--- title: "Knowledge Sharing Among Healthcare Industry Experts: Ambulatory Care Part 1" description: Finding value in having peers as sounding boards, stakeholders discuss the current and future trends of ambulatory care. image: https://blog.array-architects.com/hs-fs/file-2627767727-jpg/Blog_Files/Blog_Images/Types_of_Ambulatory_Sites.jpg --- [Array Architects](http://www.array-architects.com/) - Firm - [Mission](http://www.array-architects.com/mission/) - [People](https://array-architects.com/people/) - [Practice Areas](http://www.array-architects.com/practice-areas/) - [Leadership](https://array-architects.com/leadership/) - [Locations](http://www.array-architects.com/locations/) - [Contact](http://www.array-architects.com/contact/) - [Careers](http://array-architects.com/careers/) - [Press Releases](https://array-architects.com/press-releases/) - [Service Lines](http://www.array-architects.com/portfolio/) - [Advisory Services](http://array-architects.com/advisory-services/) - [Lean Process Led Design](http://array-architects.com/service-lines/lean-process-led-design/) - [Simulation](http://array-architects.com/service-lines/simulation/) - [On the Boards](http://www.array-architects.com/service-lines/on-the-boards/) - [Healthcare Planning](http://www.array-architects.com/service-lines/master-planning/) - [Ambulatory Care Centers](http://array-architects.com/service-lines/ambulatory-care-centers/) - [Ambulatory Surgery Centers](http://www.array-architects.com/service-lines/ambulatory-surgery-center/) - [Behavioral Health](http://www.array-architects.com/service-lines/behavioral-health/) - [Diagnostic & Treatment](http://www.array-architects.com/service-lines/diagnostic-treatment/) - [Emergency Departments](http://www.array-architects.com/service-lines/emergency-departments/) - [Inpatient](https://array-architects.com/service-lines/patient-rooms/) - [Greenfield](http://www.array-architects.com/service-lines/greenfield/) - [Intensive Care](http://array-architects.com/service-lines/intensive-care/) - [Interior Design](https://array-architects.com/service-lines/interior-design/) - [Laboratory](http://array-architects.com/service-lines/laboratory/) - [Long-Term Care / Skilled Nursing](http://www.array-architects.com/service-lines/ltch-snf/) - [Medical Office Building](http://www.array-architects.com/service-lines/medical-office-building/) - [Oncology](http://www.array-architects.com/service-lines/oncology/) - [Pediatric](http://www.array-architects.com/service-lines/pediatric/) - [Rehabilitation](http://www.array-architects.com/service-lines/rehabilitation/) - [Surgery](http://array-architects.com/service-lines/surgery/) - [Wellness](http://www.array-architects.com/service-lines/wellness/) - [Women’s Services](http://www.array-architects.com/service-lines/womens-services/) - Knowledge - [Design Books](http://www.array-architects.com/design-books/) - [Case Studies](http://array-architects.com/case-studies/) - [Thought Leadership](http://array-architects.com/publications/) - [Designs Delivered](http://array-architects.com/designs-delivered/) - [Videos](https://array-architects.com/videos/) - [Blog](https://blog.array-architects.com/kc) Search ![Array Architects' Blog](https://blog.array-architects.com/hs-fs/file-1700402258-jpg/Blog_Files/Blog_Heroes/kc-blog_hero5.jpg?width=1600&name=kc-blog_hero5.jpg "Array Architects' Blog") # Welcome to our Knowledge Community # [Knowledge Sharing Among Healthcare Industry Experts: Ambulatory Care Part 1](https://blog.array-architects.com/kc/knowledge-sharing-among-healthcare-industry-experts-ambulatory-care) Posted by [Guest Contributor](https://blog.array-architects.com/kc/author/guest-contributor) on Mar 18, 2015 In leading a design firm’s business development initiatives, I closely follow healthcare delivery trends and how clients look to better serve their patients and communities, and how facilities can support these goals. Attending conferences