Analysis of Environmental Services Room Clean Time Anisha Convert from Screenshots to real slides Final Presentation Submitted to: Michael Alexander, Senior Business Analyst, Environmental Services Jeffrey Steinke, Senior Lean Coach, Michigan Quality System Mark P. Van Oyen, Ph.D., IOE 481 Instructor December 13, 2016 IOE 481 Team 5: Anisha kapoor, james schena, steven terryn, Connie zuo

42 30 vs. 52 Background Anisha Check font size? Minutes Deloitte’s recommended cleaning time based on hotel housekeeping practices 42 52 Average cleaning time in University Hospital Average cleaning time in Children and Women’s Hospital vs. Anisha Check font size? This discrepancy needs to be bridged in order to inform staffing decisions.

How long should it take to clean a room? Goals and Objectives How long should it take to clean a room? Divided by: Room Type Cleaning Type Cleaning Process Steps

Project Scope Anisha Remove ICU Children’s and Women’s Hospital Scope Priority Cleaning Type Room Type 1 (highest) Discharge Private 2 Daily 3 Isolation Anisha Remove ICU University Hospital Scope Priority Cleaning Type Room Type 1 (highest) Discharge Semi-Private 2 Private 3 Daily 4 5 Isolation Private or Semi-Private

Methods Anisha Names of Slides Data Analysis Time Studies and Observation Housekeeper Interviews Anisha Names of Slides

Engineering Approach Steve Housekeeper Interviews: 10 Conducted Modified to make interviews more informal Conducted during down time Used prepared questions as guideline Steve

Engineering Approach *Note to presenter: talk about wash step Steve Time Studies and Observations: Sample size: 36 observations Conducted in pairs Record cleaning time of each step Record key information and exceptions *Note to presenter: talk about wash step Steve Reminder: 8-Step Discharge Process Wash In, Wash Out Pull Trash High Dust Damp Wipe Clean Bathroom Dust Mop Floor Damp Mop Inspect the Room

Engineering Approach Steve Data Analysis: Descriptive Statistics Each clean type, room type, hospital combination Universal steps of cleaning process Quantitative 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 Steve Priority = Frequency of Observation occurrence X Expected Impact

Quantitative Findings and Conclusions Daily Cleans 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 James Sample size per room type: 5, collection period: 9/27 – 11/21 No significant difference between UH Semi-Private and Private Baseline Range Current: 8 – 12 minutes

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 James Sample size per room type: 5, collection period: 9/27 – 11/21

Quantitative Findings and Conclusions Large Standard Deviations University Hospital 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 James Children’s and Women’s Hospital 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 Room 7:15 2:58 Example: UH Damp Wipe Bed ~2 to 12 minutes

Quantitative Findings and Conclusions Patient Present Occurrence Time (min:sec) Average 0:19 additional James 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 3:06

Quantitative Findings and Conclusions Break Down University Hospital Children’s and Women’s Hospital 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 James

Quantitative Findings and Conclusions Damp Wiping UH and CW Combined 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) James Damp wiping accounts for 50% of a discharge clean

Qualitative Findings and Conclusions Discharge Cleans: Variation in sequence of steps High dust on as-needed basis Discharge cultures by floor, by unit James Daily Cleans: Patient in room Improvised tracking sheets

Recommendations James Define who breaks down room Discharge Cleans: 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 Daily Cleans: James Official tracking sheets Standardize work procedures Future Work: Standardize work procedures Narrow scope by floor, by unit

Expected Impact Baseline ranges for clean times Future study repeatability Data for staffing model decisions James

Thank you! Questions? Connie team 5: environmental services time study