New Clinical BuildingFurniture_2009-03-25

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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
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 Sleepover                       Winner!
            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”
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   Winner!
   have sleeping & sitting room”
“more comfortable than the other”
“very tough to open, hard to close”
 Sleepchairs


CH-44B DE Tradition         Score: 2.4
“difficult to set up, uncomfortable, had to
    move away from wall to operate”
                                              CH-44D IoA Matteo Score: 7.4
    CH-44C Nemschoff Score: 1.9               “difficult to pull out & back, no storage
    “dangerous to open, very narrow               drawer”
       sleep surface, no storage”

                                               CH-44A KI Three          Score: 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 Nemschoff Leonard
            Score: 9.5
“easy to use, very comfortable”
“no place for restraints”
“hard to reach lever”
“hard to move, not appropriate for       Winner
   pediatrics”                           …so far

          …but can we do better?, & what about our bariatric patients?
Patient Chairs, High-Back


CH-45C Brandrud Cente            Score: 10.8    CH-45A KI Rose
“LOVE IT”, like arm-away feature”, up assist                 Score: 9.9
   lever too hard to pull”, “prefer vinyl”, &   (both cushion & mesh uph.
   “Very comfortable”                           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”


  Winner
  …so far           …but we can do better! Will check new item for Phase 3
Patient Guest Chairs


CH-28A Brayton Enea Vinyl             CH-28B Brayton
               Score: 10.6                                     CH-28C Brayton
                                        Enea Wood                Enea Plastic
“very comfortable & looks nice too”          Score: 6.8               Score: 7.1
“My favorite out of 4 shown”          “worried wood will       “very uncomfortable
                                         splinter”                 back”
                                      “back not comfortable”   “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”


     Winner!
Gliders


                                                        Winner
                                                        …so far
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!
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

                  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

SleepSofa/Daybed-                   Sleepchair-KI Three
Nemschoff SleepOver                    - much easier to use than current
   - family had “nested”, playing        model
     games, reading, relaxing on       - family said it was easy to open &
     the sofa                            close, & very comfortable for both
                                         day & nighttime use
- All were easy to keep clean
                                    Loveseats/Sleeper-KI Three
                                      - comfortable
                                      - some staff assistance required
                                        initially, then easy to use
Phase 3 Special Issues
NICU-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
      Brandrud-Glider
                                                                          Best
                                                                        for NICU




  IoA Matteo-Bariatric                                  Foxxman-
    Sleeper/Recliner                                  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
     …Now we have a WINNER!   ever used, I love it!”
Phase 1 & 3:
Re-cap Patient Chairs, High-Back

CH-45C Brandrud Cente            Score: 10.8    CH-45A KI Rose
“LOVE IT”, like arm-away feature”, up assist                 Score: 9.9
   lever too hard to pull”, “prefer vinyl”, &   (both cushion & mesh uph.
   “Very comfortable”                           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”


  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 Nala                 Score: 19.2
   Much
   Better!                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”
& the           Winners!         are…




 SleepSofa-Nemschoff SleepOver
& the           Winners!             are…




 SleepSofa-Nemschoff SleepOver   Loveseat/Sleeper-KI Three
& the           Winners!             are…




 SleepSofa-Nemschoff SleepOver   Loveseat/Sleeper-KI Three   Sleepchair-KI Three
& the             Winners!           are…




 SleepSofa-Nemschoff SleepOver   Loveseat/Sleeper-KI Three   Sleepchair-KI Three




 Bariatric Sleeper/Recliner
 Images of America-Matteo
& the             Winners!            are…




 SleepSofa-Nemschoff SleepOver    Loveseat/Sleeper-KI Three   Sleepchair-KI Three




 Bariatric Sleeper/Recliner    Patient Chair
 Images of America-Matteo     Brandrud-Nala
& the             Winners!            are…




 SleepSofa-Nemschoff SleepOver    Loveseat/Sleeper-KI Three   Sleepchair-KI Three




 Bariatric Sleeper/Recliner    Patient Chair
 Images of America-Matteo     Brandrud-Nala    Glider/Recliner-Foxxman
& the             Winners!            are…




 SleepSofa-Nemschoff SleepOver    Loveseat/Sleeper-KI Three   Sleepchair-KI Three




 Bariatric Sleeper/Recliner    Patient Chair                              Guest Chair
 Images of America-Matteo     Brandrud-Nala    Glider/Recliner-Foxxman   Brayton-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!

				
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