Nine out of 10 healthcare providers say the Affordable Care Act (ACA) will be a “step forward” in addressing long-term health issues in the United States once it is fully established, and 83 percent say it is good for Americans, according to a survey of more than 190 healthcare leaders by Mortenson Construction.
The providers did not make an unqualified endorsement of the ACA, however. A full 86 percent say the ACA needs major changes or revisions.
Providers are excited about opportunities to improve while worried about the transition under way. Nearly four out of five, or 79 percent, say health reform is creating significant uncertainty for their organizations and the healthcare industry.
Tellingly, 74 percent predict it will challenge their organization’s financial condition with 72 percent saying it already has.
Other insights:
• Overall optimism about the future of U.S. healthcare among healthcare providers dropped from 85 percent optimistic in 2012 to 60 percent optimistic in 2013
• Four out of five say the ACA will successfully shift reimbursements to pay for the quality of outcomes
• 71 percent say it will improve quality and outcomes, and 65 percent say it will lower the cost of care
• 95 percent of healthcare providers believe specialized facilities, such as MRI centers, cancer centers and urgent care centers will grow in prominence in the next three years
“The healthcare market is in the process of adapting to a new normal,” said Bob Nartonis, Senior Vice President and National Healthcare Market Leader at Mortenson. “Many institutions are rethinking their basic assumptions regarding how they should operate going forward, understanding that there are new rewards for those who can successfully adapt and unwanted consequences for those who cannot.”
To understand the impact of the Affordable Care Act on healthcare providers and their facilities, Mortenson spoke to healthcare professionals at the Healthcare Design Conference in November to better understand these issues and the impact on design and construction trends. More than 190 professionals provided feedback, including healthcare administrators and facilities leaders, architects, and academics.
The new models for healthcare delivery and payment are requiring new approaches to healthcare facilities. With the pressing need to become more efficient and cut costs, they are emphasizing more flexibility in facility design and layouts that make it easier for patients to find their way around and for multi-disciplinary teams to work together. They also are relying more heavily on innovative technologies and project delivery methods to streamline construction to improve success.
Mortenson is one of the leading healthcare contractors in the U.S. and has completed more than 18.5 million square feet of healthcare construction and renovations nationwide in the past 10 years.
Download a free copy of the 2014 Mortenson Construction Healthcare Industry Study.
Related Stories
| Oct 13, 2010
County building aims for the sun, shade
The 187,032-sf East County Hall of Justice in Dublin, Calif., will be oriented to take advantage of daylighting, with exterior sunshades preventing unwanted heat gain and glare. The building is targeting LEED Silver. Strong horizontal massing helps both buildings better match their low-rise and residential neighbors.
| Oct 12, 2010
Holton Career and Resource Center, Durham, N.C.
27th Annual Reconstruction Awards—Special Recognition. Early in the current decade, violence within the community of Northeast Central Durham, N.C., escalated to the point where school safety officers at Holton Junior High School feared for their own safety. The school eventually closed and the property sat vacant for five years.
| Oct 12, 2010
Guardian Building, Detroit, Mich.
27th Annual Reconstruction Awards—Special Recognition. The relocation and consolidation of hundreds of employees from seven departments of Wayne County, Mich., into the historic Guardian Building in downtown Detroit is a refreshing tale of smart government planning and clever financial management that will benefit taxpayers in the economically distressed region for years to come.
| Oct 12, 2010
Richmond CenterStage, Richmond, Va.
27th Annual Reconstruction Awards—Bronze Award. The Richmond CenterStage opened in 1928 in the Virginia capital as a grand movie palace named Loew’s Theatre. It was reinvented in 1983 as a performing arts center known as Carpenter Theatre and hobbled along until 2004, when the crumbling venue was mercifully shuttered.
| Oct 12, 2010
University of Toledo, Memorial Field House
27th Annual Reconstruction Awards—Silver Award. Memorial Field House, once the lovely Collegiate Gothic (ca. 1933) centerpiece (along with neighboring University Hall) of the University of Toledo campus, took its share of abuse after a new athletic arena made it redundant, in 1976. The ultimate insult occurred when the ROTC used it as a paintball venue.
| Oct 12, 2010
Owen Hall, Michigan State University, East Lansing, Mich.
27th Annual Reconstruction Awards—Silver Award. Officials at Michigan State University’s East Lansing Campus were concerned that Owen Hall, a mid-20th-century residence facility, was no longer attracting much interest from its target audience, graduate and international students.
| Oct 12, 2010
Gartner Auditorium, Cleveland Museum of Art
27th Annual Reconstruction Awards—Silver Award. Gartner Auditorium was originally designed by Marcel Breuer and completed, in 1971, as part of his Education Wing at the Cleveland Museum of Art. Despite that lofty provenance, the Gartner was never a perfect music venue.
| Oct 12, 2010
Cell and Genome Sciences Building, Farmington, Conn.
27th Annual Reconstruction Awards—Silver Award. Administrators at the University of Connecticut Health Center in Farmington didn’t think much of the 1970s building they planned to turn into the school’s Cell and Genome Sciences Building. It’s not that the former toxicology research facility was in such terrible shape, but the 117,800-sf structure had almost no windows and its interior was dark and chopped up.
| Oct 12, 2010
The Watch Factory, Waltham, Mass.
27th Annual Reconstruction Awards — Gold Award. When the Boston Watch Company opened its factory in 1854 on the banks of the Charles River in Waltham, Mass., the area was far enough away from the dust, dirt, and grime of Boston to safely assemble delicate watch parts.
| Oct 12, 2010
Cuyahoga County Soldiers’ and Sailors’ Monument, Cleveland, Ohio
27th Annual Reconstruction Awards—Gold Award. The Cuyahoga County Soldiers’ and Sailors’ Monument was dedicated on the Fourth of July, 1894, to honor the memory of the more than 9,000 Cuyahoga County veterans of the Civil War.