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Environmental Standards Council


While we are actively engaged in ongoing standards-related initiatives with the Facility Guidelines Institute, Joint Commission and other accrediting and regulatory agencies, our Environmental Standards Council (ESC) is a volunteer group committed to improving the regulatory standards of the Guidelines for the Design and Construction of Healthcare Facilities.

The ESC is a multidisciplinary group that includes healthcare facility executives, design professionals, regulatory agents, product manufacturers and educators. The ESC co-authored the "Environment of Care" chapter in the 2006, 2010 and 2014 Guidelines for Design & Construction of Healthcare Facilities. Unanimously accepted by the Guidelines Review Committee, this chapter outlines the environmental factors that contribute to patient, staff and family satisfaction as well as increased safety, fewer medical errors and a healthier financial bottom line. Learn more about the guidelines.

Current Members

Gloria Cascarino, Director of Medical Equipment Planning, Francis Cauffman

As the former Director of Hospital Operations and Materials Management, Gloria was “The Client” during major construction and renovation projects, giving her a unique perspective as Director of Medical Equipment Planning at Francis Cauffman, a national design firm.  An expert in emerging technology and equipment budgeting, she plans medical equipment for all types of healthcare clients, with projects that range from small renovations to replacement hospitals. She has a special interest in energy-efficient equipment that conserves resources while improving patient outcomes and satisfaction.

Gloria is an integral member of project teams - from conceptual planning through project completion, providing valuable insights and delivering the measurable benefits of quality medical equipment planning to healthcare clients and design professionals alike.  She provides guidance to clinical staff to maximize their use of existing equipment, forecast technology needs and make prudent spending decisions.  At the same time, she supports the architects and consultants with timely and productive technology information, enabling the project team to have confidence that all medical equipment has been accommodated in the design and utilities planning. 

Frank Centore, PE, Centek Engineering, Inc.

Frank has over 30 years of experience in the design of HVAC, Plumbing, Fire protection, and Electrical systems. He is a recognized expert in the design and installation of comprehensive systems for a variety of commercial, industrial, institutional, and research projects. His broad project experience ranges from award winning residential developments and sophisticated healthcare facilities to high-tech university buildings. Frank is currently Principal in charge of mechanical and electrical design for Centek Engineering, Inc. and was also Lead Mechanical Engineer for the New York City office of a prominent national engineering firm. He was responsible for Mechanical Engineering design, project management and supervision of all phases of design and construction of institutional and research laboratory projects.

Frank has Bachelor's Degrees in both Mechanical and Electrical Engineering, is a Licensed Professional Engineer in 12 States, Puerto Rico and the Virgin Islands, and was one of the first ASHRAE Certified Healtcare Facility Design Professionals.

Cathy Dolan-Schweitzer, MA, President, Health Well Done

Cathy Dolan is president of Health Well Done, Cathy’s mission is to share her knowledge and experience of healthcare project management with a wider audience to lead healthcare into the future.  She is the “Healthcare Project Coach” and has developed a 3-step integrated approach to managing healthcare projects. Although her skill set is vast her greatest expertise revolves around the world of creating patient centered environments and seeing things through a patient’s eyes. She has a strong belief in Integrated Medicine (traditional Western science + alternative therapies) and believes it will play a big part in Healthcare. She is currently writing a book called “DONE” The Clinical and Construction Guide to Patient Centered Environments.

Robin Guenther, FAIA, LEED AP, EDAC, Principal, Perkins + Will

Robin Guenther is principal of Perkins+Will, a global healthcare design firm with extensive experience in healthcare design. Her projects been published nationally and internationally in magazines such as The Architectural Review, Healthcare Design, Interior Design, Contract, and Architectural Record.

Prior to joining The Center for Health Design's Board of Directors, Robin received The Center's 2005 Changemaker Award for being a "green champion" and for her efforts to continuously improve and support change in healthcare environments. She is a co-coordinator of the Green Guide for Health Care and served on the LEED for Healthcare Committee.

