Quick project snapshot

• Describe the project you are considering in one paragraph, including unit type, current bed count, and your target timeline.
• Which inpatient floors are you considering for conversion and how many beds does each floor contain? Options: One floor, fewer than 50 beds, One floor, 50-100 beds, Multiple floors, total 100-300 beds, Multiple floors, total 300-800 beds, Unsure / need assessment
• Estimate your current average discharges per bed per month on those floors. Options: Less than 6, 6–8, 9–11, 12–14, 15 or more, Unsure
• Who will be the primary decision maker signing the project budget and who will own clinical acceptance? Options: Chief Nursing Officer, VP of Facilities, CFO, Shared committee, Other
• On average, how many same-day observation patients do these units handle in a typical month?

What safety or survey risk are you accepting today

• What safety or Joint Commission risk are you accepting today by keeping the current room configurations? Options: Line-of-sight monitoring gaps, Infection-control breaches, Medical gas access issues, Emergency egress or clearance problems, Not sure / need review
• Give a concrete example from the past year when a room layout forced a clinical workaround that affected monitoring or infection control.
• How often do those workarounds happen, per shift or per day, on the typical unit? Options: Multiple times per shift, Once per shift, A few times per day, Weekly, Rarely
• When sight-lines fail, what is the immediate operational consequence you see most often? Options: Delayed vital checks, Increased sitter use, Transfer delays, Incident reporting, Other
• Which clinical tasks are most frequently delayed because of clearance or equipment placement issues? Options: Medication administration, Patient observation, Procedural setup, Turnover and cleaning, Other

Where throughput actually stalls

• Where does patient throughput stall most on the unit — triage, admission, transfer, or discharge? Options: Triage / intake, Bed assignment / admission, In-unit procedures / observation, Transfer between levels of care, Discharge and bed turnaround
• In the past three months, how many days did the unit exceed expected length of stay targets because of layout-related delays? Options: 0–3 days per month, 4–7 days per month, 8–12 days per month, More than 12 days per month, Unsure
• Tell me about the last day you had to surge patients because rooms could not support same-day observation flows, what happened and who managed it?
• If throughput improvements fall short of your target, which downstream cost becomes most acute for you? Options: Lost revenue, Increased staffing overtime, Patient experience penalties, Diversion or offloads, Other
• Who on your leadership team is measured on throughput metrics and how are those metrics reported? Options: CNO only, CNO and VP Facilities, CNO, VP Facilities, and CFO, Operational excellence team, Other

Clinical sight-lines, equipment, and non-negotiables

• What single sight-line or equipment constraint would cause the chief nursing officer to reject a proposed design? Options: Inability to observe three beds from nurse station, Headwall relocation not possible, Lack of monitor visibility at bedside, No workable isolation placement, Other / specify
• Describe any fixed medical gas, headwall, or monitoring equipment locations that cannot be moved without a capital project.
• Do you maintain as-built drawings or BIM models for the target floors and are they shareable with a design partner? Options: Full BIM available, CAD as-built drawings, Partial drawings only, No as-built documentation, Unsure
• Are there room types that must remain in service during construction due to acuity or isolation needs? Options: Yes, isolation rooms, Yes, telemetry beds, Yes, procedural rooms, No, can take rooms offline, Unsure
• List any infection-control protocols or materials restrictions the design must follow beyond standard hospital guidance. Options: HEPA / negative pressure requirements, Non-porous finish mandates, No open-ceiling access, Surface-cleanability standards, Other / explain
• Estimate the percentage of rooms on your target floors that will require medical gas work or new headwalls in a typical renovation. Options: 0–10%, 11–25%, 26–50%, 51–75%, More than 75%, Unsure

