Lean Design & Consulting

  • Five Hills Health Region Regional Hospital

    Lean and integrated.

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  • SUNY Upstate Medical & Ambulatory Care Center

    A new model that enables the delivery of integrated care.

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  • Kelowna Hospital & Vernon Hospital Expansions

    A healthcare tale of two cities.

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Doing more with less

Lean design, with its emphasis on getting rid of waste and improving operational processes, helps you make the needed transformation in this new era of minimized resources. With our knowledge of 3P process and our embrace of multi-disciplinary teams, use of multi-scale mockups and real time operational enactments, we help you build or repurpose your facility to eliminate redundancy and inefficiency.

Change is the only certainty. I’m passionate about interacting with physicians and staff to help create their new, effective, and lean futures.

Gina Kish Principal Architect

Tending the Garden of Generative Space

How do you design a space that not only fulfills its purpose but also continues to improve the user’s experience? Read More
Expert Spotlight

Gina Kish, Principal Architect

Change is the only certainty. I’m passionate about interacting with physicians and staff to help create their new, effective, and lean futures.

Barry Kowalsky, Senior Principal, Architecture

I’ve been on the owner’s side for years. I get why a facility has to be lean and cost effective, and I enjoy helping organizations achieve that.
Barry Kowalsky Senior Principal, Architecture Read More

Tracey Graham, Senior Associate, Healthcare

My goal as a clinician is to translate mission, vision, and best clinical practices into designs with infrastructure, environment, and culture that best serve the end consumer and user.
Tracey Graham Senior Associate, Healthcare Read More
  • Gina Kish

    Principal Architect

  • Barry Kowalsky

    Senior Principal, Architecture

  • Tracey Graham

    Senior Associate, Healthcare

Related Services


Architecture We create spaces that are engaging and uplifting that contribute to our collective sense of health and well-being, and encourage the sustainable stewardship of our communities.
Interior Design As humans, we spend a significant portion of our daily lives inside. We believe our emotional and physical well-being is dramatically impacted by the places where we live, work, and play.
Buildings Engineering With decades of innovation and experience under our belts we’re engineering a promising future leveraging the best in building systems, technology, energy analysis, and sustainable performance.
Sustainability & Building Performance We blend art and science to help clients realize the full potential of their projects in terms of life cycle cost, energy efficiency, carbon reduction, human health, and wellness.
Urban Design & Planning Our plans help harness the forces reshaping North American communities. We create places that are authentic, green, walkable, connected and diverse.

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