Adrian Hagerty

Located in the Washington, DC office, Adrian Hagerty is Array’s National Capital Region Vice President. As a career healthcare architect, Adrian brings nationwide design and project management experience to each endeavor. Adept at each aspect of a healthcare facility development project – from Master Planning to Sustainable Design to Managing Term Contracts – Adrian has a track record of leading teams of planners, designers and the client stakeholders through the complex process of developing and delivering successful facilities throughout the region and the nation.
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Recent Posts

A Case for Adaptive Reuse in Healthcare

Posted by Adrian Hagerty on Jan 10, 2017 at 10:58 AM

There are a variety of factors informing a healthcare system's decision to expand its outpatient service offering.

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Topics: management series, site selection, adaptive reuse

Ambulatory Drivers: Part Two, FLEXIBILITY

Posted by Adrian Hagerty on Oct 07, 2016 at 9:25 AM

The ambulatory care revolution has made healthcare providers around the country acutely aware of the value of their real estate footprint. Every square foot counts. Every staff member provides value.

Efficiency and flexibility are two buzzwords often cited as key factors in the design and planning of Medical Office Buildings and Ambulatory Surgery Centers, but tactical implementation strategies to address these factors in the physical environment is not universally understood.

Flexibility can manifest in efficient clinic layouts, where it is easy to switch a room's use for different service lines while maximizing occupancy configurations of a space. Efficiency can be realized by providing physician offices modeled on a hoteling scenario. Space utilization can be optimized by introducing kiosk registration and centralized diagnostic testing, located to promote convenient access – and as close as possible to related specialty services. Within the clinic environment, talk spaces can bring physicians, caregivers and patients together in a space that is more conducive for the patient to “own” their care plan. By providing spaces without exam tables, care can also be more effectively coordinated across the continuum of care with inclusion of nutritionists, social workers, rehab providers, etc.

In this second installment of our Ambulatory Care video series, we endeavor to address these key facility-planning factors of flexibility and efficiency. The video below introduces several Array thought leaders—from planning, design and project managementwho share their expertise on the future of ambulatory care and how facility flexibility plays a key role in the success of ambulatory care delivery for healthcare provider organizations throughout the nation.


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Topics: ambulatory care, future flexibility

Ambulatory Drivers: Part One, ACCESS

Posted by Adrian Hagerty on Sep 16, 2015 at 7:30 AM

Mergers, acquisitions, affiliations, strategic alignments. No matter how a health system goes about their expansion plans, easy patient access to their facilities is key.

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Topics: ambulatory care, patient access

Healthy Strategies for Repositioning Your Real Estate Assets

Posted by Adrian Hagerty on May 19, 2015 at 10:30 AM

Co-authored by Adrian Hagerty and Jessica Bellman, and featured in the 2015 Building Healthcare Magazine conference supplement. 

As real estate investors and developers continue to look for ways to diversify their asset portfolios, healthcare tenancies are increasingly included in the discussion – often in places where one may never had foreseen until recently. In some cases the trend of providing healthcare services outside the walls of the traditional hospital has been accelerated by the Affordable Care Act (ACA). The related dawn of the Accountable Care Organization (ACO) payment structure is shifting the focus of healthcare providers to quality of outcomes rather than quantity of patients seen. Reimbursement structural reformation coupled with a vastly growing population of insured individuals will ultimately cause changes in any number of areas including expansion into retail locations, as medical groups and healthcare systems look to respond to these changes with effective strategies. 

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Topics: ambulatory care, real estate development

Top 10 Considerations When Renovating Patient Towers

Posted by Adrian Hagerty on Jan 17, 2014 at 11:02 AM

Published in Medical Construction & Design, January 2014

The many benefits of caring for patients within a private room have been proven for decades.

Often, the benefits may be clear, but the perceived cost of providing more private patient rooms has prevented the wholesale adoption of this basic principle. Building new bed towers has been an option for systems that could afford to build new facilities. However, many hospital systems do not have that luxury or are landlocked and cannot expand.

In addition, the uncertainty of the Affordable Care Act reimbursement landscape has certainly contributed to stalling the trend toward 100 percent private rooms.

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Topics: planning, architecture, lean, healthcare design, renovation, patient environment, continuous improvement, healthcare, hospital design

Ambulatory Healthcare Real Estate Strategies

Posted by Adrian Hagerty on Sep 25, 2013 at 5:33 AM

By Adrian Hagerty, AIA, LEED AP (printed in Medical Construction & Design, September 2013)

“Location, Location, Location.” For years, real estate moguls have uttered this phrase to express the most important factor in determining the value of any given property or business venture.

Increasingly, this same concept is resonating within the ambulatory healthcare market, as consumers demand convenient access and speed of service delivery when it comes to satisfying their basic healthcare needs.

Historically, organizations have taken an “if you build it, they will come” approach when developing new facilities – with a healthcare facility often forming the seed of new development for any given location. However, over the past several years, organizations have begun to adopt an approach of locating full-service ambulatory healthcare facilities in close proximity to established community service facilities, business centers, shopping centers, residential neighborhoods, long-term care facilities, schools and transportation hubs.

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Topics: planning, MOB, architecture, ambulatory care, healthcare design, ACA, hagerty, location, continuous improvement, hospital design

How Can We Afford the Affordable Care Act?

Posted by Adrian Hagerty on Aug 15, 2013 at 10:06 AM

The Oxford Dictionary defines the word “afford” as “the ability to do something without risk of adverse consequences.” It is that very element of risk that has caused many to pause as the impact of the “Affordable Care Act” is slowly and deliberately revealed over the next several years.Who owns the risk? The healthcare provider? The insurance provider? The patient? The government? The most likely answer is “All of the Above.” But what does this all really mean to these stakeholders – especially the healthcare providers in the United States, who have been responsible for consistently delivering the highest level of healthcare in the world, under an (undeniably) unsustainable business model?

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Topics: Adrian Hagerty, healthcare design, ACA, Affordable care act, healthcare reform, continuous improvement, hospital design, array architects