Add a Lesson Learned

Medical Equipment – Construction

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

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

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.

Herman Miller Casework and flooring considerations

Facility name: Methodist Hospital

Project name: METHOS-102013P4-ED Renovation
Location: San Antonio, TX
Project classification: Hospital – Renovation
Project type: Acute Care
Project number: 3938500016
Lesson Learned number: 45
Impact: Quality


Lesson Learned/Best Practice

Herman Miller has planned to install casework after flooring is installed. This creates a challenge for floors with sheet goods because of the integral cove base. Layton has coordinated with Herman Miller to ship the toe kicks out early to install before flooring. Herman Miller is charging $250 to set the bases separately, but this will reduce the amount of seams in the sheet good flooring.


Suggested Actions for Future Projects

Install casework bases before flooring at sheet goods. Install rest of casework after flooring (as late as possible) to reduce the amount of time that damage may occur during construction.

Discuss with Herman Miller to include an additional install for casework bases at locations with sheet goods.

 


Actions Taken / Current Status

Sent to HCA Construction Management and Medical Equipment teams for follow-up action.

Behavioral Health Patient Room Furniture Install

Facility name: Medical Equipment Lessons Learned

Project name: Medical Equipment Lessons Learned
Location: ,
Project classification:
Project type: Other
Project number: 0000000000
Lesson Learned number: 12
Impact: Quality


Lesson Learned/Best Practice

Prior to installation of the patient room furniture (bolting to the floor) the furniture vendor, facility and the contractor need to meet and review placement and agree to location prior to anything being bolted to floor. 


Suggested Actions for Future Projects

MEM will direct onsite meeting of furniture vendor, facility and contractor to conduct meeting to review and approve layout and placement of funriture prior to beginning installation.

Revised Equipment Delivery Schedule Format

Facility name: Medical Equipment Lessons Learned

Project name: Medical Equipment Lessons Learned
Location: ,
Project classification:
Project type: Other
Project number: 0000000000
Lesson Learned number: 11
Impact: Schedule


Lesson Learned/Best Practice

Revised format and consolidated forms into one document for the Medical Equipment Delivery Schedules.  This effort is to help eliminate confusion on the contractors part and make sure that MEM is getting good dates to make sure items are being ordered and delivered on time. 


Suggested Actions for Future Projects

The new Medical Equipment delivery schedule format are being utilized on all projects.