Construction realities that derail projects

• When phased construction has run off schedule in your experience, what single cause mattered most? Options: Long-lead equipment delays, Contractor sequencing failures, Unexpected MEP work, Infection-control plan changes, Other
• Name the long-lead items that have delayed previous renovations at your hospital. Options: Custom millwork, Medical gas manifolds, Specialty lighting, Monitors and AV equipment, Other
• Do you have a preferred contractor list and are those contractors willing to work in occupied clinical units? Options: Yes, preferred and willing, Yes, preferred but limited, No preferred list, Unsure
• Confirm whether separate infection-control plans and sign-off approvals are required by your system or by local health authorities. Options: System-level infection control review required, Local health authority review required, Both required, No additional review, Unsure
• How much contingency budget do you typically reserve for unanticipated clinical coordination costs in similar projects? Options: None, 5%–7%, 8%–12%, More than 12%, Unsure
• Identify the occupancy or operational constraint that would immediately stop construction on a floor.

The options you are weighing

• List the alternatives you are weighing right now, including incumbent designers, large firms, and internal redesign efforts. Options: Incumbent design firm, Large architecture firm, Internal facilities team, Hybrid consultant + internal, Other
• Under what conditions would you choose to keep your current vendor or approach instead of hiring an external interior design specialist? Options: Proven post-occupancy metrics, Lower cost, Faster schedule, Familiarity with team, Other
• Has anyone on your team proposed solving the layout and throughput issues without an outside partner? Options: Yes, full internal proposal, Yes, partial in-house work, No internal proposal, Unsure
• Identify internal groups who would own an in-house redesign and the resource gaps they currently lack to execute it.
• If you stayed with your current approach, what measurable evidence would make that decision defensible to the CFO? Options: Documented throughput gains from similar projects, Clear cost savings, Minimal disruption plan, Warranty or performance guarantee, Other

Measuring success and acceptance criteria

• Suppose a pilot delivered a 17 percent increase in discharges per bed, what would stop you from approving a roll out within a quarter? Options: Budget not approved, Clinical acceptance incomplete, Contract or legal hold, Resource or staffing limits, Nothing would stop approval
• Please provide the exact throughput target you need to justify the investment, expressed as percent discharges per bed per month. Options: <10%, 10%–14%, 15%–19%, 20%–25%, 25%+
• In practice, how does the CFO compare post-occupancy evidence to upfront cost when approving this type of project? Options: Post-occupancy evidence is primary, Cost is primary, Both weighted equally, Depends on project size, Unsure
• Provide the acceptance criteria the chief nursing officer requires on a formal checklist before signing occupancy.
• Name the post-occupancy measures you require for validating throughput improvements and who will own each metric.
• State the timeline for post-occupancy measurement the CFO would accept before final payment. Options: 2 weeks, 30 days, 60 days, 90 days, 6 months

Operational readiness and hard constraints

• Assuming as-built drawings and named owners are not yet available, what prevents you from committing to a start date?
• Confirm whether BIM, CAD, or accurate as-built drawings exist for the target floors and who currently owns them. Options: Full BIM owned by facilities, CAD as-built owned by facilities, Partial records, No documentation available, Unsure
• Please confirm if you have a dedicated internal project manager and a clinical liaison who will be available for regular coordination. Options: Both assigned, Project manager only, Clinical liaison only, Neither assigned, Unsure
• Provide any contracts, approvals, or survey timelines that could block permitting or occupancy sign-off, for example Joint Commission scheduling windows.
• Specify the internal IT or facilities systems the design must integrate with, for example nurse call, monitoring, or asset tracking. Options: Nurse call, Bedside monitoring, Building automation, Asset tracking, None, Other
• Point to the single readiness gap that would force you to pause or delay kickoff. Options: No documented drawings, No clinical owner, Budget not approved, Contractor unavailability, Other

Acceptance, handover, and invoicing triggers

• Point out the item on your acceptance checklist that has historically caused the most rework or failed inspections. Options: Medical gas certification, Infection-control verification, Equipment placement testing, Sight-line confirmation, Other
• State the required sign-off roles and the sequence of approvals before final invoicing.
• Indicate if a separate infection-control acceptance walk with nursing and infection prevention is required before occupancy. Options: Yes, required, Optional but recommended, Not required, Unsure
• Share the evidence or test results that must be delivered to validate medical gas and equipment placement. Options: Medical gas pressure tests, Headwall installation reports, Equipment calibration certificates, Visual sight-line photos, Other
• Specify who signs off on throughput validation and what numeric threshold triggers final acceptance.

