Julie Dumser, a registered nurse by training with an expertise in perioperative services co-leads the clinician practice at CannonDesign. Moving from operating room nurse to design and architecture was a surprising, but incredibly rewarding trajectory of her career. It all started as Director of Nursing at a small 2-room surgery center and blossomed to development of surgery centers across the country. As such, understanding the CMS conditions of participation have been a requirement of her role. Julie has spent the past decade assisting with programming and planning of the ASC, small acute care hospitals, and academic medical centers. Leveraging the lessons she learned, literally from the inside out, she finds immense satisfaction in translating needs into design and workflow that improve both the patient and the clinician experience, while ensuring that these spaces meet regulatory guidelines.