Frederick, Maryland

Frederick Health
Expansion and Modernization


As the primary healthcare provider in Frederick, Maryland, Frederick Health Hospital received approximately 73,000 annual Emergency Department visits, at the time of the project this was a 16% increase from the previous five years. Additionally, a market demand analysis projected Emergency Department demand reaching approximately 85,000 visits in the year 2020 and the existing Emergency Department presented problematic conditions to meeting these demands.


Through the lean process assessment Trinity was able to identify a number of over-utilized areas (including CT scans per patient visit). Our design, informed by the lean process, increased operational throughput by 32%,  resulting in less programmed beds/area and capital savings. Innovative “Best Practice” models were also explored and incorporated, including “Split Flow” management, Rapid Treatment Care and dedicated Crisis and Pediatric Centers.

A new main entry concourse connects to the parking deck with a canopy and walkway that lead patients to the registration area. A relocated ambulance entrance separates traffic between ambulances and visitors resulting in an increase in efficiency and safety. The design established a simple continuous floor plan with functional support space and enlarged universal model treatment rooms to accommodate multiple patient types and acuity levels.


Trinity led a best practice assessment and operational lean process improvement effort with hospital administrators and clinical staff to assess patient through-put and experience in the emergency department, and additionally provided the System with strategic planning, financial planning, operational planning, architectural design and interior design services.



     19,000 sf