Analysis of Environmental Services Room Clean Time - PowerPoint Presentation

Presentation on theme: "Analysis of Environmental Services Room Clean Time"— Presentation transcript:

Slide1

Analysis of Environmental Services Room Clean Time

IOE 481 Team 5: Anisha kapoor, james schena, steven terryn, Connie zuo

1

Submitted

to:

Michael Alexander, Senior Business Analyst, Environmental ServicesJeffrey Steinke, Senior Lean Coach, Michigan Quality SystemMark P. Van Oyen, Ph.D., IOE 481 Instructor

December 13, 2016

Final PresentationSlide2

Background

2

30

Minutes

Deloitte’s recommended cleaning time based on hotel housekeeping practices

42

52

Minutes

Average cleaning time in University Hospital

Minutes

Average cleaning time in

Children

and Women’s Hospital

vs.

This discrepancy

needs

to be bridged in order to inform staffing decisions.Slide3

3

How long should it take to clean a room?

Room Type

Cleaning Type

Divided

by:

Cleaning Process Steps

Goals and ObjectivesSlide4

4

Project Scope

Priority

Cleaning Type

Room Type

1 (highest)

Discharge

Private

2

Daily

Private

3

Isolation

Private

Children’s and

Women’s Hospital Scope

Priority

Cleaning Type

Room Type

1 (highest)

Discharge

Semi-Private

2

Discharge

Private

3

Daily

Semi-Private

4

Daily

Private

5

Isolation

Private or Semi-Private

University Hospital ScopeSlide5

Methods

Data

Analysis

Time

Studies

and Observation

Housekeeper

Interview

sSlide6

Engineering Approach

Housekeeper

Interview

s: 10 Conducted

Modified to make interviews more informal

Conducted during down timeUsed prepared questions as guideline Slide7

Engineering Approach

Time

Studies

and Observations:

Sample size:

36 observationsConducted in pairsRecord cleaning time of each stepRecord key information and exceptions

Wash In, Wash OutPull TrashHigh Dust

Damp Wipe

Clean Bathroom

Dust Mop Floor

Damp Mop

Inspect the Room

Reminder: 8-Step Discharge ProcessSlide8

Engineering Approach

Data

Analysis

:

Descriptive Statistics

Each clean type, room type, hospital combination Universal steps of cleaning processQuantitative Data shows high variation due to…

Initial room condition Hospital floor culture

Housekeeper routine

Unanticipated events (e.g. patient in room)

Qualitative Data

Importance assessed by frequency of occurrence

Slide9

Quantitative Findings and Conclusions

Daily Cleans

Sample size per room type: 5, collection period: 9/27 –

11/21

Room Type

Mean (

min:sec

)

Standard Deviation (

min:sec

)

UH Semi-Private

9:43

3:10

UH Private

8:16

2:00

CW

11:58

1:17

Isolation

8:14

2:26

Overall

9:39

2:33

No

significant difference between UH Semi-Private and Private

Baseline Range Current: 8 – 12 minutesSlide10

Quantitative Findings and Conclusions

Discharge Cleans

Room Type

Mean (

min:sec

)

Standard Deviation (

min:sec

)

UH Semi-Private

48:18

17:50

UH Private

46:30

7:02

CW

47:11

13:56

Overall

47:20

12:35

Sample size per room type: 5, collection period: 9/27 –

11/21Slide11

Quantitative Findings and Conclusions

Large Standard Deviations

Step

Mean (

min:sec

)

Standard Deviation (

min:sec

)

Damp Wipe Bed

6:54

4:49

Damp Wipe Room

11:22

3:03

Other

5:57

4:33

Step

Mean (

min:sec

)

Standard Deviation (

min:sec

)

Break Down

8:09

3:29

Damp Wipe Bathroom

4:25

3:50

Damp Wipe Bed

6:14

3:12

Wet Mop Room7:152:58University HospitalChildren’s and Women’s HospitalExample: UH Damp Wipe Bed ~2 to 12 minutesSlide12

Quantitative Findings and Conclusions

Patient Present

Occurrence

Time (

min:sec

)

Average

0:19 additional

Due to high variation in data

, 0:19

is not informative

Occurrence

Time (

min:sec

)

Wait for patient to mop

3:02

Patient Interruption

2:17

Visitor

3:06Slide13

Quantitative Findings and Conclusions

Break Down

Time (

min:sec

)

Private

-

5:20

4:20

6:58

6:46

Semi-Private

4:59

7:26

3:47

1:12

5:08

Average

4:49

Standard Deviation

2:20

Time (

min:sec

)

-

3:54

7:38

12:22

8:40

Average

8:09

Standard Deviation

3:29

University Hospital

Children’s and Women’s HospitalSlide14

Quantitative Findings and Conclusions

Damp Wiping

Step

Mean

(

min:sec

)

Standard

Deviation (

min:sec

)

Damp Wipe Bathroom

4:53

2:45

Damp Wipe Bed

6:41

4:00

Damp Wipe Room

12:07

2:47

Total

23:41 (divided by 47:20)

Damp wiping accounts for

50% of a discharge

clean

UH and CW CombinedSlide15

Qualitative Findings and Conclusions

Variation in sequence of steps

High dust on as-needed basis

Discharge cultures by floor, by unit

Discharge Cleans:

Patient in room

Improvised tracking sheets

Daily Cleans:Slide16

Recommendations

Define who breaks down room

Wipe bed first for time to dry off

Call dispatcher early if no next assignment yet

Wrap gown in used gloves for efficient disposal

Discharge Cleans:

Official tracking sheets

Standardize work procedures

Daily Cleans:

Standardize

work

procedures

Narrow scope by floor, by unit

Future Work:Slide17

Expected Impact

Baseline ranges for clean

times

Future study

repeatability

Data for staffing model decisionsSlide18

18

Thank you!

Questions?

team 5: environmental services time study