Add a Lesson Learned

Exterior Improvements (Div 32)

Evolving HCA standards

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: 148
Impact: Cost


Lesson Learned/Best Practice

With HCA’s ever evolving design standardization there needs to be a fixed point where design is frozen for each specific project. 


Suggested Actions for Future Projects

Document date and version of HCA standards utilized within CD drawing set,  validate HCA standards with planning manger, design manager, HCA engineering and construction manager.


Keywords

HCA Standards, MEP guidlines

Landscape design

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: 147
Impact: Cost, Quality, Safety


Lesson Learned/Best Practice

BH concerns with Landscaping design and coordination with camera location to take into consideration – tree locations, rose bushes, camera views, very specific to behavioral facilities


Suggested Actions for Future Projects

Include final landscape design, to include specific types of vegetations, sizes and not just locations, and overlaid with final security camera locations.  Key considerations; potential camera review by landscaping for potential obstructions, possible patient safety or elopement considerations due vegetation sizes and location. Required attendees for review, corporate security, designated facility point of contact, design team including landscape architect.


Keywords

Behavioral Health, landscaping, security cameras

Mechanical and civil work coordination

Facility name: Lake Nona Hospital

Project name: Lake Nona-102018M- New Hospital
Location: TALLAHASSEE, FL
Project classification: Hospital – New
Project type: Acute Care
Project number: 2689500001
Lesson Learned number: 57
Impact: Cost, Schedule


Lesson Learned/Best Practice

It was discovered after (2) 1750 gallon grease interceptors were set and piped in the loading dock drive area that the tops of the precast box structures would be protruding significantly above the designed civil paving grade elevation as a result of the pipe invert elevation specified on the plumbing drawings forcing the grease interceptor structures to be set high.

Coordination between underground plumbing design and civil grading & drainage should be exercised to ensure any specified pipe invert elevation per a plumbing design drawing coordinates with civil grades to ensure structure and pipe coverage is adequate.


Suggested Actions for Future Projects

During a plan review or plan check opportunity with the Early Design Involvement (EDI) contractor team, the plumbing design scope which engages with the civil design scope should be reviewed to confirm the take over point is properly coordinated and specified plumbing or civil structures which must interact or connect between the two design disciplines do not foul or conflict.