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Healthcare design is undergoing a revolutionary transformation. How can we create healing environments that embrace innovation, celebrate human diversity, and serve everyone in our communities? From reimagining cancer care delivery to integrating infection-resistant materials and sustainable product solutions, how can thoughtful design enhance the experience of patients, families, caregivers and clinical staff? With compassion and curiosity, host Cheryl Janis interviews the world's top wellness leaders and healthcare design professionals who are challenging conventional thinking and creating spaces that heal, nurture, and welcome all. Join us as we explore groundbreaking innovations and human-centered approaches that are reshaping the future of healthcare design.
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"Why limit ourselves? Why not actually have an ICU that is an ICU in all respects other than it doesn't have a ceiling?"-Dr. Philip Hopkins on HID2.0 THE WORLD'S FIRST FULLY FUNCTIONING OUTDOOR ICU — ON A ROOFTOP. 🤯 At first glance, the King's Critical Care Roof Garden at King's College Hospital in London might sound like another beautiful rooftop garden. It isn't. On the roof of the hospital's Critical Care Centre are six actual intensive care bed spaces surrounded by plants, flowers, fresh air and natural light. Built directly into the garden are medical gases, power and data — the infrastructure needed to care for even very sick ICU patients outside, beneath the sky. And getting it there was anything but simple. Over more than a decade, the project had countless opportunities to be derailed by the very things healthcare architects, designers and clinicians know so well: budgets, board meetings, changing leadership, evolving technology, infection control, fundraising, construction challenges and major changes to fire regulations. Today on Healthcare Interior Design 2.0, Cheryl Janis sits down virtually with Dr. Philip Hopkins, one of the three intensive care consultants on the original design board for the Critical Care Centre, who remained closely involved as the project moved from a radical idea to a functioning clinical environment. Together, Cheryl and Dr. Hopkins go behind the scenes of how this extraordinary project actually happened — how the team kept the idea alive through more than a decade of complexity, uncertainty and change. Along the way, former patients and families became vocal supporters. King's College Hospital Charity helped fund key elements of the project. A major donor with a personal connection to critical illness stepped forward. And the late Nigel Dunnett, one of Britain's most influential landscape designers, donated his services to help shape the vision of "a ward in a meadow." Dunnett described what they ultimately created as "the world's first functioning ward space in an external garden setting," offering full life support to patients. This episode is the story of how an idea as radical as a fully functioning ICU unit in a rooftop garden — the first of its kind in the world — was born, and how it survived more than a decade of obstacles to finally come to life. In this episode, Cheryl and Dr. Hopkins discuss: How the idea for an outdoor ICU began around 2012 — and the deceptively simple question that helped inspire it: Why recreate the sky inside when patients could experience the actual sky? The original design team and the role Dr. Hopkins, Dr. Thomas Best and Dr. Andre Verke played in shaping the new Critical Care Centre. Why the team had to install medical gases, power and data on the roof years before the garden itself was funded — taking a calculated risk because they knew it would be nearly impossible to retrofit later. What it takes to move a radical healthcare idea through a large institution when there is no established blueprint telling you exactly how to do it. How staying involved with the project for more than a decade gave the clinical team an extraordinary amount of institutional and project knowledge, even as leadership around them changed. The moment the project reached what Dr. Hopkins calls the "point of no return" — when so much time, money, human effort and belief had been invested that everyone agreed it simply had to be finished. The essential role of King's College Hospital Charity, former patients and families, and a major donor with a personal connection to critical illness. How the Grenfell Tower fire changed fire regulations in the UK, delayed the project, and ultimately led to a close working relationship with the London Fire Brigade that helped the team solve some of the roof garden's most difficult safety challenges. Why infection-prevention specialists were involved early in the process and what Kings is learning as patients begin using the outdoor ICU. How the team is
