[{"id":24734,"date":"2026-03-11T08:38:36","date_gmt":"2026-03-11T12:38:36","guid":{"rendered":"https:\/\/www.gbbn.com\/?post_type=insights&p=24734"},"modified":"2026-03-12T16:29:41","modified_gmt":"2026-03-12T20:29:41","slug":"know-your-ending-crafting-thoughtful-donor-recognition-environments-from-campaign-kickoff-to-cutting-the-ribbon","status":"publish","type":"insights","link":"https:\/\/www.gbbn.com\/zh\/insights\/know-your-ending-crafting-thoughtful-donor-recognition-environments-from-campaign-kickoff-to-cutting-the-ribbon\/","title":{"rendered":"Know Your Ending: Crafting Thoughtful Donor Recognition Environments From Campaign Kickoff to Cutting the Ribbon"},"content":{"rendered":"

\u5bf9\u4e0d\u8d77\uff0c\u6b64\u5185\u5bb9\u53ea\u9002\u7528\u4e8eEnglish<\/a>\u3002<\/p>\n

So, you\u2019ve invested hours watching a great television show. As the show builds toward its finale, the excitement is palpable. Then the finale happens. The penultimate episode airs and there are huge plot points left untended, character arcs that have gone off the rails, and inexplicably, the night king\u2019s climactic battle\u2014the one you\u2019ve been waiting for all season\u2014lasts all of 60 seconds. Anticipation and elation give way to\u2026deflation. That single episode, out of the dozens or even hundreds you watched, has now tainted your view on the entire show despite it being such a small portion of the overall experience.<\/p>\n

…the end of any given experience disproportionately shapes
\nhow we remember the whole thing.<\/span><\/p>\n

Turns out, there\u2019s a name for that, Peak-End Memory Bias<\/a>. Research into this phenomenon, and how we process experiences, reveals that the end of any given experience disproportionately shapes how we remember the whole thing. This is an important idea to keep in mind when running a capital campaign. At the grand opening, the ribbon cutting, or those final donor tours, it is critical that the recognition of the donors lives up to the excellence of the entire project and the promises made in the beginning. In other words, your night king battle needs to be epic and environmental graphic design (EGD) is here to help.\u00a0<\/p>\n

Bringing on an EGD partner not only helps maintain the level of excellence established on a project, it also ensures your story doesn\u2019t just get told\u2014it gets felt<\/em>.<\/p>\n

\"Thoughtful<\/p>\n

EGD in Action<\/h3>\n

In our experience, this has proven to be true across a wide range of organizations and sectors, including healthcare, arts, and non-profits. A few recent examples illustrate the benefits of (as they say in Hollywood) \u201cknowing your ending.\u201d<\/p>\n

Healthcare
\n<\/strong>Helping Margaret Mary Health<\/strong><\/a> (MMH) exceed their campaign goals for its new, all-electric hospital in Batesville, Indiana, began with implementing an EGD vision for the donor recognition design, interior graphics, and signage. From the custom-designed donor wall, to the donor gifts, and donor artwork, we crafted a story that permeated throughout the entire building. That story\u2014which included local student artists, glass artisans, local woodworkers, and designs inspired by area wildlife\u2014helped create, in the words of our client, \u201cthe FOMO moment.\u201d Those stories (below) spread throughout the Batesville community and reinvigorated the Margaret Mary Health Foundation\u2019s campaign in its final months which led to the team surpassing their campaign goals. The ending is an elevated recognition strategy that weaves storytelling and meaning together, ensuring MMH donors become generational supporters.<\/p>\n

\"\" \u00a0\"\"
\n\"\" \"\"
\nTop:<\/strong>\u00a0 MMH shares the story of how local high schoolers, with the help of glass artisan studio, Brazee, created the handcrafted glass recognition mosaic that will be featured in the hospital cafe.
\nBottom<\/strong><\/em>:<\/strong> MMH features the Weberdings, a local father-son team, crafting timber for the custom donor wall. The mock-up (bottom right) re-energized existing donors and helped new supporters commit.<\/em><\/span><\/p>\n


\nArts
\n<\/strong>How do you inspire donor confidence and create immersive engagement before you have a finished building to support it? For The Children\u2019s Theatre of Cincinnati<\/strong><\/a> (TCT), GBBN turned a long-abandoned theater into a great storytelling asset through the use of virtual reality (VR) technology. Utilizing this technology we were able to inspire that early donor engagement through VR tours of the space that allowed potential donors to see the impact of their contributions, as well as the location of recognition areas not yet visible in real life.<\/p>\n

To supplement the virtual, the project team provided a physical experience in the form of mockups. Potential and existing contributors were able to see and feel the materials of a number of recognition opportunities, including named chair plaques designed to feature signatures of the kids and grandkids of donors. In the end, using the combination of the physical and virtual tools meant the final ribbon cutting met and exceeded the expectations of their campaign contributors and led to nearly every recognition opportunity being sold.\u00a0<\/p>\n

\"\"\u00a0 \"\"
\n\"\"
\nTop and bottom:<\/strong> Potential donors experienced the finished theater using virtual reality which allowed them to see donor recognition opportunities and how they would look at the ribbon cutting. Top right:<\/strong> Donors of named seats got to have their child’s or grandchild’s signature immortalized in plaques on the arm rests.<\/em><\/span><\/p>\n


\nNon-profit
\n<\/strong>Like most non-profit organizations, the YWCA of Greater Cincinnati<\/a> wanted as much of their renovation budget as possible to go towards positively impacting their clients and their work. So it was gratifying to help them maximize the resources they had for donor recognition. Not only did our solution optimize their budget, it rallied the client team. \u201cDecision fatigue\u201d can hit stakeholders as renovation projects wind down. But the visualization of the organization\u2019s history and impact helped reinvigorate stakeholders with new energy and excitement.<\/p>\n

Our approach was to incorporate personal and professional stories into a one-of-a-kind donor wall and a visual timeline of the organization\u2019s history. The donor wall embodies the heart and spirit of the organization through a photo mosaic of the people and events, past and present, whose passion make the YWCA of Greater Cincinnati possible. Post-occupancy, the timeline became the perfect spot to kick off donor tours with stories of leaders, activists, and the passion that makes the organization’s work so impactful to the community. These EGD solutions contributed to an infusion of momentum that led to the capital campaign’s continual growth post-ribbon cutting.<\/p>\n

\"\"\u00a0 \"\"\u00a0
\n\"\" \u00a0\"\"
\nTop:<\/strong> The bespoke designed history wall imparts the legacy and impact of the organization to staff, visitors, and potential donors.<\/em><\/span>
\nBottom:<\/strong> The donor wall mosaic is made of hundreds of local event photos featuring the people who have helped the YWCA of Greater Cincinnati thrive.<\/em><\/span><\/p>\n

\nA well-executed recognition environment doesn\u2019t just complete the project; it elevates it. It ensures the final experience is not just a handshake and a plaque, but a moment of pride, excitement, and connection. This emotional resonance lives up to the excitement and momentum you\u2019ve built throughout the project and becomes the foundation for repeat giving, multi-generational support, and greater trust in the organization\u2019s long-term vision.\u00a0<\/p>\n

\n

\"\"Phil Rowland<\/a> is Director of Environmental Graphic Design and an Associate Principal at GBBN where he founded and leads the firm\u2019s environmental graphics practice. In just over two years, he has led more than 30 projects and contributed to capital campaigns that have collectively raised over $50 million. Phil works to blend imagery, wayfinding, and storytelling seamlessly with architecture and interior design to create memorable donor recognition environments.<\/p>\n

