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Top 100 Hotels & Resorts in the World. Architecture profiles, projects, manufacturers in China. A Tale of Three Cities. “It was the best of times, it was the worst of times,” begins Charles Dickens’s “A Tale of Two Cities.” Now, two centuries later, that sentiment strikes a familiar chord with design firm leaders who see U.S. healthcare projects in a continuing stalemate but international opportunities on the upswing, as countries around the globe look to the United States for healthcare design expertise.

That does not mean that U.S. hospital design can be transplanted directly to another country. Many large firms unaccustomed to working outside the United States are feeling the pressure to win new work by expanding their borders. When determining whether to pursue and, ultimately, accept international commissions, a team must consider how it will adapt its current processes to deliver a successful project for both the client and its own firm. Cultural, financial, and regulatory conditions vary greatly from one locale to another, even within the same country.

Set your CSF Establish project timeline. Institute for Health and Productivity Management, IHPM, Sean Sullivan. Richard Meier & Partners Architects LLP.