Session Abstracts

3/21/2023 7:45 AM - 8:30 AM Opening Keynote 45 min
2023D1001 Justify Your Program!
Presented by Ed Hall, MS, CSP, CSPHP
Overview:

Take a look at the University of Southern California (USC) review of data to support a meaningful SPHM program. Learn ways we used indicators and subjective probabilistic modeling to support a strong programmatic return on investment (ROI). Discussion will include how claims and safety play an important role in program performance and how it's all tied together into one supportive program. Learn how to get leadership involved in the discussion and how these programs justify themselves with good data.

Objectives:

1. Review the benchmarks available to help show performance and how to use them.
2. Identify factors that will support your program and sustain it for years to come.
3. Learn how SPHM programs can be a big win for any organization, and see how to prove it.

Ed Hall is a veteran healthcare risk and insurance executive with 19 years' experience in both academic medicine and community healthcare environments. He is nationally recognized and published, and he has received multiple awards for his innovative loss prevention and loss control programs that consistently lead to increased patient and employee safety and proven financial savings. He co-founded the Risk Authority (TRA) Stanford, a consulting firm and eventual training platform, and now works as the Executive Administrator for Risk Management at Keck Medicine of USC. In his free time, Hall enjoys college football, horse racing, and spending time with his family and dog.

3/21/2023 8:35 AM - 9:20 AM 45 min GS
2023D1002 Employee Engagement: The Key to Safe Patient Handling Program Promotion and Culture Change
Presented by Asha Roy, OTD, OTR/L, CSPHP, CWcHP, CEAS II, AOEAS, PMEC, LSSWB, CTS, CCIM, CMS and Andrea R. Hunter MSN, RN
Overview:

Employee engagement is a concrete strength that grounds and unites the employee with their workplace. Evidence collected by human resource (HR) specialists and researchers has discovered that passionate workers are a productive asset to the team. To successfully implement a safe patient handling program, there must be engaged staff members on board to assist with program promotion and implementation. The objective of this presentation is to provide stakeholders with the Safe Patient Handling Olympics program, which incorporates different predictors of successful engagement such as job resources, culture, perceived organizational support (POS), job demand, and rewards, to assist with employee engagement and sustainability of a safe patient handling and mobility program.

Objectives:

1. Explain what employee engagement is and why it is essential for the sustainability of an SPHM program.
2. Identify workplace conditions that drive engagement.
3. Explore how to diagnose current organizational culture amid a pandemic and take action.
4. Review a new employee engagement activity specifically created for SPHM programs.

Asha Roy is a Director in the Workforce Safety Department at Northwell Health System. She has a Doctorate in Occupational Therapy with specialization in Administration and Practice Management from Rocky Mountain University of Health Professions. She is a Certified Safe Patient Handling Health Professional, Certified Ergonomics Assessment Specialist, has a certification in Expanded Ergonomics Assessment Skills, and is an Advanced Office Ergonomics Assessment Specialist certified. As a Director for Safe Patient Handling and Mobility, she works closely with the risk management division to analyze each injury toward identifying opportunities and vulnerabilities, improve the quality of occurrence reporting, and reduce injuries and related expenses. She established a web-based program to help leaders objectively understand and analyze specific elements of risk. Collaborating with her team and each individual site, she successfully analyzed each building's patient population, case mix indexes, acuity scores, existing knowledge base, and resources, and developed a plan to procure required equipment. She was instrumental in developing the SPH training curriculum for Northwell, including educating staff in a web-based environment, scheduled site-based training, and unit-based validation of clinician competencies and comfort levels. She also worked with her colleagues to develop a 'train the trainer' model at each site, promoting the current sustained process of SPH across Northwell Health System.

Andrea Hunter MSN, RN is the Safe Patient Handling and Mobility (SPHM) Faculty Coordinator for Southern Arizona VA Healthcare System and the VISN 22 SPHM Lead. She has facilitated many process improvement at both the facility and VISN levels to improve continuity and consistency in care delivery and injury risk reduction. She has presented various SPHM topics at national VHA conference, including SPHM Unit Peer Leader, VISN POC, New SPHM Facility Coordinator and VISN Safety/GEMS conferences. She has also presented a podium presentation at the 2022 Tucson Nurses Week Foundation Conference, "The Boost That Broke the Nurse's Back". She loves to camp, hike, and sail with her husband and kids, enjoys cooking new recipes, and is a proud soprano in the Arizona Women's Chorus.

3/21/2023 10:00AM - 10:45AM 45 min GS
2023D1003 SPHM Simulation in Higher Education - A Foundation for Future Healthcare Professionals
Presented by Amber Perez, LPN, MHA
Overview:

This session will discuss the need for integrated hands-on SPHM simulation in higher education for nursing and allied health disciplines. The presenter, an SPHM Instructor at the local Gateway Community College, will describe the various courses, explain her customized curriculum derived from years of experience working SPHM in acute and sub-acute care settings, and share successes and strategies for engagement from both students and faculty. Evidence shows that simulation is a cornerstone to safety, replication, and proficiency in healthcare education; participants will learn about the incorporation of SPHM in the simulation lab as applied to each student's specific learning objectives. From the infectious excitement of new students to the essential skills for the older 'nursing refresher' and second career adult students, this session will offer a peek into the world of SPHM for college and university students and instructors.

Objectives:

1. Present justification for incorporating SPHM education into higher learning healthcare programs.
2. Provide discipline-specific strategies for SPHM simulation activities and curriculum.
3. Pair simulation education research with concepts of SPHM simulation education.
4. Present the expected outcomes related to injury reduction, staff retention, and improved healthcare worker efficiency resulting from SPHM adoption.

Amber Perez is a licensed nurse with 19 years' bedside experience and holds a Master of Healthcare Administration. She has 12 years of safe patient handling industry experience. She joined Banner Health in 2011, helping to establish their SPHM program, and co-authoring and co-investigating the validated Bedside Mobility Assessment Tool (BMAT). She then joined various SPHM equipment and program vendors in helping healthcare facilities across North America and Europe to improve success in SPHM. Amber left the SPHM industry as a vendor in 2021 but continued as an independent consultant and now works in Healthcare Technology for Philips North America as a Strategic Partnership Program Manager. She accepted a part-time teaching position in 2022 as an SPHM Instructor at Gateway Community College, partnering to teach students from four other local colleges and universities. Additionally, she participates on an advisory board for an NIH research project focused on unique SPHM emerging solutions. Her involvement in SPHM is rooted in her own injury, sustained early in her nursing career, and she is passionate about promoting SPHM benefits for caregivers and patients.

3/21/2023 10:50AM - 11:35AM 45 min GS
2023D1004 Bariatrics & SPHM - Lessons Learned from the Front Line
Presented by Nicole Hopewell, PT, MS, CSPHP, Sacha Matthews, OT/L, HEM, and Joseph Harrison, OTR/L, CEAS
Overview:

Mobilization has been shown to be effective in reducing hospital length of stay, preventing hospital-acquired conditions, and reducing readmissions. However, there are many barriers to the mobilization of the bariatric patient population, including fear of injury to the patient and caregivers, lack of equipment, and knowledge gaps on how to safely mobilize patients of size. This presentation will review current challenges specific to bariatric SPHM programs, review case studies of successful mobility interventions, and discuss examples of system protocols and practices that have been implemented to address barriers and keep patients and caregivers safe while addressing mobility.
The presenters all have extensive real-life experience caring for patients of size in the acute and post-acute care settings, and in developing education and safe patient handling programs to support SPHM programs in their organizations.
The focus of this presentation will be on practical strategies and best practices that attendees can take back with them to support bariatric SPHM programs in their organizations.

Objectives:

1. Describe the current trends in obesity and related SPHM injury rates in the United States.
2. Identify strategies and barriers to safely mobilize bariatric patients.
3. Identify strategies for progressing mobility specifically for patients of size.

Nicole Hopewell is a Safe Patient Handling and Mobility Clinical Consultant with HillRom. She has worked for over 30 years in healthcare leadership, education, and direct patient care in a variety of clinical settings, including acute care, outpatient rehab, women's health, and acute rehab. Nicole has extensive real-life experience in the development of successful SPHM programs from the ground up, including gaining administrative support, equipment selection and justification, education, developing the right culture, and supporting the day-to-day operations of a multi-faceted SPHM program in a busy trauma hospital. She values collaboration and partnership with the entire healthcare team to drive change and improve patient and caregiver safety. Nicole completed her Bachelor of Physical Therapy from New York University and her Master of Science in Health Services Administration from Regis University.

Sacha Matthews is a Rehabilitation Services Director at the Kaiser Permanente Post-Acute Care Center (KPPACC). She has worked in rehabilitation for over 30 years, practicing in acute care, acute rehab, and post-acute care. She completed her bachelor's degree in Occupational Therapy at Oxford Brooks University, United Kingdom, and worked in multiple regional hospitals in the UK before moving to Northern California. Sacha joined Kaiser Permanente in 2001 to open the KPPACC and develop the rehabilitation program from the ground up, providing short-term post-acute care services for complex patients across Northern California. With the increasing demand for rehabilitation services for post-acute bariatric patients, Sacha and her team developed bariatric specialty services with a strong emphasis on safe patient mobilization, ensuring the use of safe techniques and equipment. In 2014, Sacha and her team were awarded the National Workplace Safety Team Award for their contribution to creating a safer workplace, recognizing their work with the bariatric patient population.

Joseph Harrison is an Occupational Therapist with Kaiser Permanente at the Post-Acute Care Center (KPPACC). He was a student therapist at Kaiser Permanente before joining the team in 2015 and has worked in the areas of acute care, post-acute care, home health, and ergonomics. Joseph has played a vital role in the development and implementation of the SPHM program, including the creation of competencies and training modules for the therapy and nursing staff at KPPACC, which provides short-term rehab for complex patients across Northern California and specifically for the bariatric population. He completed his Master of Occupational Therapy at Samuel Merritt University and is also a Certified Ergonomist.

3/21/2023 12:35PM - 1:20PM 45 min GS
2023D1005 Impact of Mobility Screening Across Care Settings
Presented by Marie M. Martin, PhD, CSPHP, Margaret Arnold, PT, CEES, CSPHP, and Susan Wyatt, RN, BSN
Overview:

A quick mobility screening method used by all disciplines and levels of healthcare professionals can provide certainty about a patient's current ability and appropriate technology for mobilization, as well as a common language for this mobility level that is understood throughout the enterprise. The Department of Veterans Affairs (VA) has modified the Bedside Mobility Assessment Tool (BMAT), which was only approved for use by registered nurses, into a tool usable by all clinical personnel and requiring less clinical judgment. Testing revealed high inter-rater reliability in multiple disciplines, allowing use across the continuum of care. We will describe how a simple mobility screen can make patient care safer and more efficient in hospital, clinic, rehab, vehicle, community, and home care. We will explain how and why we developed this mobility screening tool after multiple VA facilities started to make their own modifications to BMAT. We will describe the tool, the testing method, and testing results, as well as outcomes from facilities that have started to implement this tool. And we will introduce visual tools to provide guidance on how to accomplish multiple mobility goals given a current mobility level.

Objectives:

1. Describe the risks of not having all frontline staff who screen patients be able to choose safe mobility methods.
2. Use a mobility screening tool to choose safe patient handling and mobility technology.
3. Use a mobility screening tool to choose safe methods to achieve a patient's maximum safe level of mobility.
4. Describe how a mobility assessment used across the continuum of care can improve patient safety, staff safety, and patient mobility.

Marie Martin is an industrial hygienist by training, with her PhD in Occupational and Environmental Health Sciences from the University of Washington. She led curriculum for an Occupational Safety and Health Administration (OSHA) training center before joining the VA North Texas Health Care System as an industrial hygienist in 2008. Within two months of arrival, she was planning for ceiling lifts, and she has been an SPHM facility coordinator ever since. In 2014, she started helping with the national VA SPHM program, led it from 2015 to 2016, and has assisted with its leadership ever since.