\"\"<\/a> Connect with Phil<\/a><\/span><\/p>\n","protected":false},"author":1,"template":"","project_type":[183],"topic":[],"class_list":["post-24734","insights","type-insights","status-publish","hentry","project_type-environmental-graphic-design"],"acf":[],"yoast_head":"\nGBBN | Insights<\/title>\n<meta name=\"description\" content=\"Stories. Ideas. Perspective.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.gbbn.com\/insights\/know-your-ending-crafting-thoughtful-donor-recognition-environments-from-campaign-kickoff-to-cutting-the-ribbon\/\" \/>\n<meta property=\"og:locale\" content=\"zh_CN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"GBBN | Insights\" \/>\n<meta property=\"og:description\" content=\"Stories. Ideas. 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That time is often spent navigating sprawling medical campuses, not receiving care. For large, urban, and often landlocked hospitals, improving the arrival and wayfinding experience is no longer a \u201cnice to have.\u201d It is central to patient satisfaction and staff efficiency. Beyond time saved, efficiency, and anxiety reduction, intuitive wayfinding restores patient agency.<\/p>\n<p>Today\u2019s patients have choices. Feeling welcome, safe, and confident to navigate independently to an appointment plays a meaningful role in whether they return. While help may always be available from staff, being able to self-navigate instills dignity, especially for first-time patients, people in distress, neurodivergent users, or anyone already feeling vulnerable. When wayfinding is intuitive, it implies, \u201cyou are capable, we trust you.\u201d<\/p>\n<p>As healthcare campuses add security measures and continue to evolve, intuitive wayfinding has become one of the most powerful tools for improving the patient experience. Architecture plays a direct role in reducing these inefficiencies. Clear public circulation, visible destinations, and intuitive spatial cues can streamline the patient journey while freeing staff to focus on care rather than directions.<\/p>\n<h3><span style=\"color: #303030;\">The cost of poor wayfinding<\/span><\/h3>\n<p>When hospitals function like mazes, patients are more likely to arrive late, feel stressed before their appointments, and leave with a negative impression that has nothing to do with clinical care. Staff feel the impact as well.<\/p>\n<p><strong> <a href=\"https:\/\/www.eyedog.mobi\/blog\/the-true-cost-of-poor-wayfinding-in-hospitals-breaking-down-the-numbers\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">Studies<\/a> estimate that poor wayfinding can cost hospitals up to 4,500 staff hours per year as employees stop to redirect lost patients and families. <\/strong><\/p>\n<h3><span style=\"color: #303030;\">Why large hospitals are hard to navigate<\/span><\/h3>\n<p>Large hospitals are rarely designed all at once. They grow over decades through additions and renovations, often resulting in unclear circulation, competing entry points, and confusing routes. <a href=\"https:\/\/www.gbbn.com\/work\/from-the-outside-in-navigating-medical-campuses\/?backProjectType=181\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">Research<\/a> led by GBBN\u2019s Director of Research, <a href=\"https:\/\/www.gbbn.com\/people\/shan-jiang\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">Dr. Shan Jiang<\/a> and Dr. Hui Cai, a professor at the Georgia Institute of Technology, highlights how campus configuration and building approach directly influence patient arrival, orientation, and navigation. When circulation becomes fragmented, anxiety increases\u2014for patients and for the staff who are repeatedly pulled away from their work to give directions.<\/p>\n<p>Healthcare is a consumer industry, and most routine care now happens closer to where patients live. But when people need the specialized services only a major medical center can provide, the experience must begin with a clear, welcoming \u201cfront door.\u201d That front door should be easy to find, easy to understand, and designed to empower patients from the moment they arrive.<\/p>\n<h3><span style=\"color: #303030;\">Designing the journey, not just the building<\/span><\/h3>\n<p>The patient experience should be considered as a continuous journey\u2014from arriving on campus to reaching their destination. Along the way, patients may need to visit registration, labs, imaging, or security checkpoints. Each transition is an opportunity either to reduce anxiety or compound it.<\/p>\n<p>Generous public corridors are one of the simplest and most effective tools for intuitive navigation. Wider spaces allow patients and families the time and room to read signage, recognize landmarks, and orient themselves without feeling rushed or in the way. At <a href=\"https:\/\/www.gbbn.com\/work\/trihealth-bethesda-north-master-facilities-plan-heart-hospital\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">TriHealth\u2019s Bethesda North Hospital in Cincinnati, Ohio,<\/a>\u00a0public circulation spaces reach up to 30 feet wide, transitioning into corridors that vary between 11 and 20 feet. This allows groups to pass comfortably and helps patients identify visual cues\u2014such as color, materials, or light\u2014that naturally draw them toward key destinations. Widths were determined based on the amount of foot traffic in the area and the existing infrastructure. Pause points were incorporated in the design\u2014like placing a bench along a sidewalk.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-24602\" src=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2026\/02\/4500hours_web-4.jpg\" alt=\"\" width=\"600\" height=\"384\" srcset=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2026\/02\/4500hours_web-4.jpg 600w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2026\/02\/4500hours_web-4-300x192.jpg 300w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2026\/02\/4500hours_web-4-150x96.jpg 150w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><br \/>\n<span style=\"font-size: 10pt;\"><em>The new lobby and wide corridors at TriHealth’s Bethesda North Hospital help patients and visitors easily find their destination and self-navigate there.<\/em><\/span><\/p>\n<p>Equally important is reducing visual clutter. Items like wheelchairs, hand sanitizer stations, and PPE are essential, but when they overwhelm corridors, they distract from wayfinding because visual clutter increases the cognitive burden on people as they navigate the space. Thoughtful integration makes these elements accessible without competing for attention. At UK Healthcare in Lexington, Kentucky, a renovated ICU corridor on the 12th floor of the Albert B. Chandler Hospital uses a modular system to organize PPE and supplies, creating consistency while preserving clear sightlines and usable space.<\/p>\n\n\t\t\t\n\t<style type=\"text\/css\">\n\t\t.slider-info-24548.bafg-slider-info .bafg-slider-title {\n\t\t\t\t\t\t\tfont-size:\n\t\t\t\t\t22px\t\t\t\t;\n\t\t\t\n\t\t\t\n\t\t\t\t\t}\n\n\t\t.slider-info-24548.bafg-slider-info .bafg-slider-description {\n\t\t\t\n\t\t\t\n\t\t\t\t\t}\n\t\t\n\t\t\n\t\t.slider-info-24548.bafg-slider-info .bafg_slider_readmore_button {\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\ttext-align: center;\n\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t\t\t}\n\n\t\t.slider-info-24548.bafg-slider-info .bafg_slider_readmore_button:hover {\n\n\t\t\t\n\t\t\t\n\t\t\t\t\t}\n\t<\/style>\n\t\n\t\t\t<div class=\"bafg-twentytwenty-container slider-24548 \"\n\t\t\t\tbafg-orientation=\"horizontal\" bafg-default-offset=\"0.5\"\n\t\t\t\tbafg-before-label=\"Before\"\n\t\t\t\tbafg-after-label=\"After\" bafg-overlay=\"1\"\n\t\t\t\tbafg-move-slider-on-hover=\"\"\n\t\t\t\tbafg-click-to-move=\"\">\n\n\t\t\t\t\t\t\t\t<img class=\"skip-lazy\" data-skip-lazy\t\t\t\t\tsrc=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2026\/02\/4500hours_web_before2.jpg\" alt=\"\">\n\t\t\t\t<img class=\"skip-lazy\" data-skip-lazy\t\t\t\t\tsrc=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2026\/02\/4500hours_web_after2.jpg\" alt=\"\">\n\n\t\t\t<\/div>\n\n\t\t\t\t<div class=\"bafg-slider-info-wraper\">\n\t\t<div style=\"\" class=\"slider-info-24548 bafg-slider-info\">\n\t\t\t\t\t<\/div>\n\t<\/div>\n\t\n\t\t\t<style type=\"text\/css\">\n\t\t\t\t\t\t\t\t\t\t\t<\/style>\n\t\t\t\n<p><em><span style=\"font-size: 10pt;\" data-teams=\"true\">Before and after: “Stealing” just a few inches from patient rooms created much needed extra space in an ICU corridor on the 12th floor of UK HealthCare’s Albert B. Chandler Hospital.\u00a0 The new, wider corridor feels more open and less cluttered.<\/span><\/em><\/p>\n<h3><span style=\"color: #303030;\">Simplifying registration and information<\/span><\/h3>\n<p>Registration is another moment that can either reassure or overwhelm patients. Multiple check-in points, unclear instructions, or poorly placed kiosks often increase confusion. Limiting registration to a single, clearly identifiable moment in the journey helps reduce uncertainty. There is no single right model\u2014patients may check in online, on a personal device, at a kiosk, or with staff\u2014but the experience must feel coordinated.<\/p>\n<p>When it comes to physical check-in kiosks or information desks, a GBBN research study at UC Health Medical Center (UCMC) in Cincinnati demonstrated the value of strategic placement: an information desk located at the intersection of four major pedestrian routes became a natural hub. <a href=\"https:\/\/www.gbbn.com\/work\/from-the-outside-in-navigating-medical-campuses\/?backProjectType=181\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">A post-occupancy evaluation<\/a> of our renovations at <a href=\"https:\/\/www.gbbn.com\/work\/uc-medical-center-main-entrance-improvements\/?backProjectType=63\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">UCMC<\/a> showed higher traffic and visibility at this location, allowing staff resources to be concentrated efficiently while making help easy to find. Open space allows people to clearly see landmarks like the information desk or registration area as they enter the building. This clarity lets them see their destination and choose how they will arrive there.