Keywords

ambulatory care facilities, ambulatory care operations, efficiency, hospital design & construction, hospital reorganization

 

Authors

  1. Pauly, Greg MHA
  2. Jellinek, Michael MD

Abstract

The Massachusetts General Hospital developed a series of space and utilization guidelines that assisted in the planning of a 450,000-ft2 ambulatory care facility. The guidelines attempted to balance and preserve the critical elements of the hospital's culture while, at the same time, create a highly efficient ambulatory care building. This article discusses the economic, political, and cultural implications of implementing specific project principles and guidelines known as the "9 Commandments."