By understanding the outside world, companies can figure out what their customers need now and in the future and what opportunities and challenges the competitive landscape might present." Monitoring and navigating the market behooves health care leaders to understand how they are performing compared to others in the field. Additionally, benchmarking can be a useful method to understand your organization's efficiency, performance, output and patient satisfaction compared your competitors in the market. How does this influence the decisions you would make in your health care design projects?