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-23031\" src=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/07\/POE_UCMC_1220x585_3.jpg\" alt=\"\" width=\"640\" height=\"307\" srcset=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/07\/POE_UCMC_1220x585_3.jpg 1220w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/07\/POE_UCMC_1220x585_3-300x144.jpg 300w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/07\/POE_UCMC_1220x585_3-900x432.jpg 900w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/07\/POE_UCMC_1220x585_3-150x72.jpg 150w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/07\/POE_UCMC_1220x585_3-768x368.jpg 768w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><br \/>\n<span style=\"font-size: 10pt;\"><em>POE observations of interactions at the new information desk reveal that 30% of people who visited the desk were given verbal wayfinding guidance by staff. The average resolution time of these interactions was less than 30 seconds each.<\/em><\/span><\/p>\n<h3><span style=\"color: #303030;\">Integrating security without intimidation<\/span><\/h3>\n<p>Security is an unavoidable challenge for many hospitals today, particularly at major entry points. The goal is to enhance safety without making security the dominant first impression. This requires early collaboration between designers, operations teams, and security professionals.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-24566 alignleft\" src=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2026\/02\/4500hours_web-6.jpg\" alt=\"\" width=\"398\" height=\"205\" srcset=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2026\/02\/4500hours_web-6.jpg 600w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2026\/02\/4500hours_web-6-300x155.jpg 300w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2026\/02\/4500hours_web-6-150x77.jpg 150w\" sizes=\"auto, (max-width: 398px) 100vw, 398px\" \/>At Children\u2019s Minnesota in Minneapolis, our renovation to their emergency department incorporated weapon detection into a new vestibule while keeping security staff adjacent rather than front-and-center. Wall- mounted material (bamboo in this case) guides patients and families through the corridor which also provides clear sightlines to emergency check-in. Security remains approachable and effective with a desk camouflaged by the same material, making their presence visible but not intrusive. Applying principles from Crime Prevention Through Environmental Design (CPTED) helps balance safety, visibility, and comfort\u2014protecting patients and staff without sacrificing a welcoming environment.<\/p>\n<h3><span style=\"color: #303030;\">A comprehensive approach<\/span><\/h3>\n<p>Patients navigating large healthcare campuses face multiple challenges: parking, wayfinding, registration, and security among them. Addressing these issues in isolation limits impact. Architecture offers the opportunity to create a comprehensive, human-centered solution\u2014one that reduces duplication, clarifies movement, improves visibility, and supports both operational efficiency and patient confidence.<\/p>\n<p>When circulation is clear and intuitive, patients feel calmer, staff work more efficiently, and hospitals strengthen the relationship that matters most: trust.<\/p>\n<hr \/>\n<p><a href=\"https:\/\/www.gbbn.com\/people\/kirsten-miller\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\"><img loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-7957 alignleft\" src=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2020\/11\/KirstenMIller_Cropped-1-113x150.jpg\" alt=\"Woman with brown hair\" width=\"113\" height=\"150\" srcset=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2020\/11\/KirstenMIller_Cropped-1-113x150.jpg 113w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2020\/11\/KirstenMIller_Cropped-1-225x300.jpg 225w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2020\/11\/KirstenMIller_Cropped-1.jpg 675w\" sizes=\"auto, (max-width: 113px) 100vw, 113px\" \/><\/a><a href=\"https:\/\/www.gbbn.com\/people\/kirsten-miller\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">Kirsten Miller, AIA, ACHA, EDAC<\/a> is an associate and medical planner at GBBN who works on projects across the healthcare market. Her work combines evidence-based design and user group feedback to create uplifting spaces for patients. She\u2019s equally passionate about \u201cproviding for providers\u201d by giving physicians, practitioners, nurses, and specialists the kind of environments where they feel energized to deliver the best care possible. Her recent architectural work includes emergency department renovations for Children’s Minnesota, outpatient clinics for TriHealth and imaging areas for Mayo Clinic. She is a co-author of \u201cThe Intersection of Human Factors and Evidence-Based Design: A Conceptual Framework,\u201d published in HERD: Health Environments Research & Design Journal and her work has contributed to GBBN receiving a Touchstone Platinum Award and an EDRA CORE Award for design research into optimizing hospital arrival experiences.<\/p>\n<p><span style=\"font-size: 10pt; color: #333333;\"><a href=\"https:\/\/www.linkedin.com\/in\/zachary-zettler-b1a10623\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-22370\" src=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/02\/linkedin.png\" alt=\"\" width=\"17\" height=\"15\" \/><\/a> <a style=\"color: #333333;\" href=\"https:\/\/www.linkedin.com\/in\/kirsten-miller-b365594a\/\" target=\"_blank\" rel=\"noopener external noreferrer\" data-wpel-link=\"external\">Connect with Kirsten<\/a><\/span><\/p>\n","protected":false},"author":35,"template":"","project_type":[146],"topic":[173],"class_list":["post-24529","insights","type-insights","status-publish","hentry","project_type-healthcare","topic-research"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>GBBN | Insights<\/title>\n<meta name=\"description\" content=\"Stories. 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This requires removing obstacles to good health such as poverty, discrimination, powerlessness, and lack of access to good jobs with fair pay, high-quality education and housing, safe environments, and health care. With the Centers for Medicare and Medicaid Services\u2019 2025 focus on prevention, wellness, and chronic disease management, health equity becomes important because of its effect on people\u2019s overall sense of wellness. By considering concepts such as salutogenesis (a focus on the origins of health and well-being rather than the origins of disease) and a building\u2019s capacity for enhancing its occupants\u2019 resilience, a set of factors emerge that can be arranged into a toolkit.<\/p>\n<p>We recently introduced a framework for health equity and a toolkit as part of a panel at the American Institute of Architects Minnesota Conference on Architecture. The framework and toolkit can be used to gauge a building\u2019s impact on its community. The panel included a case study that evaluated a recently completed cancer center in regard to how it reacts to the proposed framework.<\/p>\n<p>See the presentation <a href=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2026\/01\/GBBN_Health-Equity-Framework-AIA-MN.pdf\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">here.<\/a><\/p>\n<p>Learn more about health equity <a href=\"https:\/\/www.gbbn.com\/news\/gbbns-health-equity-symposium-focuses-on-building-better-health-for-all\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">here<\/a>.<\/p>\n<p>Read more about the health equity framework <a href=\"https:\/\/www.gbbn.com\/insights\/the-health-equity-framework-improving-resilience-through-design\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">here<\/a> and <a href=\"https:\/\/www.gbbn.com\/insights\/improving-healthcare-resilience-through-an-equity-focused-framework\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">here<\/a>.<\/p>\n<p>See more of our healthcare work <a href=\"https:\/\/www.gbbn.com\/work-type\/health\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">here.<\/a><\/p>\n<hr \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-7962 alignleft\" src=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2020\/11\/MichaelGrage_Cropped-113x150.jpg\" alt=\"Man with navy blue blazer\" width=\"113\" height=\"150\" srcset=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2020\/11\/MichaelGrage_Cropped-113x150.jpg 113w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2020\/11\/MichaelGrage_Cropped-225x300.jpg 225w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2020\/11\/MichaelGrage_Cropped.jpg 675w\" sizes=\"auto, (max-width: 113px) 100vw, 113px\" \/><a href=\"https:\/\/www.gbbn.com\/people\/michael-grage\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">Michael Grage<\/a>, AIA is a principal at GBBN. For Michael, healthcare architecture is a collaborative process of conversation and discovery that surfaces the right solutions to his clients\u2019 biggest challenges. Working with nursing staff, doctors, and caregivers, Michael uses his 20 years of experience in design and project management to ensure that every voice is heard. By deploying the right technologies and tools, Michael helps teams streamline the design process while helping project stakeholders better understand their physical space and how different design options will impact its function and feel. Michael\u2019s recent projects include\u00a0<a href=\"https:\/\/www.gbbn.com\/work\/mercy-health-kings-mills-hospital\/?backProjectType=63\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">Mercy Health\u2019s Kings Mills Hospital<\/a>, and a new cancer care facility for\u00a0<a href=\"https:\/\/www.gbbn.com\/work\/christus-st-vincent-regional-medical-center-new-cancer-care-facility\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">CHRISTUS St. Vincent Hospital<\/a>.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-19938 alignleft\" src=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2024\/04\/Rachel_Wotawa_C-113x150.jpg\" alt=\"woman with long shirt and blazer on\" width=\"113\" height=\"150\" srcset=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2024\/04\/Rachel_Wotawa_C-113x150.jpg 113w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2024\/04\/Rachel_Wotawa_C-225x300.jpg 225w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2024\/04\/Rachel_Wotawa_C.jpg 600w\" sizes=\"auto, (max-width: 113px) 100vw, 113px\" \/><a href=\"https:\/\/www.gbbn.com\/people\/rachel-wotawa-schweikl\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">Rachel Wotawa Schweikl<\/a> is an associate at GBBN. Drawn to the complexity and impact of healthcare architecture, Rachel is a medical planner who brings designers and end users together to solve our clients\u2019 trickiest puzzles. Balancing form and function, she helps discover operational efficiencies while creating uplifting spaces for patients, their families, and medical providers. Rachel understands that at its core, architecture is about people. That\u2019s why she prioritizes listening and collaborating on design problems.