Add a Lesson Learned

Furnishings (Div 12)

Long Lead Items on Accelerated Schedule

Facility name: Ogden Regional Medical Center

Project name: OGDNMC-012020M-New Rehab Unit
Location: OGDEN, UT
Project classification: Hospital – Shell Buildout
Project type: MOB
Project number: 3441500009
Lesson Learned number: 178
Impact: Schedule

Schedule impact: 25 days


Lesson Learned/Best Practice

For Projects with Accelerated Schedules and no time for Early Release of Long Lead Time Materials, verify materials can be obtained in time to meet the required schedule during Preconstruction.


Suggested Actions for Future Projects

Plan for Early Release of Long Lead Time Materials, Equipment (Contractor and Owner Provided including Equipment , IT&S and Unified Communications), review the need for these items early in the project development to review options for obtaining items in time to meet the required accelerated schedule.  Ensure to review these potential early items with DM and CM during RFP and design phases.


Keywords

Accelerated Schedule, Review Long Lead Material Items during Preconstruction, Request Substitutions during Preconstruction, Rehab

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

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

OFE Schedule

Facility name: North Austin Medical Center

Project name: NRTAUS-022019M-Rehab/Peds Relocation
Location: AUSTIN, TX
Project classification:
Project type: Acute Care
Project number: 0822400025
Lesson Learned number: 127
Impact: Schedule


Lesson Learned/Best Practice

Keep lead time for OFE items in mind when planning projects. Typical 120 day lead time should be considered during initial planning phase. Notification to equipment vendors needs improvement for coordination with construction schedule. 


Suggested Actions for Future Projects

Notification of construction kickoff to equipment vendors needs improvement for coordination of long lead time items with construction schedule. Include OFE vendors in initial schedule development.


Keywords

owner furnished, equipment

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.

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.

Herman Miller Casework

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: 2
Impact: Schedule


Lesson Learned/Best Practice

Herman Miller casework power boxes have common raceways for different types of power (normal and emergency).  Additional conduit was run inside the manufactured casework for the different power.  This was done in hospital grade flexible conduit because there is not enough room for rigid conduit inside the casework.  Power requirements were not coordinated from Herman Miller.


Suggested Actions for Future Projects

Coordinate power box uses with Herman Miller prior to issuing casework drawings so it can be manufactured with the final use in mind.  Prep prefabricated casework with the needed electrical rough-in.


Actions Taken / Current Status

Per HCA Healthcare Capital Deployment, modular casework will no longer be used on nurse stations.  Nurse station casework is to be built using conventional methods.