Decision drivers and next steps

• Assuming a pilot proves the numbers, what would still prevent immediate approval and deployment across the target floors? Options: Budget gating, Clinical acceptance pending, Contract negotiations, Staffing or vendor capacity, Nothing, approval would proceed
• Select your ideal project start month from the options below. Options: Next 30 days, Next 60 days, Next 90 days, Quarter after next, Flexible / no fixed date
• Outline the budget approval gates and who controls each gate within your organization.
• Would you be open to a pilot on a single nursing unit to prove throughput, or do you require a full-floor commitment? Options: Open to a single-unit pilot, Require full-floor commitment, Undecided / need guidance, Depends on cost
• Indicate the unit that is lowest risk to pilot first and explain why.
• Share the documents or approvals you need from us to brief your CFO next week. Options: High-level ROI memo, Case studies with metrics, Preliminary scope and cost estimate, Phasing and infection-control plan, Other

• Solution Experience: Design, Workflow, and ROI

• You confirm the documented current state and accept the quantified operational consequence tied to lower discharges-per-bed.
• Confirm the current state and its cost
• Deliver two costed design option packages (Option A and Option B) with annotated sight-lines, equipment clearances, infection-control finish notes, and phased construction outlines within 7 business days.
• You validate that one of the presented design options removes the nurse workarounds and meets sight-line and infection-control requirements.
• Map the operational consequence
• Run the ROI model using your average case-mix and recent capacity analysis and deliver a sensitivity table showing discharges-per-bed outcomes under three scenarios.
• Provide the latest Joint Commission physical environment findings, the most recent capacity analysis, and three representative clinical workflows for observation patients to validate assumptions.
• You accept the ROI projection showing a credible path to a 15–20% increase in discharges per bed per month for at least one option, or identify the remaining data needed to finalize the projection.
• Review Design Option A, annotated for sight-lines and clearances
• Schedule a follow-up workshop to review phased construction sequencing and procurement risks after the design packages are delivered.
• Review Design Option B, focused on phased construction and risk mitigation
• You agree the next deliverables required to reach Mutual Commit, and the timeline for each deliverable.
• Show the ROI and discharges-per-bed projection
• Validate the fit, explicitly
• Agree next evidence and decision steps

• Solution Experience: Design, Workflow, and ROI
• Solution Experience Deck
• Solution Brief: Design Options and ROI

• meeting
• slides
• document

• Site Recon and Constraints Inventory
• Clinical Workflow and Sight-Line Validation
• Equipment Footprint and Medical Gas Coordination
• Infection-Control Phasing and Construction Constraints Workshop
• Constraints Validation and Readiness Decision