<\/p>\n","protected":false},"author":35,"template":"","project_type":[146],"topic":[175,163],"class_list":["post-24245","insights","type-insights","status-publish","hentry","project_type-healthcare","topic-equity","topic-speaking"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>GBBN | Insights<\/title>\n<meta name=\"description\" content=\"Stories. Ideas. 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What began as a meticulous 10-year study to align care, facility, and business needs, has culminated in their new William K. Schubert M.D. Mental Health Center.<\/p>\n<p>At this year’s Healthcare Design Conference + Expo, we presented lessons learned with Michael Browning, vice president of facility planning design, construction, and real estate for Cincinnati Children’s. Our presentation dove into the strategic thinking and key design decisions the organization made throughout the planning and implementation process to create an inclusive, welcoming, and durable facility. Our presentation shared key moments in Cincinnati Children’s investment in behavioral health despite the economic realities of this service line. Attendees learned how creating a strong concept and narrative helped guide design decisions throughout the process. We also shared key design decisions to implement a safe, uplifting, and durable environment for patients, staff, and families.<\/p>\n<p>See the full presentation <a href=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2026\/01\/HCD25_E58-CCHMC-MENTAL-HEALTH-FACILITY-CASESTUDY_COMPRESSED.pdf\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">here.<\/a><\/p>\n<p>Learn more about the William K. Schubert M.D. Mental Health Center <a href=\"https:\/\/www.gbbn.com\/work\/cincinnati-childrens-hospital-medical-center-college-hill-behavioral-health-center\/?backProjectType=63\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">here.<\/a><\/p>\n<p>See more of our healthcare work <a href=\"https:\/\/www.gbbn.com\/work-type\/health\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">here<\/a>.<\/p>\n<hr \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-2768 alignleft\" src=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2018\/04\/Aaron_Anderson_c2-113x150.jpg\" alt=\"\" width=\"113\" height=\"150\" srcset=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2018\/04\/Aaron_Anderson_c2-113x150.jpg 113w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2018\/04\/Aaron_Anderson_c2-225x300.jpg 225w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2018\/04\/Aaron_Anderson_c2.jpg 600w\" sizes=\"auto, (max-width: 113px) 100vw, 113px\" \/><a href=\"https:\/\/www.gbbn.com\/people\/aaron-anderson\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">Aaron Anderson<\/a> AIA, LEED AP believes healthcare design, when rooted in empathy and craft, can elevate every aspect of the care experience. A principal and healthcare market design leader at GBBN, he helps teams translate complex healthcare needs into meaningful places that foster identity, pride, and a sense of ease. His leadership spans GBBN\u2019s healthcare portfolio\u2014from pediatric and behavioral health to academic medical centers\u2014integrating sustainability, computational design & fabrication, and research tools into the design process. He approaches design as both purposeful and poetic, ensuring that each decision supports clinical outcomes, emotional well-being, and long-term community value.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-2913 alignleft\" src=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2018\/04\/Scott_Vidoirek_c2-113x150.jpg\" alt=\"\" width=\"113\" height=\"150\" srcset=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2018\/04\/Scott_Vidoirek_c2-113x150.jpg 113w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2018\/04\/Scott_Vidoirek_c2-225x300.jpg 225w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2018\/04\/Scott_Vidoirek_c2.jpg 600w\" sizes=\"auto, (max-width: 113px) 100vw, 113px\" \/><a href=\"https:\/\/www.gbbn.com\/people\/scott-vidourek\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">Scott Vidourek<\/a>, LEED AP believes that moments matter\u2014and that thoughtful design can shape meaningful experiences for patients, families, and caregivers. As a GBBN principal and healthcare delivery leader with more than 25 years of experience, he guides projects from vision to reality, helping clients make informed decisions through mockups, renderings, and immersive tools like AR.\u00a0Balancing design insight with technical details, Scott leads teams in creating spaces that not only support effective care delivery but also foster comfort, connection, and well-being.<\/p>\n","protected":false},"author":35,"template":"","project_type":[146],"topic":[166,163],"class_list":["post-24235","insights","type-insights","status-publish","hentry","project_type-healthcare","topic-pediatrics","topic-speaking"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>GBBN | Insights<\/title>\n<meta name=\"description\" content=\"Stories. Ideas. 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When interpretations of these codes differ among project stakeholders, the result can jeopardize facility accreditation, licensure, and overall project success. Our recent presentation, at the Midwest Healthcare Engineering Conference, explored how early, coordinated discussions can prevent costly misunderstandings and design delays.<\/p>\n<p>A recent critical-access hospital project revealed how misalignment between operational intentions, regulatory requirements, and physical space planning can lead to challenges late in design. Differing interpretations by the Authorities Having Jurisdiction (AHJ) created months of correspondence before compliance was achieved. This example highlights the importance of aligning medical waste processes with design decisions from the outset to avoid regulatory setbacks.<\/p>\n<p>Drawing from project experience and collaboration with AHJs and state health departments, we shared practical strategies to improve communication, clarify regulatory intent, and integrate operational policy into design. This session shared insights into medical waste classifications, code interpretation, and best practices for ensuring that healthcare environments meet both clinical and regulatory expectations.<\/p>\n<p>See the full presentation <a href=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/12\/Trash_Talk.pdf\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">here.<\/a><\/p>\n<p>View the handout <a href=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2026\/02\/Trash_Talk_Handout2.pdf\" target=\"_blank\" rel=\"noopener external noreferrer\" data-wpel-link=\"external\">here.<\/a><\/p>\n<p>Learn more about our work with critical-access care <a href=\"https:\/\/www.gbbn.com\/work\/margaret-mary-health-new-hospital-health-and-wellness-campus\/?backProjectType=63\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">here<\/a>.<\/p>\n<p>See more of our healthcare work <a href=\"https:\/\/www.gbbn.com\/work-type\/health\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">here<\/a>.<\/p>\n<hr \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-17695 alignleft\" src=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2023\/08\/NoahGaither_c-113x150.jpg\" alt=\"man with glasses\" width=\"113\" height=\"150\" srcset=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2023\/08\/NoahGaither_c-113x150.jpg 113w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2023\/08\/NoahGaither_c-225x300.jpg 225w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2023\/08\/NoahGaither_c.jpg 600w\" sizes=\"auto, (max-width: 113px) 100vw, 113px\" \/><a href=\"https:\/\/www.gbbn.com\/people\/noah-gaither\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">Noah Gaither<\/a>, EDAC, is a medical planner at GBBN who implements evidence-based design strategies and research pursuing mutually beneficial healthcare spaces. An emerging Academy of Architecture for Health designer, Noah has knowledge spanning a wide range of healthcare settings, their primary drivers, market trends, and wellness strategies. With passion for the study of environmental psychology, his designs strive to empower by giving agency and methods to rejuvenate for all scales, for all people.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-2776 alignleft\" src=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2018\/04\/Amy_Mees_c2-113x150.jpg\" alt=\"\" width=\"113\" height=\"150\" srcset=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2018\/04\/Amy_Mees_c2-113x150.jpg 113w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2018\/04\/Amy_Mees_c2-225x300.jpg 225w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2018\/04\/Amy_Mees_c2.jpg 600w\" sizes=\"auto, (max-width: 113px) 100vw, 113px\" \/><a href=\"https:\/\/www.gbbn.com\/people\/amy-mees\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">Amy Mees<\/a>, NCIDQ, EDAC is a principal and medical planner at GBBN. She excels at surfacing client goals and creating spaces and environments that surpass expectations and further the healing process. With over 30 years of experience in healthcare design and medical planning, Amy\u2019s work has touched the lives of countless patients, families, and practitioners.<\/p>\n","protected":false},"author":35,"template":"","project_type":[146],"topic":[163],"class_list":["post-24191","insights","type-insights","status-publish","hentry","project_type-healthcare","topic-speaking"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>GBBN | Insights<\/title>\n<meta name=\"description\" content=\"Stories. Ideas. 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While most communities agree that more housing is urgently needed, hurdles to bringing new units online continue to mount. These can include high interest rates, well-intentioned affordability regulations, and increased public scrutiny of projects. Delay can often become the default position when it comes to new housing development.<\/p>\n<p><span style=\"font-size: 12pt; color: #000000;\"><strong><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-23962 alignright\" src=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/12\/HousingShortage_web3.jpg\" alt=\"\" width=\"339\" height=\"263\" srcset=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/12\/HousingShortage_web3.jpg 600w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/12\/HousingShortage_web3-300x233.jpg 300w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/12\/HousingShortage_web3-150x116.jpg 150w\" sizes=\"auto, (max-width: 339px) 100vw, 339px\" \/>Delays aren’t neutral.