This report, Improving the Patient Experience: Best Practices for Safety-Net Clinic Redesign, by Gowri Betrabet Gulwadi, Anjali Joseph and Amy Keller, explores the physical features of ambulatory care center settings that have been associated with favorable patient outcomes.

It is adapted from a full-length article by the authors, "Exploring the Impact of the Physical Environment on Patient Outcomes in Ambulatory Care Settings." that was originally published in the Winter 2009 issue of HERD (Health Environments Research and Design Journal), Vol. 2, No. 2.

Get more information about HERD


Featured Links


The links to other resources identified on this page are provided to help ambulatory care environments, specifically primary care clinics and community health centers find additional information on other commercial and private organizations' websites. Many of these resources can provide insight at any stage of the design process.

Annual Conference AAMA (American Academy of Medical Administrators)
Learn the newest trends in healthcare administration at this annual conference; Focus on your area of specialty or broaden your knowledge; Accreditation opportunities.

The Abell-Hanger Foundation
In furtherance of the mandate in its charter to support "any benevolent, charitable, educational, or missionary undertaking," the foundation makes grants to non-profit organizations, which are involved in such undertakings for public welfare.

ACMPE Executive View Journal
American College of Medical Practice Executives biannual journal that features articles about core competencies required for effective performance by medical practice professionals.

AHRQ
As 1 of 12 agencies within the Department of Health and Human Services (HHS), the Agency for Healthcare Research and Quality (AHRQ) supports health services research initiatives that seek to improve the quality of health care in America. AHRQ's mission is to improve the quality, safety, efficiency, effectiveness, and cost-effectiveness of health care for all Americans. AHRQ works to fulfill its mission by conducting and supporting health services research, both within AHRQ as well as in leading academic institutions, hospitals, physicians' offices, health care systems, and many other settings across the country. The Agency has a broad research portfolio that touches on nearly every aspect of health care.

Alternative Medicine Alert
This monthly newsletter provides clinically sound information on complementary and alternative medicine. Key therapies are outlined through clinical data that either supports or refutes the use of each therapy.

American Academy of Family Physicians (AAFP)
Community Health Centers adapt from the AAFP. AAFP's purpose and vision is to transform health care to achieve optimal health for everyone (patients, families and communities) by serving the needs of members with professionalism and creativity.

American Holistic Medical Association and Healthcare Without Harm Clinical and Scientific Conference
This annual conference will provide attendees with how-to information on integrating healthcare in different practice settings. This conference offers opportunities for collaboration, celebration, self-care, fun, personal development and fellowship.

American Hospital Association News
A daily report and weekly online publication highlighting access and coverage, charity care, cultural disparity, disaster preparedness, effectiveness, efficiency, HIPAA, home health, outpatient care, medical liability, patient-centeredness, and patient safety.

American Journal of Health Promotion
Health promotion is the science and art of helping people change their lifestyle to move toward a state of optimal health. Optimal health is defined as a balance of physical, emotional, social, spiritual, and intellectual health.

American Journal of Infection Control (AJIC)
A journal dedicated to discussing infection control, epidemiology, infectious diseases, quality management, occupational health, and disease prevention issues.

American Journal of Managed Care (AJMC)
A monthly journal that disseminates research that relates to clinical, economic and policy aspects that finance and deliver healthcare. Working to promote efficient delivery of high-quality care.

American Journal of Nursing (AJN)
A monthly Journal that promotes clinical information and original research, discussion of relevant and controversial professional issues, adherence to the standards of journalistic integrity and excellence, and promotion of nursing perspectives to the healthcare community.

American Journal of Public Health
This monthly journal provides original work in research, research methods, and program evaluation in the field of public health and a forum for diverse viewpoints on major public health issues and policies.

American Medical News (AMNews)
Coverage includes: information on the medical profession, public health, marketplace, practice management, ethics and practice trends.

Annual International Summit on Redesigning the Clinical Office Practice
This annual conference is a meeting place for thousands of providers to learn cutting-edge improvements to apply to the office practice and outpatient settings.

