The Multi-generational Patient Population – How Can We Meet Their Needs Through Design?

Blog Contribution by NIHD President-Elect Kristina Krail, RN, NEA-BC, FACHE, PMP, EDAC.


I have been in the Healthcare Design industry for only the last 12 years of my career.  Before that I was a Chief Nursing Officer at several different hospitals, a COO at a regional hospital association, and a Managing Director at a turnaround and restructuring advisory firm.  I continue to learn about those specialties from the numerous listservs I still subscribe to along with my more recent feeds related to design and architecture.  I can’t read everything, but random articles catch my eye especially those topics that are important to my current hospital and healthcare clients. I find organizations I work with expect me to be well versed on trends, predictions, and best practices.  I don’t know that I am reading anything that they too don’t have access to, but when they ask, I want to have answers! 


One of my go-to sources has always been the American Hospital Association (AHA) FutureScan. It has been published annually since 1999 in conjunction with the Society for Health Care Strategy & Market Development (SHSMD) and the American College of Healthcare Executives. It’s a highly respected guide that helps industry leaders prepare themselves and their organizations for the future.  Related publications include AHA’s annual MarketScan Reports. 

I decided to click-through when I received an AHA MarketScan email about “How to Personalize Care across Four Generations of Patients.”  Generational peculiarities and requirements have always been of interest to me in my professional practice.  In my nursing administration work,

I knew recruitment and retention requirements were not a one-size-fits-all, it depended on the age of the nurse. And when we compared patient satisfaction scores within our hospital association members, we knew the data had more meaning when stratified by patient age. 

The MarketScan post described key “take-aways” to personal care by generational category.  Interesting for sure, but was there any insight there that could be applied to design?  We know that pediatrics and geriatrics are their own specialties with specific environmental and design requirements.  But what about the differences and specific needs of the groups in between? 

The MarketScan post titled How to Personalize Care across Four Generations of Patients described key “take-aways” to personal care by generational category. 


NIHD President-Elect Kristina Krail, RN, NEA-BC, FACHE, PMP, EDAC

Read the post here, How to Personalize Care across Four Generations of Patients | AHA , and think about it the next time you are helping your client plan, design, or activate a new building or setting.   

Blog Contribution by Kristina Krail, RN, NEA-BC, FACHE, PMP, EDAC, who is currently serving NIHD as the Board President-Elect. She is a Healthcare Consultant + Transition Advisor for KRAIL ADVISORY


NIHD collaborates with clinicians, design professionals and industry partners in the healthcare design process to shape the future of healthcare design.