How to Prevent Workplace Violence? Follow Joint Commission and CMS New Regulations
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The document discusses the Joint Commission's new and revised workplace violence prevention standards for 2023. It covers topics like defining workplace violence, requiring training and education for staff on violence prevention, and guidelines from OSHA and CMS regarding leadership duties to assess patients for aggressive behavior and ensure adequate staffing levels. The presentation provides an overview of the various regulatory standards healthcare facilities must comply with to address the ongoing issue of workplace violence in the industry.
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How to Prevent Workplace Violence? Follow Joint Commission and CMS New Regulations
- 1. Joint Commission Workplace Violence Standards 2023
- 2. 2 Speaker ▪Laura A. Dixon, Esq. ▪ BS, JD, RN, CPHRM ▪ President, Healthcare Risk Education, and Consulting, LLC ▪ 303-955-8104 ▪ ldesq@comcast.net 2 2
- 3. Topics to be Covered ▪ Overall information on The Joint Commission – TJC ▪ New and revised Workplace Violence Prevention standards ▪ Environment of Care ▪ Leadership Duties ▪ Human Resources ▪ Guidelines from OSHA and Department of Labor ▪ CMS Conditions of Participation 3
- 4. TJC Standards and CMS CoPs ▪ The Joint Commission (TJC): one of four accreditation organizations (AOs) ▪ “Deemed status” ▪ Hospitals accredited by TJC can get paid for taking care of Medicare and Medicaid patients without having a survey by CMS ▪ TJC’s standards must meet or exceed those by CMS 4
- 5. Headlines Workplace Violence in Healthcare
- 6. The Issue ▪ 2018: health care and social service workers five times more likely to experience workplace violence that any other workers ▪ Made up 73% of all nonfatal workplace injuries and illnesses ▪ Nearly half of all nurses report increased workplace violence – 119% surge since 2021(National Nurses United) ▪ Workplace violence underreported 6
- 7. Impact ▪ Exposure can impair effective patient care ▪ Leads to: ▪ Psychological distress ▪ Job dissatisfaction ▪ Absenteeism ▪ High turnover – Average RN turnover in past 5 years – 95.7%¹ ▪ Higher costs 1. https://www.beckershospitalreview.com/finance/hospitals-average-100-percent-staff-turnover-every-5- years-heres-what-that-costs.html; last accessed May 25, 2023 7
- 8. The Joint Commission Workplace Violence 8
- 9. Definition ▪ “An act or threat occurring at the workplace that can include any of the following: ▪ Verbal, nonverbal, written, or physical aggression ▪ Threatening, intimidating, harassing or humiliating words or actions ▪ Bullying > Sabotage ▪ Sexual harassment > Physical assaults ▪ Other behaviors of concern involving staff, licensed practitioners, patients, or visitors” 9
- 10. Training, Education and Resources ▪ What constitutes workplace violence ▪ Education: ▪ Roles and responsibilities ▪ Leadership – Clinical staff – Security – External law enforcement ▪ Training: ▪ Nonphysical intervention skills >De-escalation ▪ Physical intervention techniques > >Incident response ▪ Incident reporting process 10
- 11. Suggested Measures ▪ Determine who within organization will receive reports ▪ Policy and procedures – zero tolerance for violence ▪ Regardless of origin – Patient – Family/Visitors – Other staff ▪ Education – what to do when experience or observe ▪ Encourage reporting 11
- 12. Posters on Violence ▪ Review hospital policies – posting ▪ Permitted? ▪ Place in entrances ▪ Other languages ▪ Consider in employee breakrooms ▪ Include who to contact ▪ Communicate with staff ▪ Consider perception by patients 12
- 13. Guidelines OSHA/ Department of Labor 13
- 14. 5 Core Elements ▪ Management’s commitment and employee participation ▪ Worksite analysis and hazard identification ▪ Hazard prevention and control ▪ Safety and health training ▪ Recordkeeping and program evaluation 14
- 17. Leadership ▪ Leadership must ensure provide ▪ Adequate training ▪ Sufficient staffing levels ▪ Ongoing assessment of patients/residents for aggressive behavior ▪ Plus – indicators to adapt to care interventions and environment appropriately 17
- 18. 18 The End Questions??? ▪ Laura A. Dixon, Esq. ▪ BS, JD, RN, CPHRM ▪ President, Healthcare Risk Education and Consulting, LLC ▪ 303-955-8104 ▪ ldesq@comcast.net 18 18 Register Now