Healthcare Design - May 2017 - 34

SCOTT GARAND

Title: Principal
Firm: EwingCole (Charlotte, N.C.)
Number of employees: 350
Healthcare revenue in 2016: $28.5 million

B U S I N E S S C H A L L E N G E : E L I M I N AT I N G WA S T E
I N FA C I L I T Y C O N S T R U C T I O N A N D O P E R AT I O N

Healthcare organizations must do more with less-less time,
less staff, and less money-and they're looking for ways to continuously improve efficiency. As a result, these organizations
are seeking assurances that planning and design solutions can
lead to proven capital and operational cost savings. The challenge for A/E firms is to add value and demonstrate a return on
innovation in the planning and design of facilities. Offering nontraditional services like design research is one way firms can partner in the effort to meet today's challenge of less is more.
W H AT ' S B E H I N D I T

Two major factors that are driving healthcare systems to demand cost savings are the continuous reduction in reimbursements and an increase in
market competition. Gone are the days of reliable revenue growth. Since
the initiation of the Affordable Care Act, many health systems have seen
lower Medicare and private payer reimbursements along with an increase
in Medicaid patients. This has been partially responsible for the increase
in the merging of health systems so that smaller hospitals, which may be
financially struggling, can now access more capital, advanced technology,
expanded service lines, and increased market share.
Additionally, many larger systems are seizing the opportunity to expand
their footprints by either affiliating with or acquiring smaller health systems. As these "mega" systems begin to encroach on one another, it's creating more financial competition in areas that were once controlled by individual systems. However, many hospitals have realized that there's only so
much market share they can acquire and are looking at their assets to identify creative ways that planning and design can help alleviate the pressure
of tighter budgets.
THE SOLUTION

At EwingCole, design research is the basis for design decision-making and
envisioning innovative design solutions. The research team is a combination of PhD researchers, clinicians, healthcare architects and designers,
and sustainability experts who use empirical data to understand the relationship between building design, user behavior, and user experience. The
team identifies trends in overall efficiency, measures the performance of
specific models of care, and helps to quantify the effectiveness of physical
environments on user needs. Informed design decisions equal savings and
a better understanding and appreciation of the value of design by all stakeholders. In a time when every healthcare dollar spent is scrutinized, it's important to consider a means to validate design choices.

34

MAY 2017

HCDMAGAZINE.COM

To do so, we ask a multitude of questions to
identify specific areas of concern. Organizations
looking to improve patient satisfaction scores or
determine if current design standards meet the
needs of changing care models can turn to the
research to ask, "Is design a contributor to our
success? If it is, how do we maximize its return?"
Our approach uses multiple methods, and our
toolkit is made up of three complementary research domains: secondary research, original or
field research, and calibrated simulation. At the
beginning of the design process, secondary research synthesizes existing scientific research
and qualitative data, helping the organization
identify what matters most to their unique staff
and patients. Secondary research can also set a
benchmark for further investigation.
Organizations have found the most value from
original or field research. Detailed behavioral observation, quasi experiments (involving full-scale
and virtual architectural models), and layout
analysis are just a few of the ways we collect data.
The findings and converging evidence are sometimes expected, but more often point to staggering statistics about the correlations between design and behavior. For example, one experiment
revealed that patients were more likely to recommend a facility based on the artwork there. We often find that valuable design improvements don't
require major renovation or redesign. Paint and
furnishing color choice can have a big effect on
the bottom line and overall savings, if the research
data collected demonstrates a correlation to the
patient's perception of care.
Additionally, when organizations look to operations for savings, data collected through work
sampling and behavioral observation can provide real-time information for calibrated simulations. Virtual design options can be evaluated
for efficiency and utilization based on how the
organization was observed to operate and behave, in addition to historical data on volumes
and throughput. This can result in a more accurate picture of the impact of design on operations that spreadsheets can't always reveal.
WORDS OF WISDOM

Healthcare facilities can create measurable and
sustained value by practicing and implementing research to determine appropriate built
environment solutions. Not only can researchinformed design identify potential construction
and operational costs, but, when used effectively, it can create team consensus that streamlines
project delivery and expedites speed to market,
reducing those costs. 


