1. Silence is Golden
August 19, 2016
Hubert Kwame Anane-Sarfo, MPA
IFD Intern

2. 2
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

3. 3
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

4. 4
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?

5. 5
https://www.medicare.gov/hospitalcompare/search.html

6. 6
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)

7. 7
Silverstein 10
70% 75%
30% 25%
Conversation
(OITNB)
Mode – 4
Visitors (noisy
entrance)
Friday

8. 8
Silverstein 9
50% 50%50% 50%
StaffNeighbors TV
(hearing)
Mode – 3
Tuesday

9. 9
Ravdin 9
70%
100%
30%
Conversation
(station chatter)
Mode – 3
Sunday

10. 10
Founders 11
Nurses
Noisy
Calm
10%
90%
100%
TVTV
Mode – 2
Saturday

11. 11
Rhoads 1
40%
67%60%
33%
TV (sleep talker)
Mode – 3
Thursday

12. 12
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

13. 13
 Speak softer
 Silence mobile devices
 Patient doors closed if possible
 Staff enter patients rooms minimally
During These Times: To Help Patients Rest:
Quiet Time
HealinginProgress
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

14. 14
 Quiet Time Commandments
• Silence cellphones
• Side conversations in break room
during QT
• Address noise real time
• Be watchful of footwear
• Speak softly

15. 15
 Noise Accountability
• Noise Audit
60
65
70
75
80
85
90
Unit Name
—Noise level
dB

16. 16
 Quietness Rounding
• Offer patients “Rest Kits”
– Earplugs, eye masks,
ear buds
• “Are you still watching?”
Netflix

17. 17
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

18. 18
It Begins With Us!