Browsing All Posts published on »June, 2012«

PPACA Decision Eagerly Anticipated

June 22, 2012


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


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


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


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


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


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 […]