Project Description

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Evolving to Meet Growing Demand

The Problem

With the introduction of the Affordable Care Act, our client, who historically provided a high level of indigent care in the ED, continued to see their volumes escalate. To meet the demand, they, not only needed to create capacity and transform their emergency department, but a design that would provide a face lift to the ED entrance since it also acted as the “front door” to the institution.

The Approach

To meet ongoing patient demand, the ED redesign incorporated both phased renovation in place and new construction. The new redesign provided a total of 89 new private treatment spaces to serve an expected 135,000 acute, behavioral, and detention patients annually. To maximize the space and appropriately inform the design, Catalyst performed an in-depth operational and clinical analysis of their ED to identify process inefficiencies and throughput, bottlenecks, and operational models that would optimize and enhance the patients’ experience.

The Solution

Working with our client, Catalyst developed a phased renovation in place approach that allowed for large sections of the ED to be renovated at once. The main intake process was streamlined to mitigate patients returning to the main waiting room and, to insure the safety of the general population, an additional intake location was located at the back of the ED for detention and behavioral health patients.

Project Details




Urban Inter-City Level 1 Trauma Emergency Department


Designing for Multi-Dimensional Demand Growth

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Project Outcomes


increase in patient satisfaction.


decrease in Door to Doc time.


decrease in average LOS.


decrease in LWBS.


decrease in admit time.

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