Annual Quality Colloquium at Harvard
This conference addresses challenges, innovation, and strategies in safety and error prevention. Additionally, the conference looks at the role of the government, accrediting bodies, press, employers, technology and information systems; hospitals and health systems, physicians and physician organizations and pharmaceuticals and devices.

Annual Meeting and Exposition AONE (American Organization of Nurse Executives)
Join nursing colleagues to strengthen nursing leadership, practice and career at this annual conference. Take advantage of extraordinary networking opportunities, dynamic speakers and cutting-edge educational opportunities.

Association for Community Health Improvement
The Association for Community Health Improvement (ACHI) is the premier national association for community health, healthy communities and community benefit.

Blueprint R & D
Blueprint Research & Design, Inc. helps grantmaking foundations, individual and family donors, and philanthropic networks to achieve their missions. Our services and products fall into three interrelated categories: strategy & program design, organizational learning & evaluation, and practical knowledge about trends in philanthropy.

Blue Shield Foundation
Blue Shield of California Foundation is committed to making health care effective, safe and accessible for all Californians, particularly underserved people, and to ending domestic violence. We believe safety and access to health care are fundamental rights of everyone. We know that ensuring Californian’s health and safety requires the involvement of individuals, employers and government agencies.

California Association of Public Hospitals and Health System (CAPH)
CAPH members comprise the core group of health care providers that make up the state's medical safety net. Operating in 16 counties, they assist in meeting the counties' legal mandate to provide health care to indigent residents. These providers share a mission to ensure access to a full spectrum of health care services to all persons, regardless of insurance status or ability to pay.

California Endowment
The California Endowment is a private, statewide health foundation that was created in 1996 as a result of Blue Cross of California's creation of WellPoint Health Networks, a for-profit corporation. This conversion set the groundwork for our mission: The California Endowment's mission is to expand access to affordable, quality health care for underserved individuals and communities, and to promote fundamental improvements in the health status of all Californians.

California HealthCare Foundation
The CHCF mission is to expand access to affordable, quality health care for undeserved individuals and communities and to promote fundamental improvements in the health status of the people of California.

California Healthcare Safety-net Institute
California Health Care Safety Net Institute (SNI) is dedicated to fostering quality improvements and system innovations in California’s public hospitals and health care systems. To do this, SNI connects public hospital systems with research, training, education and best practices to help them improve care for those who need it most.

California Primary Care Association (CPCA)
CPCA is a statewide leader representing the interests of California community clinics and health centers and their patients. CPCA represents more than 600 not-for-profit community clinics and health centers who provide comprehensive, quality health care services, particularly to low income, uninsured and undeserved Californians. The CPCA is designated by the Federal Bureau of Primary Health Care as the state primary care association and receives federal program support to develop and enhance services for member clinics.

California State Rural Health Association (CSRHA)
CSRHA is a grassroots organization that works to improve the health of rural Californians and the quality and accessibility of the health care they receive. CHRHA brings together health care providers, consumers, educators, researchers, public health and economic development agencies and others to work on a variety of issues related to preserving and enhancing the health of rural California.

California Wellness Foundation
The mission of The California Wellness Foundation is to improve the health of the people of California by making grants for health promotion, wellness education and disease prevention.

Capital Incubator
Because each aspect of a capital project impacts on the other aspects, Capital Incubator offers organizations an integrated approach to facilities development. With an emphasis on financing issues, Capital Incubator provides services that address all project activities – planning, working with collaborative partners, real estate options, design and construction, short- and long-debt term financing, capital campaign design and implementation, and start-up. Capital Incubator supports and guides nonprofit organizations to the successful completion of facilities development projects, while maximizing planning to ensure organizational readiness to take on growth, and leveraging all aspects of the project to build organizational capacity for long-term sustainability.

Capital Link
Capital Link is a national nonprofit consulting organization that provides high-quality, affordable, innovative advisory services related to planning and financing capital projects for nonprofit community health centers to support and expand community-based health care.

The Commonwealth Fund
The mission of the Commonwealth Fund is to promote a high performing healthcare system that achieves better access, improved quality, and greater efficiency; particularly for society's most vulnerable, including low-income people, the uninsured, and minorities.

