EDRA Inaugural Fall Symposium: "The Landscape of Accountable Care"
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EDRA, in partnership with the New York School of Interior Design, was pleased to present "The Landscape of Accountable Care: How a Patient Focus is Changing the Industry", October 11, 2013 at the New York School of Interior Design in New York City.

This one-day symposium specifically focused on translational research that most directly impacts those currently in practice. Sessions afforded designers, care and service providers and policymakers the opportunity to learn about emerging models of patient-centered care, navigate nuances of new policies and strategize for effective delivery systems, while embracing research as a means to improve patient, staff and resource outcomes.

Click here to download all the presentations held throughout the day. Individual presentations for each session can be found by clicking the orange session titles below.

9:00am-9:45am "How a Patient-Focus is Changing the Industry"


  • Jason Helgerson, Medicaid Director, State of New York
  • Nicholas Watkins, PhD, Principal and Research Lead, BBH Design
  • Whitney Austin Gray, PhD, Healthcare Design Leader, Cannon Design

This presentation will offer a broad understanding of how new legislation is affecting multiple realms of the healthcare industry—from reimbursement and policymaking to design and the patient experience. The session’s objective is to provide all attendees with the same framework for understanding the day’s topic, as well as give everyone the same language in which to share their experiences and challenge what it means to be patient-focused in the future.

Jason Helgerson became New York’s Medicaid Director on January 5, 2011. New York’s Medicaid program provides vital health care services to over 5 million New Yorkers and has an annual budget in excess of $54 billion. Helgerson also serves as the Executive Director for New York’s Medicaid Redesign Team. In this capacity he leads Governor Cuomo’s effort to fundamentally reshape the state’s Medicaid program in order to both lower costs and improve health care quality.

Dr. Nicholas Watkins' professional work focuses on those interactions between humans and their built environments that reflect excellence in design and contribute to physical and psychological well-being. His research findings on healthcare environments can be found in several publications and venues including Environment & Behavior, Health Environments Research and Design Journal, the Handbook of Environmental Psychology, Evidence-Based Healthcare Design, and Place Advantage.

Dr. Whitney Austin Gray recently joined Cannon Design to help lead the firm in becoming healthcare experts. She concurrently holds dual adjunct faculty appointments in the Department of Human Sciences and Health Systems Administration at the Georgetown School of Nursing & Health Studies. Previously, Gray served as the Director of Building Science Services at the MedStar Institute for Innovation’s Center for Building Sciences.

9:45am-11:15am "Emerging Care Environments"


  • Sanjay Parmar, AIA, Associate Principal and Senior Healthcare Planner, Perkins Eastman
  • Bruce Komiske, Project Executive, Westchester Medical Science Village and Living Science Center
  • Susan Frazier, RN, MA, Chief Operating Officer, the Green House Replication Initiative at NCB Capital Impact

With the advent of the Patient Protection and Affordable Care Act, the shift toward outpatient care and subsequent ambulatory care facilities has taken on a fever pitch. The fervor has been matched by an explosion of building typologies and models of care that designers and providers are experimenting with, not only in traditional healthcare settings, but also within the greater community and even residential settings. Presenters in this session will share their firsthand experiences with the development and design of some of these new typologies and models.

With more than 20 years of experience in the areas of healthcare programming and strategic and facility planning, Sanjay Parmar's expertise lies especially in the area of integrating healthcare operations, strategic data analytics, technology, and trends into various facility planning and design solutions. Over the span of his career, Parmar has developed in-depth operational and planning knowledge of outpatient and acute care inpatient facilities from community hospitals to specialty facilities.

Bruce Komiske is considered a “world expert” on all facets of hospital operations, planning, design and construction. He is an experienced healthcare executive who has had the opportunity to plan, build, operate and raise the philanthropic support for eight new hospitals, each more innovative than the previous, all from the owner’s perspective. He is a frequent speaker, author and consultant for hospitals around the world on the inclusive planning process, healing environments, and engaging the community.

Susan Frazier has over 25 years of nursing experience with a predominant concentration in the field of gerontology and Alzheimer’s/dementia care. Prior to working with the Green House® team, Frazier served on the leadership team of a non-profit continuing care retirement community, where she spearheaded the organization’s transformation to culture change by assessing industry innovation and outcomes and developing strategic and educational protocols.

