So you want to work in healthcare design. What do you need to know about the industry? Here's a quick overview of some of the important stats, trends, resources, etc.

1. ALL YOU EVER NEEDED
TO KNOW ABOUT THE
HEALTHCARE DESIGN
INDUSTRY

2. These are the main types of facilities…
Physician
Care Facilities
Centers

3. 5,724 Hospitals in the U.S.
Community
Federal
Nonfederal Psych
Nonfederal LT Care
Other
2% 0%
4%
7%
87%
Source:
American Hospital
Association

4. 4,973 Community Hospitals in the U.S.
NGO not-for-profit
Investor-Owned for-profit
State & local government
21%
21%
58%
Source:
American Hospital
Association

5. 566,000+ Outpatient Centers in the U.S. Family
Planning
8%
Other
30%
Freestanding
Surgery, Eds
16%
Mental Health/
Substance
Abuse
30%
Kidney
Dialysis
14%
HMO Medical
Centers
2%
Source:
U.S. Bureau of Labor

6. 2012:
$33B Projects Completed
$37B Projects Broke Ground
$54B Projects Designed
Source:
Modern
Healthcare

7. TREND:
Less investment in big
projects; more in upgrades or
additions to meet the
challenges of the ACA, which
emphasizes accountability,
affordability, and patient
access.

8. TRENDS:
Greater focus on
infrastructure and technology,
hospital-physician integration,
and outpatient facilities.

9. Healthcare clients want facilities that are…
Program requirements

11. Patients are
being asked
about their
experience…
HCAHPS Survey
SURVEY INSTRUCTIONS
You should only fill out this survey if you were the patient during the hospital stay
named in the cover letter. Do not fill out this survey if you were not the patient.
Answer all the questions by checking the box to the leftYOUR CARE FROM DOCTORS
of your answer.
YOUR EXPERIENCES IN THIS
HOSPITAL
5. During this hospital this how
You are sometimes told to skip over some questions in this survey. When stay, happens
often did doctors treat you with
you will see an arrow with a note that tells you what question to answer next, like this:
courtesy and respect?
Yes
No
10. During this hospital stay, did you
need help from nurses or other
hospital staff in getting to the
bathroom or in using a bedpan?
1
Never
Sometimes
3
Usually
4
You may notice a number on the survey. This number Always
is ONLY used to let us
If No, Go to Question 1
2
1
2
know if you returned your survey so we don't have to send you reminders.
11. How often did you get help in
getting to the bathroom or in
using a bedpan as soon as you
wanted?
Please note: Questions 1-22 in this survey are part of a nationalDuring this hospital stay, quality
initiative to measure the how
6.
of care in hospitals. OMB #0938-0981
often did doctors listen carefully
to you?
1
Please answer the questions in this
survey about your stay at the hospital
named on the cover letter. Do not
include any other hospital stays in your
answers.
3.
During this hospital stay, how
often did nurses treat you with
courtesy and respect?
1
2
3
4
Never
Sometimes
Usually
Always
2
3
4
During this hospital stay, how
often did nurses listen carefully to
you?
1
2
3
4
Never
Sometimes
Usually
Always
March 2011
3
4
Never
7. During this hospital stay, how
Sometimes doctors explain things in
often did
a
Usuallyway you could understand?
1
Always Never
4.
1
2
Sometimes
Usually
During this hospital stay, after you
4
Always
pressed the call button, how often
did you get help as soon as you
wanted THE HOSPITAL ENVIRONMENT
it?
2
4
9
Yes
No
If No, Go to Question 15
13. During this hospital stay, how
often was your pain well
controlled?
3
1
Never
Sometimes
Usually
Always
12. During this hospital stay, did you
need medicine for pain?
2
3
2.
2
Always
YOUR CARE FROM NURSES
1.
1
Never
During this hospital stay, how
2
Sometimes
often did 3nurses explain things in
Usually
a way you could understand?
4
1
Yes
No If No, Go to Question 12
1
2
8.
During this hospital stay, how
Neveroften were your room and
bathroom kept clean?
Sometimes
3
4
Never
Sometimes
Usually
Always
1
Usually Never
2
Always Sometimes
3
Usually
I never pressed the call button
4
Always
9.
2
14. During this hospital stay, how
often did the hospital staff do
everything they could to help you
with your pain?
1
During this hospital stay, how
often was the area around your
room quiet at night?
1
Never
2
Sometimes
3
Usually
4
Always
2
3
4
1
Never
Sometimes
Usually
Always
March 2011

12. There are many different jobs in healthcare design…
Healthcare Specialists

13. Source: Modern Healthcare

14. Source:
Modern
Healthcare

15. Healthcare clients expect their designers to be proficient in many
areas…
Best Practices

16. When your organization executes major healthcare facilities
projects, how prevalent are the following practices?
Always
Usually
41%
All Respondents*
26%
Utilizing BIM/VDC
Sometimes
24%
6%
4%
Patients/caregivers sharing
experiences during design
28%
Analyzing movement to
design lean workflows
26%
Attaining Net Zero and/or
energy independence
22%
4%
37%
33%
4%
Using Evidence-Based
13%
Design (EBD)
Attaining LEED for
healthcare certification
46%
6%
33%
26%
13%
44%
43%
36%
9%
20%
25%
6%
23%
4%
Almost Never
*Provider and architect responses were similar
Never
Source:
Mortenson
Construction
2012 Survey

