Our Values

Managing the Process

Our healthcare team strives to make a positive contribution to the evolving healthcare and medical landscape. At tgba, we dedicate resources and time to discovery of new healthcare design trends, medical design best practices, and new approaches in healthcare interior design concepts.

One healthcare design trend in which we have invested and involved staff is in Lean Methodologies in Healthcare practice. We have internalized the Lean process into our own architecture practice of project delivery. The Lean process serves as the basis for several of our healthcare design clients' branding of their medical services and healthcare culture. The difference between good design and great architecture is often in the final details.

In healthcare design, the difference is in how the process is managed. An important factor in assuring a successful outcome is getting the right people involved at the right time. We understand that our clients’ main focus is the business of healthcare delivery. These clients cannot be distracted by ambitious or self-serving healthcare design processes. We work to create a clear “roadmap” that defines the steps in the healthcare design process. This Lean process “roadmap” is essential to help healthcare clients and key stakeholders to know how and when to participate in the healthcare design process.

The matter of momentum is also important in the success of a project. If a project proceeds too slowly, it may lose focus on important issues, if it proceeds too quickly, it may overlook important decisions that require sufficient time for careful consideration. A well-managed healthcare design process is the key to a successful and great design project solution.


  • Through Building Information Modeling
  • Through Integrated Project Delivery
  • Through new ways to deliver traditional Medicine
  • Through new ways to deliver new technology
  • Through changing the perception of healthcare delivery in the eyes of the patient & families

Healthcare delivery is dramatically changing, affected by rising medical costs, changing legislation, continuous advances in technology & medical research, and an aging population. These factors demand a responsive system to meet the changes and new needs. Our role as medical planners, healthcare architects, and medical interior designers, is to assist and support the evolving healthcare delivery system through the planning and design of the built environment.

tgba continues to change and evolve our ability to provide responsive and appropriate services by deepening our knowledge and expertise in areas such as Lean Methodologies in Healthcare process management, healthcare trends, delivery methods, technologies, BIM, and Integrated Project Delivery. We are evolving and refining our approach to healthcare design as the models of healthcare delivery evolve and change.

Community Focus

The attributes of medicine include compassion, knowledge, stability and technical expertise. These are values that can strengthen and bond a community. Our healthcare design approach is mindful of this special role that healthcare providers, organizations and institutions play in their community. Our early medical planning, healthcare design and medical interior design dialogue with our healthcare clients includes discussion related to the civic image, the public perception, and the stature in the community that the healthcare organization chooses to portray.

Healthcare delivery is generally seen as a public benefit, and with the implementation of healthcare reform in Washington State, it will be made accessible to all. It is important for tgba to understand how our acute care hospital and outpatient ambulatory care clinic clients wish to be received in their community.

Client Centered Care

tgba is guided by the principle of patient centered care. This healthcare design objective brings the patient into the center of focus for the best results in both acute care and ambulatory care settings that exist in either hospitals, or medical & specialty clinics which exist in Ambulatory Care facilities located in medical office buildings. The healthcare design philosophy & the medical interior design principles that govern the patient centered care value, customizes the diagnosis, treatment & care for the individual patient opposed to a “practice solution for the masses” approach.

It is in this same manner, that tgba’s practice Client Centered Care in our approach to both Hospital’s acute care and Medical Office building Ambulatory care design approach. We bring our collective knowledge, experience and expertise to bear on each project for client and setting. We research a variety of healthcare design solutions, yet we approach each client as if they are our only client, and we appreciate that each healthcare design project or medical interior design project has specific challenges that are unique and personal. We understand that each client is guided by differences in expertise, culture, mission and purpose.

tgba is:

  • prepared to listen well in order to…
  • understand the unique characteristics of the organization so…
  • we offer the most valuable and insightful strategic advise & services

Supporting Economic Success

We strive to have a full understanding of how our clients define economic success. This understanding is an important factor in developing the appropriate plan, design & interiors solution for each client. An ill-fitted healthcare design solution may lead to economic mediocrity.

A “For Profit” outpatient ambulatory care clinic client within a medical office building might measure economic success in planning and flow efficiencies that enable increased patient volumes or that reduce overhead waste or unnecessary staffing expenses.

While a “Non-Profit” acute care hospital client might measure economic success through the creation of a new care service line, a strong community identity, or a memorable patient experience that raises awareness and support within the community.

For most healthcare clients, their success is a combination of these economic success factors. It is essential that the healthcare design process has a clear identification of economic goals and the means in which to measure them.

Healing through Beauty

The ideal healthcare delivery environment is one that applies the best solution to program function, patient & staff flow, facility flexibility, enhanced quality, within budget and on time.

“Architecture, of all the arts, is the one which acts the most slowly, but the most surely, on the soul.”
-Earnest Dimnet

Our surrounding environment affects our mood, emotional, spiritual, and physical capacity. So, we must assume that the healthcare environment which we design must have a positive effect on those who work, visit and stay within this space. Through principles of composition and application of appropriate materials and building systems, tgba makes healthcare environments of timeless quality. The medical planning, healthcare design and construction of a beautiful acute care hospital or ambulatory care medical office building is the act of adding long term value that is not easily measured but that is instrumental in extending its lifespan.

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