Improving Fitness to Minimize Injuries Aka Musculoskeletal Disorders (MSDs)

Transcription

1 Improving Fitness to Minimize Injuries Aka Musculoskeletal Disorders (MSDs) Service Provider and User Case Study Perspectives Dave Coates, President/CEO MoveSafe, Inc. Andrew Salvadore, VP Health, Safety, and Environmental Henkels & McCoy Group Inc. 1

2 Why are MSD s Such a Problem? People don t learn about their body until they are injured, Most people do not know how to use their body properly, What Feels Natural is what we habitually do, not necessarily what is right according to how our body is designed, Poor Positioning and Movement habits do not hurt immediately, so there is no immediate feedback for errors.

3 HOW you position and MOVE every day can determine whether you get healthier from being physical, or wear out before your time.

4 What do you see? 2

5 2

6 Most of us POSITION and MOVE WRONG Where do faulty positioning and movement habits come from? Parenting

7 Faulty Positioning and Movement Habits! Today, proper posture, positioning and movement is ignored: Parenting Elementary and High School High School Posture Contest Chicago, 1943

8 Consequence of Moving Wrong

9 Consequence of Moving Wrong

10 Consequence of Moving Wrong Nucleus Pulposus Annulus Fibrosus

11 Consequences: Herniated Disc Cracking Bulging Disc pushing on Nerve Root Nucleus Spinal Nerve Root Vertebra

12 MRI of a Human Spine Front Discs in good shape Back Bones/ Vertebrae Discs in poor shape

13 Workplace Challenges: New hires generally do not know how Position and Move properly, MSD s managed reactively as incident-based injuries, ergonomic intervention used as hit/miss action items, No training for physical tasks, no expectations or technique coaching.

14 OSHA s Ergonomic Standards 11/2000 OSHA Issue Ergonomic Standard 3/2001 Congress rescinds the ergonomics standard Pre-2002 OSHA Log had column for Repeated Trauma 2003 Revised OSHA Log had a column for Muscular Skeletal Disorder (MSD) 2004 Current OSHA Log had MSD removed 14

15 Early 2002, OSHA unveiled a fourpronged ergonomic plan 1. Develop industry- or task-specific voluntary guidelines. 2. Cite employers for violating the General Duty Clause. 3. Offer specialized training on ergonomic hazards and abatement. 4. Encourage additional research. 15

16 Voluntary Guidelines and Interpretations 10/2002 OSHA unveiled its first-draft voluntary guidelines for nursing homes 3/2003 OSHA released its final version of the nursing home ergonomic guidelines 3/2003 OSHA released draft guidelines for retail/grocery and poultry processing industries 4/2003 OSHA announced plans to develop voluntary ergonomics guidelines for shipyard industry 5/2011 Standards Interpretation addresses Certified Athletic Trainers 12/2015 Standards Interpretation addresses Stretch and Flex as not being medical treatment 16

17 What Do We Need To Do? Incorporate 3 Main Elements:

18 The MoveSafe Approach Prepare and Maintain the Body Warm-up and Interrupt Increases muscle strength and flexibility Daily Status check Reinforces the Big 3!

19 The MoveSafe Approach Prepare and Maintain the Body Correct Faults A movement analysis with corrective exercises to retrain our muscles to coordinate properly. Ensures people start at the right level and advance safely. Discomfort is often addressed without therapeutic intervention.

20 What Do We Need To Do? Incorporate 3 Main Elements:

21 Prepare the Work Area and Equipment Participatory Ergonomics is Best

22 What Do We Need To Do? Incorporate 3 Main Elements:

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24 30yrs of this = Stronger and Healthier

25 Implementing MoveSafe The Big 3

26 3 Implementation Pillars How Are We Going to Do It? Engage Rollout Talks Crew talks (Core and Crew Talk Videos) Education posters Improve Warm up and interrupt exercises Individual movement screens and follow-ups Participatory Ergonomics Integrate Safety meetings, Crew talks, Tailboards Inclusion of MoveSafe principles in SOPs / FLRAs MoveSafe Leader Training (observe and discuss Big 3 ) Incident reviews include Big 3

27 We Need MoveSafe Leaders MoveSafe Leaders should be willing to: Learn and follow the MoveSafe Leader self-study modules, Engage coworkers to have conversations about positioning and movement, Lead and coach Warm-up technique and interrupt exercises Coach (and be coached) on the Big 3, Participate in solving ergonomic concerns

28 Implementing MoveSafe When we get it right everyone prepares their body before starting work (or play) and has a plan for improving their body, Everyone practices, expects and coaches the Big 3 safe movement fundamentals at work and at home, Everyone identifies barriers to practicing the Big 3 at work and at home and mitigates the hazards through improvements to their work area, tools and equipment.

29 2014 Article Can Our Workplace Athletes Benefit from Athletic Trainers? by Sandy Smith, EHSTODAY.com National Athletic Trainer Association (NATA) reports 100% return on investment South Coast Health Reported 30% reduction in MSDs NASA at Kennedy Space Center reported 17 years of success Fairfax County (Virginia) Police Department reports 50% reduction in medical costs 29

30 Case Study Henkels & McCoy Group Inc. Stretch and Flex adopted 2002 Procedure, Training DVD, Handouts Saw tooth incident trend 20% adopted as culture 30+% of all injuries are sprains/strains 30

31 Current Events Shoulder Injury Summit Detailed Loss Analysis Performed $6 Million in Losses Identified 600 Lessons Learned Reviewed 40 Recommendations Identified 31

32 Examples of Lessons Learned 32

33 Awareness Communication 33

34 Awareness Communication 34

35 Awareness Communication 35

36 Awareness Communication 36

37 Decision to Act Service Provider Engagement o Insite Health o CIP Solutions o WorkCare o MoveSafe o MTS o Spinal Health Consultants Pilot Program (Phase 1) commenced November 2016 East Region Pennsylvania Central Region Illinois Phase 2 July 2017 (Wisconsin and New Jersey) Phase 3 & 4 Rest of company 37

38 Key Components Worker Education & Training Rapid Warm-Ups (Daily & Before Physical Tasks) Test RWU Re-test Personal Consultation (anonymous) Task Evaluations Monthly Metrics Note: Similarities to Move Safe 3 Main Elements Engage/Improve/Integrate 10

39 Benefits of the Program Better educated work force about being fit for duty Increased physical strength and flexibility Reduction of soft tissue injuries Personal attention for both work-related and non-workrelated sprains/strains or other soft-tissue discomforts 11

40 Injury/Incident Trends

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42 30 Idaho Power Lost Time Body Movement Injuries Participants Non-Participants

43 12 43

44 VAO 6/30/ VAO Data 7/31/17 as of 2/28/17 13

45 VAO 6/30/ VAO Data 7/31/17 as of 2/28/17 13

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47 Improving Fitness to Minimize Injuries Aka Muscular Skeletal Disorders (MSDs) Questions Dave Coates, President/CEO MoveSafe Inc. Andrew Salvadore, VP Health, Safety, and Environmental Henkels & McCoy Group Inc.