Symposium Agenda – Monday, October 8, 2018
Registration & Coffee
Welcome and Opening Plenary Session
Ever Changing Standards: Joint Commission/CMS Regulatory Update
2018 has presented a lot of changes with revisions to the EC/LS Standards found within The Joint Commission’s standards, including new Elements of Performance. Ligature Risk Assessments, which falls under TJC Standard EC.02.06.01, is also a hot topic on everyone’s mind these days. Not only is a facility required to perform a Ligature Risk Assessment, in areas which serve behavioral health patients, but they must also follow through with the remediation for the items identified during the risk assessment process. A surveyor will look to see that the facility has remediated the risks identified, and / or implemented their process to ensure a safe environment for these patients. We share best practices to implement within your healthcare facility, to help you provide a safe environment for your patients, staff and visitors.
Long Term, Low Level Chemical Exposure: How Environmental Sustainability Programs Can Help
Impacts to employee health and productivity from workplace accidents, exposures and unsafe conditions are well understood and regulated. But what about less well understood longer-term risks associated with exposure to chemicals in the built environment? This session will describe such risks and how to minimize them by focusing on healthy building interiors and the use of safer cleaning and maintenance supplies. Legacy Health’s sustainability program includes a “safer chemicals” component that seeks to create awareness of materials and supplies that are routinely used in healthcare buildings that can present long-term exposure risk to occupants due to off-gassing of toxic chemical components.
Considerations for an Evidence-based Patient Handling Program
In 2014 the Oregon Association for Hospitals and Health Care Systems (OAHHS) convened the WSI (work Safety Initiative) Work Group to collaboratively address two of the leading causes of health care worker injury in Oregon i.e., manual patient handling and work place violence.
The primary focus of the WSI project was to implement and evaluate evidence-based safe patient handling programs that foster sustainable cultural change in the hospitals participating in the WSI project.
LMHMC has chosen to be one of five volunteer hospitals to participate in the OAHHS WSI Safe Patient Handling project.
This session will describe the process the LMHMC SPH committee, along with the assistance of Lynda Enos, OAHHS consultant for the Worker Safety initiative went through as we evaluated our current processes, looked at the gaps in current practices and made a proposal that was designed to reduce incidence, risk and cost of staff and patient injury related to patient handling and mobility by changing the organizational culture of manual patient lifting to one of SPH where powered and non-powered assistive devices are used for the safe movement, transfer and care of patients. This program was designed to enhance and standardize current SPH practices at LMHMC.
Emerging EHS Issues that Impact Facilities: Legionella Control, NFPA 70e and OSHA’s new Silica Rule
Nichole Cerkoney, Consulting Specialist, BSI EHS Services and Solutions
Willie Hughey, Services Sales Specialist, Eaton Corporation
Matthew Moore, PE, Power Systems Engineer, Eaton Corporation
Michael Peterson, CIH, CSP, Senior Consultant, BSI EHS Services and Solutions
Both Oregon OSHA and Washington Labor and Industries have recently adopted new silica standards and are currently in effect. Do you understand how these new regulations will impact your company, employees and operations, customers, etc.? Changes in exposure limits, plus new requirements for training, respiratory protection, written plans, monitoring, recordkeeping, etc. will all impact construction and related industries and present new compliance challenges.
We will share results of recent air sampling assessments of various work activities at construction sites, provide real world examples of companies who are implementing compliance strategies, and provide some helpful resources and next steps to get your organization on the road to compliance.
Building a Mature Safety Culture
It’s easy to make and enforce new safety rules, but many organizations never figure out how to make the new rules “stick”. This presentation will demonstrate a model of how organizational safety culture grows, evolving from focus on compliance to pride in continuous improvement, and finally to instinctual recognition of organizational values. The model gives valuable directions to leaders with cues for stimulating timely change.
Attendees will learn the Phases of Safety Excellence Model – how organizations mature in safety culture – as well as key tactics for leaders to help stimulate evolution from compliance to culture. Also included will be examples of successful efforts to create fundamental improvement in the Portland, Oregon construction industry.
Designing Healthcare Environments that Enhance Staff and Patient Safety
Have you thought about why our healthcare environments aren’t better designed to prevent injury, minimize human error and actually promote improved health and safety? Can you design safety into new facilities or renovation projects? Tom Clark, a national leader in healthcare architecture will share thought-provoking, real-world examples of how evidence-based design is reducing human error, staff injury, infection rates, patient falls, and more. Plus, he’ll make the case for why environmental, health and safety professionals should have a prominent seat at the table during the design phase of your next new building project.
Navigating Chemical and Waste Management Challenges in a Healthcare Setting
Managing the highly complex world of hospitals, chemical and drug management and regulated waste can present not only daunting challenges but excellent continual improvement opportunities. In hospitals, a wide variety of hazardous substances and medical and non-medical hazardous wastes are
generated, many regulated under a number of laws and regulations. The focus of this session will be to review the types of chemical classes usually encountered in hospitals, and the variety of wastes being generated (including pharmaceutical, RCRA, USP 800, chemotherapy and trace chemotherapy, biohazardous, and controlled subs tances). The presentation will also review common management practices and cover common mistakes that can lead to costly fines and create exposure risks. The session will wrap up by providing examples of best practices that hospital EHS staff can implement that can leverage risks posed by hazardous chemicals and generated waste.
Workplace Violence Prevention in Hospitals
Healthcare & social assistance workers are nearly five times more likely to be injured & require time away from work as a result of workplace violence (OSHA, 2016). While under Oregon law, all hospitals are required to have a workplace violence prevention program, policy, and training, sustaining an effective program can be difficult. To assist hospitals and their employees, the Oregon Association of Hospitals & Health Systems, in partnership with other stakeholders, developed an evidence-based toolkit to reduce the incidence and severity of workplace violence incidents.
The Workplace Safety and Violence Prevention Toolkit is a comprehensive program, which helps hospitals from workers to management assess the effectiveness of their current programs and implement a sustainable program based on best practices. Learn about the toolkit and how Oregon hospitals are undertaking a voluntary initiative to proactively reduce violence and employee harm and promote a culture of safety.
Afternoon Plenary Session
The ‘Why’s & How’s’ of Understanding Pain for Prevention, Management, & Rehabilitation in Occupational Health
Kevin Cuccaro, D.O., Physician & Consultant, Kevin Cuccaro, D.O.
Modern neuroscience shows that the words we use to describe pain, actions taken when in pain, and what others tell us to expect about pain can have significant impact on how much, and even how long, we experience pain. The goal of this presentation is to bridge the gap between current pain science and clinical application to promote better overall pain outcomes in occupational health.
Dr. Cuccaro will assess prevalence of pain and outcomes of common pain therapies; describe the three dimensions required to create the experience of pain; and share the construct of a conceptual model that validates the patient’s experience and can guide treatment towards safer and potentially more effective methods (whether preventive, active management, or rehabilitative).