An Analysis of Injuries Among Home Health Care Workers Using the Washington State Workers' Compensation Claims Database

An examination of the Washington State workers' compensation claims for home health care workers was conducted. Some comparisons were made with nursing homes, acute care hospitals, and all other industries in the state. Between 1998 and 2007, the average claims rate for home health care workers was 1,375 claims/10,000 full-time equivalents (FTEs) compared to 862 claims/10,000 FTEs for all other industries. The proportion of home health care workers' injuries resulting from interactions with another person (89.6%) was comparable to those for nursing homes and hospitals. Although this industry has important economic and social value, risks are poorly characterized. Continued research is necessary.

[1]  W. Charney,et al.  The epidemic of health care worker injury : an epidemiology , 1999 .

[2]  Hanneke Knibbe,et al.  Safer patient handling. , 2007, Nursing management.

[3]  C. Muntaner,et al.  Injuries in home health care workers: an analysis of occupational morbidity from a state compensation database. , 1999, American journal of industrial medicine.

[4]  M. Quinn,et al.  There’s No Place Like Home: A Qualitative Study of the Working Conditions of Home Health Care Providers , 2007, Journal of occupational and environmental medicine.

[5]  J A Johansson,et al.  Psychosocial work factors, physical work load and associated musculoskeletal symptoms among home care workers. , 1995, Scandinavian journal of psychology.

[6]  R. Weatherley,et al.  Working conditions in home care: a survey of Washington state's home care workers. , 1994, Home health care services quarterly.

[7]  T Waters,et al.  Overexertion Injuries in Home Health Care Workers and the Need for Ergonomics , 2001, Home health care services quarterly.

[8]  J. Davitt.  Policy Changes in Medicare Home Health Care: Challenges to Providing Family-Centered, Community-Based Care for Older Adults , 2009 .

[9]  W. Marras,et al.  A comprehensive analysis of low-back disorder risk and spinal loading during the transferring and repositioning of patients using different techniques. , 1999, Ergonomics.

[10]  E. Vieira.  Why Do Nurses Have a High Incidence of Low Back Disorders, and What Can Be Done to Reduce Their Risk? , 2007 .

[11]  Thomas R Waters,et al.  When is it safe to manually lift a patient? , 2007, The American journal of nursing.

[12]  Lewis Lorton,et al.  Healthcare , 2000, White Paper on Blockchain in Trade Facilitation.

[13]  Barbara J Sylvester,et al.  Scared To Go to Work: A Home Care Performance Improvement Initiative , 2002, Journal of nursing care quality.

[14]  Determinants of Medicare Home Healthcare Service Use Among Medicare Recipients , 2002, Nursing research.

[15]  H. Kaye,et al.  The personal assistance workforce: trends in supply and demand. , 2006, Health affairs.

[16]  R. Jensen,et al.  Low back injuries among home health aides compared with hospital nursing aides. , 1994, Home health care services quarterly.

[17]  Yoshiko Yamada.  Profile of home care aides, nursing home aides, and hospital aides: historical changes and data recommendations. , 2002, The Gerontologist.

[18]  W. Charney.  An Epidemic of Health Care Worker Injury , 1997, New solutions : a journal of environmental and occupational health policy : NS.

[19]  K. White,et al.  Policy spotlight: patient care ergonomics. , 2007, Nursing management.

[20]  D. Fitzgerald,et al.  Aging, experienced nurses: Their value and needs , 2007, Contemporary nurse.

[21]  Jarrell Rb.  Home care workers: injury prevention through risk factor reduction. , 1997 .

[22]  R. Jensen,et al.  Disabling back injuries among nursing personnel: research needs and justification. , 1987, Research in nursing & health.

[23]  Karen Donelan,et al.  Is the shortage of hospital registered nurses getting better or worse? Findings from two recent national surveys of RNs. , 2005, Nursing economic$.

[24]  H L Komisar,et al.  Medicare home health before and after the BBA. , 2001, Health affairs.

[25]  Korbin Liu,et al.  Medicare Interim Payment System's Impact on Medicare Home Health Utilization , 2003, Health care financing review.

[26]  M Hagberg,et al.  Reports of work related musculoskeletal injury among home care service workers compared with nursery school workers and the general population of employed women in Sweden. , 1995, Occupational and environmental medicine.

[27]  M. White,et al.  Home health care: occupational health issues. , 1993, AAOHN Journal.

[28]  B Gerdle,et al.  Factors interacting with perceived work-related complaints in the musculoskeletal system among home care service personnel. An explorative multivariate study. , 1994, Scandinavian journal of rehabilitation medicine.