Integrating Project Planning to Benefit Every Endeavor

Posted by Noah Tolson on Dec 02, 2015 at 9:30 AM

We’ve all heard it: "Failing to plan is planning to fail." It becomes difficult when we’re not sure what to plan for, but we can’t allow the fear of the unknown to prevent us from heeding Mr. Franklin’s warning. One of the great things about working exclusively within the healthcare industry is working with people who care so much about what they do that getting them to plan for some anticipated need isn’t the problem; the challenge is getting them to focus the effort so that executing the plan is possible.

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Topics: planning

Implementing Continuous Improvement on a daily basis at Array

Posted by Jonathan Bykowski on Apr 24, 2014 at 5:41 AM

In an effort to improve communication and efficiency amongst our designers, and to ensure that our team is happy with the work they are doing, a daily “huddle” has been implemented.The design team meets each morning to have an open discussion about their daily goals, plans and productivity. What we have found so far in the beginning stages of this process is that devoting just ten minutes each morning to sync up, set priorities and cascade information throughout the company has already helped save time and improve communication.

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Topics: planning, architecture, team, communication, design, lean, healthcare design, CI, Jonathan Bykowski, teamwork, continuous improvement

pro•gram•ming noun \-miŋ\

Posted by Noah Tolson on Apr 03, 2014 at 7:33 AM

The thorough and systematic evaluation of the interrelated values, goals, facts and needs of a client’s organization, facility users and the surrounding community. A well-conceived program leads to high-quality design.

Array’s goal: To see to it that our clients receive buildings that are constructed as they were designed, within the allotted budget, at the expected date and operate efficiently and effectively for years after completion.

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Topics: planning, future state mapping, architecture, visioning, healthcare design, ACA, mock-ups, building information modeling, programming software, continuous improvement, advisory services, hospital design, Noah Tolson, array architects

How to Navigate the Changing Healthcare Real Estate Market

Posted by Noah Tolson on Mar 04, 2014 at 3:57 AM

Featured in Healthcare Global, October 2014

While the rollout of the Affordable Care Act (ACA) has garnered a lot of attention, there are significant trends associated with its implementation that are impacting healthcare real estate.

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Topics: developer, planning, real estate, medical office building, architecture, healthcare design, ACA, Affordable care act, architects, continuous improvement, healthcare, hospital design, Noah Tolson

When a Chair Becomes a Toilet: Why the People Are More Important Than the Mock-up

Posted by Jonathan Bykowski on Feb 10, 2014 at 3:26 AM

Published by Healthcare Construction + Operations, January 15, 2014

Mock-ups can provide an undeniable value to teams designing new health care spaces.Repetitive project elements are excellent candidates for careful testing before significant time and money is spent on construction. Conventional design approaches have long held that mock-ups should be a staple of the process to test new ideas and confirm that users’ goals are achieved. Measure twice, cut once.

Projects sometimes spend considerable money and time developing mock-ups during the design phase. There are several approaches to mock-ups, but the bigger-is-better approach seems to be leading the charts. Massive macro mock-up trends focusing on full-scale departments requiring a warehouse and truckloads of cardboard are gaining popularity. But do they add value?

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Topics: planning, architecture, design, healthcare design, mock-ups, Jonathan Bykowski, continuous improvement, advisory services, hospital design

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

A Salutogenic Approach to Designing Behavioral Health Facilities

Posted by Jon Sell on Sep 23, 2013 at 11:40 AM

Salutogenesis is a term coined by Aaron Antonovsky, a professor of medical sociology and is derived from a mix of Greek and Latin that roughly translates to “health origins” and describes an approach focusing on factors that support human healthand well-being, rather than on factors that cause disease. More specifically, the "salutogenic model" is concerned with the relationship between health, stress, and coping.

Today, there is a growing movement within the healthcare industry to incorporate Antonovsky’s salutogenic principles into the world of design. Indeed, salutogenic design is already being used to construct many of the world’s most modern hospitals. Simply put, salutogenic design aims to build structures that make people healthier and happier.

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Topics: planning, architecture, healthcare design, behavioral healthcare, continuous improvement, hospital design, Healing Environment

Client-focused Design

Posted by Jennifer O'Donnell on Jun 27, 2013 at 12:18 PM

As healthcare architects, we work closely with providers to help support their mission of delivering excellent, patient-centered care. With HCAHPS scores impacting reimbursement, hospitals are focusing on making the patient experience a top priority. We understand that our clients expect to receive the same level of client-focused care they offer their patients.

How do you translate a client-centered approach to design? Business relationships are just like other relationships you have in your life. You have to be honest, trustworthy, willing to listen, giving, supportive and truly care about the other individual’s well-being. You have to make a conscious effort to pay attention to both the small details and keep your eye focused on the larger goals. No matter what the interaction may be, your business partners, clients and colleagues are people just like you and me; people who are always looking for an enhanced experience to remember.

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Topics: planning, approach, healthcare design, continuous improvement, client, healthcare, advisory services, hospital design

Trends in Development of Medical Office Buildings

Posted by Guest Contributor on Jun 04, 2013 at 5:54 AM

Published by Healthcare Global, December 2013. The delivery of healthcare is evolving due to healthcare reform initiatives based on the Affordable Care Act (ACA). Nowhere is that more apparent than in the design of Medical Office Buildings (MOBs).

Traditionally, MOBs have been comprised of practice suites housing private physician groups occupying as little as 1,000 SF to as much as an entire floor, +/- 25,000 SF. These spaces were designed to support routine physical examinations, checkups, lab work and minor outpatient procedures.

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Topics: design trends, planning, MOB, medical office building, architecture, healthcare design, ACA, Affordable care act, continuous improvement, healthcare, advisory services, hospital design, Shane Williams, array architects