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Hospitals and health‐care facilities are among the most complex,costly, and challenging buildings to design, construct and manage. To become a health facilities manager of a hospital or other medical centre in the USA, one requires knowledge not only of how to manage people, but also of how to deal with government agencies and all kinds of regulations and inspections. The hospital facility must cope with the idea of being open 25 hours a day, and having staff to control 365 days a year.

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