Community Clinics Initiative
The Community Clinics Initiative (CCI), a unique collaboration between Tides and The California Endowment, began in 1999 to provide resources, evidence-based programming and evaluation, education and training to support community health centers and clinics. Through information sharing and major grants, CCI acts as a catalyst to strengthen California's community clinics and health centers to improve health outcomes in underserved communities. The state's community clinics offer high quality, low- and no-cost care, often in rural and inner city areas, providing a lifeline for millions of uninsured and underinsured Californians.

Community Clinic Voice
A free gathering place for clinic professionals to network, share information and exchange ideas in order to build stronger and healthier communities. By overcoming geographic isolation and the time constraints on busy clinic professionals, (the information is accessible at any time from any location) this online community provides a forum for a wide range of clinical staff to connect with one another. The range of clinical staff participating in the community provides valuable insight from every side of clinic operations.

Digital Healthcare Conference
This annual conference is an exclusive gathering of industry leaders in healthcare, technology, and law to share knowledge and to learn proven and emerging strategies for improving healthcare delivery and patient safety.

The Duke Endowment
The Duke Endowment carries out Mr. Duke's wishes regarding support for not-for-profit health care organizations in North Carolina and South Carolina. The goals of the Healthcare Division are: to improve the quality and safety of healthcare

EDManagement
Issues include: reducing delays, improving patient flow and reducing overcrowding; improving staff and patient satisfaction; complying with federal regulations; managing risks and improving patient safety; obtaining benchmarking/best practices

EDRA Building Sustainable Communities Conference
This annual conference is the largest global conference focusing on architectural and planning research. Additionally, it focuses on programming, master planning, and post-occupancy evaluation. The conference attracts approximately 500 researchers, educators, students, and practitioners.

Egrants.net
Online database (subscription fee) that allows you to search for grants, fellowships, etc in any area, including healthcare.

eHealth Initative Annual Conference
Learn from experts how health IT and health information exchange is supporting healthcare.

Environment and Behavior Magazine
In cooperation with Environmental Design Research Association, this journal analyzes and records the influence of the environment on individuals, groups and institutions. Interrelationships between human environments and behavioral systems and planning.

ER One Institute
The ER One Institute is committed to innovation and advanced technology applied to practice, training and education, research, and systems integration; all in the service of improving the emergency readiness of our nation’s hospitals and health care systems.  Because ER One Institute is housed at the major receiving hospital in the National Capital Region, our work is grounded in daily hospital operations and we have direct access to clinical sites and healthcare personnel to implement and test our new solutions and technologies.  We serve as expert consultants for the training and education of hospital providers to respond to conventional and unconventional events.

Estes Park Institute Series
These quarterly conferences provide educational, up-to-the-minute information, analysis and insight into the problems and opportunities that shape healthcare in the United States. Participants should return home equipped with a better understanding of their roles and responsibilities in the health of the community they serve.

Facility Care
This monthly magazine provides information on quality operation, design and maintenance of healthcare facilities. Issues include fire safety, indoor air quality, security, ADA requirements, design and energy deregulation.

Full Circle Projects, Inc
Full Circle Projects, Inc., a San Francisco-based consulting firm, is dedicated to serving community clinics and health centers. Providing innovative strategies and solutions for information technology, management and operations, Full Circle Projects helps clinics and their funding organizations accomplish their missions more effectively.

Georgia Tech
The College of Architecture seeks to deliver research and education that aims to improve the human condition. There is a chronic need for inspiring environments that have effective and sustainable structures and are open to all levels of society as a model for the nation (and beyond), and it is clear that energy efficiency must govern all. Visit the Georgia Tech College of Architecture website to see the research they have done and are doing.

Great Place to Work Annual Conference
This annual conference provides participants with inspiration, how-to and valuable tips to transform the workplace culture. They will be prepared to return to their organization with tools to creating a great place to work.

Health Affairs
A multidisciplinary journal covering a wide range of health issues. Topics covered include: access to care, health spending, quality, Medicare, Medicaid, prescription drug coverage and costs, physician practice, nursing trends, mental health and malpractice.

