title: Making acuity-adaptable units work: lessons from the field.
abstract: OBJECTIVE
  Because there have been no clear directions on how to implement acuity-adaptable units (AAUs), this paper describes actual tactics and strategies that have worked in multiple institutions.
  
  
  BACKGROUND
  AAUs have been used in hospitals for the past decade, but reports in the literature have indicated both successes and difficulties in meeting operational goals and objectives. Despite various views regarding acuity adaptability, there is little in the literature that suggests why it works in some hospitals and not in others.
  
  
  METHODS
  As part of a larger construction project, this project team interviewed the leaders of six hospitals to determine what was associated with the successful implementation of AAUs.
  
  
  RESULTS
  This paper reports on themes that emerged from these interviews, namely: choose the right specialty for medical centers; adopt the AAU model for the entire facility in community hospitals; bring in and train the right people; change culture through communication; and use acuity-adaptable unit clusters.
  
  
  CONCLUSIONS
  Main themes, predictable patient progress, and culture change are further discussed and key recommendations are described.
authors.affiliation: School of Architecture and Health Systems Institute, Georgia Institute of Technology, Atlanta, GA, USA.
authors.forename: Craig
authors.initials: C
authors.lastname: Zimring
authors.forename: Hyun-Bo
authors.initials: HB
authors.lastname: Seo
mesh_terms: D003266:Continuity of Patient Care; D017598:Efficiency, Organizational; D006761:Hospitals; D006801:Humans; D007407:Interviews as Topic; D017146:Models, Organizational; D015279:Organizational Culture; D017060:Patient Satisfaction; D010360:Patient Transfer; D010362:Patients' Rooms