April Vicchrilli

Director, Operational Excellence Stanford Health Care

Main Day One - Tuesday, August 11, 2026

10:55 AM Decide, Document, Deliver: A Framework for User Accountability in Design

This presentation will outline a practical governance framework for managing user engagement and locking in stakeholder decisions during the Concept, Schematic Design, and Design Development phases of projects. It addresses how to establish clear decision-making authority, implement formal written sign-off gates at each design milestone, and hold users accountable through structured change request protocols. A project case study will demonstrate how these engagement techniques to lock decisions on time and under budget delivers a successful document to the contractor. Attendees will leave with actionable strategies to reduce costly late-stage changes, protect budgets and schedules, and build a culture of shared accountability between design teams and end users.

Check out the incredible speaker line-up to see who will be joining April.

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