<br \/>\n<\/strong><\/span>Delays rob cities of desperately needed housing and economic vitality. For example, a new housing development at 5th & Van Braam in Pittsburgh’s Uptown\/West Oakland EcoInnovation District (EID) by a Cincinnati-based owner and developer faced delays due to an Inclusionary Zoning ordinance the city briefly considered implementing after the project was already underway. The EID is a high-demand neighborhood that connects Uptown, Downtown, and Oakland and the development\u2019s mass timber design\u2014a highly sustainable building approach\u2014will enhance environmental performance.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-23954 \" src=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/12\/HousingShortage_2.jpg\" alt=\"\" width=\"202\" height=\"47\" srcset=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/12\/HousingShortage_2.jpg 700w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/12\/HousingShortage_2-300x69.jpg 300w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/12\/HousingShortage_2-150x35.jpg 150w\" sizes=\"auto, (max-width: 202px) 100vw, 202px\" \/><br \/>\nWhen strategy and advocacy are baked into the design process, it can help projects navigate unforeseen delays. Our mixed-use and housing work across multiple markets reveal four strategies that can help cities, community groups, and developers move from gridlock to groundbreaking.<\/p>\n<h3><span style=\"color: #4a547f;\">1. Advocacy: Seek out hyper-local knowledge<\/span><\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-24146\" src=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/12\/HousingShortage_web8.jpg\" alt=\"\" width=\"378\" height=\"346\" srcset=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/12\/HousingShortage_web8.jpg 1783w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/12\/HousingShortage_web8-300x275.jpg 300w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/12\/HousingShortage_web8-900x824.jpg 900w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/12\/HousingShortage_web8-150x137.jpg 150w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/12\/HousingShortage_web8-768x703.jpg 768w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/12\/HousingShortage_web8-1536x1407.jpg 1536w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/12\/HousingShortage_web8-1220x1117.jpg 1220w\" sizes=\"auto, (max-width: 378px) 100vw, 378px\" \/>Making a building real is about so much more than just design. For our client, 5th & Van Braam is a new type and in a new city for them. Our local expertise has helped them connect with qualified construction partners, the community, and key political leaders. The opportunity to connect with multiple parts of the city helps grow education and advocacy at city hall around the economic impact of the project and the sustainability advantages of its mass timber building approach.<\/p>\n<p>In Cincinnati, Willkommen, a mixed-use development in the city’s Over-the-Rhine neighborhood, GBBN\u00a0 collaborated directly with the city and community members to understand evolving historic guidelines, ensuring new development supports affordability while honoring neighborhood character. Drawing from 13 funding sources\u2014including city support, tax credits, and private investment\u2014the team advanced a financially viable project and worked directly with local contractors and tradespeople to make sure we weren’t sacrificing quality. The affordable units meet high-design expectations and create energy-efficient homes that foster equity and dignity for residents.<\/p>\n<h3><span style=\"color: #4a547f;\">2. Advance Local Investment Beyond One Building<\/span><\/h3>\n<p>As champions for innovative and sustainable construction methods, GBBN helped position Pittsburgh\u2019s first mass timber multifamily project as a catalyst for local workforce development. Recognizing that mass timber is rapidly growing but still unfamiliar to many teams in the region, GBBN brought the Union Carpenter Local 432 into the conversation as soon as Massaro and C.D. Smith were selected as the construction partners for the development at 5th & Van Braam\u2014meeting both state goals of supporting union jobs and the project\u2019s requirement for experienced mass timber builders.<\/p>\n<p>By engaging the union early, GBBN invigorated a dedicated mass timber training program for the local chapter, where there are apprentices constructing model structures, before applying those skills onsite. This proactive collaboration not only strengthened the project team, it opened new pathways for local tradespeople to gain expertise in a construction method that is shaping the future of sustainable housing. This is a win-win for enhancing a skilled local workforce and increasing opportunities for Pennsylvania as an economic competitor with this rising construction type.<\/p>\n<h3><span style=\"color: #4a547f;\">3. Communicate with Empathy<\/span><\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-23976\" src=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/12\/HousingShortage_web4-150x144.jpg\" alt=\"\" width=\"378\" height=\"364\" srcset=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/12\/HousingShortage_web4-150x144.jpg 150w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/12\/HousingShortage_web4-300x289.jpg 300w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/12\/HousingShortage_web4-900x867.jpg 900w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/12\/HousingShortage_web4-768x740.jpg 768w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/12\/HousingShortage_web4-1536x1479.jpg 1536w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/12\/HousingShortage_web4-1220x1175.jpg 1220w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/12\/HousingShortage_web4.jpg 1783w\" sizes=\"auto, (max-width: 378px) 100vw, 378px\" \/>Housing developments don’t exist in isolation, but in context with others in any given neighborhood. But even with clear context, both communities and developers often default to positions shaped by past experiences with unclear or inconsistent processes. <span data-teams=\"true\">Both perspectives add value\u2014communities understand history and needs, and developers understand market realities. <\/span>Helping communities understand how an individual project will advance broader neighborhood goals can help turn project skeptics into champions. Pittsburgh’s Uptown neighborhood provides a good example. The neighborhood is just a third of a square mile but more than a thousand new housing units are proposed. Those that have broken ground are deeply affordable. <span data-teams=\"true\">However, an emerging balance matters: market-rate housing projects ensure sustainability and balance in the market and create modern, quality housing, which appeals to students and professionals looking for proximity to job centers and campuses. Design-forward, m<\/span>ixed-income developments attract new residents and support the retail and amenity growth that Uptown has lacked.<\/p>\n<p>When neighborhoods already have multiple affordable projects in the pipeline, applying blanket affordability requirements to every market-rate building can jeopardize design quality and financial feasibility, ultimately stalling the mixed-market housing that fuels long-term community stability and economic vitality. Communication around neighborhood context is most successful when it leans into an informing and aligning “here’s how a project supports your vision” approach, versus an approach that disregards or presents as “we know what the neighborhood needs” approach.<\/p>\n<h3><span style=\"color: #4a547f;\">4. Lean into Inclusive Revitalization<\/span><\/h3>\n<p>We believe development is best when it happens with people, not to them. GBBN worked with the Cincinnati Metropolitan Housing Authority to design Logan Commons, a recently completed, newly constructed, LEED Gold affordable senior housing development. This development brings 42 new housing units to the city, all offered at 60% Area Median Income (AMI). Members of the Over-the-Rhine Community Council (OTRCC) hold this project, and its process, up as a good model for how inclusive development can be done. Organized and collaborative, the development team “had it right in getting to us early,” says Mike Bootes, an OTRCC trustee. Leveraging a community as a development partner early can help prevent surprises, and roadblocks, later.<\/p>\n<p><span style=\"color: #4a547f; font-size: 14pt;\"><strong>As a design firm, we consider architecture to be beyond buildings themselves.<\/strong><\/span><\/p>\n<p>There is ongoing debate around the best path to affordable housing, but one thing we know for sure: pausing development isn’t neutral. Stalled housing projects at all market levels have direct, economic consequences for cities. Currently in Pittsburgh, over 10 significant residential projects are delayed or unrealized. As reported by the <em>Pittsburgh Business Times<\/em>, this collectively accounts for over 2,000 apartments in various neighborhoods. When housing projects are left in limbo, local economies lose out in other ways.<\/p>\n<p>Our work sits at the intersection of community, development, and policy, so we advocate, collaborate, and communicate on behalf of our clients and their projects to navigate challenges and position them for success. While we don’t write policy, we work to ensure policymakers, neighborhood residents, and community leaders put housing development into a larger context. This helps grow understanding around how the goals of a neighborhood, a developer and the city overlap.<\/p>\n<hr \/>\n<p><span data-teams=\"true\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-17453 size-thumbnail\" src=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2023\/06\/SabreenaMiller_600x800-113x150.jpg\" alt=\"\" width=\"113\" height=\"150\" srcset=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2023\/06\/SabreenaMiller_600x800-113x150.jpg 113w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2023\/06\/SabreenaMiller_600x800-225x300.jpg 225w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2023\/06\/SabreenaMiller_600x800.jpg 600w\" sizes=\"auto, (max-width: 113px) 100vw, 113px\" \/><a id=\"menurrv1\" class=\"fui-Link ___1q1shib f2hkw1w f3rmtva f1ewtqcl fyind8e f1k6fduh f1w7gpdv fk6fouc fjoy568 figsok6 f1s184ao f1mk8lai fnbmjn9 f1o700av f13mvf36 f1cmlufx f9n3di6 f1ids18y f1tx3yz7 f1deo86v f1eh06m1 f1iescvh fhgqx19 f1olyrje f1p93eir f1nev41a f1h8hb77 f1lqvz6u f10aw75t fsle3fq f17ae5zn\" title=\"https:\/\/www.gbbn.com\/people\/sabreena-miller\/\" href=\"https:\/\/www.gbbn.com\/people\/sabreena-miller\/\" target=\"_blank\" rel=\"noreferrer noopener external\" aria-label=\"Link Sabreena Woods-Miller\" data-wpel-link=\"external\">Sabreena Woods-Miller<\/a> is an associate at GBBN and Sabreena leads client development in our Pittsburgh office. She works with GBBN\u2019s market leaders and marketing team to identify and develop relationships with potential clients and community partners who share our value of positively affecting people in communities through our work. A visible advocate of innovative community development approaches throughout Pittsburgh, Sabreena champions collaborative development, informed engagement, productive reuse of vacant properties and develops intentional partnerships to reach creative solutions.