17. When your organization executes major healthcare facilities
projects, how prevalent are the following practices?
At the same t
Integrated Project Delivery (IPD)
Architects
Providers
83%
“IPD offers be
80%
Design Build.
at the expens
attracted to th
68%
54%
2011
Survey
“IPD offers
brings t
2012
Survey
2011
Survey
2012
Survey
Design Build (DB)
It remains unc
Architects
Only half of a
future project
72%
have used IPD
Providers
44%
“Clients
schedule w
IPD
55%
46%
Of responde
contract, 18
affiliated wit
2011
Survey
2012
Survey
2011
Survey
2012
Survey
Source:
straightforw
Mortenson Construction
2012 Survey

18. Top trends shaping how healthcare is delivered are…
Influencing Facility Design

19. Health Reform = More Clinic Based Care
Urgent
Care Center
Ambulatory
Procedure Center
Hospital
Physician
Clinics
Wellness/Fitness
Center
Retail
Pharmacy/Clinic
Home
Diagnostic
Imaging Center

22. 1/3 of people in
the U.S. between
the ages of 65-70
are still working.
Nurses in their 50s are
expected to become the
largest segment of the
nursing workforce.

23. Furniture, fixtures, etc. usually costs between 2-4% of the
construction budget…
Exhibitors at HCD

24. TRENDS:
Modularity, connectivity,
comfort, cleanability
Nurture by
Steelcase’s
Regard

25. Which products
are safe to use?
www.transparency.perkinswill.com

26. Some of the industry influencers…
Industry Associations/Organizations

27. This is a
great
resource.
www.healthdesign.org

28. Another
great
resource.
www.fgiguidelines.org

29. What credentials do you need?
Depends on who you are and what you want to do.
Licensure
Government-issued,
mandatory, entry level,
generally but not always by
state.
Licensed
architect, interior
designer
Certification
Voluntary, non-government
assessment of a level of
compliance or specialized
knowledge. Usually given by
an association for a specific
profession.
AAHID, ACHA,
IFMA, EDAC,
LEED
Accreditation
Voluntary, formal evaluation to
provide recognition or
credentials. Generally given to
an organization, not an
individual.
Joint
Commission,
LEED

30. And what about Evidence-based Design?
BUILT
ENVIRONMENT RESEARCH
MORE THANDOES EXIST
1200STUDIES

31. EBD Definition

32. It’s a Process,
Not a Prescription
Source: Center for Health Design

33. 2
3
6
7
8
Challenge:
To achieve this goal, HDR was challenged to integrate the latest research
findings, EMR technologies, evidence-based design strategies and Lean
operational efficiencies into the patient tower design. Specifically, the
design team hypothesized that building a standardized and same-handed
patient room would decrease errors and increase caregiver efficiency.
Solution:
Lean studies were performed during programming through construction as
staff transitioned into the new facility. A workflow analysis was completed
as part of a comprehensive process improvement study of travel patterns
for nurses and doctors using handheld PDA devices that track staff travel
times. This same study was repeated one year post-occupancy in the new
bed tower. Data collection for the PDA study was done with “Time
Study RN”, a PDA handheld used by the nursing staff. The PDA alerts
them at random intervals to indicate their location, what task they just
completed, and what task they are currently completing. This was used to
track clinical behaviors and to identify opportunities for improvement for
the newly designed space.
Who’s
Following Three units were analyzed including Critical Care, Medical Oncology
and Obstetrics. The care delivery time results were then compared against
the
“Time Study RN” benchmarking data and were stratified into value-added,
value-enabling, and non-value-added time categories. Travel densities
was spent between
Process? were also vetted indicating over 49% of nursing travelThis provided clear
patient room and nurse station or document server.
HDR Architecture
Central Washington Hospital
EBD Goal:
through the implementation of
evidence-based design strategies
in the design of a new patient
bed tower at Central Washington
Hospital.
Source: Center for Health Design
direction for designers that decentralized workstations could decrease
travel distances for clinicians. Layout optimization was then used to map
processes in the new design layout. Travel distances were calculated and
new workflow processes were identified. The travel study indicated for all
units measured, that the time spent on value added care, the time spent on
direct care, and the aisle effectiveness all increased from current to future
state workflow and generally outperformed the national benchmarks for
their corresponding unit types.
Additionally, HDR conducted a post-occupancy evaluation, (POE), one
year after occupancy. User focus groups were held to gather feedback
from the staff on how well the design of the building supports their work
processes. A survey was also distributed to supplement the findings of
the focus groups. The POE revealed that overall the staff is very satisfied
with the design of the new facility. The surveys also revealed areas in
communication and technology that were not functioning properly and
have since been addressed.

34. How are EBD and Lean Related?
Lean: Design
decisions that
create more
value using
fewer resources
EBD: Design
decisions to
improve
outcomes
Better
design
solutions

35. FINALLY
What do you need to do to
pursue a career in healthcare
design?

36. 1. Get EDAC certified
2. Create a killer resume
3. Join LinkedIn, Google+
4. Read Healthcare Design
5. Talk to people
6. Explore all opportunities

37. FOLLOW MY BLOG:
saramarberry.com/blog
CONNECT WITH ME:
linkedin.com/in/saramarberry
twitter@saramarberry
slideshare.net/saramarberry
sara@saramarberry.com