Margaret Arnold is CEO of EarlyMobility.com and of Inspire Outcomes. She has 30 years' experience as a physical therapist and 20 years as an ergonomic evaluation specialist and safe patient handling/ early mobility expert, holding certification as a Safe Patient Handling Professional. She has published extensively on early mobility and safe patient handling, and she is the Editorial Advisor on Early Mobility to the International Journal of Safe Patient Handling and Mobility. Margaret sits on the Board of Directors for ASPHP, where she chairs the Education Committee and leads a national task force to integrate SPHM into graduate education for physical and occupational therapists, nurses, radiology technicians, and medical doctors. Margaret is passionate about patient outcomes, as well as protecting those who care for patients, and she has done a TED talk on this very topic. She is working with more than 50 VA facilities nationwide to help move toward safe early mobility across care settings and disciplines.

Susan Wyatt, RN, BSN With dual degrees in Biology and Nursing, Susan recently retired from the Phoenix VA Health Care System where she successfully developed the Safe Patient Handling and Mobility (SPHM) Program, decreasing direct care staff lifting and repositioning injuries by greater than 70%. She has provided over a decade of program mentorship for multiple VA facilities and formally within her VISN serving as program lead. Observing structure variances between systems for this complex program, she developed a scoring matrix tool based on national VHA directive to provide systematic assessment of facility program implementation to help facilities quickly identify gaps.

Susan specializes in developing interdisciplinary SPHM and Early Mobility processes, staff and patient education, workflow, product distribution and ergonomic evaluations to identify high risk patient care tasks and solutions to prevent related patient and staff injuries. Utilizing SPHM as a foundation framework, she co-led a multidisciplinary team to implement early mobility in the ICU, publishing the process in Integrating Safe Patient Handling and Early Mobility: Combining Quality Initiatives.

Recognizing the importance of high reliability in multidisciplinary early mobility process implementation across systems, Susan recently served with an elite team nationally as SME to create a statistically valid VA mobility tool to link common mobility screening language with SPHM equipment to promote safety and patient mobilization across the spectrum of care.

Through years of experience and observation, Susan believes choosing to continue working as Senior Consultant for EarlyMobility.com solidifying the link between SPHM and Early Mobility is logical and imperative for all, including facility, staff, patient and family. Favorite quote: "Do the best you can until you know better. Once you know better, do better." Maya Angelon.

3/21/2023 1:25PM - 3:40PM Hands-On Session 2 hour and 15 min
2023D1006 Hands-On: Structured Case-Based Simulation Learning
Presented by the ASPHP Hands-On Team
Overview:

This hands-on session provides a mechanism for participants to use principles of simulation learning to match the patient (resident)/organizational need with human resources and SPHM technology (equipment, devices, training). This structured case-based simulation encourages critical thinking principles to maximize available resources to improve patient safety and prevent worker injury. Participants will engage in an open discussion to find the best solution(s), incorporating both clinical and technical reasons, and then review the technical features of the chosen best solution(s). The activity will conclude with a question-and-answer session. Student to faculty rate 16:1.

Objectives:

1. Identify SPHM challenges based on case scenarios from a diverse case mix.
2. Explore and apply equitable and inclusive evidence-based SPHM practical options to address case scenarios.
3. Recognize the elements of critical thinking and decision-making in SPHM case scenarios.

3/21/2023 4:10PM - 5:25PM Closing Keynote 1 hour 15 min
2023D1007 Patients Experience Panel
Moderator: Susan Gallagher, PhD, MSN, MA, RN, CBN, HCRM, CSPHP
Panelists: Nicole Judson PT, DPT, NCS and Kendall Judson and guests
Overview:

The patient experience is at the heart of health care. This panel explores firsthand patient experiences that have been impacted by SPHM programs, professionals, and technology. Take away ideas to engage your patients/residents by exploring what your care means.

Objectives:

1. Describe the patient experience.
2. Translate the term "patient experience" into a patient story.
3. Identify 3 key strategies to improve the patient experience.

Susan Gallagher earned a Masters' Degree in Nursing: Advanced Practice WOC Nursing from University of Southern California in 1995. She holds a Masters' Degree in Religion and Social Ethics, and a PhD in Policy Ethics from University of Southern California. Dr Gallagher is certified in Bariatric Nursing and is a Certified Safe Patient Handling Professional. She is past-President of the Association for Safe Patient Handling Professionals, Associate Editor for Workplace Health and Safety (AAOHN), has served on a number of international boards and is a recognized speaker on skin and wound care, outcomes, bariatrics, ethics, risk and loss control across the globe. Susan is the author of more than 200 peer-reviewed articles, books and book chapters, including the ANA Implementation Guide to SPHM Standards, Bariatric SPHM and more.

Nicole Judson earned her doctorate degree in physical therapy in 2012 and became a board certified neurological clinical specialist in physical therapy in 2021. She has practiced as an outpatient neurological physical therapist in multiple settings and operates a self employed small business working with and treating neurological conditions. She is a board member of Michigan Sports Unlimited which is committed to helping individuals return to recreational and competitive activities following catastrophic injuries.

Kendall Judson sustained a T8 complete spinal cord injury in 2011 due to a motor vehicle accident that changed the course of his life. Prior to his injury, Kendall excelled in high school and college athletics, he became a Marine and has been on combat and non-combat deployments. Kendall has experienced the full spectrum of recovery from intensive care/trauma unit to outpatient rehabilitation to trying to figure out a new way of life on his own. Today, Kendall lives an active lifestyle, is building a small business with his wife and is active in his local community working as a mentor to others struggling with chronic injuries or conditions and working with middle school and high school athletes.

3/22/2023 7:45 AM - 8:30 AM Wednesday Keynote 45 min
2023D2001 Individual and Organizational Factors Associated with Injury and Use of SPHM Technology
Presented by Neal Wiggermann, PhD and Ruth Francis, MPH, MCHES
Overview:

This presentation describes the results of a survey on injury history and SPHM practice for 973 professional caregivers representing all 50 US states. Although more musculoskeletal injuries occur in healthcare than any other industry, there is little information on organizational factors associated with risk of injury and rates of unreported injury. There is also limited information about the adoption of SPHM practice and associated workplace factors.

Attendees of this presentation will gain information about injury history in caregivers and the role of organizations in retaining workers and preventing injury. Attendees will also learn caregivers' nuanced attitudes toward manual patient handling as it relates to task requirements and patient body weight. The presentation will detail the effects of equipment availability, SPHM training, patient assessments, and organizational support on the use of SPHM technology. Finally, the presenters will explain how these findings reinforce the best practices described in the American Nurses Association (ANA) SPHM standards.

Objectives:

1. Describe rates of pain and injury in professional caregivers, and implications for practice.
2. Understand approaches of caregivers toward SPHM and facilitators toward use of technology.
3. Explain the relationship between survey findings and ANA SPHM standards.

Neal Wiggermann is a Specialist Research Scientist in Human Factors and Ergonomics at Baxter, formerly Hillrom. For 11 years he has managed a biomechanics laboratory and performed scientific research and product testing to inform the design of medical devices. His work focuses on reduction of caregiver injuries and improving patient outcomes by supporting mobility. He received his PhD in Industrial and Operations Engineering from the University of Michigan and is a member of the Board of Directors of ASPHP.

Ruth Francis has over 30 years of international, corporate, association, government, and community health education and promotion experience and is a Senior Policy Advisor for the American Nurses Association (ANA) in the Nursing Practice & Work Environment Department. She currently leads ANA's Occupational Health Initiatives: Safe Patient Handling and Mobility, Workplace Violence/#End Nurse Abuse and Bullying Prevention, Opioids Prevention, Precision Health, Racism in Nursing, and Gun Violence Prevention, representing ANA at national and federal stakeholder meetings. For the past two years, she has represented ANA on CDC's Advisory Committee on Immunization Practices related to the COVID-19 vaccine. In January 2022, she started her three-year term on the NIOSH Board of Scientific Counselors, providing guidance to the NIOSH Executive Staff. Ruth led an Advisory Group and Workgroup to complete the development of the ANA National Interprofessional SPHM Standards, 2nd Edition. It was published in November 2021. She has authored or co-authored over 100 articles, positions, briefs, and papers, and has presented locally, nationally, and internationally on occupational health, immunizations, workplace violence prevention, and health and wellness promotion. A past ASPHP Board member (2019-2021), she currently participates on the Governance and DEI committees and chairs the Policy Workgroup. She received her master's degree from Loma Linda University in California and is certified as a Master Health Education Specialist. She is currently completing her dissertation for her Doctor of Public Health degree.

3/22/2023 8:35 AM - 9:20 AM 45 min BO
2023D2002-1 Build the Village: Aligning Pressure Injury Prevention & Safe Patient Handling Strategies for Better Quality & Caregiver Outcomes
Presented by Rhonda Sullivan, DNP, PhD, MSN, MBA, CWON, LNCC, NE-BC, CSPHA
Overview:

Pressure injuries affect 2.5 million US patients annually and are also the second most common cause of litigation, behind wrongful death. Aside from the impact on patients, pressure injuries are associated with treatment costs ranging from $20,900 - $151,700 per ulcer, value-based reimbursement penalties, and may damage a facility's reputation. In response, most high-quality healthcare organizations have active pressure injury prevention programs, of which patient mobility is a key component and foundational to their success. Safe patient handling and mobility programs are an excellent opportunity to intervene, but attention must be given to alleviating inadequate, inappropriate, or infrequent patient handling and mobility, which can increase the patient's risk of pressure injury development. Herein lies the importance of building the village. No longer can committees representing each interest often operate in silos. Pressure injury prevention and safe patient handling are intimately connected. Optimal patient, clinical, and financial outcomes can only be achieved through evidence-based, patient-centered care that equally considers the value of protecting the caregiver. This session will focus on the value of collaboration between pressure injury prevention and safe patient handling committees to the patient, healthcare provider, and the healthcare organization as a whole.

Objectives:

1. Increase the safe patient handling professional's understanding of pressure injuries.
2. Explain the connection between pressure injury prevention and safe patient handling.
3. Discuss opportunities for collaboration on evidence-based recommendations for safe patient handling during pressure injury prevention.

Dr. Rhonda Sullivan is a Registered Nurse with nearly 30 years' experience. Of those years, 21 have been dedicated to the wound and ostomy specialties. She is Board Certified as a Nurse Executive, Wound- Ostomy Nurse, Legal Nurse, and Safe Patient Handling Associate. Dr. Sullivan is the Executive Director of Legal Nurse Partners & iWOC Nursing Foundation. She is also employed as the Clinical Director of Wound Care Marketing for a global wound management company. In this role, she serves as clinical consultant to healthcare organizations to catalyze high quality care and the alleviation of avoidable harm. She is a published author, award-winning researcher, med-legal expert, approved continuing education provider for the Florida Board of Nursing, and an international speaker on pressure injury prevention and deep tissue pressure injury.

3/22/2023 8:35 AM - 9:20 AM 45 min BO
2023D2002-2 Making it Click - Delivering Customized SPHM Education
Presented by Amber Perez, LPN, MHA
Overview:

In this session we will discuss the foundational SPHM education and discipline-specific scenarios to integrate when customizing SPHM education. Review the injury statistics related to PT/OT, nursing-specific specialties, medical imaging, outpatient, and transport departments. Look at what motivates learning and how to frame training to make it 'click' with the student. Discuss various approaches to SPHM education including traditional (injury prevention), task oriented, efficiency and staff shortages, and patient mobility. The learner will leave with concrete examples of curriculum outlines and samples of each approach to customize for their education or hospital setting.

Objectives:

1. Describe the differences among healthcare professionals (HCPs)related to the relevance of SPHM.
2. Review the risks specific to various HCPs and SPHM solutions.
3. Describe standard versus various perspectives for HCP SPHM education.
4. Discuss sample curriculum outlines for various HCPs from different perspectives.

