By mid-year 2014 approximately $2.3 billion of venture funding for digital health had been placed, surpassing the total investment made in all of 2013. This is yet another statistic that demonstrates an evolving healthcare ecosystem where reform is creating disruptive forces that alter the impact and importance of the players involved.
With changing business practices and a greater emphasis on consumerism, healthcare organizations are looking across their enterprises for answers. Facilities are not escaping the drag net and we continue to see evolving trends that will define the market for real estate and facilities services in 2015 and beyond. The three areas of change we will explore are new products, delivery models, and relationships.
NEW PRODUCTS
With consumers funding more and more of their healthcare services out of pocket, they are becoming more selective in who they seek healthcare services from. In a 2013 survey of healthcare consumers conducted by Oliver Wyman, consumers responded that their top reason for choosing a particular healthcare services location was the quality of care received. Consumers will be focused on every interaction they have with a healthcare provider to rate quality of care from setting up their appointments to the results they experience during and after their visit. The concept of “service” will become a focus of providers that will be successful in 2015 and beyond.
As healthcare organizations plan new facilities and evaluate their overall real estate portfolio, they will continue to look towards facilities that support a first class experience. Not only will they be concerned with the consumer experience, but employee satisfaction will also play a major role. The continued growth of retail care in a healthcare organizations real estate portfolio will continue to be a focus in 2015 and beyond. We will likely see more unique mixed-use projects that carry the live, work and play theme as healthcare focuses on prevention rather than episodic care.
DELIVERY MODELS
As healthcare organizations change their business practices across the enterprise, they are also looking to change the way facilities are delivered and managed. Integrated project delivery models are being requested on a more frequent basis. Many companies that used to market to healthcare organizations as design-build firms have altered their messaging to include the term “integrated.” Healthcare organizations continue to adopt performance improvement models such as Lean to improve their business and integrated project delivery is a natural fit for that culture.
The shift towards an integrated model of delivery is not just project by project based but portfolio based as well.
Healthcare organizations are beginning to see the value of reviewing their entire portfolio and determining the highest and best use for each asset with an understanding of the role it can play in a highly distributed service model. This has increased the demand for strategic real estate planning services that are more holistic than we have seen in the past.
There is a growing desire to develop key performance indicators (KPIs) that take into account clinical outcomes, service line financial performance, building performance and space utilization among other points. Analytical models will be developed in the future that provide an accepted rating system and allow healthcare organizations to measure the true performance of their real estate assets across the ecosystem.
RELATIONSHIPS
New products and an emphasis on new delivery models create new relationships. As healthcare organizations seek more opportunities to save in the delivery and care of facilities, they continue to demand more from group purchasing organizations (GPOs). In the past, GPOs have been focused on medical equipment and other essential supplies necessary to deliver care.
As healthcare organizations expand their net for savings opportunities, they are requesting volume pricing on construction materials, building systems and service contracts. With a limited amount of GPO coverage within this sector, healthcare organizations are exploring direct relationships with key suppliers in an effort to drive prices and increase schedule efficiencies by having more direct control over supply chains.
With an emphasis on ambulatory and retail building products, speed to market becomes more important and, therefore, better predictability with respect to schedule and budget. This has created a demand for roll-out strategies that can deliver portfolios rather than single projects. Healthcare organizations are seeking qualified integrated teams to deliver a solution including the ability to finance, design, build and maintain.
The relationship model continues to shift to a group of preferred providers that are in tune with the organization’s overall strategy and understand their culture and decision making style. In an industry with plenty of chaos, seeking solutions that provide a more predictable outcome will be a focus for healthcare organizations in 2015 and beyond.
CONCLUSION
Healthcare continues to shift toward Madison Avenue and Silicon Valley as it revamps business practices to focus on consumerism and efficiency. Not only does this impact the actual delivery of services, but it continues to have a large effect on the location and type of facility in which those services are delivered. In the next year, expect to see the following:
• Product. A continued emphasis on Ambulatory and Retail facilities and increased development of population health management tools such as wellness centers, adult daycare centers, and virtual medicine hubs.