"I quickly fell in love with the complexity of the spaces, the ability to support people in their healing journey and support the caregivers who dedicate their lives to caring for others." –Jamie Raymond on The Healthcare Interior Design 2.0 podcast Jamie Raymond didn't set out to become a healthcare interior designer. An unexpected change during a summer internship led her to BSA LifeStructures — and on her very first day, to a cancer center. Nearly three decades later, healthcare design has become both her passion and her calling. On today's episode of Healthcare Interior Design 2.0, Cheryl speaks with Jamie Raymond, Healthcare Design Strategist and partner at Four Point Design, about why interior designers need a meaningful seat at the table early in the design process, what she has learned from a nearly 20-year relationship with Eskenazi Health, and why listening closely to caregivers can completely change the direction of a healthcare environment. Jamie shares some wonderful examples: mountain imagery that caregivers immediately associated with an EKG graph; butterflies that carried an unexpected meaning in a pediatric hospital; and staff lounges with beautiful daylight that caregivers didn't use because they were simply too far from their patients. The conversation also looks ahead at the forces reshaping healthcare interiors today — from post-COVID material durability and workforce pressures to modular construction, rapidly changing technology, and the continuing need to create spaces of calm, respite, dignity, and human connection. KEY TAKEAWAYS In this episode, Cheryl and Jamie discuss: How an unexpected summer internship led Jamie into healthcare design — and ultimately changed the direction of her career Why healthcare became far more than a specialty for Jamie and eventually became her calling The thinking behind Four Point Design's intentionally small, interiors-only practice Why interior designers need a meaningful seat at the table early in the planning and design process The difference between deeply understanding a project and becoming what Jamie calls a "finish picker" How an experienced interiors team can become an extension of an architecture firm and healthcare organization Jamie's nearly 20-year relationship with Eskenazi Health and what long-term continuity can teach designers What it means to walk through a hospital years later and see how design decisions have actually aged The commitment Eskenazi Health has made to maintaining the integrity of its original design, materials, artwork, and environment Why designers cannot assume they understand what caregivers need How caregiver visioning sessions uncover associations and meanings a design team could never predict The mountain imagery that caregivers immediately associated with EKG graphs The unexpected meaning of butterflies in one pediatric healthcare environment How furniture fairs allow caregivers to test, score, move, and interact with furniture before decisions are made What existing-facility tours reveal about how people really use healthcare spaces Why a beautiful staff lounge isn't useful if caregivers don't have enough time to reach it New approaches to caregiver respite spaces, including smaller rooms close to patient care areas How COVID permanently changed expectations around cleaning, disinfection, upholstery, furniture, flooring, and other healthcare materials How construction workforce challenges are influencing the wa
"It's mesmerizing. You can just sit there and watch them move, and you can see them from your chair if you're going through chemo from certain windows. So it's the ultimate positive distraction." — Kristin Ellingsen on HID2.0 In today's episode of Healthcare Interior Design 2.0, Cheryl Janis welcomes Kristin Ellingsen, CHID, NCIDQ, EDAC, and Facility Space Planner at City of Hope in Duarte, California, for a warm and deeply human conversation about Hope Plaza — an extraordinary cancer and diabetes care environment and one of the most recognized recent healthcare design projects in the country. Hope Plaza is an award-winning outpatient care building, but this conversation moves beyond the awards to explore what happens after opening day, when patients, families, caregivers, and team members begin moving through a space, returning to it, noticing it, depending on it, and sometimes even finding a favorite chair. Kristin helps us see Hope Plaza not only as a building, but as a healing landscape of art, light, ritual, nature, hospitality, and care. There are mountain views, softened curves, natural materials, a soothing water wall, gardens, sculpture, a campus art program, and a kinetic parking structure inspired by City of Hope's wishing-tag tradition. And yet, as Cheryl reflects, none of it feels like spectacle. It feels gentle. Supportive. Human. Throughout the conversation, Kristin shares how City of Hope's mission