11:15am-11:30am Break

11:30am-12:30pm "Informing Emerging Models Through Research"


  • Tama Duffy Day, FIIDA, FASID, LEED AP BD+C, Principal and the Global Interior Design Healthcare Practice Leader, Perkins+Will
  • Ann Sloan Devlin, PhD, May Buckley Sadowski '19 Professor of Psychology, Connecticut College
  • Eileen Malone, RN, MSN, MS, EDAC, Senior Partner, Mercury Healthcare Consulting, LLC

Having just learned where the future of healthcare settings may be heading, this session will explore how research is being conducted on these emerging models. We will hear from both “consumers” of research, as well as “producers”, and discuss the business case for the value of using research to improve outcomes, elevate safety, create more efficient and better care delivery, increase satisfaction levels, and even reduce costs.

Tama Duffy Day leads projects that focus on experiential, culturally-appropriate design strategies. Her award-winning work is published widely, and is based on research and evidence-based solutions that generate compassion and care. She presents extensively on the correlation between design and health at venues across the world. Duffy Day is on the Advisory Board for the New York School of Interior Design as well as a steering committee leader in Perkins+Will's new research initiative, AREA.

Ann Sloan Devlin has published extensively on healthcare environments, in particular the role of the facility’s appearance in people’s judgments of expected care. Her research includes the role of architecture in healthcare outcomes, perceived control as a mediator of stress in healthcare settings, and perceptions of therapists' offices. Devlin's current book project is entitled Transforming the Doctor’s Office: Principles from Evidence-based Design.

Eileen Malone supports clients embracing evidence-based design in health facility projects as a means to improve healthcare outcomes. With 40 years in healthcare, Malone retired from the United States Army having held a variety of key leadership positions including hospital commander (CEO), Army Medical Department CIO, Congressional affairs officer, and many nurse practitioner assignments. She holds graduate degrees from Duke University and the National Defense University.

12:30pm-1:30pm Lunch provided by EDRA

1:30pm-3:00pm Facilitated Breakout Sessions: "Overcoming Barriers Together: Small Interventions with Big Impacts"

Organizer: Emily Chmielewski, EDAC, Associate, Perkins Eastman

The Dalai Lama has said, “The best way to resolve any problem in the human world is for all sides to sit down and talk.” In the spirit of collaboration, we will break into small groups to jointly explore the challenges facing the industry as we move forward. Each room will be assigned a topic for discussion, with the goal of having an interdisciplinary exchange, where people are coming at the question from multiple perspectives. The outcomes from these break-out sessions will then be amassed and presented as a whole at the end of the day.

  • “The Patient Experience” with Raven Carter, MBA, FACHE Designate, Director of Patient & Family Experience, New York Health and Hospitals Corporation
  • “Research & Education” with Breeze Glazer, LEED AP, Research Knowledge Manager, Perkins+Will / Adjunct Faculty, NYSID
  • “Community Health & Well-Being” with Kimberly N. Dowdell, Assoc. AIA, NOMA, LEED AP, Project Manager, Levien & Company, Inc.
  • “Smart Technology in Healthcare Design” with Esperanza Harper, EDAC, NOMA, Healthcare Planner, BBH Design
  • “Strategic Planning & Lean Efficiency” with Sanjay Parmar, AIA, Associate Principal and Senior Healthcare Planner, Perkins Eastman
  • “Sustainability” with Neil Chambers, LEED-AP, Founder, Chambers Design, Inc.

3:00pm-3:30pm Break

3:30pm-4:30pm "A Model for Success: The University Medical Center of Princeton at Plainsboro"


  • Barry S. Rabner, President and CEO, Princeton HealthCare System
  • Susan Lorenz, DrNP, RN, NEC-BC, EDAC, Vice President of Patient Care Services/Chief Nursing Officer, Princeton HealthCare System
  • Julie Somarriba, LEED AP BD+C, Associate, HOK
  • Erin Peavey, Associate AIA, LEED AP+BD+C, EDAC, Researcher + Medical Planner, HOK

Having explored what it takes to be patient-focused, learned about emerging building typologies and models of care, and recognized the value of research, now we will look at it all in action. Through the example of the University Medical Center of Princeton at Plainsboro, we will hear how providers, designers, and researchers were able to come together to create a project that leveraged research and incorporated design innovations to create better project outcomes, today and for years to come.

