(ProQuest: ... denotes formulae omitted.)The measurement of patient and staff experiences in a healthcare setting is an essential part of understanding and responding to patient needs and preferences. This understanding allows providers to make informed decisions regarding improvement of healthcare services and facilities in order to help improve patient outcomes, enhance operational efficiency, and achieve optimal occupant experience. Post-occupancy evaluation (POE) is highly regarded in industry as a necessity for improving design, construction, and maintenance of healthcare facilities. Preiser (1988) describes post-occupancy evaluation as the process of evaluating buildings in a systematic and rigorous manner after they have been built and occupied for some time (p. 3). This arti- cle discusses development of a rigorously tested facility assessment toolkit that can be used for both existing facility assessments and post-occupancy eval- uations. These kinds of tools promote capturing data similarly across all projects of like typology so that comparisons can be drawn and outcomes can be more accurately predicted. Standardized tools such as these can help project teams run comparisons between benchmarks and interventions, mine innovation and best practices, critically analyze effectiveness of their solutions for built envi- ronment, and refine their design and delivery process. This article describes methodology used to create a standardized process and set of tools.Through gathering of quantitative and qualitative information by means of surveys, focus group discussions, observations, and research of historical data, standardized tool provides a truly comprehensive view of how well build- ing meets needs of occupants. Jacqueline Vischer states that the impor- tance of process used in carrying out a POE cannot be underestimated (Vischer, 2001, p. 25). This article promotes use of a four-phased baseline process to measure success of a built environment. This process is methodi- cal and interactive with user representatives, team members, and building main- tenance personnel.1. Plan: Plan design process, building performance, and client data collec- tion process with client and research team.2. Conduct: Mine for data and user feedback through:* Focus group discussions-participants organized by hierarchical strata to reduce potential for intimidation and increase candid feedback.* Surveys and questionnaires-web-based tool administered to all build- ing occupants, including employees and patients.* Collection of building systems performance data-hospital provided.* Collection of hospital-gathered satisfaction and patient outcome scores.3. Analyze: Aggregate results are analyzed against original project goals and standard firm or practitioner's performance criteria.4. Report and Recommend: Report findings, recommend action, and employ lessons learned.A standardized tool includes Focus Group Guidelines, a document that outlines firm's or practitioner's process of conducting, analyzing, and reporting qual- itative focus group research. This type of focus group process was influenced by John Zeisel's recommendations on conducting focused interviews in his book Inquiry by Design (Zeisel, 2006). The guidelines should contain instructions for focus group moderator and a series of question outlines crafted specifically for each distinct group of participants. For example, participants from design team are prompted to reflect on project process, goals, and guiding principles, whereas hospital employees are encouraged to discuss role that built envi- ronment plays in their work process and communication. Focus group findings are used to modify questions in standardized web-based survey if necessary. This would be done if a particular design element was mentioned as key to success of solution or if one of fundamental aspects was not incorporated as part of design solution. …