• List of required temporary equipment and inspection triggers to be procured before work starts.
• Compile the long-lead item register with procurement lead times for inclusion in the project schedule.
• Review infection-control requirements and policy triggers
• Draft infection-control phasing plan that specifies zones, temporary barriers, and air handling requirements for each construction phase.
• Construction constraints register with mitigation measures and acceptance checks for each phase.
• Confirm scope and success metrics
• Produce the infection-control phasing plan document with checklists for each phase and distribute to construction and clinical teams.
• List required temporary barriers, negative air units, and cleaning protocols and include procurement notes.
• Schedule phase acceptance inspections and define the evidence required to close each inspection item.
• Review consolidated constraints package
• Formal decision to proceed to Solution Scope or a documented gating list with deadlines for required evidence.
• Clear list of outstanding evidence and measurements required, with target dates for delivery.
• Agreed next meeting or milestone date for kickoff of Solution Scope once gating items are closed.
• Publish the consolidated constraints package or the gating item list with deadlines and distribution to all stakeholders.
• Collect and attach any outstanding measurements, photos, or engineering confirmations required to close gating items.
• Confirm the date and agenda for the Solution Scope kickoff or the follow-up validation session after gating items close.
• Validated list of site constraints affecting sight-lines, equipment clearance, infection control, and phasing, prioritized by risk.
• Catalog of required field measurements and evidence needed to resolve open questions.
• Agreement on next steps and timing for follow-up data collection.
• Produce and distribute the prioritized site constraints inventory with annotated plans within 48 hours.
• Collect the field measurements and photos listed during the walkthrough and attach to the constraints inventory.
• Schedule targeted follow-up sessions for any spaces that require deeper investigation.
• Recap prioritized constraints and scope for this session
• Annotated floor plan with required sight-line zones and bedside orientation notes accepted by clinical and facilities participants.
• Clear, testable sight-line acceptance criteria and a measurement protocol documented for future validation.
• List of any plan options that require clinical exceptions or further design review.
• Update construction drawings with the annotated sight-line zones and distribute for design incorporation.
• Document the sight-line measurement protocol including sample photos and distances to be collected at acceptance.
• Record any clinical exceptions that will require a formal waiver or alternative mitigation and list the evidence needed.
• Confirm equipment list and required operational clearances
• Signed equipment clearance matrix that lists footprints, clearances, and required mounting or access allowances.
• Medical gas action list showing outlets to be added, moved, or verified and any required engineering approvals.
• Long-lead item register with lead times and coordination notes captured for procurement planning.
• Publish the equipment clearance matrix with attached footprint files and annotated plans.
• Produce a medical gas coordination sketch and submit it to the engineering or utilities team for feasibility review.
• Walk the floor plans and existing conditions
• Resolve outstanding disputes and evidence gaps
• Map phased work zones and patient/staff circulation during each phase
• Map equipment footprints onto the annotated floor plan
• Simulate typical nursing workflows and handoffs
• Annotate sight-line zones and critical viewing points on the plan
• Identify sight-line obstructions and measurement needs
• Identify construction activities that require mitigation
• Make readiness decision
• Verify medical gas outlet locations and regulatory constraints
• Identify long-lead items and contractor coordination needs
• Set phasing milestones and acceptance checks for each phase
• Agree sight-line acceptance criteria and measurement method
• Document infection-control zones and temporary separation needs
• Prioritize constraints and open questions

• Renovation Construction Documentation Set
• Medical Gas and Services Riser Drawings
• Infection-Control Finish Specification Package
• FF&E Specification and Procurement Management
• Custom Millwork Fabrication Drawings and Coordination
• Equipment Clearance and Sight-Line CAD Overlays
• Monitoring Device Placement Layouts
• Phased Construction Staging and Sequencing Drawings
• Onsite Installation and Staging Oversight
• Lighting Design and Photometric Plans
• Joint Commission Physical Environment Documentation
• Post-Occupancy Throughput Measurement Report

Renovation Construction Documentation Set

• Provide the list of existing as-built drawings you will supply (for example: floor plans, reflected ceiling plans, structural, mechanical/electrical/plumbing (MEP) sets).
• Do you require permit-ready construction documents including architectural, structural, and MEP coordination drawings? Options: Yes, No
• Specify the drawing deliverable stages you expect (schematic design markups, 50% construction documents, 100% construction documents, permit set). Options: Schematic markups, 50% construction documents, 100% construction documents, Permit-ready set
• Who on your facilities team will be the single point of contact for site-condition clarifications and redline approvals?
• What acceptance criteria will confirm the construction documentation set satisfies the Joint Commission physical environment checklist and is permit-ready?

