EVS
Published on Aug 19, 2016
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PRESENTATION OUTLINE
Hospital Flow
- What is a Discharge
- What is a Transfer
- Units with High Activity (High Acuity Units, Med Surg, Unit's with Semi-Private, Monitored units)
- Peak Activity?
Explain work flow
Patient path through the facility
What is peak activity
What is length of stay
What Causes logjam!
Patient path through the facility
What is peak activity
What is length of stay
What Causes logjam!
Photo by coloneljohnbritt
Housekeeping
Environmental Services / EVS / ES / Hospitality
What does EVS do?
Cleaning, floor care, trash, medical waste, linen management, supply management,
counselor!
Cleaning, floor care, trash, medical waste, linen management, supply management,
counselor!
Photo by Kid Gibson
For Profit
Not For Profit
In House
Contract
Explain the nuances regarding each market segment and how it impacts productivity / resources as well as outsourcing in general
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Crothall
Sodexo
Aramark
HHS
Talk about each player, history, strengths and weaknesses as well as preference for UV system.
Photo by David Reber's Hammer Photography
Management Structure
- COO - Associate Admin
- EVS Director - Asst. Dir - Manager - Sup
- Lead
- Patient Room / Discharge Cleaner
- Floor Tech / Trash Tech / Linen Tech
- Ancillary Cleaner
- OR Tech
- Project tech
Explain reporting structure of EVS and hierarchy of positions
Photo by EDrost88
Basics of Workflow
- Census
- Discharges and Transfers
- Sq Footage
- Acuity of Space
How do each of the factors effect EVS staffing and resources?
Acuity of space and productivity rate tie in should be made.
Acuity of space and productivity rate tie in should be made.
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Productivity
What is Productivity?
Productivity rates per type of space?
How employee's are managed and incentives effect productivity
Productivity rates per type of space?
How employee's are managed and incentives effect productivity
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Understanding Xenex Time Per Room
different times per room (ICU vs occupied).
Curtain times, travel time to get robot, how productive is staff and worker?
Is department well managed?
Curtain times, travel time to get robot, how productive is staff and worker?
Is department well managed?
Photo by josterpi
Patient Room Cleaning
Daily...15-25 per day at 12 minutes per
what is occupied room cleaning?
Tasks completed?
variance among contractors
Tasks completed?
variance among contractors
Support Areas
Approx 45 - 90 minutes of duties
what are support areas?
How are productivity rates determined?
How much ancillary space does one have? It's like a puzzle!
How are productivity rates determined?
How much ancillary space does one have? It's like a puzzle!
Photo by Paul and Christa
Discharge Room Cleaner
- 19-40 minutes no Xenex
- +12 -15 Minutes for Xenex
explain discharge cleaning?
Explain how it varies by housekeeper, time of day, rushed conditions...
Explain the Xenex piece
Explain how it varies by housekeeper, time of day, rushed conditions...
Explain the Xenex piece
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Work loading in 8 hour shifts
- 480 minutes per day available
- 20 minutes start and stop time
- 30 minutes (legal paid breaks)
- 430 Acutal minutes available for work
Explain how 8 hours shifts are workloaded...
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Workload of a Room Cleaner
- 20 Patient daily cleans at 12 minutes per = 240
- Support area cleaning = 60 minutes
- 5 Discharges at 25 minutes per = 125 minutes
- 425 + 20 (start stop) +30 (break)= 475 or (1) 8 hour shift!
white paper how the numbers can change? Changing carpet to tile? Increase in census?
What happens if census goes to 30?
Provided examples?
What happens if census goes to 30?
Provided examples?
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FTE's!
- Productive FTE's
- Paid FTE's
What is a productive FTE = 2080 per year? 40*52
Paid = Total hours paid (sick, vacation, holiday) or Payroll burden!
Paid = Total hours paid (sick, vacation, holiday) or Payroll burden!
Photo by kenteegardin
Calculate FTE Impact
- 12 -15 Minutes Xenex time per Targeted Discharge
- The four units we want to target have 50 discharges per day
use 15 minutes
talk about how 15 was determined
talk about how 15 was determined
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Answer
- 50 discharges per day X 7 days per week = 350 discharges per week
- 350 discharges per week x 15 minutes per = 5250 minutes per week
- 5250 / 60 = 87.5 Hours Xenex per week
- 87.5 / 40 (FTE) = 2.1875 Prod FTE's
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Hospital Workload
- 100 Discharges per day
- 400 ADC per day
- 200,000 Sq Ft
- Xenex ???
talk about total departmental impact, etc..Stay very high level
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Why Target
Basis for Program Development
set the stage for advanced training, discuss programs, discuss maximization of impact of a Xenex program
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