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

dc.contributor.author Zimring, Craig
dc.contributor.author Sadler, Blair L.
dc.contributor.author DuBose, Jennifer Robin
dc.contributor.corporatename Georgia Institute of Technology. College of Architecture
dc.date.accessioned 2008-11-07T18:59:30Z
dc.date.available 2008-11-07T18:59:30Z
dc.date.issued 2008
dc.description.abstract 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. en
dc.identifier.citation Sadler, B. L., DuBose, J., & Zimring, C. M. (2008). The business case for building better hospitals through evidence-based design. Health Environments Research & Design, 1(3). en
dc.identifier.issn 1937-5867
dc.identifier.uri http://hdl.handle.net/1853/25462
dc.language.iso en_US en
dc.publisher Georgia Institute of Technology en
dc.publisher.original Vendome Group LLC
dc.subject Evidence-based design en
dc.subject Cost savings en
dc.subject Hospital facility environment en
dc.subject Business case en
dc.subject Trustee and leadership involvement en
dc.subject Implementation steps en
dc.title The Business Case for Building Better Hospitals Through Evidence-Based Design en
dc.type Text
dc.type.genre Article
dspace.entity.type Publication
local.contributor.author Zimring, Craig
local.contributor.corporatename College of Design
relation.isAuthorOfPublication c86bf749-1059-4da7-8228-15d27f87338d
relation.isOrgUnitOfPublication c997b6a0-7e87-4a6f-b6fc-932d776ba8d0
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