Diagram comparing centralized and decentralized nurse station layouts, including sub-stations and mobile stations, and a floor plan showing allocation of spaces in a healthcare facility.

H&W Research Projects

Our Work

Research Topics

Post-Occupancy Evaluation on the University of Kansas Hospital, 2019. Cai, H. (PI), Spreckelmeyer, K. (Co-PI), Zilm, F. (Co-Investigator). Funded by University of Kansas Health System. 

Post-Occupancy Evaluation on St. Joseph West and St. Mary at Jeff City Hospitals, 2015-2016. Cai, H. (PI), Spreckelmeyer, K. (Co-PI), Zilm, F. (Co-Investigator). Supported by SSM Healthcare and Lawrence Group. 

Post-occupancy evaluation of Chinese hospital outpatient department design, 2018-2019. Cai, H. (PI). KU CEAS Title VI NRC Internal Travel Funds. 

A Collaborative Benchmarking Post-Occupancy Evaluation Study on Critical Access, 2017-2018. Cai, H. (PI). Hospital in the Rural Mid-West Area. General Faculty Research Grant, the University of Kansas. 

Post-occupancy building evaluation of Trinity Lutheran Phase II Addition. Kansas City, MO, 1984. Spreckelmeyer, K. (Research Consultant). (Funded by HNTB/Architects, Planners and Engineers)  

Post-occupancy building evaluation of ADP Pittsburg facility. University of Kansas, 1982. Spreckelmeyer, K. (Research Consultant). (CRINC: Funded by Smith, Hinchman and Grylls, Inc.).  

Post-occupancy evaluation of the Ann Arbor Federal Building, 1979-1981. Spreckelmeyer, K. (Research Assistant). (Funded by the National Bureau of Standards). 

Inpatient Bed Allocation Model. Spreckelmeyer, K. (Research Consultant). Frank Zilm Associates, 1994-95.  

Facility Evaluation Study. Kansas State Capitol. Spreckelmeyer, K. (Research Consultant). John Lee Associates, 1993.  

Designing Safer Single-family Rooms in NICUs, 2023-2024. Herminia Machry (PI). New Faculty Research Development (NFRD) grant, School of Architecture and Design, University of Kansas. 

The impacts of nursing unit design on patients’ perceived noise levels and patient experience, 2022. Cai, H. (Principal), Fallum, F. (CO-PI). Funded by Perkins +Will.  

Impact of Visibility and Accessibility on Healthcare Workers’ Hand-Hygiene Behavior: A Comparative Case Study of Two Nursing Units in an Academic Medical Center, 2021. Cai, H. (Principal), Tyne, I., Spreckelmeyer, K., & Williams, J. The Wilbur H (Tib) Tusler, Jr. Health Design Research Prize, Foundation for Health Environments Research, 2022. 

Caring for the Caregivers: Evidence-based Long-term Care (LTC) Design to Reduce Impacts of the Covid-19 on Nurses, 2021-2022. Cai, H. (PI). GRF 2022, The University of Kansas.  

VA Nursing Unit Visibility and Fall rate, 2019-2021. Cai, H. (research consultant). 

Developing Culturally Sensitive Healthcare Design: Sociological Factors in Chinese Nursing Facilities, 2019-2020. GRF_2250407, The University of Kansas. Cai, H. (PI).   

Space syntax analysis for Nursing Home Wayfinding, 2019-present. Cai, H. (research consultant). 

Impacts of Community Development Investments on Resident Health. 2017-2018. Cai, H. (Co-Principal), Criss, S. (Principal), & Gore, N. (Co-Principal). Local Initiative Support Corporation and The Health Care Foundation of Greater KC.  

A Multi-center Study of the Impacts of Decentralized Nurse Station on Nurses' Communication and Patients' Satisfactory, 2016-2017. Cai, H. (PI). New Faculty Research Grant, the University of Kansas.

Programming and Programming of St. Louis University Replacement Hospital, 2015-2016. Cai, H (consultant), Zilm, F. (PI), Spreckelmeyer, K. (Co-Investigator). 

Laboratory Master Planning and Programming Studies, Tri-Health Medical System, 2013. Cincinnati, OH. Spreckelmeyer, K. (Research Consultant). Frank Zilm Associates.  

Southwest General Medical Center. Master Planning and Programming Studies. Cleveland, OH, 2007-2008. Spreckelmeyer, K. (Research Consultant). Frank Zilm Associates, 2007-08.  

Creighton University Hospital. Master Plan Study. Omaha, NE. Lake Forest Hospital. Master Planning and Programming Studies. Lake Forest, IL. Children’s Hospitals and Clinics. Minneapolis/St. Paul, MN, 2007. Spreckelmeyer, K. (Research Consultant). Frank Zilm Associates, 2007.  

St. Mary’s/Duluth Clinics. Master Planning and Programming Studies. Duluth, MN. Summa Health Care System. Master Planning and Programming Studies. Akron, OH, 2006. Spreckelmeyer, K. (Research Consultant). Frank Zilm Associates. 

Princeton University Medical Center. Replacement Hospital Planning and Programming Studies. Princeton, NJ, 2005-06. Spreckelmeyer, K. (Research Consultant). Frank Zilm Associates. 

