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Health systems renovate rather than build anew

The gradual improvement in the hospital construction market comes after a steep downturn that accompanied the nation's recession in 2009, which was only a year removed from healthcare's high-water mark in construction in 2008. Health systems able to pursue construction and renovation projects remain cautious in light of a changing economic and healthcare landscape.

According to the survey, 26.1 percent of the respondents are building now, with renovation or expansion accounting for 73 percent of those projects. Of the rest, about 15 percent involve new construction and 11.6 percent involve replacement facilities. Many of the additions or modernization projects are for emergency departments, imaging, surgery areas or cancer centers.

The survey of 598 hospitals indicates they are working to update or replace infrastructure to better serve patients. More than one out of four are building service systems to accommodate the needs of electronic health records. One third of those surveyed are replacing or upgrading air handlers or ventilation systems, and one in five is upgrading a data center or planning to do so.

Hospitals are continuing to add features that satisfy patients and families, the survey indicates. Along with wireless technologies, individual room temperature controls and educational systems are being incorporated into about a third or more of new rooms.

Hospitals are also trying to be more environmentally friendly by using green building materials. More than two out of three respondents are specifying green materials in most or all of their construction projects. About 60 percent also said their organization evaluates the cost/benefit of green construction methods for building projects.