In any construction project, all of the technical experts work hard in their own areas of specialty. But without a generalist who can see the big picture, coordinate the various technical aspects, and keep everyone focused on the needs of the owner and end user, sometimes the entire project suffers. I experienced such an example recently at a new medical center and emergency care facility near my home.

I was scheduled for a medical test at the center, which had been open only a short time. I’d driven past the facility during construction and observed people gathering for a tour just before it opened. However, without a need to visit, I hadn’t actually seen the facility up close.

I pulled into the parking lot in plenty of time for my appointment and drove toward what I assumed to be the main entrance. However, as I neared it, I saw that it was marked by a stone pillar with a large, red, illuminated “EMERGENCY” sign.

Life experience says that one never takes up space associated with emergencies (or handicapped access) when not necessary. So I drove to the other end of the facility in search of the medical center entrance. All I saw was a small, unmarked door on the side of the building. I drove across the front of the building a second time and found no other entrance.

Since the emergency entrance was the only obvious public door I could find, I returned to that area and parked. All told, I had wasted ten minutes trying to find the entrance. And if people can’t figure out how to enter a building, why build it in the first place?

When I walked in, no one greeted me; the reception desk was unattended. I saw no signage indicating where to report for the test I had scheduled. Looking through a glass partition to my left, I could see a sign saying “Emergency Triage” over a glass window. Clearly that was not where I wished to be. So I waited ten minutes until someone returned to the reception desk and asked to assist me.

Upon inquiring, I learned that, yes, this was the correct entrance (there is only one). And I wasn’t the only patient to have trouble figuring that out. I was told that some individuals had used the unmarked door on the side of the building, unexpectedly entering physicians’ offices by mistake because of the unclear signage.

Apparently, the general contractor had allowed the signage contractor to design and install signage without a Three Bears test. By that I mean the process of analyzing proposed solutions and judging which one is “just right” for the intended user. (Read more about how generalists use the Three Bears test.)

The signage chosen for this facility may have been the right choice for paramedics and people needing emergency care. But it didn’t address the needs of another key group of users—patients like me, who come to the facility for tests and other appointments.

This construction project could have used someone with strong generalist skills to advocate for the end users, place a high priority on their needs, and ensure that those needs were met. One would think a “general” contractor would be able to coordinate (read “generalize”) at a high level. Good ones do!