Person:

Zimring, Craig

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https://hdl.handle.net/1853/71897

Associated Organization(s)

Organizational Unit

School of Architecture

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Now showing 1 - 10 of 11

The Business Case for Building Better Hospitals Through Evidence-Based Design

(Georgia Institute of Technology, 2008) Zimring, Craig ; Sadler, Blair L. ; DuBose, Jennifer Robin

Purpose: After establishing the connection between building well-designed evidence-based facilities and improved safety and quality for patients, families, and staff, this article presents the compelling business case for doing so. It demonstrates why ongoing operating savings and initial capital costs must be analyzed and describes specific steps to ensure that design innovations are implemented effectively. Background: Hospital leaders and boards are now beginning to face a new reality: They can no longer tolerate preventable hospital-acquired conditions such as infections, falls, and injuries to staff or unnecessary intra-hospital patient transfers that can increase errors. Nor can they subject patients and families to noisy, confusing environments that increase anxiety and stress. They must effectively deploy all reasonable quality improvement techniques available. To be optimally effective, a variety of tactics must be combined and implemented in an integrated way. Hospital leadership must understand the clear connection between building well-designed healing environments and improved healthcare safety and quality for patients, families, and staff, as well as the compelling business case for doing so. Emerging pay-for-performance (P4P) methodologies that reward hospitals for quality and refuse to pay hospitals for the harm they cause (e.g., infections and falls) further strengthen this business case. Recommendations: When planning to build a new hospital or to renovate an existing facility, healthcare leaders should address a key question: Will the proposed project incorporate all relevant and proven evidence-based design innovations to optimize patient safety, quality, and satisfaction as well as workforce safety, satisfaction, productivity, and energy efficiency? When conducting a business case analysis for a new project, hospital leaders should consider ongoing operating savings and the market share impact of evidence-based design interventions as well as initial capital costs. They should consider taking the 10 steps recommended to ensure an optimal, cost-effective hospital environment. A return-on-investment (ROI) framework is put forward for the use of individual organizations.
A Review of the Research Literature on Evidence-Based Healthcare Design

(Georgia Institute of Technology, 2008) Ulrich, Roger S. ; Zimring, Craig ; Zhu, Xuemei ; DuBose, Jennifer R. ; Seo, Hyun-Bo ; Choi, Young-Seon ; Quan, Xiaobo ; Joseph, Anjali

This report surveys and evaluates the scientific research on evidence-based healthcare design and extracts its implications for designing better and safer hospitals.
A Review of the Research Literature on Evidence-Based Healthcare Design

(Georgia Institute of Technology, 2008) Ulrich, Roger S. ; Zimring, Craig ; Zhu, Xuemei ; DuBose, Jennifer Robin ; Seo, Hyun-Bo ; Choi, Young-Seon ; Quan, Xiaobo ; Joseph, Anjali

Objective: This report surveys and evaluates the scientific research on evidence-based healthcare design and extracts its implications for designing better and safer hospitals. Background: It builds on a literature review conducted by researchers in 2004. Methods: Research teams conducted a new and more exhaustive search for rigorous empirical studies that link the design of hospital physical environments with healthcare outcomes. The review followed a two-step process, including an extensive search for existing literature and a screening of each identified study for the relevance and quality of evidence. Results: This review found a growing body of rigorous studies to guide healthcare design, especially with respect to reducing the frequency of hospital-acquired infections. Results are organized according to three general types of outcomes: patient safety, other patient outcomes, and staff outcomes. The findings further support the importance of improving outcomes for a range of design characteristics or interventions, including single-bed rooms rather than multibed rooms, effective ventilation systems, a good acoustic environment, nature distractions and daylight, appropriate lighting, better ergonomic design, acuity-adaptable rooms, and improved floor layouts and work settings. Directions for future research are also identified. Conclusions: The state of knowledge of evidence-based healthcare design has grown rapidly in recent years. The evidence indicates that well-designed physical settings play an important role in making hospitals safer and more healing for patients, and better places for staff to work. Key Words: Evidence-based design, hospital design, healthcare design, healthcare quality, outcomes, patient safety, staff safety, infection, hand washing, medical errors, falls, pain, sleep, stress, depression, confidentiality, social support, satisfaction, single rooms, noise, nature, daylight
The role of the physical environment in crossing the quality chasm

