Related Links: ENR: Health-Care Reform Law ENR: Health-Care Data Streams The current health care construction environment has created a heightened focus on cost reduction and efficiency. This is also a major concern of health care providers, along with improving patient well-being and comfort. According to a Mortenson survey conducted at the fall Healthcare Design Conference in Phoenix, many owners say that ongoing consolidation in the industry is a major challenge to managing growth and expanding their institutions. Here are some ways contractors can help meet this challenge.Design matters: Design has a significant impact on the operational costs of a facility.