Amber Perez is a licensed nurse with 19 years' bedside experience and holds a Master of Healthcare Administration. She has 12 years of safe patient handling industry experience. She joined Banner Health in 2011, helping to establish their SPHM program, and co-authoring and co-investigating the validated Bedside Mobility Assessment Tool (BMAT). She then joined various SPHM equipment and program vendors in helping healthcare facilities across North America and Europe to improve success in SPHM. Perez left the SPHM industry as a vendor in 2021 but continued as an independent consultant and now works in Healthcare Technology for Philips North America as a Strategic Partnership Program Manager. She accepted a part-time teaching position in 2022 as an SPHM Instructor at Gateway Community College, partnering to teach students from four other local colleges and universities. Additionally, she participates on an advisory board for an NIH research project focused on unique SPHM emerging solutions. Her involvement in SPHM is rooted in her own injury, sustained early in her nursing career, and she is passionate about promoting SPHM benefits for caregivers and patients.

3/22/2023 8:35 AM - 9:20 AM 45 min BO
2023D2002-3 Get Up, Get Moving, Get Better! An Innovative Early Mobility Program
Presented by Jennifer Mcllvaine, PT, MSPT, CSPSP
Overview:

Immobility in hospital settings is prevalent, poorly documented, harmful to patients, and costly to healthcare systems. It impacts patients through functional decline, increases delirium, extends hospitalization, and increases post-discharge needs. This presentation details a project to improve patient mobility on all units in an acute care hospital while adhering to SPHM and fall prevention policies and procedures. Gaps in process and workflow which interfered with consistent daily mobilization of patients were identified and addressed. The changes presented highlight the need to include providers on multidisciplinary mobility teams since their decision-making roles in activity ordering drives mobility practice. This project also emphasizes the benefits of integrating mobility into nursing work culture and involving frontline staff in decision making to lead to greater compliance. In this case, early mobility was safe and feasible, and it led to improved patient outcomes and increased discharges home.

Objectives:

1. Demonstrate the need for early mobility programs in all inpatient acute care units.
2. Understand key components of early mobility programs.
3. Identify solutions to common barriers to early mobility programs.
4. Evaluate and apply key concepts to enhancing early mobility in healthcare systems.

Jennifer McIlvaine is an SPHM Coordinator for the Duke University Health System in Durham, North Carolina. She has over 16 years of clinical experience as an acute care Physical Therapist specializing in medical, surgical, and critical care units. Her current work focuses on identifying gaps in providing safe patient care, implementing solutions to ensure high quality patient care in all areas across the healthcare continuum, and enhancing safety for all patients and healthcare workers. Jennifer has spoken about SPHM at many local, state, and national conferences and has published on the topic of safe patient handing for physical therapists. She is the recipient of the 2021 VA SPHM National Conference Best Poster Award.

3/22/2023 8:35 AM - 9:20 AM 45 min BO
2023D2002-4 Leveraging Your Insurance Carrier to Advance Your Safe Patient Handling Program
Presented by Carl Gruber, CSRM, CSPHA and Jason Clausen, CSP, CSRM, CSPHA
Overview:

This presentation reviews how your insurance carrier can help you create and improve your safe patient handling (SPH) program. Leverage your insurance carrier regarding: development and advancement of your policy; selection of your mentors and teachers; implementation of the training - along with follow-up - from onboarding, training, and retraining, to annual training and monthly reminders; advertising and other types of promotion to improve program involvement; and finding solutions to SPH equipment problems to increase employee buy-in.

Objectives:

1. Evaluate insurance policy development.
2. Review the selection process for mentors.
3. Discuss steps needed to successfully implement training.
4. Understand the effectiveness of advertising.
5. Explore the benefits of identifying SPH equipment that can solve SPH problems.

Carl Gruber is a Loss Prevention Specialist at SFM - The Work Comp Experts. He has been the Risk Manager for Sauk County, Wisconsin, for 20 years, overseeing all departments including public health, home healthcare, and a 110-bed nursing home facility. For the past seven years he has worked for SFM handling healthcare accounts in Wisconsin which include hospitals, assisted living, nursing homes, home health, group homes (brain trauma, disability, behavioral, etc.) In each of these positions, Carl has developed, audited, and reviewed policies and procedures for safe patient handling. Along with those functions, he also performs training in this area. He graduated from UW Whitewater with a Bachelor of Science in Occupational Safety.

Jason Clausen has worked in various positions in the safety and risk management field for the past 20 years. He received his degree in Occupational Health and Safety from Iowa State University and currently works with SFM Mutual Insurance policyholders in Iowa and Nebraska to identify hazards and develop solutions to reduce loss exposures. In his time away from SFM, Jason works as a Reserve Deputy Sheriff for the Dallas County Sheriff's Office.

3/22/2023 8:35 AM - 9:20 AM 45 min BO
2023D2002-5 The Road to a Sustainable Education Program in Support of Safe Patient Handling and Mobility
Presented by Stephanie Wilson, OT, CSPHP and Gal Bhudvanbhen-Jung, RN
Overview:

Based on research reviews related to SPHM, a strong, robust education program is crucial to a successful and sustainable program. Competency-based education and the use of unit peer leaders are recommended for success. This presentation examines the SPHM program at NorthShore University HealthSystem, which was successfully implemented in 2010 by incorporating a Superuser approach filled by patient care techs who were trained with the help of vendor partners. A multidisciplinary safe patient handling committee provided oversight of the program, which saw a drop in workers' compensation costs between 2010 and 2016 from $2 million to approximately $150,000. Over time, SPHM employee education began to migrate to new employee orientation. By 2018, class sizes had more than quadrupled. This directly correlated to a decrease in staff knowledge about SPHM. Learn about the three phases of education transition that were developed and implemented (during the COVID pandemic) to re-energize NorthShore's SPHM program and restore its success and sustainability.

Objectives:

1. Identify new metric indicators for an SPHM program.
2. Develop a new structured SPHM education program process.
3. List tools necessary for a successful SPHM education program.

Stephanie Wilson is an Occupational Therapist and a CSPHP who works in Environmental Health and Safety at NorthShore University HealthSystem. She began her career in occupational therapy with specialization in ICU care, splinting, and staff development of patient mobility tools. She brings 19 years of clinical experience to her role as leader of the system's safe patient handling and mobility program.

Suthiratana Bhudvanbhen-Jung (Gal) served as an English teacher for secondary education prior to returning to school to pursue nursing. Gal began her career in nursing in 2017 on a post-operative unit at the bedside. Her primary focus during this time was with orthopedic patients. After nearly four years at the bedside, Gal moved into nurse education, allowing her to share her knowledge and experience from the bedside with other nurses, including safe patient handling.

3/22/2023 10:00 AM - 10:45 AM 45 min BO
2023D2003-1 Getting To Your Emerald City: Ensuring Accountability & Sustainability in Safe Patient Handling & Mobility Programs
Presented by Andy Rich, MS, OTR/L, CSPHP
Overview:

Safe Patient Handling & Mobility programs are being implemented with growing vigor. However, getting them started and sticking poses great challenges form many. This session will explore the challenges, strategies and real-life applications that healthcare organizations have done that have resulted in 84-95% reductions in worker compensation incidents as costs related to moving patients, as well as reducing patient falls, hospital acquired pressure injuries and other complications associated with immobility.

Objectives:

1. Describe how intervening with mobility can improve clinical and safety outcomes for the patient caregiver & healthcare organization.
2. Identify the common constraints to blocking safe patient handling program success.
3. Identify key strategies to address obstacles & ensure Safe Patient Handling Program success.

Andy Rich Graduated from Rush University in 1997 with MS in Occupational Therapy. I have worked as an acute care & industrial rehab therapist from 1998-2004. Since 2004, I have been working as a clinical consultant and manager for Arjo. In that role, I provide clinical consultation to acute & long-term care organization in mobility programming. I have presented both regionally, nationally and internationally on subjects including but not limited to: SPHM program design & sustainability, providing care to patients of size & ensuring training sticks and how to influence culture change.

3/22/2023 10:00 AM - 10:45 AM 45 min BO
2023D2003-2 Safe Patient Handling and Mobility Design Criteria and Innovation in VA Health Care Facilities
Presented by Marie M. Martin, PhD, CSPHP
Overview:

The U.S. Department of Veterans Affairs (VA) has just published safe patient handling and mobility design criteria for all newly-designed healthcare spaces where patients may be mobilized. VA design criteria are based on levels of disability in our population and on a directive that requires us to avoid lifting over 35 pounds. This includes specific recommendations for specific types of healthcare environments and illustrations of methods that may be used to incorporate overhead lifts into design. There are some helpful illustrations and explanations in this resource for communicating with planners, engineers, and architects about why and how to design overhead lifts into patient care space. VA is also innovating to find ways to address problems in patient handling in difficult spaces, including the operating room, inpatient mental health environments, hallways, and morgues, which do not have official recommendations yet in the SPHM design criteria. This presentation will show examples of some of these new solutions.

Objectives:

1. Describe the benefits of designing SPHM technology into an area as it is designed or renovated with the cooperation of hands-on staff and SPHM experts.
2. Discuss options for overhead lift installation, accommodating obstacles.
3. Identify resources for SPHM design and information.
4. Discuss options for SPHM in mental health, perioperative, morgue areas, and halls.

Marie Martin is an industrial hygienist by training, with her PhD in Occupational and Environmental Health Sciences from the University of Washington. She led curriculum for an Occupational Safety and Health Administration (OSHA) training center before joining the VA North Texas Health Care System as an industrial hygienist in 2008. Within two months of her arrival, she was planning for ceiling lifts, and she has been an SPHM Facility Coordinator ever since. In 2014, she started helping with the national VA SPHM program, led it from 2015 to 2016, and has assisted with its leadership ever since.

3/22/2023 10:50 AM - 11:35 AM 45 min BO
2023D2003-3 Bariatrics, Immobility, and the Skin
Presented by Rhonda Sullivan, DNP, PhD, MSN, MBA, CWON, LNCC, NE-BC, CSPHA, Nancy McGann, PT, CSPHP, CPPS, and Susan Gallagher, PhD, MSN, MA, RN, CBN, HCRM, CSPHP
Overview:

The consequences of immobility have a devastating effect on the skin, especially for plus-size individuals. Hospital acquired pressure injuries (HAPIs) continue to be a problem in the United States and around the world. In the United States, costs associated with HAPI carry an estimated $11. 9 billion annually. This course reviews major skin changes associated with bariatric immobility, common skin assessment and risk assessment tools, and HAPI prevention, including the use of size-appropriate specialized SPHM tools and resources.

Objectives:

1. Describe two risk factors for skin breakdown among the patient of size.
2. Analyze SPHM policy and procedures that support HAPI prevention and treatment.
3. Devise practice changes to improve mobility-associated skin breakdown.

Rhonda Sullivan is a Registered Nurse with 30 years' experience. Twenty-two years have been dedicated to legal nursing and the wound and ostomy specialties. She is Board Certified as a Nurse Executive, Wound-Ostomy Nurse, Legal Nurse, and Safe Patient Handling Associate. She is the owner of Legal Nurse Partners and the Executive Director of iWOC Nursing Foundation. She is a published author, award-winning researcher, med-legal expert, approved CE provider for the Florida Board of Nursing, and an international speaker on pressure injury prevention and deep tissue pressure injury. Dr. Sullivan is currently employed as the Clinical Director of Wound Care Marketing for Molnlycke Health Care. She currently serves as clinical consultant to academic medical centers, Magnet-designated healthcare facilities, and children's hospitals with a focus on improving clinical and financial outcomes by alleviating avoidable hospital-acquired conditions and reducing waste and redundancy in care.

Nancy McGann is the Region Manager for Caregiver Safety in the Quality and Safety Department of Intermountain Health, Peaks Region, where she has worked for 16 years. Prior to her current role, she was the System Manager of Ergonomics and Safe Patient Handling. She has worked as a therapist and ergonomic consultant in industry and healthcare for the past 33 years. Nancy oversees caregiver safety and patient mobility programs for the Peaks Region hospitals and ambulatory centers. She is on the Board of Directors of ASPHP and has spoken nationally for the past 13 years in this area. Her passion is protecting both caregivers and patients while facilitating mobility to provide the highest quality of care.