(Georgia Institute of Technology, 2007) Zimring, Craig ; Henriksen, Kerm ; Isaacson, Sandi ; Sadler, Blair L.
Encouraging Physical Activity Among Retirement Community Residents - The Role of Campus Commitment, Programming, Staffing, Promotion, Financing and Accreditation

(Georgia Institute of Technology, 2005) Zimring, Craig ; Harris-Kojetin, Lauren ; Kiefer, Kristen ; Joseph, Anjali

Despite the well-established benefits of physical activity for older adults, seniors ages 75 and above are among the most sedentary of Americans. Continuing care retirement communities (CCRCs) seem ideal settings for creating physical activity promoting environments. We report on results of a nationally representative sample survey of CCRCs that are members of the American Association of Homes and Services for the Aging. Campuses with more physical activity opportunities on campus or in the outside community, more physical activity-related staff, better physical activity facilities and activities, more types of sources to finance the costs of physical activity, and more channels to promote physical activity tend to have more physically active residents. Campuses in which management places more importance on encouraging physical activity among residents also have more physically active residents.
Presence and visibility of outdoor and indoor physical activity features and participation in physical activity among older adults in retirement communities

(Georgia Institute of Technology, 2005) Zimring, Craig ; Harris-Kojetin, Lauren ; Kiefer, Kristen ; Joseph, Anjali

In this paper we examine how the presence and visibility of outdoor and indoor physical activity resources (e.g., walking path/trail, outdoor tennis courts, gardens, etc.) influences participation in physical activity among elderly residents in non-profit continuing care retirement communities and other senior housing communities. This paper reports findings from a survey of 800 such communities. A social ecological model was used to study the relationships between the environment and physical activity behavior. A fifty-two percent response rate (n=398) was obtained. Campuses with more attractive outdoor and physical activity facilities had more residents participating in different types of physical activity.
New Design Technologies: Using Computer Technology to Improve Design Quality

(Georgia Institute of Technology, 1996) Peponis, John ; Zimring, Craig ; Scanlon, Molly M.
Case-Based Decision Support: A Case Study in Architectural Design

(Georgia Institute of Technology, 1992) Zimring, Craig ; Pearce, Michael ; Goel, Ashok K. ; Kolodner, Janet L. ; Sentosa, Lucas Shindunata ; Billington, Richard
The new demand-driven post-occupancy evaluation

(Georgia Institute of Technology, 1988) Zimring, Craig ; Wineman, Jean ; Carpman, Janet Reizensten

Post-Occupancy Evaluation (POE) has become increasingly accepted and influential among client organizations responsible for large building management and construction programs. Managers and administrators look to POE to provide answers to important facilities questions. This increased focus on decision-making has resulted in a number of changes to the way in which POEs are conducted, including changes in the relationship between evaluator and client, the range of issues addressed, and the salience of certain methodological concerns. These issues are considered in light of current uses for POE information and some strategic choices faced by evaluators and clients.
Reducing stress in jails

(Georgia Institute of Technology, 1988) Zimring, Craig ; Munyon, Harry M. ; Ard, Larry

Dr Craig M. Zimring is an environmental psychologist and associate professor of architecture and of psychology at the College of Architecture of the Georgia Institute of Technology. His research and practice focuses on environmental design evaluation and other aids to organizational decision making about correctional facilities, offices and other building types, and on stress and environmental cognition. W. Harry Munyon, A.I.A., is an architect and partner in Silver and Ziskind Architects, San Francisco. He has devoted his professional life to the planning and design of jails, prisons and other justice and correctional facilities. Larry Ard is Chief Deputy, Contra Costa County Sheriff's Department. He has been responsible for the Contra Costa County Main Detention Facility since its inception and has served as a consultant for the planning and design of many subsequent direct supervision facilities.