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Silence is Golden
August 19, 2016
Hubert Kwame Anane-Sarfo, MPAIFD Intern
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Hubert Kwame Anane-Sarfo, MPA Undergraduate Degree:
Business Management from Rutgers Business School - Newark, New Jersey Entrepreneurship
Graduate Degree: Master of Public Administration from The School of Public Affairs and Administration Rutgers University - Newark
Healthcare Administration
Previous Experience Morristown Medical Center (AHS) – IS Support Specialist Robert Wood Johnson – Bed Management, Census Coordinator Original Kaneshie Market – Head of Sales
Professional organizations: ACHE NJ American Society for Public Administration (ASPA) Jersey Cares (Success Coach)
Languages: Akan - Twi
Meeting the 2016 SEP Intern
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Noise Association
HUP Units Silverstein 10
• Friday 2:30pm
Ravdin 6• Monday 7:30pm
External places 34th Station
• Friday 3:15pm 99 dB
Oracle Arena• Oakland, CA
Game 1 100 – 120 dB
https://www.youtube.com/watch?v=9YPcRon5A8c
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Importance
Since ACA inception…
• Fee for Service Pay for Performance
• Redefined measures of pt. care delivery– patient outcomes (70%)– patient satisfaction (30%)
• Question #9:– During this hospital stay, how often was the area around your room
quiet at night?
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https://www.medicare.gov/hospitalcompare/search.html
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Research and Data Three Questions
• Was it loud last night (Y/N)
• How loud was it (1-5) 1 – Whisper (30dB) 2 – A/C unit hum, rainfall (50dB) 3 – TV sound, toilet flushing (70dB) 4 – shouting, lawnmower (90dB) 5 – Baby crying, concert, sporting event (100dB+)
• What was the most disruptive noise?
• Methodology 5 patient floors 10 patients each (8:30-11:00am) 3-5 nurses (5:00-7:00am)
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Silverstein 10
70% 75%
30% 25%
Conversation (OITNB) Mode – 4
Visitors (noisy entrance)
Friday
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Silverstein 9
50% 50%50% 50%
StaffNeighbors TV (hearing)
Mode – 3
Tuesday
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Ravdin 9
70%100%
30%
Conversation (station chatter)
Mode – 3
Sunday
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Founders 11
Nurses
NoisyCalm
10%
90%100%
TVTV
Mode – 2
Saturday
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Rhoads 1
40%
67%60%
33%
TV (sleep talker)
Mode – 3
Thursday
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Recommendations
Quiet Time
• Afternoon 1 to 3 PM
• Evening 10 to 2 AM
• Dim lights & Close doors (if applicable)
• Quiet hours announcement
• Signs for staff and visitors
https://www.youtube.com/watch?v=9YPcRon5A8c
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Speak softer Silence mobile devices
Patient doors closed if possible Staff enter patients rooms minimally
During These Times: To Help Patients Rest:
Quiet Time Healing in Progress
Please help us create a quiet healing environment for our patients`
We offer Quiet Time Everyday from 1 pm to 3 pm & from 10 pm to 2 am
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Quiet Time Commandments
• Silence cellphones
• Side conversations in break room during QT
• Address noise real time
• Be watchful of footwear
• Speak softly
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Noise Accountability
• Noise Audit
Jun
Aug OctDec Feb Apr
60
65
70
75
80
85
90 Unit Name
—Noise level
dB
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Quietness Rounding
• Offer patients “Rest Kits”– Earplugs, eye masks,
ear buds
• “Are you still watching?” Netflix
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Thank You Garry Scheib Phil Okala
Denise Mariotti Carolyn Jackson
Albert Black Carolina Garzon Mrad Christopher Cullom
Craig Loundas Eve Higginbotham
Jill E. Gehman Kevin Jenkins Mary Anderson
Michael Anderson Teresa Murphy Terese Kornet HR Department
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It Begins With Us!