shapes the daily work of design. Unlike a typical acute care hospital, City of Hope serves patients who may return again and again over the course of treatment. That reality changes everything: seating must offer choice, views must soothe, wayfinding must reduce stress, and even the smallest details can become part of someone's care experience. One of the most moving stories Kristin shares is about a man waiting for his wife who told her, "This is my favorite chair." He had even looked underneath the chair to find its name: Charlotte. For Kristin, that moment confirmed something essential about healthcare design — that comfort, dignity, and choice are not luxuries. They matter. Kristin also shares her own unexpected path into healthcare design, beginning with a life that took her around the world, including Egypt, Egyptian Arabian horses, and eventually the experience of caring for her grandmother with dementia. That personal chapter opened her heart to senior living, memory care, universal design, and the deeply human side of healthcare interiors. This is a conversation about City of Hope, Hope Plaza, and the many ways design can create comfort, dignity, wonder, and moments of joy. In this episode, Cheryl and Kristin discuss: Why Hope Plaza has received such extraordinary recognition across healthcare design, interiors, architecture, development, and construction How light, mountain views, curved forms, stone, wood, and biophilic design shape the emotional experience of the building City of Hope's history, beginning in 1913 with a simple but powerful idea that compassion could change lives The way City of Hope's mission continues to guide daily decisions across the campus Why cancer and diabetes care environments require a different kind of attention to comfort, familiarity, and return visits Hope Plaza as a gateway to the City of Hope campus The importance of patient ambassadors and human help at moments of stress or uncertainty The art program at City of Hope and how sculpture, installations, rotating artwork, and gardens create moments of pause The wishing-tag tradition and how it inspired the kinetic façade of the award-winning parking structure Why Kristin calls the parking structure one of her favorite places on campus The role of gardens, the rose garden, sculpture areas, and outdoor spaces in creating respite The story of Charlotte, the favorite chair Why seating choice matters when patients and famili
"Can we design a small enough hospital where the intimacy of care matches the human scale, more residential than institutional?" — Mike McKay on the Healthcare Interior Design 2.0 podcast On today's episode of Healthcare Interior Design 2.0, Cheryl welcomes Mike McKay, AIA, ACHE, EDAC, LEED AP, Healthcare Market Sector Leader at Erdman. Mike's relationship with architecture began early — really early. In kindergarten, he was already building little cities in his basement to the scale of his Matchbox cars. Years later, during his last year at Ball State, a difficult four-day hospital stay gave him a deeply personal understanding of how healthcare environments can affect patients — and why, as Mike says, "we can do better." Cheryl and Mike explore Erdman's fascinating roots through founder Marshall Erdman, whose relationship with Frank Lloyd Wright helped shape the firm's early thinking around design, construction, prefabrication, and integrated project delivery. They also discuss Erdman's 1950s Doctors Park concept, a forward-thinking model that brought multiple physician practices together in a more accessible, community-based setting. The conversation also touches on Beverly Willis, FAIA, women in Frank Lloyd Wright's studio, Erdman's "under one roof" legacy, and the role of daylight, nature, evidence-based design, collaboration, and human scale in healthcare environments. At the heart of the episode is a question that feels both simple and profound: can we design healthcare environments where the intimacy of care actually matches the human scale? In this episode, Cheryl and Mike discuss: Mike's early path into architecture and healthcare design How a difficult personal patient experience shaped Mike's healthcare design perspective Marshall Erdman's relationship with Frank Lloyd Wright Erdman's early work on the First Unitarian Society Meeting House in Madison Prefabrication, industrialized construction, and Erdman's "under one roof" approach Doctors Park and the early evolution of community-based healthcare design Beverly Willis, women in Frank Lloyd Wright's studio, and women's leadership in healthcare design How Erdman's integrated project delivery mindset continues to influence the firm today Why healthcare projects need a clear "why" before design begins Data-informed design, advisory services, and strategic planning in healthcare The importance of daylight, nature, gardens, comfort, and domestic-scale