Barbara Huelat, AAHID, FASID, EDAC, Design Principal, Huelat Davis / Healing Design

Barbara J. Huelat is a design principal at Huelat Davis is nationally recognized for her work in evidence based and human centered healthcare design. She serves as a healing environment consultant to healthcare facilities, product manufacturers, academia, institutions and the architectural design community.

Designed ahead of its time, ER One in Washington DC, Barbara’s signature project has demonstrated design impacts outcomes in crisis situations. ER One, an emergency department for mass causalities, validated design intervention can provide safe and patient focused spaces for mass causalities.

Her three decades of design experience cover virtually all types, components and sizes of domestic and international healthcare facilities.  Currently leads Huelat Davis office and the parent firm Davis Partnership Architects in diverse projects including Planetree design, Biophilia, bacteria mitigation and evidence-based design research. Author of Healing Environments, Design for the Body Mind & Spirit and Healing Environments What’s the Proof? and a popular speaker, Ms. Huelat lectures frequently and publishes articles on healing environments and a spectrum of healthcare design topics.

Andrea V. Hyde, CHID, MDCID, Senior Planner/Designer, Johns Hopkins Healthcare System Facility Architecture & Planning Department

Andrea enjoys spreading the word about the positive effects of evidence-based, innovative healthcare design on improving patient outcomes where ever she can, having spoken at ASHE, AAHSA, Center for Health Design, International Medical Spa, NeoCon and NeoCon East, Hospital Build (Dubai) and other healthcare focused conferences and events. Her healthcare design work and research efforts have been published in healthcare focused journals and have won ASID and IIDA healthcare design awards.  For her considerable efforts in the healthcare design industry Andrea was selected out of 150 nominees as one of the “top twenty designers who are making a difference in advancing the design of healthcare facilities” in Healthcare Design magazine.

Thomas M. Jung, RA, Healthcare Planning & Design Consultant

Tom has 24+ years of experience with the planning, architectural design, and construction components of the New York State Department of Health’s Certificate of Need Program, directing the effort for 16 of those years while overseeing the review and approval of more than $2 billion dollars of new projects annually. Tom has been honored by Columbia University’s Mailman School of Public Health for his service to New York State’s health care system, recognized by Healthcare Design Magazine  as one of 20 national professionals  “making a difference” , and awarded a Leadership Award from the New York Society for Health Planning.  Tom is also a founding member of the CHD’s Environmental Standards Council.  He has been intimately involved with development of the Guidelines for Design and Construction of Health Care Facilities since 1997, eventually serving on both the Steering Committee and the FGI Board of Directors.  

Cathleen Lange, AIA, LEED AP, Principal, Shepley Bullfinch

Cathy is a Principal at Shepley Bulfinch. With extraordinary skills as a healthcare planner, she has managed the coordination of program and planning issues for academic healthcare clients. Most recently, Cathy has been leading Shepley Bulfinch’s Lean Group and has designed an in-house curriculum to educate our healthcare practice group, as well as to implement process improvements throughout the firm. Additionally, she has participated in week long 3P events with Virginia Mason Institute, North Shore Physician Group, Joan Wellman Associates and Children’s Hospital of Michigan.

Debra Levin, MA, EDAC, President, The Center for Health Design

Debra’s trailblazing efforts in the field of healthcare facility design research, education and advocacy have propelled The Center for Health Design (CHD) into industry consciousness and the forefront of healthcare design.

Under Debra’s leadership, CHD's flagship research initiative, the Pebble Project, has gained international recognition and grown from four participants to more than 80. Debra led the creation of the annual Healthcare Design and Environments for Aging conferences, which are produced by Emerald Expositions, in association with CHD. She has forged successful partnerships with the Robert Wood Johnson Foundation, Institute for Healthcare Improvement, California Health Care Foundation, Agency for Healthcare Research and Quality, The Donghia Foundation and other prestigious healthcare and design organizations.

