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USEMEAHKCHINAGLOBAL


WINONA HEALTH CASE STUDY


 * Overview
 * Challenge
 * Solution
 * Results

Winona Health, like many healthcare organizations, has been affected by
workforce shortages in filling environmental services positions, so their team
was running into time constraints while cleaning.

With Cobi 18, a robotic scrubber by ICE Cobotics, Winona Health has effectively
addressed labor shortages and increased cleaning productivity by a remarkable
50% across their campus, ultimately enhancing their team’s satisfaction and
their ability to provide an exceptional patient experience.

The Overview

Winona Health, located in Winona, Minnesota, has a unique story and focus. The
healthcare facility has been in operation for over 125 years, changing and
transforming from humble beginnings as an 18-bed hospital, started in a
renovated home in 1894, to what it is now, an “independent, community-owned and
community-focused integrated healthcare system designed to care for people
through all stages of life.”

The Winona Health system is governed by a board of community members dedicated
to guiding Winona Health using the principles laid out in the mission, vision
and values. The vision, to create the most inclusive, compassionate, and
self-generating community health movement in the nation, guides the board to
find the best possible resources to support and empower staff to deliver
exceptional care to all.

Those guiding principles extend across every department throughout the
organization, including the facility operations team.

Jerry Kouba, the Environmental Services Manager and Brett Kimber a Floor
Technician, are two members of the Winona Health team responsible for keeping
the campus clean and healthy for all patients, staff, and guests.

Together they work with a team of professionals to make sure the Winona Health
campus meets cleanliness and safety standards to ensure the wellbeing of all who
visit. This task is no small feat and Winona Health has empowered staff to
improve processes with innovative technology solutions that position the
healthcare organization as a leader in the field.


The Challenge


TIME CONSTRAINTS AND A LIMITED LABOR POOL

Winona Health is comprised of over 400,000 square feet of cleanable space. On
top of that, flooring types vary from linoleum to terrazzo to ceramic. Due to
the nature of healthcare facilities, cleanliness standards are strict and
important to maintain.

Challenges come in all sizes but a major one the cleaning team faces is time
constraints. Kouba and Kimber work to clean all floors at least once each day
but due to the size of the facility, floor techs with other job requirements,
and a hectic environment, it can be tough to get all flooring cleaned each day.

“Time constraints are the biggest challenge, as far as getting all of the floors
done each day and getting to other tasks that have to be handled,” says Kimber.

While cleaning floors is the main responsibility for floor techs, they have
other jobs that require extreme care and take time.

Kouba notes “The floor techs are also responsible for laundry and infectious
waste pickups.” Between thousands of square feet to clean and other job
responsibilities, keeping up with the floor cleaning can be tough.

Additionally, a limited labor pool has made it difficult for Kouba to staff
floor tech positions.

“We had a position open for 6-8 months and we couldn’t fill it; on average, over
the last 4-5 years, we’ve been down a full-time floor tech," says Kouba.

This has made it challenging for Kouba and his team to give the care and
attention to the flooring that they strive to achieve.

Time constraints are the biggest challenge, as far as getting all of the floors
done each day and getting to other tasks that have to be handled.

Brett Kimber

Floor Technician

The Solution


COBI 18 JOINS THE FLOOR TECH TEAM AT WINONA HEALTH

The team at Winona Health partnered with ICE Cobotics and brought on two Cobi 18
units. Kouba and Kimber are in charge of overseeing the use and implementation
of the Cobi units, with Kimber being trained as the automation expert or Cobi
Site Champion.

“It is important to have the right person in place to work with the unit. Not
everyone is naturally aware of how to efficiently use the units and Brett
[Kimber] has taken it on and knows what we’re looking for,” says Kouba.

Kouba is part of the team that worked to get the Cobi units approved and
implemented. He went through the initial training with ICE Cobotics and has been
overseeing the implementation of automation at Winona Health.

Since onboarding the Cobi units, Kouba trained Kimber on how to use the units
including mapping routes and saving them. Once Kimber learned those steps, he
was off and running.

Kimber has been working with the machines ever since and has been busy mapping
routes, creating zones, and figuring out the most efficient use of the machines
for the Winona Health facility.