spaces Why healthcare design must consider inward-facing and outward-facing spaces differently Mike's reflections on favorite Erdman projects, including senior living, emergency care, pediatric oncology, and behavioral health The importance of human scale in hospitals and healthcare environments Why the client, patient, staff, and community experience must remain at the center of every project KEY TAKEAWAYS Mike McKay's path into healthcare design was shaped by both professional opportunity and personal experience. An early hospital stay as a young architecture student left him with a vivid memory of how healthcare environments can affect patients — and a belief that design can do better. Erdman's roots are deeply connected to founder Marshall Erdman's relationship with Frank Lloyd Wright, beginning with Erdman's work as the contractor for Wright's First Unitarian Society Meeting House in Madison, Wisconsin. Marshall Erdman was ahead of his time in thinking about in
"Everything is shifting at once — our care models, technology, AI, capital pressures, workforce dynamics." — Elizabeth Sullivan on HID2.0 In this episode of Healthcare Interior Design 2.0, Cheryl Janis sits down with Elizabeth Sullivan, Principal and Regional Co-Leader of Healthcare Northeast at HOK and adjunct professor at The New York School of Interior Design for a deeply thoughtful conversation about healthcare architecture, lived experience, mentorship, and the future of humane healthcare environments. Elizabeth shares how she went from thinking healthcare architecture sounded "boring" to discovering that it is one of the most meaningful, complex, and human-centered areas of design. With experience spanning architectural practice, the owner side, teaching, and her own personal experiences as a patient, Elizabeth brings a rare and powerful lens to what healthcare spaces are — and what they still need to become. Together, Cheryl and Elizabeth explore the next wave of healthcare design, the importance of flexibility and adaptability, the emotional weight of hospitals, the role of respite spaces, and why small details — even the chair in a patient room — can have an enormous impact. In This Episode, Cheryl and Elizabeth Discuss Elizabeth's unexpected path into healthcare architecture Why healthcare design is far more creative, emotional, and complex than she first imagined How her experiences as a patient shaped the way she thinks about space The idea that healthcare architecture is on the edge of a major transformation Why future healthcare environments must be more adaptable and resilient How care models, AI, capital pressures, workforce dynamics, and sustainability are influencing design The importance of respite spaces for patients, families, and staff Why mentorship and apprenticeship still matter deeply in architecture What designers often misunderstand about the owner side of healthcare How curiosity can help young professionals find their place in healthcare design Why empathy is not abstract — it shows up in the questions designers ask The surprising importance of the chair in a patient room KEY TAKEAWAYS Healthcare design is deeply human. Elizabeth's early assumption that healthcare architecture would be overly technical changed when she realized the work is centered around people in some of life's most vulnerable moments. We are not waiting for transformation — we are already inside it. Elizabeth describes healthcare architecture as being on the cusp of a major shift, driven by care models, technology, AI, capital pressures, workforce dynamics, sustainability, infrastructure, and community health. <p dir="ltr" r
"Flexibility became our currency during COVID." –Brea E. Elles on HID2.0 In today's episode, Cheryl sits down virtually with Brea E. Elles, Healthcare Design & Construction Leader. Together they pull back the curtain on what owner-side leadership really looks like when capital planning meets real-world constraints: staffing shortages, reimbursement uncertainty, supply chain, and the relentless need to keep care moving. You'll hear her practical frameworks for designing "for flow," why standardization can reduce cognitive stress for clinicians, and how teams can protect performance when budgets tighten. And if you love the details, Brea goes delightfully nerdy on the behind-the-scenes decisions that make healthcare millwork and furniture succeed (or fail) over time — from seams and water intrusion to integrated sinks, chemical resistance, and specs written for performance. In this episode, we cover: What it actually means to sit at the intersection of finance + operations + design + construction—and why alignment is the job. The teaching mindset that carries into project leadership: if you can't explain why, you don't fully understand the decision. Lean healthcare design in one phrase: design for flow—patient flow, staff