William Marras, PhD, CPE
Understanding the Science of Musculoskeletal Injury

Dr William Marras is well known to the SPHM movement as the research he has pioneered in his labs has been the foundation for understanding the mechanisms of occupational injury associated with patient and resident handling tasks. Among his professional accomplishments, Dr Marras is the Executive Director and Scientific Director of the Spine Research Institute, Professor of Physical Medicine & Rehabilitation, Professor of Department of Orthopaedic Surgery, Professor of Neurological Surgery, and the Honda Chair Professor, Integrated Systems Engineering.

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The science of occupational musculoskeletal injury is a largely misunderstood problem in the US and globally. This presentation explores the science of occupational injury as evidenced by the research, with the goal of seeking new ways to address worker injury. Specific tasks that commonly occur in the everyday life of healthcare providers are examined along with an explanation of how spine forces initiate physiologic consequences when these loads are exceeded over time. In addition, this presentation will describe new research trends that will improve your understanding of musculoskeletal causal pathways. Learners will have a better understanding of the relationship between patient handling and worker injury.

Neal Wiggermann, PhD, Lisa Annemarie Pompeii, PhD, MS, RN, FAAOHN & Rhonda Turner, MSN-LD, CSPHA
Research: A Look to the Future

Dr Neal Wiggermann is a Specialist Research Scientist in Human Factors and Ergonomics at Hill-Rom. Prior to his work in healthcare, Dr Wiggermann was involved with occupational safety engineering & ergonomics at General Motors/United Auto Workers (GM/UAW.) Presently Dr Wiggermann manages the biomechanics laboratory at Hill-Rom and performs scientific research and product testing that is used to inform the design of medical devices that reduce caregiver injuries and improve outcomes for patients. Neal has published research that spans the topics of occupational biomechanics, safe patient handling, and patient safety. Dr Wiggermann will be joined by Lisa Pompeii, PhD MS RN FAAOHN and Rhonda Turner MSN-LD CSPHA.

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This presentation explores the many faces of SPHM research, which includes research in a clinical laboratory, academic research in a university setting, and grass-roots research that begins at the bedside. A case study approach is presented.

Lisa Pompeii is an occupational health nurse and occupational epidemiologist with a research focus in work related injuries and illnesses specific to healthcare workers, including back injuries and work disability due to patient handling. Dr. Pompeii currently leads two NIOSH funded studies focusing on workplace violence in outpatient physician clinics, as well as respiratory protection strategies in healthcare. Lisa is co-director for the Center for Epidemiology & Population Health at Texas Children’s Hospital, as well as the editor in chief for Workplace Health & Safety, which is the society journal for AAOHN.

Rhonda Turner has been in healthcare for 34 years in various roles. She acquired her BSN in 2014 and was inspired to go after her MSN-Leadership to be a stronger voice for the frontline, graduating in 2018 with a graduate certificate in healthcare education. She currently works as a RN Operations Support Specialist and her primary role includes onboarding, education, quality metrics, strategic initiatives and leadership. She continues to support her fellow nurses by identifying methods to increase awareness around SPHM and demonstrate how a comprehensive program can positively impact patient outcomes while reducing injuries to the patients and frontline staff.

Vicki Missar, MS, CHCSP
Health Care Claims Database: Understanding National Employee Injury Trends

Vicki Missar draws on her experience as Associate Director for Aon Global Risk Consulting to present a snapshot of what strategies work among SPHM programs nationwide. Vicki’s unique perspective includes the audience in this big picture analysis of programs and their injury prevention effectiveness as it relates to program structure. Never before has such a large sample of SPHM claims been analyzed and discussed in one presentation, and the result is a definitive set of parameters regarding 'what works'.

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This presentation features a data measurement model used to process over 230,000 SPH claims from 66 healthcare systems. Further, evidence is presented that suggests there is a direct correlation between adherence to the ANA Standards in SPHM programs, ASPHP certification and reductions in the frequency and severity of care staff injury attributed to patient handling and mobility. Missar breaks down this connection on a national level, pointing to tangible results stemming from individual facilities’ implementation of the ANA standards and ASPHP certification.

