Hospitals have a multitude of forces imposed upon them in addition to the regulatory requirements, certification guidelines, and technical demands which can be quite challenging to designers. Healthcare professionals want to continually improve patient outcomes, payment providers want to link quality to reimbursement, and managed service providers want to contain rising costs. Reducing length of stay, patient focused care, improved patient satisfaction, and increasing employee engagement are the focus of acute care providers today. Each department and client has their own unique requirements and specific needs. These forces, when addressed effectively, are shaping design team solutions.