Add a Lesson Learned

Openings (Div 08)

Keying and Coring

Facility name: Woman’s Hospital Of Texas

Project name: WMHOTX-122018M-LDR, C-Section & Support Space Renovations
Location: HOUSTON, TX
Project classification: Hospital – Renovation
Project type: Acute Care
Project number: 3431900019
Lesson Learned number: 169
Impact: Cost, Schedule, Scope


Lesson Learned/Best Practice

Existing facilities keying/coring system did not match the Allegion master specs. Required replacing levers and cylinders to integrate with facility’s existing keying system.


Suggested Actions for Future Projects

Review with facility during design prior to issuing Construction Documents. Design team to confirm with Design Manager direction.  Incorporate existing keying requirements in the specs on the front end should HCA determine that is the best course of action.


Keywords

Doors, Hardware, Keying, Schedule, Allegion

Exterior Door Details vs. NOA/FPA

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: 154
Impact: Quality


Lesson Learned/Best Practice

NOA/FPA requirements for exterior doors located on elevated decks may differ from the details included in the construction documents resulting in additional RFI’s and added scope


Suggested Actions for Future Projects

Once FPA/NOA’s are confirmed for exterior doors, a meeting should be conducted between the contractor, design team, and envelope consultant (if engaged) to review details against the FPA/NOA


Keywords

Exterior Frames, FPA/NOA

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

Existing Security review

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: 128
Impact: Cost, Scope


Lesson Learned/Best Practice

Perform Site-Walk / Audit to determine adequacy of infant abduction system, door hardware, and security shown on drawings.


Suggested Actions for Future Projects

Owner’s infant abduction vendor needs to get involved during design phase if possible or as early as possible and verify that all systems integrating to the system are designed to function with the system. Coordination with facility to verify that each door is secured as needed would be beneficial.


Keywords

security, infant abduction system

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

HM Frame Returns for SV Rooms

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: 123
Impact: Quality


Lesson Learned/Best Practice

Best Practice: Any room with sheet vinyl should have the HM frame constructed with a 3/4″ HM return to ensure adequate space is provided for the cove base.


Suggested Actions for Future Projects

Design documents should incorporate a 3/4″ return for any HM frame installed in a room with Sheet Vinyl


Keywords

HM Frames

Exterior Finishes Selection

Facility name: Menorah Medical Center

Project name: MENORA-092018M-Bed Tower Expansion
Location: OVERLAND PARK, KS
Project classification: Hospital – Horizontal Expansion
Project type: Acute Care
Project number: 0972300007
Lesson Learned number: 103
Impact: Cost, Schedule


Lesson Learned/Best Practice

During the EDI process there was a lot of emphasis put into the main skin finish selection, for precast and EIFS, while the metal panels, louvers, curtainwall, and misc. finishes were not selected.  The intent was for the exterior finishes to match the existing building but was not noted as such in the Construction Documents.  This caused the GC and architect to spend a lot of time reviewing samples in order to find the appropriate color for the exterior finishes.  The result of this process was added cost, and lead time for material procurement, due to selecting a custom color.


Suggested Actions for Future Projects

When new construction is tying into an existing building exterior finishes should be selected during design.  For an accurate color match, and to appropriately account for associated cost, the CDs should indicate the manufacturer and color to match.


Actions Taken / Current Status

HCA comment:  The preferred method is the design team details matching or coordinated colors with existing building exterior finishes for the new finish details when possible.

Wood-door manufacturer

Facility name: Brigham City Community Hospital

Project name: BRIGHA-112016M-ED Expansion
Location: BRIGHAM CITY, UT
Project classification: Hospital – Horizontal Expansion
Project type: Acute Care
Project number: 3441000002
Lesson Learned number: 37
Impact: Schedule


Lesson Learned/Best Practice

There is only one wood-door manufactures (VT) which falls under the HCA preferred vendors. These doors have a lead time of 10-12 weeks which can become troublesome in the event of last-minute scope change or short project phases.


Suggested Actions for Future Projects

Early Design Involvement (EDI) team transition from design to construction

Facility name: Menorah Medical Center

Project name: MENORA-092018M-Bed Tower Expansion
Location: OVERLAND PARK, KS
Project classification: Hospital – Horizontal Expansion
Project type: Acute Care
Project number: 0972300007
Lesson Learned number: 30
Impact: Scope

 


Lesson Learned/Best Practice

Begin the transition earlier in the design process or incorporate more field personnel earlier in the design process if available; Beneficial for trade partner field staff (foremen) to be involved early in page turn/quality pauses; conduct quality pause/Big Room at location to allow field staff to attend more frequently when cluster groups start meeting (during DD).


Suggested Actions for Future Projects