In a time of crisis, smart planning can make all the difference.

Spaulding Rehabilitation Hospital, founded in 1971 as the Massachusetts Rehabilitation Hospital, is one of the largest and most prestigious rehabilitation facilities in the United States. Now a member of Mass General Brigham, Spaulding is a teaching hospital of Harvard Medical School, the centerpiece of the Spaulding Rehabilitation Network, and the only rehab hospital in New England continuously ranked since 1995 by U.S. News and World Report in its “Best Hospitals Survey.”

As it built a new hospital facility two miles away, Spaulding recognized the need for a fundamentally different treatment model. NBBJ worked with the hospital to create a 3-tiered education program for more than 1,000 personnel that included a general orientation program, a clinical orientation to the new equipment and integrated communication systems, and just-in-time training. In April 2013, after 18 months of redesigning care processes and preparing to relocate, the organization was in the midst of incremental department moves.

Then tragedy struck. On April 15, 2013, less than two weeks away from the patient move, the Boston Marathon bombing nearly derailed the entire process. Further compounding the challenge, Spaulding was the healthcare organization Boston needed most, to care for the many amputee victims. However, the groundwork laid by NBBJ’s transition risk mitigation plan ensured the move proceeded without a hitch, despite the sudden increase in patients.

Video: After the Marathon, a Move