Teri Joy
Director of Operational PlanningBSATeri is a Registered Nurse with over 26 years of clinical service. Previously serving as the trauma program director at Eskenazi Health in Indianapolis, IN, Teri was accountable for managing the Level I Trauma Center and Smith Level I Shock Trauma Center. She has had the opportunity to work with BSA while in her role with Eskenazi and understands first-hand how to build connections between the clinicians, facilities engineers, designers, and patients.
E10 – Evidence from the Field: POE-Informed Strategies for Hospital Expansion
As healthcare campuses expand to meet growing community demand, understanding how existing facilities perform in practice is essential to making infor…As healthcare campuses expand to meet growing community demand, understanding how existing facilities perform in practice is essential to making informed, future-ready design decisions. Post-occupancy evaluation (POE) provides a critical feedback loo…As healthcare campuses expand to meet growing community demand, understanding how existing facilities perform in practice is essential to making informed, future-ready design decisions. Post-occupancy evaluation (POE) provides a critical feedback loop, allowing organizations to assess how spatial design impacts staff workflows, safety, environmental comfort, and overall operational performance. This session presents findings from a comprehensive,…As healthcare campuses expand to meet growing community demand, understanding how existing facilities perform in practice is essential to making informed, future-ready design decisions. Post-occupancy evaluation (POE) provides a critical feedback loop, allowing organizations to assess how spatial design impacts staff workflows, safety, environmental comfort, and overall operational performance. This session presents findings from a comprehensive, multi-method POE conducted at UNC Johnston Health and demonstrates how the results directly informed planning priorities for campus expansion and renovation efforts. The POE evaluated five clinical departments—Labor & Delivery, Postpartum, ICU & PCU, Med-Surg, and Nursery—using staff surveys, walkthroughs, spatial analysis, and open-ended feedback. Across departments, findings revealed consistent themes related to staff work area functionality, visibility and adjacency for patient monitoring, adequacy of support spaces, and the impact of storage, equipment placement, and circulation on workflow efficiency. While patient room size and overall unit layout were frequently cited as strengths, staff satisfaction was negatively affected by undersized nurse stations, limited charting privacy, poorly located restrooms, inadequate staff amenities, and inconsistent zoning of clean and soiled supplies. Department-specific insights highlighted how localized design decisions can have system-wide operational consequences. In Labor & Delivery and Postpartum units, nurse station configuration, lighting quality, and charting orientation influenced teamwork and patient visibility. In ICU, PCU, and Med-Surg units, staff amenities, equipment access, pneumatic tube placement, and lift availability affected efficiency, safety, and staff well-being. In the Nursery, the square footage and outdated infrastructure constrained limited clinical functionality and emergency preparedness. The presentation translates these findings into actionable design strategies, illustrating how POE-informed recommendations—such as optimizing staff work zones, improving storage and equipment planning, enhancing staff amenities, and clarifying circulation—can improve performance while supporting future growth. Show MoreClick the title to see all detailsShow More
E52 – Built to Flex: Using Prototype Modules to Future-Proof Ambulatory Clinic
As ambulatory care delivery evolves, healthcare systems must design clinic environments that adapt to shifting specialties, care models, and operation…As ambulatory care delivery evolves, healthcare systems must design clinic environments that adapt to shifting specialties, care models, and operational demands without repeated renovation. Houston Methodist’s new Cinco Ranch and Spring Comprehensive…As ambulatory care delivery evolves, healthcare systems must design clinic environments that adapt to shifting specialties, care models, and operational demands without repeated renovation. Houston Methodist’s new Cinco Ranch and Spring Comprehensive Care Center models were developed as part of a systemwide ambulatory strategy in partnership with BSA, using prototype clinic modules as the primary mechanism for embedding flexibility into the built…As ambulatory care delivery evolves, healthcare systems must design clinic environments that adapt to shifting specialties, care models, and operational demands without repeated renovation. Houston Methodist’s new Cinco Ranch and Spring Comprehensive Care Center models were developed as part of a systemwide ambulatory strategy in partnership with BSA, using prototype clinic modules as the primary mechanism for embedding flexibility into the built environment. The modular framework established a consistent planning logic for exam rooms, team work areas, shared support spaces, and circulation, while allowing clinics to flex by specialty, staffing model, and patient volume. Modules were intentionally designed to support multiple scenarios, enabling clinics to transition over time with minimal physical modification. Simulation modeling, full-scale mockups, and stakeholder engagement were used to test performance under varying operational conditions, including peak volumes, cross-coverage staffing, and vertical stacking. Deploying the modular strategy across both projects revealed critical lessons, including aligning module dimensions with staffing ratios, strategically locating shared support spaces, and balancing standardization with targeted customization. This session shares practical insights into designing, testing, and refining clinic modules as adaptable systems, offering transferable strategies that support long-term flexibility, operational resilience, and consistent, safe performance across ambulatory environments. Show MoreClick the title to see all detailsShow More
