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Presented by: JHHS Facilities Planning Office. New Clinical Building New Clinical Furniture Staff Evaluation & Feedback. Presentation to Clinical Staff. March 25, 2009.

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The process by which the Inpatient Furniture for the for the New Clinical Buildings were Selected, Samples obtained for Evaluation by Clinical Staff, Patients, Visitors, Environmental Services, Facilities Engineering and Design Staff, and Specifications Finalized for Procurement.

  • Goal:
  • To provide an Opportunity for Johns Hopkins’ Clinical Staff, Patients, Visitors, Environmental Services, Facilities Engineering and Design Staff, to Evaluate Prospective Clinical Inpatient Furniture for the for the New Clinical Buildings. Those Evaluation Results will inform the Final Selection and Specification of these Furniture items for Procurement.
  • History
  • Timeline
  • January to August 2007 Furniture specification finalized for clinical furniture items to be evaluated by JHH staff
  • September to November 2007 vendor proposals recede and negotiation for obtaining furniture samples completed.
  • December 2007 to March 2008: Furniture items manufactured (# of #) & arrangement made for obtaining vendor samples (# of #) for evaluation.
  • March 2008 Phase 1 Open House evaluation: Set up & communication to clinical staff
  • April 2008 Two weeks Open House for all JHH staff to evaluate 21 potential NCB Clinical furniture items for use in NCB
  • May 2008 Phase 2 Long term Clinical Evaluation of 8 top vote getters, available for evaluation, by clinic units who expressed interest in assisting, in whose rooms the items would fit.
  • Furniture Selection Criteria
  • Durable
  • Comfortable
  • Easy to use for patients
  • Easy to use for staff
  • Easy to repair, reupholster
  • Maximum warranty
  • Physically will fit in clinical rooms
  • Congruent with NCB design Aesthetic
  • Best the Industry has to offer
  • Best value for the price
  • Sleep Sofas

Loveseat/Sleepers

Sleepchair

Recliners

Patient Chair, Hi-back

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

Patient Side Chairs

Gliders

Phase 1-Evaluation Open House

Two week period

7a to 6pm

1,083 survey forms completed during Open House

23 clinical furniture items evaluated

Clinical units who provided evaluators represented a broad spectrum of clinical units; including Adult Medical/Surgical, Emergency, Pediatrics, Neurology, Psychiatry, NICU, PICU, CCU, Obstetrics, Gynecology, and Labor & Delivery.

In addition to Clinical Staff, representatives from Environmental Services, Facilities Engineering and Design, as well as Patients and Visitors provided feedback.

Phase 2-Long Term Clinical Evaluation

Two week period

7a to 6pm

1,083 survey forms completed during Open House

23 clinical furniture items evaluated

Clinical units who provided evaluators represented a broad spectrum of clinical units; including Adult Medical/Surgical, Emergency, Pediatrics, Neurology, Psychiatry, NICU, PICU, CCU, Obstetrics, Gynecology, and Labor & Delivery.

In addition to Clinical Staff, representatives from Environmental Services, Facilities Engineering and Design, as well as Patients and Visitors provided feedback.

Phase 3-Part 1-NICU Special Issues

Initial Clinical programming requested a Glider & a Sleepchair in each patient room

Two week period

7a to 6pm

1,083 survey forms completed during Open House

23 clinical furniture items evaluated

Clinical units who provided evaluators represented a broad spectrum of clinical units; including Adult Medical/Surgical, Emergency, Pediatrics, Neurology, Psychiatry, NICU, PICU, CCU, Obstetrics, Gynecology, and Labor & Delivery.

In addition to Clinical Staff, representatives from Environmental Services, Facilities Engineering and Design, as well as Patients and Visitors provided feedback.

Glider CH-## Sleeper/Recliner CH-##

Review of Furniture drawings revealed space constraints

NICU staff requested alternatives to evaluate in the current location. Samples have been obtained and are currently being evaluated.

