4th Way Evidence

Healthcare systems and facilities are continually challenged with changing practices and variations in volumes. The new economy has supported a perfect storm of changes: consolidation of services and facilities, various health systems mergers, new acquisitions, new measurements of performance and reimbursement with CMS meaningful use and value based purchasing, the continuing emergence of evidenced based 

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New Basis of Design

We are in a new era of design and use of our buildings.  Today our greatest assets are the people in the organizations with the flattening of the business environment the uniqueness of business and especially in the knowledge economy.  Business need to continue to improve the productivity of their workforce a more recent measure 

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