The emergency department design at Gundersen Health System's facility in La Crosse, Wis., was considered risky, but has paid off, according to an article on the Healthcare Design website. With 44 exam rooms designed on a pass-through (or open core) model, “What used to be a loud mixing and mashing of staff and family and patients is now this very quiet, very calm, disbursed group of staff doing their jobs," according to a hospital official.