Browsing All Posts published on »June, 2012«

PPACA Decision Eagerly Anticipated

June 22, 2012

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Never have I been as invested in a Supreme Court decision as I am for the ruling on the PPACA.  No offense LeBron James, but this is The Decision. I have read, researched, listened to and generally tried to imagine various consequences no matter what the outcome. Politics aside, this ruling matters very much to every […]

Good HC Design Keeps Science In Mind

June 20, 2012

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A perspective from another field of study can provide just the right amount of rational support for design, which can be so subjective at times.  I like numbers because they are a real illustration.  Maybe you caught my post on the  business case numbers behind why the RFP process is so fruitless for hospitals. Some design […]

IPD: Impress Me, Please

June 15, 2012

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In an article on the Seattle Children’s Bellevue Clinic in Green Source’s March+April 2012 issue, I read a couple of sentences about how the project was delivered in the IPD model, or Integrated Project Delivery. I am surprised how positively IPD is still portrayed as something new and good for the owner. Is it really? The article mentions […]

Profit-versus-Mission Conflict

June 8, 2012

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Last summer, I was brainstorming a way to get an independent community hospital some badly needed patient beds included in a project for an ICU. The hospital’s master plan called for replacing the remaining semi-private rooms with all private, and knowing the next building project would not be for another seven to ten years, I lobbied the now-or-never position. The Director […]

When It’s Your Move

June 6, 2012

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In chess, white moves first. This can set the tone for white to be on the offensive, and black the defensive, the entire match, or it can be a minor detail in the outcome. Offense or defense. It is important to remember what position you are in each day. One of the most comical memories of my […]

The Fight for Facility Dollars

June 1, 2012

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A panel at last month’s BOMA MOB conference revealed just how difficult the hurdles are to win internal capital financing at a healthcare system these days. With a capital budget of $900 million, Trinity Health reported their money is divided among three pots:  previous project commitments, “non-threshold” projects (<$2M), and projects greater than $2 million, or […]