Relianty Medical Group is a large multi-specialty medical group practice located throughout Central Massachusetts. After designing multiple facilities for Reliant, Margulies Perruzzi Architects was tasked to design a pilot “medical home” family practice for Reliant Medical Group in Leominster. The term “medical home” refers to an innovative healthcare delivery method that provides a team of healthcare professionals, rather than one doctor, who offer a wide range of services with four main functions: educate, monitor, guide and reach out. Efficiency and flexibility of both space and healthcare professionals are crucial. The design goal for this project was to use Lean design, as well as Revit, to create the most efficient, organized, and streamlined atmosphere. In order to get going in the right direction, MPA used the Lean process to analyze and simplify the daily functions. The term “lean design” is the collaborative effort by all involved in any process to reduce waste, increase efficiency, eliminate redundancy, and increase value. However, because of the unique nature of the “medical home” the Lean process was not of a singular office such as surgery, or primary care, but rather it was a comprehensive and exhaustive experience and process improvement.