Susan Gallagher earned a Master's in Nursing: Advanced Practice WOC Nursing from the University of Southern California in 1995. She also holds a Master's in Religion and Social Ethics and a PhD in Policy Ethics from the University of Southern California. Dr. Gallagher is certified in Bariatric Nursing and is a Certified Safe Patient Handling Professional. She is Past President of ASPHP, Associate Editor for Workplace Health and Safety (AAOHN), has served on a number of international boards, and is a recognized speaker across the globe on skin and wound care, outcomes, bariatrics, ethics, risk, and loss control. She is the author of more than 200 peer-reviewed articles, books, and book chapters, including the ANA Implementation Guide to SPHM Standards, Bariatric SPHM, and more.

3/22/2023 10:00 AM - 10:45 AM 45 min BO
2023D2003-4 What is Our Safety Culture? How do you take it to the next level?
Presented by Shelly K. Nasby, CSP and Angie Wisher
Overview:

Culture is the invisible force that shapes our behavior. In the workplace, culture often reflects the attitudes, beliefs, and values that people share within an organization, including how safety is managed. At SAIF, we've developed a tool that can help you understand your organization's current safety culture and learn how to take safety and health to the next level. We call it the Ansbro Safety Culture Spectrum.

Objectives:

1. Understand safety culture.
2. Perform an assessment to determine the current state of culture.
3. Create an action plan to move an organization across the spectrum of safety culture.

Shelley Nasby, Senior Safety Management Consultant, joined SAIF corporation in 2013. She works with a variety of clients including those in healthcare, retail, construction, fisheries, social services, and municipalities. Prior to joining SAIF, she worked for the Associated General Contractors as a Safety Consultant. Her background is in construction. Shelley graduated from Eastern Oregon University in 2010 with an honors Bachelor of Science with a focus of leadership, organization, and management in business. Her Master of Business Administration was earned from Aspen University, and she completed a Certified Safety Professional designation in 2012.

Angie Wisher, Senior Safety Management Consultant, joined SAIF corporation in 2005. She works with a variety of clients including those in healthcare, retail, distribution, restaurant, agriculture, social services, and municipalities. Prior to joining SAIF, she worked for Safeway Inc., where she spent 15 years in operations, management, and risk management. She has taken training through Federal and Oregon OSHA and University of Washington Ergonomic Studies and holds a certificate in Safety Management from ASSP.

3/22/2023 10:00 AM - 10:45 AM 45 min BO
2023D2003-5 Using SPHM and Early Mobility to Reduce Falls Associated with Toileting
Presented by Katherine Frampton, MS, OTR/L and Chris Wells, PT, PhD, CCS, ATC
Overview:

Similar to the national average, nearly 45% of falls at University of Maryland Medical Center (UMMC) are toileting-related. UMMC incorporated the UMove Early Mobility Program (EMP) and SPHM when developing a toileting-related fall (TrF) prevention initiative. This ongoing project continues to identify factors that facilitate or impede success, and works to create sustained change. This presentation shares successes and lessons learned, and highlights the importance of incorporating early mobility, SPHM, and fall prevention to improve outcomes. Speakers will review the best evidence in the literature, the anecdotal experience at UMMC, and our future direction to continue to keep patients active and safe.

Objectives:

1. Examine current literature in reducing toileting-related falls.
2. Describe the work done at UMMC to incorporate SPHM and early mobility in fall prevention initiatives.
3. Highlight the importance of creating a plan for sustained change in practice interventions.
4. Discuss factors that promote or inhibit culture and practice change in the acute care setting.

Katherine Frampton is an occupational therapist at the University of Maryland Medical Center (UMMC), currently serving in the role of Safe Patient Handling and Mobility Specialist. Her role includes educating and supporting staff in the use of SPHM equipment, as well as consulting on new builds and making recommendations for future equipment purchases. Katherine is a member of the Fall Prevention Steering Committee at UMMC and works to coordinate fall prevention, early mobility, and SPHM initiatives. Katherine also serves as Executive Vice President for the Maryland Occupational Therapy Association, and she is an active member of AOTA and ASPHP.

Chris L. Wells is a Clinical Cardiopulmonary Specialist in the Department of Rehabilitation Services at the University of Maryland Medical Center (UMMC), where she primarily delivers patient care in the intensive care setting and assists with program and staff development, as well as clinical competencies. Her area of clinical practice is in the early mobilization and rehabilitation of patients on artificial mechanical circulatory support (ECMO and VAD). Dr. Wells also holds a Clinical Associate Professor, Adjunct position at the University of Maryland School of Medicine in the Department of Physical Therapy and Rehabilitation Science, and Instructor at the School of Dentistry. Her primary teaching responsibilities are in cardiopulmonary physiology and pathophysiology, and advanced acute care practice. Dr. Wells graduated with a Bachelor of Science in Health and Physical Education, and Athletic Training in 1985; she earned bachelor's and master's degrees in Physical Therapy in 1991 and 1994, respectively. She was awarded a Doctor of Philosophy in Education, Department of Developmental Movement from the University of Pittsburgh in 2002. Beyond her clinical and faculty responsibilities, Dr. Wells is an active member within the Cardiopulmonary Section of the American Physical Therapy Association, serving as Chair of the Research Committee and Board Member for the Baltimore Chapter of the Society of Critical Care Medicine. Her line of funded research is in rehabilitation and functional outcomes for older adults suffering critical illness and traumatic injury.

3/22/2023 10:50 AM - 11:35 AM 45 min BO
2023D2004-1 Unsolved SPHM Mysteries in Emergency Management Systems (EMS)
Presented by Timothy (Tim) Buchanan, MSN, RN, NPD-BC, CSPHP and Marie M. Martin, PhD, CSPHP
Overview:

The goal of this course is to provide the current state of and explore ongoing challenges in Emergency Management Services (EMS) using SPHM technologies. Pre-hospital, hospital, inopportune, and mass casualty SPHM considerations in the EMS community will be highlighted, including discussion of organizational, patient, caregiver, and environmental risk factors. The presentation will also examine feasible solutions utilizing systems thinking and innovative vendor and industry partnerships.

Objectives:

1. Identify EMS patient handling ergonomic risks and costs.
2. Describe available technology and barriers inherent in the systems of patient transportation and evacuation.
3. Explore the future and unsolved mysteries of emergency management.

Tim Buchanan is a master's level prepared Registered Nurse with over 28 years of patient care experience. He is a retired United States Air Force (USAF) critical care and flight/CCAT nurse and a former paramedic. He moved from his previous roles as a Safe Patient Handling and Mobility Facility Coordinator and Adjunct Nurse Faculty into his current role as a Patient Safety Officer for the Veterans Affairs Health Care System, where he works to promote patient safety and still oversees the SPHM program for all of Florida and southern Georgia. Tim has a passion for education and has served as an adjunct nurse clinical faculty for 10 years, has presented at numerous SPHM conferences, and recently served as collaborating author for SPHM chapters in a Nursing Fundamentals text. He collaborates with a diverse multidisciplinary team of patient safety and SPHM professionals to deliver care to over three million veterans. He maintains an interest in clinical excellence and emergency evacuation and continues to consult as an SPHM and patient safety professional.

Marie Martin is an industrial hygienist by training, with her PhD in Occupational and Environmental Health Sciences from the University of Washington. She led curriculum for an Occupational Safety and Health Administration (OSHA) training center before joining the VA North Texas Health Care System as an industrial hygienist in 2008. Within two months of her arrival, she was planning for ceiling lifts, and she has been an SPHM Facility Coordinator ever since. In 2014, she started helping with the national VA SPHM program, led it from 2015 to 2016, and has assisted with its leadership ever since.

3/22/2023 10:50AM - 11:35AM 45 min BO
2023D2004-2 Innovations on Fall Recovery
Nicole Judson PT, DPT, NCS and Kendall Judson
Overview:

Patients and healthcare providers both understand the balance between the fear of falling and challenging mobility skill building. This presentation addresses the science surrounding falls, the fear of falling, frequency of falls, and fall-related injury in the clinic, rehabilitation gym and home settings. Plan to attend this session!

Objectives:

1. State the correct definitions for fall-related.
2. Identify fear of falling as a barrier to mobility.
3. Describe 3 ways to manage fear of falling as a barrier to mobility.
4. Describe a practical approach to fall recovery in the home setting.

Nicole Judson Nicole Judson earned her doctorate degree in physical therapy in 2012 and became a board certified neurological clinical specialist in physical therapy in 2021. She has practiced as an outpatient neurological physical therapist in multiple settings and operates a self employed small business working with and treating neurological conditions. She is a board member of Michigan Sports Unlimited which is committed to helping individuals return to recreational and competitive activities following catastrophic injuries.

Kendall Judson sustained a T8 complete spinal cord injury in 2011 due to a motor vehicle accident that changed the course of his life. Prior to his injury, Kendall excelled in high school and college athletics, he became a Marine and has been on combat and non-combat deployments. Kendall has experienced the full spectrum of recovery from intensive care/trauma unit to outpatient rehabilitation to trying to figure out a new way of life on his own. Today, Kendall lives an active lifestyle, is building a small business with his wife and is active in his local community working as a mentor to others struggling with chronic injuries or conditions and working with middle school and high school athletes.

3/22/2023 10:50 AM - 11:35 AM 45 min BO
2023D2004-3 Integrating the Multi-disciplinary Team in Safe Early Mobility: Part 1
Presented by Margaret Arnold, PT, CEES, CSPHP
Overview:

This presentation will describe the roles of each discipline in safe early mobility programs and will include live discussion from team members about their roles. We will discuss daily workflow and how each team member contributes to mobility goal setting, and review mobility screening to determine what equipment the patient needs to successfully meet their goals.

Objectives:

1. Describe the role of each discipline in safe early mobility.
2. Identify one opportunity for mobility from each discipline throughout one day for a patient.
3. Discuss how to document and communicate safe patient mobility across care team members and care settings.

Margaret Arnold is CEO of EarlyMobility.com and of Inspire Outcomes. She has 30 years' experience as a physical therapist and 20 years as an ergonomic evaluation specialist and safe patient handling/ early mobility expert, holding certification as a Safe Patient Handling Professional. She has published extensively on early mobility and safe patient handling, and she is the Editorial Advisor on Early Mobility to the International Journal of Safe Patient Handling and Mobility. She sits on the Board of Directors for ASPHP, where she chairs the Education Committee and leads a national task force to integrate safe patient handling and mobility into graduate education for physical and occupational therapists, nurses, radiology technicians, and medical doctors. Margaret is passionate about patient outcomes as well as protecting those who care for patients, and she has done a TED talk on this very topic. She is working with more than 50 VA facilities nationwide to help move toward safe early mobility across care settings and disciplines.

3/22/2023 10:50 AM - 11:35 AM 45 min BO
2023D2004-4 Demystifying Professional SPHM Certification
Presented by Brad Dugan, PT, CSPHP and Kelsey McCoskey, MS, OTR/L, CPE, CSPHP
Overview:

Are you interested in becoming certified in SPHM? Have you started your certification application and need assistance navigating the process? Do you have questions about maintaining your certification, or do you want to apply for a different level? Do you have questions about the examinations? Help is available from our experts! This session allows attendees to hear about the pathway to SPHM certification from leaders of the Certified Safe Patient Handling Professionals (CSPHP) and have their questions answered. The panel will review all levels of certification and the requirements, the value of SPHM certification, FAQs, options for obtaining Professional Development Hours (PDH), the overall application process, and the maintenance requirements. Attendees who have started the application process are encouraged to bring their documentation and ask specific questions on any of the requirements.

Objectives:

1. Discuss the benefits of professional SPHM certification.
2. Identify the levels of SPHM certification and the necessary requirements for each.
3. Identify how to obtain Professional Development Hours (PDH).
4. Review how to prepare for the Clinician and Professional examinations.

Brad Dugan has over 25 years of clinical leadership and expertise as a practitioner of physical therapy in the areas of acute care and acute rehabilitation. He has over 15 years of dedicated SPHM experience, with an emphasis to providing early and progressive mobility for his patients through SPHM practices. Brad works closely with many healthcare organizations and large integrated delivery networks, assisting them to develop, implement, and sustain SPHM initiatives. He lectures nationally on the topic of achieving positive clinical and safety outcomes through SPHM practice. Brad has served on the ASPHP Board of Directors and is currently serving on the Certified Safe Patient Handling Professionals Board, as well as chairs the Examination Committee.

