The nursing and support labor availability is challenging today and with demographic trends, will only get worse. Healthcare facility design will need to evolve to leverage physical movement automated systems, to enhance safety, improve the work environment and operational efficiencies by reducing/eliminating menial, non-value-added tasks and redeploying staff toward higher value-added human touch tasks. Technology advancements are moving quickly with some compounding others. Our team share perspectives on health care design improvements by advanced industry knowledge.