This might be overly specific, but I've been thinking a lot about changes in the healthcare industry. Things like shortened recovery times for minimally invasive surgeries reducing recovery time, demographic changes (Baby boomers aging), Da Vinci robots and other technologies that require different arrangements in the OR...HVAC, new fire standards...etc.
Are health systems pushing into more outpatient/suburban settings to increase profitability? How are current buildings being modified? What does it take to shift the generator equipment from the basement to an upper floor?