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Tuesday, December 7, 2021  |  8:00 AM - 9:00 AM

Open to Conference Attendees Only

Cultural context of innovation & master planning in a developing community

Noble Lilliestierna, PE, LEED BD+C, WELL AP, LSSYB
Mechanical Engineer, BSA LifeStructures
Jonathan Limpert, MD, FACS
Co-founder / General Surgeon, Mission:318 / Mercy Hospital Washington
Chase Miller, RA, NCARB, LSSYB
Director, Planning, BSA LifeStructures
President, BSA LifeStructures

In partnership with Mission:318, BSA held an internal master planning competition to create innovative planning solutions for Yendi Municipal Hospital in Yendi, Ghana. The four interdisciplinary teams were challenged with adapting modern healthcare design to this location, considering cultural context, local materials, access to power and water, and more. At the end of the competition, the teams were combined to synthesize the best solutions from each. We explored staffing, travel distance, infection control, paths of travel, quality of care, access to water, renewable energy, and passive ventilation, to name a few. This session will explore these innovative ideas, beginning with a current state analysis by developing a future state plan. We will look at the vernacular of the region, understanding healthcare's cultural context and the challenges these create. We will walk through the ideation process of looking for new and cost-effective ways to mitigate the challenges.


1. Recognize and engage the vernacular in master planning
2. Understand the impact of innovation in the midst of cultural and environmental challenges
3. Visualize the integration of engineering, landscape, planning, and architecture to solve complex problems
4. Adapt modern healthcare design elements and evidence-based design to a cultural context that is challenged to support them.