Dr John WallaartPhD, MBA, DBS, Dip.Chem., Dip.OH&S Mgt

Programme Manager ACC Corporate Office

Background• Industry

– Heavy metal (aluminium), Pulp and paper, etc

• Research– The world’s first FPBR (Fan Supplied Positive Pressure Respirator)

• ACC - programme management– Agriculture, e.g. FarmSafe– Construction, e.g. SiteSafe– NIHL (including “Dangerous Decibels”)– Road transport– Health

- etc

• Aviation– CPL/Instrument Rating, etc– Flew post around the southern part of NZ in evenings

Overview

• The history and background

• The 4 reports that led to the update of the guidelines

• The process in updating the guidelines

• Where to from here?

John

ACC Work Related Entitlement DPI Claims in Health Services Sector

DHB and residential/aged care services, by duration of claim (on year)

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Cost of Active Claims

DHB and residential/aged care services, by injury site (one year)

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Cost of Active Claims

DHB and residential/aged care services, by cause of claim 2008/2009

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Cost of Active Claims

Taxonomy-Residential care (2009)

925 claims353 > 60 days

Human 72%

Patient handling 50%

Equipment handling 16%

Gravitational 25%

Falls to the same level 17%

Patient handling

Lift 37%

Push/Pull 5%

The “lead-up” to the new guidelines

• Thomas D and Y L. (2010). Survey of users of the New Zealand Patient Handling Guidelines.

• Thomas D et al. (2009). Report on the review of the New Zealand Patient Handling Guidelines.

• Thomas et al. (2009). Patient Handling Guidelines: Literature Review.

• Ludcke J and Kahler R. (2009). Taxonomy of injuries in Residential Care.

Survey of previous users

• Remove the 16kg weight limit

• Simplify forms and audit tools

• Make clear who the audience is for each section

• More information about training for patient handling

• Techniques for handling disabled or non-compliant patients

• Update injury stats data- etc

Report on the review of the 2003 NZPHG

• Many providers had done very little to develop an adequate safety culture related to safe patient handling

• Review Panel strongly supported the guidelines as a single comprehensive document

• The document is a resource for a wide range of organisations

• The 2003 guidelines needed revision

• Cost/benefit information needed to be provided.

Literature Review

• Health care workers vulnerable because of:– Job strain– High physical workload– Lack of lifting or other devices

- Etc

• Lateral transfers particularly • Psychosocial • Multi-factorial approaches

• Cost-Benefit analysis

Literature Review

• Cost-Benefit analysis

• Increasing weight of patients

• Legislative enforcement?

Many studies are limited in their usefulness - etc

Moving and handling of people - the New Zealand guidelines 2012

• Produced by a panel of people with different backgrounds

• People with relevant experience brought in periodically

• Written by Prof. D. Thomas followed by– International expert (SME) review

– Public submissions

Chapters increased from 9 (2003) to 14 (2012)

Has taken into account:• Changing use of equipment

• Bariatric patients and other developments– Recommendations based on best

available information– It is not a Code of Practice

• Aiming to set a benchmark for future development and improvement

Where to from here?

• Freely available– CD/DVD format– Online format

• Supported by short versions for front-line staff

• Translated versions

• Posters, etc

• Regional seminars planned for May and June

Immediate future plans

• Home Care industry– Addition to the Guidelines

• Extramural course (co-operative alliance between universities)

• Other views/ideas?

Questions