Simulation Centers

May 18, 2016

During the past 20 years, simulation centers have become one of the fastest growing methodologies that enable students and physicians to perform realistic procedures in a controlled environment.  These high-tech centers focus on building trainee confidence and competence which results in patient safety, improved performance and less deviation from practice standards.  At The... more


Outpatient Centers

March 15, 2016

The first ambulatory care center opened in the United States in 1970.  Today, there are 5,260 centers, making outpatient centers nearly as numerous as hospitals.  Cost efficiencies are the main driver of ambulatory expansion, with procedures costing 30-60% less in outpatient settings than hospitals.  When designing the new Children’s Hospital of Michigan Specialty Center, HED... more


Arc Flash

November 12, 2015

Hospitals don’t have the luxury of shutting down critical electrical systems for routine maintenance.  Arc flash labeling provides the foundation for a “work safe” preventative maintenance program along Occupational Safety & Health Administration (OSHA) and National Fire Protection Association (NFPA) 70 compliance.  HED engineers have developed an analytical model to identify... more


Children’s Hospital of Michigan: Eliminating Waste Through Alternative Delivery Process

November 2, 2015

The design of the new Detroit Medical Center (DMC), Children’s Hospital of Michigan, Troy Specialty Center is focused on the patient and flow through the experience. A no wait operation and environment that supports the design was the intention. The purpose of the design was to eliminate process and building waste through functionality improvements and testing alternative processes... more


Integrated Project Delivery

September 16, 2015

Integrated Project Delivery (IPD) has been gaining momentum among health care projects, marrying owner, designer and contractor into a three-way contract, sharing incentives as a collaborative team.  The 165,000-square-foot, $56-million bed tower for Crittenton Medical Center saw significant savings, virtually eliminating redesign fees by placing the constructor, as well as the... more


Cost-Effective Design

August 18, 2015

Big box stores provide a great opportunity as repurposed medical clinics, capitalizing on prominent site location, large footprint and ease of access for patients and staff.  These large parcels are ideally suited for outpatient centers supported by complementary retail such as durable medical equipment, dialysis centers and pharmacy.  A recent project for ProMedica repurposed an old... more


Cancer Centers

July 17, 2015

Advancements in research have significantly changed the way we treat and understand cancer. For decades, cancer treatment has most commonly been provided through chemotherapy and radiation and the environment of care has been defined largely as a result of these therapies. The future will be substantially different due to the ability to manage this condition in ways that had only... more


Collaboration and Energy Efficiency

June 16, 2015

As one of the largest consumers of energy in the U.S., hospitals spend more than $8 billion each year, making energy efficiency an important component of any project.  Crittenton Hospital’s new 6-story addition received the top incentive rate with DTE’s Energy Efficiency Program, earning more than $200,000 in incentives to offset energy technologies installed in the $65 million,... more


Harley Ellis Devereaux’ Workshop Design Process

May 19, 2015

Harley Ellis Devereaux utilizes a workshop design process; gathering all decision makers, establishing project goals, identifying metrics, discussing benchmarks and best practices.  The highlight of the workshop is full-scale mock-ups that enable participants to test and refine the spaces, resulting in an environment of care that better supports core operations.  Compared to a... more

TAGS: patient care, mob & clinics, imaging, oncology,

The Technical Workplace

June 12, 2013

  Today's work tasks demand more than a typical office, studio or lab. We yearn for places designed to help us increase speed to market, integrate complex systems, develop creative multi-disciplinary insights and apply technological innovations. These passions drive new business models, operational modes, and organizational cultures - they are what "the technical workplace" is all... more

TAGS: workplace, higher education, research facilities,

Why would anyone want to invest time in your workspace?

May 3, 2013

James F. Meredith, RA, LEED AP, Workplace Strategy Corporate & Commercial Studio Leader   Walking through a client’s current workspace this week reminded me of the great gulf that exists between the way businesses are managed and the way they perform, and the extraordinarily important role that design has in that performance.   We entered a mean, little, anonymous elevator... more

TAGS: workplace,

Change Leadership

October 15, 2012

James F. Meredith, RA, LEED AP, Workplace Strategy Corporate & Commercial Studio Leader   The best way to prepare for change is to decide the things that won't change. Joseph Kosuth, “Self Defined,” 1965, Neon tubing   The organizations we work with are now much more ready to move in substantially new directions than at any time in the past decade. The change momentum... more

TAGS: workplace,

Happiness and Work Progress and Performance: Is there a role for the workplace?

December 15, 2011

Jim Meredith, LEED AP, Workplace Strategy There is an increasing body of scholarship and other analysis linking positive feelings and happiness at work to the progress and performance of the organization. The Gallup organization has been conducting an annual survey and index on “well-being” at work, for example. The more recent surveys indicate a continuing decline in staff... more