the Picker Institute to help healthcare managers and designers gather information on consumer needs, assess their satisfaction and measure quality improvements: The Patient Environmental Checklist assesses an existing facility's strong and weak points. Specific environmental features are evaluated by patients and their families on a 5-point scale, and the checklist quickly identifies areas needing improvement. The Patient Survey gathers information on patients' experiences with the built environment. The questions range is wide, since patients' priorities may differ significantly from those of administrators or designers. Focus Groups with consumers learn about specific needs and generate ideas for future solutions. References Cama, R., "Patient room advances and controversies: Are you in the evidence-based healthcare design game?", Healthcare Design, March 2009. Hall, C.R., "CHD rolls out evidence-based design accreditation and certification", Health Facilities Management, July 2009. Kirk, Hamilton D., "Research Informed Design & Outcomes for Healthcare" in Evidence Based Hospital Design Forum, Washington, January 2009. Stankos, M. and Scharz, B., "Evidence-Based Design in Healthcare: A Theoretical Dilemma", IDRP Interdisciplinary Design and Research e-Journal, Volume I, Issue I (Design and Health), January 2007. Ulrich, R.S., "Effects of Healthcare Environmental Design on Medical Outcomes" in Design & Health – The therapeutic benefits of design, proceedings of the 2nd Annual International Congress on Design and Health. Karolinska Institute, Stockholm, June 2000. Webster, L. and Steinke, C., "Evidence-based design: A new direction for health care". Design Quarterly, Winter 2009 Sadler, B.L., Dubose, J.R., Malone, E.B. and Zimring, C.M., "The business case for building better hospitals through evidence based design". White Paper Series 1/5, Evidence-Based Design Resources for Healthcare Executives, Center for Health Design, September 2008. Ulrich, R.S., Zimring, C.M., Zhu, X., Dubose, J., Seo, H.B., Choi, Y.S., Quan, X. and Joseph, A., "A review of the research literature on evidence based healthcare design", White Paper Series 5/5, Evidence-Based Design Resources for Healthcare Executives, Center for Health Design, September 2008. Further reading A Visual Reference to Evidence-Based Design by Jain Malkin. Study Guide 1: An Introduction to Evidence-Based Design: Exploring Healthcare and Design. Study Guide 2: Building the Evidence-Base: Understanding Research in Helathcare Design. Study Guide 3: Integrating Evidence-Based Design: Practicing the Healthcare Design Process. A Practitioner's Guide to Evidence-Based Design by Debra D. Harris, PhD, Anjali Joseph, PhD, Franklin Becker, PhD, Kirk Hamilton, FAIA, FACHA, Mardelle McCuskey Shepley, AIA, D.Arch. Evidence-Based Design for Multiple Building Types by D. Kirk Hamilton and David H. Watkins. Stout, Chris E.