Healthcare Design Conference
This annual conference is the industry's best attended and most respected conference about evidence-based healthcare design. Professionals are given access to seminars, workshops and facility tours with some of the most renowned facilities and practitioners. Furthermore, they are provided with great networking opportunities.

Healthcare Design Magazine
Articles, architectural and design portfolios, design portfolios, designing, building and renovating healthcare buildings, opinion pieces, and other compelling editorial from credible and noteworthy authors are presented in this magazine.

Health Facilities Management
This montly magazine reports on challenges facing health facility design/architecture, construction and operations communities.

Healthcare Facilities Symposium and Expo
The longest running annual event focusing on how the physical space impacts the delivery of healthcare. Professionals discuss, learn about and share today's design, construction and operational challenges.

Healthcare Georgia Foundation
Our mission is to advance the health of all Georgians and to expand access to affordable, quality healthcare for undeserved individuals and communities. Our goals are to protect and promote the health of individuals, families and communities.

Healthcare Information Technology
Annual Healthcare Unbound Conference and Exhibition, Summit on Behavioral Telehealth: Technology for Behavior Change and Disease Management, Annual Summit on Patient Safety and Information Technology. The goal of this conference is to instruct participants on how to improve the prevention of infection, integrate fiscal incentives for infection control, initiate practical changes through evidence-based guidelines, identify strategies to support workforce transformation and behavioral commitment to infection prevention methods within an organization.

Healthcare with out Harm
Mission: To transform the health care sector worldwide, without compromising patient safety or care, so that it is ecologically sustainable and no longer a source of harm to public health and the environment.

HERD Journal
The Health Environments Research and Design Journal (HERD) is a quarterly interdisciplinary, peer-reviewed journal whose mission is to enhance the knowledge and practice of evidence-based healthcare design by disseminating research findings, discussing issues and trends, and translating research to practice. Featuring evidence-based articles for health environments design and outcomes related to organizational performance and the human experience. The journal also centralizes knowledge about healthcare innovations and design.

Health Financial Management Association (HFMA)
HFMA is the nation's leading membership organization for healthcare financial management executives and leaders. More than 35,000 members, ranging from CFOs to controllers to accountants consider HFMA a respected thought leader on top trends and issues facing the healthcare industry. HFMA members can be found in all areas of the healthcare system including hospitals, managed care organizations, physician practices, accounting firms and insurance companies. 

HRSA
The Health Resources and Services Administration (HRSA), an agency of the U.S. Department of Health and Human Services, is the primary Federal agency for improving access to health care services for people who are uninsured, isolated or medically vulnerable.

IDEO
IDEO helps organizations innovate through design. Independently ranked by global business leaders as one of the world's most innovative companies, we use design thinking to help clients navigate the speed, complexity, and opportunity areas of today's world.

International Facility Management Association (IFMA)
IFMA is the world’s largest and most widely recognized international association for professional facility managers, supporting more than 19,000 members in 60 countries. The association’s members, represented in 125 chapters and 15 councils worldwide, manage more than 37 billion square feet of property and annually purchase more than $100 billion in products and services. Formed in 1980, IFMA certifies facility managers, conducts research, provides educational programs, recognizes facility management degree and certificate programs and produces World Workplace, the world’s largest facility management conference and exposition.

Informe Design
InformeDesign transforms research into an easy-to-read, easy-to-use format for architects, graphic designers, housing specialists, interior designers, landscape architects, urban designers and planners, and the public.

Institute for Healthcare Improvement (Redesigning Clinical Office Practice)
The Annual International Summit on Redesigning the Clinical Office Practice provide a meeting place for thousands of providers to learn cutting-edge improvements for the office practice and outpatient settings. We are on the threshold of remaking entire care systems, now focused on the home base of care — the clinical office practice.

Joint Commission for Accreditation of Hospital Organizations-Ambulatory Care division
The Joint Commission established the Ambulatory Health Care accreditation program in 1975 to encourage quality patient care in all types of freestanding ambulatory care facilities.