Medical Gas and Services Riser Drawings

• Identify the types and quantities of bedhead medical gas outlets required per room (for example: oxygen, medical air, suction) that must appear on riser drawings.
• How many riser zones or new valve stations will be created or modified on the affected floor? Options: None, 1, 2, 3 or more
• Who will provide or approve the medical gas as-built records and will supply certification reports after installation testing?
• State any required isolation valve locations or shaft access constraints per your hospital standards that must be reflected on the drawings.
• Provide any existing medical gas testing reports or utility tie-in requirements that will affect sequencing or riser coordination.

Infection-Control Finish Specification Package

• Which infection-control authorities should govern finish selection (for example: hospital infection prevention program, Joint Commission physical environment standards, Centers for Disease Control and Prevention infection control guidance)? Options: Hospital IP program, Joint Commission checklist, CDC guidance, Other
• List the high-touch surfaces and treatment zones that require impervious or specified finishes (for example: bed rails, headwalls, medication rooms, clean utility).
• Do you require finish mockups on-site for nurse-validated cleanability before final approval? Options: Yes, No
• State the cleanability or testing thresholds finishes must meet (for example: ASTM test references, hospital wipe-down protocol frequency, approved seam types).
• Identify any finishes that are out of scope for this engagement (for example: specialty upholstery, custom textiles, third-party-applied coatings).

FF&E Specification and Procurement Management

• What is your target procurement budget range for furniture, fixtures, and equipment (FF&E) for this phase? Options: Under $50,000, $50,000 - $150,000, $150,000 - $500,000, Over $500,000
• Require single-source procurement with hospital trade accounts and vendor preapproval, or prefer competitive bids per item? Options: Single-source with trade accounts, Competitive bidding by category, Hybrid - selected single source, others competitive
• How many distinct FF&E packages should be produced (for example: patient room, nurse station, corridor, staff lounge)? Options: 1, 2, 3, 4 or more
• Please name the internal approver who will sign off on FF&E selections and final vendor orders.
• Indicate required lead times for long-lead FF&E items (for example: custom casework, specialty seating, acoustic panels) to include in procurement schedules.

Custom Millwork Fabrication Drawings and Coordination

• Describe the millwork types required (for example: headwalls, medication cabinets, nurse station counters) and reference any existing shop drawing standards we must follow.
• Will millwork items require embedded medical gas chases, equipment mounting blocks, or integrated cable management that we must coordinate with MEP and biomedical engineering? Options: Yes, No, TBD
• Define field-fit tolerances at critical interfaces (for example: headwall to bedhead medical gas outlets, headwall to floor finish) that the fabricator must adhere to.
• Confirm the approver for shop drawings and fabricated mockups and whether samples must be reviewed by clinical staff before release to production. Options: Facilities approver, Clinical approver (CNO or designee), Both facilities and clinical, Other
• Indicate whether site modification allowances are included in the fixed scope or if change orders will be required for field-adapted millwork. Options: Allowances included, Change orders required for field work, Hybrid - list exceptions

Equipment Clearance and Sight-Line CAD Overlays

• Which clinical equipment models must be included in CAD overlays for clearance checks and sight-line validation (for example: bed model, ceiling-mounted lifts, telemetry monitors)?
• State the number of typical room layouts you want modeled for sight-line studies (for example: single observation, 2-bed alcove, procedure-ready room). Options: 1, 2, 3, 4 or more
• Provide clinician-validated mounting heights and clearances for bedhead equipment and monitor arms that must be represented in the CAD overlays.
• Who will supply clinician sign-off for sight-line diagrams and final clearance overlays?
• Are there fixed architectural constraints we must model (for example: fixed glazing sight-lines to nurse station, fixed mechanical chases) that affect equipment placement? Options: Yes, No

Monitoring Device Placement Layouts

• Which monitoring device families and connectors must be shown (for example: telemetry modules, nurse call, wired network jack, power circuit designation) for each bed location?
• What are the required mounting interfaces for monitoring devices (ceiling-mounted, wall-mounted, headwall-mounted) and any preferred manufacturers' mounting brackets we must accommodate? Options: Ceiling-mounted, Wall-mounted, Headwall-mounted, Other
• Provide the expected network and power provisioning per bed (for example: number of data drops, dedicated isolated power circuits, UPS requirements) for coordination with IT and electrical teams.
• Who is the hospital biomedical or clinical engineering contact who will approve device locations and provide cable/connector specifications?
• Are there hospital telemetry or monitoring standards we must follow for alarm sight-lines and visibility to the nursing station? Options: Yes - provide standard, No, TBD

