silence is golden final project (1)

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

9

Ravdin 9

70%100%

30%

Conversation (station chatter)

Mode – 3

Sunday

10

Founders 11

Nurses

NoisyCalm

10%

90%100%

TVTV

Mode – 2

Saturday

11

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!