In order to be competitive in a limited amount of reimbursements, they have had to become more efficient. So instead of the traditional approach of programming new construction based on how the organization operates today, instead, it attempts to map out its current patient flows and discover how to become more efficient. Only then will the team look at how to build around that improved and more efficient model.
Indeed, a whopping 22% of respondents to Mortenson's February survey said they were "doing nothing" construction-related right now, and only 5% were planning for a traditional replacement hospital.
Instead, a majority said they are focusing new construction on building clinics that can feature just about any outpatient modality except surgery, Arndt says.
Healthcare Shifts to Outside
They're focusing on combining dialysis, radiology and other treatments that can be provided in one location. And they're funneling more of their capital budget to items that are outside the realm of new construction, like home health and what Arndt calls e-home healthcare—in other words, technological solutions that help patients access their caregivers outside of any facility.