The state of healthcare in our nation today is at the brink of significant change, as the passing of healthcare reform impacts everything from how health systems operate to the use of technology in managing and providing care. To help healthcare leaders navigate the increasingly complex environment, DPR Construction (“DPR”), a national technical builder specializing in highly complex and sustainable projects, conducted a year-long study to gather the perspectives of more than 40 CEOs, owners, designers and management consultants. The study found that health economics, healthcare delivery and buildings of the future are three key areas that will become increasingly important to the health industry over the next 10 years.
Using a mix of in-person interviews and online surveys with DPR customers and other leading organizations, DPR’s “Future of Healthcare” study also identified 10 areas of change that will be integral to shaping the industry’s future. These include:
- Accountable Care Organizations
- Pay-for-Performance
- Aging Population
- Electronic Medical Records
- Healthcare Worker Shortage
- Sophisticated Diagnostic and Treatment Equipment
- Handheld Computers and Portable Diagnostic Equipment
- Medical Homes
- Holistic, Patient-Centered Environment
- Evidence-Based Medicine
Health economics
Among study participants, many noted that systems are not fully prepared for the increasing population of aging individuals. When healthcare reform does get fully implemented, 32 million more insured U.S. citizens will skyrocket demand. Both will contribute to an already stressed system, making health economics one of the most critical elements of the industry’s future. While new and upgraded technologies entering the market will put strain on health providers’ and systems’ budgets, being able to deliver health that is patient-centric, centralized and vertically integrated will become increasingly important and help deliver better care while reducing costs.
“We have worked with leading healthcare providers for many years, and we clearly see that 2012 is heading into an unprecedented era in managing health economics. Cash flow is more strained than ever due to continued economic uncertainty and a slow recessionary recovery, making cost cutting a priority for health system executives,” said Hamilton Espinosa, DPR’s National Healthcare Group Leader. “The perspectives of these executives reinforced what we’ve been hearing: providers are seeking to deliver the best care while striving to be cost effective.”
Health delivery
According to the study’s findings, hospitals of the future will only serve acute-care patients. Outpatient facilities will deliver less critical care for less cost, while serving broader regional sites. Detroit-based Beaumont Health System, an 18-year recipient of the “Best Hospitals” ranking by U.S. News & World Report, was one of the study’s participants and discussed the evolution. “The hospital will become just for the highest acuity care. The focus needs to shift to home health, primary care and outpatient care,” said Gene Michalski, CEO of Beaumont Health System.
Additionally, health information technology will remain the backbone of delivery, helping to ensure care is delivered more efficiently to lower overall cost. “We are 20 years behind on IT infrastructure, and IT improvements are taking capital that might otherwise have gone to facilities at this time,” noted study participant John Kemper, CEO of KLMK Group, a leading provider of innovative facility solutions to healthcare owners for more than 25 years.
Buildings of the future
With limited access to capital, many noted that fewer new projects will take place and more renovations will rise, largely driven by the need to meet patient satisfaction standards over the long-term. At the same time, better technology will drive overall innovation in technical construction – meaning buildings of the future will be adaptable, both in terms of patient needs and technology. “As health technologies become more sophisticated and simultaneously require less physical space, server and data center support needs will increase,” said DPR’s Espinosa. “Future building will need to accommodate these trends, with increased emphasis around design and system integration to save on costs.”
Additional operational insights
DPR’s Future of Healthcare study also found that 17% of respondents agreed the formation of Accountable Care Organizations – organizations of healthcare providers who agree to be accountable for the quality, cost and overall care of those enrolled in their program – would have the greatest impact over the next five years, followed by pay-for-performance and the growth of the nation’s aging population (tied at 14 percent). Additionally, growth in implementation of universal platforms of care that offer customizable experiences will also be important, while new kinds of outpatient services will provide many of the medical functions previously confined to the hospital.
For additional study results and findings visit: http://www.dpr.com/assets/docs/the-future-of-healthcare.pdf?/futureofhc. +
Related Stories
| May 23, 2014
Top interior design trends: Gensler, HOK, FXFOWLE, Mancini Duffy weigh in
Tech-friendly furniture, “live walls,” sit-stand desks, and circadian lighting are among the emerging trends identified by leading interior designers.
| May 22, 2014
Big Data meets data centers – What the coming DCIM boom means to owners and Building Teams
The demand for sophisticated facility monitoring solutions has spurred a new market segment—data center infrastructure management (DCIM)—that is likely to impact the way data center projects are planned, designed, built, and operated.
| May 21, 2014
Evidence-based design practices for the palliative care environment
Palliative care strives to make patients comfortable as they are receiving treatment for a severe illness. As hospitals seek to avoid Affordable Care Act penalties for poor patient satisfaction, many expect this field to grow quickly.
| May 20, 2014
Kinetic Architecture: New book explores innovations in active façades
The book, co-authored by Arup's Russell Fortmeyer, illustrates the various ways architects, consultants, and engineers approach energy and comfort by manipulating air, water, and light through the layers of passive and active building envelope systems.
| May 20, 2014
Using fire-rated glass in exterior applications
Fire-rated glazing and framing assemblies are just as beneficial on building exteriors as they are on the inside. But knowing how to select the correct fire-rated glass for exterior applications can be confusing. SPONSORED CONTENT
| May 19, 2014
What can architects learn from nature’s 3.8 billion years of experience?
In a new report, HOK and Biomimicry 3.8 partnered to study how lessons from the temperate broadleaf forest biome, which houses many of the world’s largest population centers, can inform the design of the built environment.
| May 14, 2014
Prefab payback: Mortenson quantifies cost and schedule savings from prefabrication techniques
Value-based cost-benefit analysis of prefab approaches on the firm's 360-bed Exempla Saint Joseph Heritage Project shows significant savings for the Building Team.
| May 13, 2014
19 industry groups team to promote resilient planning and building materials
The industry associations, with more than 700,000 members generating almost $1 trillion in GDP, have issued a joint statement on resilience, pushing design and building solutions for disaster mitigation.
| May 11, 2014
Final call for entries: 2014 Giants 300 survey
BD+C's 2014 Giants 300 survey forms are due Wednesday, May 21. Survey results will be published in our July 2014 issue. The annual Giants 300 Report ranks the top AEC firms in commercial construction, by revenue.
| May 7, 2014
Design competition: $900,000 on the line in Las Vegas revitalization challenge
Las Vegas Mayor Carolyn Goodman wants your economic development ideas for remaking four areas within the city, including the Cashman Center and the Las Vegas Medical District.
