Add a Lesson Learned

Medical Equipment

Shipping and Storage Fees

Facility name: CJW Medical Center

Project name: CJWJWC-122018M-ORTHO/NICU Expansion (Johnston Willis)
Location: RICHMOND, VA
Project classification: Hospital – Renovation
Project type: Acute Care
Project number: 3463200010
Lesson Learned number: 177
Impact: Cost

Cost impact: $4,100


Lesson Learned/Best Practice

It is critical for the General Contractor to do a better job of communicating with the Vendors and the assigned HCA Medical Equipment Manager when they know there is going to be a construction delay.  In the case of this project, the General Contractor notified the Furniture Vendor the evening before the delivery/installation was to occur the site was still not ready to receive the Furniture.  The Furniture had already been loaded into the delivery trucks and resources had already been allocated.  Because of the delay, a $4,100 handling fee was accrued, which the General Contractor will have to pay.


Suggested Actions for Future Projects

 General Contractor should ensure all parties, including vendors, effected by construction delays are properly notified in a timely manner. GC is responsible for any shipping or storage fees that might be issued due to a lack of early communication. 


Keywords

Medical Equipment, ITS, Unified Communications, vendor , schedule, delays

Kitchen Exhaust Hoods

Facility name: Orange Park Medical Center

Project name: ORPKMC-102018M-Kitchen Expansion & Renovation
Location: ORANGE PARK, FL
Project classification: Hospital – Renovation
Project type: Acute Care
Project number: 3091300034
Lesson Learned number: 165
Impact: Quality


Lesson Learned/Best Practice

Careful attention should be considered regarding the design of the exhaust hoods for kitchen equipment. Typically this scope of work is handled by an outside vendor that designs the system. We have experienced one of our hoods over the serving line Grill, that does not fully exhaust the heavy hamburger smoke, causing small amounts of smoke to roll out of the corners of the exhaust hood and out into the open serving area. Months of investigative efforts have resulted in adjustments/modifications to the system to correct this.


Suggested Actions for Future Projects

Any large smoke producing equipment should be kept against a perimeter wall that goes full height up to the exhaust hood. This approach is likely to reduce the possibility of a similar issue. 


Keywords

kitchen exhaust, smoke producing equipment

AHCA – Medical Equipment Drawings

Facility name: UCF Lake Nona Medical Center

Project name: Lake Nona-102018M- New Hospital
Location: TALLAHASSEE, FL
Project classification: Hospital – New
Project type: Acute Care
Project number: 2689500001
Lesson Learned number: 150
Impact: Cost


Lesson Learned/Best Practice

AHCA requirements for Imaging equipment varies with each “team”. Typically, the specific details required by AHCA are not included in the site specific vendor drawings resulting in added scope and rework during the inspection process.


Suggested Actions for Future Projects

Medical Equipment vendors should incorporate known AHCA requirements for each specific team in the vendor documents for the project. 


Keywords

Medical Equipment, AHCA

Need better facilities move in coordination

Facility name: Medical City McKinney

Project name: MCMKNY-102017M-BH & Rehab Relocation
Location: MCKINNEY, TX
Project classification: Hospital – Horizontal Expansion
Project type: Psych
Project number: 3833300011
Lesson Learned number: 149
Impact: Schedule


Lesson Learned/Best Practice

Needed to have conducted a more comprehensive equipment/material move in plan/review


Suggested Actions for Future Projects

Conduct with construction and facility teams move in pull plan to go over all actions associated with equipment/material/personnel move in.


Keywords

Move in, equipment/materal delivery, pull plan

Improved Lab Equipment Information

Facility name: Swedish Medical Center

Project name: SWEDIS-052018M-Hybrid OR Renovation
Location: ENGLEWOOD, CO
Project classification: Hospital – Renovation
Project type: Acute Care
Project number: 2710000029
Lesson Learned number: 133
Impact: Cost, Quality, Scope


Lesson Learned/Best Practice

The existing Lab Equipment (model numbers, infrastructure hook-ups, technical requirements, etc.) has to be assessed with a view to the new layout and design. This exercise is best performed by a Lab Equipment expert. At Swedish, ESa was asked to perform this equipment accounting function. It was not efficient, and it could have been more effective were a consultant or the Facility/Owner involved. 