\u00a0<\/span><\/p>\n<p><span style=\"font-size: 10pt; color: #333333;\"><a href=\"https:\/\/www.linkedin.com\/in\/zachary-zettler-b1a10623\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-22370\" src=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/02\/linkedin.png\" alt=\"\" width=\"17\" height=\"15\" \/><\/a> <a style=\"color: #333333;\" href=\"https:\/\/www.linkedin.com\/in\/sabreenamiller\/\" target=\"_blank\" rel=\"noopener external noreferrer\" data-wpel-link=\"external\">Connect with Sabreena<\/a><\/span><\/p>\n","protected":false},"author":35,"template":"","project_type":[150,151],"topic":[182],"class_list":["post-23901","insights","type-insights","status-publish","hentry","project_type-mixed-use","project_type-residential","topic-affordable-housing"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>GBBN | Insights<\/title>\n<meta name=\"description\" content=\"Stories. 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Its reinvention serves as a blueprint for how campus spaces can respond to trending student preferences and institutional goals using thoughtful stakeholder engagement and a phased, budget-conscious approach. I was recently invited to share insights on the process of Hillman Library’s multi-phased transformation at Tradeline’s Space Strategies Conference and co-presented with Matt Hansen, assistant vice chancellor for design stewardship at the University of Pittsburgh.<\/p>\n<p>Our presentation, <em>Phased Progress: Balancing innovation and budget in facility transformations<\/em> illustrated how to productively involve students and staff to ensure spaces reflect current and future user needs \u2014 including collaborative zones, tech-driven amenities, and intuitive layouts. We provided findings on phased construction processes enabling continual refinement while keeping facilities operational and costs manageable. We profiled how this model of balancing innovation with fiscal responsibility empowers institutions to adapt confidently in uncertain times.<\/p>\n<p>You can see our presentation <a href=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/12\/PhasedProgress_Tradeline.pdf\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">here.<\/a><\/p>\n<p>Read our case study on Hillman Library <a href=\"https:\/\/www.gbbn.com\/work\/university-of-pittsburgh-hillman-library\/?backProjectType=61\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">here<\/a>.<\/p>\n<p>Learn more about Hillman Library’s transformation <a href=\"https:\/\/www.gbbn.com\/insights\/libraries-are-for-people-connecting-university-of-pittsburghs-hillman-library-to-campus-and-community\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">here<\/a> and <a href=\"https:\/\/www.gbbn.com\/insights\/libraries-are-for-people-space-supports-programming-changes-at-university-of-pittsburghs-hillman-library\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">here<\/a>.<\/p>\n<hr \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-2887 alignleft\" src=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2018\/04\/Matt_Plecity_c2-113x150.jpg\" alt=\"\" width=\"113\" height=\"150\" srcset=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2018\/04\/Matt_Plecity_c2-113x150.jpg 113w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2018\/04\/Matt_Plecity_c2-225x300.jpg 225w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2018\/04\/Matt_Plecity_c2.jpg 600w\" sizes=\"auto, (max-width: 113px) 100vw, 113px\" \/><a href=\"https:\/\/www.gbbn.com\/people\/matthew-plecity\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">Matthew Plecity<\/a>, AIA, ASLA is a principal at GBBN. An architect with a landscape architecture background, Matt leverages his understanding of site and context to design buildings with strong relationships to their environments. As part of the leadership team for GBBN\u2019s Higher Education Market, he regularly shares his insights into campus design, sustainability, academic libraries, and research spaces at regional, national, and international conferences. Matt loves collaborating with clients, colleagues, and consultants to build bold ideas like\u00a0<a href=\"https:\/\/www.gbbn.com\/zh\/work\/university-of-pittsburgh-hillman-library\/\" data-wpel-link=\"internal\" target=\"_blank\" rel=\"noopener noreferrer\">University of Pittsburgh\u2019s Hillman Library renovation<\/a>\u00a0and\u00a0<a href=\"https:\/\/www.gbbn.com\/work\/penn-state-behrend-federal-house\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">Penn State Behrend\u2019s Federal House<\/a>.<\/p>\n","protected":false},"author":35,"template":"","project_type":[147,148],"topic":[],"class_list":["post-23844","insights","type-insights","status-publish","hentry","project_type-higher-education","project_type-libraries"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>GBBN | Insights<\/title>\n<meta name=\"description\" content=\"Stories. Ideas. 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We shared proven strategies for\u00a0maintaining and upgrading historic venues. Topics included navigating capital projects, ADA compliance, evolving\u00a0technology, and operational challenges. Some of the tools we discussed include current conditions assessments and feasibility studies, which analyze and estimate the costs to maintain, repair, or upgrade theater elements such as structural needs, stages, seating, HVAC, and other building systems. Assessments and feasibility studies help theater owners\/operators fully understand estimated costs, which helps prioritization and decision-making around where to spend the hard-won dollars from a capital campaign. We also touched on the importance of understanding operational needs and show schedules and seasons as well as lead times for ordering equipment and preparing for inevitable hidden challenges along the way.<\/p>\n<p>Historic performance venues are often anchors of downtown revitalization and cultural heritage. Cost-effective maintenance, repair, and rehabilitation to meet modern audience expectations helps keep these architectural gems thriving.<\/p>\n<p>See our presentation slides <a href=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/09\/FromRestorationToResilience.pdf\" target=\"_blank\" rel=\"noopener external noreferrer\" data-wpel-link=\"external\">here.<\/a><\/p>\n<p>Read about our work renovating Cincinnati’s historic Emery Theatre renovation <a href=\"https:\/\/www.gbbn.com\/work\/the-childrens-theatre-of-cincinnati-emery-theater-renovation\/?backProjectType=59\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">here<\/a>.<\/p>\n<p>See more of our arts work <a href=\"https:\/\/www.gbbn.com\/work-type\/arts\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">here<\/a>.<\/p>\n<hr \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-2699 size-thumbnail\" src=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2018\/04\/Steve_karoly_c-2-113x150.jpg\" alt=\"\" width=\"113\" height=\"150\" srcset=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2018\/04\/Steve_karoly_c-2-113x150.jpg 113w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2018\/04\/Steve_karoly_c-2-225x300.jpg 225w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2018\/04\/Steve_karoly_c-2.jpg 600w\" sizes=\"auto, (max-width: 113px) 100vw, 113px\" \/><a href=\"https:\/\/www.gbbn.com\/people\/steve-karoly\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">Steve Karoly RA<\/a> is an associate principal at GBBN. Steve thrives on renovation projects, including his current work on the historic Emery Theatre, the home of The Children’s Theatre of Cincinnati. His understanding of complex constructability, phasing, and scheduling requirements and his attention to detail have led to award-winning projects including the Cincinnati Shakespeare Company Theater and the Cincinnati Ballet.<\/p>\n","protected":false},"author":35,"template":"","project_type":[156],"topic":[163],"class_list":["post-23414","insights","type-insights","status-publish","hentry","project_type-arts","topic-speaking"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>GBBN | Insights<\/title>\n<meta name=\"description\" content=\"Stories. Ideas. Perspective.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.gbbn.com\/insights\/from-restoration-to-resilience-to-brilliance\/\" \/>\n<meta property=\"og:locale\" content=\"zh_CN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"GBBN | Insights\" \/>\n<meta property=\"og:description\" content=\"Stories. Ideas. 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Declining enrollment, reduced state and federal funding, and rising construction costs are putting unprecedented pressure on universities to do more with less. Four-year college enrollment is projected to shrink by as much as 15% between 2025 and 2029\u2014except in the Southeast, which will see only modest growth (+3%). Meanwhile, construction costs have surged nearly 20% since 2019 and will continue to rise with inflation, labor shortages, and tariffs on materials. Competition for students is also forcing universities to invest more heavily in scholarships, freeze tuition, and enhance the student experience, which limits the dollars available for capital projects. One certainty in this changing landscape? Business-as-usual budgeting for campus capital projects is no longer a viable option.<\/p>\n<p>University leaders need new tools to adapt, not by cutting ambition, but by sharpening strategy. These four practical tips are worth considering:<\/p>\n<ol>\n<li>Engaging users early in future-forward planning & programming.<\/li>\n<li>Creating an accurate and achievable budget.<\/li>\n<li>Building in time to properly reconcile the estimate after each phase.<\/li>\n<li>Hiring the right design team.