2024 Theo Award Winner: Capital Health Inc.

Capital Health Inc., a health care system operating two hospitals and multiple specialty care practices in central New Jersey, faced a significant challenge common to the health care industry: workplace violence.

Given that health care workers are five times more likely to suffer workplace injuries than average, Capital Health recognized the need for a proactive approach to ensure staff safety and wellbeing.

“Shortly after COVID peaked and the world started to go back to normal, we noticed a lot of very angry people in our emergency department, crisis center and inpatient psych,” said Rafael Villalobos Jr., deputy general counsel, litigation, enterprise risk management and legal operations for Capital Health.

“These areas became the epicenter of violent outbursts, with staff enduring spitting, punching, kicking, pushing, threatening and more.

“One of my concerns was the possibility of someone coming in with a gun,” he said. “We deal with folks who have behavioral issues, substance issues, and financial struggles that manifest in these behaviors.”

Villalobos requested a copy of the health system’s weapons policy, only to discover that it didn’t exist.

In this day and age, I realized this was something that required immediate attention, and that started our journey towards making changes to our workplace violence prevention program.”

Tackling the Problem

The organization implemented a comprehensive workplace violence program with senior-level backing and solid policies. A detailed seven-page written policy guides efforts to reduce incidents, provide response procedures and assign responsibilities.

Rafael Villalobos Jr., deputy general counsel, litigation, enterprise risk management and legal operations, Capital Health

“We formed a workplace violence action committee, sought feedback from employees about their experiences, collected data on the epicenters of violence and began to formulate a plan,” said Villalobos. “This included signage related to respect and behavior, mandatory education and training for de-escalation and handling situations, and investing in technologies like the Evolv weapons detection system.”

In addition, he said, “we also brought in a former FBI agent to provide specialized training for our security forces, upgraded our exterior lighting and camera system, and significantly increased the number of panic buttons for staff.”

Capital Health also partnered with 911 Cellular to provide pendants for its home health workers, which are geofenced and GPS-enabled for their safety.

We’ve made great progress in a short period, with staff appreciating and recognizing that they’re safer,” said Villalobos. “It’s a work in progress, but we’re continuing to look for areas to address issues and push our way out to outpatient facilities and doctors’ offices. The board of directors and CEO have been very supportive, which is critical for implementing these changes.

Capital Health fostered a collaborative approach through an interdisciplinary Workplace Violence Committee. This team, comprising representatives from various departments, examined violence patterns to develop a strategic safety plan. Staff play a key role in the program, and are responsible for understanding safety measures, reporting incidents and attending training.

The company conducts annual comprehensive assessments to identify vulnerabilities and improvement areas across its entire system. These assessments cover facilities layout, local crime statistics, potential risk factors, lighting and communication systems.

A cornerstone of Capital Health’s approach is its customized Safety Enhancement Training (SET) program. SET offers a range of courses tailored to different departments’ needs, from brief lunch-and-learn sessions to intensive 10-hour security programs. Training is available across all shifts to ensure maximum participation.

Capital Health also made significant investments in next-gen physical security measures. The Evolv weapons detection system is an AI-powered solution that goes beyond traditional metal detectors. Amnesty boxes were placed at entrances for visitors to dispose of prohibited items. The company also upgraded exterior lighting, added cameras in high-risk areas, and provided portable panic alarms to staff in vulnerable positions.

“Sadly, there are some bad actors out there, sometimes due to psychological or substance-abuse issues, who can potentially harm others,” said Villalobos. “We are trying to put as many protections in place as possible to safeguard the people we have a duty and obligation to protect. At the end of the day, if it saves lives and gives people peace of mind, it’s absolutely worth it.”

The security department was strengthened with an increase in armed security guards. This 140-person team enforces restrictions on individuals involved in violent incidents and provides escorts for staff to parking areas.

To facilitate incident reporting, Capital Health implemented the Verge Incident Reporting System. This allows for easy reporting of issues and enables the company to analyze trends and patterns to develop targeted intervention strategies.

Success to Build On

The workplace violence training program continues to thrive, and over 2,500 employees participated in SET training in 2022 and 2023. Some classes offer continuing education credits, incentivizing licensed and certified staff to participate.

In addition to ensuring safer facilities, Villalobos said, Capital Health’s workplace violence program has impacted employee morale in a significant way. He shared an anecdote from his high school days.

“My football coach, a great guy all the kids looked up to, said that it’s important for players to know that the coach cares about them. When the kids realize that, he said, they’ll give you everything they’ve got. They’re not just going to the wall, they’re going through it.

“But when players feel that the coach doesn’t really care and isn’t invested in them as people, they become more disassociated, less invested, and disenfranchised. That message always stayed with me, and I think it’s important that the staff have a voice and that their concerns are heard. There are visible, tangible results to some of the feedback they’ve given us, which is critically important.”

Organization: Capital Health * Location: Trenton, NJ * Number of Employees: 3,200 * Category: Health Care

Capital Health continues to invest in employee safety and wellbeing. Recent initiatives include the R.I.S.E. (Resilience in Stressful Events) program, which provides 24/7 peer support for staff affected by workplace violence. The company is also developing Safety Advocate Teams to assist staff with behavioral issues and model de-escalation skills.

Villalobos offers a poignant reminder that risk management, like many other endeavors, takes a village.

“In order for a workplace violence program and enterprise risk management to function properly, you cannot have just 10 or 20 people out of 6,000 or 7,000 focused on the problem. You need everybody focused on the problem — essentially, 6,000 or 7,000 risk managers who are engaged, recognize risk and are willing to make recommendations, provide feedback and offer suggestions.&

 

The Theo Award celebrates its inaugural year, honoring 31 workers’ compensation programs for their excellence and service to workers across the nation. To learn more about the award and amazing qualities each winner possesses, visit here.

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