As a follow-up to the keynote presentation, this plenary session will dig deeper into health care reform as it relates to the physical environment. Panelists will address performance excellence and the metrics being used to measure it, delivery of value through efficient use of resources, and ways master planning translates into design and construction. In addition, attendees will hear the owner’s perspective of taking on a new construction project during an economic downturn, what the key criteria when deciding to build were, and how it was designed for clinical integration.