Susan Gallagher, PhD, MA, MSN, RN, CSPHP, CBN
Now What? The Next 20 Years

Susan Gallagher earned a Masters’ Degree in Nursing: Advanced Practice WOC Nursing from University of Southern California in 1995. She holds a Masters’ Degree in Religion and Social Ethics, and a PhD in Policy Ethics from University of Southern California. Dr Gallagher is certified in Bariatric Nursing and is a Certified Safe Patient Handling Professional. She is currently President of the Association for Safe Patient Handling Professionals, Associate Editor for Workplace Health and Safety (AAOHN), has served on a number of international boards and is a recognized speaker on skin and wound care, outcomes, bariatrics, ethics, risk and loss control across the globe. Susan is the author of more than 200 peer-reviewed articles, books and book chapters, including the 2013 ANA Implementation Guide to SPHM Standards, Bariatric SPHM and more.

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Twenty years ago, Audrey Nelson introduced Back Injury Prevention as a safety initiative. The term was quickly changed to SPH and Movement. In 2013, the term was changed again to SPHM. We know it takes about 20 years for a good idea to become practice. This presentation challenges participants to recognize that the time for SPHM is now, and to begin to identify innovations that will continue to propel this all-new way of providing safe, quality patient activity into the future.

General Session
Grace Delizo, CIH CBN
Occupational Health and Safety in 2020: Enforcement, Outreach, and Consultation

Grace Delizo is a certified industrial hygienist and senior safety engineer for Cal/OSHA's Research and Standards Health Unit. Ms. Delizo participated in the division's working group implementation of AB 1136, the Hospital Patient and Health Care Worker Injury Protection Act, which included developing the new Title 8, Section 5120.

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This presentation will explore OSHA enforcement, outreach and consultative services. Registered Nurses, Therapists, Engineers, Hospital Leaders, and Healthcare Planners alike will benefit from this engaging 360° view.

General Session
Ruth Francis, MPH, MCHES
ANA's Safe Patient Handling and Mobility Interprofessional National Standards

Ruth Francis has over 25 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 currently leads ANA’s Occupational Health Initiatives - Safe Patient Handling and Mobility, #End Nurse Abuse and Bullying Prevention, Opioids Prevention, and Gun Violence Prevention, representing ANA at national and federal stakeholder meetings.

Ms. Francis has authored or co-authored over 50 articles and has presented locally, nationally and internationally on occupational health, immunizations, and health and wellness promotion. She is leading the team that is re-writing the ANA Safe Patient Handling and Mobility Interprofessional National Standards that will be available in June 2020.

Ms. Francis received her master’s degree from Loma Linda University in California and is certified as a Master Health Education Specialist. She is currently working pursuing her Doctor of Public Health degree.

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The Standards are considered the foundation for national and state legislation, and a framework for programmatic implementation across the states and globally. Originally made available to the public in 2013, the ANA workgroup members and advisory groups are finalizing an updated revision. The process of revision is discussed and plans for distributing the all-new information are outlined.

General Session
Rhonda Turner, MSN-LD, RN, CSPHA and Ronnie Turner, CNA, CSPHA
The Importance of Live Hands-On Demonstrations in Training

Rhonda Turner, MSN-LD CSPHP and Ronnie Turner have a unique story that provide the background for their presentation, examining the effectiveness of training and pointing to methods that work in bridging gaps in practice. Rhonda’s 28 years as a CNA serves as a solid background for her passion for education and serves to make important connections between training programs and care staff. Ronnie’s experience and first-hand experience as an injured worker builds on this foundation. This presentation examines retention of vital SPHM information and proficiencies over time as they correlate to multiple training strategies, pointing the way for facilities weighing the costs and benefits of various training models.

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This presentation examines gaps in practice resulting from insufficient training methods, emphasizing the need for live hands-on training for patient handling and mobility. The availability of technology and the high cost of training have the potential to influence facilities to forego live hands-on training in favor of video or algorithm-based training tools. Rhonda explores the effect this can have on proficiencies, and by extension, the safety of patients and care staff alike.

Panel Discussion
Joseph Daly, PT, MBA, MHA, FACHE, Ed Hall, MS, CSP, CSPHP and Michele Blazek, MBA
Safe Patient Handling at Stanford Health Care – Building Accountability, New Practices, Expanding Services to Ambulatory Settings

Join Edward Hall and the team at Stanford for an in-depth look at Stanford Health Care’s approach to establishing and evaluating an effective SPHM program over time. This engaging presentation follows changes in policies and procedures on the floor from implementation through to their impact on program metrics. Stanford’s attention to detail on the data side of the program demonstrates the importance of collecting and evaluating these metrics, revealing some unforeseen benefits of the program along the way. Ed Hall. Joseph Daley and Michele Blazek lay these findings out in an informative and captivating panel presentation, complete with visual aids that make connections between complicated metrics accessible and memorable.

