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
| Aug 11, 2010
McCarthy, Skanska among nation's largest healthcare contractors, according to BD+C's Giants 300 report
A ranking of the Top 50 Healthcare Contractors based on Building Design+Construction's 2009 Giants 300 survey. For more Giants 300 rankings, visit http://www.BDCnetwork.com/Giants
| Aug 11, 2010
AECOM, Arup, Gensler most active in commercial building design, according to BD+C's Giants 300 report
A ranking of the Top 100 Commercial Design Firms based on Building Design+Construction's 2009 Giants 300 survey. For more Giants 300 rankings, visit http://www.BDCnetwork.com/Giants
| Aug 11, 2010
Payette completes Penn State Hershey Cancer Institute
Payette, a leading architectural design firm specializing in complex buildings for medical and scientific research, academic teaching, and healthcare, announced today the Penn State Hershey Cancer Institute ribbon-cutting and dedication ceremony was held on June 26, 2009. The new 176,000 square foot Cancer Institute is located on the Penn State Milton S. Hershey Medical Center Campus in University Park, Pa.
| Aug 11, 2010
Perkins+Will master plans Vedanta University teaching hospital in India
Working together with the Anil Agarwal Foundation, Perkins+Will developed the master plan for the Medical Precinct of a new teaching hospital in a remote section of Puri, Orissa, India. The hospital is part of an ambitious plan to develop this rural area into a global center of education and healthcare that would be on par with Harvard, Stanford, and Oxford.
| Aug 11, 2010
Turner Building Cost Index dips nearly 4% in second quarter 2009
Turner Construction Company announced that the second quarter 2009 Turner Building Cost Index, which measures nonresidential building construction costs in the U.S., has decreased 3.35% from the first quarter 2009 and is 8.92% lower than its peak in the second quarter of 2008. The Turner Building Cost Index number for second quarter 2009 is 837.
| Aug 11, 2010
AGC unveils comprehensive plan to revive the construction industry
The Associated General Contractors of America unveiled a new plan today designed to revive the nation’s construction industry. The plan, “Build Now for the Future: A Blueprint for Economic Growth,” is designed to reverse predictions that construction activity will continue to shrink through 2010, crippling broader economic growth.
| Aug 11, 2010
PCL Construction, HITT Contracting among nation's largest commercial building contractors, according to BD+C's Giants 300 report
A ranking of the Top 50 Commercial Contractors based on Building Design+Construction's 2009 Giants 300 survey. For more Giants 300 rankings, visit http://www.BDCnetwork.com/Giants
| Aug 11, 2010
Webcor, Hunt Construction lead the way in mixed-use construction, according to BD+C's Giants 300 report
A ranking of the Top 30 Mixed-Use Contractors based on Building Design+Construction's 2009 Giants 300 survey. For more Giants 300 rankings, visit http://www.BDCnetwork.com/Giants