Tuesday, March 11, 2025 7:30 am - 8:30 am 60 min GS
2025D1001 Looking back to move forward - the future of SPHM in the US
Presented by Lynda Enos, RN, BSN, MS, COHN-S, CPE, Colin J. Brigham, CSPHP-Retired, FAIHA, Dr. Ruth Francis, DrPH, MPH, MCHES and Mary W. Matz, MSPH, CPE
Overview: Despite commendable efforts by professional and government bodies over the past two decades, SPHM has yet to become the gold standard of patient care in the United States. We stand at a crossroads, where action is imperative.
In this session, panelists revisit the evidence and related developments in SPHM over the past 30 years, with a goal to determine what must occur to establish SPHM as a standard of care in all healthcare organizations across the U.S.
The panelists will drive a conversation regarding the history, evidence-based research, and regulatory activities involving SPHM in the U.S. Pioneers (individuals and organizations) who have contributed significantly to this science will be acknowledged.
The Safe Patient Handling and Mobility (SPHM) A Process to Protect Health Care Workers and Recipients White Paper (2024) by the American Industrial Hygiene Association (AIHA), the American Nurses Association (ANA) and ASPHP will be introduced and provide the framework for topics discussed. Recommendations to advance SPHM across the healthcare continuum in the U.S. will be presented.
For those new to SPHM, this session will provide essential background knowledge, reinforce fundamental concepts, and increase awareness of existing evidence and available resources for use in clinical practice. The panelists have extensive experience in SPHM and its growth in the U.S. over the past 40 years. Participants will be encouraged to share their ideas about the necessary advocacy and integration of SPHM throughout all patient care settings in the U.S.
Objectives:
- 1. Identify evidence-based SPHM practices from the past 40 years of research activities that can be used in program development today.
- 2. Define barriers to SPHM legislation and establishing guidelines in the U.S.
- 3. Identify the necessary key drivers and interventions to increase utilization of SPHM across healthcare organizations
- 4. Identify non-commercial resources available to justify, develop, implement, evaluate, and maintain SPHM programs
Bios:
Ms. Enos is a certified occupational health nurse and certified professional ergonomist with over 30 years of work and consulting experience in industrial and health care ergonomics. She holds an undergraduate degree in nursing and a graduate degree in human factors/ergonomics from the University of Idaho. Ms. Enos has worked with over 200 companies nationwide to develop and facilitate ergonomics and safety programs. Work experience includes consultation in safe patient handling and mobility (SPHM) and ergonomics for over 40 hospital systems, clinics, assisted living facilities, and home health and hospice services in the United States. Assistance includes development, facilitation, and evaluation of SPHM programs for up to 6 years per facility.
Since 2010, in the role of clinical consultant, Ms. Enos has assisted a large teaching hospital in Oregon to develop, and maintain a comprehensive SPHM program, assist to address ergonomics related issues system wide, and provide clinical coaching and problem solving at the bedside to help nursing and other staff address patient mobility challenges. Ms. Enos co-authored the Federal OSHA Guidelines for Nursing Homes: Ergonomics for the Prevention of Musculoskeletal Disorders (2003) and was a contributor for the 2013 and 2021 editions of the American Nurses Association (ANA) Interdisciplinary Safe Patient Handling and Mobility Standards.
She co-authored the Association of Safe Patient Handling Professionals (ASPHP) Safe patient handling and mobility (SPHM) education in healthcare student curriculum: A white paper (2023) and the American Industrial Hygiene Association; ASPHP and ANA Safe Patient Handling and Mobility (SPHM) A Process to Protect Health Care Workers and Recipients. A white paper (2024 In Press).
She was also an American National Standards Institute (ANSI) representative member of the ISO/TC 173/WG 13 committee that developed ISO standard 10535:2021 Hoists for the transfer of disabled persons - Requirements and test methods. Ms. Enos is a past director for the Association of Safe Patient Handling Professionals (ASPHP) and current member of the NIOSH NORA Healthcare and Social Assistance Sector Council. Ms. Enos was the recipient of the 2014 Ergonomics Professional of the Year Award from the Puget Sound Human Factors and Ergonomics society (PSHFES) and the 2017 Advocacy Award for Safe Patient Handling awarded by the Tampa VA Research and Education Foundation and the Association of Safe Patient Handling Professionals (ASPHP).
Colin Brigham, a founder and 2nd president of ASPHP, AIHA Ergonomics Committee member and prior Chair, provided health and safety services to healthcare for over 40 years and general industry for 50 years, retired 10/22 letting other certifications (CIH, CSP, CPE, CPEA) expire. Currently on ASPHP Governance Committee.
Dr. Ruth Francis has over 30 years of international, corporate, association, government and community health education and promotion experience and works for the American Nurses Association (ANA) where she is a Senior Policy Advisor in the Nursing Practice & Work Environment Department. Ruth is the co-staff lead for the Racism in Nursing work and manages ANA's COVID Education and Occupational Health Initiatives - Workplace Violence/#End Nurse Abuse Initiative, Safe Patient Handling and Mobility, Precision Health, AI in Nursing, Opioids Prevention, and Gun Violence Prevention, representing ANA at national and federal stakeholder meetings. Ruth also represents ANA on CDC's Advisory Committee on Immunization Practice Workgroup related to COVID-19 vaccine education.
Dr. Francis has authored or co-authored over 100 books, articles, positions, briefs, and papers and has presented locally, nationally, and internationally on occupational health, immunizations, safety, and health and wellness promotion. She led the team in re-writing the ANA Safe Patient Handling and Mobility Interprofessional National Standards in 2021 and is currently half-way through her 3-year term on the NIOSH Board of Scientific Counselors, providing guidance to the NIOSH Executive Staff. Ruth is a past ASPHP Board member (2019-2021) and currently participates on the Governance Committee and chairs the Policy Workgroup. Dr. Francis completed her Doctorate degree in Public Health, received her master's degree from Loma Linda University in California and is certified as a Master Health Education Specialist.
Ms. Matz is a board-certified professional ergonomist and an internationally recognized expert in patient care ergonomics. She provides consultation services related to patient handling technology selection, use, and design in addition to Safe Patient Handling and Mobility program development, implementation and maintenance. She conducted patient care ergonomic research that was so successful, Congress provided the VA with $205 million for a national rollout. She led the national VA Safe Patient Handling and Mobility program in 150 VA medical centers. Her expertise led to the incorporation of safe patient handling design criteria in National Guidelines for Design and Construction of Health Care Facilities.
Tuesday, March 11, 2025 8:30 am - 9:30 am 60 min GS
2025D1002 High Reliability Principles to Advance Your SPHM Initiative
Presented by Alan Bennett, BSIE, MBA, CPPS, LSSBB, PMP
Overview: Clinically excellent and safe care requires an organization that is highly reliable and dependent on active participation in a culture of high reliability. This presentation will buildings from last year's conference and provide content and interactive exercises intended to gain an understanding of engagement, safety and reliability initiatives and principles of human error prevention that will impact adoption and sustainability of safe patient mobility programs.
Objectives:
1. Participants will identify how high reliability is a foundation element that can drive operational excellence and psychological safety.
2. Participants will describe how building and reinforcing accountability will achieve and sustain organizational goals related to SPHM.
3. Learners will apply high reliability principles to leverage workforce engagement and compliance with safety goals.
4. Describe how leveraging the science of safety and human performance can help achieve performance excellence.
Bio:
Alan Bennett is an Associate Principal in the safety and reliability consulting arm of Press Ganey. He has more than 25 years of safety and reliability leadership experience in healthcare, engineering consulting, automotive manufacturing, and defense contracting. Prior to his work in healthcare, he served as Continental Automotive Corporation's Head of Quality for the North and South American Region.
Most recently Alan served for eight years as the Riverside Health System Director for Patient and Workforce Safety in Newport News, Virginia. In that capacity, he led the implementation of a safety and performance excellence culture initiative resulting in a 67% reduction in preventable serious events of patient harm, and a 56% reduction in serious workforce injuries with an associated $1.6M per year cost avoidance in workers compensation costs. His expertise in human performance, systems engineering, and high reliability practices were instrumental in the successful implementation of high reliability organizing strategies for front-line staff, physicians, and leaders.
Additionally, he is an expert in event investigation and cause analysis, process improvement methods, as well as workforce safety and resilience. Alan is a certified Lean Six Sigma Black Belt. He is a qualified instructor for the GE Change Acceleration Process model and has been trained as an ISO 14001 and ISO 9001 Lead Auditor. He is a certified Project Management Professional and is a Certified Professional in-Patient Safety. He is also a certified Heart Math Resiliency Coach.
Select Speaking Engagements:
- Lockton Group, Fall Conference: "Commitment to Resilience: Keeping your Staff Afloat." 9/2024
- Massachusetts Health and Hospital Association, Burlington, MA. Keynote Speaker: "Workforce Safety as a Retention Strategy." 10/2024
- American Society of Patient Handling Professionals conference, San Diego, CA. Keynote Speaker: "Embedding HRO Principles in Safe Patient Mobility." 3/2024
- Virginia Hospital and Healthcare Association Patient Safety Summit, Richmond, Va. Top 3 project award winner. Presenter: "Riverside Health System's Safe Patient Handing and Mobility Project." 5/2019
- Northwest Supreme Court Justice Conference, Innovations in State Courts, Vancouver, WA. Conference presenter: "Lean Manf Concepts for State Court System Process Improvement." 5/2018
- Virginia Society of Health System Pharmacists, Richmond, VA. Conference presenter. Topic: "High Reliability for Leadership and Medication Safety." 6/2018
- ECRI Institute, Healthcare IT Safety conference, Plymouth Meeting, PA. Presenter. Topic: "Using EHR Workflows to improve patient safety." 10/2017
- Premier Breakthroughs Conference, Washington, DC. AEIX Award Winner. Conference presenter: "Closed Loop Imaging Results Reporting." 6/2017
Tuesday, March 11, 2025 10:00 am - 11:00 am 60 min GS
2025D1003 Allina Health's SPHM Story - How Data and a State SPHM Statute Drove Success and Sustainability
Presented by Lori Severson, MS, BA, CSP, HEM, John Crist, Employee Safety Specialist, Safe Patient Moving Site Lead
Overview: A 2007 SPHM Statute in Minnesota has driven change through legislation & by building & Healthcare Safety network. Our story shares this regulatory impact & paints a picture of SPHM injury tracking via a unique Insight report. We'll demystify how to obtain & trend injured worker data to help you drive prevention. Hear Allina health's accounting of a 17-year Allina SPH case study in Minnesota. A story for the record books will be shared of how one has built the relationships & street credibility to year over year successfully secure equipment & fill training rooms. Learn of the dynamic simulation education process that has emphasized patient & employee safety. Take actionable steps back to your organization on data & SPH best practice steps.
Objectives:
- Learn of 2 MN Safety Statutes in Healthcare. SPHM Legislation in Minnesota - (2007) & (2024) Healthcare Ergonomics Statute & MN OSHA Matching Safety Grant Program - A Unique Healthcare environment
- Identify Insights into workers compensation data. See examples of how to SPHM Code data and see your trends for actionable safety.
- Understand the SPH metric/dashboard Allina Health has used in its 17-year SPHM Journey
- Learn Allina's appropriate / meaningful action in response to injuries and injury trends; such as quantification of perceived shortcomings...as opposed to blanket statements such as "we never have slings".
- Become familiar how to engage with your insurance program by way of example from the 17-year SPH Allina journey take back actionable Ergo/SPH Injury prevention/reduction tools & skills.
Bios:
John Crist is an Employee Safety Specialist and the Safe Patient Moving site lead for Abbott Northwestern Hospital. John has been a practitioner, trainer, and consultant for Safe Patient Movement and seating and positioning in the hospital setting since 1996. He co-chairs the Allina SPM Council and co-authored the article: "Special Approaches for Safe Handling of Disabled Children in the Netherlands' which was published in the January/February 2008 issue of Rehabilitation Nursing.
Lori is a seasoned safety professional with over 25 years of diverse experience in environmental health and safety. Lori holds a Master's degree in Occupational Safety & currently travels the US assisting Healthcare employers with Risk Management harm and injury prevention programs. As the Healthcare Team Lead for Risk Control Services at Lockton, she provides strategic guidance to healthcare clients nationwide, championing initiatives that enhance safety and reduce risk. Lori's contributions to advancing healthcare safety in partnership with the American Society of Safety Professionals, include ergonomics & safe patient handling program development & analysis. Among her notable achievements, Lori played a pivotal role in developing the 2013 National Safe Patient Handling and Mobility Standard in collaboration with the American Nurses Association.
