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MCDM AG.COM | M AY/ J U N E 2017 | Medical Construction & Design 17 news, awards, etc. Industry TREND 4 Changing attitudes toward site selection and challenges with 'site neutrality' Health systems are focused on providing expanded services in a lower-cost, higher- quality and more effi cient manner. As a result, off -campus, multispecialty outpa- tient facilities near where people live, work and shop are more in demand. So providers have found it necessary to familiarize them- selves with a diff erent kind of real estate — retail — and identify sites with character- istics critical for a successful retail location. One of the most important issues related to site selection is the "site neutral- ity" rule, which aff ects reimbursement rates for hospital-affi liated, off -campus facilities. This policy can have a big im- pact because it can substantially reduce Medicare reimbursements for health systems and hospitals that are considering acquiring physician practices or build- ing new off -campus hospital outpatient departments that are more than 250 yards from an existing hospital campus. TREND 5 Payment policies will continue to be top of mind rather than possible healthcare law changes Most healthcare providers are moving forward with the real-estate strategies they developed during the past sev- eral years. Providers are most concerned about the payment policies being en- acted by the Centers for Medicare and Medicaid Services. How Medicaid will be funded and distributed to the states is probably the most important issue. In addition, population health, bundled payments, risk sharing and the Medi- care Access and CHIP Reauthorization Act are more top of mind at the opera- tional level than what might become of the healthcare law. Providers don't see these policies changing and are adapt- ing strategies for dealing with them. TREND 6 More systems will apply best practices from other industries For some time, hospitals and health systems have worked hard to lower their failure and error rates, often by studying and applying best practices used by other industries. Now more providers are us- ing the best practices of other industries, such as the general offi ce, hospitality and travel sectors. They're looking, specifi - cally, for "high reliability organizations" with systems and processes that could translate into the healthcare arena. HROs are institutions that consis- tently make fewer mistakes than others working in the same fi eld despite con- ditions that are stressful, fast-paced or full of risk. Many healthcare institutions are working to become HROs by adapt- ing best practices from other industries, such as airlines, power plants and utili- ties. For example, airlines use compre- hensive checklists and many hospitals have adopted that practice and have seen a decrease in their failure rates. To obtain a copy of the white paper, contact Helen McCarthy at helen.mccarthy@dukerealty.com. ™ ™ ™ ™ ™ ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® Installers and owners choose L&M; ™ FGS PERMASHINE ® because the system offers them: Q Credibility and trust built over a decade Q Exceptional product performance and national spec listings Q "High traction" certification by the National Floor Safety Institute Q Dedicated, long-term support of the polished concrete industry Q LEED ® Green points Q Architectural customization and colors A-8231-0417 ©2017 LATICRETE International, Inc. All trademarks shown are the intellectual properties of their respective owners. Talk with a LATICRETE technical service rep about your next polished concrete project. Visit www.laticrete.com or call 1.203.393.0010 today. www.laticrete.com