nizations will continue to grow as organizations expand their search for solutions to issues brought about by reform and change in an environment that is increasingly drawn toward delivery of less costly and noninstitutional care. Just as the hospital of the future will serve only very sick patients requiring highly complex care, the nursing home of tomorrow will also serve patients with serious disabilities and with rehabilitative and other subacute care needs. The rest of the population will increasingly receive care in outpatient units, home- and community-based settings, assisted living facilities, and similar settings.