Session Detail
Showing content for Healthcare Facilities Symposium & Expo 2017

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Wednesday, September 20, 2017  |  8:30 AM - 9:30 AM

Open to Conference Attendees Only

Building on Success: Enhancing Renovations through Continuous Improvement

Andrew Brumbach, AIA, EDAC
Senior Associate, Architecture, SmithGroupJJR
Alison Faecher, IIDA, EDAC, LEED AP
Principal Interior Design, SmithGroup
Robert Raymond, AIA, LEED
Senior Architect Planner, Brigham & Women's Hospital

Brigham and Women’s Hospital (BWH) wanted to reimagine the inpatient care units located inside their 35-year-old tower to reflect the quality of care synonymous with BWH. With 500 of their 800 beds located inside the tower, the potential gains could be significant for both staff & patients. At the project outset, the design team shadowed personnel to gather information on flows, adjacency, communication, ergonomics & noise. Using this current state analysis, a series of countermeasures were incorporated into prototypes; targeting issues identified by the shadowing event. Due to a high tower census, renovations have occurred one unit at a time. As each unit is inhabited, the team reconvenes for a POE involving “lessons learned”. The design of each unit has improved with each iteration, in a cycle of “plan-do-check-act”. This session will address how having a clear vision & desire to continuously learn creates a deliberate & strategic approach to unit planning & outcomes.


1. Recognize methods for analysis of current state and development of countermeasures as a means for making informed design decisions.
2. Research the most current strategies for reducing Hospital Acquired Infections (HAI) in patient care environments.
3. Assess techniques for supporting the ever-changing technology and how to achieve adaptable solutions.
4. Summarize the framework of a post occupancy review, identifying techniques for creating a continuous improvement cycle of “Plan-Do Check-Act”.