Published Articles

Riding the Curve to High Operational Efficiency

The health care industry runs the risk of over-building in the interim and having excess capacity over the long-term. The solution is to find the “sweet spot” between a 30-year depreciation model on new construction and improved access for the next 8-12 years. The article describes how healthcare organizations can optimize existing infrastructure to provide quality… | Read More

Crucial Components of Diminishing Risk of Legionella in Hospitals

With the recent reports of Legionella in the news, many hospital facility managers wonder if an outbreak could happen at their hospital. It can. Fourteen U.S. hospitals experienced Legionella outbreaks from 1981-96, proving it is quite possible. The following environments in healthcare facilities offer the ideal environment for Legionella growth: Potable water system and outlets…. | Read More

Five Ways Design Can Make Doctors’ Visits Shorter

Shorter wait times are a patient satisfier, but certain design configurations can make patient wait times and appointments take longer. In the case of an ambulatory care center, longer appointments mean fewer appointments per day, restricting the “carrying capacity” of the facility. For instance, the same medical office building can complete either 100 or 150… | Read More

Today’s ED: Designing Efficient Emergency Departments in the 21st Century

By incorporating design elements that respond to challenges facing emergency departments, facility designers are able to create environments that respond to patient needs, support efficient care, and improve satisfaction scores. In their article for Medical Construction and Design, Michelle Mader, MBA, MHA and Kathy Clarke, RN, BSN, CEN address specific solutions to three key concerns:… | Read More

Modeling as a Prescription for Efficient Health Care Redesign

FreemanWhite utilizes both computer simulation modeling and data dashboards to help clients visualize complex data and quantify proposed operational and/or physical design changes. In their article for HC+O News, Michelle Mader, MBA, MHA and Delia Caldwell, MBA demonstrate how these tools can help healthcare organizations address the challenges of healthcare reform by improving efficiency and… | Read More

A Critical Choice

In a 2011 article in Imaging Economics, Kristyna Culp,  MBA details the use of simulation modeling to evaluate the inclusion of imaging equipment in an emergency department. She offers three questions for consideration: Is the ED operating at peak efficiency? Is the financial investment realistic? Does the existing ED have space for imaging equipment and… | Read More

Using Models to Validate Healthcare Change Processes

Michelle Mader, MBA, MHA and Kristyna Culp, MBA discuss the effective application of modeling technology in healthcare planning. Their article on Healthcare Global focuses on process modeling as an essential tool in understanding existing conditions, validating recommendations, and building consensus for proposed changes.

Building a Model Hospital: How Software Simulations Can Test Process Efficiencies Against Design Options

FreemanWhite utilizes computer simulation modeling to validate proposed operational and physical design changes. In this article for the Medical Construction & Design e-newsletter, Kristyna Culp, MBA describes how this technology can help healthcare organizations meet goals for improved patient experience, reduced waiting times, and better throughput.

Racing Hearts: ED Process and Design Changes Can Continue to Reduce the Time It Takes to Move STEMI Patients From Door-to-Balloon

In this article, Kathy Clarke, RN, BSN, CEN and Kristyna Culp, MBA discuss a range of operational and facility design recommendations to improve the overall quality of care for emergency department patients, with particular benefit to cardiac patients for whom treatment time is critical. Specific opportunities include: Effective management of walk-in patients Sub-waiting for patients… | Read More

Safety by Design

Karen Patterson interviewed members of FreemanWhite’s ED Design Team for her article on Please read the full text of the article on