One area that requires special attention is the O.R. area, a “clean room,”
meaning there is a lot of PPE required to enter the room. Kimber says, “I can
sterilize Cobi, wipe it down, hit start and send it in and I don’t have to mop
the room anymore.” This not only saves Kimber time, but it is a more effective
way to clean the O.R. floor.

Other teams in the facility are excited to have the Cobi units on staff too.
Kouba receives requests regularly from other housekeeping staff members excited
to try out the units and he has been training two housekeeping staff members in
the Long-Term Care unit.

“One of them came down this morning and said I want to use that machine today.
So, I showed her how to fill the tank, got her the code, and she got started and
cleaned two areas in a matter of a half hour,” says Kouba. “They love that Cobi
scans the code, they tap two buttons, off they go,” he says.

The staff is having so much fun with the Cobi units that they held a contest
where everyone voted on what to name to give the units. The winning names: Scrub
Davilla and Mr. Clean Jr.

So far, adding Cobi has helped the Winona team augment staff and improve
cleaning efficiency and productivity.

Kouba adds “It is easy to use, and it really does a good job. It’s fun too. It
brings out conversation with the staff, residents, and patients. It makes work a
lot more fun.”



The Results


COBI SUPPORTS STAFF AND HELPS INCREASE CLEANING PRODUCTIVITY

Kouba and Kimber are seeing significant improvements since adding autonomous
solutions to the team. Kouba has been able to support staff members with the
workload and even adjust schedules and staffing to help other departments he
oversees.

“Since we’ve had the autonomous program in place, we’ve been able to do other
things and fluctuate hours, so more departments are getting the help they need,”
says Kouba.

Kimber and Kouba run the Cobi units for 8-10 hours a day, freeing up their time
so they can focus on other tasks while the floors are being cleaned.

For Kouba, a prime example of this is in the clinic hallway, a ceramic tile
hallway around 8000 square feet long that he is responsible for cleaning during
the first shift. The zone is broken into three routes. Kouba starts Cobi on the
first route, goes back to his office to work on other tasks. Then he returns
about 45-minutes later to set Cobi on the second route and then the third route
after another 45-minutes.

“I cleaned the hallway that way all morning. I was able to complete all the
other tasks I would have to do and clean the floors,” he says.

More Square Feet Cleaned



50%



More



He goes on to point out “Increased productivity is the main benefit that I see.
It saves time, productivity goes up, we see more square footage cleaned, and we
get more things done. The national average for floor cleaning for housekeeping
is 1500 sq. ft. per hour and we’re essentially doubling that from what I’m
seeing, which is a big plus.”

Kimber agrees with Kouba. He is also able to set Cobi on its cleaning routes and
move on to other tasks while Cobi cleans.

“I set one machine up and start it on its route; while it’s cleaning, I go to
set the second machine on another route. So, I’m able to clean multiple routes
at the same time. I’m getting more floors cleaned,” says Kimber.

Kimber goes on to point out that Cobi does more than help increase productivity;
it also makes the work of floor cleaning easier.

“We can make workers’ lives easier, that’s what Cobi does; it makes my life at
work a whole lot easier,” he says.

Other Winona Health staff members are noticing the benefits of Cobi too.

“I got an email from the cashier's area in the hospital after we cleaned the
clinic. They were amazed at what a good job Cobi did. They thought it wouldn’t
be able to do some of things we do. A lot of the flooring is grout and even the
grout is getting cleaner as we use Cobi,” says Kouba.

Kimber has received feedback too. “Other cleaning staff want to use them too!
I’ve had people stop me and say how excited they are that Cobi is coming.”

Overall, Kouba and Kimber are excited about continuing to work with the units,
improving cleaning routes and processes, and increasing productivity throughout
the Winona Health organization.



When asked why he would recommend Cobi, Kouba says, “Why wouldn’t I? The
productivity that I see, the commitment and overall integration of staff and
patients has been a plus. I don’t see any reason why anyone wouldn’t want one.”

Increased productivity is the main benefit that I see. It saves time,
productivity goes up, we see more square footage cleaned, and we get more things
done.

Jerry Kouba

Environmental Services Manager

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