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Case Study

How Cedars Sinai adopted demand-driven housekeeping schedules

5 Minute Read


The challenge

Efforts to reduce bed turnaround time have historically focused on onerous—and often unsustainable—campaigns to convince physicians of the importance of discharging patients earlier in the day, ignoring non-clinical contributors.

The organization

Cedars Sinai Medical Center is a 952-bed teaching hospital located in Los Angeles, California, US. They experienced bed turnaround delays partially associated with understaffing of housekeeping at peak admission, discharge, and transfer times.

The approach

Cedars Sinai created a discharge team of support services staffed at peak times—admissions, discharges, and transfers—to concentrate onbed turnaround.

The result

The dedicated discharge team decreased average time to clean a roomby 40 percent—from 75 minutes to 45 minutes.



How Cedars Sinai adopted demand-driven housekeeping schedules to expedite bed turnover

Recognizing that they had little control over physician rounding behavior, administrators at Cedars Sinai examined the opportunity to improve bed turnaround times and decrease ED boarding. They ultimately decided to create a discharge team of housekeepers at peak times to concentrate on bed turnaround.

The three steps

Three steps Cedars Sinai took to adopt demand-driven housekeeping schedules:
  • Step

    Analyze causes of bed turnaround delays

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  • Step

    Schedule housekeeping staff to support bed turnaround goals

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  • Step

    Incrementally roll out special housekeeping team

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The unit experienced drastic reductions in bed turnaround times—before implementing the discharge team, the average time to clean a room was 75 minutes, and the team brought the time down to 45 minutes, a decrease of 40 percent.

Based on the success of the initial 9-month pilot, the program was rolled out house-wide at the end of 2007. Each team member is assigned to a zone of the hospital to mimic the pilot unit’s staffing arrangement, which had the added benefit of reducing housekeeper travel time.


Decrease in average time to clean a room

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