title: Utilizing integrated facility design to improve the quality of a pediatric ambulatory surgery center.
abstract: OBJECTIVE
  The aim was to use Integrated Facility Design (IFD) to design a surgery center that enhances the delivery of health care by developing processes that provide highly efficient patient, family, and provider flows while adding value and utilizing costly resources effectively.
  
  
  BACKGROUND
  Integrated Facility Design is an adaptation of the Toyota 3P (Production, Preparation, Process) Program. The goal of IFD is to accelerate development time and lower start-up costs.
  
  
  RESULTS
  The use of IFD produced a savings of $30 million in project costs and enabled a completion date 3.5 months ahead of schedule. The designed patient flow processes resulted in dramatic improvements in patient, family, and provider throughput.
  
  
  CONCLUSIONS
  The use of IFD in the design of a pediatric ambulatory clinic and surgery resulted in significant cost savings and improved clinical efficiency.
authors.affiliation: Department of Anesthesiology and Pain Medicine, Seattle Children's Hospital, Seattle, WA 98145-5005, USA. nicole.pelly@seattlechildrens.org
authors.forename: Nicole
authors.initials: N
authors.lastname: Pelly
authors.forename: Brian
authors.initials: B
authors.lastname: Zeallear
authors.forename: Mark
authors.initials: M
authors.lastname: Reed
authors.forename: Lynn
authors.initials: L
authors.lastname: Martin
mesh_terms: D000556:Ambulatory Surgical Procedures; D001108:Architecture; D002648:Child; D017046:Cost Savings; D003365:Costs and Cost Analysis; D005160:Facility Design and Construction / Q000191:economics / Q000379:methods*; D006801:Humans; D009873:Operating Rooms / Q000191:economics / Q000458:organization & administration; D010372:Pediatrics; D010564:Personnel, Hospital