Joint Commission Journal on Quality and Patient Safety
This monthly peer-reviewed journal is a forum for practical approaches to improving quality and safety in healthcare.

Joint Commission Perspectives on Patient Safety
This monthly newsletter provides articles written in an informal, first-person style that provides a description of an individual's personal experience with patient safety. They are how-to articles about preventing and analyzing errors.

Journal for Healthcare Quality
This is a profession forum that continuously advances healthcare quality practice in diverse and changing environments; the first choice for creative and scientific solutions in the pursuit of healthcare quality.

Journal of Ambulatory Care Management (JACM)
This monthly journal covers a variety of topics that are relevant to healthcare managers and policy makers.

Journal of Architectural Planning and Research
This quarterly journal reports both recent research findings and innovative new practices, it provides a link between theory and practice for researchers and practicing professionals. Includes such topics as architectural technology; environment and behavior; design methods.

Kaiser Foundation
A leader in health policy and communications, the Kaiser Family Foundation is a non-profit, private operating foundation focusing on the major health care issues facing the U.S., with a growing role in global health. Unlike grant-making foundations, Kaiser develops and runs its own research and communications programs, sometimes in partnership with other non-profit research organizations or major media companies. We serve as a non-partisan source of facts, information, and analysis for policymakers, the media, the health care community, and the public. Our product is information, always provided free of charge – from the most sophisticated policy research, to basic facts and numbers, to information young people can use to improve their health or elderly people can use to understand their Medicare benefits.

Kresge Grant
The Kresge Foundation has been a driving force in the building of facilities for nonprofit organizations in the United States since 1924. Concerned that nonprofit organizations often need financial support for things other than the acquisition, construction or renovation of facilities, the board of trustees voted in June 2007 to expand the challenge grant model, a process that is currently underway.

Military Health System
America's Military Health System (MHS) is a unique partnership of medical educators, medical researchers, and healthcare providers and their support personnel worldwide. This DoD enterprise consists of the Office of the Assistant Secretary of Defense for Health Affairs; the medical departments of the Army, Navy, Marine Corps, Air Force, Coast Guard, and Joint Chiefs of Staff; the Combatant Command surgeons; and TRICARE providers (including private sector healthcare providers, hospitals and pharmacies).

National Association of Community Health Centers (NACHC)
NACHC provides researched-based advocacy for health centers and their clients, education of the public and training of health center staff and boards and develops alliances with like-mind

National Association of Primary Care
The NAPC is a leading national membership organisation, which represents and supports the interests of all healthcare professionals, both clinicians and managers, working in primary care. NAPC helps healthcare professionals deliver effective and efficient patient-centred care.

National Forum on Quality Improvement in Healthcare
The premier "meeting place" for people committed to the mission of improving healthcare. This annual event draws approximately 5,500 healthcare leaders from around the world.

National Healthcare Summits
Three different quarterly summits for healthcare professionals in roles such as CNO,CIO and CFO. Each one is geared at a different population and group. Each of the summits address how the leaders can make changes in their healthcare facilities in order to initiate change.

National Health, Wellness, Prevention, and Fitness Conference
The annual conference about the necessity of treating people completely and helping them live healthy lifestyles and practice preventative medicine.

National Patient Safety Foundation
The NPSF's mission is to improve safety for patients. NPSF can make a long term, measurable difference by serving as a central voice, and NPSF will lead the transition from a culture of blame to a culture of safety. The National Patient Safety Foundation is the indispensable resource for individuals and organizations committed to improving the safety of patients.

The Nation's Health
America's Public Health Association's newspaper which covers public health in the nation and around the globe. Issues: patient's rights, food, safety, infrastructure, vision health, racial and ethnic disparities, environmental issues and traffic safety.

One River Grants
One River Grants does not provide grants, but helps healthcare institutions, practitioners, researchers, professional associations, advocacy organizations, and local and state governments maximize participation in grant-funded programs.