Kelsey McCoskey has been an ergonomist for 21 years. In addition to performing applied research projects, site assessments, and handling regulatory issues, she is responsible for conducting training courses and the development and assessment of ergonomic programs. Her primary areas of interest include healthcare ergonomics and SPHM, especially the implementation of SPHM programs. She has served on both the ASPHP Board and the CSPHP Board. Kelsey is Lean Six Sigma green belt certified. She earned a BA from the University of Delaware and an MS in Occupational Therapy from Shenandoah University. She is a Certified Professional Ergonomist and a Certified Safe Patient Handling Professional.

3/22/2023 10:00 AM - 10:45 AM 45 min BO
2023D2004-5 Sliding Your Way into Safe Patient Handling & Mobility; Lessons Learned: Developing & Implementing a New Friction Reducing Device in a Health System
Presented by Jessica Bratcher, CSPHA and Tonya Romacker, CSPHA
Overview:

According to the Occupational Safety and Health Administration (OSHA), approximately 34% of all injuries occurring in the hospital workforce are related to patient interactions and patient handling; of these, back injuries are the most prevalent. The risk of back injuries increases during lateral transfer, as caregivers must reach over the stretcher to the bed and physically pull the patient across onto a stretcher. Based on a four-year report, we calculated that 32% of our coworker injuries could have been prevented by utilizing a friction reducing device. With no device on the market meeting all the needs, the decision was made to partner with a manufacturer to develop a device to our specifications. A patient specific disposable friction reducing device, made of an innovative polymeric compound that resists rips and tears, was developed. The process of implementation included a competency training threshold requirement for each facility to begin using the device and trained unit peer leaders to stay compliant with initial and annual training. SPHM coordinators and champions throughout the system's four-state service area spent hours and months doing live hands-on return demonstrations with coworkers to achieve competency. Metrics for monitoring device effectiveness consist of coworker injury reports, device usage metrics, and feedback tools. The last metric in development is monitoring skin shear related to patient movement.

Objectives:

1. Understand the value of working with device manufacturers to develop SPHM devices.
2. Review considerations when integrating a system-wide rollout of a new device.
3. Outline educational considerations related to competency training and ongoing compliance with device usage.
4. Discuss lessons learned in one health system's journey to develop and implement use of a friction reducing device to prevent injuries.

Jessica Bratcher worked as a Certified Nursing Assistant from 2011-2019 at Mercy Health System in Fort Smith, Arkansas, where she has also served as a Unit Peer Leader since 2011. She assumed the role of SPHM Coordinator at Mercy Health System in Oklahoma City, Oklahoma in 2019. Jessica earned her CSPHA in December 2020.

Tonya Romacker worked as a Unit Peer Leader from 2015-2018 at St. Anthony's Hospital in St. Louis, Missouri. She has served as the SPHM Coordinator for Mercy Health System, Mercy South, in St. Louis since 2018. Tonya earned her CSPHA in November 2020.

3/22/2023 11:40 AM - 12:25 PM 45 min BO
2023D2005-1 Is There a Need for SPHM in a Residential Care Setting? Challenges and Potential Solutions
Presented by Lori Severson, CSP
Overview:

The aging U.S. population has created a significant demand for assisted living care. According to the National Investment Center for Seniors Housing & Care (NIC), the United States will need 881,000 new facilities by 2030 and 986,000 by 2040 to meet the senior housing demand. According to the National Center for Assisted Living (NCAL), as of January 2019, there were nearly 453,000 total employees in the assisted living profession. This session will outline an uncommonly known fact about the industry, that frequent and severe occupational hazards and resultant injuries do exist in this 'assistance only' work environment. The speakers will explain these hazards and how costly and career-ending some of these 'assist to transfer' injuries are from national assisted living employer workers' compensation examples. A review of which states permit the use of safe patient handling equipment and which ones do not will be included, as well as common barriers. Learn how to reduce the risks of manual assistance to caregivers while increasing resident care and satisfaction. Safe residents deserve safe employees in senior living.

Objectives:

1. Identify states that allow the use of SPHM technology.
2. Review current SPHM challenges for caregivers in residential care settings.
3. Discuss resistance to the use of SPHM technology in residential care settings.
4. Identify three solutions to promote use of SPHM technology in residential care settings.

Lori Severson is the Vice President, Senior Risk Control Consultant for Lockton Companies. She has been involved in the insurance and safety of healthcare workers, with a particular interest in SPHM. Lori has also been involved with the challenges of SPHM in assisted/residential care and has advocated for changes in this area to protect the care staff who look after the residents in these facilities.

3/22/2023 11:40 AM - 12:25 PM 45 min BO
2023D2005-2 Radiology Getting Radical with SPHM!
Presented by Yeu-Li Yeung, MS, OT/L, CPE, CSPHP
Overview:

Many SPHM practices are hospital focused and targeted at preventing patient handling injuries for nursing and rehabilitation staff. Radiology technologists are another group of healthcare workers who are also at risk for sustaining patient handling injuries but have received minimal attention in SPHM. Some of their risks of injury are due to barriers from the medical diagnostic equipment (MDE) design and the lack of awareness of SPHM equipment available to assist patients with disabilities. At the same time, these barriers can cause difficulty for patients with disabilities from receiving routine diagnostic services or needed treatments. This presentation will discuss how SPHM can play an important role in enhancing quality and safety in medical services provided by radiology technologists and received by patients with disabilities.

Objectives:

1. Describe the unique patient handling challenges radiology technologists encounter and the impacts on safety and quality.
2. Identify available SPHM technology for radiology to enhance safety and quality for both staff and patients with disabilities.
3. Discuss integrating SPHM practices in radiology in hospital and ambulatory settings to enhance safety and quality.

Yeu-Li Yeung has extensive experience working in healthcare ergonomics and SPHM. She is the Patient Care Ergonomics Coordinator at Duke University and Duke Health. She has implemented and manages the SPHM program at Duke University Hospital and ambulatory clinics. She is also responsible for conducting ergonomic evaluations and training in non-SPHM work areas, as well as providing consultations on designs and planning. Yeu-Li has presented numerous times at national SPHM, ergonomics, and safety conferences and published in peer-reviewed journals. She provides lectures on SPHM at the Duke University School of Nursing and Occupational Therapy Doctorate Program. She is an occupational therapist, a certified professional ergonomist, and a certified safe patient handling professional.

3/22/2023 11:40 AM - 12:25 PM 45 min BO
2023D2005-3 Integrating the Multi-disciplinary Team in Safe Early Mobility: Part 2: Demonstration of "A Day in the life of a patient"
Presented by Margaret Arnold, PT, CEES, CSPHP
Overview:

This presentation will show, using a mix of live and video format, the roles of each discipline in safe early mobility programs. Observe the daily workflow in action, taking the daily mobility goal and showing the screening, selection, and performance of mobility. See the perspective of each caregiver, including the medical doctor, registered nurse, certified nursing assistant, physical therapist, occupational therapist, respiratory therapist, recreational therapist, and case manager.

Objectives:

1. Identify three similarities that all disciplines exhibit during their workflow with patients to ensure safe early mobility goals are met.
2. Identify two differences between nursing and therapy in how they use SPHM technology to promote mobility.
3. Discuss the impact of consistent messaging and safe early mobility activities on the patient.

Margaret Arnold is CEO of EarlyMobility.com and of Inspire Outcomes. She has 30 years' experience as a physical therapist and 20 years as an ergonomic evaluation specialist and safe patient handling/ early mobility expert, holding certification as a Safe Patient Handling Professional. She has published extensively on early mobility and safe patient handling, and she is the Editorial Advisor on Early Mobility to the International Journal of Safe Patient Handling and Mobility. She sits on the Board of Directors for ASPHP, where she chairs the Education Committee and leads a national task force to integrate safe patient handling and mobility into graduate education for physical and occupational therapists, nurses, radiology technicians, and medical doctors. Margaret is passionate about patient outcomes, as well as protecting those who care for patients, and she has done a TED talk on this very topic. She is working with more than 50 VA facilities nationwide to help move toward safe early mobility across care settings and disciplines.

3/22/2023 11:40 AM - 12:25 PM 45 min BO
2023D2005-4 Safe Patient Handling Program - Nursing and Therapy Collaboration
Presented by Rachel Woodruff, OTR/L, MHPE
Overview:

Working in the inpatient rehabilitation setting, where complex mobility challenges face our staff daily, nursing and therapy collaboration is essential for a successful safe patient handling program. Development of collaborative tools, modeling, education, rounding, and on-the-spot training has proven to be essential and a vital component to successful implementation and engagement within the program at our hospital. We will share some of the successes and ongoing challenges we currently face to facilitate a program that decreases employee injuries and increases employee satisfaction while promoting patient safety and mobility.

Objectives:

1. Identify the needs and benefits for safe patient handling initiatives in a rehabilitation hospital environment.
2. Identify strategies and tools to facilitate a safe patient handling program that promotes wellness for clients as well as staff.
3. Identify the importance of utilizing inter-professional communication and collaboration across disciplines.

Rachel Woodruff received her Occupational Therapy degree from Boston University and began working for Encompass Health in 2004. She obtained a Master's in Health Professions Education from Midwestern University in Glendale, Arizona in 2007. Rachel became Neuro Dynamic Therapy Certified in 2004, which began her passion for working with stroke and spinal cord injured patients. She began working with the STOP/Safe Patient Handling program in 2013 by implementing and sustaining the program at Valley of the Sun. Her interest and passion for safe patient handling grew, and she was able to become a regional STOP 2 trainer. Rachel began teaching Hemi Move classes at the regional level in 2018. These opportunities allowed her to speak at the American Occupational Therapy Association Conference on Safe Patient Handling and Mobility in 2017. She has continued to participate in program and curriculum development for the STOP 2 and Hemi Move programs.

3/22/2023 11:40 AM - 12:25 PM 45 min BO
2023D2005-5 Bariatric Care Solutions and Employee Safety Enhancements During Hospital Critical Care Transport for the Adult Specialty Care Team
Presented by Mary Hilliard Brammer, PT, DPT, CSPHC, Amy Harris, MSN, RN, CCRN, and Jennifer Mack, MHA, MBA, BSN, RN, CCRN
Overview:

The presentation will take a deep dive into process improvement for the Adult Specialty Care Team at University of North Carolina Hospitals. Process improvement work focused on employee and patient safety during critical care transports within our public, academic, 803-bed medical center. Collaboration between our Adult Specialty Care Team, Safe Patient Handling and Mobility Educator, and patient lift equipment vendor addressed the needs to safely care for our bariatric and critically-ill patient populations. Deficiencies identified included the need to establish bariatric care protocols, safety protocols for staff during patient transportation, and evidence-based education for the Adult Specialty Care Team.

Objectives:

1. Understand the role of the Adult Specialty Care Team.
2. Understand the importance of safe patient handling protocols for the Adult Specialty Care Team.
3. Understand the importance of proper lift equipment selection and acquisition to care for bariatric and critically-ill patients.
4. Understand the outcomes for process improvement within the Adult Specialty Care Team protocols for employee and patient safety.
5. Understand critically-ill bariatric patient care and mobility techniques for special spinal precautions with use of lateral transfer devices.

Mary Hilliard Brammer is an Occupational Health Educator within Occupational Health Services at University of North Carolina Hospitals in Chapel Hill. She works specifically with the Safe Patient Handling and Mobility Program for UNC Medical Center. A native of Wilmington, North Carolina, Mary graduated from the University of North Carolina at Wilmington with a Bachelor of Arts in Physical Education - Exercise Science, earned a Master of Science, Rehabilitation Science Physical Therapy degree from the Medical University of South Carolina, and a Doctor of Physical Therapy degree from the Medical University of South Carolina. She achieved designation as a Certified Safe Patient Handling Clinician by ASPHP.

