Creating a successful hospital built environment

It took nearly 20 years from initiative to relocation to the new mega-hospital facility on the existing Erasmus University Medical Center (Erasmus MC) site in May 2018. This time window features a lot of changes, ranging from technology (imagine a parallel with the 1998's iMac computer, 2010's iPad and 2018's Alexa control unit); to 5 selections for the Rotterdam's City Council; a global economic crisis; and a fundamental change in the system for capital funding of healthcare real estate in the Netherlands. Creating a successful hospital built environment requires one to envision the "day after tomorrow"; to determine the spot on the horizon 15-20 years ahead, to establish your risk profile as an organization to include innovations; and to be aware that integrated project delivery beyond the construction project is key to a safe and smooth relocation and adaptation to the new hospital environment. This contribution will share some of the lessons learned: it helps to have a strong concept, a transparent decision making process and a timely focus on integrated project delivery stretching to co-producing internal service providers.