Also under Debra’s watch, CHD's membership has expanded to include a rich, multidisciplinary group of architects, interior designers, healthcare executives, healthcare professionals, researchers, product manufacturers, educators, students, futurists and more.

Patricia A. Moore, PhD, President, MooreDesign Associates

Patricia Moore is an internationally renowned gerontologist and designer, serving as a leading authority on consumer lifespan behaviors and requirements. For a period of three years, Dr. Moore traveled throughout the United States and Canada disguised as women more than eighty years of age. With her body altered to simulate the normal sensory changes associated with aging, she was able to respond to people, products, and environments as an elder.

An international lecturer and author, Dr. Moore holds undergraduate degrees inIndustrial & Environmental and Communication Design from the Rochester Institute of Technology, completion of Advanced Studies in Biomechanics at New York University’s Medical School & Rusk Institute, graduate degrees in Psychology and Counseling and in Human Development (Social Gerontology) from Columbia University.

Moore has been named by ID Magazine as one of The 40 Most Socially Conscious Designers in the world and was selected in 2000, by a consortium of news editors and organizations, as one of The 100 Most Important Women in America. Syracuse University has selected Moore for a 2012 Honorary Doctorate for serving as a “guiding force for a more humaneand livable world, blazing a path for inclusiveness, as a true leader in the movement of Universal Design.”  The Rochester Institute of Technology has inducted Moore as a 2012 member of the “INNOVATORS Hall of Fame”.  ABC World News featured Moore as one of 50 Americans Defining the New Millennium.

Jane Rohde, AIA, FIIDA, ACHA, AAHID, LEED AP, Principal, JSR Associates, Inc.

Jane Rohde champions a widespread global cultural shift toward de-institutionalized senior living facilities through her consulting, research and advocacy, which provides services to non-profit and for-profit developers, government agencies, and senior living and care providers. She also provides education to providers, regulators, and peers on senior living trends, programming and design that support and improve the lives of elders.

Jane’s consulting practice includes the promotion of person-centered environments, sustainability, and universal design solutions. She sits on the Environmental Standards Council, part of The Center for Health Design and is the former AAHID Board of Regents VP. Her leadership has garnered the creation of the Facility Guidelines Institute’s Guidelines for Design and Construction of Residential Health, Care, and Support Facilities, a guideline utilized as code for the licensing of long term care and related facility types. This ground-breaking document includes guidance on not only traditional models, but provides guidance for designers, regulators, and providers for creating person-centered environments. Jane founded and chairs the Senior Living Sustainability Guide® committee, a committed group of volunteers that created a sustainability guide for senior living projects and has been accessed for utilization in over 10 countries, including China Senior Care, the first residential aged-care facility in China that focuses on skilled nursing and adult day care. Jane speaks internationally on senior living, aging, healthcare, evidence based design and sustainability.

Naomi Sachs, ASLA, EDAC, Founder & Director, Therapeutic Landscapes Network

Naomi Sachs is Founding Director of the Therapeutic Landscapes Network. She is currently pursuing a Ph.D. in Architecture at Texas A&M University. Naomi received her Master of Landscape Architecture from the University of California, Berkeley. She serves on The Center for Health Design's Environmental Standards Council and on the faculty at the Chicago Botanic Garden's Healthcare Garden Design Certificate Program. Naomi recently co-authored the book 'Therapeutic Landscapes:  An Evidence-Based Approach to Designing Healing Gardens and Restorative Outdoor Spaces' with Clare Cooper Marcus, published by John Wiley & Sons in October, 2013.

Alberto Salvatore, AIA, NCARB, EDAC, Associate Principal and healthcare Practice Leader, Perkins+Will

Alberto has over 30 years of experience in healthcare architectural master planning, programming, department planning, and design. He has successfully lead teams nationally and internationally on projects large and small. Over this time he has come to understand and define the Physical Environment as only one of the system of components that define the Environment of Care (EOC) that is required to be addressed in the design of Spaces and Places that support the wellbeing of our communities and caregivers. Alberto was a key participant in defining the base knowledge used to integrate EBD into practice. He also participated in the development of the EDAC examination and sits on the EDAC Advisory Council, as well as, the Environmental Standards Council for The Center for Health Design.

