1. Rebecca Olsen Personal Improvement Project HSCI 586 Operations/Quality Management of Health Services Dr. Farrokh Alemi Spring 2005 Prepared By: R O Process Owner and partner: DF

2. Objective  Incorporate consistent, varied exercise routine into daily activities accomplished through environmental changes.

3. Analysis of Daily Activities  Work Monday-Friday 7 a.m. – 5 p.m. in sedentary position.  Watch Local and National News Programs 5:30 p.m. – 7:30 p.m. Monday – Friday.  Iron and Prepare Clothes for next work day  Prepare lunch for next work day  Check and answer email  Go to Bed 9 p.m., arise & prepare for work 5 a.m.  Weekends: Friday – Watch VCR Movies, Saturdays and Sundays – Grocery Shopping, Movies, Visit friends, dinner out 1 or 2 nights.

4. Opportunities for Change  Work 8 hours instead of 10 hours daily so that I am not too tired once at home to exercise.  Watch 1 local news program and 1 national news program for total of 1 hour day versus 2 hours day.  Move television into den with treadmill to watch news programs.  Park farther away from building at work to walk more during the day.  Take stairs at work instead of elevator.  Use Cardiac Rehab treadmill on Tuesdays and Thursdays with Dave at the hospital and then shower and prepare for work at the hospital where I am also employed.  Visit museums and exhibits in D.C. on weekends to incorporate more walking exercise in weekend activities.

5. Environmental Changes Chosen for Implementation  Television was moved to Den so that I could walk on the treadmill while watching the news programs.  Parked at the back of the parking lot to get more walking exercise at work.  Took stairs at work instead of elevator.  Tuesdays and Thursdays – went to work at 6:30 and used the Cardiac Rehab treadmill with my partner, showered at hospital to prepare for work, and went to work at 8:00.  Visited D.C. museums and exhibits twice monthly on weekends to incorporate more exercise into weekends.

6. Old Process Monday – Friday & Weekends Work weekdays 7 a.m. to 5 p.m. Watch local and evening news programs 5:30 p.m. to 7:30 p.m. Prepare and eat dinner while watching the news. Iron and prepare work clothes for next day Prepare lunch for next day Check and answer email Go to Bed and 9 p.m. Arise at 5 a.m. and prepare for work Weekends – Fridays, watch VCR movies Saturdays and Sundays – Grocery shopping, movies, visit friends, dinner out 1-2 times

7. New Process Monday – Friday & Weekends Work weekdays 8 a.m. to 4:30 p.m. Come home, prepare dinner, eat and relax until 6:30. Watch one local and evening news program between 6:30 p.m. to 7:30 p.m. while walking on treadmill for one hour. Iron and prepare work clothes for next day Prepare lunch for next day Check and answer email Go to Bed and 9 p.m. Arise at 6 a.m. and prepare for work. Tuesdays and Thursdays – use Treadmill at hospital and shower, prepare for work there. Weekends – Fridays, watch VCR movies Saturdays and Sundays – Grocery shopping, visit friends, twice monthly go to museums/exhibits in D.C or incorporate other activities that require walking, i.e. hikes.

8. Exercise Graph and Progress

9. Conclusion Changes implemented to incorporate consistent exercise were successful as evidenced by 6 weeks of data. Major changes were:  Television was moved to den to view while walking on treadmill.  Exercised at hospital with my partner 2 days a week in the morning, showered and prepared for work while there.  Car was parked farther from work. This evolved to parking farther from my apartment and farther away from stores.  Decreased work hours from 10 hours a day to 8 hours a day so that I wasn’t too tired to exercise and had more time to myself.  Incorporated new weekend activities twice a month to obtain more exercise on the weekends.