<\/li>\n<\/ol>\n<h3>1. Engaging users early<\/h3>\n<p>Engaging early in future-forward planning and programming on projects can reduce costly surprises down the road. Before setting a budget, work with a small, well-rounded group (from deans and administrators to the end-users) to establish clear, measurable objectives that align with university and departmental leadership. Beyond this small group, engaging a broad spectrum of stakeholders early through surveys, interviews, and even <a href=\"https:\/\/www.gbbn.com\/insights\/extending-reality-at-university-of-cincinnatis-digital-futures\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">virtual or augmented reality walkthroughs<\/a> ensures better scope alignment with real user needs.<\/p>\n<p>Build in futureproofing by asking deans about their goals for the program’s pedagogy and studying what peer institutions are doing to distinguish their programs. Instead of landing on a single program, develop a range of \u201cgood-better-best\u201d program options to study the range of potential outcomes. Discussing the pros and cons of each leads to a healthy discussion that can illuminate differing opinions and ultimately lead to alignment on a preferred solution. Future-forward planning also must consider the lifespan of a building. It\u2019s not enough to just consider costs for decisions made today; the full project life-cycle costs (like predicted energy use intensity) of decisions must also be considered. \u00a0<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-23341\" src=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/09\/HigherEdCostEstimatingInsight-3.jpg\" alt=\"\" width=\"714\" height=\"261\" srcset=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/09\/HigherEdCostEstimatingInsight-3.jpg 1206w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/09\/HigherEdCostEstimatingInsight-3-300x110.jpg 300w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/09\/HigherEdCostEstimatingInsight-3-900x329.jpg 900w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/09\/HigherEdCostEstimatingInsight-3-150x55.jpg 150w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/09\/HigherEdCostEstimatingInsight-3-768x281.jpg 768w\" sizes=\"auto, (max-width: 714px) 100vw, 714px\" \/><\/p>\n<p><em>Initial budget options from a recent study at the University of Cincinnati, illustrating the range of good-better-best options and their associated life-cycle costs and predicted energy use intensity<\/em><\/p>\n<h3>2. Creating an accurate & achievable budget<\/h3>\n<p>Creating an initial budget that is accurate and achievable will better withstand future budget check-ins throughout the project\u2019s phases. Budgeting in a vacuum by relying solely on traditional $\/sf modeling is no longer sufficient when costs are shifting so rapidly. These initial budgets must include appropriate escalation factors, contingency costs for both design and construction, and third-party validation from estimators or construction managers who track market data in real time. If the initial budget isn\u2019t achievable from the start, it can lead to painful cuts later that compromise project vision.<\/p>\n<p>Utilizing Target Value Design (TVD) is another tool that university leadership should consider. TVD creates buckets of costs based on materials or systems like exterior envelope or mechanical systems. It\u2019s a way to evaluate smaller components of a whole project to see where costs are misaligned to the budget. TVD can help keep projects within budget through comparisons with past, similar projects; tying cost estimates to real market data; and analyzing cost drivers of specific components rather than resorting to blanket square-footage or quality cuts. This leads to better dialogue and decision-making about whether the cost is bringing value to the project.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-23343\" src=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/09\/HigherEdCostEstimatingInsight-2.jpg\" alt=\"\" width=\"697\" height=\"354\" srcset=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/09\/HigherEdCostEstimatingInsight-2.jpg 1280w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/09\/HigherEdCostEstimatingInsight-2-300x152.jpg 300w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/09\/HigherEdCostEstimatingInsight-2-900x457.jpg 900w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/09\/HigherEdCostEstimatingInsight-2-150x76.jpg 150w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/09\/HigherEdCostEstimatingInsight-2-768x390.jpg 768w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/09\/HigherEdCostEstimatingInsight-2-1220x620.jpg 1220w\" sizes=\"auto, (max-width: 697px) 100vw, 697px\" \/><\/p>\n<p><em>Target Value Design in action: this example illustrates three similar projects and their prices categorized by systems<\/em><em>.<\/em><\/p>\n<h3>3. Building in time<\/h3>\n<p>Building time into design schedules for detailed estimating and reconciliation at each phase reduces the risk of unpleasant surprises downstream, such as missed scope, misalignment on quality expectations, and budget increases. The design schedule is often compressed, causing the estimation phase to be the first to be cut between project stages. As the design team moves forward with the next phase, the risk of exceeding the budget increases with additional work.<\/p>\n<p>Discovering that you need to make cuts to the project scope mid-phase can create extra work and pressure on the design team to make changes while also progressing on the development of the set. Ultimately, if not managed properly, this can lead to additional costs in undefined scope, errors, and omissions. In today\u2019s uncertain construction cost environment, a better strategy is to maintain the estimating phase and adjust other phases or consider multiple release packages.\u00a0\u00a0<\/p>\n<h3>4. Hiring the right design team<\/h3>\n<p>Hiring the right design team with a proven track record of on-budget, on-time delivery is critical, as is looking for firms that bring innovative approaches to cost savings. Quality can be achieved at any price point with a team that uses creative problem-solving. Case in point: a recent <a href=\"https:\/\/www.gbbn.com\/work\/university-of-cincinnati-marketpointe-dining-renovation\/?backProjectType=61\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">dining facility<\/a> renovation at the University of Cincinnati achieved six-figure savings through collaboration with fabricators to optimize the milling of custom feature wall panels\u2014an innovation that maintained technical standards, cut costs, and achieved the distinctive look the client desired for the space.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-23366\" src=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/09\/HigherEdCostEstimatingInsight_update.jpg\" alt=\"\" width=\"923\" height=\"264\" srcset=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/09\/HigherEdCostEstimatingInsight_update.jpg 900w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/09\/HigherEdCostEstimatingInsight_update-300x86.jpg 300w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/09\/HigherEdCostEstimatingInsight_update-150x43.jpg 150w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/09\/HigherEdCostEstimatingInsight_update-768x219.jpg 768w\" sizes=\"auto, (max-width: 923px) 100vw, 923px\" \/><\/p>\n<p><em>The image above illustrates the progression of cost-saving measures from initial concept to execution. The numbers represent the total cost for the tile feature wall. <\/em><\/p>\n<p>Quality is achievable at any cost. While it may be easier to do with bigger budgets, the more challenged a budget is the more creative your team must be to help you maximize your design dollars.<\/p>\n<p>The process must be tailored to the problem. A different approach led to the right cost-saving solution for customized walls in the University of Cincinnati\u2019s Digital Futures research facility. For this facility, UC wanted the space to express the ingenuity and collaboration of the research taking place there. To achieve this, while maintaining cost, UC students were invited into a design competition. The winning team also got to enhance their fabrication skills by helping to produce the custom wall panels featured in the space.<\/p>\n<p>This strategy helped reduce project costs while also providing a learning and collaboration opportunity for students, allowing them to leave their mark on a university project.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-23348\" src=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/09\/HigherEdCostEstimatingInsight-1.jpg\" alt=\"\" width=\"941\" height=\"406\" srcset=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/09\/HigherEdCostEstimatingInsight-1.jpg 1280w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/09\/HigherEdCostEstimatingInsight-1-300x129.jpg 300w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/09\/HigherEdCostEstimatingInsight-1-900x388.jpg 900w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/09\/HigherEdCostEstimatingInsight-1-150x65.jpg 150w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/09\/HigherEdCostEstimatingInsight-1-768x331.jpg 768w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/09\/HigherEdCostEstimatingInsight-1-1220x526.jpg 1220w\" sizes=\"auto, (max-width: 941px) 100vw, 941px\" \/><\/p>\n<p><em>The image above illustrates the progression of cost-saving measures from initial concept to execution. The numbers represent the cost per square foot and total cost for the wood feature wall. <\/em><\/p>\n<p>It\u2019s no longer business as usual for higher education capital projects. The path forward is not about cutting ambition but about sharpening strategy. By embracing more accurate estimating tools, fostering open dialogue with stakeholders, leveraging innovative delivery models, and insisting on accountability at every stage, universities can maximize the effectiveness of their capital dollars. In today\u2019s environment, successful institutions won\u2019t be those that build the biggest or flashiest projects, but those that align capital construction with financial reality\u2014delivering spaces that meet student needs, uphold academic missions, and preserve institutional trust.