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Healthcare is at a cross roads. The combination of economic downturn, reduced reimbursement rates, rising complexity of regulations, and uncertainty of the future has placed extra strain on hospital management, employees, and associated medical staff to accelerate their efforts to change.This paper will discuss current trends in process improvement initiatives at hospitals and the role a single enterprise-wide real-time visibility platform can play in performance improvement by automatically capturing location and sensory data throughout the hospital and seamlessly integrating the information into the appropriate clinical or non-clinical system.