The Price is Right: Considerations in Design Fee Development

Despite being a sensitive topic, money is central to any project—managing costs, remaining on budget, and achieving maximum value per dollar spent are all critical to a successful design, whether a new build, a major expansion, or a renovation. So, let’s talk about it.

The latest episode of Side of Design from BWBR dives deep into this subject, exploring the intricacies of fee development and its impact on project success. Host Matt Gerstner leads a thoughtful discussion with representatives from BWBR’s leadership team — CEO Terri Ulrick, Director and Principal Greg Fenton, and Principal Mike Boldenow—shedding light on their strategies for creating value-driven fee structures, all in service of not only good drawings, but great client outcomes.

Understanding the Real Need

A thorough understanding of client needs is at the heart of fee development. Effective communication is key from start to finish, beginning with the RFP process. The more detail a potential client provides in an RFP, the more likely they’ll get an aligned, thoughtfully considered response that offers innovative solutions within cost expectations. That doesn’t mean you have to know exactly what you need at the outset—as the team explains, designers go beyond surface-level requirements, often anticipating needs the client may not have initially considered.

Greg provides a recent example of an RFP that didn’t mention specific chemical inventory and maximum quantities required by code. “We proposed that as an additional service, which wasn’t specifically noted in their list of services they were looking for. It proved to be valuable for them, and we were able to help them at a different level,” he says.

The BWBR team knows from experience that the time it takes to thoroughly understand needs pays off with more successful, tailored, value-driven results in the end. “Asking some key questions up front really informs us and our teams here at BWBR how to best serve the client, and understanding them and their prerogatives is essential to developing the right fee,” Greg says.

What’s it Worth?

When we talk about “value,” we don’t necessarily mean the least expensive option. High-quality design documents, which may have a larger upfront fee, can result in lower costs in the long run. “The value of a good design process can really go a long way when you’re looking at construction,” Terri explains. “If you have documents that are quality, documents that the contractor doesn’t have to guess on, that results in fewer change orders. Overall that value ends up compounding itself.”

And while design fees represent a small percentage of overall project costs, the impact of thoughtful design decisions can be felt throughout the life of a building, leading to more efficient operations, lower maintenance costs, and increased flexibility over time. Mike says, “We at BWBR have a reputation for top-quality design and documentation. So, when I’m working with a project manager and developing a work plan, we have to make sure we have the right team members and the right steps and the right processes internally to make sure we’re delivering a BWBR quality project.”

In it Together

This client-centered approach is increasingly a point of differentiation for BWBR as the firm has witnessed a shift to a more transactional, purely numbers-based approach. Yet, because BWBR specializes in complex projects, particularly in science + tech, healthcare, and education, it’s no surprise that the team dives deep into client needs. “One of the things that I think sets BWBR apart is that the group of individuals that work here, we really care,” says Terri. “We care about the client’s success when we’re putting together our fee and our process. We care about their success when we look at our approach to the design, really looking at what the client needs in order to meet their ultimate goal.”

This emphasis is undoubtedly one of the reasons BWBR has so many long-term partnerships, and the team emphasizes the importance of potential clients finding the right fit for their unique process and values. Mike sums it up nicely: “Fee is always going to be a component,” he says. “Team and experience are always going to be components. But a lot of times, what I hear from our clients…is, ‘The team we selected we just felt comfortable with. We seemed to share the same culture, we seemed to share a lot of the same values, and we really connected.’”

Built to Last

In the end, selecting a design firm goes beyond a price on paper—it’s about finding the right fit in terms of vision, values, and capabilities, allowing you to unlock the full value of the relationship and your investment.

The Work of Wellness: Designing Clinics for Efficiency, Comfort, and Inclusion

Healthcare clinics are essential spaces, not only for routine wellness, but also to provide vital specialty services like urgent care, diagnostics, women’s health, and so many more. Outpatient facilities are critical to maintaining health and wellbeing, and they deserve great design to support their patients and staff.

Good clinic design revolutionizes the healthcare experience – it makes wayfinding simple, relieves stress, and improves both comfort and accessibility.

Laying it Out

Traditional clinics tend to follow the familiar model of double-loaded exam corridors with nurse stations in the front and support spaces and provider offices in the rear. However, this is not the only layout option for outpatient facilities, and not necessarily the best fit for every healthcare team. Patient demographics, clinic specialties, and preferred care models all play a role in space planning.

Some clinics are planned with clusters of 6-12 exam rooms utilizing a centralized nurse station in each pod, while others feature exam rooms surrounding a staff core. In this model, exam rooms have separate access doors for patients and staff, providing an added layer of security for doctors and nurses. The staff core model can also improve through-put by separating the flow of both patient and staff movement in hallways and is a good fit for clinics that use self-rooming.

No matter what layout best suits a clinic’s providers and patients, the importance of convenient flow for users remains the same. Our healthcare designers dig deep into each team’s operations and workflow, finding solutions that help make providers’ jobs easier and patient visits seamless.

Two common clinic models

Navigation Made Easy

Intuitive wayfinding is a necessity in every space, but all the more important in healthcare environments where patients may come in feeling stressed or unwell. We believe that clinic design should alleviate stress, supporting the work that providers do by helping patients feel calm and at-ease. Confusing layouts and unclear signage can make it difficult for users of the space to find their way around a clinic, contributing to feelings of anxiety.

Whether a project is a renovation or new build, healthcare planners identify design inefficiencies that make navigation challenging, using creative, custom solutions to solve them. Our graphic design team works closely with clients and BWBR designers to create signage that not only makes wayfinding simple but is tailored to pair with selected finishes and enhance the overall environment. Imagery, textures, and colors all play a role in differentiating areas of a clinic from one another, with layered elements that make each space memorable and identifiable.

Privacy Matters

Privacy is another factor that plays a huge role in distinguishing a positive care experience from a negative one by increasing comfort and minimizing anxiety. Patient privacy should be considered in all aspects of design, from the check-in desk and waiting area to corridors and exam rooms. Healthcare is deeply personal, and thoughtful design brings peace of mind to patients and their families.

Utilizing partitions in reception and waiting spaces is one way that BWBR designers increase comfort for patients from the moment they step into a clinic, as well as utilizing design elements that encourage those queuing to stand at an appropriate distance. In exam rooms, sound-masking systems and special attention to both construction methods and materials are paramount to eliminating room-to-room transmission, preserving confidentiality and creating a space where patients feel safe to share openly with providers. This goes hand-in-hand with design elements like curtains, solid panel doors, and integral blinds on windows. Creating a clinic that maximizes privacy requires a layered approach that is present throughout the entire facility, with close attention to each element that can further enhance feelings of safety and security.

Inclusion for All

Everyone deserves access to healthcare that prioritizes their needs, and inclusive design supports people of all abilities, ages, cultures, and sizes in receiving care that works for them.

From large exam rooms with flexible furniture that accommodate families and patients of size, to signage translated in multiple languages, seemingly small considerations can make a big difference in increasing the accessibility of care. Even location plays a part in inclusivity, and BWBR’s healthcare planners can help select sites near public transit or walking paths, expanding the range of folks who can reach a clinic with a variety of transportation methods available.

Critical Care

In the evolving world of healthcare design, the details are critical, and our experienced team plans clinics where every element is strategically considered to enhance safety and comfort and elevate the standard of care. Through thoughtful considerations that support patient wellbeing and seamless operations, clinics can effectively meet the diverse needs of users and support staff in providing high-quality, compassionate care.