<\/p>\n<hr \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-2706 size-thumbnail\" src=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2018\/04\/Zach_Zettler_c-113x150.jpg\" alt=\"Head shot\" width=\"113\" height=\"150\" srcset=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2018\/04\/Zach_Zettler_c-113x150.jpg 113w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2018\/04\/Zach_Zettler_c-225x300.jpg 225w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2018\/04\/Zach_Zettler_c.jpg 600w\" sizes=\"auto, (max-width: 113px) 100vw, 113px\" \/><a href=\"https:\/\/www.gbbn.com\/people\/zachary-zettler\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">Zachary Zettler, AIA<\/a>\u00a0is a principal and director of higher education at GBBN. With over 20 years of experience designing campus spaces, Zachary is a trusted advisor to university clients and a recognized leader in higher education design. Zachary\u2019s work includes University of Cincinnati\u2019s <a href=\"https:\/\/www.gbbn.com\/work\/university-of-cincinnati-marketpointe-dining-renovation\/?backProjectType=61\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">MarketPointe<\/a> and Marian Spencer.<\/p>\n<p><span style=\"font-size: 10pt; color: #333333;\"><a href=\"https:\/\/www.linkedin.com\/in\/zachary-zettler-b1a10623\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-22370\" src=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/02\/linkedin.png\" alt=\"\" width=\"17\" height=\"15\" \/><\/a> <a style=\"color: #333333;\" href=\"https:\/\/www.linkedin.com\/in\/zachary-zettler-b1a10623\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">Connect with Zachary<\/a><\/span><\/p>\n","protected":false},"author":35,"template":"","project_type":[147],"topic":[167],"class_list":["post-23254","insights","type-insights","status-publish","hentry","project_type-higher-education","topic-fabrication"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>GBBN | Insights<\/title>\n<meta name=\"description\" content=\"Stories. 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in HERD Journal: Human Factors and Evidence-Based Healthcare Design"},"content":{"rendered":"<p class=\"qtranxs-available-languages-message qtranxs-available-languages-message-zh\">\u5bf9\u4e0d\u8d77\uff0c\u6b64\u5185\u5bb9\u53ea\u9002\u7528\u4e8e<a href=\"https:\/\/www.gbbn.com\/en\/wp-json\/wp\/v2\/insights\" class=\"qtranxs-available-language-link qtranxs-available-language-link-en\" title=\"English\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">English<\/a>\u3002<\/p>\n<p>Our latest white paper, \u201cThe Intersection of Human Factors and Evidence-Based Healthcare Design: A Conceptual Framework,\u201d which focuses on the intersection of human factors and evidence-based healthcare design, has been published in <em>HERD<\/em>: Health Environments Research & Design Journal, a peer-reviewed journal focusing on the effects of health environments on patient, provider, and organizational outcomes. The report was done in partnership with researchers from academic and institutional researchers from Carilion Clinic, Cincinnati Children\u2019s Hospital Medical Center, Corewell Health, Froedert Health, and Georgia Southern University.<\/p>\n<p>The paper introduces Human Factors and Ergonomics (HFE) to healthcare architects and designers outlining the core concepts and comparing essential approaches. The HFE process is then compared with the benefits of evidence-based design (EBD) and demonstrates why integrating HFE expertise into the EBD of healthcare projects is advantageous.<\/p>\n<p>Spaces shape human behaviors. The built environment influences the care provided by the healthcare system. HFE seeks to optimize human performance, health, safety, and habitability based on scientific knowledge about human capabilities and limitations. HFE considers the physical needs of humans for comfort, musculo-skeletal safety, and efficiency; cognitive, psychological, and social aspects; and the interactions between humans and technology. Understanding these interactions and considering them early in healthcare design can help enhance usability, functionality, and well-being for staff and patients.<\/p>\n<p>The work of HFE engineers and healthcare architects may overlap when it comes to designing the physical environments of healthcare facilities. Both disciplines work to improve healthcare efficiency, promoting experience and safety, and reducing medical errors. Both disciplines adopt evidence-based and human-centered approaches in the design and evaluation of their work. However, HFE concerns and the expertise of HFE engineers are often not part of the design phase. In this paper we argue that integrating HFE expertise in early EBD considerations\u2014through mock-ups or prototype evaluations\u2014supports informed design decisions, enhances outcomes, and reduces cost.<\/p>\n<p>This research suggests a benefit to an integrated framework that includes physical and AR mock-ups in evidence-based design of healthcare spaces. It points to a strong correlation between investing in mock-ups and a strong ROI. For every dollar invested in a detailed mock-up, almost $17.00 can be saved in the long term.<\/p>\n<p>Read the full white paper in <em>HERD<\/em> Journal <a href=\"https:\/\/journals.sagepub.com\/doi\/abs\/10.1177\/19375867251332618\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">here<\/a>.<\/p>\n<p>Read our previously published work in <em>HERD<\/em> Journal <a href=\"https:\/\/journals.sagepub.com\/eprint\/KSDPHEKEBE6UJRQQGIYQ\/full\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">here<\/a> and <a href=\"https:\/\/journals.sagepub.com\/doi\/10.1177\/1937586720967347\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">here<\/a>.<\/p>\n<p>We recently presented on this topic at the Healthcare Facilities Symposium and Expo. See our presentation <a href=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2025\/07\/PPT_HFSE25_Human-Factors-and-Evidence-Based-Design_sm-1.pdf\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">here.<\/a><\/p>\n<p>Learn more about research at GBBN <a href=\"https:\/\/www.gbbn.com\/research\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">here<\/a>.<\/p>\n<hr \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-16212 size-thumbnail\" src=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2022\/09\/ShanJiang_c2-112x150.jpg\" alt=\"\" width=\"112\" height=\"150\" srcset=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2022\/09\/ShanJiang_c2-112x150.jpg 112w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2022\/09\/ShanJiang_c2-224x300.jpg 224w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2022\/09\/ShanJiang_c2.jpg 324w\" sizes=\"auto, (max-width: 112px) 100vw, 112px\" \/><\/p>\n<p><a href=\"https:\/\/www.gbbn.com\/people\/shan-jiang\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">Shan Jiang,<\/a>\u00a0Ph.D, is an associate principal and the director of research at GBBN. An established researcher, educator, and thought leader, she has published dozens of articles in peer-reviewed journals, presented at conferences, and recently published a full monograph with Routledge on therapeutic landscapes, healthcare design, and sustainable community development. At GBBN, Shan leads firm-wide research efforts, helping design teams in all markets conduct research while drawing on the best, established research to inform their work.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-2778 size-thumbnail\" src=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2018\/04\/Angela_Mazzi_c2-113x150.jpg\" alt=\"\" width=\"113\" height=\"150\" srcset=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2018\/04\/Angela_Mazzi_c2-113x150.jpg 113w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2018\/04\/Angela_Mazzi_c2-225x300.jpg 225w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2018\/04\/Angela_Mazzi_c2.jpg 600w\" sizes=\"auto, (max-width: 113px) 100vw, 113px\" \/><\/p>\n<p><a href=\"https:\/\/www.gbbn.com\/people\/angela-mazzi\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">Angela Mazzi<\/a>, FAIA, FACHA, EDAC is a principal and medical planner at GBBN. She is a past keynote panelist at the International Symposium on Human Factors and Ergonomics in Health CARE (HFES) and frequently presents insights around health and the built environment, including at the Healthcare Design Conference + Expo, The Center for Health Design, The American College of Healthcare Executives and the Swiss Center for Design & Health Symposium. Her research and insights around salutogenesis has been published in <em>HERD<\/em> Journal and other peer-reviewed publications. She is also a co-creator of GBBN\u2019s Healthcare Symposium series, which brings together national, multidisciplinary experts around topics such as oncology care, staff burnout, and health equity.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-14266 size-thumbnail\" src=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2022\/09\/KirstenMIller_Cropped-113x150.jpg\" alt=\"\" width=\"113\" height=\"150\" srcset=\"https:\/\/www.gbbn.com\/wp-content\/uploads\/2022\/09\/KirstenMIller_Cropped-113x150.jpg 113w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2022\/09\/KirstenMIller_Cropped-225x300.jpg 225w, https:\/\/www.gbbn.com\/wp-content\/uploads\/2022\/09\/KirstenMIller_Cropped.jpg 675w\" sizes=\"auto, (max-width: 113px) 100vw, 113px\" \/><\/p>\n<p><a href=\"https:\/\/www.gbbn.com\/people\/kirsten-miller\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">Kirsten Miller<\/a>, AIA, EDAC, ACHA\u00a0is an associate and medical planner at GBBN. She combines evidence-based research and user group feedback to create uplifting healthcare spaces for patients and her\u00a0<a href=\"https:\/\/www.gbbn.com\/news\/two-edra-core-awards-for-gbbn\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">healthcare research<\/a>\u00a0has been recognized by the Environmental Design Research Association (EDRA).\u00a0She frequently presents insights at conferences including EDRA, Healthcare Facilities Symposium and Expo, and the American Society of Healthcare Engineers (ASHE) Region 6. \u00a0A moderator of GBBN\u2019s\u00a0<a href=\"https:\/\/www.gbbn.com\/news\/gbbns-healthcare-symposium-focuses-on-tackling-healthcare-provider-burnout\/\" data-wpel-link=\"external\" target=\"_blank\" rel=\"external noopener noreferrer\">Healthcare Symposium: Caring for Providers, Tackling Burnout<\/a>, Kirsten is passionate about \u201cproviding for providers\u201d by giving physicians, practitioners, nurses, and specialists the kind of environments where they feel energized to deliver the best care possible.<\/p>\n","protected":false},"author":35,"template":"","project_type":[146],"topic":[162,173],"class_list":["post-23033","insights","type-insights","status-publish","hentry","project_type-healthcare","topic-press","topic-research"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>GBBN | Insights<\/title>\n<meta name=\"description\" content=\"Stories. 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