Tuesday, March 11, 2025 11:00 am - 12:15 pm 60 min GS
2025D1004 Tell Me A Story: Influencing SPHM Engagement through Storytelling
Presented by Laurette R Wright BSN, MPH, CSPHP, WCP® and Andy Rich, MS, OTR/L, CSPHP
Overview: So often when measuring the success of a SPHM program, organizations focus and rely heavily on the use of numerically driven quantitative data. However, when an organization becomes singularly focused on the numbers, they often miss opportunities that can demonstrate drive-specific organizational goals while engaging, motivating and captivating others. This highly interactive session will explore the significance of STORYTELLING and how organizations can use it to influence engagement and support for their Safe Patient Handling and Mobility culture. The session will offer ideas and essential tips, using real world examples, to help you
Objectives:
- 1. Define corporate storytelling and why it's important
- 2. Discuss key elements and structure of a good business story
- 3. Describe 3 types of stories and in what situations would they be used.
- 4. Summarize the future of storytelling in business
- 5. Develop a compelling SPHM story to be shared within your organization.
Bios:
Laurette is a recognized subject expert in Safe Patient Handling and Mobility, with over 30 years of experience in helping healthcare organizations navigate and acquire values and norms necessary to integrate and sustain evidence-based Safe Patient Handling and Mobility programs. An accomplished speaker and thought leader, Laurette has delivered numerous keynote and concurrent presentations nationally and internationally addressing the complexities of Safe Patient Handling and Mobility programs. In addition, she has authored and/or co-authored publications in professional trade journals and books such as the Journal of the Association of Occupational Health Professionals in Healthcare, Critical Care Nursing Clinics of North America, International Journal of Safe Patient Handling and Mobility and The Illustrated Guide to Safe Patient Handling and Movement, Springer Publishing. As an active member of CSPHP Certification and Renewal Committee, Laurette is most passionate about mentoring others in supporting and redefining the culture of SPHM programs within their organizations.
Andy Rich presently works as the Clinical Solution Manager for Arjo, providing leadership in design, delivery and consultation of effective safe patient handling and mobility programs since 2004. In addition, he has served on the executive board of the Association of Safe Patient Handling Professional from 2011-2013. Andy has worked as an occupational therapist developing safety programs, return to duty work programs, managing an Industrial Rehabilitation Program since 1997. He holds certifications in Ergonomics, Process Improvement and Training and Development. He has presented as a keynote and plenary speaker numerous times from 2008-2024 at the ASPHP Patient Handling and Movement Conferences; 2019 Connecticut Hospital Association Safe Patient Handling Conference; 2019 University of Alabama Safe Patient Handling Symposium; 2018 Association of Occupational Health Professionals and the 2007, 2022 & 2024 Ergonomic Conference; and 2006-2008 OSHA Safe Patient Handling Conferences. Andy is currently in production of Early Mobility film that is hoping to be released in 2020. Andy has his Master of Science in Occupational Therapy from Rush University in Chicago, IL.
Tuesday, March 11, 2025 1:15 pm - 2:30 pm 75 min GS
2025D1005 Revolutionizing Patient and Staff Safety in Awake and Walking ICUs.
Presented by Kali Dayton, DNP, AGACNP
Overview: For decades, automatic sedation, immobility, and restraints have dominated culture and practices in the ICU in the name of safety. The high risks and costs to patients, clinicians, and hospitals often go unnoticed. Decades of research reveals this approach increases risks such as falls, injury, delirium, and mortality. In this presentation, we'll explore how to revolutionize safety culture in the ICU to optimize safety, care, and outcomes for patients and clinicians.
Objectives:
- Participants will understand the risks of sedation and immobility.
- Participants will understand the contribution of delirium and ICU-acquired weakness to falls and adverse harm.
- Participants will be empowered to advocate for and lead evidence-based practices in their own facilities.
Bio:
Kali Dayton, DNP, AGACNP, is a critical care nurse practitioner, host of the Walking Home From The ICU and Walking You Through The ICU podcasts, and critical care outcomes consultant. She is dedicated to creating Awake and Walking ICUs by ensuring ICU sedation and mobility practices are aligned with current research. She works with ICU teams internationally to transform patient outcomes through early mobility and management of delirium in the ICU.
Tuesday, March 11, 2025 2:30 pm - 4:30 pm 120 min GS
2025D1006 Hands on: Facilitated SPHM Scenarios and Simulation Learning Exercises
Presented by ASPHP Hands OnTeam
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.
Objectives:
- Identify SPHM challenges based on case scenarios from a diverse case mix.
- Explore and apply equitable and inclusive evidence-based SPHM practical options to address case scenarios.
- Recognize the elements of critical thinking and decision-making in SPHM case scenarios.
- Review SPHM knowledge through hands-on participation.
Structure of SPHM Skill Knowledge Check
1. Introduce knowledge check facilitators/explain their role
2. Provide each team/member with knowledge checklist
3. Review expectations for session
4. Collect solutions
5. Review correct responses with participants
6. Q + A
Tuesday, March 11, 2025 4:45 pm - 5:45 pm 60 min GS
2025D1007 Building an Engaged Early Mobility Practice on Every Level
Presented by Rhonda Turner, DNP, MSN-LD, RN, CSPHA, Nimit Agarwal, MD, MBA, FACP, AGSF, Division Chief, Geriatric Medicine, Ronnie Turner, CNA, CSPHA
Overview: This presentation will demonstrate the process to build an engaged early mobility practice that reaches every level of the healthcare organization. A shift in culture begins with a thoughtful change model and strong intradisciplinary team to ensure sustainability. Age-Friendly care includes mobility as one of the 4-M frameworks and will be recognized as a 2025 CMS measure. Taking a proactive approach to early mobility only improves patient outcomes and it is imperative to keep that safe patient handling vision intertwined.
Objectives:
- Identify a change model that will support of foundation of sustainable practice across every level
- Incorporate Age Friendly Care into the daily workflow
- Understand the importance of date management and process outcomes to drive best practice
Bios:
Dr. Nimit Agarwal is a geriatrician 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 is also 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. He developed the first Age Friendly Health System hospital in Phoenix and an Acute Care for Elders Unit. Dr Agarwal is passionate about the 4Ms: Mentation, Mobility, Medication and What Matters in caring for older adults. He is instrumental in writing and developing clinical practice for mobility, delirium, oral care, nutrition, and several other clinical issues for Banner Health. Banner - UMC Phoenix has been highly ranked per U.S. News and World Report for geriatric medicine annually. Dr. Nimit Agarwal was awarded the 2020 Arizona Falls Prevention Award for Research and Science by the Arizona Falls Prevention Coalition.
Ronnie started with Banner in 1996, a total of 28 years as a CNA and total of 32 years. Ronnie have seen so often the mistakes that happen because staff won't take the time to utilize the resources that are available for safe patient handling. He has always been an advocate for helping peers to take a step back and assess what they are trying to accomplish while keeping it safe for all parties involved. Working as a collaborative team is the ultimate key, whatever your role is in the process. Ronnie is currently supporting and helping the NCMC SPHM Champions team build as a house wide resource for all the units. Ronnie has presented on the National platform since 2015 and internationally since 2019. His mantra is "Can't stop, won't stop".
Rhonda has been in healthcare for 38 years in various roles. She acquired her BSN in 2014 , MSN-Leadership in 2018, and she graduated with her DNP in April of 2024. She currently works as a Sr. RN Clinical Stroke Program Manager. In addition, she leads a large healthcare system for fall prevention, SPHM, and early mobility by identifying methods to increase awareness and how a focused program can positively impact patient outcomes while reducing injuries to the patients and frontline staff. Rhonda is a national and international speaker since 2015, a published author, has been a board member of ASPHP since 2019 and is now serving as the Executive Secretary Treasurer. Her mantra is "Empowering others to lead the future".
Wednesday, March 12, 2025 8:30 am - 9:15 am 45 min GS
2025D2001 What's behind the guidelines? Translating research to practice, and the evidence for SPHM programs
Presented by Neal Wiggermann, Ph.D.
Overview: This presentation will provide foundational background on the guidelines for SPHM that are accepted today. The presenter will explain common mechanisms for musculoskeletal injury and accepted ergonomic guidelines for preventing injury. These ergonomics guidelines together with recent research will be translated to best practices for high-risk patient handling tasks. Common ergonomic practices in healthcare will be compared with other injuries. The presentation will conclude with a review of the evidence supporting SPHM programs, and questions from the audience.
Objectives:
- 1. Explain the etiology of musculoskeletal disorders in healthcare workers with associated epidemiological evidence.
- 2. Translate findings from recent biomechanics studies into recommended guidelines for clinical practice.
- 3. Describe the evidence supporting Safe Patient Handling and Mobility (SPHM) programs and identify program outcomes that generate the best business case.
Bio:
Neal Wiggermann is a specialist research scientist in Baxter R&D. For the past 13 years he has managed a biomechanics lab that performs scientific research and product testing to inform the design of the company's medical devices. Neal has published over 25 peer-reviewed articles and has been granted over 50 patents. He is the president of the Association of Safe Patient Handling Professionals and is a Senior Editor of Ergonomics in Design. Neal received his Ph.D. in Industrial Engineering from the University of Michigan where he specialized in ergonomics and epidemiology of workplace musculoskeletal disorders.
Wednesday, March 12, 2025 9:30 am - 10:15 am 45 min BO
2025D2002 The Total Mobility Dashboard: Measure Mobility Across all Levels
Presented by Nancy McGann PT, CSPHP, CPPS
Overview: How do we measure the success of our mobility programs when all our patients have different mobility expectations and goals? Learn ways to measure safe, early, and continuous mobility that will make sense to executives, support leaders, and speak to caregivers at the bedside. The Total Mobility Dashboard was developed to meet the needs of today’s caregivers and patients as well as demonstrate the ability to meet Age Friendly Care. Intermountain Health has had an ambulation dashboard for several years that has driven very successful improvements. To ensure we provide the same improvement for our patients of lower mobility levels, this dashboard was enhanced to be inclusive of all patients. Learn how to use enhanced documentation and mobility assessments to give actionable information and goals to all levels of your healthcare team.
Objectives:
- Identify ways to document mobility to simplify for all levels of the organization.
- Describe how using a mobility assessment is needed to accurately assess success.
- Outline and share examples from an existing Total Mobility Dashboard that uses the BMAT as the denominator to describe mobility outcomes for our most dependent and independent patients alike.
- Recognize how to link mobility assessments and mobility goals to support safe, early, and continuous mobility.
Bio:
Nancy McGann PT, CSPHP, CPPS is the Enterprise Manager of Safe Mobility for Intermountain Health where she has worked for 18 years. In this role she leads patient fall prevention, safe patient handling, and patient mobility programming for Intermountain Health's 33 hospitals, 385 clinics and severak post-acute centers. Prior to her current role, she was the System Manager of Caregiver Safety and the System Manager of Ergonomics and Safe Patient Handling and Mobility at SCL Health; now Intermountain Health. She has worked as a therapist and ergonomic consultant in industry and healthcare for the past 35 years. Nancy has been on the board of directors of the Association of Safe Patient Handling Professionals for 5 years and has published and spoken nationally for the past 15 years in this area. Her passion is protecting both caregivers and patients while facilitating mobility to provide the highest quality of care.
Wednesday, March 12, 2025 9:30 am - 10:15 am 45 min BO
2025D2002-2 Cancer sucks. SPHM does not!
Presented by Yeu-Li Yeung, MS, OT/L, CPE, CSPHP and Claire Carmody, MSN, FNP-BC, OCN
Overview: For patients with cancer, mobility impairments often develop from the primary disease site, disease progression or side effects from treatment causing weakness and fatigue. Overtime the compounding effects of treatment can impact a person's ability to perform even the simplest functional movements. Consequently, these patients are at increased risk for falls and may develop a need to use assistive devices like walkers or wheelchairs.
The implications of functional and mobility impairments amongst patients with cancer can vary across the care- continuum, impacting access to diagnostic testing and treatment modalities, affecting treatment quality and efficacy, and subsequently compromising healthcare worker safety. More notably, patients struggle to accept these mobility limitations and perceive use of assistive devices and safe patient handling equipment as insults to their independence.
This presentation will describe an overview of the oncology experience from diagnosis to survivorship, discuss the challenges patients with cancer encounter pertaining to mobility and functional deficits, describe the emotional and behavioral struggles of patients and caregivers impacting mobility safety, identify environmental barriers within healthcare facilities, and discuss solutions to enhance safety and accessibility within the continuum of oncology care.
Objectives:
- Describe the oncology experience from diagnosis to survivorship.
- Discuss challenges patients with cancer experience pertaining to mobility and functional deficit
- Describe the emotional and behavioral struggles experienced by patients and caregivers impacting mobility
- Identify the environmental barriers within healthcare facilities.
- Apply solutions to enhance safety and accessibility within the continuum of oncology care.
