Ensuring operational and survey readiness from the very first day continues to challenge health care facilities professionals nationwide. That’s one of the key takeaways from the 2025 Hospital Construction Survey, conducted annually by the American Society for Health Care Engineering’s (ASHE) Health Facilities Management (HFM) magazine.
The survey, a trusted barometer of industry trends, offers insights into the evolving landscape of new construction, renovations, infrastructure upgrades, and technology integration across U.S. health care organizations. But this year, the findings go a step further—delving into the strategies hospitals are deploying to ensure facilities function exactly as designed the moment they open their doors.
From commissioning practices to collaborative planning models, the survey sheds light on what’s working—and what’s not. It also uncovers common barriers to achieving day-one operational readiness, including last-minute design changes, staffing challenges, regulatory complexities, and misaligned expectations between construction and clinical teams.
As health care systems continue to invest in modernizing facilities, bridging the gap between design and delivery remains a crucial priority. This year’s data-rich report offers actionable insights to help industry leaders move the needle on performance, safety, and compliance—starting from day one.
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