Original ArticlesBuildings, Barriers, and Breakthroughs Bridging Gaps in the Health Care EnterpriseKaelin, Karla BS, EDAC; Okland, Kathy RN, MPH, EDACAuthor Information Herman Miller, Inc, Zeeland, Michigan. Correspondence: Karla Kaelin, BS, EDAC, Herman Miller, Inc, 49 Regent Dr, Oak Brook, IL 60523 (firstname.lastname@example.org). The authors are employed by Herman Miller, Inc, a recognized innovator in contemporary interior furnishings, solutions for health care environments, and related technologies and services. All to design and build a better world. No additional funding has supported the content development of this article.The authors declare no conflict of interest. Nursing Administration Quarterly: January/March 2018 - Volume 42 - Issue 1 - p 15-25 doi: 10.1097/NAQ.0000000000000269 Buy Metrics Abstract Health care architecture and design are critical resources that are often underestimated and overlooked. As we seek to extract every available resource at our disposal to serve patients and sustain the bottom line, it is vital that we consider the influence the building imposes on the patient and caregiver experiences. Buildings impact both caregiver behaviors and the economic enterprise and are, therefore, the business of health care executives. This understanding is not only an executive obligation, it is an executive opportunity. Furthermore, the built environment can be a source for innovation in an industry whose future depends on nurse leaders to champion ingenuity with simplicity and relevance. Nurse leaders are ideally positioned to bridge health care building design and best practice. © 2018 Wolters Kluwer Health, Inc. All rights reserved.