Bios:
Ms. Yeu-Li Yeung has over 20 years of experience in healthcare ergonomics. She has provided cost-effective solutions to minimize work hazards, developed and conducted training, consulted and collaborated on design and construction projects. She led the development and implementation of the safe patient handling and mobility (SPHM) program at Duke University Hospital and clinics. She partners with the nursing executive team to manage the SPHM program. She also teaches SPHM at the School of Nursing (SON) and Occupational Therapy Doctoral (OTD) Division at Duke University. She was instrumental in assisting the faculties of SON and OTD Division in outfitting their simulation labs with SPHM equipment. Yeu-Li has presented on SPHM and ergonomics at national conferences and published several articles on SPHM.
Yeu-Li has served on the Board of Directors for the Association of Safe Patient Handling Professionals. She is a certified professional ergonomist, certified safe patient handling and professional, and a licensed occupational therapist.
Claire Carmody began her nursing career in 2007 as a clinical nurse on an inpatient Head and Neck surgical unit at Memorial Sloan Kettering Cancer Center (MSK). Patient and staff safety were early key areas of interest, which led to various committee appointments and leadership roles. In 2014 Claire was selected to lead the creation of a Safe Patient Handling and Mobility (SPHM) program, to be in accordance with New York State regulations. In this role, she oversaw SPHM policy development and practical implementation strategies. In 2018, she was officially given the title of SPHM Program Manager. Under Claire's leadership, MSK has successfully implemented an evidenced-based SPHM program that serves more than 6,000 clinical employees across 14 clinical sites, including Memorial Hospital itself. MSK's SPHM program has resulted in a 79% reduction in lost-days per patient handling injury, a 50% reduction in worker compensation claim costs, and a cost avoidance of $1.1 million.
Claire holds a Bachelor of Political Science from Loyola University Chicago, a Bachelor of Nursing from New York University, and Master of Nursing from Wagner College. Claire is a certified oncology nurse, board certified Family Nurse Practitioner, and an active member of several professional organizations including the Association of Safe Patient Handling Professionals, Oncology Nurses Society, Nurse Practitioners Assoc. of New York State, Sigma Theta Tau International and the American Nurses Association.
Wednesday, March 12, 2025 9:30 am - 10:15 am 45 min BO
2025D2002-3 NYU Langone Health: Breaking Barriers and Making Mobility Everyone's Responsibility
Presented by Erin Zervas, MS, OTR/L and Rebecca Chan, MOT, OTR/L
Overview: Ensuring the effective presence of a Safe Patient Handling and Mobility (SPHM) Department is crucial for optimizing risk management and promoting safety across an enterprise, but the barriers to implementation are not negligible. This presentation delves into the multifaceted approach required to build a robust SPHM framework that addresses cultural complexities, maintains momentum amid unprecedented challenges, and leverages program relaunch techniques to foster continuous improvement.
In 2018, NYU Langone Health launched the SPHM Department, driven by physical and occupational therapists, committed to elevating patient safety, improving staff well-being, and enhancing the overall quality of care within the health system. Our presentation will highlight the milestones of the program, emphasize the importance of uniting diverse fronts within an organization composed of four major hospital locations to achieve one unified SPHM approach. We will identify specific needs and barriers that vary across inpatient and outpatient settings and how they are addressed to ensure a consistent and effective SPHM presence. By aligning efforts across various locations and overcoming cultural barriers, organizations can achieve a cohesive and effective SPHM strategy that enhances overall safety and performance.
The NYU SPHM department works to embed the principle that mobility is everyone's responsibility across its inpatient settings. The program was initiated in locations with varying levels of pre-existing SPHM integration - from no presence at all to the presence of a lift team or a committee-based nursing and rehabilitation collaboration. As the department expanded, it encountered numerous barriers to change, such as resistance to new practices and logistical challenges. Through navigating these obstacles, the department has gained invaluable insights into effective implementation strategies and the importance of addressing barriers to ensure the success and sustainability of the SPHM initiative. We will discuss standard protocols, cross-departmental and campus collaboration, and our experience fostering a shared responsibility for patient handling and mobility.
Addressing barriers to change, particularly in complex settings like healthcare, requires a multifaceted approach. Change can be met with resistance due to various factors, including institutional inertia, individual apprehensions, and systemic constraints.2,5,6 Effectively navigating these barriers involves understanding their origins and implementing strategies that facilitate smooth transitions.2 The session will cover various types of barriers, including resistance to change, cultural challenges, systemic constraints, and resource limitations, and will offer actionable solutions to each.
The COVID-19 pandemic has profoundly impacted healthcare operations, including work culture and SPHM initiatives4. This prompted a reevaluation of workforce needs, including staffing levels, training requirements, and resource allocation. These impacts were both immediate and chronic, shaping how healthcare professionals operate and interact within their organizations. This presentation examines how to maintain effective influence on change management efforts despite the challenges posed by the pandemic. We discuss adaptive strategies for sustaining SPHM programs, including virtual training, remote monitoring, and revised protocols that accommodate pandemic-related constraints.
Over time, SPHM programs can become stagnant or lose momentum. A re-launch provides the opportunity to address any shortcomings and shifts in culture from the initial version of the program. Re-launching SPHM programs requires a strategic approach to ensure continuous improvement and sustainability. This presentation introduces techniques for successfully re-launching SPHM programs, focusing on the importance of iterative updates, stakeholder engagement, and performance metrics. We provide insights into how to assess program effectiveness, identify areas for enhancement, and implement changes that foster a culture of ongoing development.
In summary, this presentation offers a comprehensive framework for advancing SPHM practices in the face of evolving challenges. By addressing cultural differences, adapting to pandemic constraints, applying effective re-launch techniques, and identifying program development opportunities, organizations can build a resilient and proactive SPHM department that supports a safe environment for patients and staff.
Objectives:
- Evaluate the effectiveness of Safe Patient Handling and Mobility (SPHM) programs by assessing current practices, identifying areas for improvement, and implementing strategies to optimize risk management and change management.
- Develop strategies to address cultural differences and integrate SPHM practices across diverse healthcare settings, ensuring a unified approach that promotes safety and consistency throughout the organization.
- Implement adaptive techniques for maintaining SPHM program effectiveness amidst unprecedented challenges, such as the COVID-19 pandemic, including virtual training, remote monitoring, and revised protocols.
- Identify and leverage opportunities for program development and continuous improvement in SPHM practices, using comprehensive needs assessments, stakeholder feedback, and best practices from other institutions.
- Design a strategic plan for the successful relaunch and sustainability of SPHM programs, focusing on iterative updates, stakeholder engagement, and performance metrics to ensure ongoing adaptation and effectiveness.
Bios:
Erin Zervas, MS, OTR/L is a Clinical Specialist in the Safe Patient Handling and Mobility Department at NYU Langone Health. She completed her Masters in Occupational Therapy at the University of Scranton in 2012 and began her career at NYU Langone Health in 2015. She has worked in acute care and inpatient rehabilitation for adult and pediatric populations, and outpatient pediatric services as a senior occupational therapist. Erin has a strong interest in rehabilitation for individuals with complex neurological disorders. She held the Safe Patient Handling Committee co-chair position at NYU Langone Orthopedic Hospital from 2017 to 2021, where she gained her passion for reducing staff injuries while promoting patient mobility. Erin has become a Certified Kinesio Taping Practitioner, Certified Brain Injury Specialist, SAEBO certified, received an AOTA Fieldwork Educator certificate, and completed certifications in both Lean Six Sigma and Six Sigma Green Belt. She is an active member of both the American Occupational Therapy Association and the Association of Safe Patient Handling Professionals and has presented at numerous national conferences.
Rebecca Chan, MOT, OTR/L is a Clinical Specialist in the Safe Patient Handling and Mobility (SPHM) Department at NYU Langone Health. She received her Masters in Occupational Therapy from Quinnipiac University in 2015. Rebecca practiced as a Senior Occupational Therapist at MD Anderson Cancer Center in Houston, TX where she specialized in ICU early mobilization and ICU delirium in the oncology population. She brought her leadership skills to The George Washington University Hospital in Washington, DC where was a Senior Occupational Therapist and mentor in the rehabilitation department. Rebecca joined the SPHM team at NYU in 2023, providing education on safe patient handling techniques and focusing on change enablement. Rebecca is an AOTA Certified Fieldwork Educator, AOTA Level 3 Badge Certified in Cancer Rehabilitation, and A-ONE certified.
Wednesday, March 12, 2025 9:30 am - 10:15 am 45 min BO
2025D2002-4 Theory in the Making for the Safe Patient Handling and Mobility Program
Presented by Dejau M. Jones, DNP, RN, CNL, CSPHA, CFPS
Overview:
Safety is the foundation on which anything of value is built. The state of being safe is freedom from harm, danger, illness, or injury. The healthcare organization environment is a place of refuge and healing unless safety is at stake. The environment consists of individuals, equipment, and surroundings that influence a person's perspective. Individuals interact, adapt, and react to the conditions surrounding them, encompassing the ingredients of Culture. Shared norms, values, and behaviors provide the cultural framework of the healthcare organization environment.
Healthcare organizations should explore using Grit, which is passion and perseverance over time during culture change initiatives. Culture impacts the retention of employees and patients. The definition of safety in healthcare needs to refocus the lens to encompass the safety of the healthcare providers and patients as synonymous or equally valued parts of the healthcare cycle of life. This presentation analyzes the common practice or incidence of healthcare providers catching or assisting a falling patient, often considered a successful intervention by healthcare organizations. This presentation questions whether employees view themselves as valuable if they willingly put themselves at risk of injury in an unsafe environment.
The presentation analyzes how these occurrences can lead to two injuries (provider and patient) when only one injury may have occurred without organization intervention, negatively reinforcing a healthcare provider's perspective on safety and their worth to the organization. These preventable injuries are considered recordable Safe Patient Handling and Mobility injuries. Provider protection from harm and caregiver self-preservation should be at the forefront of healthcare organizations' culture initiatives, preserving the workforce and retaining patients. As critical stakeholders in the healthcare industry, the audience has a crucial role in this cultural shift, empowering them and making them feel responsible for their safety, their colleagues, and their patients.'
The theory is as follows:
Safety x Environment = Culture
Culture x Grit = Retention
Objectives:
- Discuss the influence of the healthcare provider's perspective on safety and the environment.
- Explain the importance of the HRO principles "Deference to Expertise" and "Commitment to Zero Harm" within the Healthcare Organization Culture.
- Discuss the application of Grit within the healthcare setting.
- Analyze how the common practice of catching or assisting a falling patient affects healthcare providers' perspectives on safety.
- Analyze how this theory can result in retention.
Bio:
Dejau M. Jones, DNP, RN, CNL, CSPHA, CFPS, earned her Bachelor of Science, Master of Science, and Doctor of Nursing Practice from the University of Alabama at Birmingham (UAB). She has thirteen years of nursing experience and is an active member of the UAB National Alumni Society, the Clinical Nurse Leadership Association, and the Association of Safe Patient Handling Professionals. Dr. Jones published a case study titled 'Tailored Purposeful Rounding Implementation on a Hospitalist Unit' in the textbook Management and Leadership for Nurse Administrators, 8th Ed. Dr. Jones and Dr. Eagerton, Associate Professors at UAB School of Nursing, co-authored an article entitled 'Reducing Preventable Injuries Through the Safe Patient Handling and Mobility Program Bundle' in the International Journal of Safe Patient & Mobility December 2020 Issue. Her most recent publication is 'The Impact on Patient and Provider Safety with the Use of Safe Patient Handling Technology' in the International Journal of Safe Patient & Mobility December 2023 Issue. Since 2019, Dr. Jones has managed the Safe Patient Handling and Mobility Program at the Birmingham VA Healthcare System. She is passionate about utilizing evidence-based practice to incorporate actionable interventions, ensuring quality care is delivered and targeted towards optimal patient and employee outcomes.
Wednesday, March 12, 2025 9:30 am - 10:15 am 45 min BO
2025D2002-5 Gensis is improving outcomes by executing a Safe Patient Handling and Mobility Program
Presented by Keela Barker
Overview: Genesis HealthCare System (GHS) is an integrated healthcare delivery system based in Zanesville, Ohio. The system includes a not-for-profit hospital in Zanesville, Genesis Coshocton Medical Center in Coshocton, Ohio and a freestanding Emergency Department in Somerset, Ohio. GHS is the largest healthcare provider in its six-county region in southeastern Ohio. GHS provides a higher level of service than what is typically found in a community of its size including open-heart surgery, trauma care, neurosurgery, and comprehensive cancer services. GHS' steadfast commitment to delivering high quality, compassionate patient care is recognized throughout the country with numerous awards and accreditations. GHS is proud of their rich history of serving the community and vow to continue the tradition caring with compassion, integrity, innovation, team, and excellence. In support of these values, GHS chose to design and execute a Safe Patient Handling and Mobility Program, the SMART Program.