http://www.HCDMAGAZINE.COM

Table of Contents for the Digital Edition of Healthcare Design - May 2017

Healthcare Design - May 2017
Contents
Editorial
Photo Tour
Uplifting Design
Healthy Outlook for Green Design
Inside Story
Renovation Experience Reimagined
Product Spotlight Flooring
The Center
Special Supplement
Special Advertising Section
Face Time
Healthcare Design - May 2017 - Intro
Healthcare Design - May 2017 - Healthcare Design - May 2017
Healthcare Design - May 2017 - Cover2
Healthcare Design - May 2017 - 1
Healthcare Design - May 2017 - 2
Healthcare Design - May 2017 - Contents
Healthcare Design - May 2017 - 4
Healthcare Design - May 2017 - 5
Healthcare Design - May 2017 - 6
Healthcare Design - May 2017 - 7
Healthcare Design - May 2017 - 8
Healthcare Design - May 2017 - Editorial
Healthcare Design - May 2017 - Photo Tour
Healthcare Design - May 2017 - 11
Healthcare Design - May 2017 - 12
Healthcare Design - May 2017 - 13
Healthcare Design - May 2017 - 14
Healthcare Design - May 2017 - Uplifting Design
Healthcare Design - May 2017 - 16
Healthcare Design - May 2017 - 17
Healthcare Design - May 2017 - 18
Healthcare Design - May 2017 - 19
Healthcare Design - May 2017 - Healthy Outlook for Green Design
Healthcare Design - May 2017 - 21
Healthcare Design - May 2017 - Inside Story
Healthcare Design - May 2017 - 23
Healthcare Design - May 2017 - 24
Healthcare Design - May 2017 - 25
Healthcare Design - May 2017 - 26
Healthcare Design - May 2017 - 27
Healthcare Design - May 2017 - 28
Healthcare Design - May 2017 - 29
Healthcare Design - May 2017 - 30
Healthcare Design - May 2017 - 31
Healthcare Design - May 2017 - 32
Healthcare Design - May 2017 - 33
Healthcare Design - May 2017 - 34
Healthcare Design - May 2017 - 35
Healthcare Design - May 2017 - 36
Healthcare Design - May 2017 - Renovation Experience Reimagined
Healthcare Design - May 2017 - 38
Healthcare Design - May 2017 - 39
Healthcare Design - May 2017 - 40
Healthcare Design - May 2017 - 41
Healthcare Design - May 2017 - Product Spotlight Flooring
Healthcare Design - May 2017 - 43
Healthcare Design - May 2017 - 44
Healthcare Design - May 2017 - 45
Healthcare Design - May 2017 - 46
Healthcare Design - May 2017 - 47
Healthcare Design - May 2017 - The Center
Healthcare Design - May 2017 - Special Supplement
Healthcare Design - May 2017 - 50
Healthcare Design - May 2017 - 51
Healthcare Design - May 2017 - 52
Healthcare Design - May 2017 - 53
Healthcare Design - May 2017 - 54
Healthcare Design - May 2017 - Special Advertising Section
Healthcare Design - May 2017 - 56
Healthcare Design - May 2017 - 57
Healthcare Design - May 2017 - 58
Healthcare Design - May 2017 - 59
Healthcare Design - May 2017 - 60
Healthcare Design - May 2017 - 61
Healthcare Design - May 2017 - 62
Healthcare Design - May 2017 - 63
Healthcare Design - May 2017 - Face Time
Healthcare Design - May 2017 - Cover3
Healthcare Design - May 2017 - Cover4
https://www.nxtbook.com/nxtbooks/healthcaredesign/202010
https://www.nxtbook.com/nxtbooks/healthcaredesign/202009
https://www.nxtbook.com/nxtbooks/healthcaredesign/202008
https://www.nxtbook.com/nxtbooks/healthcaredesign/20200607
https://www.nxtbook.com/nxtbooks/healthcaredesign/202005
https://www.nxtbook.com/nxtbooks/healthcaredesign/202004
https://www.nxtbook.com/nxtbooks/healthcaredesign/202003
https://www.nxtbook.com/nxtbooks/healthcaredesign/20200102
https://www.nxtbook.com/nxtbooks/healthcaredesign/201912
https://www.nxtbook.com/nxtbooks/healthcaredesign/201911
https://www.nxtbook.com/nxtbooks/healthcaredesign/201910
https://www.nxtbook.com/nxtbooks/healthcaredesign/201909
