Posts Tagged ‘Evidence-Based Design (EBD)’

HEALTHCARE DESIGN 2014 – Catch the Earlybird Special!

Thursday, July 24th, 2014
Royal Terns by Henry Domke

Royal terns. Photo by Henry Domke,

When: November 15-18, 2014
Where: San Diego, CA

I always look forward to HEALTHCARE DESIGN, the annual conference organized by the Center for Health Design. There’s only one problem: It’s too good! There are always too many sessions that I want attend. Ah, the agony of choice. Not such a bad thing, really. And this year, it’s in sunny San Diego. The facility tours are sure to be excellent, and the education sessions look great – below are a few that I hope to attend, and one I’ll be speaking at (“Therapeutic Landscapes for Specific Patient Groups”) with my book co-author, Clare Cooper Marcus.

Earlybird registration is open for another two weeks (ends 8/8), so get on it.
Hope to see you there!

Therapeutic Environments, Neurosciences, and Architecture Forum and Panel Discussion
November 16, 2014 | 1:40 p.m. – 2:40 p.m.

Eve Edelstein, MArch, PhD, EDAC, Assoc.,  AIA, F-AAA, Associate Professor, CAPLA + IPW, University of Arizona; Affiliated Research Specialist, Calit2/Qi, University of California, San Diego; President, Innovative Design Science
Lisa Lipschutz, AIA, ACHA, EDAC, Lean Green Belt, Principal, Array Architects
Jon Sell, Principal, Array Architects
Kevin M. Turner, AIA, LEED AP, Principal, Freelon Group

This forum will provide a platform for advancing research-enhanced design with emphasis on behavioral and geriatric populations. Discussion will center on best-practice design standards as well as new approaches to care with project-specific examples. The forum will review practical means to apply scientific methods and new technologies within the architectural process. A pragmatic neuro-architectural process will be described that applies evidence-gathering on time, and within budget, to enhance the impact of design on human outcomes. Examples will include architectural projects where research is integrated at each stage of the process including post-occupancy evaluation. New and emerging technologies including immersive CAVE mockups, sound simulations, and synchronous biosensors of brain and body activity will be included.

Natural Visual Stimuli: Creating Positive Birthing Experiences
Monday, November 17 | 9:45 a.m. – 10:45 a.m.

Rehab Aburas, PhD Candidate, Texas Tech University
Debajyoti Pati, PHD, FIIA, IDEC, LEED AP, Rockwell Professor, College of Human Sciences, Department of Design, Texas Tech University
Robert Casanova, MD, Texas Tech University Health Sciences Center, Assistant Dean of Clinical Sciences Curriculum, Associate Professor Obstetrics and Gynecology, Program Director Obstetrics and Gynecology,  Texas Tech University Health Sciences Center
Nicole Gilinsky Adams, PhD, Graduate Faculty – Educational Psychology, College of Education, Texas Tech University

The birthing experience, and birthing environments, can often paint a woman’s attitude toward healthcare for a long time. Healing environments that incorporate natural visual stimuli can be designed to meet the patient’s need for physical and psychological comfort. Incorporating design elements and strategies that calm and reduce stress effects may create positive experiences for women in labor. This session examines the impact of one such strategy, namely the presentation of a series of nature images, on the labor and delivery experience, with data to support those findings.

Designing Nature into Urban Healthcare Environments
Monday, November 17 | 9:45 a.m. – 10:45 a.m.

Andrew Jarvis, AIA, LEED AP, Principal, EwingCole
David Kamp, FASLA, LF, NA, President, Dirtworks Landscape Architecture, PC

Bringing nature into the experience of patients in urban areas, where most Americans receive their care, is challenging and often opposed. Presenters will share successful strategies for justifying the value of natural environments within densely developed healthcare settings and will show how the obstacles of cost, space, maintenance, and infection control may be overcome. Attendees will hear how such efforts may identify new partners and tie into larger planning and economic initiatives. Given the profound influence of natural environments on health, this session will give you practical tools for designing nature into difficult healthcare spaces.

In the Lap of Nature: Benefits of Nature Stimulus in Patient Room Ceilings
Monday, November 17 | 4:40 p.m. – 5:40 p.m.

Debajyoti Pati, PHD, FIIA, IDEC, LEED AP, Rockwell Professor, Texas Tech University
Susan Sayari, MSN, RN, Director of Nursing, Covenant Health
Patricia Freier, MSN, RN-BC, RCIS, Project Specialist, Covenant Health
Shabboo Valipoor, MA, Doctoral Student, Texas Tech University

Researchers have consistently produced evidence that exposure to nature can improve health outcomes. This presentation addresses the challenge in providing direct nature views in patient rooms and focuses on one solution where simulated photographic sky compositions are installed in the patient room ceiling. Attendees will hear the key report findings from an experimental study conducted in 10 rooms in a medical-surgical unit (five experimental rooms fitted with ceiling sky compositions and five control) where a range of data was collected from 181 patients in a period of eight months and will explore program areas best suited for incorporation of photographic sky compositions.