and symposiums provides the opportunity to learn what trends came about from changes in the healthcare delivery landscape, and how a particular system’s response to these changes influences their physical assets and generate the need for new or improved facilities. A common trend that gets the most attention at these events is the shift from inpatient space to outpatient facilities and the key drivers of the ambulatory care model. Partnering with Deloitte since 2012, Array offers a forum for healthcare facility leaders around the nation to come together for an interactive discussion via telesuite technology provided by Deloitte (for more detailed information about these events, please [click here](https://blog.array-architects.com/kc/knowledge-sharing-across-the-industry)). The New York City market found so much value in having their peers as sounding boards at these gatherings, that Array and Deloitte decided to offer a supplemental meeting, providing a more intimate setting where people are comfortable sharing their experiences and greatest challenges. In December 2014 and February 2015, the newly formed group gathered to tackle the popular subject matter mentioned above,[ambulatory care](http://www.array-architects.com/?s=ambulatory+care+blog&submit=Search). The purpose of these meetings was for healthcare facility leaders and real estate directors to discuss key issues from both sides of the table, together with developers, property owners, real estate brokers, as well as architectural and mechanical designers. The goal of the first session in December 2014 was to scratch the surface a bit, discussing the current and future trends of ambulatory care and learn what is important to each stakeholder. This is what we heard from the well-rounded group: ##### CURRENT AND FUTURE STATE OF AMBULATORY - All facilities concurred they have a surge of ambulatory requirements to address currently and well into the future - Drivers are: - Outpatient space is vastly lower cost than inpatient - Patient preference is to stay out of hospitals - Affordable care and inpatient regulations - Decanting inpatient to outpatient - On-boarding MD groups increasing demand on ambulatory ##### REASONS FOR AMBULATORY - Partnering with medical groups - Single Payer Model is coming – pressure to live on Medicare/Medicaid rates - Fee for service model (current) - Get patients out of hospitals – lower cost, better recovery/patient experience - Expand ambulatory care network - Acquisition of physician practices ##### WHAT TYPES OF AMBULATORY SITES/FUNCTIONS ARE FACILITIES LOOKING FOR? - Full functioning ambulatory with OR's, imaging, pre-op, post-op & consulting/exam - Doctors clinic expansion - Article 28 space - Walk-in clinics - Outpatient hospital feeders - Complementary retail ![Picture Grid with Different Health Facilities](https://blog.array-architects.com/hs-fs/file-2627767727-jpg/Blog_Files/Blog_Images/Types_of_Ambulatory_Sites.jpg) ##### CHALLENGES - Speed to market - Adjusting from a hospital-centric approach to an ambulatory approach - On-boarding physician groups - Constrained Infrastructure - Ensure hospital leaders understand the facility needs required for an outpatient building - Communication breakdown within Facilities - Poor state of current hospital stock - Operational metrics are affected by building systems As the session came to a close, the group was left wanting more. Everyone felt as though we just scratched the surface and that there was much more to be uncovered. A follow-up [survey](https://blog.array-architects.com/kc/continuous-feedback-for-improved-project-delivery) was then sent out to measure the participants’ views on how well the session met their expectations, and then asked the question of how often we should get together as a group. An overwhelming number of responders wanted to continue the ambulatory care site selection dialogue, and suggested that we should meet on a quarterly basis. A second roundtable was then scheduled for February 2015. Stay tuned for further insight and the outcomes of[February’s discussion](https://blog.array-architects.com/kc/knowledge-sharing-among-healthcare-industry-experts-ambulatory-care-2). *Blog authored by Jennifer O'Donnell, a former VP, Business Development at Array.