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University Health System , San Antonio, TX“Complex Simplicity – How UHS’s Project Teams Are Beating The Odds”
Welcome to San Antonio
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University Health System , San Antonio, TX“Complex Simplicity – How UHS’s Project Teams Are Beating The Odds”
PresentersMark WebbVP of Facilities Development & Project ManagementDirector of the UHS Capital Improvement Plan
Steve MilnerPerkins+Will Principal / Healthcare PlannerUHS Project Director
Tom ReisenbichlerPerkins+Will Managing Director / Healthcare PlannerUHS Executive Architect
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BACKGROUND A separate political subdivision of the State of Texas owned by the people of Bexar County 5,000 employees. 1,000
physicians. 700 resident physicians
$1.9 billion impact on local economy
Bexar County Commissioners Court Appoints Bexar County
Hospital District Board of Managers
Sets the annual Hospital District tax rate
Approves the annual capital and operations budgets
Less than 30% of revenue from local property taxes
Animation of North Campus
PROJECT SCHEDULE:New Tower scheduled completion 12/2013Renovation scheduled completion 5/2015
University Health System , San Antonio, TX“Complex Simplicity – How UHS’s Project Teams Are Beating The Odds”
UHS Capital Improvement Program
$899M capital program
New 6‐story building at the Robert B. Green Campus downtown
Advanced outpatient diagnostic & treatment
New 10‐story tower at University Hospital
420 Single‐patient roomsNew & larger Emergency Center and operating suitesNew parking garage
Animation of downtown Campus
PROJECT SCHEDULE:New Clinic Building scheduled completion 12/2012Renovation scheduled completion 5/2015
University Health System , San Antonio, TX“Complex Simplicity – How UHS’s Project Teams Are Beating The Odds”
UHS Goals and Objectives AND Challenges
Public project ‐ Largest project in community historyMeet the Current and Future needs of the people of Bexar County Set the new standard for healthcare in South TexasBest practice/evidence based designEfficiency ImprovementsQuality ImprovementsRespect the unique cultural and historical influences of San Antonio and South Texas Strive for Best VALUE with allocated moneyScheduleLEED GOLDCoordination with large numbers of stakeholders60% of the CIP $ to stay in Bexar CountyActive operations 24/7
Organizational Structure
UHS staffProgram Manager/Project ManagersDesign TeamsCMs
Selection ProcessNational Expertise + Local DeliveryDesign CharretteProgram
Project Delivery MethodHybrid IPD / CM @ RiskDesign Assist
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Hybrid Integrated Project Delivery Method
Clinic Project
• Architect – RTKL & Overland Partners
• Program Manager ‐Jacobs
• Project Manager –Parsons
• Construction Manager –Bartlett Cocke
Hospital Project
• Architect – Perkins+Will, RVK, GBA, & DuendeDesign
• Program Manager ‐Jacobs
• Project Manager –Broaddus + Muñoz
• Construction Manager –Zachry/Vaughn/Layton
TEAM Strategy ‐ Blend National Expertise with Local participation• Local Goal 80% (actual to date 86%)• SMWVBE Goal 40% (actual to date 47%)• Hard to achieve in community with limited experience on projects of this magnitude and
complexity• 8 Architects, 6 MEP, 4 Structural, 4 Civil, CM – Three large construction companies
Co‐Location of Team Leadership
• Single PM systems technology
• BIM technologies
• More difficult with numerous companies in distributed locations
• Small firms on learning curve
• Flexible approach to make really things work – plan, learn, adapt, plan, learn, adapt
IPD ‐ Design Assist
• CM scheduling • diagrams/models
• Current scheduling
• Completely integrated
• Hybrid integrated delivery program
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Design ModelArchitecture
StructureMEP (BIM)
SD DD CD
Construction Model
All Design Models Originally to be in Revit (BIM) format
Design Review & Assist
3D MEP Detailing Drawings
3D3D
3D1‐line 1‐line/2‐line
Regulatory Submission Drawings
Design Assist Original ModelOriginal BIM Execution Plan
Design ModelArchitecture
StructureMEP (Non‐BIM)
SD DD CD
Construction ModelDesign Review &
Assist3D MEP Detailing
Drawings
3D Design Models
3D Mass Modeling
3D3D
1‐line/2‐line
Regulatory Submission Drawings
Design Assist Current ModelCurrent BIM Execution
Pathways and Rooms
MEPF Design
SD DD CDMassing / Specs
Design Assist
Shafts
MEPF DesignDesign Assist
ShaftsSD DD CDMassing / Specs
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HVAC Mains
MEPF DesignDesign Assist
ShaftsSD DD CD
HVAC Mains
Massing / Specs
Roof and Main Drains
MEPF DesignDesign Assist
ShaftsSD DD CD Drains
HVAC Mains
Massing / Specs
MEPF Piping Mains
MEPF DesignDesign Assist
ShaftsSD DD CD Drains
Piping MainsHVAC Mains
Massing / Specs
MEPF Branch Design
MEPF DesignDesign Assist
ShaftsSD DD CD
HVAC Mains
Drains
Piping Mains
MEPF BranchesMassing / Specs
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MEPF Branch Coordination and Final Detailing
MEPF DesignDesign Assist
ShaftsSD DD CD Drains
Piping Mains
MEPF Branches
HVAC Mains Detailing
Massing / Specs
What happens when a DISASTER occurs ?
VIDEO HERE
Video of garage collapse
A portion of the West garage collapsed on Valentine’s Day 2011 (2/14/11)
• Safety program
• No fatalities
• Responsiveness of team
• No finger pointing / just answer seeking
• 13 forensic engineers / scientists
• CCIP
• Resolution without litigation
• Project re‐ construction with no impact on overall project schedule
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Lessons Learned
• Coordination/communication (can you hear me)
Communication
Managing Expectations
• Use your experts (that’s why you hired them)
• Using new systems (change can be tough)
• Planning is only so good (then stuff happens)
• Plan for a DISASTER