Q&A
Staffing is the most expensive part of running a hospital. How can hospitals improve the efficiency of their staffs?

Collaborative Solutions.
Inspired Design.

Exceptional healthcare design optimizes clinical operations, healthcare delivery, and capital resource management. As experienced healthcare designers, our professionals listen to the needs and goals of owners and stakeholders, leading the way to consensus-driven solutions. We apply evidence-based design and research to create patient-focused environments that meet strategic goals, maximize budget, streamline operations, and adapt to tomorrow’s needs. Our full-service approach stresses a final product that is affordable, sustainable, and efficient.

From 2011 to 2013 hospital errors declined by 17 percent, in major part due to evidence-based design.

The reduction of these hospital errors resulted in a savings of $12 billion.

Healthcare Leadership

Joshua A. Theodore

Joshua A. Theodore, B. Arch, ACHE, EDAC

Vice President

Global Health Practice Leader

Profile

Joshua Theodore guides strategy, business development and overall design excellence for our health practice worldwide. Approaching 30 years in the industry, he has gained a broad perspective from the planning and implementation of all types of health facilities in more than 15 states, the United Kingdom, Middle East and Caribbean.

Joshua is driven by a passion for designing health facilities that function exceptionally well for clients and help them reduce costs. His most satisfying projects are those in which both communities and health systems can be proud.

Chief among Joshua’s goals is guiding our health clients in a way that allows them to continue their mission - whether that involves patient-centered and family-centered design, incorporating evidence-based design or integrating the latest technological innovations into their facilities. He focuses on the big picture, connecting with colleagues around the globe to leverage LEO A DALY’s health facility expertise across markets and disciplines.

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John W. Andrews

John W. Andrews, AIA, NCARB

Vice President

Market Sector Leader - Healthcare

Profile

As a healthcare architect of 35 years, John has led the development and execution of all types of healthcare projects, from small clinics to large, greenfield hospitals, to one of only four biocontainment patient care units in the United States. His expertise encompasses all phases of design, including programming, master planning, schematic design, design development, contract documents, and construction contract administration. Government or private sector, he excels at reconciling the interests of disparate parties, and creating a shared vision of innovation, efficiency, and improved patient care.

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Robert D. Counter

Robert D. Counter, AIA

Director of Healthcare

Profile

Robert is an architect and practice leader specializing in healthcare and science & technology design and planning. For more than 30 years Robert has brought his understanding, knowledge and abilities to manage complex projects to a variety of clients. His clients benefit from his extensive involvement in the total project process, his hands-on approach, and his commitment to client service through professional excellence.

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Deborah A. Franqui

Deborah A. Franqui, AIA, NCARB, PhD

Senior Project Manager

Healthcare Market Leader

Profile

Deborah A. Franqui, AIA, NCARB, PhD, has over 24 years in the industry specializing in healthcare design with an emphasis on client-tailored programming, evidence-based space planning, and human-centered design solutions. Throughout her career, she has blended her passion for practical design with academic scholarship, building an approach grounded in the rigorous pursuit of measurable outcomes. She is dedicated to being ahead of the curve, integrating emergent best practices, and delivering optimized operational and space efficiency, clinical effectiveness, and positive patient and staff experiences.

Hear about Deborah's approach to healthcare design in this video.

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Patricia A. Lenaghan

Patricia A. Lenaghan, RN, MSN, NE-BC, FAAN

Senior Healthcare Clinical and Operations Analyst

Profile

Pat is an innovative and dedicated healthcare executive with over 40 years of experience in healthcare systems, department designs, project management, strategic planning, facilitation, safety and security, emergency preparedness, quality standards, standards of care and practice. Her hands-on approach and collaborative style make her truly part of any client's healthcare team. Pat's design and implementation of processes, procedures and standards lead to patient welfare and safety, and overall high efficiency performance of healthcare space.

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Dennis J. McFadden

Dennis J. McFadden, FAIA

Director of Design

Profile

Dennis’ success with healthcare projects is rooted in an approach that fundamentally values performance, context and timelessness. His healthcare work starts with the larger principle of connecting the building – and the patient experience – to nature, a basic tenant of evidence-based design. His healthcare design also incorporates the results of extensive research and an understanding of future trends to ensure that patient and staff experiences are consistently positive in an ever-changing healthcare environment.

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Leslie M. Saunders, Sr.

Leslie M. Saunders, Sr., AIA, ACHA, LEED AP

Vice President

Market Sector Leader - Healthcare

Profile

Les leads the firm’s Atlanta healthcare team with a focus on consensus-driven planning and a commitment to each client’s needs, budget, design, and schedule. With almost 40 years’ experience, Les has worked on award-winning healthcare facilities for over 300 clients in 32 states and on 5 continents.  He has spoken extensively around the country on various topics in healthcare and campus planning and has contributed to numerous publications.  With five years of experience in a client role as the director of capital planning for a major academic and research institution, he is exceptionally qualified to perceive problems and solutions from the viewpoints of both the designer and the owner.

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Peter A. Yakowicz

Peter A. Yakowicz, PE, MHA

National Director - Veterans Affairs Programs

Profile

Pete is solely dedicated to the VA client, and is guided by a personal dedication to the health and well-being of veterans in every aspect of his work. Pete’s unparalleled insight into the VA's mission and its challenges comes from having spent 33 years working with the VA, including the management of an $8 billion dollar capital asset portfolio for 12 VA campuses and 68 community-based outpatient clinics. In 2005, Pete earned a federal award from the Department of Energy in recognition of VISN 23’s energy saving and water conservation efforts. He also earned several awards of recognition from the Secretary of the VA, including a 2010 award related to his work in response to the American Recovery and Reinvestment Act for helping stimulate the economy and creating jobs.

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