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
| Sep 13, 2010
World's busiest land port also to be its greenest
A larger, more efficient, and supergreen border crossing facility is planned for the San Ysidro (Calif.) Port of Entry to better handle the more than 100,000 people who cross the U.S.-Mexico border there each day.
| Sep 13, 2010
Triple-LEED for Engineering Firm's HQ
With more than 250 LEED projects in the works, Enermodal Engineering is Canada's most prolific green building consulting firm. In 2007, with the firm outgrowing its home office in Kitchener, Ont., the decision was made go all out with a new green building. The goal: triple Platinum for New Construction, Commercial Interiors, and Existing Buildings: O&M.
| Sep 13, 2010
Stadium Scores Big with Cowboys' Fans
Jerry Jones, controversial billionaire owner of the Dallas Cowboys, wanted the team's new stadium in Arlington, Texas, to really amp up the fan experience. The organization spent $1.2 billion building a massive three-million-sf arena that seats 80,000 (with room for another 20,000) and has more than 300 private suites, some at field level-a first for an NFL stadium.
| Sep 13, 2010
'A Model for the Entire Industry'
How a university and its Building Team forged a relationship with 'the toughest building authority in the country' to bring a replacement hospital in early and under budget.
| Sep 13, 2010
Committed to the Core
How a forward-looking city government, a growth-minded university, a developer with vision, and a determined Building Team are breathing life into downtown Phoenix.
| Sep 13, 2010
Conquering a Mountain of Construction Challenges
Brutal winter weather, shortages of materials, escalating costs, occasional visits from the local bear population-all these were joys this Building Team experienced working a new resort high up in the Sierra Nevada.
| Sep 13, 2010
Data Centers Keeping Energy, Security in Check
Power consumption for data centers doubled from 2000 and 2006, and it is anticipated to double again by 2011, making these mission-critical facilities the nation's largest commercial user of electric power. With major technology companies investing heavily in new data centers, it's no wonder Building Teams see these mission-critical facilities as a golden opportunity, and why they are working hard to keep energy costs at data centers in check.
| Sep 13, 2010
3D Prototyping Goes Low-cost
Today’s less costly 3D color printers are attracting the attention of AEC firms looking to rapidly prototype designs and communicate design intent to clients.
| Aug 11, 2010
Cubellis principals reorganize as CI design
Former principals of Cubellis Inc. have formed ci design "with a stellar group of projects in the United States and internationally," states John Larsen who, with Richard Rankin and Christopher Ladd, is leading the architecture and planning firm.
| Aug 11, 2010
Leo A Daly changes name of STH, completes acquisition
LEO A DALY has changed the name of STH Architectural Group to the name of its parent company, Leo A Daly. STH was acquired in February 2009 as a strategic move to accelerate growth in its core business sectors and to strengthen the firm's presence in the Florida market.