Suggested Actions for Future Projects

HCA Equipment Manager shall quantify existing equipment and coordinate with the Architect/Engineer on the new layout. 


Keywords

Specialty Consultant, Lab Equipment, Equipment Layout

MRI Closet Ventilation

Facility name: UCF Lake Nona Medical Center

Project name: Lake Nona-102018M- New Hospital
Location: TALLAHASSEE, FL
Project classification: Hospital – New
Project type: Acute Care
Project number: 2689500001
Lesson Learned number: 125
Impact: Scope


Lesson Learned/Best Practice

MRI closets require adequate ventilation between the penetration panel and the MRI space. Louvers were cut into the door after installation to meet this requirement.


Suggested Actions for Future Projects

Design documents should include louvers at MRI closet doors.


Keywords

MRI Ventilation

POU Cabinets near Door Openings

Facility name: UCF Lake Nona Medical Center

Project name: Lake Nona-102018M- New Hospital
Location: TALLAHASSEE, FL
Project classification: Hospital – New
Project type: Acute Care
Project number: 2689500001
Lesson Learned number: 124
Impact: Quality


Lesson Learned/Best Practice

POU cabinets are typically shown at doorways to clean supply rooms. When these are installed, they often conflict with the door swing pathway when the POU cabinet is open.


Suggested Actions for Future Projects

POU cabinet locations should be reviewed by design team and contractor to confirm these locations do not conflict with the door swing.


Keywords

OFE

Medical Equipment Data Requirements

Facility name: UCF Lake Nona Medical Center

Project name: Lake Nona-102018M- New Hospital
Location: TALLAHASSEE, FL
Project classification: Hospital – New
Project type: Acute Care
Project number: 2689500001
Lesson Learned number: 118
Impact: Cost


Lesson Learned/Best Practice

Imaging equipment vendors require live data drops immediately following mechanical installation to test and calibrate equipment.


Suggested Actions for Future Projects

Low voltage subcontractor should carry cost to patch in data drops for imaging equipment prior to all other drops.


Keywords

Medical Equipment, Data, Imaging

Equipment Vendor Communication

Facility name: Los Robles Hospital And Medical Center

Project name: LOSROB-042017P2-Imaging Relocation
Location: THOUSAND OAKS, CA
Project classification: Hospital – Horizontal Expansion
Project type: Acute Care
Project number: 3055500036
Lesson Learned number: 66
Impact: Cost


Lesson Learned/Best Practice

Lesson learned here is to create a monthly dialogue with HCA’s Medical Equipment vendors who deliver equipment to the project toward completion.

We found a best practice to be creating somewhat of a “monthly newsletter” that goes out to the vendors with site updates, schedule updates, and progress of the project. This helps create a better dialogue with vendors so they know who they are dealing with and who to ask questions and follow up with. This also creates a streamline service so no delivery is showing up late or early. This will be applied to our projects moving forward.


Suggested Actions for Future Projects

Create a monthly newsletter to equipment vendors with site updates, schedule updates, and progress of the project to improve dialogue with vendors and ensure no delivery shows up too late or early.


Actions Taken / Current Status

A monthly vendor newsletter may be useful on some projects and should be considered when appropriate.  Additionally, for all projects, there should be Medical Equipment vendor coordination calls (separate from OAC meetings) starting 120 days prior to the occupancy date.

Up to date cut sheets from equipment vendors

Facility name: Regional Medical Center Of San Jose

Project name: RMCSAJ-052017M-ASC(OP Surgery)
Location: SAN JOSE, CA
Project classification: Hospital – Renovation
Project type: Acute Care
Project number: 0838500026
Lesson Learned number: 65
Impact: Cost, Schedule, Scope


Lesson Learned/Best Practice

OFE data is sometimes out of date, especially in states with lengthy AHJ approval processes (e.g., OSHPD) .  Reach out early to the equipment vendors to make sure that the cut sheets we’re given are still current and correct.


Suggested Actions for Future Projects

Reach out early to the equipment vendors to make sure that the cut sheets we’re given are still current and correct.