Occupying any new facility takes many years of planning from the initi
al vision through the actual provision of patient care services. Hospi
tals present complex logistical and safety problems. The length of tim
e planning depends on the complexities of the facility, the specifics
of care provided, and changes necessitated by design of the new facili
ty. In planning a women's hospital, basic principles for planning a ch
ange were implemented: identify the need, develop a vision, coordinate
a strategic plan, enlist key players, develop the program, implement,
and evaluate. The successful occupancy of the Mary Birch Hospital for
Women, a 169-bed freestanding hospital, was accomplished through team
work and a well-developed and orchestrated occupancy plan.