This program identifies and mitigates patient handling risks and injuries to staff and patients. The SMART program has enhanced the mobility culture of the hospital while reducing costs. Pre-program (2013-2015) the average number of staff injuries per year was 16.7 and worker compensation cost was nearly $85,000. Review of the injury data showed that GHS was following similar injury trends as most hospitals with 59% of injuries occurring within the organization attributed to patient handling tasks1 To aid in creating a sustainable culture of patient handling and mobility culture, GHS collaborated with Arjo's MOVE program to create a highly reliable safety driven program. In 2017, GHS implemented their SMART program. A four-phased approach was utilized.
Objectives:
- Describe the four phases of the program implementation
- Outline the keys to implementing a successful mobility program
- Explain discoveries and next steps to maintain
Bio:
Keela Barker has been with Genesis for 31 years and has facilitated various projects and teams as the Director of Rehabilitation and Ambulatory Services. In addition to the various departments she oversees, she also leads the Stroke Steering Committee which has led to successful accreditations as Primary Stroke Center as well as various awards from AHA, she champions the SMART committee and continues to co-lead the Early Mobility Team.
Wednesday, March 12, 2025 10:45 am - 11:30 am 45 min BO
2025D2003-1 Up Sooner Safer: Return on Investment of a Safe Patient Handling & Progressive Mobility Program
Presented by Travis Eckard, PT, DPT
Overview: The importance of mobility in the acute-hospital setting appears intuitive. The more a patient moves, the shorter the hospital stay, the more likely the patient can go home. However, when a hospital's culture needs to be changed to reach this level of patient activity, the practical questions arise; How do we get there and How much does it cost?
This session will explore and reflect on the experience of a public, safety-net hospital;
- Garnering funding through a community-grant
- Combining a Safe-Patient Handling Program with a Progressive Mobility Program
- Developing and implementing this program
- Examining the ROI by analyzing the decrease in employee injuries and workers' compensation savings
This assessment and evaluation of a sustainable SPH/Progressive Mobility program can provide others with touchstones in which to reference when attempting to find funding and organizational support.
Objectives:
- Learner will identify the importance of identifying the organizational value for a SPH/Progressive Mobility Program.
- Learner will describe key metrics to monitor and measure success
- Learner will be able to identify inter-disciplinary team members needed to develop and implement the launching of a SPH/Progressive Mobility program.
Bio:
Travis Eckard, PT, DPT is the Manager of Therapy Services and Program Coordinator for Up Sooner Safer at Kern Medical in Bakersfield, CA. He received his MPT from Samuel Merritt University and his DPT from A.T. Still University. He has been a practicing physical therapist for 27 years with wide-ranging experience including; orthopedics, geriatrics, trauma and wound care, across various settings and patient populations from neonates to geriatrics. He has always had a passion for progressive patient mobility and the profound impact it has on patient outcomes. When he was given the opportunity to create and implement a progressive mobility/safe patient handling program from the ground up, he was all in. His goal has always been to look at things objectively in an attempt to see if something can be improved. He golfs whenever time allows and feels like he should probably fish more.
Wednesday, March 12, 2025 10:45 am - 11:30 am 45 min BO
2025D2003-2 Safety Getting you in (and out of) the Morgue
Presented by Terrence D Probst, Ed.D.
Overview: Have you been to your facility's Morgue? Have you thought about utilizing SPHM in the Morgue? Take a trip to the Morgue, learning the ins and the outs, with a Funeral Director that believes SPHM doesn't end when the patients' life does
Objectives:
- Identify the hazards/dangers of lifting/moving patients in the Morgue.
- Apply knowledge of how to mitigate such hazards/dangers.
- Review the benefits of 'pre-planning' for the death of a bariatric patient.
- Discuss the importance of building relationships with local professionals outside of the healthcare facility.
Bio:
Dr. Probst is a licensed Funeral Director and Embalmer with over 27 years of professional experience. He earned his Ed.D. in Organizational Leadership with an Emphasis in Healthcare Administration from Grand Canyon University. He also holds a Master of Human Relations from the University of Oklahoma, a Master of Business Administration from the University of Phoenix, and an Occupational Safety and Health Certificate from Embry-Riddle Aeronautical University-Worldwide. Throughout his Naval career, Dr. Probst served as a Fleet Marine Force Corpsman and as a Mortician. He is currently employed by the Veterans Health Administration, where he holds the position of VISN 15 Administrative Officer and Supervisory Program Analyst. Dr. Probst is a member of several professional organizations, including the National Funeral Directors Association, the Association of Safe Patient Handling Professionals, and the American College of Healthcare Executives.
Wednesday, March 12, 2025 10:45 am - 11:30 am 45 min BO
2025D2003-3 Aligning Safety, Ergonomics and SPHM Programming
Presented by Tricia Jaworski, OTR/L, CSPHP and Teresa Boynton, MS, OTR, CSPHP
Overview: This presentation will focus on how healthcare safety, ergonomics, and Safe Patent Handing & Mobility (SPHM) programs support each other yet have differences that need oversight by subject matter experts in these respective areas. Key points that will be reviewed include considerations when implementing these programs to ensure success, realize desired outcomes and achieve goals. Examples of organizational structure and support systems with lessons learned will be reviewed.
Objectives:
- Outline similarities and differences for each of the following programs: safety, ergonomics, SPHM.
- Identify roles and responsibilities for leaders of safety, ergonomics, SPHM programs and how they may intersect.
- Compare conventional ergonomic practices when considering SPHM tools, policy, and procedures to minimize risk of injury for caregivers and improve outcomes.
Bios:
An Occupational Therapist by background, Tricia Jaworski has worked at Advocate Health for over 25 years. Advocate Health is the 3rd largest not-for-profit integrated healthcare system in the United States. Tricia currently is the Midwest 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. Tricia is currently serving her second term on the ASPHP board of Directors. As a member of ASPHP, Tricia is active on the education committee and co-chairs the marketing committee. Tricia is a co-chair of the IL, MN, and WI SPHM Network, offering SPHM educational opportunities, conferences, networking, and support for those involved in SPHM across the states of IL, MN, and WI.
Teresa Boynton is currently an independent consultant. From 2015 - 2018 she worked for Hill-Rom assisting healthcare organizations to build safe patient handling and mobility programs. Prior to this, Teresa worked for Banner Health for over 26 years leading ergonomics, injury prevention, SPHM and falls efforts for the Western Region and then as part of a system-wide team. She is a longtime member of ASPHP and works on the Certification and Renewal Committee and the CSPHP Exam Committee. Teresa regularly presents on mobility, BMAT and SPHM-related topics. In August 2024, she presented at the American Society of Safety Professionals conference on coding injuries to improve practice at the bedside - effective use of workers' compensation data to support SPHM practices
Wednesday, March 12, 2025 10:45 am - 11:30 am 45 min BO
2025D2003-4 Development of a new tool- The Johns Hopkins Safe Patient Handling Mobility Guide to inform equipment recommendations to meet daily mobility goal for the hospitalized patients
Presented by Sowmya Kumble, PT, MPT, NCS
Overview: It is well-documented in the literature that hospitalized patients spend the majority of their time in bed. Patients with lower functional levels are at a significantly higher risk for immobility-related complications, such as deconditioning and pressure injuries. Hospital staff often rely on total assist lifts for patients who require substantial help, even though many of these patients could assist with movement if appropriate safe patient handling equipment were used. Conversely, patients with moderate to higher functional capability may not be encouraged to participate in activities like getting out of bed or walking, largely due to concerns about falls. Nursing staff frequently face challenges in selecting the right safe patient handling equipment based on a patient's ability to engage in mobility tasks. These issues contribute to the persistent problem of hospital immobility culture.
Traditionally, Safe Patient Handling Programs focus on preventing staff injuries. We propose a model of care that not only emphasizes staff injury prevention but also promotes safe patient mobility. This presentation will underscore the importance of utilizing nursing assessments of a patient's ability to perform basic mobility tasks to set daily mobility goals. We will discuss the development of the recently published Johns Hopkins Safe Patient Handling Mobility Guide, that helps clinicians select appropriate safe patient handling equipment to meet daily mobility goals based on the patient's mobility capacity. The presenter will discuss the utilization of this tool and integration into daily workflow to maximize safe patient mobility using case scenarios. At the end of this presentation, the attendees will have a thorough understanding on setting mobility goal based on patient's capability and choosing the right equipment to meet the mobility goal.
Objectives:
- Describe the risks associated with immobility, including deconditioning and pressure injuries, particularly in patients with lower functional levels.
- Describe how traditional Safe Patient Handling Programs primarily focus on staff injury prevention and how they can be expanded to promote safe patient mobility.
- Identify common barriers, such as fear of falls and equipment selection challenges, that prevent patient participation in out-of-bed activities and ambulation.
- Apply the Johns Hopkins Safe Patient Handling Mobility Tool to select appropriate safe patient handling equipment, promoting safe mobility and meeting patient mobility goal
- Discuss strategies for shifting the focus of hospital mobility culture from immobility to active participation in mobility tasks by utilizing appropriate equipment and nursing assessments.
Bio:
Sowmya Kumble, PT, MPT, NCS is a Clinical Resource Analyst at Johns Hopkins Hospital and an Assistant Professor in Physical Medicine and Rehabilitation, Johns Hopkins School of Medicine, Baltimore, Maryland. She manages the implementation of Johns Hopkins- Activity and Mobility Promotion Program within the Health system and collaborates with the fall prevention, safe patient handling and other safety /quality taskforces to integrate and promote safe patient mobility. She has published in peer-reviewed journals on various topics related to promoting safe mobility and rehabilitation of hospitalized patients. She is the developer of the Johns Hopkins - Mobility Advocate Course that focus on training mobility advocates at various hospitals both nationally and internationally. She has presented nationally and internationally on various topics including early mobility in the ICU.
Wednesday, March 12, 2025 10:45 am - 11:30 am 45 min BO
2025D2003-5 SPHM with patient over 1000 pounds.
Presented by Laura Chadbourne BHCM, CEAS III, CSPHA
Overview: Our HSO had a patient arrive by Moving truck because they were unable to fit in a bariatric ambulance. I will walk through all the trials of identifying SPHM equipment to take care of and move a patient, whose weight was unknown. How we were able to help staff to move this patient without injury and how we finally were able to weight the patient. This patient was seen over a 2-year period in two different hospitals. What path we took to work as an integrated team both in the hospital and at her home. Show timeline and processes put into practice following this patient's care to help with other patients of size.
Objectives:
- Explain practices with patients of size when there appears to be no available equipment
- Describe steps taken to equip staff for future patients of size that exceed equipment weight limits
- Identify team players to follow patients of size
- Describe steps taken to follow patient when discharged
Bio:
Laura is an ergonomic specialist for BJC HealthCare in St. Louis, MO. She has her bachelor's degree in healthcare management. Laura is a licensed physical therapy assistant in Illinois, and Missouri. She is a Certified Ergonomic Assessment Specialist III and a Certified Safe Patient Handling Associate. Laura has practiced as a physical therapy assistant in orthopedics, neuro rehab, outpatient sports medicine and worker compensation. She has specialized for the past 25 years of her 40-year career in ergonomics for both industry and health care. Laura is a member of the Association of Safe Patient Handling Professionals. She has presented at the Association of Occupational Healthcare Professionals in Healthcare conference, presented at the Missouri Workers Compensation Conference and presented at the Safe Patient Handling Movement and Falls conference.
Wednesday, March 12, 2025 11:40 am - 12:25 pm 45 min BO
2025D2004-1 The Total Mobility Dashboard: Measure Mobility Across all Levels
Presented by Nancy McGann PT, CSPHP, CPPS
Overview: How do we measure the success of our mobility programs when all our patients have different mobility expectations and goals? Learn ways to measure safe, early, and continuous mobility that will make sense to executives, support leaders, and speak to caregivers at the bedside. The Total Mobility Dashboard was developed to meet the needs of today's caregivers and patients as well as demonstrate the ability to meet Age Friendly Care. Intermountain Health has had an ambulation dashboard for several years that has driven very successful improvements. To ensure we provide the same improvement for our patients of lower mobility levels, this dashboard was enhanced to be inclusive of all patients. Learn how to use enhanced documentation and mobility assessments to give actionable information and goals to all levels of your healthcare team.
Objectives:
- Identify ways to document mobility to simplify for all levels of the organization.
- Describe how using a mobility assessment is needed to accurately assess success.
- Outline and share examples from an existing Total Mobility Dashboard that uses the BMAT as the denominator to describe mobility outcomes for our most dependent and independent patients alike.
- Recognize how to link mobility assessments and mobility goals to support safe, early, and continuous mobility.
Bio:
Nancy McGann PT, CSPHP, CPPS is the Enterprise Manager of Safe Mobility for Intermountain Health where she has worked for 18 years. In this role she leads patient fall prevention, safe patient handling, and patient mobility programming for Intermountain Health's 33 hospitals, 385 clinics and severak post-acute centers. Prior to her current role, she was the System Manager of Caregiver Safety and the System Manager of Ergonomics and Safe Patient Handling and Mobility at SCL Health; now Intermountain Health. She has worked as a therapist and ergonomic consultant in industry and healthcare for the past 35 years. Nancy has been on the board of directors of the Association of Safe Patient Handling Professionals for 5 years and has published and spoken nationally for the past 15 years in this area. Her passion is protecting both caregivers and patients while facilitating mobility to provide the highest quality of care.
