Dan Killebrew is an architect experienced in creating solutions for healthcare projects in the full spectrum of architectural services from master planning and pre-design through implementation documents and contract administration. A seasoned expert at facility assessment, feasibility, and test-fit opportunities. Accomplished in practice management and business development from an instinctively innovative perspective, he uses his ability to find connections among disparate ideas and concepts to find new and refreshing ways to achieve success in complicated undertakings. As an intuitive team builder he recognizes contributions of each individual and capitalizes on enhancing their opportunities for success.

Facing Real Estate Reality

It always comes after the fact—buyer’s remorse, “would have, could have, should have,” that old feeling that “it could have been better.” There’s also a reality that says, “This turned out better than we ever thought.” In any case, the information gleaned constitutes lessons learned. In real estate, particularly healthcare, true value can only be known after a new facility is occupied for a while. It takes time, courage, and some effort, but it is worth it to seek the truth. Planners and designers often attempt to identify a project’s mission and goals before beginning design and manage to them… Full Story

As Healthcare Construction Continues to Grow, Owners Need to Think Long-Term

Many of us who write for the real estate segment of D Healthcare Daily have often written on subjects of lean design, evidence-based design, lean construction, energy-sustainable LEED principles, and BIM. These topics are often useful, newsworthy and important to the design and construction of health related facilities, and I find them beneficial to my own business. Indeed anyone needing new facilities or renovation of existing facilities enjoy the comfort of knowing that there are professionals to rely on who understand the need for cost-effective delivery of well-designed projects. In the age of reform that is now much more imminent… Full Story

BIM: After the Building is Finished

In previous blogs on this site we’ve discussed Building Information Modeling as a tool assisting Lean Thinking in design and construction phases of developing buildings. But there’s more, its benefits extend to the building owners use of the documentation far beyond the construction phase. Indeed it can assist the owner for many years beyond in operating and maintaining the facility as well as aiding in future planning efforts for the facility. Having long ago mastered the use of two and three dimensional documentation tools, the design and construction industry is beginning to leverage both 4D and 5D applications, which promise… Full Story

BIM: A LEAN Revolution

In my January blog, I discussed the recent movement of healthcare owners to make their business more efficient using six sigma or lean thinking to re-engineer processes driving a demand for the design and construction industry to eliminate waste and add value to healthcare facility delivery. Aiding the architect in meeting lean design objectives are robust technical tools. Known as Building Information Modeling/Management or BIM, this technology has been generating an industry wide revolution that is long overdue. Building design and construction has been delivered in much the same way for decades and is filled with inefficiency. Today’s information age… Full Story

Leading the Charge to Get Lean

Every day more and more articles and blogs are written about the fact that operating margins are shrinking and financial capital is becoming scarce. It’s a fact we all would like to escape, but nonetheless is a reality for which we are all seeking to find solutions to keep responsibly moving forward. When these financial realities are discussed, typically in short order the subject of lean thinking, planning or operating is brought forward. Contributing to the complexity of the matter is a need to be mindful of energy consumption and environmental responsibility as we create facilities that are user-friendly, designed… Full Story

Is your Medical Home a Tudor, Colonial, or Ranch?

Several years ago, when I first heard the term Medical Home, I was intrigued. As a healthcare designer, my thoughts were immediately consumed by the facility implications. What would this do to the outpatient environment as we know it? How would the space have to change? What would the community building look like? I soon learned “Medical Home” is a concept or strategy for the business of delivering healthcare. But, of course, with this progressive model for resolving a number of pressing issues on today’s care system, facility-related solutions are a must to create optimum team synergy and the best… Full Story

Designing the Right Decisions

Designing the right decisions starts with the right tools. When the right decisions are made at the first opportunity, time and money are conserved. Nowhere is this seen more clearly than in design and construction. In the built environment, decisions have long-lasting impact. In the healthcare environment, they can impact patient satisfaction, staff productivity, and business success. Professionals design effective decision trees for clients and organizations because mistakes are costly. Architects, engineers, and construction professionals are called upon by owners to provide tools to aid in making the crucial decisions to support the business case for a project. The demands… Full Story