Children's Medical Center Dallas: Environmental Services Department Improves Patient Care with Infection-Prevention Initiatives

Health Facilities Management, September 2018 | Go to article overview

Children's Medical Center Dallas: Environmental Services Department Improves Patient Care with Infection-Prevention Initiatives


In the war on germs, hand hygiene is one of the greatest weapons in any hospital's arsenal. And with a hand-hygiene compliance rate of 91 percent, it's apparent that the environmental services (ES) department at Children's Medical Center Dallas is armed with highly effective tools for preventing health care-associated infections (HAIs). One method, according to ES Director Randall Manno, CHESP, T-CHEST, T-CSCT, is something of a secret weapon.

"Hand hygiene is monitored through our 'secret shopper program,'" says Manno, who supervises 200 employees in the hospital's ES department. "We have dedicated personnel who watch hospital staff going in and out of certain rooms, monitoring the hand-washing process."

ES staff are trained in the AIDET [Acknowledge, Introduce, Duration, Explanation, Thanks] protocol, in which they enter patient rooms, tell them they are disinfecting their hands and repeat the process before leaving the room--again in front of the patients. While not every room cleaning in the 490-bed hospital can be monitored, Manno's team conducts nine audits a month and then crunches the numbers to determine the hand-hygiene rate. Results are discussed at departmental meetings without identifying employees. And hand hygiene is a goal tied to every staff member's performance evaluation, including Manno's.

"Our hand-hygiene program is successful because it requires the same level of participation from our technicians as any of our clinical providers and, in some cases, more," Manno says.

The protocol not only reinforces the routine for team members, but also is a big factor in bolstering patient satisfaction and HCAHPS scores, both of which are on the upswing. Currently, patient satisfaction is at 68 percent--an 8 percent increase since 2015. HCAHPS scores increased from an average of 69.6 in 2015 to a year-to-date average of 72.8 in 2018. The national average is 72.2; the Texas state average is 72.3.

Such results helped Children's Medical Center Dallas to earn the Association for the Health Care Environment's (AHE's) 2018 ES Department of the Year Award in the 250-499 bed category. This award recognizes outstanding ES performance in a number of critical performance categories.

People power

Manno says the success of the ES department hinges on its team, the daily focus on the hospital's core mission and the hospital's commitment to its employees. Manno, who has worked in health care for more than 20 years, joined Children's Medical Center Dallas three years ago and began implementing the philosophy that has brought him success over the years.

"We hold staff accountable, but we treat them with respect, and we make sure they have what they need to succeed at their jobs. They are not just a number," Manno says.

In 2017, ES team members received an across-the-board pay increase to $14.70 an hour. While Manno considers the pay rate a major accomplishment, he says that money is just part of the equation. Continuing education, training for all team members--including supervisors--daily communication, having the tools and technology necessary to succeed and treating staff with respect are all factors that lead to happier employees.

And having happier staff leads to better retention rates. Doug Rothermel, a consultant with Rothermel Consulting Services LLC in Florida and who served as one of the judges in the AHE contest, was impressed with the turnover rate in the ES department at Children's Medical Center Dallas, which continues to improve every year.

"The turnover rate in the ES department improved from 38.4 percent in 2015 to 25.8 percent in 2016 to 18. …

The rest of this article is only available to active members of Questia

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA 8, MLA 7, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Note: primary sources have slightly different requirements for citation. Please see these guidelines for more information.

Cited article

Children's Medical Center Dallas: Environmental Services Department Improves Patient Care with Infection-Prevention Initiatives
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen
Items saved from this article
  • Highlights & Notes
  • Citations
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA 8, MLA 7, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Search by... Author
    Show... All Results Primary Sources Peer-reviewed

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.