Do Curves Matter? An fMRI Examination of Neural Reactions to Formal Attributes of Healthcare Environments
Tuesday, November 18 – 8:00 a.m. – 9:00 a.m.

Debajyoti Pati, PhD, FIIA, IDEC, LEED AP, Rockwell Professor, Texas Tech University, Department of Design, Texas Tech University
Jiancheng Hou, PhD, Postdoctoral Research Assistant, Department of Human Development and Family Studies, Texas Tech University
Upali Nanda, PhD, EDAC, Vice President and Director of Research, HKS Inc.
Hessam Ghamari, Research/Teaching Assistant in Department of Design, PhD Candidate, Texas Tech University

This session reports the findings from a neuroscience study that focuses on the brain’s reaction to contour information perceived from the visual environment. Extending previous studies in neuropsychology, the study examines the brain’s amygdala region—the region associated with fear response. This session will present key study findings and discuss its implications for healthcare design from the perspective of fear, anxiety, and stress reduction. Since fear, anxiety, and stress are outcomes of concern to a broad range of stakeholders, this session will be of interest to architects, interior designers, product designers, as well as owners.

Therapeutic Landscapes for Specific Patient Groups
Tuesday, November 18 – 9:20 a.m. – 10:20 a.m.

Naomi A. Sachs, ASLA, EDAC, Founding Director, Therapeutic Landscapes Network
Clare Cooper Marcus, Professor Emerita, Architecture and Landscape Architecture at the University of California, Berkeley, Hon. ASLA, Principal, Healing Landscapes

The design of healing gardens and their provision as part of a healthcare facility’s therapeutic environment are receiving an increasing amount of attention and funding. Frequently, however, such gardens are designed as “one size fits all” rather than for the needs of specific users and patient populations. This presentation will explore the importance of understanding why particular patient groups would want to use an outdoor space; how they use it; and in what way the space needs to be designed differently at a patient-specific facility as compared to a facility serving a wide variety of patients (as well as visitors and staff).

Access to Nature, Daylight, and Fresh Air: Staff Break Areas in Healthcare Facilities
Tuesday, November 18 – 1:15 p.m. – 2:15 p.m.

Adeleh Nejati, MArch, EDAC, PhD Candidate and Research Assistant, Texas A&M University
Dr. Mardelle Shepley, DArch, FAIA, FACHA, EDAC, LEED AP, Professor, Department of Architecture, The Skaggs-Sprague Endowed Chair in Health Facilities Design, and Director of the Center for Health Systems & Design, College of Architecture, Texas A&M University

There are exciting new findings about designing health-promoting break areas for nursing staff in healthcare facilities. The focus of this study is to investigate components of a well-designed staff break area and how it can positively impact staff mood and performance by providing restorative environments with access to nature, natural light, and fresh air. It also shows how a well-located break area with appropriate visual and physical access to the outdoor environment can help reduce fatigue, increase productivity, and enhance nurses’ satisfaction with the work environment, which ultimately results in higher quality of care and patient and family satisfaction.


Coming soon! ‘Therapeutic Landscapes’

Monday, October 14th, 2013

Therapeutic Landscapes: An Evidence-Based Approach to Designing Healing Gardens and Restorative Outdoor Spaces

Publication date is October 21st!

Therapeutic Landscapes: An Evidence-Based Approach to Designing Healing Gardens and Restorative Outdoor Spaces
by Clare Cooper Marcus and Naomi A. Sachs, with Foreword by Roger S. Ulrich and chapters by Marni Barnes and Teresia Hazen

This comprehensive, authoritative, beautifully illustrated guide offers an evidence-based overview of healing gardens and therapeutic landscapes from planning to post-occupancy evaluation. It provides general guidelines for designers and other stakeholders in a variety of projects, as well as patient-specific guidelines covering twelve categories ranging from burn patients, psychiatric patients, to hospice and Alzheimer’s patients, among others. Sections on participatory design and funding offer valuable guidance to the entire team, not just designers, while a planting and maintenance chapter gives critical information to ensure that safety, longevity, and budgetary concerns are addressed.

For a preview; more information about the authors; and to pre-order a copy, visit You can also buy through Indie Bound or a number of other book sellers through the Wiley website: The Wiley website also lists the Table of Contents.


Therapeutic Landscape Colloborations Forum

Monday, September 30th, 2013
Harvey Zarren Healing Gardens

Harvey Zarren Healing Gardens at North Shore Medical Center’s Union Hospital, Lynn, MA

October 17 forum on evidenced-based design

What distinguishes a garden from a healing garden?  The main difference is the way in which a healing or therapeutic garden caters to its targeted users such as cancer, rehabilitation, psychiatric, or eldercare patients.

At an upcoming forum at Union Hospital in Lynn, Mass., designers, researchers, and healthcare providers will gather to discuss landscapes in healthcare settings that promote health and well-being. “Therapeutic Landscape Collaborations: Successful Evidence-Based Design” will take place October 17, 9 am -12:30 pm, at the North Shore Medical Center’s Union Hospital.

