Safe lifting programs at long-term care facilities and their impact on workers' compensation costs.

OBJECTIVE To determine the utility of a safe lifting program index and a measure of lift inventory to predict workers' compensation claim frequency and costs in long-term care facilities in 23 states. METHODS Workers' compensation claims and cost data were matched to Center for Medicare and Medicaid Services (CMS)-certified facilities (N = 656). Facility safe lifting program index were derived from interviews with directors of nursing in a subset (N = 271). RESULTS The higher the safe lift index score, the lower the claims and costs. An increase of one lift per 100 residents is associated with a 5% decrease in claims frequency and an 11% decrease in total costs on average. CONCLUSION In this national study, we find that a comprehensive safe lift program, endorsed and promoted by directors of nursing, reduces caregiver injury as measured by workers' compensation claims frequency and costs.