new clinical building new clinical furniture staff evaluation & feedback presentation to...
TRANSCRIPT
New Clinical BuildingNew Clinical BuildingNew Clinical Furniture Staff Evaluation & FeedbackNew Clinical Furniture Staff Evaluation & Feedback
Presentation to Clinical StaffPresentation to Clinical Staff
Presented by: JHHS Facilities Planning Office
March 25, 2009
Goal
• Provide an Opportunity for Clinical Staff, Patients, Visitors, Environmental Services, Facilities Engineering and Design, to Evaluate potential Clinical Inpatient Furnishings for the New Clinical Buildings
• Evaluation Results will inform the Final Selection and Specification of the New Clinical Furniture items
Timeline
• 2004 to 2007: clinical staff participates in all NCB programming
• January to September 2007 : clinical furniture items selected for evaluation
• September to December 2007: vendor proposals solicited & received
• January to March 2008: Furniture manufactured & vendor samples obtained
• March 2008: Phase 1 Open House for JHH staff, planned & coordinated
• April 2008: Phase 1 Open House held
• May to July 2008 Phase 2 Long Term Clinical Unit Evaluations
• November 2008 to March 2009: Phase 3 Special Issues evaluation
• March to June 2009: Furniture Specifications finalized
• June to August 2009: NCB Furniture Procurement documents finalized
• August 2009: NCB Furniture Procurement documents out for competitive bid
• 2011: New furniture installed
Furniture Selection Criteria
• Durable• Comfortable• Easy for patients & staff to use• Easy to repair & reupholster• Maximum warranty• Will it fit in our clinical rooms• Supports NCB Design Aesthetic• Best the Industry has to offer• Best value for the price
Evaluation Phases
• Phase 1: Open House
-Maximum number of Evaluator opportunities
-Maximum number of items to assess
• Phase 2: Long Term Clinical
-24/7 Staff, Patient & Visitor use
-Real world environmental conditions
• Phase 3: Special Issues-Consideration of space limitation issues-New furniture items; Recliner/Glider, Patient Hi-Back Chair, & Bariatric Sleeper/Recliner
Phase 1 Open House
• April to May 2008
• Monday through Friday
• 7 AM to 6 PM
• 23 clinical furniture items were available for evaluation
• Survey forms provided for documentation of Staff Feedback
Furniture Items Provided
• Sleep Sofa/Daybed• Loveseat/Sleeper• Sleepchair • Recliner• Patient Chair, High-
Back• Guest Chair• Glider
Sleep Sofas
DBD-1B Nemschoff SleepoverScore 11.2
“much more comfortable, putting mattress back easier”
“ like that it has different material to sleep on vs. sitting, more comfortable
“I like the drawers”
DBD-1A Brayton SiesteScore 7.4
“not comfortable, hard surface, putting mattress up difficult”
“bed to sofa closure is counter-intuitive, straps are weak link”
“Straps holding cushion may rip at seams, sleep surface too firm”
Winner!
Loveseat/Sleepers
DBD-2C IoA Matteo Score 7.7
“hard to disassemble, mattress hard, low to the ground”
“like the wood arms, bed too thin to sleep on”
“foot piece disconnects, DO NOT PURCHASE”
DBD-2A KI Three Score 8.3
“comfortable easy to use, very nice to have sleeping & sitting room”
“more comfortable than the other”“very tough to open, hard to close”
Winner!
Sleepchairs
CH-44D IoA Matteo Score: 7.4“difficult to pull out & back, no storage
drawer”
Winner!
CH-44B DE Tradition Score: 2.4“difficult to set up, uncomfortable, had to
move away from wall to operate”
CH-44A KI Three Score: 8.5“comfortable & intuitive to open,
easy storage, nice as chair”
The “perfect” sleepchair doesn't exist yet, but this is best so far…
CH-44C Nemschoff Score: 1.9“dangerous to open, very narrow
sleep surface, no storage”
Recliners
CH-25A Brayton Sieste Score: 7.9
“catch is too quick, not good for pediatrics-would pinch”
“where would restraint ties go?”“a little firm, hard to push back”
CH-25B Nemschoff Leonard
Score: 9.5“easy to use, very comfortable”“no place for restraints”“hard to reach lever”“hard to move, not appropriate for
pediatrics”Winner…so far
…but can we do better?, & what about our bariatric patients?
Patient Chairs, High-Back
CH-45A KI Rose Score: 9.9
(both cushion & mesh uph. options shown) both “cushion better than mesh” & “prefer mesh” comments were noted“like the flex back & lumbar support”
CH-45B Brandrud ReviveScore: 6.5
“uncomfortable on back, not flexible, awkward head position” & “least favorite”
…but we can do better! Will check new item for Phase 3
CH-45C Brandrud Cente Score: 10.8“LOVE IT”, like arm-away feature”, up assist
lever too hard to pull”, “prefer vinyl”, & “Very comfortable”
Winner…so far
Patient Guest Chairs
CH-28A Brayton Enea Vinyl Score: 10.6
“very comfortable & looks nice too”“My favorite out of 4 shown”
CH-28C Brayton Enea Plastic Score: 7.1
“very uncomfortable back”
“Looks like a commode chair”
CH-28D Lamhults/ICF Spira Score: 6.9
“loose clothes would get caught on arms”
“Back could break, not connected to arms”
CH-28B Brayton Enea Wood Score: 6.8
“worried wood will splinter”
“back not comfortable”
Winner!