https://www.nxtbook.com/nxtbooks/healthcaredesign/201908
https://www.nxtbook.com/nxtbooks/healthcaredesign/20190607
https://www.nxtbook.com/nxtbooks/healthcaredesign/201905
https://www.nxtbook.com/nxtbooks/healthcaredesign/201904
https://www.nxtbook.com/nxtbooks/healthcaredesign/201903
https://www.nxtbook.com/nxtbooks/healthcaredesign/201902
https://www.nxtbook.com/nxtbooks/healthcaredesign/201901
https://www.nxtbook.com/nxtbooks/healthcaredesign/201812
https://www.nxtbook.com/nxtbooks/healthcaredesign/201811
https://www.nxtbook.com/nxtbooks/healthcaredesign/201810
https://www.nxtbook.com/nxtbooks/healthcaredesign/201809
https://www.nxtbook.com/nxtbooks/healthcaredesign/201808
https://www.nxtbook.com/nxtbooks/healthcaredesign/20180607
https://www.nxtbook.com/nxtbooks/healthcaredesign/201805
https://www.nxtbook.com/nxtbooks/healthcaredesign/201804
https://www.nxtbook.com/nxtbooks/healthcaredesign/201803
https://www.nxtbook.com/nxtbooks/healthcaredesign/201802
https://www.nxtbook.com/nxtbooks/healthcaredesign/201801
https://www.nxtbook.com/nxtbooks/healthcaredesign/201712
https://www.nxtbook.com/nxtbooks/healthcaredesign/201711
https://www.nxtbook.com/nxtbooks/healthcaredesign/201710
https://www.nxtbook.com/nxtbooks/healthcaredesign/201709
https://www.nxtbook.com/nxtbooks/healthcaredesign/201708
https://www.nxtbook.com/nxtbooks/healthcaredesign/201706
https://www.nxtbook.com/nxtbooks/healthcaredesign/201705
https://www.nxtbook.com/nxtbooks/healthcaredesign/201704
https://www.nxtbook.com/nxtbooks/healthcaredesign/201703
https://www.nxtbook.com/nxtbooks/healthcaredesign/201702
https://www.nxtbook.com/nxtbooks/healthcaredesign/201701
https://www.nxtbook.com/nxtbooks/healthcaredesign/201612
https://www.nxtbook.com/nxtbooks/healthcaredesign/201611
https://www.nxtbook.com/nxtbooks/healthcaredesign/201610
https://www.nxtbook.com/nxtbooks/healthcaredesign/201609
https://www.nxtbook.com/nxtbooks/healthcaredesign/201608
https://www.nxtbook.com/nxtbooks/healthcaredesign/20160607
https://www.nxtbook.com/nxtbooks/healthcaredesign/201605
https://www.nxtbook.com/nxtbooks/healthcaredesign/201604
https://www.nxtbook.com/nxtbooks/healthcaredesign/201603
https://www.nxtbook.com/nxtbooks/healthcaredesign/20160102
https://www.nxtbook.com/nxtbooks/healthcaredesign/201512
https://www.nxtbook.com/nxtbooks/healthcaredesign/201511
https://www.nxtbook.com/nxtbooks/healthcaredesign/201510
https://www.nxtbook.com/nxtbooks/healthcaredesign/201509
https://www.nxtbook.com/nxtbooks/healthcaredesign/201508
https://www.nxtbook.com/nxtbooks/healthcaredesign/201506
https://www.nxtbook.com/nxtbooks/healthcaredesign/201505
https://www.nxtbook.com/nxtbooks/healthcaredesign/201504
https://www.nxtbook.com/nxtbooks/healthcaredesign/201503
https://www.nxtbook.com/nxtbooks/healthcaredesign/201501
https://www.nxtbook.com/nxtbooks/healthcaredesign/201412
https://www.nxtbook.com/nxtbooks/healthcaredesign/201410
https://www.nxtbook.com/nxtbooks/healthcaredesign/201409
https://www.nxtbook.com/nxtbooks/healthcaredesign/201408
https://www.nxtbook.com/nxtbooks/healthcaredesign/201407
https://www.nxtbook.com/nxtbooks/healthcaredesign/201405
https://www.nxtbook.com/nxtbooks/healthcaredesign/201404
https://www.nxtbook.com/nxtbooks/healthcaredesign/201403
https://www.nxtbook.com/nxtbooks/healthcaredesign/201401
https://www.nxtbook.com/nxtbooks/healthcaredesign/201312
https://www.nxtbook.com/nxtbooks/healthcaredesign/201311
https://www.nxtbook.com/nxtbooks/healthcaredesign/201310
https://www.nxtbook.com/nxtbooks/healthcaredesign/201309
https://www.nxtbook.com/nxtbooks/healthcaredesign/201308
https://www.nxtbookmedia.com