Center for Health Facilities Design and Testing

Celebrating a Year of Innovation: The CHFDT’s Impact in 2025

In 2025, the Center for Health Facilities Design and Testing (CHFDT) advanced its mission with remarkable momentum, delivering groundbreaking evidence-based insights that can reshape how healthcare environments are conceived, evaluated, and improved. Through innovative research, interdisciplinary collaboration, and real‑world partnerships the Center is enhancing patient safety, strengthening clinical workflows, and informing national conversations about the future of healthcare design. This past year stands as one of CHFDT’s most influential, marked by achievements that continue to elevate the standard of care and inspire transformative change across the healthcare landscape.

Major Honors & Recognition

The CHFDT earned several prestigious accolades in 2025, underscoring the Center’s leadership in evidence‑based healthcare design:

  • Dr. Anjali Joseph, CHFDT Director, was named Clemson University’s 2025 Senior Researcher of the Year, recognizing her national leadership in improving patient safety and healthcare facility design.
  • Professor David Allison was elected President of the American College of Healthcare Architects for the 2025–2026 term, a testament to his decades of influence in shaping the field.
  • CHFDT’s collaboration with Indiana University Health received a Silver Touchstone Award from the Center for Health Design, honoring excellence in evidence‑based design research and application.

These recognitions highlight the Center’s growing impact and the exceptional leadership driving its mission forward.

CHFDT Team

Transformative Research & Design Innovation

Across 2025, CHFDT researchers advanced several groundbreaking projects that address some of healthcare’s most pressing challenges:

The EDen Room

The “EDen Room” flexible exam room is designed to facilitate a quicker transition from an ED exam room for medical patients to a ligature-minimized room for MBH patients. The flexible exam room design provides an adaptable functional environment for both patient and care provider needs. The design seeks to enhance the patient’s emotional wellbeing and physical safety, while also promoting a greater sense of dignity, privacy and a better overall experience.

MBH‑Friendly Emergency Department Design Toolkit

The comprehensive MBH-Friendly ED design toolkit can serve as a resource for designers and stakeholders to help them address design and evaluation across a diverse range of emergency departments. The kit’s components will also assist teams in documenting collaborative design decisions throughout the planning, design, and construction process.

Safer Intra‑Hospital Transitions for Pediatric ICU Patients

A research initiative examining how built environments influence staff well‑being and patient safety during critical transitions within hospitals.

Conversations in the Neuro‑ICU

A qualitative exploration of how neuro‑ICU environments shape communication among providers, patients, and families—an essential component of patient‑centered care.

Each of these projects reflects CHFDT’s commitment to designing healthcare environments that improve outcomes, reduce harm, and support the people who deliver and receive care.

Celebrating the End of the Spring Semester (May 2025)

CHFDT team members had a great time celebrating the end of the spring semester with a round of miniature golf. The group enjoyed many successful putts as well as some not-so-successful shots. Through good shots and bad the team kept on smiling as they considered various sight lines and angles of attack.

Celebrating Our Graduates

The CHFDT community proudly celebrated the accomplishments of six Research Graduate Assistants who completed their degrees in 2025:

  • Ph.D. in Design and the Built Environment (Architecture + Health)
    Mina Shokrollahi Ardekani, Devi Soman, Monica Gripko

Mina Shokrollahi Ardekani, “Understanding Expert and Stakeholder Perspectives for Designing Autism Supportive Outpatient Waiting Environments.”

This work addresses a critical and often overlooked aspect of healthcare design, how outpatient waiting environments impact autistic children and their families. Her mixed-methods research, which included observations, surveys, and interviews with parents, children, clinicians, and designers, uncovered key environmental stressors and opportunities for improvement. The research provides evidence-informed design guidelines that promote autonomy, sensory comfort, safety, and dignity in pediatric outpatient settings.

Devi SomanThe role of free-standing birth center physical environments in supporting culturally sensitive care experiences and maternal health outcomes for historically underrepresented communities”

This study investigates how the physical environments of free‑standing birth centers support culturally sensitive maternal care for birthing women from historically underrepresented communities. This mixed methods study used surveys, interviews, and case study analysis to identify key environmental design elements that enhance culturally responsive care and proposes evidence‑based guidelines to improve maternal experiences and reduce disparities.

Monica GripkoPerceived Value Incongruence in The Built Environment and Nurse Outcomes in Inpatient Behavioral and Psychiatric Care Settings: A Sequential Exploratory Mixed-Methods Study”

This sequential exploratory mixed-methods study examines how the built environment influences value congruence and job outcomes among nurses working in inpatient behavioral and psychiatric settings. Qualitative interviews with nurses from two Southeastern U.S. hospitals informed a national survey assessing the relationship between perceived environmental support for nursing values and burnout, job satisfaction, and turnover intention. Findings indicate that built environments can meaningfully reinforce or undermine nurses’ ability to provide value-aligned care, with significant implications for well-being and retention. This study’s findings suggest that perceptions of value alignment in built environments tangibly impact nurses. The built environment is one tool that healthcare organizations can use to help improve nurses’ job outcomes, increase retention, and enhance patient care.

  • Master of Architecture (Architecture + Health)
    Susanna Greiner, Taylor Cox
  • Master of Science in Architecture (Architecture + Health)
    Ana Sandoval Aguilar

These graduates represent the next generation of leaders in healthcare design innovators who will carry the CHFDT’s mission into the future.

PhD Graduates (Monica Gripko & Devi Soman)

PhD Graduate (Mina Shokrollahi Ardekani with Dr. Anjali Joseph)

Research Impact by the Numbers

The Center’s productivity and partnerships in 2025 demonstrate its expanding influence:

  • 18 peer‑reviewed journal articles published
  • 4 active grants and sponsored research awards
  • Collaborations with leading health systems and universities, including:
    Indiana University Health, Prisma Health, University of South Carolina, Children’s Hospital of Atlanta, and Emory University

These accomplishments reflect a thriving research ecosystem grounded in collaboration, rigor, and real‑world impact.