Barry S. Rabner is President and CEO of the Princeton HealthCare System (PHCS), a not-for-profit organization that includes University Medical Center of Princeton at Plainsboro and entities which provide behavioral health, rehabilitation and home care services. PHCS is an affiliate of UMDNJ-Robert Wood Johnson Medical School and The Cancer Institute of New Jersey. Before joining PHCS, Rabner served as Acting President and Chief Executive Officer of Main Line Health, Inc.

Susan Lorenz serves as a member of the PHCS Administrative team, responsible for the strategic management of the Department of Nursing, Cardiac and Pulmonary Services and Patient Relations at the University Medical Center of Princeton at Plainsboro. This includes recruitment and retention initiatives, development of clinical excellence and support of new hospital-based programs. Lorenz previously held the position of Chief Nursing Officer at Warminster Hospital in Pennsylvania.

Julie Somarriba has specialized in the design of Healthcare environments for more than 10 years. Her leadership as a Project Architect and Project Manager was critical to the success of the construction of the University Medical Center of Princeton at Plainsboro. She saw the project from planning through construction and spent time working hand-in-hand with the facilitators and staff to confirm the research and design intent met the needs of the patients and staff.

Erin Peavey is a medical planner and lead researcher with HOK’s Health Care group. Her research findings on healthcare environments can be found in Healthcare Design Magazine, The AIA Handbook of Professional Practice, Health Environments Research & Design Journal, and the Journal of Nursing Administration. Peavey also serves as a trustee of the Academy of Architecture for Health Foundation and graduate faculty at New York School of Interior Design and the Pratt Institute.

4:30pm-5:30pm "A Call to Action: Patient-Centered, From Planning to..."

Facilitator: Susan S. Szenasy, Editor in Chief, METROPOLIS

  • Yeneat Ophelia Chiu, MHA, Design Strategy and Innovation Head, Memorial Sloan Kettering Cancer Center
  • Victor Dadras, RA, NCARB, LEED-AP, IDEC, NIHD, Partner, Dadras Architects; MPS Healthcare Interior Design Graduate Program Coordinator, NYSID
  • Ann Sloan Devlin, PhD, May Buckley Sadowski '19 Professor of Psychology, Connecticut College
  • Jason Helgerson, Medicaid Director, State of New York
  • Andrew Jarvis, AIA, LEED AP, Principal, EwingCole
  • Richard Wener, PhD, Professor of Environmental Psychology, Polytechnic Institute of NYU

This session will feature a summary report from the individual breakout sessions, with panelist discussion. The objective is to bring into focus the key issues/questions driving this movement forward.

Susan S. Szenasy is Editor in Chief of METROPOLIS, the award-winning New York City-based magazine of architecture and design. She has lead the magazine through decades of landmark design journalism, achieving domestic and international recognition. Susan sits on the boards of the Council for Interior Design Accreditation, Fashion Institute of Technology’s Interior Design department, the Center for Architecture Advisory Board, and is internationally recognized as an authority on sustainability and design.

As part of the Strategic Planning and Innovation department, Ophelia Chiu's most recent work has focused on development of an in-house design innovation group, exploration of telehealth/technology and implementation of strategic initiatives. Her passions are around bringing the best patient experience to implementation, helping to spread innovative thinking across the organization and bringing people from different disciplines together.

Victor Dadras is a long-time NYSID faculty member and the Coordinator of the MPS Healthcare Interior Design Graduate Program. He is also a partner at Dadras Architects, an architecture, interior design, and urban design consulting firm in New York City that specializes in commercial projects, and healthcare facilities. He holds a Master of Architecture degree in Urban Design from Harvard University, where he participated in published design and planning studies for the city of Jerusalem.

Andrew Jarvis has dedicated his career at EwingCole to orchestrating therapeutic and reassuring experiences for patients while creating workplaces for caregivers that sustain their energy and compassion. He leads the firm’s New York practice which is designing new projects for Memorial Sloan-Kettering Cancer Center, Hospital for Special Surgery, North Shore-LIJ, Mount Sinai Medical Center and SUNY Upstate Medical University.

Richard Wener is Professor of Environmental Psychology and head of the Sustainable Urban Environments program in the Department of Technology, Culture and Society at the Polytechnic Institute of NYU. He is a fellow and past president of Division 34 of the American Psychological Association, and has published extensively on Post Occupancy Evaluation of the built environment including correctional settings and sustainable design.

5:30pm-6:30pm Networking Reception


EDRA appreciates the support of our partner in this symposium, the New York School of Interior Design, and our event sponsors:


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