New Clinical Building New Clinical Furniture Staff Evaluation & Feedback

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

2. 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

3. 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

4. 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

5. 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

6. 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

7. Sleep Sofa/Daybed Loveseat/Sleeper Sleepchair Recliner Patient Chair, High-Back Guest Chair Glider Furniture Items Provided

8. 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!

9. 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!

10. 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…

11. 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?

12. 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

13. 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!

14. 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!

15. 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

16. 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

17. 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

18. 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

19. 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!

20. 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

21. 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!

22. & the are… Winners! SleepSofa-Nemschoff SleepOver

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

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

25. & the are… Winners! SleepSofa-Nemschoff SleepOver Loveseat/Sleeper-KI Three Sleepchair-KI Three Bariatric Sleeper/Recliner Images of America-Matteo

26. & the are… Winners! SleepSofa-Nemschoff SleepOver Loveseat/Sleeper-KI Three Sleepchair-KI Three Bariatric Sleeper/Recliner Images of America-Matteo Patient Chair Brandrud-Nala

27. & 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

28. & 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

29. 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!