motivation
“committee building”
Plan and
Execute
NASCAR
Build the
“TEAM”
process look like?
Follow the
Process
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
https://www.youtube.com/watch?v=aHSUp7msCIE
Members
Select -- mngmnt.
Elect -- non-mngmnt.
2. Composition:
the injuries?
3. Ad hoc vs. Standing:
Surveys
New hires
Preparation
Special projects
Frequent flyers
Structure and
Organization
Unsafe conditions
• Two injury causes?
10%and
vs. 89%
• Preparation, notification, scheduling,
administration
Unsafe
practices
Tenure?
Most of
• Cross-section of departments
• Non-mngmnt., department heads, sr. mngmnt.
•
•
•
•
•
It takes a REALLY good meeting
to be better than NO meeting at all.
1. Chair vs. Co-chairs
1. Elect vs. Select:
•
•
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
Orient: Roles and Responsibilities
Recruit
Turn over; Tenure
2. Facilitator
Why not use a Co-chair?
Buy-in, growth, engagement
Personality?
Minutes: What, Who, When
• Conducts the meeting
• Follows the agenda
2. Recorder
3. Timer
1. Jackman
2. Rear tire carrier
3. Front tire carrier
4. Rear tire changer
5. Front tire changer
• Max length?
• Off-line discussions
6. Gas man
7. Catch can man
8. Support crew
9. Potential Extra man
10. NASCAR official
http://sports.espn.go.com/rpm/nascar/icons/news/story?page=nascar101/pitstop
Build The “TEAM” (Committee)
Making It
REAL
1. Identify
• Frequencies, severities, patterns
• Root Cause Analysis
2. Conduct
• Departmental inspections & safety audits
• Incident & near-miss investigations
• Post-incident interviews
3. Teach
• Orientation
• Annuals
• Drills
Making Safety Committees Work, By Roy Maurer 8/8/2013
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
5
10/7/2014
With More Time, We’d Talk About Them
Other
Tools
How do you “SELL” the Committee
NO Magic – Only Work
and its Members?
Increasing
Perceived
Value
Management Principles That Best*
Support / Sell the Committee
(Still no magic)
Increasing
Perceived
Value
Nascar Magic Activity Book
1. Agenda
2. Training
1. Incidents & injuries are unacceptable
1. Be positive and involved
2. Two Business Benefits:
a. Direct:
2. Use standing & ad hoc members
3. Walk Abouts
Reduced costs & expenses
b. Indirect:
3. Use an agenda & publish the minutes
4. Reference Materials
5. osha Log, Employee Incident Reports
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
TITLE: Establishing/Maintaining
Effective and Productive Safety
Committees AND Preventing Falls
The Committee Should:
4. Report out on the committee’s accomplishments
a. Management
5. Complete your goals & achieve your proposed actions
b. Regulatory
Committee’s Role In Preventing and
Mitigating Resident Falls
& Staff are engaged in safety
& “best practices” compliance are a must
Driving Toward “0”-- Best Practices in Corporate Safety and Health,by Meredith Armstrong Whiting and Charles J. Bennett, Ph.D.;
RESEARCH REPORT r-1334-03-rr; http://www.nsc.org/news_resources/Resources/Documents/Dept.%20of%20Defense%20%20Driving%20Toward%200.pdf
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
Agenda
Improved morale & productivity
3. Two Management “MUSTS”:
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
FOCUS
Program
Assessing the Environment
1. Do the Committee Members understand the importance
of their role in evaluating the environment, internal and
1. WHY have a Safety Committee
2. WHAT a Safety Committee should do
3. HOW to strengthen and run a Safety Committee
4. ALSO use “focus programs” Reducing Risk of Falls:
a. Assessments
b. Near Miss Reporting
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
1. Responsibility / Knowledge
2. Internal Assessments
3. External Assessments
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
external, for safety concerns?
2. What have they been taught about reporting and
documenting such findings?
3. Have they been taught about what to look for?
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
6
10/7/2014
Assessing the Environment
Assessing the Environment
Internal
External
1.
Lighting: Levels, glare, contrast
2.
Furnishings: Design, function, color, height
3.
Equipment: Beds, W/C, footwear, grab bars
4.
Monitoring Systems: Nurse call, resident monitoring
5.
Walking Areas: Obstructions, lit, hand rails, transitions
6.
Specific Risks: in each room: Gym, dining room, bathrooms
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
TITLE: Establishing/Maintaining
Effective and Productive Safety
Committees AND Preventing Falls
Vehicles:
5.
Weather-related:
2.
Parking lot:
6.
Patios and Sidewalks:
3.
Entry ways
7.
Outside seating/benches:
4.
Grassy areas:
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
Agenda
1. WHY have a Safety Committee
2. WHAT a Safety Committee should do
3. HOW to strengthen and run a Safety Committee
4. ALSO use “focus programs” Reducing Risk of Falls:
a. Assessments
b. Near Miss Reporting
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
1.
Committee’s Role In Preventing and
Mitigating Resident Falls
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
FOCUS
Programs*
(from slide 27)
1. Responsibility / Knowledge
2. Internal Assessments
The Mishap Reporting Pyramid
Severity
Data/Analysis Challenges -- Near-Miss Analysis
3. External Assessments (from slide 20)
4. Near Miss Reporting
Frequency
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
7
10/7/2014
Near-Miss Analysis
Data/Analysis Challenges -- Near-Miss Analysis
The Mishap Occurrence Pyramid
“Trivial events in non-trivial systems should not go unremarked.”
 Enabled informal reporting of errors and
near-misses among nursing staff
Severity
Frequency
Near-Misses:
St. Joseph Medical Center (Il):
Frequency
Perrow, 1984
□
Holding safety briefings at shift changes (What did you see?)
□
Implementing "walk rounds" by hospital's executives
□
Instituting a telephone hotline to simplify reporting
adverse drug events
 This resulted in a 91% drop in the rate of adverse
drug events.

Precursors of possible adverse events

Employee choices make the difference between
harm and no harm …

So, how can we use it?
Stories from the Sharp End:Case Studies in Safety Improvement Authors: Douglas McCarthy, M.B.A., and
David Blumenthal, M.D.Summary Writer(s): Linda Prager and Deborah Lorber March 27, 2006 | Volume 34
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
TITLE: Establishing/Maintaining
Effective and Productive Safety
Committees AND Preventing Falls
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
Agenda In
Review
1. WHY have a Safety Committee
1. Did we hit them?
2. WHAT a Safety Committee should do
2. Was it of value?
3. HOW to strengthen and run a Safety Committee
4. ALSO use “focus programs” Reducing Risk of Falls:
a. Assessments
b. Near Miss Reporting
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
NASCAR: Generosity
Numerous NASCAR drivers and team owners have
literally raised tens of millions of dollars for their foundations
or charities.
Yet almost to the man, those same drivers, owners and
the like shy away from recognition of their efforts. They don't
want glory or pats on the back; they do what they do because
it's the right thing to do for them.
They've been blessed … so why not give back?
NASCAR: Generosity in the Sport Is as Good as Winning
by Jerry Bonkowski, Featured ColumnistJan 1, 2013
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
Closing
Copyright 2014-2015 Direct Supply, Inc. All rights reserved
TITLE: Establishing and Maintaining
Effective and Productive Safety
Committees AND Preventing Falls
Thank You
Senior Living success starts here.
PRESENTERS:
Stephanie Angst, Rice Management
Brad Kurtz, Direct Supply
8