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.


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

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Casework Hinge Types

Facility name: UCF Lake Nona Medical Center

Project name: Lake Nona-102018M- New Hospital
Project classification: Hospital – New
Project type: Acute Care
Project number: 2689500001
Lesson Learned number: 153
Impact: Scope

Lesson Learned/Best Practice

A combination of 5-knuckle and concealed hinges were included in the design of the facility resulting in some areas having both types of hinges in a single space.

Suggested Actions for Future Projects

A design standard should be developed and published to ensure all casework hinges are uniform in a single facility.


Casework, Hinges

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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.


HCA Standards, MEP guidlines

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Partial Demolition of Casework

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: 129
Impact: Cost, Quality

Lesson Learned/Best Practice

Partial Demolition of Casework not preferred and usually provides no cost savings.

Suggested Actions for Future Projects

NICU drawings showed partial demolition of casework & solid surface top but were not clear on extent of demo/existing to remain. If partial demo is still preferred, would like the architect to better define the drawings and provide an elevation drawing showing how the modified casework should look at completion. Post-laminating & modifying casework does not achieve as good of a result as replacing with new and also does not necessarily save money because the field labor to post-laminate is expensive and time consuming. Full replacement of casework is often the same or less expensive and provides better results.


Casework, partial demolition

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