With more than twenty years of progressive clinical experience, management responsibility and leadership development across acute and post-acute settings including home health, long term care, outpatient, rehabilitation and inpatient hospital environments, Joseph Daly has extensive experience developing innovative care delivery approaches to support efficient transition across the continuum, emphasizing high quality/low cost care, optimal outcomes, regulatory compliance, and reducing readmission.

With over 20 years of diverse risk and insurance management experience, Ed Hall is an authority in managing risks in healthcare and industrial sectors. He is nationally recognized for his development of innovative loss control risk management programs, which have led to dramatic increases in both patient safety and financial savings.

Additionally, Ed Hall knowledge and leadership helped Stanford Hospital and Clinics receive the "Best Practice Award" for safe patient handling – one of the Risk Authority's Stanford’s key strategic patient and employee initiatives.

With over 30 years of experience in telecommunications, healthcare and consulting, M. Blazek has led multidisciplinary teams to improve the performance of compliance management systems and to integrate EH&S and sustainability into business operations.

M. Blazek chairs SHC Environment of Care/Life Safety Steering Committee and the SHC Employee Safety Council.

This course deconstructs the Case Study at Stanford Health Care and highlights Stanford Health Care’s Safe Patient Handling (SPH) Program. As a relatively mature program that has recently moved to new 360-bed, state-of-the-art hospital with overhead lifts in every room while continuing operations in an existing building using portable lifts, new processes/workflows have been developed while simultaneously refining existing ones.

Areas of focus include

  • Injury tracking, accountability, and follow up
  • Increased engagement through the targeted use of front-line SPH Champions for both hospital and multiple ambulatory sites.
  • Training strategies discussed: upgrade of Learning Management System (LMS) content and hands-on training to efficiently deliver the most relevant knowledge and skills to a greater number of clinical/ancillary staff with increased focus on ergonomics; interdisciplinary design of hands-on overhead lift training using a scenario-based learning approach that incorporates Bedside Mobility Assessment Tool (BMAT) assessment and appropriate equipment use.
  • Improved accountability through the use of tools to support supervisor rounding on Safe Patient Handling techniques will also be discussed.
Raul Ayala, JD (Panel Moderator)
Human Elements of Worker Injury

Raul Ayala, Esq. is a Collaborative Courts Supervising Attorney assigned to the treatment courts in the Central District of California. As such, he has assisted in the selection, screening and assessment, and program planning for all participants with substance use and mental health issues. Raul is also active in the recovery community for legal professionals with the American Bar Association and the Hispanic National Bar Association.

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Many healthcare workers fail to understand the relationship between worker injury, standard treatment modalities and the ease at which dependency on opioids can occur. This presentation examines the threats of sustained emotional and physical stress on health and wellness. Occupational pain associated with drug tolerance, dependency, and addiction is described as are the real-life impact of these consequences. A case study is presented.

Panel Discussion
Best Practice Across the Nation
Presented by Mary W. Matz, MSPH, CPE, CSPHP and James Collins, PhD, MSME

This inspiring presentation features voices of SPHM pioneers and leaders. Participants can expect to learn ways to identify opportunity and overcome barriers as SPHM continues to evolve. Learn about some of the latest initiatives from leading organizations in the US. This interactive presentation will allow participants to submit specific questions that need answers as we build a stronger unified message of universal SPHM.

Mary Matz is internationally recognized for her work in patient care ergonomics. She developed, implemented, and sustained the national VA Safe Patient Handling and Mobility Program bringing it national and international recognition. Her expertise led to the incorporation of patient handling design criteria into national healthcare design guidelines and primary authorship of the Patient Handling and Movement Assessments: A White Paper.

James Collins is a national leader committed to addressing the two leading causes of occupational injury in healthcare workers: safe patient handling and mobility; and slip, trip, and fall prevention. His work has impacted healthcare worker safety globally and has led to a reduction in injury in various healthcare settings. Collins currently serves as the Associate Director for Science in the NIOSH Division of Safety Research (DSR). Incorporating research-to-practice methods into his research, has worked with opinion leaders to raise awareness of occupational risks and to promote the widespread implementation of effective solutions, both nationally and internationally.