Amy Harris is a Registered Nurse and works on the Adult Specialty Care Team at University of North Carolina Hospitals in Chapel Hill. She graduated from Duke University with a Bachelor of Science in Nursing and earned a Master of Science in Nursing from the University of North Carolina at Chapel Hill. Amy currently serves as a representative on the Safe Patient Handling Committee and has her CCRN certification.

Jennifer Mack is a Registered Nurse who works as the Patient Services Manager III for the Adult Specialty Care Team and Venous Access Team at University of North Carolina Health at the UNC Main Campus in Chapel Hill. She earned her Registered Nurse degree from the University of North Carolina at Wilmington. She earned a Master of Health Administration from Queens University of Charlotte and a Master of Business Administration from the University of Phoenix. Jennifer is currently collaborating with her unit representative on the Safe Patient Handling Committee to focus on bariatric care solutions and employee safety enhancements during hospital critical care transport for the Adult Specialty Care Team.

3/22/2023 1:25 PM - 2:10 PM 45 min BO
2023D2006-1 Ensuring Dignity: Utilizing Safe Resident Handling and Mobility Programs with Persons Living with Dementia
Presented by Melvajean Eason, MBA, OTR/L and Dawn Wiggins, RPN, MSc
Overview:

The primary focus of this presentation is to remind the audience that person-centered care and dignity should be the foundation for creating safe resident handling and mobility programs. Great emphasis is placed on the importance of purposeful and meaningful interactions during care activities, especially with those residents living with dementia.

Objectives:

1. Learn four truths about dementia.
2. Review person-centered care as the foundation for safe resident handling and mobility programs.
3. Learn how elements of safe resident handling and mobility programs foster resident-centered care and dignity.
4. List unique traits of persons living with dementia and strategies to assist with care activities.
5. Understand the importance of self-care and mobility equipment design for residents living with dementia.

Melvajean Eason has 32 years of clinical experience as an Occupational Therapist, primarily in the areas of acute care, long term care, home health, industrial rehab, and ergonomics. She currently works as a Clinical Consultant for Arjo, providing clinical consultative services for SPHM and Outcomes programs since 2007. Melvajean has a passion for improving the overall care experience for residents living with dementia. She welcomes every opportunity to take the journey with facilities as they create safe resident handling and mobility programs that are resident centric as well as care partner appreciated. She is a Positive Approach to Care® Certified Trainer and is working toward becoming a Certified Consultant.

Dawn Wiggins has been a Registered Practical Nurse in the Province of Ontario for 27 years and earned her MSc in Dementia Studies. She is the author of the book "I Love Dementia, Inspirational Stories of People Affected by Dementia". She is also the Founder of New Dementians - Dementia Concierge Services. Dawn has spoken on stages around the world on how to enhance life for people living with dementia. She is passionate about helping people who are helping people with dementia be in authentic relationships. Dawn designs world class dementia-enabled environments to improve quality of life for people living with dementia.

3/22/2023 1:25 PM - 2:10 PM 45 min BO
2023D2006-2 Bariatric SPHM Space, Design, and Technology
Presented by Susan Gallagher, PhD, MSN, MA, RN, CBN, HCRM, CSPHP
Overview:

Excess weight, weight maldistribution, and co-morbid conditions associated with weight impact the SPHM professional in a number of ways. Larger, heavier patients pose the risk of patient injury and occupational injury during patient handling and mobility tasks. Often in healthcare there can be a one-size-fits-all approach to safe handling and mobility. However, what is frequently found upon implementation, evaluation, and sustainment of success is that gaps are realized in the treatment, handling, and patient-centric approach for patients who are "plus size". This very practical presentation offers resources that are readily available to the SPHM professional with the goal of reducing preventable harm.

Objectives:

1. Describe the obesity crisis in the United States.
2. Identify harm associated with excess weight and weight distribution.
3. Explore opportunities to mitigate occupational exposure associated with an emerging weighted society.
4. Identify common constraints that can hamper safe patient handling success when treating patients of size.
5. Review application-based solutions to improve the success of a safe patient handling program's ability to provide the most dignified, clinically-appropriate, safe, and efficient means to move and transfer patients of size.

Susan Gallagher is a trained wound ostomy continence nurse, certified bariatric nurse, healthcare risk manager, and certified safe patient handling professional. She has certificates in Six Sigma-Health Care and Six Sigma LEAN. Dr. Gallagher holds a master's degree in Nursing, a master's degree in Religion and Social Ethics, and a PhD in Policy Ethics. She is a recognized expert in safety and outcomes with emphasis on bariatrics, skin/wound care, safe patient handling and mobility, and loss control. She lectures internationally and has authored over 200 articles, books, or book chapters. Her professional objective is to assist organizations in capturing quality and sustainability through customer sensitive initiatives, supported by quantitative performance improvement outcomes.

3/22/2023 1:25PM - 2:10PM 45 min BO
2023D2006-3 Immobility in the ECMO Setting
Presented by Lauren Plucinski, BSN, RN-BC, CCRN-CSC
Overview:

During the C-19 pandemic use of ECMO has increased profoundly. This presentation reviews the increasing frequency of ECMO in the US and paints a picture of the severity of illness associated with this level of care. Immobility is at the heart of the long-term consequences of ECMO. A structured, phased mobility protocol is described as a way this ECMO Center reduced adverse clinical outcomes, reduced ventilator days, reduced length of stay, reduced mortality, and discharged to a lower level of care upon discharge. Plan to learn about this practical “how-to” strategy to mobilize the sickest of sick patients.

Objectives:

1. Expalin the ECMO trend
2. Discuss the structured phased mobility protocol
3. Discuss the outcome measures

Lauren is ECMO Coordinator with extensive cardiovascular surgery, transplant, VAD, ECMO, and nursing education experience.

3/22/2023 1:25 PM - 2:10 PM 45 min BO
2023D2006-4 Understanding the CSPHA/CNA as the SPHM Leader
Ronnie Turner, CSPHA, Jessica Bratcher, CSPHA and Teri Spivey, CNA, CSPHA
Overview:

SPHM is an interprofessional effort. Input from all patient care providers is essential to a collaborative approach. This presentation features Certified Safe Patient Handling Associates who have had a profound impact on their organizations, colleagues, and patients. Plan to attend this practical panel discussion to learn first-hand ways to nurture influencers in your organization.

Objectives:

1. Discuss Interprofessional patient/resident care.
2. Explore CSPHA roles in the workplaceand criteria.
3. Discuss trainer experience and hand-on staff.

Jessica Batcher worked as a Certified Nursing Assistant from 2011-2019 at Mercy Health System in Fort Smith, Arkansas, where she has also served as a Unit Peer Leader since 2011. She assumed the role of SPHM Coordinator at Mercy Health System in Oklahoma City, Oklahoma in 2019. Jessica earned her CSPHA in December 2020.

Ronnie Turner has been in healthcare for 34 years in various roles. His current primary role is a Patient Care Assistant on the Critical Care Service Line, and his secondary passion is leading and engaging his peers for best practice with SPHM. Ronnie is a national and international speaker since 2015 and loves sharing the wins and his "why" behind the importance of the use of SPHM technology. He has been a CSPHA since 2015 and has helped design and implement region wide SPHM classes and clinical practices setting the stage for best practice at system level. His mantra is "Can't stop and won't stop".

3/22/2023 1:25PM - 2:10PM 45 min BO
2023D2006-5 Perioperative and Mental Health Innovations for Safe Patient Handling and Mobility
Presented by Marie M. Martin, Ph.D., CSPHP, Lisa J. Warner, MHA, RN, CNOR and Michelle Franklin, RN, MSN
Overview:

Many perioperative spaces and the mental health environment have restrictions that prevent the use of safe patient handling and mobility equipment and techniques that are standard in other environments. The perioperative environment has structural barriers to retrofitting ceiling lifts and also has specific ergonomic hazards as described by the AORN ergonomic tools, including positioning of sedated patients, lifting and pushing/pulling heavy equipment, standing for long times, holding limbs, and holding static positions for extended periods. Inpatient mental health environments must be designed to avoid risks of self-harm, which prevents the use of overhead lifts, standard medical beds, or anything with loops left unlocked - and patients there may be unpredictable or have higher than usual fall risk. VA Safe Patient Handling and Mobility has been meeting with Technical Advisory Groups focused on closing the safety gaps in each of these areas. Each of these areas now has solutions available that were not possible a few years ago. We continue to work toward solving the unsolved mysteries and welcome collaborators as we learn.

Objectives:

1. Describe how intervening with mobility can improve clinical and safety outcomes for the patient caregiver & healthcare organization.
2. Identify the common constraints to blocking safe patient handling program success.
3. Identify key strategies to address obstacles & ensure Safe Patient Handling Program success.

Marie Martin is an industrial hygienist by training, with her PhD in Occupational and Environmental Health Sciences from the University of Washington. She led curriculum for an Occupational Safety and Health Administration (OSHA) training center before joining the VA North Texas Health Care System as an industrial hygienist in 2008. Within two months of arrival, she was planning for ceiling lifts, and she has been an SPHM facility coordinator ever since. In 2014, she started helping with the national VA SPHM program, led it from 2015 to 2016, and has assisted with its leadership ever since.

Lisa Warner has been a perioperative nurse for over 38 years. Lisa received her BSN from University of Portland-School of Nursing and her master's in health administration from Seton Hall University. She has maintained her certification for Perioperative nursing for more than 30 years. She was a Perioperative Nurse Manager for over 15 years and is currently the Clinical Nurse Advisor for Periop for the National Office of Nursing Services. Lisa joined the Safe Patient Handling and Mobility program in 2017 as part of the team to a focus on Perioperative Care.

Michelle Franklin is the Safe Patient Handling & Mobility Facility Coordinator for the Captain James A. Lovell Federal Health Care Center, The first fully integrated federal healthcare center between the Veterans Affair and the Department of Defense. Michelle has held the Facility Coordinator position since 2011. Prior to her safe patient handling profession, she had 13 years of experience as a registered nurse working in all areas of hospitals with 6 years being in in-patient mental health and 4 of them in the VA hospital. Michelle received a Bachelor's Degree in Nursing from Concordia University and a Masters degree in Nursing and leadership in healthcare systems. Michelle is very passionate about Safe Patient Handling & Mobility and is committed to promoting safe, early and progressive mobilization of patients and eliminating manual patient handling.

3/22/2023 2:20 PM - 3:50 PM Hands-On Session 90 min
2023D2007 Hands-On: SPHM Skill Knowledge Check
Presented by ASPHP Hands-On Team
Overview:

This session will take place post-participation in case-based learning sessions. The participants will be provided the opportunity to find solutions to questions that directly relate to the hands-on session. Knowledge Check is structured to assist learners in becoming more self-aware and involved in their hands-on experience to improve patient safety and prevent worker injury. The presentation will conclude with a review of responses, followed by a question-and-answer session. Student to faculty rate 16:1.

Objectives:

1. Identify and list SPHM challenges based on Knowledge Check questions.
2. Identify and document evidence-based SPHM practical options to promote patient safety and prevent worker injury.
3. Review SPHM knowledge through hands-on participation.

3/22/2023 4:30 PM - 5:00 PM 30 min GS
2023D2008 Creating Sustainable Safe Patient Handling and Violence Prevention Programs in Health Care: A Systems Approach to Improving Worker and Patient Safety
Presented by Lynda Enos, RN, BSN, MS, COHN-S, CPE
Overview:

Manual patient handling and workplace violence (WPV) are two of the leading causes of injuries to healthcare workers in the United States. In fact, they account for over 50% of the injuries with days away from work and approximately 50% of worker compensation costs to healthcare organizations. However, healthcare organizations usually address these hazards as very separate or 'siloed' issues and fail to realize they can be more effectively addressed using a comprehensive systems approach. This session explores the relationship between SPHM and WPV in healthcare and true cost for healthcare organizations, workers, and patients if these issues are not addressed, especially in the context of increased and long-lasting physical and psychological harms to healthcare workers related to the pandemic. The importance of creating a culture of worker and patient safety as a precondition for successful safety programs will be highlighted. Best practices that facilitate leadership support and employee engagement to overcome common barriers to program implementation and promote culture of safety will be discussed. An evidence-based systems approach to developing effective and sustainable SPHM and WPV programs that highlights programmatic elements common to both programs will be explored. Lastly, comprehensive and freely available resources that may assist participants and their healthcare employers to implement successful WPV and SPHM programs will be shared.

