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Clinical Consulting: Hospital Construction Survey Affirms Rise in Clinical Voice: Designing for Efficiency and Staff Workflow

| Debbie Gregory

Every year, when Health Facilities Management and the American Society for Healthcare Engineering of the American Hospital Association release their Hospital Construction Survey results, I am always intrigued about what it will reveal. The 2017 report is out, and I’m happy to see the connection between designing healthcare facilities and the clinical workflow highlighted. Hospitals […]

Clinical Consulting: Healthcare Planning – An Engineering Perspective

| Debbie Gregory

Many people consider it ironic that a nurse works at an engineering firm. The experience has turned out to be quite serendipitous for me. The growing role of the executive nurse as a true partner in healthcare strategy requires systems thinking and an engineering-based approach. During a keynote address, BYU professor Margaret J. Wheatley Ed. […]

Clinical Consulting: The Intersection of Lean Thinking and Healthcare Technology Planning

| Debbie Gregory

As the landscape in healthcare is continually changing, increasing pressures for hospitals to perform leaner is becoming commonplace. By definition, lean thinking is the concept of finding value and eliminating waste in a process. Waste is anything that does not bring value to your “customer” or the end recipient of your service. Lean comes from […]

Clinical Consulting: Clinical Leadership- Sorting Out Competing Priorities

| Debbie Gregory

The clinical voice is sometimes overshadowed by other “voices” that are slowly making an entry into clinical processes. I was struck recently by the fact that electronic health records dictated the workflow in one recent incident. In another situation a patient education/entertainment system was a driving force in workflow. Creating an organizational structure to accommodate […]


| Debbie Gregory

Since the Affordable Care Act (ACA) was signed into law in 2010, there have been continuing transformations in hospital financial, technological, and clinical practices. These transformations have in some cases led to the establishment of competing priorities for hospital decision makers. Two of the biggest issues facing hospitals that cross financial, technological, and clinical lines […]

Clinical Consulting: Ebola: Designing Solutions for an International Crisis

| Debbie Gregory

Resources for information on Ebola Preparedness The World Health Organization (WHO) declared Ebola to be a Public Health Emergency of International Concern (PHEIC) on August 8, 2014. This extraordinary event has created worldwide awareness and panic of the threat of such an epidemic. Generations of the past have been touched by such epidemics as yellow […]