Wednesday, March 12, 2025 11:40 am - 12:25 pm 45 min BO
2025D2004-2 Balancing the Competing Priorities of SPH and Wound Care
Presented by Erica Thibault MS RN CNS APN CWON
Overview: This course will explore the conflicting priorities of nurses and other therapy disciplines concerning the adverse effects of immobility. Given the ongoing burden of adverse events or "never events" on patients and the healthcare system, special emphasis will be placed on pressure, injuries and falls. The perspectives of nurses, wound care nurses, and physical therapists will be examined. The course will also address the challenges these different disciplines face in coordinating treatments, as they often compete for the patient's time and in setting treatment and therapy goals. The course will review how communication and collaboration among is fostered among the different disciplines with a focus on optimizing patient outcomes despite the competing demands on patient time.
Objectives:
- Identify and describe roles and responsibilities across disciplines related to caring for the immobile patient.
- Participants will develop strategies to improve communication and collaboration among nurses, wound care nurses, and physical therapists, focusing on optimizing patient outcomes despite the competing demands on patient time.
- Participants will describe the ethical implications of treatment decisions, particularly when balancing the competing priorities of different healthcare disciplines.
Bio:
Erica Thibault, Director of Clinical at Seneca Devices is a registered nurse, a certified wound and ostomy nurse (CWON), a clinical nurse specialist (CNS) working in the field of medical devices. As a graduate from Dawson College in Montreal, Quebec, Erica received her Diplome Education Collegiale (DEC) in nursing. She then continued her education at the University of Ottawa in Ottawa, Canada where she graduated magna cum laude with a Bachelor of Science in nursing. She has also received her certification in wound, ostomy and continence from Albany Medical Center in New York, as well as her Master of Science in Nursing as a clinical nurse specialist with medical/surgical and gerontology options from the University of Colorado.
Erica has lectured on pressure injury prevention, legal issues for nurses, and safe patient handling. She spoke in Denmark at the International Bariatric conference on sleep apnea and at the World Council of Enterostomal Therapists in Australia on green initiatives in hospitals. Erica has served on the national committee for the WOCNCB, developing review materials for the WOCNCB Board exam. Erica is an active member of the American Nurses Association (ANA); the National Association of Clinical Nurse Specialists; the World Council of Enterostomal Therapists and the Sigma Theta Tau International honor society of nursing. She is the past president and secretary of the Rocky Mountain Region Wound, Ostomy and Continence Society. She is an active member of the National Pressure Injury Advisory Panel (NPIAP) and Support Surfaces Standards Initiative (S3I). Erica's most recent areas of interest are care of the Bariatric patient and Safe Patient Handling. Erica is currently involved in the development of medical devices for the prevention of pressure injuries and preventing caregiver injury.
Wednesday, March 12, 2025 11:40 am - 12:25 pm 45 min BO
2025D2004-3 Best Practices for Investigating Worker's Compensation Injuries: A Focus on Patient Handling
Presented by Ruth Neuman PT, MBA/HA. CEAS II, REAS , CSPHP
Overview: Patient handling injuries are a significant contributor to worker's compensation claims in healthcare settings. Effective investigation of these injuries is crucial for prevention, cost management, and employee well-being. Managers often do not have the time, skills or tools to investigate an injury to determine accuracy of root cause. By Developing a well thought out investigation tool and educating the managers in the process of investigation, proper resolution can be recommended for each case. In addition, a safe patient handling program can be effectively analyzed for success and sustainability. This presentation will outline best practices for investigating patient handling injuries with examples and provide guidance on how to train managers in these techniques.
Expected Outcomes:
- Increased awareness of patient handling injuries and their prevention strategies.
- Improved ability of managers to conduct thorough and timely injury investigations.
- Reduced costs associated with worker's compensation claims related to improved accuracy of data.
By implementing best practices for investigating patient handling injuries and providing effective training to managers, healthcare organizations can significantly reduce the occurrence and impact of these costly incidents. This presentation will equip attendees with the knowledge and tools to create a safer and more supportive work environment for all employees.
Objectives:
- Define patient handling injuries and their common causes.
- Discuss the importance of timely and thorough injury investigation.
- Outline the steps involved in a comprehensive injury investigation.
- Provide strategies for training managers to conduct effective investigations.
- Address challenges and solutions related to injury investigation.
- Using examples of actual investigations to analyze and establish guidelines for completion
Bio:
Ruth Neuman Is a Physical Therapist with over 42 years of experience in patient care as well as education and training in areas such as acute care, skilled nursing, pediatrics, rehabilitation, outpatient and home care including Higher education within the university system. She is currently the Lead Ergonomist at Northwell Health servicing over 86,000 employees and is part of the core team for development and implementation of safe patient handling education and training for over 28,000 team members. She is also the primary auditor for Risk Management and worker's compensation. Ruth leads the Ergonomics and Materials Handling program for Northwell Health.
She obtained her Bachelor's in Science degree and Certificate in Physical Therapy from Simmons College and Master's in Business Administration/ Health Administration from the University of Miami. She holds the following certifications, CEAS II, REAS (Remote Ergonomics Assessment Specialist), CSPHP. She has taken extensive post graduate studies in education, statistics and is presently focusing on Ergonomics Risk assessments, education, program development, Incident auditing, and Safe Patient Handling continuing education.
In Higher education, she has been an instructor and adjunct Professor for courses in Kinesiology, Physical Therapy Agents and Special Topics. She has also been the Academic Coordinator for Clinical Education within a university system. Since 2015, Ruth has developed and implemented online classes, hands on training, webinars, workshops and podium presentations on topics including Ergonomics, as well as Safe Patient Handling and Mobility.
Wednesday, March 12, 2025 11:40 am - 12:25 pm 45 min BO
2025D2004-4 Comparison of Forces and Experiences Between Stair Evacuation Equipment Options
Presented by Marie M. Martin. Ph.D., CSPHP, Liying Zheng and Kate Benson, PT, DPT
Overview: VHA Safe Patient Handling and Mobility and CDC/ National Institute for Occupational Safety & Health have collaborated to measure the forces and experiences associated with using evacuation equipment on stairs. This presentation will describe the results are available.
Evacuation equipment that was compared included a variety of sleds and chairs with tracks to assist with stair descent. Sleds used for this project did not use bed mattresses, and transfer from the bed, was not included in this project, because no appropriate bed and mattress were available. Manual and power-drive chairs were compared. No device that required lifting and carrying was used. Only the power-drive chairs were used to ascend the stairs.
Rescuers were fitted with transducers that reported the position of their bodies and the forces supplied by each of several muscles, as well as physiological/metabolic measurements. Measurements were taken at the position above/behind the evacuee and below/in front of the evacuee. After using each piece of equipment, all rescuers and the evacuee reported discomfort and experiences using it.
This study was only able to measure the experience of traversing a flat hall, descending stairs, and navigating landings. Further comparison may be valuable in order to compare the forces and experiences for other parts of the evacuation, which include the transfer to the device and the transfer off the device after evacuation.
Objectives:
- Describe the high-risk patient handling tasks involved in evacuation down stairs.
- Identify differences between types of evacuation equipment.
- Describe the interaction between SPHM professionals and evacuation planning processes.
Bios:
Marie Martin is the Program Analyst in the VHA Safe Patient Handling and Mobility program. She 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 OSHA training center before joining the VA North Texas Health Care System as an industrial hygienist in 2008. Within 2 months of arrival, she was planning for ceiling lifts, and she has been a 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.
Liying Zheng is a biomechanical research engineer and senior service fellow at National Institute for Occupational Safety & Health (NIOSH) under Centers for Disease Control and Prevention (CDC). She earned her PhD in Mechanical Engineering with a focus on biomechanics from Washington State University. At NIOSH, she leads research projects aimed at investigating and evaluating innovative assistive devices to enhance safe patient handling and reduce occupational injury risks for healthcare workers. Her research interests include biomechanics, musculoskeletal health, advanced occupational interventions, evaluation methodologies, and artificial intelligence applications.
Kate has been the Safe Patient Handling and Mobility Program Manager for VA Maine since 2022. She is a Physical Therapist by background having gotten her doctorate in Pediatric PT in 2010 from Northeastern University. As a Veteran of the Air Force, Kate has enjoyed returning to work with her fellow Veterans on improving Safety within the VA. While serving, she was a Weather Officer in the Air Force and was stationed in Barksdale AFB during the Desert Storm Conflict relaying the first Weather report to B-52s in the conflict. She lives in the lakes region of Maine pursuing gardening and home improvements on her small farm.
Wednesday, March 12, 2025 11:40 am - 12:25 pm 45 min BO
2025D2004-5 Writing for Publication - Posters, Presentations, and Papers
Presented by Susan Gallagher, PhD MA MSN RN CSPHP CBN
Overview: Have you always dreamt of seeing your name in print? This interactive experience guides attendees through the basic steps to publication, subject identification, writing resources, organizing research, common mistakes, disappointments, relationships with editors and more. Plan to attend this fast-paced presentation.
Objectives:
- 1. Describe trends in subject/topic selection.
- 2. Explore steps to identify a publication source that aligns with your subject.
- 3. Explain the goal of Author Guidelines.
Bio:
Susan Gallagher, is a trained wound ostomy continence nurse, certified bariatric nurse, health care risk manager and certified safe patient handling professional. She has certificates in Six Sigma-Health Care and Six Sigma LEAN. Susan holds a masters degree in nursing, a masters 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 capture quality and sustainability through customer sensitive initiatives, supported by quantitative performance improvement outcomes.
Wednesday, March 12, 2025 1:30 pm - 2:15 pm 45 min BO
2025D2005-1 Meaningful Metrics to evaluate an impact your Safe Patient Handling Program
Presented by Ruth Neuman PT, MBA/HA. CEAS II, REAS , CSPHP
Overview: In today's data-driven world, the ability to measure and track performance is essential for organizations to make informed decisions and achieve their goals. However, not all metrics are created equal. Meaningful metrics provide actionable insights and drive positive change. This paper explores the key characteristics of meaningful metrics, including their relevance to organizational objectives, their reliability and validity, their ease of use, and their ability to motivate and inspire action. By understanding these principles, organizations can develop a metrics framework that supports strategic decision-making and drives sustainable success.
Will be able to identify the appropriate metrics needed to impact the organizational performance in Patient handling program.
Determine which metrics are most relevant to specific organizational goals and objectives and understand how to ensure the accuracy of the metrics documented.
Learn how the metrics system should align with strategic initiatives and provides actionable insights.
Use metrics to identify areas for improvement, track progress, and drive positive change.
Objectives:
- Define meaningful metrics: Understand the key characteristics of meaningful metrics and their importance in organizational performance.
- Identify relevant metrics: Determine which metrics are most relevant to specific organizational goals and objectives.
- Develop a metrics framework: Create a comprehensive metrics system that aligns with strategic initiatives and provides actionable insights.
- Leverage metrics for continuous improvement: Use metrics to identify areas for improvement, track progress, and drive positive change.
- Identify relevant metrics: Determine which metrics are most relevant to specific organizational goals and objectives.
Bio:
Ruth Neuman Is a Physical Therapist with over 42 years of experience in patient care as well as education and training in areas such as acute care, skilled nursing, pediatrics, rehabilitation, outpatient and home care including Higher education within the university system. She is currently the Lead Ergonomist at Northwell Health servicing over 86,000 employees and is part of the core team for development and implementation of safe patient handling education and training for over 28,000 team members. She is also the primary auditor for Risk Management and worker's compensation. Ruth leads the Ergonomics and Materials Handling program for Northwell Health.
She obtained her Bachelor's in Science degree and Certificate in Physical Therapy from Simmons College and Master's in Business Administration/ Health Administration from the University of Miami. She holds the following certifications, CEAS II, REAS (Remote Ergonomics Assessment Specialist), CSPHP. She has taken extensive post graduate studies in education, statistics and is presently focusing on Ergonomics Risk assessments, education, program development, Incident auditing, and Safe Patient Handling continuing education.
In Higher education, she has been an instructor and adjunct Professor for courses in Kinesiology, Physical Therapy Agents and Special Topics. She has also been the Academic Coordinator for Clinical Education within a university system. Since 2015, Ruth has developed and implemented online classes, hands on training, webinars, workshops and podium presentations on topics including Ergonomics, as well as Safe Patient Handling and Mobility.
