We hear a lot about "healthcare reform," but while no one was looking, healthcare is "re-forming" itself from the outside in, through the convergence of medical and data technologies. The unintended effects of these changes will transform healthcare from the "art" of medicine, to the "science" of medicine, with a "black swan" impact on healthcare facilities design.

"Rebooting Healthcare" is a presentation which explores the growing intersection between new technologies, demographic shifts, and facilities design.  Driving change are such factors as EHRs and genomics, widespread adoption of LEAN/Six Sigma, demographic shifts, and the increasing distribution of healthcare delivery outside the normal hospital based delivery model.

For example, right now there are 4,000 urgent care clinics, and 1,700 retail healthcare clinics delivering increasingly longitudinal healthcare services. These "distributed" healthcare delivery facilities are going at an annual rate of nearly 20%. A shortage of physicians means these clinics are staffed primarily by nurse practitioners. How do these changes in the delivery model impact facilities design and planning?

This presentation will also examine the changing demographics of the healthcare consumer, as our population ages and lives longer. In 1900 life expectancy in the US was 47 years. Now it is 78, and for every year that passes it increases an additional 2 months. Studies have shown that after age 80, healthcare expenditures shift from hospital based chronic disease care, to nursing home care and home healthcare expenditures. How will the rapid aging of our population influence facilities design?

A "black swan event" is something that comes along and unexpectedly changes everything. For example, the tsunami in Japan is unexpectedly causing Germany to phase out nuclear power. "Rebooting Healthcare" will identify major shifts in healthcare delivery and design, and make sure they are not "black swans" to you.

Ron Galloway is the author of the upcoming "Rebooting Healthcare," and the director of the controversial business film "Why WalMart Works." He writes for the Huffington Post, and has appeared on CNN, CNBC, the BBC, and was made fun of on Jon Stewart's Daily Show.

A true plenary session, this panel discussion will synthesize the 2013 Symposium’s Big Ideas. A five person group comprised of owner’s, designers and constructors will discuss recent developments in the healthcare industry and share their insights on current projects, trends and technologies. Together they will explore the future for the healthcare design community. Audience members will be encouraged to shape the discussion by submitting questions.

LEARNING OBJECTIVES:

1. Gain an appreciation of the trends which are affecting the healthcare industry.
2. Understand the impact of these trends upon the capital project realities.
3. Learn how industry leaders are positioning for success in the reform environment.
4. Anticipate the type of projects which are most likely to be “winners” in the reform environment.