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
| Feb 10, 2011
Zero Energy Buildings: When Do They Pay Off in a Hot and Humid Climate?
There’s lots of talk about zero energy as the next big milestone in green building. Realistically, how close are we to this ambitious goal? At this point, the strategies required to get to zero energy are relatively expensive. Only a few buildings, most of them 6,000 sf or less, mostly located in California and similar moderate climates, have hit the mark. What about larger buildings, commercial buildings, more problematic climates? Given the constraints of current technology and the comfort demands of building users, is zero energy a worthwhile investment for buildings in, for example, a warm, humid climate?
| Feb 9, 2011
Hospital Construction in the Age of Obamacare
The recession has hurt even the usually vibrant healthcare segment. Nearly three out of four hospital systems have put the brakes on capital projects. We asked five capital expenditure insiders for their advice on how Building Teams can still succeed in this highly competitive sector.
| Feb 9, 2011
Businesses make bigger, bolder sustainability commitments
In 2010, U.S. corporations continued to enhance their sustainable business efforts by making bigger, bolder, longer-term sustainability commitments. GreenBiz issued its 4th annual State of Green Business report, a free downloadable report that measures the progress of U.S. business and the economy from an environmental perspective, and highlights key trends in corporate culture in regard to the environment.
| Feb 8, 2011
AIA names 104 members to College of Fellows
The Fellowship program was developed to elevate those architects who have made a significant contribution to architecture and society and who have achieved a standard of excellence in the profession. Election to fellowship not only recognizes the achievements of architects as individuals, but also their significant contribution to architecture and society on a national level.
| Feb 4, 2011
President Obama: 20% improvement in energy efficiency will save $40 billion
President Obama’s Better Buildings Initiative, announced February 3, 2011, aims to achieve a 20% improvement in energy efficiency in commercial buildings by 2020, improvements that will save American businesses $40 billion a year.
| Jan 31, 2011
Cuningham Group Architecture launches Healthcare studio with Lee Brennan
International design firm Cuningham Group Architecture, P.A. (Cuningham Group) has announced the arrival of Lee Brennan, AIA, as Principal and Leader of its new Healthcare studio. Brennan comes to Cuningham Group with over 30 years of professional experience, 22 of those years in healthcare, encompassing all aspects of project delivery, from strategic planning and programming through design and construction. The firm’s new Healthcare studio will enhance Cuningham Group’s expertise in leisure and entertainment, education, mixed-use/housing and workplace environments.
| Jan 31, 2011
HDR Architecture Releases Evidence-based Design Videos
As a follow-up to its book Evidence-based Design for Healthcare Facilities, HDR Architecture, Inc. has released three video case studies that highlight evidence-based design principles in action.
| Jan 31, 2011
CISCA releases White Paper on Acoustics in Healthcare Environments
The Ceilings & Interior Systems Construction Association (CISCA) has released an extensive white paper “Acoustics in Healthcare Environments” for architects, interior designers, and other design professionals who work to improve healthcare settings for all users. This white paper serves as a comprehensive introduction to the acoustical issues commonly confronted on healthcare projects and howbest to address those.
| Jan 28, 2011
Firestone Building Products Unveils FirestoneRoof Mobile Web App
Firestone Building Products Company unveiled FirestoneRoof, a first-of-its-kind free mobile web app. The FirestoneRoof mobile web app enables customers to instantly connect with Firestone commercial roofing experts and is designed to make it easier for building owners, facility managers, roofing consultants and others charged with maintaining commercial roofing systems to get the support they need, when they need it.
| Jan 27, 2011
Perkins Eastman's report on senior housing signals a changing market
Top international design and architecture firm Perkins Eastman is pleased to announce that the Perkins Eastman Research Collaborative recently completed the “Design for Aging Review 10 Insights and Innovations: The State of Senior Housing” study for the American Institute of Architects (AIA). The results of the comprehensive study reflect the changing demands and emerging concepts that are re-shaping today’s senior living industry.