Jerry Smith, FASLA, LEED AP, EDAC, Principal, Smith\GreenHealth Consulting, LLC

Trained as a landscape architect and an architect, Jerry Smith is Owner/Principal at SMITH | GreenHealth Consulting, LLC, based in Columbus, Ohio and licensed in New York.  He has been involved in healthcare design since 1988 and in sustainable healthcare (green heath) since 2003.  In 2010, Jerry was inducted into the Council of Fellows of the American Society of Landscape Architects.

Jerry’s impact on the healthcare design industry is evidenced in the significant appointments and contributions he has made to transformational industry organizations, including the Environmental Standards Council of The Center for Health Design, the Steering Committee of the Green Guide for Health Care, the Technical Core and Human Health & Well-being Committees of the Sustainable Sites Initiative and the Board of Directors of the Ohio Chapter of the US Green Building Council.   Jerry Smith is on adjunct faculty at Ball State University, where he was appointed the 2010 Faculty Fellow in Landscape Architecture.

Ellen Taylor, PhD, AIA, EDAC, Director of Research, The Center for Health Design

Ellen brings more than 25 years of experience in architecture, research and business to our research team. A registered architect and member of the American Institute of Architects, she has been influential in many of our research efforts ranging from guiding individual Pebble Project Partners to supporting grant-funded initiatives such as programs with the Agency for Healthcare Research and Quality (AHRQ), the Kresge Foundation, and the California Health Care Foundation (CHCF). She is a nationally and internationally recognized writer and speaker on EBD, patient safety, and development of the business case.

Experienced in both the owner's and consultant’s sides of the table, Ellen has been responsible for conducting design research for the built environment, as well as large-scale program management, capital planning, service standards planning, brand management, developing and extensive cross-departmental coordination.

Ellen has a bachelor’s degree in architecture from Cornell University’s College of Architecture, Art and Planning and Global Executive MBA degrees from Columbia University and London Business School. She is pursuing her PhD in design, patient safety and human factors at Loughborough University in the United Kingdom, under the supervision of Drs. Sue Hignett and Paula Griffiths.  Ellen serves on the Facility Guidelines Institute Health Guidelines Revisions Committee (leading the 2014 Safety Risk Assessment subgroup), coordinates special projects with other organizations, serves on our Environmental Standards Council (ESC), and facilitates direction for the CHD Research Coalition volunteers. 

Richard S. Thomas, AIA, MBA, Owner, Thomas Advisors

Richard, who retired in 2014 as Senior Director for Capital Planning for Weill Cornell Medical College, now teaches, lectures, and writes based on his 47-year career in health care and education. Trained in architecture at Pratt Institute and business at New York University, and in both professional practice and institutional executive roles, Thomas led many programming, planning, design, and construction projects at urban and suburban hospitals, and large, complex programs at academic medical centers in New York, including Presbyterian Hospital’s major modernization program in the 1980’s, Hospital for Special Surgery’s modernizations and addition over the FDR Drive in the 1990’s, and Weill Cornell Medical College’s strategic Weill Greenberg Center and Belfer Research building from 2002 to 2012. Richard is a founding member of The Center for Health Design’s Environmental Standards Council and has served as its chair since the early 2000’s.  He is an Associate Professor of Public Health at Columbia University’s MPH programs, and lecturer at New York School of Interior Design’s Health Care MA program.

Thomas resides with his wife, founder and President of Road to Achievement, LLC, an educational consulting practice, in New Canaan, Connecticut and serves on the board of the New Canaan Preservation Alliance (an organization which is dedicated to preserving the unique architectural and environmental characteristics of the town) and on other volunteer service committees.