Insights

Quick Take with Marty Fifer

Marty Fifer, AIA, NCARB, DBIA, EDAC, is Healthcare Practice Group Leader in Southern California, where he directs new business strategies and client relations for the Los Angeles and San Diego offices. 

Since joining the firm in 2022, he has been integral to the healthcare practice’s accomplishments, expanding design services and market range with leading clients throughout Southern California. With that success, he looks forward to continuing to build the practice as the healthcare industry faces many challenges and opportunities in 2025. 

In the following, he shares his insight on the state of the practice and industry—and his personal connection to healthcare design. 

Marty Fifer
Marty Fifer

Healthcare Practice Group Leader 

What are the challenges in healthcare today?

There are three major challenges impacting healthcare nationally from a building perspective and personnel perspective—the cost of capital infrastructure, planning for flexibility, and staff shortages. 

How do you convert those challenges into opportunities?

The biggest opportunity is speed-to-market delivery methods to reduce construction cost and right-sizing care platforms that can flexibly adapt to different patient volumes, care delivery, and staff count. We tap into our own market intelligence and design research to identify cost-saving opportunities throughout the planning and construction process to meet these challenges

expand image icon
Cedars-Sinai Emergency Department waiting room
How does this directly impact staff shortages?

It gets down to designing spaces that are efficient and supportive for the caregivers. Healthcare design is somewhat personal for me. I learned the importance of good design from my mother, who worked as a nurse and always stressed how space can enhance—or hinder—her ability to bring care to patients. 

Can design help reduce staff burnout?

Absolutely. Good design is often about addressing real challenges. Designing for efficiency and offering areas of respiteallowing nurses and caregivers to get away and decompresscan heighten job satisfaction and reduce burnout that leads to staff shortages. 

And the patients?

It’s also about creating environments that support patient needs, and different patient types. Getting back to my earlier reference, I remember touring an Alzheimer’s care facility where my mother worked. She pointed out specific interior design details that affect a dementia patient’s behavior. It was a great first-hand learning experience. Understanding the patient’s experience is part of the bigger picture, in which we approach design holistically from multiple perspectives. 

Our team members are amazing people. They give me the motivation to do this job.

Marty Fifer

Healthcare Practice Group Leader 
How does your work impact the community?

Everything we do impacts the larger community. That’s why we must include all appropriate voices and stakeholders in the design process. Our work with Cedars-Sinai’s new Emergency Department in Los Angeles is an example. It touches so many different people in a diverse urban area. We have done multiple projects with Cedars-Sinai over the years, so we have had the opportunity to get to know them and their communities well. 

What are you looking forward to in the new year?

We’re growing our team. Since I’ve been here, we’ve almost doubled our Southern California presence. Yet it’s not just the numbers. It’s the levels of expertise that we‘re bringing in. Our team members are amazing people. They give me the motivation to do this job. And this means we can deliver even better resources for our clients. 

Learn more about HGA’s interdisciplinary healthcare design expertise.