Abstract
Planning, designing, and occupying a new emergency department requires the collective input and hard work of many individuals, A case study of Memorial Hermann Hospital in Houston, Tex examines what it takes to design an emergency department that is planned for future growth, and then seamlessly occupy a new facility that is triple the size of the old one. Planning strategies are described, including workload analysis, staff input, staff training, mock patient runs, and a move-in plan. An analysis of the 5-year old facility concludes that there is very little that could have been done differently in terms of facility design and operations.