Jim Cramer, CIO, Scottsdale Healthcare, Scottsdale, AZ, describes the benefits of integrating IT planning and facility design. The high growth plan calls for the use of “shell strategy” construction design which implies planning for IT that will be deployed in phases over an extended period of time. Jim has also taken into account an expected higher acuity and reviews this implication for technology and IT as well. “Paper-light” objectives are also built into the plan.