Phased Construction Staging and Sequencing Drawings

• Which clinical zones must remain operational during construction and must be isolated by phase (for example: active observation wing, med-surg corridor)?
• Describe any infection-control phasing constraints for construction access (for example: negative-pressure anterooms, temporary barriers, HEPA-filtered exhaust) that sequencing must honor.
• List required construction access windows and times you limit for disruptive activities to protect nursing workflows (for example: weekends, nights, specified day-parts).
• Who will be the hospital point of contact for daily phasing coordination and change-order approval during staged work?
• What acceptance criteria will confirm the proposed phasing and sequencing drawings demonstrate acceptable clinical continuity (for example: maximum number of closed beds per phase, nurse station sight-line preservation)?

Onsite Installation and Staging Oversight

• Do you require the design team to provide on-site installation supervision and staging oversight for FF&E and millwork deliveries? Options: Yes - full-time during delivery/install, Yes - periodic/site visits, No - owner to manage
• Specify the hospital-required vendor credentialing, health screening, and infection-control orientation that all installers must complete before site access.
• Name the receiving and staging area on campus we should use for vendor deliveries and whether we must coordinate with central stores.
• Indicate whether the hospital requires lockout/tagout (LOTO) procedures or specialized contractor safety plans when coordinating installs near medical gas or electrical panels. Options: Yes - LOTO required, No, Not sure
• Who will sign off on condition inspection forms for delivered FF&E and millwork before items are accepted into staging?

Lighting Design and Photometric Plans

• Which areas require engineering photometric plans with target lux levels (for example: bedside at 300 lux, nurse station task areas at 500 lux)?
• Provide any hospital standards for color-rendering index (CRI), correlated color temperature (CCT), or lighting control zones that must be followed.
• Do you require lighting mockups (on-site or lab) to validate finish interactions and clinician visibility at bedside? Options: Yes, No
• Who is the facilities or biomedical contact for confirming emergency and night lighting performance and integration with existing emergency circuits?
• Indicate any restrictions on fixture placement near medical gas outlets, ceiling-mounted pendants, or nurse-call devices that the photometric layout must respect.

Joint Commission Physical Environment Documentation

• Which specific Joint Commission physical environment standards or checklist items must be explicitly called out in our documentation (for example: sight-lines, medical gas labeling, infection-control interfaces)?
• Provide any prior Joint Commission survey findings on the affected unit that we must address in scope and remediation drawings.
• Who will be responsible for final survey-ready sign-off and coordination with your compliance team before turnover?
• State the documentation package you require for survey readiness (for example: as-built drawings, manufacturer cut sheets, certification records, infection-control mockup photos).
• Are there mandatory labeling or color-coding conventions for medical gas and life-safety systems your team enforces that we must apply on drawings? Options: Yes - provide standard, No, TBD

Post-Occupancy Throughput Measurement Report

• What baseline throughput metrics will you provide for comparison (for example: current discharges per bed per month, average length of stay, observation-to-discharge ratio)?
• Which EMR (electronic medical record) or patient-flow report exports can we access to measure discharges per bed and validate outcomes post-occupancy?
• By what post-occupancy timeline should the throughput measurement report evaluate outcomes (for example: 30 days, 90 days, 6 months)? Options: 30 days, 90 days, 6 months, Other
• Who on your operations or informatics team will own data extraction and verification for the throughput analysis?
• What evidence will validate achievement of the targeted discharge improvement (for example: percentage increase in discharges per bed per month, peer-comparable control unit, run chart showing pre/post performance)?

