title: Layout Improvement Study to Reduce Staff Walking Distance in a Large Health Care Facility: How to Not Walk an Extra 4740 Miles.
abstract: Inefficient facility layouts have been found to be a challenge in health care, with excessive walking adding to the demands of staff and creating delays, which can impact the quality of care. Minimizing unnecessary transportation during care delivery improves efficiency, reduces delays, and frees up resources for use on value-added activities. This article presents a methodology and application of facility design to improve responsiveness and efficiency at a large hospital. The approach described provides the opportunity to improve existing layouts in facilities in which the floor plan is already defined, but there is some flexibility to relocate key areas. The existing physical constraints and work flows are studied and taken into consideration, and the volume of traffic flow throughout the facility guides the decision of where to relocate areas for maximum efficiency. Details on the steps followed and general recommendations to perform the necessary process and data analyses are provided. We achieved a 34.8% reduction in distance walked (4740 miles saved per year) and a 30% reduction in floors traveled in elevators (344 931 floors, which translate to 842 hours spent using elevators) by relocating 4 areas in which frequently used resources are housed.
authors.affiliation: Industrial Engineering, Universidad de las Americas Puebla, Mexico (Dr Ley-Chavez); and Office of Performance Improvement (Ms Hmar-Lagroun), Patient Resources Administration (Ms Douglas-Ntagha), and Patient Resources Administration (Ms Cumbo), The University of Texas MD Anderson Cancer Center, Houston.
authors.forename: Adriana
authors.initials: A
authors.lastname: Ley-Chavez
authors.forename: Tatiana
authors.initials: T
authors.lastname: Hmar-Lagroun
authors.forename: Pamela
authors.initials: P
authors.lastname: Douglas-Ntagha
authors.forename: Charlotte L
authors.initials: CL
authors.lastname: Cumbo
mesh_terms: D017598:Efficiency, Organizational; D005160:Facility Design and Construction / Q000706:statistics & numerical data*; D006268:Health Facilities; D006801:Humans; D011787:Quality of Health Care; D016138:Walking / Q000706:statistics & numerical data*; D057188:Workflow