* Topics: [real estate](https://blog.array-architects.com/kc/topic/real-estate), [Healthcare](https://blog.array-architects.com/kc/topic/healthcare) - [Tweet](https://twitter.com/share) ### Subscribe to New Articles ### Latest Tweets [Tweet to @ArrayArch](https://twitter.com/intent/tweet?%20%20%20via=arrayarch) ### Posts by Contributor - [Alec Higinbotham (4)](https://blog.array-architects.com/kc/author/alec-higinbotham) - [Cheryl Woo (2)](https://blog.array-architects.com/kc/author/cheryl-woo) - [Craig Meaney (1)](https://blog.array-architects.com/kc/author/craig-meaney) - [Dan Cadden (1)](https://blog.array-architects.com/kc/author/dan-cadden) - [Darren Conlen (2)](https://blog.array-architects.com/kc/author/darren-conlen) - [Elizabeth Schmitt (1)](https://blog.array-architects.com/kc/author/elizabeth-ochal) - [Fady Barmada (2)](https://blog.array-architects.com/kc/author/fady-barmada) - [Guest Contributor (207)](https://blog.array-architects.com/kc/author/guest-contributor) - [Hannah Berman (2)](https://blog.array-architects.com/kc/author/hannah-vought) - [Herman Agoyo (1)](https://blog.array-architects.com/kc/author/herman-agoyo) - [James Britt (2)](https://blog.array-architects.com/kc/author/james-britt) - [Jonathan Bykowski (14)](https://blog.array-architects.com/kc/author/jonathan-bykowski) - [Julia Savastinuk (1)](https://blog.array-architects.com/kc/author/julia-savastinuk) - [Kent Doss (17)](https://blog.array-architects.com/kc/author/kent-doss) - [Laura Moran (13)](https://blog.array-architects.com/kc/author/laura-moran) - [Lisa Lipschutz (10)](https://blog.array-architects.com/kc/author/lisa-lipschutz) - [Mike Ryley (1)](https://blog.array-architects.com/kc/author/mike-ryley) - [Nancy Erb (1)](https://blog.array-architects.com/kc/author/nancy-erb) - [Nicole Wood (6)](https://blog.array-architects.com/kc/author/nicole-wood) - [Noah Tolson (12)](https://blog.array-architects.com/kc/author/noah-tolson) - [Pat Malick (15)](https://blog.array-architects.com/kc/author/pat-malick) - [Ron Evitts (2)](https://blog.array-architects.com/kc/author/ron-evitts) - [Stephanie Story (4)](https://blog.array-architects.com/kc/author/stephanie-story) - [Tim Nichols (3)](https://blog.array-architects.com/kc/author/tim-nichols) - [Wendy Jaffe (1)](https://blog.array-architects.com/kc/author/wendy-jaffe) See All ![Array](https://blog.array-architects.com/hs-fs/file-605823977-png/images/footer-logo.png "Array") - [Advisors](http://www.array-advisors.com/) - [Analytics](http://www.array-analytics.io/) - [Contact](http://www.array-architects.com/contact) - [Locations](http://www.array-architects.com/locations) - [Careers](http://www.array-architects.com/careers) - Login - [Outlook Web](https://outlook.office365.com/) - [Info Exchange](https://newforma.arrayhfs.com/userweb) - [OpenAsset](https://array.openasset.com/) - [Vision](https://vision.array-architects.com/visionclient) - [K2](https://arrayarchitects.sharepoint.com/Pages/Home.aspx) - [![LinkedIn](https://blog.array-architects.com/hs-fs/file-944518273-png/Branding/Logos/Social_Media_Icons/icon-linkedin.png?width=24&height=24&name=icon-linkedin.png "icon-linkedin")](https://www.linkedin.com/company/array-architects) - [![Twitter](https://blog.array-architects.com/hs-fs/file-597997249-png/images/icon-twitter.png)](https://twitter.com/ArrayArch) - [![Wistia](https://blog.array-architects.com/hs-fs/file-605856812-png/images/icon-youtube.png)](http://array.wistia.com/projects/qoa7dvtl9e) - [![Issuu](https://blog.array-architects.com/hs-fs/file-605829727-png/images/icon-issuu.png)](http://issuu.com/arrayarchitects)