Get Prepared: Risk Management for Rehabilitation Programs

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Get Prepared Risk Management for Rehabilitation
Programs

• Steve Talbot, CSP
• Senior Loss Control Consultant
• steve.talbot_at_selective.com
• 920-687-0994

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Selective Insurance

• Started in 1926
• A rated since 1962
• Fortune Platinum 400 list
• 1.4 billion in annual premium (2004)
• Strategic Business Units

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Specialty Programs Strategic Business Unit

• Non profit organizations such as
• Municipalities
• Private schools
• School districts
• Religious institutions
• Volunteer fire departments
• Social services

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Types of Social Service Accounts Selective
Insures

• Child Development Programs
• Food Distribution Congregate Meals aka Meals
  on Wheels
• Counseling Centers
• Special Needs Day Schools
• Drug Alcohol Programs
• Job Training
• Drug Alcohol Programs
• Developmental Disabilities Programs
• Vocational Rehabilitation and Training Centers

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Top 7 List of Positive Attributes

• Risk Manager / Safety Director
• Policies and procedures manual for daily
  operations
• Background screening of employees
• Comprehensive fleet safety program
• CARF accreditation
• Emergency Preparedness
• Building updates and mechanical systems

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1. Risk Manager / Safety Director

• Formal program in place
• Incident reporting procedures
• Incident investigation
• Coordination of safety training activities
• Coordination of facility inspections / self
  audits

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2. Policies and Procedures Manual for Daily
Operations

• Hiring / terminating
• Medication monitoring / administration
• Volunteer responsibilities / restrictions
• Safety rules, policies and procedures
• Sign off sheet read and understood

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3. Background Screening of Staff

• Initial
• Periodic updates annual
• Volunteers too

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4. Comprehensive Fleet Safety Program

• Written seat belt program
• Driver selection
• MVR check
• Age considerations
• NIH study part of brain that inhibits risky
  behavior isnt fully formed until age 25

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Vehicle selection

• Safety considerations
• www.iihs.org
• www.safercar.gov
• www.nhtsa.gov

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15 Passenger Vans
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15 Passenger Vans

• Problems
• Between 1990 and 2002, there were 1,576
  15-passenger vans involved in fatal crashes that
  resulted in 1,111 fatalities
• Handling characteristics
• Higher center of gravity

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15 Passenger Van Safety Control Measures

• Limit capacity to 9 passengers, including the
  driver
• Passengers should sit in front of the rear axle
• Mandatory seatbelt usage
• Approved drivers (specific training)
• Driven lt 60 m.p.h.
• No roof racks
• Pre post maintenance checks
• including tire pressure
• No trailer towing

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15 Passenger Van Training Resources

• Video tapes
• Coaching the van driver II
• Web resources
• http//www.nhtsa.dot.gov/cars/problems/studies/15P
  assVans/15PassCustomerAdvisory.htm

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More Training Resources

• National Safety Council (www.nsc.org)
• Transporting passengers with special needs A
  coaching program (TM) -- instructor kit
• Coaching the van driver II (TM) -- instructor kit
• Insurance carrier
• Videos
• Online e-learning
• www.selective.com ? business solutions ? loss
  control

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Other Auto / Fleet Safety Topics

• Driver evaluations / ride-a-longs
• Hired / non-owned auto
• MVR checks (?)
• 100/300/100 limits
• Proof of insurance on file
• Vehicle emergency evacuation program
• Vehicle refueling

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5. CARF Accreditation

• Underwriters love to see this

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6. Emergency Preparedness

• What is an emergency?
• Unplanned event that can cause deaths or
  significant injuries to employees, customers or
  the public
• Shut down your business or disrupt operations
• Cause physical or environmental damage
• Threaten financial standing or public image

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6. Emergency Preparedness

• Risk assessment
• What can go wrong (equipment breakdown, violence,
  client abuse or molestation, workplace accident /
  medical emergency, data loss, fire, tornado,
  group homes, etc)
• Plans in place for prevention / recovery
• Resources
• Emergency Management Guide for Business
  Industry - Emergency Planning, Response and
  Recovery

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7. Building Updates and Mechanical Systems

• Sprinkler systems
• Security systems
• Electrical systems
• Roofs
• Emergency lighting
• Emergency generators
• Pallet storage
• Heater / furnace storage clearance