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Abstract
This report presents a comprehensive pre- and post-occupancy evaluation of the University of Kentucky HealthCare Cardiovascular Unit, conducted through a collaborative effort between the College of Design, College of Communication and Information, UK HealthCare, and GBBN Architects. The study examines the transition from a centralized to a decentralized care delivery model within a newly constructed hospital environment, with the goal of understanding how spatial design influences healthcare delivery, staff performance, and patient experience.
Using a mixed-methods approach, the research integrates quantitative and qualitative data collection techniques, including behavioral mapping, communication tracking, pedometer data, acoustic measurements, and staff and user feedback. Data were collected before and after the relocation of the cardiovascular service line, enabling a direct comparison of operational processes and environmental performance across two distinct spatial configurations.
The study focuses on key performance indicators such as staff efficiency, communication patterns, patient visibility, safety, and satisfaction. By evaluating how the built environment supports or constrains these factors, the research contributes to a growing body of evidence-based design knowledge in healthcare settings. Findings are intended to inform future design decisions, optimize care delivery processes, and support the development of more effective, flexible, and human-centered healthcare environments.
Document Type
Report
Publication Date
Summer 8-1-2026
Funding Information
UK HealthCare
Repository Citation
Fay, Lindsey, "From Centralized to Decentralized Care: Assessing the Role of Design in Cardiovascular Unit Performance" (2026). Interiors Faculty Publications. 3.
https://uknowledge.uky.edu/interdes_facpub/3
Notes/Citation Information
Fay, L., Carll-White, A., Real, K., Isaacs, K., & Schadler, A. (2016). From centralized to decentralized care: Assessing the impact of design on cardiovascular unit performance. University of Kentucky, College of Design; College of Communication and Information; UK HealthCare; GBBN Architects.