Kick-off of the Fall Semester (Sept 2025)

The CHFDT team gathered at the Snow Family Outdoor Center to share some great food and fun to kick-off the beginning of the fall semester. The group enjoyed a potluck picnic and great conversation by the lake.

CHFDT LinkedIn

In 18 short months, the Center for Health Facilities Design and Testing has amassed almost 800 LinkedIn followers. In addition to the new followers, we were able to improve our outreach by 42.3% compared to last year. That is, we were able to share our content and achievements with over 9,091 netizens. It’s exciting to see so many, both nationally and internationally, interested in the innovative evidence-based work of the CHFDT.

Pumpkin Carving (Oct 2025)

The CHFDT team and friends gathered in October for the annual CHFDT pumpkin carving event. The group shared food and fun, as well as carving tips and tools. Each year team members are excited to see the new and highly creative designs that their colleagues carve into their Jack-o’-lanterns for Halloween.

“The Elephant in the Room”

As 2025 drew to a close, we reflected on a year defined by innovation, collaboration, and meaningful impact across the healthcare design landscape. Our team, partners, and students pushed boundaries to advance safer, more human-centered environments and even found joy in an unexpected creative outlet: a giant elephant mural.

Amid all the research and design reviews, something magical happened in the halls of the CHFDT: the elephant in the room became a collaborative canvas for the team. Over coffee breaks and hallway chats, members added splashes of color, patterns, and personality. Near the end of 2025, we filled in the last corner — a vibrant tapestry symbolizing our shared spirit and the beauty of collective expression.

Looking Ahead to 2026

As the CHFDT moves along through 2026, the momentum of the past year fuels even greater ambition. With new partnerships forming, research deepening, and innovation accelerating, the Center is poised to continue shaping the future of healthcare environments—one evidence‑based breakthrough at a time. Here’s to another year of discovery, collaboration, and transformative healthcare design.

Holiday Celebration (Dec 2025)

Pediatric VR Tours

The project seeks to design and evaluate highly realistic virtual healthcare environments so that children scheduled for gastro-intestinal (GI) procedures and their parents can experience visual and auditory environments that they will encounter on the day of surgery. The overall goal of the project is to help pediatric patients and their parents overcome the environmental triggers of anxiety and stress prior to surgery. Through VR, these patients and their parents gain firsthand experiences of preoperative, operative, and postoperative environments they will encounter on the day of their procedure. Additionally, their input about the rooms they experience will help in the design of future surgery environments. Collaborators: Prisma Health and Clemson University. PI: Anjali Joseph. Project period: 2021-2022 

Adapting to the Future of Robotic Surgery: Understanding Training and Design Environments for Human-Robot Teams

The Center for Health Facilities Design and Testing (CHFDT) research team is working on a National Science Foundation (NSF) Grant with Assistant Professor of Industrial Engineering Jackie Cha entitled, “Adapting to the Future of Robotic Surgery: Understanding Training and Design Environments for Human-Robot Teams.” The major goals of this NSF funded project include developing a framework for designing work and workplaces to support the future of robotic surgery. Project period: 2022-2023

Indiana University Health Design Project

The project seeks to design patient rooms for IU Health that better meet the needs of and improve safety for both patients and staff. IU Health is the largest network of physicians in the state of Indiana, offering a unique partnership with Indiana University School of Medicine, one of the nation’s leading medical schools. Project period: 2022-2023 

Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery (OR SMART)

The major goal of Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery (OR SMART) is to engineer reductions in anesthesia medication errors in operating rooms. This study uses a systems’ engineering approach to improve decision making, reduce procedural and technological vulnerabilities and improve the work environment and culture. A highly experienced multi-disciplinary team of clinicians, scientists and engineers is using a combination of innovative techniques to address this threat to patient safety in the most comprehensive study of anesthesia medication safety systems ever conducted.

Sponsor: Agency for Healthcare Research Quality

Project period: 2018 – 2021

AIM 1. Explore Solutions to Failures in Diagnosis, Selection and Prescribing of Intraoperative Anesthesia Medication.

AIM 2: Develop methods to reduce failures in the preparation, administration and recording of intraoperative anesthesia medication

AIM 3: Understand and improve workspace design and safety culture to influences anesthesia medication selection and delivery.

Click here to view the team

Realizing Improved Patient Care through Human-centered Design for Pediatric mental and behavioral health in the Emergency Department (RIPCHD.PED)

The purpose of this multiyear multidisciplinary Agency for Healthcare Research and Quality (AHRQ) funded patient safety learning lab is to develop pediatric care environments in the ED that promote safe, efficient and effective care by minimizing unnecessary stressors for patients while also improving provider well-being. This project includes a focus on the needs of children and their caregivers in order to address mental and behavioral health (MBH) care in the emergency department (ED). Collaborating institutions include Clemson University (CAAH, Industrial Engineering and College of Behavioral, Social and Health Sciences), Prisma Health, and the University of South Carolina. PI: Anjali Joseph. Project period: 2022-2026

Investigating the Use of Exoskeletons for Reducing Musculoskeletal Injuries in Surgical Care Tasks

Anjali Joseph and the Center for Health Facilities Design and Testing (CHFDT) research team are working on an Agency for Healthcare Research and Quality (AHRQ) funded project with Assistant Professor of Industrial Engineering Jackie Cha entitled, “Investigating the Use of Exoskeletons for Reducing Musculoskeletal Injuries in Surgical Care Tasks.” The goal of the project is to determine the best exoskeleton to use for specific jobs in the operating room to reduce staff injuries.