• Master Services Agreement (MSA)
• Statement of Work (SOW)
• Phasing Schedule Addendum
• Billing & Sign-off Milestones
• Acceptance Criteria & Throughput Validation
• Workmanship & Warranty Agreement
• Change Order Agreement
• Insurance, Indemnity & Liability Rider
• Regulatory & Joint Commission Compliance Addendum
• HIPAA Business Associate Addendum (BAA)
• Post-Occupancy Measurement & Success Agreement

• Post-Occupancy Go-Live Health Check
• First Measurement Review (Weeks 4-10)
• 90-Day Realization Review
• Quarterly Operational Review
• Annual Outcomes Validation and Evidence Capture

• Update the enhancement backlog with ranked items and target implementation quarters.
• Collect and store the clinical compliance documentation and infection-control verification for inclusion in the evidence package.
• KPI trend review
• Ensure throughput and turnover metrics remain at or moving toward the targets recorded in the Solution Scope.
• Maintain a prioritized action list for enhancements and close down outstanding blockers each quarter.
• Confirm scheduled training and maintenance to prevent regression in throughput performance.
• Reconfirm acceptance criteria and owners
• Run a staff refresher session focused on discharge workflows and sight-line observations within the next 60 days.
• Publish the quarterly KPI dashboard and circulate to named owners for monitoring.
• Present 12-month outcomes and ROI
• Confirm the annualized throughput improvement and ROI relative to targets recorded in the Solution Scope.
• Deliver a complete post-occupancy evidence package suitable for CFO and clinical governance review.
• Agree a sustainment cadence and ownership for ongoing monitoring beyond the first year.
• Produce and distribute the finalized post-occupancy evidence package including KPI charts, case examples, and compliance documentation.
• Create a 12-month sustainment plan with quarterly checkpoints and update the operations handbook accordingly.
• Archive project documentation and procurement records for regulatory and audit readiness.
• All acceptance criteria recorded in the Solution Scope have a named owner and an initial remediation timeline.
• A prioritized punch-list of safety, compliance, and operational defects is published for action within 48 hours.
• Training gaps that could impact throughput are identified and scheduled for completion within two weeks.
• Publish the initial punch-list with owners and target completion dates.
• Schedule targeted bedside workflow refresh sessions to address observed deviations.
• Enable a short daily open-issues check-in for the first two weeks to monitor remediation progress.
• Present first-month outcome data vs targets
• Confirm whether discharges per bed per month and average discharge-decision-to-departure time are trending toward targets recorded in the Solution Scope.
• Identify the top 3 root causes for any shortfalls and assign remediation tasks with completion dates.
• Confirm data collection integrity so future comparisons are reliable.
• Produce a short remedial plan listing layout, staffing, and equipment actions with target dates for the 90-day review.
• Correct or augment the data capture process for discharge timing to eliminate measurement noise.
• Order any identified long-lead items or equipment expected to impact throughput within the next 30 days.
• Present 90-day outcomes and trend analysis
• Decide which throughput targets recorded in the Solution Scope are met and which require further remediation.
• Have a timebound closure plan for all remaining clinical and facilities issues that impact throughput.
• Assemble the initial post-occupancy evidence package for CFO and clinical review.
• Publish the 90-day outcomes report including trend charts and representative case examples.
• Schedule targeted modifications (minor millwork, equipment repositioning) with completion dates aligned to the closure plan.
• Operational walkthrough feedback
• Operational issues and blocker burn-down
• Compliance and Joint Commission readiness summary
• Review residual clinical and facilities issues
• Root-cause diagnosis for gaps
• Enhancement backlog prioritization
• Capture post-occupancy evidence and case examples
• Assemble final evidence package
• Early adoption and training status
• Compliance and safety signal check
• Open defects and punch-list review
• Document lessons learned and recommended sustainment cadence
• Agree corrective actions and timeline to the 90-day realization review
• Agree closure plan for remaining shortfalls
• Training and maintenance schedule