This presentation pairs healthcare providers, researchers and designers that focus on creating healing spaces and restorative landscapes to promote health and well-being. The experts include physicians, therapists, designers, architects and landscape architects whom will demonstrate down to the cellular level why gardens heal, and explore how different aspects to a healing garden can promote healing in different user groups. Examples of healing gardens will be shown and participants will tour the Dr. Harvey Zarren Healing Garden at the site as a case study. The program is sponsored jointly by The Landscape Institute and The Underground in cooperation with the North Shore Medical Centers Plant Operations Department.

Panelists include Harvey Zarren, M.D., F.A.C.C; Christine Wojnar, Feng Shui Institute of American; Elizabeth Ericson, FAIA, LEED AP; Deborah Gaw, Owner, Garden Scapes Landscape Design; Lisa Bailey, ASLA, Bayleaf Studio; David Jay, ASLA, LEED AP, O+M Weinmayer/Jay Associates; and Anna Pelosi, Lead HRO, NSMC Inpatient Psychiatry Services and Manager of Patient and Family Relations Department.

To learn more about the October 17 forum and to register, send an email to or visit

To learn more about the Harvey Zarren Healing Garden, visit the NSMC website – you can link from there to a nice photo gallery.



Wednesday, September 11th, 2013
Photo by Henry Domke,

Photo by Henry Domke,

I don’t usually make titles all in bold, but this is such an exciting opportunity, I wanted to grab your attention.

Vendome Group, publisher of Healthcare Design, Environments for Aging and Behavioral Healthcare, is excited to announce our inaugural The Landscape Architecture Award for Healthcare Environments!

Landscape Architecture projects will be featured in a special digital magazine that will reach more than 80,000 readers.

Highlights of this program include:

  • An ideal audience: Projects will be seen by Architects, Designers, Administrators, C-Suite Executives within healthcare communities, and more.
  • Recognition for exceptional landscape architecture and design within 3 categories: Acute Care, Senior Living and Behavioral Healthcare.
  • A low entry fee: Cost to enter is only $350 per project.
  • Expert Panelists: A jury of industry experts will choose one winner and runner-up within each of the 3 categories to be published in the digital magazine.

Award winners and runners-up will receive:

  • A 2-page spread, at no cost, featured in the digital magazine.
  • A prestigious award engraved with the firm and facility names; and
  • Editorial coverage in 2014.

All other firms with accepted projects will have the option to include their project in the digital magazine for a nominal fee.

As the Director of the Therapeutic Landscapes Network, I can’t tell you how excited I am about this program. Oh, wait, I just did.

Applications are due SOON – 9/20/13 so pull your material together and submit it!

To learn more, visit:


Drs. Ulrich and Donovan: Health Benefits of Nearby Nature

Tuesday, August 27th, 2013
Portland Memory Garden

Portland Memory Garden, Portland, OR. Photo by Patty Cassidy

Health Benefits of Nearby Nature
Drs. Roger S. Ulrich and Geoffrey Donovan
Thursday, September 12, 2013, 7 – 9 p.m.
Portland State University’s Hoffmann Hall
1833 SW Eleventh Avenue, Portland, OR

Many evidence-based researchers, Dr. Roger S. Ulrich among them, have found that purposefully-designed gardens in healthcare settings improve health outcomes for patients. But did you know that there is a quantifiable relationship between the presence of trees and public health? In his research, Dr. Geoffrey Donovan has found that to be the case. Both Ulrich and Donovan will talk on the Health Benefits of Nearby Nature, Thursday September 12 , 2013 at Portland State University in Portland, Oregon.

Ulrich has found that patients who view “representations” of nature can also find relief from stress and discomfort. For example, heart surgery patients at a Swedish hospital intensive care unit experienced reduced anxiety and less need for pain medication by looking at pictures depicting trees and water.  Over the years, Ulrich’s work has received many awards and has directly impacted the design of billions of dollars of hospital construction, and improved the health outcomes and safety of patients worldwide.  The Sweden-based professor and former director of the Center for Health Systems and Design at Texas A&M University,  developed a Theory of Evidence-Based Design; his theory has become influential as a scientifically grounded guide for creating successful healthcare facilities. Ulrich will discuss his recent work involving the effects of single- versus multi-bed patient rooms on infection transmission; the negative impacts of hospital noise on patients and nurses; and how nature, gardens, and art can lessen pain, stress, and healthcare costs.

Ulrich’s co-presenter, Dr. Donovan, is a research forester with the USDA Forest Service who has quantified a wide range of urban-tree benefits. These have ranged from intuitive benefits— for example, reduced summertime cooling costs—to less intuitive benefits such as crime reduction. His recent findings on the relationship between trees and public health, for instance, show that mothers with trees near their homes are less likely to have underweight babies. He has also shown a connection between trees destroyed by invasive pests and a higher human death rate from  cardiovascular and lower-respiratory disease.

Register online for Health Benefits of Nearby Nature.