Gliders
CH-49A Brandrud Horizon
Score: 10.3
“preferable, like poly arm cap feature”
“better back support, more comfortable for head”
CH-49B Nemschoff Capella
Score: 8.6
“too short, too narrow, not comfortable”
“arms conflict with breast feeding”
…but we can do better, with the help of the NICU staff!
Winner…so far
Phase 1:Results & Summary Findings
• Clinical units who participated were; Adult Medical/Surgical, Emergency, Pediatrics, Neurology, Psychiatry, NICU, PICU, CCU, Obstetrics, Gynecology, and Labor & Delivery
• Staff Representatives from Environmental Services, Facilities Engineering and Design, as well as Patients and Visitors provided hands-on assessment & feedback
• Over one thousand survey forms were completed
Phase 2 Long Term ClinicalEvaluation-May to July 2008
Now it’s time for the REAL test!
• Relocate the best Patient Chairs, SleepSofas, Sleepchairs, & Loveseat/Sleepers to clinical units for long term evaluation
• Clinical Units which offered to help; Halsted 5, Meyer 9, Nelson 8, Weinberg 4D, CMSC 2 & 8
• Patients and visitors in addition to Staff Representatives from Environmental Services, Facilities Engineering and Design continued to provide feedback
Summary of Observations
Sleepchair-KI Three - much easier to use than current model - family said it was easy to open & close,
& very comfortable for both day & nighttime use
Loveseats/Sleeper-KI Three - comfortable - some staff assistance required initially,
then easy to use
SleepSofa/Daybed-Nemschoff SleepOver - family had “nested”, playing
games, reading, relaxing on the sofa
- All were easy to keep clean
Phase 3 Special IssuesNICU-November 2008 to February 2009
• Original program was for a Glider & Sleepchair in every NICU patient room
• Staff concerned that items would not fit• Vendor samples of a Glider, Sleepchair & a
Sleeper/Recliner were obtained for evaluation• Clinical staff requested that a combination
Glider/Recliner be considered, feedback was very positive
IoA Matteo-Bariatric Sleeper/Recliner
Best for NICU
Foxxman-Glider/Recliner
Brandrud-Glider
Phase 3 Special IssuesBariatric Sleeper/Recliner-January to March 2009
CH-45B IoA Matteo
Could this item provide both Recliner & Sleeper functions? Can it work for Bariatric Rooms which cannot fit a SleepSofa, Loveseat/Sleepchair or Sleepchair?
NICU Score: 10.9“easy to move-like the wheels”“difficult for fresh post-op moms to use controls”“difficult to lie down flat and return to sitting”
Nelson 8 Score: 17.1February-March 2009 Evaluation- Particular favorite of patients, “best I’ve ever used, I love it!”…Now we have a WINNER!
Phase 1 & 3: Re-cap Patient Chairs, High-Back
CH-45A KI Rose Score: 9.9
(both cushion & mesh uph. options shown) both “cushion better than mesh” & “prefer mesh” comments were noted“like the flex back & lumbar support”
CH-45B Brandrud ReviveScore: 6.5
“uncomfortable on back, not flexible, awkward head position” & “least favorite”
…but we can do better! check new item for Phase 3
CH-45C Brandrud Cente Score: 10.8“LOVE IT”, like arm-away feature”, up assist
lever too hard to pull”, “prefer vinyl”, & “Very comfortable”
Winner…so far
Phase 3 Special IssuesPatient Hi-Back Chair-January to February 2009
CH-45N Brandrud Nala Score: 19.2
Phase 1 Evaluation of Patient High-Back chairs did not indicate a clear preference. A fifth prototype was provided for evaluation during Phase 3
Criteria:•Arm-away feature for ease of patient transfer•Lift Assist for safer patient mobility•Moderate recline for increased comfort, even though it is not a recliner•Suitable for post-op Neuro patients-Meyer 9
Feedback:•“most comfortable”•“like the recline/flex”•“best lift assist & arm away feature of all patient chairs evaluated”
Much Better!
& the are…Winners!
SleepSofa-Nemschoff SleepOver
& the are…Winners!
SleepSofa-Nemschoff SleepOver Loveseat/Sleeper-KI Three
& the are…Winners!
Sleepchair-KI ThreeSleepSofa-Nemschoff SleepOver Loveseat/Sleeper-KI Three
& the are…Winners!
Sleepchair-KI ThreeSleepSofa-Nemschoff SleepOver Loveseat/Sleeper-KI Three
Bariatric Sleeper/ReclinerImages of America-Matteo
& the are…Winners!
Sleepchair-KI ThreeSleepSofa-Nemschoff SleepOver Loveseat/Sleeper-KI Three
Bariatric Sleeper/ReclinerImages of America-Matteo
Patient ChairBrandrud-Nala
& the are…Winners!
Sleepchair-KI ThreeSleepSofa-Nemschoff SleepOver Loveseat/Sleeper-KI Three
Bariatric Sleeper/ReclinerImages of America-Matteo
Patient ChairBrandrud-Nala Glider/Recliner-Foxxman
& the are…Winners!
Sleepchair-KI ThreeSleepSofa-Nemschoff SleepOver Loveseat/Sleeper-KI Three
Bariatric Sleeper/ReclinerImages of America-Matteo
Patient ChairBrandrud-Nala Glider/Recliner-Foxxman
Guest ChairBrayton-Enea
In Summary…
• Clinical staff preferences matter!
• We are committed to procuring the best, safest, most comfortable clinical furniture for Johns Hopkins
• Furniture Procurement package will be competitively bid for the best possible pricing
• If similar items are found to be better, or greatly reduced in cost, our clinical staff will be asked to assist before reaching a final decision
Thank you!