Children’s Hospitals and Clinics. Minneapolis/St. Paul, MN, 2005. Spreckelmeyer, K. (Research Consultant). Frank Zilm Associates.  

Master Plan Study. Truman Medical Center. Kansas City, MO, 2004. Spreckelmeyer, K. (Research Consultant). Frank Zilm Associates.  

Cardiology Program. University of Kansas Medical Center. Master Plan. Children’s Hospitals and Clinics, Minneapolis, MN. Spreckelmeyer, K. (Research Consultant). Frank Zilm Associates, 2002, 2004. 

Abbott Northwestern Hospital Master Plan. Minneapolis, MN. Spreckelmeyer, K. (Research Consultant). Frank Zilm Associates, 2001.  

Children’s Hospitals and Clinics. Minneapolis/St. Paul, MN. Spreckelmeyer, K. (Research Consultant). Frank Zilm Associates, 2000.  

Facility Master Plans, Salina, KS and Stormont-Vail (Topeka, KS) Regional Health Centers. Spreckelmeyer, K. (Research Consultant). Frank Zilm Associates, 1996-97.  

Full-Scale Mock-Up Evaluation of Emergency Department Exam Room. North Kansas City Hospital, Kansas City, MO, 2007. Spreckelmeyer, K. (Co-PI). Funded by Frank Zilm Associates. 

Full-Scale Mock-Up Evaluation and Prototype Design of Neonatal Intensive Care Unit. Stormont-Vail Health System, Topeka, KS, 2003-04. Spreckelmeyer, K. (Co-PI). (Funded by Stormont-Vail Health System)  

Emergency Department (ED) Design for Pandemic Conditions: Lessons Learned from the COVID-19 Pandemic, 2020-2023. Cai, H. (Principal). Foundation for Health Environments Research Grant.  

Pilot Study of User Perceptions of Emergency Department Environments, Lawrence Memorial Hospital, Lawrence, KS, 2008. Spreckelmeyer, K. (PI). Funded by the University of Kansas. 

Evaluation and Prototype Design Studies of Emergency Room Gurneys. EROne Institute. Washington, DC, 2002-03. Spreckelmeyer, K. (Co-PI). (Funded by EROne Insitute)  

Emergency Room Evaluations. Oakwood Hospital, MI and St. Joseph Hospital, South Bend, IN. Spreckelmeyer, K. (Research Consultant). Frank Zilm Associates, 1992-93.  

Ambulatory Care Facilities Analysis and Planning. Summa Health System. Akron, OH. Stormont-Vail HealthCare. Topeka, KS. St. Catherine Hospital. Garden City, KS. Spreckelmeyer, K. (Research Consultant). Frank Zilm Associates, 1998. Information System Analysis. HOK, St. Louis, MO, 1998-99.  

Ambulatory Care Facilities Evaluation. Barnes-Jewish-Christian Hospitals. St. Louis, MO. Spreckelmeyer, K. (Research Consultant). Frank Zilm Associates, 1997.  

Outpatient Clinic Evaluation and Program. Christian Hospitals, St. Louis, MO; S.B. Allen Hospital, Eldorado, KS; and University of Cincinnati. Spreckelmeyer, K. (Research Consultant). Frank Zilm Associates, 1992-93.  

Inpatient Nursing Unit Evaluation. Barnes Hospital, St. Louis, MO. Outpatient Clinic Evaluation. M.D. Anderson Hospital, Houston, TX. Spreckelmeyer, K. (Research Consultant). Frank Zilm Associates, 1991.  

To Validate Facility Guidelines for Critical Access Hospitals (CAH): A Collaborative Benchmarking Post-Occupancy Evaluation Study on CAHs, 2018-19. Cai, H. (Principal). The 2018-19 American Institute of Architecture-Academy of Healthcare Architecture (AIA-AHA) J. Armand Burgun Fellowship in FGI interest areas of Health Facility Planning & Design, AIA-AHA.  

High-performance Design for Health & Wellness: Seeding a Center of Design Excellence for Promoting Efficient Rural Healthcare Settings, 2015-2016. Cai, H. (PI), Spreckelmeyer, K. (Co-Principal), Medina, M. A. (Co-Investigator), Sheward, H. A. (Co-Investigator), & Sanguinetti, P. (Co-Investigator). Institutional - KU Office of Provost, Research Initiative Level II Grant (RIC II).  

Rural Health Facility Evaluations. Kansas Health Foundation, 1993. Spreckelmeyer, K. (PI). 

Johnson County Department of Health and Environment, 2023-2024. Cai, H. (PI). Machry, Sheward H. Grant under the Farmers Market Promotion Program (USDA-AMS-TM-FMPP-G-23-0010).  

Assessment and Mapping of Food Sandbars in Johnson County Phase II, 2016. Kimminau, K. (Principal), Cai, H. (Principal), & Liston, R. (Coordinator). Univ of KS Med Ctr Research Institute. 

Assessment and Mapping of Food Sandbars in Johnson County, 2015. Kimminau, K. (Principal), Cai, H. (Principal), & Liston, R. (Coordinator). Univ of KS Med Ctr Research Institute.