• Delivery. Continued alignment in the delivery and care of facilities with a culture of improvement. An increase in integrated project delivery and risk sharing models based on short and long term outcomes. Development of holistic analytical models for evaluating portfolio performance.
• Relationships. A change in the relationship between Suppliers, GPOs and healthcare organizations that provides more direct access to innovations without delays and surcharges.
For service providers in the real estate, design and construction industry it will be important to understand how exactly how the healthcare industry is evolving. With shifting payment models and an emphasis on value creation, healthcare organizations will be open to partners that are able to contribute to achieving their strategic goals and not just deliver on a transaction.
The more a firm can demonstrate a predictable outcome that delivers results, the quicker they will become a trusted and preferred partner well into the future.
Related Stories
| Apr 14, 2011
USGBC debuts LEED for Healthcare
The U.S. Green Building Council (USGBC) introduces its latest green building rating system, LEED for Healthcare. The rating system guides the design and construction of both new buildings and major renovations of existing buildings, and can be applied to inpatient, outpatient and licensed long-term care facilities, medical offices, assisted living facilities and medical education and research centers.
| Apr 13, 2011
National Roofing Contractors Association revises R-value of polyisocyanurate (ISO) insulation
NRCA has updated their R-value recommendation for polyisocyanurate roof insulation with the publication of the 2011 The NRCA Roofing Manual: Membrane Roof Systems.
| Apr 13, 2011
Professor Edward Glaeser, PhD, on how cities are mankind’s greatest invention
Edward Glaeser, PhD, the Fred and Eleanor Glimp Professor of Economics at Harvard University and director of the Taubman Center for State and Local Government and the Rappaport Institute for Greater Boston, as well as the author of Triumph of the City: How Our Greatest Invention Makes Us Richer, Smarter, Healthier, and Happier, on how cities are mankind’s greatest invention.
| Apr 13, 2011
Southern Illinois park pavilion earns LEED Platinum
Erin’s Pavilion, a welcome and visitors center at the 80-acre Edwin Watts Southwind Park in Springfield, Ill., earned LEED Platinum. The new 16,000-sf facility, a joint project between local firm Walton and Associates Architects and the sustainability consulting firm Vertegy, based in St. Louis, serves as a community center and special needs education center, and is named for Erin Elzea, who struggled with disabilities during her life.
| Apr 13, 2011
Virginia hospital’s prescription for green construction: LEED Gold
Rockingham Memorial Hospital in Harrisonburg, Va., is the commonwealth’s first inpatient healthcare facility to earn LEED Gold. The 630,000-sf facility was designed by Earl Swensson Associates, with commissioning consultant SSRCx, both of Nashville.
| Apr 13, 2011
Office interaction was the critical element to Boston buildout
Margulies Perruzzi Architects, Boston, designed the new 11,460-sf offices for consultant Interaction Associates and its nonprofit sister organization, The Interaction Institute for Social Change, inside an old warehouse near Boston’s Seaport Center.
| Apr 13, 2011
Expanded Museum of the Moving Image provides a treat for the eyes
The expansion and renovation of the Museum of the Moving Image in the Astoria section of Queens, N.Y., involved a complete redesign of its first floor and the construction of a three-story 47,000-sf addition.
| Apr 13, 2011
Duke University parking garage driven to LEED certification
People parking their cars inside the new Research Drive garage at Duke University are making history—they’re utilizing the country’s first freestanding LEED-certified parking structure.
| Apr 13, 2011
Red Bull Canada HQ a mix of fluid spaces and high-energy design
The Toronto architecture firm Johnson Chou likes to put a twist on its pared-down interiors, and its work on the headquarters for Red Bull Canada is no exception. The energy drink maker occupies 12,300 sf on the top two floors of a three-story industrial building in Toronto, and the design strategy for its space called for leaving the base building virtually untouched while attention was turned to the interior architecture.
| Apr 13, 2011
Former department store gets new lease on life as MaineHealth HQ
The long-vacant Sears Roebuck building in Portland, Maine, was redeveloped into the corporate headquarters for MaineHealth. Consigli Construction and local firm Harriman Architects + Engineers handled the 14-month fast-track project, transforming the 89,000-sf, four-story facility for just $100/sf.