Office of Statewide Health Planning and Development (OSHPD)
The Mission of Office of Statewide Health Planning and Development (OSHPD) is to promote healthcare accessibility through leadership in analyzing California's healthcare infrastructure, promoting a diverse and competent healthcare workforce, providing information about healthcare outcomes, assuring the safety of buildings used in providing healthcare, insuring loans to encourage the development of healthcare facilities, and facilitating development of sustained capacity for communities to address local healthcare issues.

Outpatient 100 Conference
The annual conference will feature: in-depth, expert-led discussions on what it takes, right now, to prosper, Peer group dialogue and CEO/CFO panels designed to spark ideas, A keen focus on the development strategies that will drive growth, Innovative techniques and processes to make it happen, Cutting edge solutions for developing an outpatient enterprise.

Patient and Family Centered Care Conference
This annual conference showcases innovative healthcare programs that are committed to patient and family-centered care and meaningful collaboration with patients and families. The three day conference will feature formal and informal meetings, including plenary sessions, concurrent breakouts, round table discussions, workshops, a video theatre and poster presentations.

Patient Centered Primary Care Collaborative (PCPCC)
PCPCC is a coalition of major employers, consumer groups, and other stakeholders who have joined with organizations representing primary care physicians to develop and advance the patient centered medical home. The Collaborative believes that, if implemented, the patient centered medical home will improve the health of patients and the viability of the health care delivery system.

Primary Care Development Corporation (PCDC)
PCDC expands and enhances primary and preventative health care in underserved communities. PCDC helps deliver programs, promote public policies and works in partnership with the government, business, finance, philanthropy, health care providers and a wide variety of other organizations committed to the health care needs of underserved communities.

Robert Wood Johnson Foundation
The Robert Wood Johnson Foundation seeks to improve the health and healthcare for all America. Their priorities (in order) are access at a reasonable cost, quality of care for people with chronic conditions, promotion of healthy communities and lifestyle.

Society for the Arts in Healthcare
The SAH is dedicated to promoting the incorporation of the arts as an integral component of healthcare by: Demonstrating the valuable roles the arts can play in enhancing the healing process and advocating for the integration of the arts into the environment.

Stockle Center
The Stoeckle Center for Primary Care Innovation is devoted to revitalizing and redesigning the delivery of primary care in order to: provide the highest level of clinical excellence, provide an extraordinary experience of care for patients and their families, and create an exciting and fulfilling professional life for current and future primary care practitioners. As a reliable and trustworthy source of knowledge and leadership, we will partner with people throughout the country to improve primary care through collaborative work in research, innovation, education, and policy reform.

Teleosis Institute
The Teleosis Institute is devoted to developing effective, sustainable health care provided by professionals who serve as environmental health stewards. Teleosis is dedicated to reducing healthcare’s footprint while broadening its ecological vision. We believe in a health care system that conserves natural resources, promotes personal wellness, and begins with precaution. At the forefront of this sustainable medical system are health providers who take an active role in greening healthcare through example, education and advocacy.

Tides Foundation
Mission: Bringing together people, ideas and resources, Tides actively promotes change toward a healthy and just society, one which is founded on the principles of social justice, broadly shared economic opportunity, a robust democratic process and a sustainable environment. Tides believes healthy societies rely fundamentally on respect for human rights, the vitality of communities, and a celebration of diversity.

TransforMED
Focuses on practice redesign. TransforMED studies and implements transformed models of high performance practices that meets the needs of both patient and practice.

USGBC-Leed
The Leadership in Energy and Environmental Design (LEED) Green Building Rating System™ encourages and accelerates global adoption of sustainable green building and development practices through the creation and implementation of universally understood and accepted tools and performance criteria. LEED is a third-party certification program and the nationally accepted benchmark for the design, construction and operation of high performance green buildings. LEED gives building owners and operators the tools they need to have an immediate and measurable impact on their buildings’ performance.

Verizon Foundation
Our mission is to improve education, literacy, family safety and healthcare by supporting Verizon's commitment to deliver technology that touches life. We focus our philanthropic efforts on three overarching areas: education, safety and health.

Washington Square Health Foundation
The Washington Square Health Foundation, Inc grants funds in order to promote and maintain access to adequate healthcare for all people in the Chicago land area regardless of race, sex, creed, or financial need.

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