This is a question where you can showcase your expertise on what is relevant in the industry and the research you've done on the facility. Demonstrate your grasp of the latest environmental codes and standards safety, water, emergency and energy management, and JCAHO requirements. Share your viewpoints on the effectiveness or ROI on different medical devices or energy saving plans, though be sure to be tactful in case it is something the hospital currently uses. Not only does this question give you the opportunity to discuss your ideas, it demonstrates your industry expertise, ongoing education and your ability to plan for realistic goals.