Business to Business: Infrastructure Challenges of the Ambulatory Care Adaptive Re-Use Puzzle

| October 29, 2019

As retail consumer demands have shifted towards increased convenience and choice, the subsequent reduction in the need for brick and mortar retail outlets coincides with an increased need for outpatient healthcare services. This guide addresses engineering challenges associated with retrofitting retail buildings and spaces for an ambulatory occupancy and discusses best practices and lessons learned for successful project outcomes.

This guide will enable readers to:

  1. Understand the critical success factors for implementing healthcare in non-institutional settings.
  2. Understand the key needs for assessment in real estate and site selection.
  3. Understand strategies for implementing appropriate building infrastructure and for planning of projects.
  4. Understand the operational impacts to organization and users for these facility types.
  5. Understand the infrastructure and building system impacts on lease agreements, as well as other project and design team partners (architect, owner, OPM, contractor)
  6. Understand the importance of business plan and ROI for the program and matching to organizational strategy.



Meet the Authors

Thank you to the following people for the their participation in our round table and providing their insights and expertise.

  • Dennis Morelli (MaineHealth / Maine Medical Center)
  • Jeff Keilman (Perkins + Will Architects)




More than just technical expertise. A thoughtful, practical approach to addressing your engineering needs. Each of our integrated, multi-disciplinary project teams provides the leadership you need for your project. We engineer all projects with sustainability goals with the entire facility in mind to ensure the best results for each client.

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