On behalf of the Academy of Architecture for Health Foundation, I applaud the publication of this inaugural issue of the Health Environments Research & Design Journal (HERD).The Need-and HERD's Approach To Meeting That NeedAs the profession of architecture evolves and responds to the changing needs of clients and society, it is essential that a body of evidence be created and disseminated leading toward greater understanding of the likely outcomes of decisions on complex issues.Our profession has long valued the creative, intuitive skills of our members, but we are faced with the reality that hard evidence of favorable outcomes is essential in order to ensure the success of most efforts. For those of us in healthcare planning and design- the one-on-one relationship of the artistic genius architect and the visionary benefactor client are nonexistent-the reality is one of collaborative consultant teams and multilayered client and regulatory organizations.Each of thousands of decisions faces the scrutiny of some participant saying, Prove it. Proving the value of a decision can become a costly, time-consuming effort to the detriment of all those involved in a given project. The answer: the development of hard research that moves beyond supposition and anecdote to rigorously researched, peer-reviewed, well-documented outcomes. HERD gives the profession that opportunity.The Academy of Architecture for Health FoundationThe Academy of Architecture for Health Foundation, a separate 501(c)(3) nonprofit corporation, was established in 2000 to enhance the knowledge and effectiveness of those who create healthcare environments by identifying critical needs, funding efforts to meet those needs, and evaluating the outcomes of those efforts.Since that time the foundation has established an endowment fund and annual grants process that encourages proposals for the very research on which HERD is focused. Recent grants have included:The Academy of Neuroscience for Architecture for development of a comprehensive database.Phase I of the development of an Interactive Knowledge Database has reviewed the status of repositories of relevant to human response to architecture. Many databases were assessed; however, a single comprehensive source of that intersects the scope of architecture and healthcare design was not identified. Instead, each discipline has created separate databases with different terminologies reflecting the conceptual processes of its users.Recent developments in informatics, the science of knowledge and management, were explored as a means to link knowledge sources. The information age now provides a burgeoning wealth of knowledge. Computer systems that provide intelligent search methods linking architecture and data will better support informed design choices. Enhanced productivity in the data-gathering phase will enable the use of a broader evidence base to be more readily accessed and incorporated into architectural practice.Three models are suggested that use existing computer-based knowledge management systems.1. Architectural Web-based Interface that links existing databases across disciplines to provide text-based extraction and analysis, speeding the process of gathering.2. Graphic Architectural Interface to link specific architectural features with outcomes.3. Data-Driven Imaging simulation to link virtual design options to repositories of knowledge.Information systems that extract detailed data about the influence of architectural elements on human responses will assist manufacturers and designers in the production and use of materials and systems that better serve user needs and outcomes. Text recognition systems could search and relate in terms of relevance to an architectural project, so that programming and design reflect this early in the process. …