Healthcare providers today are facing issues of expanded insurance coverage, financial incentives focused on patient outcomes, transformation of care delivery models, margin compression and at the same time industry wide consolidation. These pressures place a greater emphasis on doing more with less and maximizing every healthcare dollar invested in capital improvement projects which support the transition from volume to value. Many forward thinking providers are benefiting from lean planning, techniques and design tools that can expose waste in care delivery and create a safer, more efficient patient centered care environment. Healthcare executives are recognizing that the built environment is an essential component in the efficiency equation.