flow, equipment flow, information flow. A blunt truth: "Every unnecessary step is a cost"… and inefficient adjacencies compound into burnout. How policy/funding uncertainty (including the "Big Beautiful Bill") shows up as more disciplined revenue assumptions, phasing, and scope restraint. Why patient experience isn't just the lobby: staff experience drives patient experience through workflow and physical demands. The post-COVID shift that won't go away: conversion speed + flexibility as core performance. "Standardization is resilience": how standards reduce cognitive load and keep clinicians focused on care. Rural vs urban: durability, simplified infrastructure, and designing for a community asset that carries generational weight. Plyhouse and the millwork "nerd-out": infection prevention through seam minimization, integral sinks, edge protection, chemical resistance—and specs written for performance. Memorable quotes from Brea "I sit at the intersection of finance, operations, design, and construction." "I align people who think differently." "If you can't explain why a decision matters, you don't fully understand it." "Every unnecessary step is a cost. Every inefficient adjacency becomes burnout over time." "You're designing for the person that's moving through the space, not the person photographing it." "Standardization is resilience." "In urban systems, you manage complexity. In rural systems, you're managing vulnerability." "I saw a disconnect between specification and reality." "Specs should be designed for performance, not just by material type." "When you think about surfaces, you want to minimize your seams." "In order to have patient experience… it's also staff experience." "Design for flow… not just patient flow, but staff flow, equipment flow, information flow." Links & ways to connect Email: brea@p
"The best way to think of it is like a do not use ingredient list, similar to checking a food label — but for buildings." — Susan Suhar on HID2.0 Today on the podcast, Cheryl sits down with Susan Suhar — Design Principal- Interiors and Associate Vice President at HDR Architecture in Los Angeles — to talk about what's changing (and what's timeless) in healthcare design. With 25+ years designing award-winning environments across healthcare, workplace, and life science, Susan brings a rare mix of creative vision and real-world rigor — designing for the whole ecosystem: patients and families, yes, but also the staff doing the caring every single day. Susan helps lead the vision and growth of HDR's LA interiors practice, and she's been deeply involved in major healthcare work including Cedars-Sinai's Marina del Rey Hospital and the UCSF Helen Diller Hospital project in San Francisco (part of a collaborative design team). In this conversation, Susan and Cheryl dig into the shifts shaping healthcare interiors right now — from behavioral health and outpatient growth, to sustainability, staff respite spaces, and why empathy still belongs at the center of every healing environment. WHAT WE COVER Why healthcare interiors serve "one of the broadest ranges of humans in human emotion" — all at once Susan's origin story: how universal design shaped her purpose as a designer What's unique about designing healthcare in California (and specifically Los Angeles) Key shifts shaping healthcare design today: -behavioral health -the evolving patient + staff experience -outpatient growth and the rise of same-day procedures How shorter schedules are changing design + documentation — and where AI fits (supporting, not replacing) Cedars-Sinai Marina del Rey Hospital: designing a community hospital that feels sophisticated, elegant, and not like a hospital The "sea change for healing" concept: waves, journey, light-on-water (and an unforgettable chapel + meditation patio) UCSF Helen Diller Hospital: iconic architecture, fog-response interiors, and major investments in respite, sustainability, and health "Red list free" in plain language — and why it matters in a hospital Why staff spaces are not optional: sleep rooms, respite, and protecting caregiver wellbeing Susan's guiding principle: empathy, and the questions that make design better KEY TAKEAWAYS Design empathy isn't a vibe — it's a practice. It shows up in how we listen, what we prioritize, and what we protect in the program. Staff experience is patient experience. If we don't design for caregiver wellbeing, we quietly erode care quality. Sustainability + health transparency are converging. Materials aren't just about durability and aesthetics anymore — they're about human impact, too. The pace is changing. Faster schedules are pressuring teams to get more efficient without losing the design story or the details. RESOURCED MENTIONED PROJECTS + IMAGES • HDR – Cedars-Sinai Marina del Rey Hospital (project page) https://www.hdrinc.com/portfolio/cedars-sinai-marina-del-rey-hospital • HDR – UCSF Health Helen Diller Hospital (project page) https://www.hdrinc.com/portfolio/ucsf-health-helen-diller-hospital • UCSF Real Estate – Helen Diller Hospital project overview https://realestate.ucsf.edu/projects/ucsf-health-helen-diller-hospital-hdh • Herzog & de Meuron – UCSF Health Helen Diller Hospital (project page) https://www.herzogdemeuron.com/projects/547-ucsf-helen-diller-medical-center-2/ CEDARS-SINAI UPDATES • Cedars-Sinai Newsroom – "New Cedars-Sinai Marina del Rey Hospital Rises" (includes video/update) https://www.cedars-sinai.org/newsroom/new-cedars-sinai-marina-del-rey-hospital-rises/ • Cedars-Sinai Newsroom – "Construction Begins for New Cedars-Sinai Marina del Rey Hospital" <a href= "https://www.cedars-sinai.org/newsroom/construction-begins-for-new-cedars-sinai-marina-del-re
"Art is underutilized as a tool. We should ask: what's the intent behind this piece? Why this piece… and what is this going to do for patients?" —Ghina Itani on HID2.0 What if "beautiful" isn't just a nice-to-have — but a clinical tool? In this episode, Cheryl sits down with Ghina Itani, MBA, CHID, NCIDQ, ASID, EDAC — founder and principal designer of Itani Design Concepts (woman-owned, founded in 2007). Together they unpack how healthcare design decisions ripple outward: influencing everything from patient stress to staff retention, wayfinding, and even workplace culture. You'll hear Ghina's origin story — including the moment she rediscovered her portfolio in a box during her "little ones" season and realized her career was still waiting — and how one early hospital project helped raise expectations for what healthcare spaces could feel like. Then we will dive deep into neuroaesthetics (the brain's response to beauty and environment), why designers must avoid "paint-by-numbers" claims, and how color research can be shared without overpromising. Along the way, Ghina breaks down the famous Baker–Miller Pink story and what it teaches us about context, demographics, and why no single color is a universal prescription. Finally, you'll explore art as care — including the idea of museum prescriptions — and why art is often underutilized as a real tool for healing and connection (not just decoration.) What you'll hear in this episode A powerful origin story about timing, identity, and returning to ambition Why healthcare design is never just aesthetic — it's operational Neuroaesthetics: what it is, why it matters, and what it isn't Color guidelines: where they help… and where they fall apart The "pink prison" story — and what it teaches about context over clichés How designers can present research logically (especially with clinical leaders) Art as a care intervention, not an accessory — including museum prescription programs Why instinct still belongs in evidence-based work Key Takeaways Design has reach. A chair choice can affect not just comfort — but operations, loyalty, and even patient flow. Color isn't a magic button. It's about dose, placement, scale, lighting, and culture — not "blue = calm." Neuroaesthetics is a lens, not a guarantee. Designers can use research to guide decisions without promising outcomes. Inclusion builds trust. Bringing staff and stakeholders into the design process reduces resistance and improves buy-in. Art can be therapeutic. When chosen with intent, it can open conversation, reduce stress, and support care experiences. Memorable Quotes from Ghina Itani "I kind of realized that… my career is waiting. It's right here." "I took chances and I was gutsy." "Even if I didn't have an idea what I'm doing at the time, I always think: I'm going to figure it out." "When an opportunity comes, you have to seize it." "If I think too much about something, I probably won't do it." "Owning a business and being a designer are two different things." "Now we're affecting operation." "We cannot just say, this color gives you this outcome." "Neuroaesthetics is misunderstood… it's not a prescription that you put it and solve the problem." <li d
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Healthcare design is undergoing a revolutionary transformation. How can we create healing environments that embrace innovation, celebrate human diversity, and serve everyone in our communities? From reimagining cancer care delivery to integrating infection-resistant materials and sustainable product solutions, how can thoughtful design enhance the experience of patients, families, caregivers and clinical staff? With compassion and curiosity, host Cheryl Janis interviews the world's top wellness leaders and healthcare design professionals who are challenging conventional thinking and creating spaces that heal, nurture, and welcome all. Join us as we explore groundbreaking innovations and human-centered approaches that are reshaping the future of healthcare design.
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