Objectives:

1. Identify the full cost and benefits of SPHM and WPV programs for a healthcare organization.
2. Define an evidence-based system's approach to developing effective and sustainable SPHM and WPV programs.
3. Identify at least three freely available resources or tools to assist in developing, implementing, and evaluating effective SPHM and/or WPV programs.

Lynda Enos is a Certified Occupational Health Nurse and Certified Professional Ergonomist with over 30 years of work and consulting experience in industrial and healthcare ergonomics. She holds an undergraduate degree in nursing and a graduate degree in human factors/ergonomics from the University of Idaho. Since 2011, in the role of clinical consultant, Lynda has assisted a large teaching hospital in Oregon to develop and maintain a comprehensive SPH program, assist to address ergonomics-related issues system wide, and provide clinical coaching and problem solving at the bedside. She developed the Oregon Workplace Safety Initiative Workplace Violence in Healthcare: A Toolkit for Prevention and Management, published in December 2017 and extensively updated in March 2020. https://www.oahhs.org/safety. She has since worked with several state hospital associations to conduct WPV prevention workshops based on the Oregon WPV toolkit. Lynda is a subject matter expert (SME) for several regulatory and research entities, including the ANA, ANSI, ISO, and the Joint Commission, for which she assisted with development of TJC 2021 Workplace Violence Standards. Lynda is a director for ASPHP and a current member of the NIOSH NORA Healthcare and Social Assistance Sector Council, as well as recipient of the 2017 Advocacy Award for Safe Patient Handling by the Tampa VA Research and Education Foundation and ASPHP.

3/22/2023 5:05 PM - 5:50 PM 45 min GS
2023D2009 Strategies for Unit- to System-Wide Fall Prevention
Presented by Rhonda Turner, MSN, RN, CSPHA and Kayla Hutson, BSN, RN-BC
Overview:

This presentation will demonstrate how to empower leaders on every platform to decrease falls and falls with injuries. Banner Health (BH) is the proud recipient of the 2021 Audrey Nelson Award for Excellence in Falls with Injury Prevention. BH was able to come together across the continuum of care and decrease raw falls with injuries by 51% over a three-year period. Our motto: "If everyone moves forward together, then success will take care of itself." - Henry Ford

Objectives:

1. Gain knowledge of how to create an effective positive shift in culture.
2. Understand how to create and utilize a comprehensive gap assessment.
3. Learn how to empower leaders from the sidelines.

Rhonda Turner has been in healthcare for 35 years in various roles. She acquired her BSN in 2014 and was inspired to go after her MSN-Leadership to be a stronger voice for the frontline, graduating in 2018. She currently works as an RN Operations Support Specialist, and her primary role includes supporting onboarding, education, quality metrics, and strategic initiatives through partnering with leadership and the bedside staff. She continues to empower her colleagues, bedside to leadership, by identifying methods to increase awareness around SPHM and fall prevention, and to demonstrate how a comprehensive program can positively impact patient outcomes while reducing injuries to the patients and frontline staff. She is a visionary leader, has been on the national speaking platform since 2015, became a CSPHA in 2015, joined the Board of ASPHP in 2019, has traveled internationally presenting on how to build sustainable SPHM programs and caring for patients of size, and is now stretching her wings as a published author.

Kayla Hutson Kayla Hutson is the Associate Director of the Observation Unit at Banner Baywood Medical Center. She has been a nurse for about eight years and has happily devoted all those years to Banner Health. She has a strong passion for safe patient handling and fall prevention and finds value in mentoring others to provide safe and quality care. Kayla is a co-lead for SPHM and fall prevention programs at Baywood and Heart Hospital, and she co-leads the Banner System SPHM and Fall Prevention Program. Her passion lies in finding new and effective ways to safely care for patients. Mobility is important for the patients' health, so it's imperative that caregivers have the equipment and confidence to support patients and themselves with mobility initiatives.

3/23/2023 7:35 AM - 8:10 AM Thursday Opening Keynote 45 min
2023D3001 Bringing Life to a System-Wide Early Mobility Clinical Practice
Presented by Rhonda Turner, RN, Bethany Bruzzi, DO, Nimit Agarwal, MD, FACP, and Lori Best, BSN, RN, RN-BC
Overview:

This presentation will take you on the full journey of how Banner Health brought an Early Mobility Clinical Practice (EMCP) to life from concept to implementation. The research has been completed throughout history that demonstrates how important early mobility is for the hospitalized patient. The time is now to put what we have learned into practice to build consistent early mobility interventions to improve patient outcomes across the continuum of care.

Objectives:

1. Recognize the need for an early mobility pilot program.
2. Design a system-wide early mobility clinical practice.
3. Review how to implement an early mobility clinical practice.

Rhonda Turner has been in healthcare for 34 years in various roles. She acquired her BSN in 2014 and was inspired to go after her MSN-Leadership to be a stronger voice for the frontline, graduating in 2018. She currently works as an RN Operations Support Specialist, and her primary role includes supporting onboarding, education, quality metrics, and strategic initiatives, through partnering with leadership and the bedside staff. She continues to empower her colleagues, bedside to leadership, by identifying methods to increase awareness around SPHM and fall prevention, and to demonstrate how a comprehensive program can positively impact patient outcomes while reducing injuries to the patients and frontline staff. She is a visionary leader, has been on the national speaking platform since 2015, became a CSPHA in 2015, joined the Board of ASPHP in 2019, has traveled internationally presenting on how to build sustainable SPHM programs and caring for patients of size, and is now stretching her wings as a published author.

Dr. Bethany Bruzzi serves as a healthcare executive and people-centered Chief Medical Officer for Banner Health - University Medical Division. She continues to care for patients and educates residents and students as a board-certified family medicine physician and assistant professor at the University of Arizona. After graduating medical school at the University of New England - College of Osteopathic Medicine, she moved to Tucson, Arizona to begin her residency in 2008. Many leadership roles including chief resident and medical director led her to being the youngest female to be designated CMO at Banner Health. As CMO, she has organized events such as Connecting the Community with BOMBAS, where over 250 individuals without permanent housing were provided food, clothes, immunizations, haircuts, and medical care. She also continues to lead efforts in the COVID-19 pandemic to ensure there is capacity to care for patients at our hospitals and has pioneered Banner Health's Long COVID treatment program. Enjoying travel and adventures, she enjoys getting away with her husband John to go SCUBA diving whenever possible. Time is more constrained since both recently embarking on their journey at Eller College of Management to earn their MBAs.

Dr. Nimit Agarwal is a geriatrics and internal medicine physician leading the Division of Geriatric Medicine at Banner - University Medical Center Phoenix and the University of Arizona College of Medicine - Phoenix. He leads the Center for Healthy Aging at Banner - UMC Phoenix and is the Program Director of the Internal Medicine Geriatric Medicine Fellowship Program. Under his leadership, Banner - UMC Phoenix became the first hospital in Arizona to receive the Geriatric Emergency Department Accreditation from the American College of Emergency Physicians. Banner - UMC Phoenix is also a member of NICHE: Nurses Improving Care of Healthsystem Elders, an international nursing and consultation program designed to improve geriatric care in healthcare organizations. Banner - UMC Phoenix has ranked in the Top 50 programs per U.S. News and World Report for geriatric medicine annually. He was awarded the 2020 Arizona Falls Prevention Award for Research and Science by the Arizona Falls Prevention Coalition.

Lori Best has been in healthcare for 36 years, starting as a nurse’s aide and LPN, prior to obtaining associates degree in nursing in 1985. During her professional journey, she worked on medical, surgical, orthopedic, and neurology/neurosurgical units as a staff and charge nurse. Learning about health care costs and how to improve patient care utilizing correct supplies, lead to seeking more opportunities in creating and updating nursing policies and procedures, as well as, educating nurses on those changes. In 1995, she become a prior authorization nurse and moved into the manager role in 1997 to 2010. She helped select a medical management application and was instrumental in the building, implementation, and ongoing maintenance of the application. From 2010 to 2012, she led a new case management solution with an external vendor. The application was successful in meeting National Committee for Quality Assurance (NCQA) accreditation. Since 2012, she has been a Nurse Informatics Program Director and sought to improve her leadership knowledge and obtained a BSN in Nursing (2015) and became board certified in nursing informatics (2018).

3/23/2023 8:10 AM - 8:55 AM 45 min GS
2023D3002 From Marathon to Sprint—What's in It for You and Beyond
Presented by Myrna Young, MSN, RN, CNOR, Joe McGettigan, MEd, CPE, Tom Modica, PT, DPT, OTR, CHT, and Anne Marie Santos, PT
Overview:

It has been said that the path to culture change necessary for a good SPHM program to flourish is a marathon, not a sprint. Given all of the 'moving parts' of a program that need to work together, it is often a long process with a lot of steps, often requiring a great deal of perseverance. It has also been speculated that maybe as SPHM professionals we should reconsider this. This session will discuss the efforts of a large, metropolitan Magnet teaching hospital in New Jersey and how the program was resurrected from dormant to a state-of-the-art trajectory in under one year. The efforts resemble more of a sprint than a marathon. Discussion will focus on systems thinking in general and how transformational leadership empowered this systems approach, revitalizing the program so quickly according to New Jersey Department of Health and American Nurses Association (ANA) SPHM standards. It will then focus on how the efforts at this one site are being exported and duplicated across the hospital system. Practical tips will be shared through moderated discussion, such as how to leverage:
• The "What's in it for me?" (WIFM) principle.
• How to get others to see what you see so they join you.
• Empowering the nursing ranks to take ownership of the program.
• Bringing upper management on board with the effort.
• Standardizing policies, procedures, and equipment across diverse sites.
The session will present how we used leading indicators to proactively chart progress and lagging data such as injury claims, fall rates, and pressure ulcer rates to date.

Objectives:

1. Briefly explain what systems thinking is and how it is an effective means for the culture change necessary for an SPH program to flourish.
2. Explain how to capitalize on the "What's in it for me?" (WIFM) principle in getting committed volunteers.
3. Apply best practices for reducing patient handling risks to caregivers.
4. Explain the basic steps of how one program used a systems approach to resurrect an SPH program that went from dormant to on its way to state-of-the-art in one year.
5. Understand that such efforts are not without challenges in growth and can be used successfully across diverse situations.

Myrna Young has over 35 years' experience in various nursing leadership roles, including Acting AVP for Perioperative Services, Director of Perioperative Services, Director of RWJBH RN Residency Program, Nursing Education Specialist, Legal Consultant, Head Nurse, Clinical Instructor, Clinical Associate/Adjunct Professor-Rutgers University School of Nursing. She has developed and successfully implemented innovative ideas and standards of practice related to quality patient care, visitors, and employee safety practices through collaboration with multidisciplinary teams within and outside the RWJBH System. Myrna is the leader for the RWJBH SPHM System-wide Collaborative Council, which comprises 11 hospitals. Previously, she served as chair of the SPHM Committee for two campuses. She is the recipient of several prestigious international awards, including International Nurse of the Year (2017) and Filipino Women's Network 100 Most Influential Filipina Women in the World (2017). She is a national and international speaker, has authored a book chapter, co-authored various publications, and was involved in nursing research projects at RWJBH. Myrna earned her master's in Nursing at Seton Hall University in South Orange, New Jersey and is a Certified Operating Room Nurse. She is a member of the Sigma Theta Tau International Nursing Honor Society and the Association of Operating Room Nurses.

