As health care grapples with lower reimbursements, an influx of newly insured patients and a value-based delivery system that is so far more theory than reality, designers, facilities managers, engineers and industry experts of all stripes are attempting to define what these changes will mean for facilities over the next five years.

“Health care organizations are driven by a desire to rationalize their systems to drive down costs,” says health care futurist Joe Flower, CEO of The Change Project Inc., Sausalito, Calif. “One of the things we’re going to see is a wider array of places and circumstances in which we deliver health care.”

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