Wednesday, March 12, 2025 1:30 pm - 2:15 pm 45 min BO
2025D2005-2 Integrating Trauma Informed Care (TIC) into SPHM
Presented by Lori Miller, PT
Overview: As we care for our patients, there is an unspoken reality innate in most of our patients. That is, trauma has taken place at some point in their life. When we become their caregiver, we do not know what that is or at what stage of healing they are in. As we address their needs, in whatever setting we may be employed, the awareness of trauma, trauma responses and methods to minimize re-traumatizing them must be at the forefront of our treatment. Additionally, we may struggle as we uncover trauma responses in ourselves which affects our ability to effectively and empathetically care for our patients. This presentation will provide education on different types of trauma, trauma responses, the principles of trauma informed care and provide you with ways to incorporate this into patient handling and mobility. Additionally, the desired outcome for the participant is that they will apply trauma informed care to promote a safe and therapeutic environment for their patients.
Objectives:
- Define trauma and identify the different types of trauma.
- Understand common trauma responses and describe biological attributes of trauma.
- Demonstrate understanding of resilience and post traumatic growth.
- Describe ways to incorporate TIC while providing care to patients.
- Apply learned approaches to promote a safe and therapeutic environment.
Bio:
Dr. Miller has been a physical therapist for 30 years with experience throughout the continuum of care encompassing both adults and children. She was an APTA Certified Neurologic Specialist for 20 years and is currently certified as an Ergonomic Assessment Specialist and a Safe Patient Handling Professional. As the Safe Patient Handling Coordinator for Erie County Medical Center Corporation, she has been responsible for the development and growth of the Safe Patient Handling and Mobility program. She regularly educates staff on best practice for moving patients safely incorporating safe patient handling equipment. Dr. Miller is an integral leader in other workplace safety initiatives including reducing workplace violence through trauma informed care. Loretta was a presenter at the NYS Safe Patient Handling Conference in 2017 and 2018 and has presented at the annual ECMC Rehab Symposium on topics including Vestibular Rehab, Autism, Developing a Safe Patient Handling Program and Practical Approaches to SPHM in Acute Care.
In 2018, she received the Safe Patient Handling Award of Excellence from the NYS Zero Lift Task Force. She is a member of the Board of Directors for the Association of Safe Patient Handling Professionals (ASPHP), co-chair of the Education Committee and was presented with the ASPHP 2024 SPHM Facilitator Award. In the past, she has been an Adjunct Professor at Daemen University and a Guest Lecturer at SUNY Niagara and D'Youville University.
Wednesday, March 12, 2025 1:30 pm - 2:15 pm 45 min BO
2025D2005-3 Amplifying the Voice of Champions: Aligning SPHM Program Initiatives with Front-line Staff Perspectives
Presented by Vanessa Vonich MSN, RN and Tracie Koehne, MSN, RN, NPD-BC
Overview: What does a "Nacho Back" awareness campaign and a Stranger Things themed education event have to do with SPHM? This presentation aims to showcase the successful restructuring and enhancement of an existing Safe Patient Handling and Mobility (SPHM) program. Prior to the restructuring, SPHM Champions primarily provided support and real-time education at the point of care, with minimal involvement in SPHM educational activities or program development. Adoption of the new model has resulted in increased engagement among champions, expanded professional development opportunities, and empowered champions to integrate novel strategies within their work area. This presentation will delve into the creative, enjoyable, and effective strategies that emerged from these empowered voices.
The initial tactic to accomplish the successful restructuring involved revamping the existing SPHM champion course to include champions and occupational health RNs as course facilitators. The champion course provides clinical staff with the knowledge, skill, and expertise on safe patient handling equipment and safe mobility techniques to serve as a resource in their respective work areas. The second key tactic focused on amplifying the champions' influence on program initiatives and education. This was achieved by conducting a comprehensive learning needs assessment and engaging staff in a monthly workgroup. As a result, decision making regarding program initiatives now aligns with the perspective of front-line staff.
Join us to discover engagement strategies for SPHM Champions and understand the impact of leveraging their expertise!
Objectives:
- Identify strategies to increase engagement among SPHM Champions
- Describe the impact of leveraging SPHM Champions within an organization
- Explain how to use a learning needs assessment to guide decision making for SPHM Program initiatives
- Apply collaborative approaches among SPHM Champions to sustain and enhance a SPHM Program
Bios:
Arizona native, Vanessa Vonich, began her nursing career in 2016 as a Registered Nurse at Honor Health. In 2017, Vanessa joined Mayo Clinic's organization and began working as a bedside nurse on a Medical/Surgical unit. In 2020, she earned a Master's in Nursing Leadership and began to seek opportunities where she could showcase her expertise and leadership skills. In 2022, Vanessa obtained the role of SPHM Program Coordinator. She currently oversees and directs all aspects of the program including staff injury data tracking, process improvements, new equipment implementation, and staff education. Campuses in which she supports includes, Mayo Clinic Hospital Phoenix, Mayo Clinic Scottsdale, Mayo Clinic Tempe Sports Medicine Clinic, and 2 Arizona Mayo Clinic Primary Care facilities.
Tracie Koehne began her nursing career in 2015 as a registered nurse in the medical/surgical palliative care unit at the Mayo Clinic in Arizona. In 2017, she transitioned to an ambulatory clinic nurse position within the otorhinolaryngology department. Advancing her education, Tracie earned her Master's in Nursing with emphasis in Education from Grand Canyon University in 2020. The subsequent year, she embraced the role of Nursing Education Specialist, aiding both an inpatient medical/surgical unit and outpatient areas including palliative care, gynecology, and department of surgery at the Mayo Clinic. In 2022, Tracie broadened her expertise as a Nursing Education Specialist by supporting programs related to Orientation, Mentorship, Preceptorship, and Safe Patient Handling within the Department of Nursing at Mayo Clinic in Arizona.
Wednesday, March 12, 2025 1:30 pm - 2:15 pm 45 min BO
2025D2005-4 Toward Design Standards for Bariatric and Mortuary Space
Presented by Marie M. Martin. Ph.D., CSPHP, Rusty Bethke BSN, RN, CSPHC-retired and Terrence D. Probst Ed.D.
Overview: VHA Safe Patient Handling and Mobility and VA Construction and Facilities Management have been working together on standards since 2016 and are currently revising the VA CFM SPHM Design Criteria which covers multiple sites. We have groups working toward resolution of two major gaps in standards: design for plus-sized individuals' access and bathrooms in outpatient areas and design of mortuary spaces for safety and bariatric accommodation.
One common question is how much of the population to design for. Designing every facility and type of care for people weighing more than 700 or 900 pounds and for those whose bodies would need to be stored on a bariatric bed or whose wheelchairs are wider than a 48-inch door carries design tradeoffs. Facilities, and societies, need to think in advance about how to serve this part of the population.
As we propose best practices for morgue space, our priority is minimizing risk to staff, and our restrictions include ensuring that product categories are available from at least two manufacturers. Some options that minimize numbers of transfers, while others minimize refrigerated space.
We will present our progress and principles and invite discussion with participants about how their organizations are approaching these design issues.
Objectives:
- Discuss the reasons to accommodate plus-sized individuals in health care spaces and the trade-offs that come from designing for the widest part of the population.
- Discuss the implications of path of travel requirements, emergency egress, and bathroom design for outpatients.
- Describe the high-risk patient handling tasks involved in morgue space.
- Compare between types of morgue storage in terms of capacity, staff safety, and ease of use.
Bios:
Marie Martin is the Program Analyst in the VHA Safe Patient Handling and Mobility program. She 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 OSHA training center before joining the VA North Texas Health Care System as an industrial hygienist in 2008. Within 2 months of arrival, she was planning for ceiling lifts, and she has been a 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.
Mr. Rusty Bethke has 13 years of experience as an RN at TVHS and has been a Safe Patient Handling and Mobility Program Manager (SPHM PM) for the past 6 years. Mr. Bethke is also a member of the Mortuary, Bariatric, and Construction/Design Technical Advisor Group (TAG). Mr. Bethke’s clinical background is highlighted by 5 years working in the Surgical Intensive Care Unit (SICU), along with Emergency Room, Cardiac Telemetry, and Medical Surgical unit experience. After completing his Bachelors of Science in Nursing (BSN) in 2015, he continued his education obtaining his Certified Safe Patient Handling Clinician (CSPHC) in 2021. Prior to his career in healthcare Mr. Bethke retired from Ford Motor Company with a background in general maintenance and material handling. This unique combination of clinical and mechanical knowledge pairs well for a SPHM PM to implement the national 1611 directive at TVHS. In his spare time Mr. Bethke enjoys Mountain Biking, Backpacking, CrossFit and is a Certified Scuba Divemaster.
Dr. Probst is a licensed Funeral Director and Embalmer with over 27 years of professional experience. He earned his Ed.D. in Organizational Leadership with an Emphasis in Healthcare Administration from Grand Canyon University. He also holds a Master of Human Relations from the University of Oklahoma, a Master of Business Administration from the University of Phoenix, and an Occupational Safety and Health Certificate from Embry-Riddle Aeronautical University-Worldwide. Throughout his Naval career, Dr. Probst served as a Fleet Marine Force Corpsman and as a Mortician. He is currently employed by the Veterans Health Administration, where he holds the position of VISN 15 Administrative Officer and Supervisory Program Analyst. Dr. Probst is a member of several professional organizations, including the National Funeral Directors Association, the Association of Safe Patient Handling Professionals, and the American College of Healthcare Executives.
Wednesday, March 12, 2025 1:30 pm - 2:15 pm 45 min BO
2025D2005-5 Our journey to Reducing Radiologic Team Member Injuries with Air Friction Reduction Devices
Presented by Leslie Smith Wood, PT, DPT, CSCS, AOEAS
Overview: The presentation will review the push pull data we have conducted at the University of Virginia Health System on placing imaging plates/detectors under patients for chest, pelvic and abdominal films. We will review and present graphs of our push pull data on wrist forces produced when placing plates under inpatients at various speeds, on various surfaces, and with different levels of participation from the patient. We have done further testing to determine the best practices with our air friction reduction devices, and learned different strategies to reduce force needed to place a detector and make this task safer for our team members while working with complex and dependent patients.
After following up on a team member injury and discovering a possible pressure injury, we took a deeper dive into the impact air could have on a patients' skin and used pressure mapping results to make best practice recommendations to reduce the potential harm to our patients' skin from a plate being placed underneath of them. Photographs of the pressure mapping and findings will be provided and learnings discussed. After learning how speed, surface, & amount of air, can impact the amount of force needed to place a plate under a patient, we decided to take our data collection to the next level and started looking at the patients' weight and how that may impact our team members work demands.
Our Radiology Team at UVA Medical Center has partnered with the Academic Engineering School to develop a prototype to measure the forces produced by the team member when placing the plate underneath of a patient over time (to 1/10 of a second). This prototype has provided valuable information along with pressure mapping about the techniques used to place pelvic films as we can see and trend the actual time it takes to place a plate over time and not just peak force produced. We have used to prototype to conduct a study comparing patients of various weights (130lbs->300lbs) and Body Mass Indices (21-43) during plate placement for three different air settings (no air, 1 air supply, and 2 air supplies).
As expected, the results showed that patients' weight does impact the amount of force needed to place an imaging detector or plate, and there are actually two peaks in the forces produced while the plate is being placed. We also discovered there are certain situations when it is best to use one versus two air supplies in regards to what impact it can have on the patients' skin, and the amount of force the team members have to produce to successfully place a plate. We also sought and documented the patients' feedback on how they felt with the plate being placed underneath of them with and without air. We asked them to rate whether or not they could feel the plate being placed and if so, was it painful.
Using this feedback, pressure mapping, and force data we have developed guidelines to benefit not only our team members but the patients' comfort and skin. These newly discovered techniques with our air friction reduction devices helped reduce our radiologic team member injuries immensely. We will review our trended team member injury data over time and will also discuss special considerations for the Operating Room & portable imaging at the bedside. We will also map out a timeline and discuss the training strategies we implemented in an acute care hospital to make this culture change necessary to aide in our continued efforts to reduce team member injuries.
Objectives:
- Identify at least three factors that can impact the force needed to place a radiologic detector under a patient
- Describe the impact air can have on reducing forces when placing a detector under a patient for imaging
- Explain how patient participation can help reduce forces to place a detector under a patient
Bio:
Leslie has been a Physical Therapist for over 21 years, treating both inpatient and outpatient orthopedic patients. She has worked in acute care at the University of Virginia Health System since 2010 and has served as the Safe Patient Handling and Mobility Smart Move Coach team lead since 2019. Fiercely devoted to preventing team member injuries, Leslie also champions the importance of patient mobilization. She earned her Bachelor of Education in Sports Medicine from UVA and her Doctorate in Physical Therapy from VCU. Leslie currently resides in the mountains of Amherst, Virginia, with her family.
