1. UM Emergency Department Deep-Cleaning Final Report
Improving Communication, Coordination, and Deep-Clean Tracking Between Departments

2. IOE 481 Project Team 4 Jessica Cernak Michael Shay Emily Snitchler
David Walborn

3. Background
Infection Control and Epidemiology (ICE) is leading an initiative to deep clean 100% of Emergency Department rooms every 24 hours
~40-50% of rooms deep-cleaned currently
UMHS currently uses two systems
MiChart tracks patients
TeleTracking tracks room cleans

4. Goals & Objectives Goal
Provide a solution to allow Environmental Services to deep-clean Emergency Department rooms every 24 hours
Objectives
Improve communication between the ED and EVS
Develop tracking method to monitor deep-cleans in real-time

5. Methodologies Observations and Interviews Literature Search
40 hours of observations
15 interviews
Literature Search
3 articles
Survey Data
17 housekeepers
47 nurses
Data Analysis
Hospital Occupancy Data
TeleTracking Data

6. Conclusions Variation in Deep-Clean Understanding
Variation in Reporting and Cleaning Practices
Discontinuous Communication Flow
Missed Opportunities for Deep-Cleaning
Minimal Cross-Team Collaboration

7. Variation in Deep-Clean Understanding1
High Dust 2
Damp Wipe 3
Clean Sink 4
Remove Trash & Linens 5
Restock Supplies 6
Dust Mop 7
Wet Mop 8
Walls & Ceilings
EVS Training
EVS Housekeepers
ED Staff

8. Variation in Reporting and Cleaning Practices
Sample Size n = 7631 room cleans; Date Range: 6/1/16 – 11/17/16

9. Variation in Reporting and Cleaning Practices
Failing to Logout
Batching
Sample Size n = 7631 room cleans; Date Range: 6/1/16 – 11/17/16

10. Variation in Reporting and Cleaning Practices
Variation in Cleaning Procedures
A past IOE 481 project support this
Sample Size n = 7631 room cleans; Date Range: 6/1/16 – 11/17/16

11. Discontinuous Communication Flow
A past Ioe 481 report supports this

12. Missed Opportunities for Deep-Cleans
Cleaning Opportunities
ADD SAMPLE SIZE AND DATES OF COLLECTION, mention why this is important and where the data is coming from
Sample Size n = patient visits; Date Range: 7/1/16 – 9/30/16

13. Minimal Collaboration
Observations
Housekeepers primarily operate independently
Housekeepers are geographically divided
Surveys
21% of commenting nurses advocated for increased teamwork
55% of commenting housekeepers advocated for increased teamwork
Literature Search
Nursing Management Article cites lack of collaboration between nurses and housekeepers as main source of process disruption
Nursing Management Article supports this

14. Recommendations Nursing Management Article supports this
Retrain EVS Housekeepers and include ED Nurse Techs.
Identify EVS Housekeeper Leadership.
Re-examine staffing levels at a later date.
Implement Tracking and Communication Methods.
Nursing Management Article supports this

15. Recommendations: Impact:
Retrain EVS Housekeepers and include ED Nurse Techs.
Identify EVS Housekeeper Leadership.
Re-examine staffing levels at a later date.
Implement Tracking and Communication Methods.
Variation in Deep-Clean Understanding
Variation in Reporting and Cleaning Practices
Discontinuous Communication Flow
Missed Opportunities for Deep-Cleaning
Minimal Collaboration

16. Communication Methods
Walkie Talkies
Cost-Effective
No Lag Time
Promote Collaboration
Two-Way Communication
No Written Record
High Noise
Paging System
Written Record
Pre-Existing
Housekeepers Rated 6.5/10 for Efficiency
Lag Time
One-Way Communication

17. Tracking Methods Ipods Written Record Two-Way Communication
TeleTracking and Epic - Friendly
Tracking & Communication Tool
High Risk of Theft
Resource Intensive
Misuse by Workers
Paper
Cost-Effective
Drive Improvement
Accessible to Both Departments
Data Entry

18. Expected Impact Initiate Culture Change
Fosters open forums for communication
Develop a Performance Baseline
Tracking method will give EVS more reflective data regarding deep-cleans
Permits focus on improvement and troubleshooting
Pave the Way for Future Improvement
Allows future projects to have more concrete data to work from
Establishes foundation for projects to build off of

19. Questions?