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3/29/2021 - Odor Surveys and Assessments - 2021

If you ever had an odor or indoor air quality issue within your facility you can appreciate the difficultly in identifying the sources or causes and responding to questions from employees.

OSHA & CMS Interagency Agreement Improving Health and Safety in Hospitals

Wednesday, March 6, 2013
OSHA & CMS Interagency Agreement Improving Health and Safety in Hospitals OSHA and the Centers for Medicare and Medicaid Services (CMS) signed an interagency agreement in August of 2012. They agreed to work together on the following three projects:

  1. Developing a Healthcare Injury and Illness Fact Book;
  2. Implementing safety and health management systems in hospitals; and
  3. Implementing safe patient handling/lifting programs in hospitals.

What do/will OSHA and CMS expect of hospitals? As can be seen by their emphasis in the three project areas, OSHA/CMS expect hospitals to work in the prevention of injuries and illnesses through implementation of health and safety management systems and safe patient handling programs. The professionals at 1Source Safety and Health, Inc. (1Source) have been helping healthcare systems to develop, implement, and sustain these programs for almost 30 years, producing the following types of results and cost savings:

  • Reducing workers’ compensation cost over $700,000/year for 2 subsequent years for one system
  • Achieving a 45% decrease in patient handling injuries after partial implementation of a SPH program throughout a healthcare system
  • Significantly reducing patient falls and pressure ulcers for a healthcare facility
  • Reducing the OSHA LWDIIR case rate from 6.3 to 3.3 for one hospital
  • Achieving a return-on-investment (ROI) of over 9 for one hospital
  • Reducing lost workday (LWD)/ 100 FTE from 43.7 to 20.5 for one hospital
  • Helping a large healthcare system to reduce their program cost from $0.77 per $100 of payroll to $0.70
  • Helping to assure compliance with OSHA, the Joint Commission, and other regulatory entities.

The consulting services we provided in helping to achieve these results generally were provided for less than the average cost of 1 disabling (lost workday) case.

The following information details the OSHA and the Centers for Medicare and Medicaid Services (CMS) signed interagency agreement and its implications for healthcare. 1Source has the experience to assist in the implementation process and to reduce the expense related to employee and patient injuries.

Injury and Illness Fact Book

The goals in the development of the Injury and Illness Fact Book are to:

  • Demonstrate that healthcare is a high hazard industry;
  • Show that poor worker health and safety comes at great cost; and
  • Convince employers and workers to take action.

The fact book will include an analysis of injuries and illnesses by classification, by employment setting, single year and long-term trending, and include a discussion of workers’ compensation cost. It will include case studies of common injuries/illnesses, a discussion of the implications for worker morale/productivity/turnover, and a discussion of OSHA recordkeeping requirements.

Safety and Health Management Systems (SHMS)

The goals in addressing the need for SHMS in hospitals are to:

  1. Promote an overall culture of safety for both patients & workers;
  2. Explain role and value of SHMS;
  3. Provide examples of successful hospitals; and
  4. Provide a roadmap to implementation.

Safe Patient HandlingSafe Patient Handling (SPH)

The goals in addressing the need to implement SPH programs are to offer guidance to include:

  1. Explanation of SPH principles & practices;
  2. Discussion of linkage between worker and patient safety;
  3. Roadmap to implementing SPH programs in hospitals;
  4. Emphasis on barriers to implementation and how to overcome them;
  5. Case studies of success stories and missteps from VPP hospitals and other facilities (real world worker and patient safety data; and
  6. Tools and other implementation resources.

For more details, contact Colin J. Brigham, CIH, CSP, CPE, CPEA, CSPHP at or 610.524.5525, ext. 24.