Wednesday, March 12, 2025 2:20 pm - 3:05 pm 45 min BO
2025D2006-1 Using Data from EHRs to Help Drive SPHM Program Improvement
Presented by Teresa Boynton, MS, OTR, CSPHP, Rhonda Turner, RN, MSN, CSPHA, DNP and Ronnie Turner, CNA
Overview: This presentation will focus on building reports and pulling data from EHRs to help drive SPHM programs. The burden of documentation and mapping assessments and findings in EHRs will be covered, as well as how best to use metrics collected in EHRs to improve practice at the bedside. Key points that will be reviewed include considerations when implementing quality improvement and SPHM programs to ensure success, realize desired outcomes and achieve goals. Examples of organizational structure and support systems with lessons learned will be reviewed.
Objectives:
- Outline the type of reports and data related to SPHM programs found in EHRs
- Identify meaningful metrics and how these are collected
- Understand how findings in EHRs are documented and mapped
Bios:
Teresa is currently an independent consultant. From 2015 - 2018 she worked for Hill-Rom assisting healthcare organizations to build safe patient handling and mobility programs. Prior to this, Teresa worked for Banner Health for over 26 years leading ergonomics, injury prevention, SPHM and falls efforts for the Western Region and then as part of a system-wide team. She is a longtime member of ASPHP and works on the Certification and Renewal Committee and the CSPHP Exam Committee. Teresa regularly presents on mobility, BMAT and SPHM-related topics. In August 2024, she presented at the American Society of Safety Professionals conference on coding injuries to improve practice at the bedside - effective use of workers' compensation data to support SPHM practices.
Ronnie started with Banner in 1996, a total of 28 years as a CNA and total of 32 years. Ronnie have seen so often the mistakes that happen because staff won't take the time to utilize the resources that are available for safe patient handling. He has always been an advocate for helping peers to take a step back and assess what they are trying to accomplish while keeping it safe for all parties involved. Working as a collaborative team is the ultimate key, whatever your role is in the process. Ronnie is currently supporting and helping the NCMC SPHM Champions team build as a house wide resource for all the units. Ronnie has presented on the National platform since 2015 and internationally since 2019. His mantra is "Can't stop, won't stop".
Rhonda has been in healthcare for 38 years in various roles. She acquired her BSN in 2014 , MSN-Leadership in 2018, and she graduated with her DNP in April of 2024. She currently works as a Sr. RN Clinical Stroke Program Manager. In addition, she leads a large healthcare system for fall prevention, SPHM, and early mobility by identifying methods to increase awareness and how a focused program can positively impact patient outcomes while reducing injuries to the patients and frontline staff. Rhonda is a national and international speaker since 2015, a published author, has been a board member of ASPHP since 2019 and is now serving as the Executive Secretary Treasurer. Her mantra is "Empowering others to lead the future".
Wednesday, March 12, 2025 2:20 pm - 3:05 pm 45 min BO
2025D2006-2 Addressing Car Transfers with Safe Patient Handling & Mobility
Presented by Tiffany Thao-Houane, OTR, Yvonne Valdecanas, PT, MHA and Karen E. Plexman, MSN, RN, NE-BC
Overview: Patients often need assistance getting in and out of vehicles at healthcare facilities to attend medical appointments. The level of assistance needed by the patient is unpredictable and oftentimes, help is not readily available. And if available, healthcare workers face many challenges related to assisting patients with car transfers, including the risk of patient falls or employee injuries. In this presentation, we will discover how safe patient handling and mobility practices can address issues related to car transfers. We will describe the creation of a car lift assistance team that utilizes safe patient handling and mobility practices.
Objectives:
- Identify challenges and risks related to assisting patients with car transfers.
- Explain how to apply safe patient handling and mobility practices with car transfers.
- Describe the creation of a car lift assistance team that utilizes safe patient handling and mobility practices.
Bios:
Tiffany Thao-Houane is the Educator for the Safe Patient Handling & Mobility Program at MD Anderson Cancer Center in Houston, TX. She began her career as an acute care occupational therapist at MD Anderson in 2012 and realized the need for increased staff training and practices related to safe patient handling and mobility. Since transitioning to her current role in 2019, she creates and leads safe patient handling and mobility training programs and develops resources for staff across the institution.
Yvonne Valdecanas is the Safe Patient Handling and Mobiliy Program Manager for MD Anderson Cancer Center in Houston, TX since 2019. With five years leading the SPHM program for MDACC and its multiple locations and 21 years in Rehabilitation as an acute therapist and supervisory role, she brings extensive experience in developing and implementing strategies that enhance patient and well-being and safety. She collaborates closely with multidisciplinary teams to promote and integrate SPHM best practices and innovative solutions, fostering a culture of safety and excellence.
Karen Plexman has been functioning in the role of Code Blue Operations Manager for MD Anderson Cancer Center in Houston, TX since 2019. She has worked in various roles within the organization since 2000, with current oversight of medical emergency response throughout the organization. With five years leading Code Blue Operations (including oversight of the Public Space Code Blue Team and Mock Code Program) and 27 years as a Registered Nurse, she brings extensive experience in developing and implementing strategies that enhance medical emergency response. She collaborates closely with interdisciplinary teams across all MDACC campuses to promote and integrate best practices while fostering a culture of safety for patients, caregivers and staff.
Wednesday, March 12, 2025 2:20 pm - 3:05 pm 45 min BO
2025D2006-3 Consideration in selecting Safe Patient Handling and Mobility Products that also Compliment HAPI Prevention Measures.
Presented by Robert Scroggins MSN-Ed, RN, CNOR, CSPHA
Overview: With the many offerings of products on the market for Safe Patient Handling and Mobility (SPHM), it is easy to get distracted from other considerations that impact the care of the patient.
One of the biggest problems facing patients, especially in the Intensive care (ICU) is skin injury. I will look at the impact of SPHM equipment and supplies on the integrity of the skin during normal course of patient care, both in the ICU and in other areas of care in acute care facilities and beyond. The forces of pressure, moisture, friction and shear, all impact the health of skin. By selection proper SPHM equipment, we can have a positive impact on skin health and reduce pressure injuries in our patients while we protect our healthcare workers from musculoskeletal injury.
I will look at requirements for SPHM and also HAPI prevention measures with a focus on techniques and product types that fit both requirements. By recognizing the impact that SPHM equipment and supplies have on skin integrity, we are able to not only safely move and mobilize patients faster, we can prevent skin integrity issues and allow patients to be discharged sooner. This also saves the facility money from staff injuries and Healthcare Associated Pressure Injury.
Objectives:
- Identify at-risk patients for skin injury from SPHM equipment
- Describe how SPHM equipment and supplies can affect skin integrity
- Explain the importance of Braden Scale in selection of SPHM devices
- Explain the qualities in SPHM equipment that could impact skin integrity
Bio:
Robert (Rob) Scroggins has been a registered nurse an LPN and a Combat Medic in the Army. Rob's experiences are varied in both nursing and in private life. As an LPN and RN, he has worked in a variety of specialties ranging from Med-Surg, ED, ICU, Ortho, Neuro, Renal and perioperative services, where he spent 25 years. In his tenure as an OR nurse, he worked in several roles from staff nurse to assistant nurse manager and educator and safety rep. Rob's background encompassed many aspects including capital equipment acquisition, general safety, fire safety, Laser Safety Officer, and patient safety, including safe patient handling.
Outside the hospital, Rob has been a firefighter, EMT, rescue diver and forest fire warden in his home state of Kentucky. In addition, he has served 21 years in the National Guard and Army Reserve in roles from enlisted combat medic to operating room nurse to company commander. Rob also served on the State of Kentucky bioterrorism task force for the National Guard and was certified in Trauma Nursing and Chemical Casualty Care.
A veteran, Rob is a Life member of the Veterans of Foreign Wars as well as the First Cavalry Division Alumni Association.
Background in Safe Patient Handling
Currently, Rob works for Hovertech International, a safe patient handling and mobility supplier for healthcare facilities around the world. Rob is the Clinical Safety Director for the company and performs ergonomics assessments at facilities to guide them in their program development, equipment recommendations and provide ongoing assistance for them as needed. In this capacity, Rob also develops HoverTech's educational content and assists with training of employees in safe patient handling and mobility, as well as education to end-using clinicians. Rob serves on HoverTech's product development team and works with our research and development engineers and upstream marketing teams to develop new products as well as improve existing products.
Rob is a member of the Association of Perioperative Registered Nurses (AORN) and the Association of Safe Patient Handling Professionals (ASPHP)
Wednesday, March 12, 2025 2:20 pm - 3:05 pm 45 min BO
2025D2006-4 Building Bridges: Creating a Dynamic and Safe Mobility Culture in the ICU
Presented by Kali Dayton, DNP, AGACNP and Nancy McGann PT, CSPHP, CPPS
Overview: Mobility is everyone's job in the healthcare setting, but safe mobility requires the expertise of many professionals to be successful. This paradox often leads to significant barriers in safe mobility change management. There is nowhere that this complexity is more profound than in the ICU setting. Clear roles, expectations, and skills need to be set by the interdisciplinary team in each phase of this change. This session will provide the background and tools to support the journey to an Awake and Walking ICU with the collaborative approach to create a successful team with a culture supportive of the change that is paramount to achieving an Awake and Walking ICU.
Objectives:
- Learner will understand how to advocate for safe mobility as a safe patient handling leader despite clinical background.
- Learner will understand how to advocate for safe mobility as a clinical leader or front-line caregiver.
- Learner will leave with actionable tools to drive change for ICU mobility including prompts and questions using plain language.
Bios:
Kali Dayton, DNP, AGACNP, is a critical care nurse practitioner, host of the Walking Home From The ICU and Walking You Through The ICU podcasts, and critical care outcomes consultant. She is dedicated to creating Awake and Walking ICUs by ensuring ICU sedation and mobility practices are aligned with current research. She works with ICU teams internationally to transform patient outcomes through early mobility and management of delirium in the ICU.
Nancy McGann PT, CSPHP, CPPS is the Enterprise Manager of Safe Mobility for Intermountain Health where she has worked for 18 years. In this role she leads patient fall prevention, safe patient handling, and patient mobility programming for Intermountain Health's 33 hospitals, 385 clinics and severak post-acute centers. Prior to her current role, she was the System Manager of Caregiver Safety and the System Manager of Ergonomics and Safe Patient Handling and Mobility at SCL Health; now Intermountain Health. She has worked as a therapist and ergonomic consultant in industry and healthcare for the past 35 years. Nancy has been on the board of directors of the Association of Safe Patient Handling Professionals for 5 years and has published and spoken nationally for the past 15 years in this area. Her passion is protecting both caregivers and patients while facilitating mobility to provide the highest quality of care.
Wednesday, March 12, 2025 2:20 pm - 3:05 pm 45 min BO
2025D2006-5 Safe Patient Handling and Mobility Certification - Guidance, Advice, and Q&A
Presented by Brad Dugan, PT and Kelsey L. McCoskey, MS, OTR/L
Overview: Do you want to become certified in SPHM? Do you need assistance navigating the process or have questions about examination preparation? Do you want to achieve a
different certification level? Help is available from our experts in this session. The Certified Safe Patient Handling Professionals (CSPHP) leadership will give an overview presentation and then open the session up for questions. The topics will include the levels of certification, requirements, the value of SPHM certification, FAQs, options for obtaining Professional Development Hours (PDH), the application process and certification maintenance. 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
Bios:
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 16 years of dedicated safe patient handling and mobility 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 Association of Safe Patient Handling Professionals (ASPHP) Board of Directors and is currently serving on the Certified Safe Patient Handling Professionals Board, as well as chair the Examination Committee.
Kelsey McCoskey has been an ergonomist for 24 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 safe patient handling and mobility (SPHM), especially the implementation of SPHM programs. She has served on both the Association of Safe Patient Handling Professionals (ASPHP) Board of Directors and is currently serving on the Certified Safe Patient Handling Professionals Board, as well as chair the Certification and Renewal Committee. Ms. McCoskey is Lean Six Sigma green belt certified. Ms. McCoskey earned a BA from the University of Delaware and a MS in occupational therapy from Shenandoah University. She is a Certified Professional Ergonomist and a Certified Safe Patient Handling Professional.
Wednesday, March 12, 2025 3:45 pm - 5:15 pm 90 min GS
2025D2007 Who Handles the Handling? A Follow-up to The Burning Question - A look at the need for a dedicated SPHM Coordinator/Manager.
Presented by Renee Kielich RN, CSPHP, Tricia Jaworski, OTR/L, CSPHP and Teresa Boynton, MS, OTR, CSPHP
Overview: The presentation will look at the need for a full-time dedicated SPHM Coordinator. The presenters will review survey responses and presentation work from a study that started in 2020. The goal was to investigate how the SPHM Coordinator/Manager role fits within healthcare organizations' report structures and how it impacts SPHM program outcomes. This information was accepted in March 2024 for publication in the American Nurse Journal and we anticipate publication by conference time.
