How to identify and control noise that could cost your hospital money

Abstract

Noise levels in hospitals are problematic. Today, patient opinions on noise, because of HCAHPS, determine hospital reimbursement. It's critical for hospitals to reduce noise levels in their facilities or face reductions in reimbursement. Patient perceptions of noise in hospitals is difficult to accurately measure and determine root cause. Many hospitals are implementing programs to address noise, but very few are making these decisions based on systematic sound monitoring data within their facility. Sound monitoring equipment installed in hospitals can accurately measure and identify both sources and patterns of noise in hospital. Real-time and historical sound data can help inform changes needed. We compare historic sound data from our experience monitoring sound levels in NICU’s and compare findings to improving sound levels throughout hospital. We discuss how visual alarming alone is insufficient to maintain long term improvements. We also discuss the use of measuring “sound events” to idenitfy ture source of noise disturbances. We argue that hospitals that measure “sound events” can systematically improve their HCAHPS scores. In conclusion, sound recording equipment within hospitals will provide actionable data. This data can be used to implement structural and procedural improvements allowing hospitals to maximize reimbursement and improve outcomes.