Healthcare in the US is experiencing a major building boom. Estimates place it at more than $56 billion in new construction and $20 billion in renovation, underway as of April 2007. All chief information officers (CIO) and information technology (IT) departments have at one time or another dealt with facility limitations that impact the deployment of new technology, whether space for workstations, network equipment and placement of monitors, or the lack of needed network drops. It is critically important for technology professionals to be involved at the outset of the facility planning effort. Too often, however, either the health-delivery organization (HDO) executives fail to include the CIO in the planning, or the technology professionals wait to be given the requirements so they can propose the technology solutions. A planning approach focused on concept of operations offers the opportunity to bring innovation. A new or redesigned facility, with new technology offers the HDO an opportunity to innovate current processes and make substantive improvements in the areas of operational efficiency and customer experience.