This episode of The Future Built Smarter explores the evolving landscape of healthcare design and engineering with guest Eric Vandenbroucke, Vice President of Healthcare at IMEG. “2025 started with a lot of optimism, but it’s definitely been a roller coaster,” he says.

Despite uncertainty in the market amid potential federal reductions in Medicare reimbursements, Eric says many healthcare clients remain focused on sustainability initiatives. “Healthcare contributes about 5 percent of global emissions,” he says. “Owners are committed to reducing their carbon.” Resiliency and future proofing are also critical. From extreme weather to human threats, resilience demands a layered approach, including redundant power, onsite water storage, and cybersecurity. Vulnerability assessments set the stage for creating future-proof plans. “The biggest thing we can help clients with is understanding the state of their building or campus and what its vulnerabilities are,” Eric says. “Healthcare facilities need to be operational—period.”

Security is a top concern as well, especially in the wake of increasing threats like active shooter incidents. “We take a holistic approach,” says Eric, stressing that security requires much more than just cameras and guards. Key additional components of an all-encompassing security plan include employing the principles of Crime Prevention Through Environmental Design (CPTED) and personnel training, including tabletop exercises. "No one wants to deal with these events, but being prepared makes a huge difference," Eric says.

Technology, of course, is the main driver of innovation for healthcare facility operations, clinical operations, and delivery of care—all of which need to communicate with each other and be interoperable. “We’ve moved beyond siloed systems to a smart system approach,” says Eric. “Alarms, patient monitoring, building automation systems, command centers, medical records, real-time location solutions, robotics—all of those things and more have to work together.”

As for artificial intelligence (AI), Eric says, “Where we are at right now in the industry is just the tip of the iceberg. Our clients are now using AI for clinical documentation, predictive analysis, optimizing their revenue cycle, using chatbots for scheduling, triage, and patient education. On the AEC side, AI is going to be a big tool for design assist. At IMEG we've developed our own AI system that helps us increase our design efficiency and accuracy. We've also developed many tools within Revit and Power BI to help with that efficiency and accuracy, and with coordination. And we continue to grow and expand the use of our virtual reality and augmented reality tools. It’s all very exciting.

“Technology and trends are going to continue to influence healthcare care moving forward. That’s one of the cool things about healthcare: It’s never the same. It's always evolving.”