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The Patient Room: what is the ideal solution? - Cornell University

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Failing economy puts restriction on construction<br />

With <strong>the</strong> US economy struggling throughout <strong>the</strong> past five years, <strong>the</strong> unbridled building boom in healthcare <strong>is</strong> experiencing<br />

constraint, making dec<strong>is</strong>ions in regards to resource allocation extremely critical. In addition, <strong>the</strong> costs of healthcare<br />

expansion are simultaneously r<strong>is</strong>ing, exacerbating <strong>the</strong> restriction on spending.<br />

“<strong>The</strong> cost of building a standard community<br />

hospital, he notes, has climbed to $325 to $350<br />

per square foot--and twice that in California<br />

because of earthquake laws--from $250 to $300 two<br />

years ago and just $180 per square foot five years<br />

ago when <strong>the</strong> current boom was beginning. That<br />

means hospitals could see <strong>the</strong>ir costs almost double<br />

in <strong>the</strong> four or five years it takes to get a project from<br />

<strong>the</strong> drawing board to completion” (Hoppszallern,<br />

2007).<br />

“Interest rates are r<strong>is</strong>ing from h<strong>is</strong>toric lows,<br />

and reimbursement rates for patient care are<br />

in question, especially given <strong>the</strong> Bush<br />

admin<strong>is</strong>tration's proposed cuts to<br />

Medicare and Medicaid.<br />

Commodity prices have soared,<br />

labor costs are increasing, and contractors<br />

are so busy in some parts of <strong>the</strong> country that<br />

<strong>the</strong>y've upped <strong>the</strong>ir charges in order to take<br />

on new projects” (Hoppszallern, 2007).<br />

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