The intent is to review and identify how the SPHM Coordinator/Manager role, responsibilities and report structure impacts common SPHM program outcome measures. Areas reviewed from the study will include SPHM Coordinator role and responsibilities, time spent in the role, report structure and clinical background. In addition, the impact of a dedicated role on SPHM program implementation, workplace safety, and program goals and metrics will be discussed. Tips and strategies to justify a full-time dedicated SPHM Coordinator role will be provided. Potential variances in outcomes will be discussed when a dedicated SPHM Coordinator is in place versus not, as well as how a full time SPHM Coordinator can help ensure sustainability of a SPHM Program. A SPHM Program Coordinator job description will be shared to illustrate a suggested skillset for successful program management.
Objectives:
- The learner will be able to identify key outcomes measures in the areas of patient care, nursing sensitive indicators and nursing goals to support justification of a dedicated full time SPHM Program Coordinator role.
- The learner will understand how to use injury data and trends to support workplace safety, ergonomic, and workers compensation goals and to help justify a full time dedicated SPHM Coordinator position.
- The learner will be able to describe the importance of the SPHM Coordinator/Manager role and how to advocate for protected time for the role.
- The learner will take away ideas for a SPHM Coordinator job description to assist with advocacy for this role within their facility
Bios:
Renee Kielich is a national thought leader in SPHM. She was an early adopter of SPHM and developed and implemented a SPHM program at Ascension Columbia St. Mary's in Milwaukee, WI. Her career pivoted to the national level where she assisted facilities across the country implement programs through her role as a Clinical Consultant with Hillrom. Renée served on the ASPHP board for seven years and served as President from 2017-2018.
An Occupational Therapist by background, Tricia has worked at Advocate Health for over 25 years. Advocate Health is the 3rd largest not-for-profit integrated healthcare system in the United States. Tricia currently is the Midwest 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. Tricia is currently serving her second term on the ASPHP board of Directors. As a member of ASPHP, Tricia is active on the education committee and co-chairs the marketing committee. Tricia is a co-chair of the IL, MN, and WI SPHM Network, offering SPHM educational opportunities, conferences, networking, and support for those involved in SPHM across the states of IL, MN, and WI.
Teresa is currently an independent consultant. From 2015 - 2018 she worked for Hill-Rom assisting healthcare organizations to build safe patient handling and mobility programs. Prior to this, Teresa worked for Banner Health for over 26 years leading ergonomics, injury prevention, SPHM and falls efforts for the Western Region and then as part of a system-wide team. She is a longtime member of ASPHP and works on the Certification and Renewal Committee and the CSPHP Exam Committee. Teresa regularly presents on mobility, BMAT and SPHM-related topics. In August 2024, she presented at the American Society of Safety Professionals conference on coding injuries to improve practice at the bedside - effective use of workers' compensation data to support SPHM practices.
Thursday, March 13, 2025 7:45 am - 9:00 am 75 min GS
2025D3001 2025 CMS Inpatient Prospective Payment System (IPPS), What You Need To Know About Ensuring Early, Frequent, And Safe Mobility
Presented by Bob Williamson
Overview: In 2025, CMS ADOPTED Inpatient Prospective Payment System (IPPS) related to age friendly care. This programmatic measure assesses acute care hospital and ambulatory settings commitment to improving care for patients > 65 years of age. The clinical measure consists of five domains each addressing an essential aspect of clinical care. For the purposes of this presentation the focus will be on Domain 3: Frailty screening and intervention (Mobility, Mentation, and Malnutrition) with a special emphasis on mobility. This presentation will demonstrate the process to build an engaged early mobility practice that reaches every level of the healthcare organization.
Objectives:
- 1. Increase awareness of CMS Inpatient Prospective Payment Systems (IPPS) key actions
- 2. Identify opportunities to advance age-friendly mobility within the 4Ms (What matters, Medication, Mentation, and Mobility)
- 3. Describe the Key Points related to successfully completing the attestation related to Mobility within the IPPS
Bio:
Bob is a Medical Science Liaison, Safe Patient Handling and Mobility at Baxter, Inc. He has extensive experience and knowledge of occupational health, patient safety, enterprise risk management, high reliability and performance improvement. He has served in progressive leadership roles with Ascension Health and HCA Healthcare. In these roles, he has developed and led system-based initiatives that reduced caregiver injuries associated with manually lifting and moving of patients. Additionally, he has facilitated the deployment and adoption of patient fall and pressure injury reduction initiatives associated with immobility. Bob is a founding Board member and the past President of the Association of Safe Patient Handling Professionals. He was the recipient of the Safe Patient Handling and Mobility Advocacy Award in 2017.
Thursday, March 13, 2025 9:00 am - 10:00 am 60 min GS
2025D3002 Putting Bariatrics in the Forefront: A Practical Approach to Addressing
Presented by Susan Gallagher PhD MSN RN CBN
Overview: This session explores the intricacies of Safe Patient Handling and Mobility (SPHM) for patients with significant adiposity, specifically positioning, intubation, toileting, clinic care, diagnostics, and early mobility, all specifically adapted to meet the distinct requirements of patients with obesity. 2025 CMS updates as they relate to size-sensitive care is explained. Bring your questions and ideas!
Objectives:
- Explore the new CMS updates associated with safe size-sensitive care
- Identify steps to create an environment for size-sensitive accommodation
- Describe SPHM as the foundation for patient and employee safety, regardless of size.
Bio:
Susan Gallagher, is a trained wound ostomy continence nurse, certified bariatric nurse, health care risk manager and certified safe patient handling professional. She has certificates in Six Sigma-Health Care and Six Sigma LEAN. Susan holds a masters degree in nursing, a masters 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 capture quality and sustainability through customer sensitive initiatives, supported by quantitative performance improvement outcomes.
Thursday, March 13, 2025 10:15 am - 11:15 pm 60 min GS
2025D3003 Preventing Workplace Violence in Healthcare: What's Safe Patient Handling and Mobility got to do with it?
Presented by Lynda Enos, RN, BSN, MS, COHN-S, CPE
Overview: Manual patient handling and workplace violence (WPV) are 2 of the leading causes of injuries to healthcare workers in the US, accounting for over 50% of the injuries with days away from work and approximately 50% of worker compensation costs to healthcare organizations. As a response to the significant increase in WPV towards healthcare workers over the past decade, healthcare organizations are focusing resources to address this serious issue and to meet Joint Commission and state-based WPV standards and a potential federal standard from OSHA. However, as personnel and budgetary resources are directed towards addressing WPV, it is vital that they are not being diverted away from safe patient handling and mobility (SPHM) program efforts.
This session explores how SPHM plays an important role in violence prevention efforts from a culture of safety perspective. It also serves to raise awareness about the risk of WPV when performing SPHM and patient care tasks and provide best safety practices for caregivers to reduce their risk of being a victim of WPV.
Topics that will be discussed included:
• The scope of WPV in health care and the cost to caregivers, patients and healthcare organizations
• The relationship between WPV and SPHM programs and how both can promote a culture of caregiver and patient safety
• The evidence base supporting the use of SPHM technology and best practices to reduce the risk of violence by patients
• Awareness of the risk factors that can trigger patient aggression including handling and mobility activities
• Assessing and communicating SPHM mobility needs and patient risk for violence
• Practical safety tips when working with patients who may be at risk for violence or becomes aggressive during care and mobility tasks while maintaining safe progressive mobility goals
The audience will be asked to work in groups and answer questions designed to encourage discussion about how workplace violence prevention and SPHM intersect in their work environment. They will be asked to share best practices when working with patients at risk of verbal and physical violence. 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 scope of WPV in health care and the cost to caregivers, patients and healthcare organizations
- 2. Define conditions that may place a caregiver are risk of patient violence when performing patient care and mobility tasks
- 3. Define how SPHM technology, assessment tools and best practice can reduce the risk of patient-related violence during mobility and patient care tasks while supporting mobility goals
- 4. Identify at least 3 freely available resources or tools that you can use that will assist to develop, implement, and evaluate effective SPHM and/or WPV programs
Bio:
Ms. Enos is a certified occupational health nurse and certified professional ergonomist with over 30 years of work and consulting experience in industrial and health care ergonomics and safety including prevention of workplace violence. In 2017, Ms. Enos completed a 2-year project for the Oregon Association for Hospitals and Health Systems (OAHHS) that included helping 5 hospitals in Oregon to develop comprehensive program plans to address WPV. Using lessons learned from this project and an extensive review of violence prevention literature, Ms. Enos developed a comprehensive and freely available toolkit for prevention violence in healthcare. The "Oregon Workplace Safety Initiative Workplace Violence in Healthcare: A Toolkit for Prevention and Management" was published in December 2017 and extensively updated in March 2020.
The toolkit is available at https://www.oahhs.org/safety.
Ms. Enos has since partnered with the Oregon State Stabilization and Crisis Unit (SACU) to further develop their WPV prevention program for their 23 group homes, and with state hospital associations and insurers to conduct WPV prevention workshops for numerous healthcare organizations through the US. Ms. Enos is a subject matter expert (SME) for several regulatory and research entities including the Joint Commission (TJC) where she provided guidance for the of TJC 2022 Workplace Violence (WPV) Standards for hospitals and the 2024 WPV standards for behavioral healthcare and human services.
Thursday, March 13, 2025 11:15 am - 12:15 pm 60 min GS
2025D3004 Advocating for Change - How to Become an Influencer to Advance SPHM and Reduce Caregiver Harm
Presented by Ruth Francis, DrPH, MPH, MCHES, American Nurses Association
Elizabeth Stoll, Director State and Local Government Affairs, Baxter
Adam F. Moskowitz, PhD Researcher Associate, University of Iowa
Overview: Since 2006, eleven states have enacted laws regulating SPHM maneuvers in the healthcare workspace to reduce injury risk to healthcare workers and patients. However, there is great variation and change over time in the scope, content, and enforcement mechanisms for these regulations. This presentation will address the impact on health policy as state and federal levels related to past legislation and implications for reducing harm to care providers today and into the future. Additionally, participants will learn of methods to effectively influence advocacy at state and federal levels on behalf of themselves, their colleagues, patients, and healthcare employers.
Objectives:
- 1. Evaluate scopes of SPHM legislation using frameworks from industrial hygiene and occupational epidemiology, including the Hierarchy of Controls.
- 2. Identify the value of health policies by examining the effect of past legislation and the implications for future change in reducing caregiver harm.
- 3. After this educational presentation, the participants will be able to describe various actions they can take to advocate in the government on safety issues on behalf of themselves, their colleagues, their patients, and their employers.
Bios:
Adam F. Moskowitz is an occupational health and safety researcher trained in injury epidemiology and labor policy. His research has focused on occupational injury among precarious workers in the healthcare industry. He is a recent graduate of the NIOSH-supported doctoral training program within the University of Minnesota's Midwest Center for Occupational Health and Safety, and is currently a Research Associate with University of Iowa's Healthier Workforce Center of the Midwest. Dr. Ruth Francis has over 30 years of international, corporate, association, government and community health education and promotion experience and works for the American Nurses Association (ANA) where she is a Senior Policy Advisor in the Nursing Practice & Work Environment Department. Ruth is the co-staff lead for the Racism in Nursing work and manages ANA's COVID Education and Occupational Health Initiatives - Workplace Violence/#End Nurse Abuse Initiative, Safe Patient Handling and Mobility, Precision Health, AI in Nursing, Opioids Prevention, and Gun Violence Prevention, representing ANA at national and federal stakeholder meetings. Ruth also represents ANA on CDC's Advisory Committee on Immunization Practice Workgroup related to COVID-19 vaccine education.
Dr. Francis has authored or co-authored over 100 books, articles, positions, briefs, and papers and has presented locally, nationally, and internationally on occupational health, immunizations, safety, and health and wellness promotion. She led the team in re-writing the ANA Safe Patient Handling and Mobility Interprofessional National Standards in 2021 and is currently half-way through her 3-year term on the NIOSH Board of Scientific Counselors, providing guidance to the NIOSH Executive Staff. Ruth is a past ASPHP Board member (2019-2021) and currently participates on the Governance Committee and chairs the Policy Workgroup. Dr. Francis completed her Doctorate degree in Public Health, received her master's degree from Loma Linda University in California and is certified as a Master Health Education Specialist.
Elizabeth has worked for Baxter since 1999 and has held a variety of positions in the Government Affairs Department, including those in Advocacy, Political Action, and, as of 2002, State and Local Government Affairs. As Director of State and Local Government Affairs, Elizabeth has a direct role in developing, advocating, and advancing Baxter's position on issues that impact the company across all businesses and corporate functions. She is responsible for these actions in all 50 states and all local governments and engages directly with Governors, legislators, city and county officials, relevant state agencies, community stakeholders, and coalitions. Prior to Baxter, Elizabeth also worked at Peter D Hart Research Associates, United Healthcare, and the United States Senate. Elizabeth graduated from Auburn University with a BA in Social Work and the University of Alabama with a Master of Social Work. Elizabeth lives in Atlanta, GA, and is married. She has three children, two dogs, and three cats.