Joe McGettigan has over 25 years' experience in corporate ergonomics, safety, and preventive health management. His extensive knowledge in issues such as safe patient handling, manual material handling, and ergonomics in virtually any office, lab, healthcare, and manufacturing setting, and trainings in a variety of safety and health topics, have helped clients in settings from small worksites to enterprise-wide systems in large Fortune 500 companies. Joe has developed and implemented corporate safety programs, including musculoskeletal injury intervention programs ranging from isolated safety meetings through comprehensive, site-wide ergonomic monitoring and surveillance systems. He has also developed programs in office ergonomics, back care and conditioning, manual material handling techniques, train-the-trainer, stress management, and a wide variety of health/ wellness topics. He earned a bachelor's degree from Penn State University in Physical Education and a master's in Exercise Physiology from Temple University, and he is a Certified Professional Ergonomist. Joe is also a member of ASSE and is part of the ASSE Ergonomics Practice Specialty. He formerly served as a technical advisor for the Office Ergonomic Research Committee (www.oerc.org).

Tom Modica has over 35 years of experience in the field of rehabilitation. He is a licensed Physical and Occupational Therapist and is a Board Certified Hand Therapist. He has worked in leadership positions at several large medical centers over the past 25 years and has been actively involved in developing, teaching, and implementing ergonomic programs and safe patient handling at each of the institutions. He has developed educational programming for both nursing and non-nursing personnel on safe patient handling. He is currently the co-chair of the Safe Patient Handling Committee at Saint Barnabas Medical Center and co-chair of the RWJBH System SPH Collaborative since 2019. Tom is a member of APTA and APTANJ and served on the APTANJ Board of Directors from 1998 to 2008. He has presented quality improvement projects and research at both state and national APTA conferences.

Anne Marie Santos has 30 years of expertise in the field of rehabilitation. She is a licensed Physical Therapist and is a Pediatric Certified Specialist. She has worked in leadership positions at Children's Specialized Hospital for the past 20 years and is currently the Director of Inpatient Clinical Therapy. She has been actively involved with teaching and implementing the Safe Patient Handling Program at Children's Specialized Hospital. Anne Marie is currently the co-chair of the Children's Safe Patient Handling Committee and has been instrumental in educational programming and training in the nursing and therapy disciplines throughout the Children's system. She has been a member of the Safe Patient Handling Collaborative Council for the past three years. Anne Marie graduated from Columbia University with her degree in Physical Therapy. She is a member of the APTA and APTANJ.

3/23/2023 8:55AM - 9:40AM 45 min GS
2023D3003 Who Handles the Handling? A look at the need for a dedicated SPHM Program Coordinator
Presented by Tricia Jaworski, OTR/L, CSPHP and Renee Kielich, RN, BA, CSPHP
Overview:

This presentation will continue the work from a poster submission and subsequent webinar stemming from the 2020 ASPHP National SPHM Education Event. The initial objective was to review data responses from a study completed to see where the SPHM Coordinator/ Manager role fits within the report structure of different healthcare organizations. The responses were enlightening and showed preliminary theories on how this role can impact SPHM program outcomes. The intent is to identify how the SPHM Coordinator/ Manager report structure and role responsibilities can create differences in improvements or barriers to outcome measures. Strategies and studies to justify a full-time dedicated SPHM Coordinator role will be discussed, as well as how to compare possible variances in outcomes when a dedicated SPHM Coordinator is in place.

Objectives:

1. Review prior research to help justify the SPHM Coordinator role.
2. Understand how SPHM programming impacts both patient and caregiver safety initiatives.
3. Discuss how a dedicated SPHM Program Coordinator can help sustain SPHM programs, and safety and quality initiatives.

Tricia Jaworski An Occupational Therapist by background, Tricia has worked at Advocate Aurora Health for over 25 years. Advocate Aurora Health is the 12th largest not-for-profit integrated healthcare system in the United States. Tricia currently is a System Safe Patient Handling & Mobility (SPHM) Program Manager overseeing programs in IL and WI. Tricia is certified as an Occupational Therapist through NBCOT and is a Certified Safe Patient Handling Professional (CSPHP). Tricia serves on the Alumni Association Board for the School of Health Professions at Concordia University Wisconsin. As a member of ASPHP, Tricia is active on the education committee and co-chairs the marketing committee. She also serves on the Board of Directors for ASPHP. Tricia is a co-chair of the WI SPHM Network, offering SPHM educational opportunities, conferences, networking, and support for those involved in SPHM across the state of WI.

Renée Kielich is an SPHM Clinical Consultant with Hillrom and is a national thought leader in SPHM. She has a variety of healthcare experience, including direct patient care and leadership roles in critical care, occupational health, workers' compensation, and loss prevention. Her accomplishments include implementing a safe patient handling program from "design through implementation" during a major hospital construction project. In her role as consultant, she assists facilities with program and policy development, program implementation, Bedside Mobility Assessment Tool (BMAT) implementation, and education plans. Renée is a Certified Safe Patient Handling Professional (CSPHP) and has a special interest in culture change relating to SPHM programming and its integration into patient care quality initiatives. She served as President of ASPHP from 2017-2018 and now serves on the Board.

3/23/2023 10:00 AM - 10:45 AM 45 min GS
2023D3004 An Update on VHA Resources for the SPHM Professional
Presented by Tony Hilton, DrPH, MSN, FNP, CRRN, Marie M. Martin, PhD, CSPHP, Renee Neidhardt, MSN, RN, and Susan Gallagher, PhD, MSN, MA, RN, CBN, HCRM, CSPHP
Overview:

The Veterans Health Administration (VHA) has long been a leader in SPHM. This interactive panel discussion features a review of the VA SPHM Guidebook, the Bariatric SPHM Guidebook, and most importantly the all-new enclosure to the Bariatric SPHM Guidebook that addresses the individual whose weight ranges between 500 and 1,200 pounds. Don't miss this unique opportunity to learn what we know and what still is unknown.

Objectives:

1. Describe VHA SPHM resources that are readily available.
2. Review the new enclosure to the Bariatric SPHM Guidebook.
3. Explore key findings in caring for the individual weighing 500 to 1,200 pounds.
4. Identify threats to SPHM related to the bariatric population.

Tony Hilton has been the SPHM National Program Manager for the Veterans Health Administration (VHA) in Washington, DC since 2016 after her role as SPHM Coordinator at Loma Linda VA Health Care System for eight years. She has been a Physical Medicine and Rehabilitation Nurse Leader for over 20 years, Family Practice Nurse Practitioner, Public Health Consultant, and program manager at a number of healthcare facilities for 15 years. She has a passion for caring for medically-underserved populations in community clinics. Dr. Hilton's research findings in Emergency Preparedness in VHA Community-Based Clinics in California was published in the Federal Practitioner Journal. She has extensive experience in leadership development, palliative care, end of life care planning and ethics, medical case management, long term mechanical ventilation in the community care setting, and home health care for high risk and technology dependent patients. She speaks at national and international conferences on a number of topics and has published extensively over her career. Dr. Hilton was interviewed by National Public Radio "Injured Nurses" reporting best practices in SPHM at Loma Linda VA Health Care System. She continues to be actively involved in multiple research and cutting edge innovative projects in SPHM to support a culture of safety within health care systems. She is dedicated to care for our veterans and their families in appreciation for their honorable services.

Marie Martin is an industrial hygienist by training, with her PhD in Occupational and Environmental Health Sciences from the University of Washington. She led curriculum for an Occupational Safety and Health Administration (OSHA) training center before joining the VA North Texas Health Care System as an industrial hygienist in 2008. Within two months of arrival, she was planning for ceiling lifts, and she has been an SPHM facility coordinator ever since. In 2014, she started helping with the national VA SPHM program, led it from 2015 to 2016, and has assisted with its leadership ever since.

Renee Neidhardt earned her master's degree in Nursing in 2013 and has been part of the Department of Veterans Affairs, Charlie Norwood VA Medical Centers, SPHM program since 2008. She has served in the role of the medical center's SPHM Facility Coordinator and is instrumental in the development, implementation, and sustainment of the SPHM program at the Charlie Norwood VA Medical Center, Augusta, Georgia. She has presented on SPHM program components and was a contributor to the VHA SPHM Guidebooks, VHA SPHM Bariatric Guidebook supplement, and other publications.

Susan Gallagher earned a Master's in Nursing: Advanced Practice WOC Nursing from the University of Southern California in 1995. She also holds a Master's in Religion and Social Ethics and a PhD in Policy Ethics from the University of Southern California. Dr. Gallagher is certified in Bariatric Nursing and is a Certified Safe Patient Handling Professional. She is Past President of ASPHP, Associate Editor for Workplace Health and Safety (AAOHN), has served on a number of international boards, and is a recognized speaker across the globe on skin and wound care, outcomes, bariatrics, ethics, risk, and loss control. She is the author of more than 200 peer-reviewed articles, books, and book chapters, including the ANA Implementation Guide to SPHM Standards, Bariatric SPHM, and more.

3/23/2023 10:45 AM - 11:30 AM 45 min GS
2023D3005 Sustainability Through Measurement - Full Integration with Patient Safety
Presented by Nancy McGann, PT, CSPHP, CPPS
Overview:

"Measurement is the first step that leads to control and eventually to improvement. If you can't measure something, you can't understand it. If you can't understand it, you can't control it. If you can't control it, you can't improve it." (James Harrington) Patient and workforce safety cannot be fully realized until they are completely integrated. In the patient safety world, numerous measures are shared with leaders on a consistent basis and are benchmarked on a national level. For SPHM to become a standard and sustainable part of healthcare delivery like infection prevention and other patient safety initiatives, we need to create valid and reliable mobility measures that are easy to obtain, share, and understand. These measures must be balanced to ensure they support the mission, vision, and values of healthcare institutions. How can we justify investment in SPHM roles and technology like we see with other patient safety initiatives? We can do this by creating clear measurements of mobility that can be benchmarked on a national level. This session will share the SCL Health journey that led to raising mobility to the top of mind of healthcare executives, frontline leaders, and frontline staff by creating dashboards that accurately measure mobility. Discussion will include how these measures are integrated into numerous other programs, including Early Recovery After Surgery and readmission initiatives.

Objectives:

1. Understand the critical need for mobility measures in healthcare. 2. Understand the process to create dashboards for mobility measures.
3. Learn how to explain and share various charts, including control charts, to demonstrate genuine process change.
4. Learn how to integrate these measures to promote mobility and safe patient handling throughout your organization.

Nancy McGann is the Region Manager for Caregiver Safety in the Quality and Safety Department of Intermountain Health, Peaks Region, where she has worked for 16 years. Prior to her current role, she was the System Manager of Ergonomics and Safe Patient Handling. She has worked as a therapist and ergonomic consultant in industry and healthcare for the past 33 years. Nancy oversees caregiver safety and patient mobility programs for the Peaks Region hospitals and ambulatory centers. She is on the Board of Directors of ASPHP and has spoken nationally for the past 13 years in this area. Her passion is protecting both caregivers and patients while facilitating mobility to provide the highest quality of care.

3/23/2023 11:30 AM - 12:15 PM Closing Keynote 45 min
2023D3006 A Look to the Future
Presented by Susan Gallagher, PhD, MSN, MA, RN, CBN, HCRM, CSPHP, and Team
Overview:

Today, more than ever, SPHM is creating a way to promote patient safety and prevent injury among healthcare personnel. This presentation challenges participants to recognize where we have come and to embrace an all-new way of providing safe, quality patient activity. Special patient populations and case scenarios will be presented.

Objectives:

1. Describe the history of patient handling - A Look to Yesterday.
2. Identify SPHM resources available Today.
3. Explore the SPHM vision for Tomorrow.

Susan Gallagher is a trained wound ostomy continence nurse, certified bariatric nurse, healthcare risk manager, and certified safe patient handling professional. She has certificates in Six Sigma-Health Care and Six Sigma LEAN. Dr. Gallagher holds a master's degree in Nursing, a master's degree in Religion and Social Ethics, and a PhD in Policy Ethics. She is a recognized expert in safety and outcomes with emphasis on bariatrics, skin/wound care, safe patient handling and mobility, and loss control. She lectures internationally and has authored over 200 articles, books, or book chapters. Her professional objective is to assist organizations in capturing quality and sustainability through customer sensitive initiatives, supported by quantitative performance improvement outcomes.