Phase 3-Part 2

Clinical Unit evaluation-identify under represented patient population

Sleeper/Recliner (Bariatric) CH-##

Monday February 9, Sample Chair moved to Nelson 8 Clinical Unit for Evaluation

timeline
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
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
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
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

Furniture Items Provided
sleep sofas
DBD-1B Nemschoff Sleepover

Score 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 Sieste

Score 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”

Sleep Sofas

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”

Loveseat/Sleepers

Winner!

sleepchairs
CH-44D IoA Matteo Score: 7.4

“difficult to pull out & back, no storage drawer”

Sleepchairs

CH-44B DE Tradition Score: 2.4

“difficult to set up, uncomfortable, had to move away from wall to operate”

CH-44C Nemschoff Score: 1.9

“dangerous to open, very narrow sleep surface, no storage”

CH-44A KI ThreeScore: 8.5

“comfortable & intuitive to open, easy storage, nice as chair”

Winner!

The “perfect” sleepchair doesn\'t exist yet, but this is best so far…

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 NemschoffLeonard

Score: 9.5

“easy to use, very comfortable”

“no place for restraints”

“hard to reach lever”

“hard to move, not appropriate for pediatrics”

Recliners

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 Revive

Score: 6.5

“uncomfortable on back, not flexible, awkward head position” & “least favorite”

Patient Chairs, High-Back

CH-45C Brandrud CenteScore: 10.8

“LOVE IT”, like arm-away feature”, up assist lever too hard to pull”, “prefer vinyl”, & “Very comfortable”

Winner

…so far

…but we can do better! Will check new item for Phase 3

patient guest chairs
CH-28A Brayton Enea VinylScore: 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”

Patient Guest Chairs

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”

Gliders

Winner

…so far

…but we can do better, with the help of the NICU staff!

phase 1 results summary findings
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 clinical evaluation may to july 2008
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

Summary of Observations

SleepSofa/Daybed-

Nemschoff SleepOver

- family had “nested”, playing games, reading, relaxing on the sofa

- All were easy to keep clean

phase 3 special issues nicu november 2008 to february 2009

Brandrud-Glider

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

Best

for NICU

IoA Matteo-Bariatric Sleeper/Recliner

Foxxman-Glider/Recliner

phase 3 special issues bariatric 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: 17.1

February-March 2009 Evaluation

- Particular favorite of patients, “best I’ve ever used, I love it!”

Phase 3 Special IssuesBariatric Sleeper/Recliner-January to March 2009

…Now we have a WINNER!

phase 1 3 re cap patient chairs high back
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 Revive

Score: 6.5

“uncomfortable on back, not flexible, awkward head position” & “least favorite”

CH-45C Brandrud CenteScore: 10.8

“LOVE IT”, like arm-away feature”, up assist lever too hard to pull”, “prefer vinyl”, & “Very comfortable”

Winner

…so far

…but we can do better! check new item for Phase 3

phase 3 special issues patient hi back chair january to february 2009
CH-45N Brandrud NalaScore: 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”

Phase 3 Special IssuesPatient Hi-Back Chair-January to February 2009

Much

Better!

the are
& the are…

Winners!

SleepSofa-Nemschoff SleepOver

the are1
& the are…

Winners!

SleepSofa-Nemschoff SleepOver

Loveseat/Sleeper-KI Three

the are2
& the are…

Winners!

SleepSofa-Nemschoff SleepOver

Loveseat/Sleeper-KI Three

Sleepchair-KI Three

the are3
& the are…

Winners!

SleepSofa-Nemschoff SleepOver

Loveseat/Sleeper-KI Three

Sleepchair-KI Three

Bariatric Sleeper/Recliner

Images of America-Matteo

the are4
& the are…

Winners!

SleepSofa-Nemschoff SleepOver

Loveseat/Sleeper-KI Three

Sleepchair-KI Three

Bariatric Sleeper/Recliner

Images of America-Matteo

Patient Chair

Brandrud-Nala

the are5
& the are…

Winners!

SleepSofa-Nemschoff SleepOver

Loveseat/Sleeper-KI Three

Sleepchair-KI Three

Bariatric Sleeper/Recliner

Images of America-Matteo

Patient Chair

Brandrud-Nala

Glider/Recliner-Foxxman

the are6
& the are…

Winners!

SleepSofa-Nemschoff SleepOver

Loveseat/Sleeper-KI Three

Sleepchair-KI Three

Guest Chair

Brayton-Enea

Bariatric Sleeper/Recliner

Images of America-Matteo

Patient Chair

Brandrud-Nala

Glider/Recliner-Foxxman

in summary
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!

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