Health Facilities Conference Preliminary Presentation 8-18-11Microsoft PowerPoint - Health Facilities Conference Preliminary Presentation 8-18-11 Author: garretta Created Date: 8/19/2011

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University Health System , San Antonio, TX“Complex Simplicity – How UHS’s Project Teams Are Beating The Odds”

Welcome to San Antonio

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University Health System , San Antonio, TX“Complex Simplicity – How UHS’s Project Teams Are Beating The Odds”

PresentersMark WebbVP of Facilities Development & Project ManagementDirector of the UHS Capital Improvement Plan

Steve MilnerPerkins+Will Principal / Healthcare PlannerUHS Project Director

Tom ReisenbichlerPerkins+Will Managing Director / Healthcare PlannerUHS Executive Architect

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BACKGROUND A separate political subdivision of the State of Texas owned by the people of Bexar County 5,000 employees. 1,000 

physicians. 700 resident physicians

$1.9 billion impact on local economy

Bexar County Commissioners Court Appoints Bexar County 

Hospital District Board of Managers

Sets the annual Hospital District tax rate

Approves the annual capital and  operations budgets

Less than 30% of revenue from local property taxes

Animation of North Campus

PROJECT SCHEDULE:New Tower scheduled completion  12/2013Renovation scheduled completion   5/2015

University Health System , San Antonio, TX“Complex Simplicity – How UHS’s Project Teams Are Beating The Odds”

UHS Capital Improvement Program

$899M capital program

New 6‐story building at the Robert B. Green Campus downtown

Advanced outpatient diagnostic & treatment

New 10‐story tower at University Hospital

420 Single‐patient roomsNew & larger Emergency Center and operating suitesNew parking garage

Animation of downtown Campus

PROJECT SCHEDULE:New Clinic Building scheduled completion        12/2012Renovation scheduled completion   5/2015

University Health System , San Antonio, TX“Complex Simplicity – How UHS’s Project Teams Are Beating The Odds”

UHS Goals and Objectives AND Challenges

Public project  ‐ Largest project in community historyMeet the Current and Future needs of the people of Bexar County Set the new standard for healthcare in South TexasBest practice/evidence based designEfficiency ImprovementsQuality ImprovementsRespect the unique cultural and historical influences of San Antonio and South Texas Strive for Best VALUE with allocated moneyScheduleLEED GOLDCoordination with large numbers of stakeholders60% of the CIP $ to stay in Bexar CountyActive operations 24/7

Organizational Structure

UHS staffProgram Manager/Project ManagersDesign TeamsCMs

Selection ProcessNational Expertise + Local DeliveryDesign CharretteProgram

Project Delivery MethodHybrid IPD / CM @ RiskDesign Assist

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Hybrid  Integrated  Project Delivery Method

Clinic Project

• Architect – RTKL & Overland Partners

• Program Manager ‐Jacobs

• Project Manager –Parsons

• Construction Manager –Bartlett Cocke

Hospital Project

• Architect – Perkins+Will, RVK, GBA, & DuendeDesign

• Program Manager ‐Jacobs

• Project Manager –Broaddus + Muñoz

• Construction Manager –Zachry/Vaughn/Layton

TEAM Strategy  ‐ Blend National Expertise with Local participation• Local Goal 80% (actual to date 86%)• SMWVBE Goal 40% (actual to date 47%)• Hard to achieve in community with limited experience on projects of this magnitude and 

complexity• 8 Architects, 6 MEP, 4 Structural, 4 Civil, CM – Three large construction companies

Co‐Location of Team Leadership

• Single PM systems technology

• BIM technologies

• More difficult with numerous companies in distributed locations

• Small firms on learning curve

• Flexible approach to make really things work – plan, learn, adapt, plan, learn, adapt

IPD  ‐ Design Assist

• CM scheduling • diagrams/models

• Current scheduling

• Completely integrated

• Hybrid integrated delivery program

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Design ModelArchitecture

StructureMEP (BIM)

SD DD CD

Construction Model

All Design Models Originally to be in Revit (BIM) format

Design Review & Assist

3D MEP Detailing Drawings

3D3D

3D1‐line 1‐line/2‐line

Regulatory Submission Drawings

Design Assist Original ModelOriginal BIM Execution Plan

Design ModelArchitecture

StructureMEP (Non‐BIM)

SD DD CD

Construction ModelDesign Review & 

Assist3D MEP Detailing 

Drawings

3D  Design Models

3D Mass Modeling

3D3D

1‐line/2‐line

Regulatory Submission Drawings

Design Assist Current ModelCurrent BIM Execution

Pathways and Rooms

MEPF Design

SD DD CDMassing / Specs

Design Assist

Shafts

MEPF DesignDesign Assist

ShaftsSD DD CDMassing / Specs

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HVAC Mains

MEPF DesignDesign Assist

ShaftsSD DD CD

HVAC Mains

Massing / Specs

Roof and Main Drains

MEPF DesignDesign Assist

ShaftsSD DD CD Drains

HVAC Mains

Massing / Specs

MEPF Piping Mains

MEPF DesignDesign Assist

ShaftsSD DD CD Drains

Piping MainsHVAC Mains

Massing / Specs

MEPF Branch Design

MEPF DesignDesign Assist

ShaftsSD DD CD

HVAC Mains

Drains

Piping Mains

MEPF BranchesMassing / Specs

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MEPF Branch Coordination and Final Detailing

MEPF DesignDesign Assist

ShaftsSD DD CD Drains

Piping Mains

MEPF Branches

HVAC Mains Detailing

Massing / Specs

What happens when a DISASTER occurs ?

VIDEO HERE

Video of garage collapse

A portion of the West garage collapsed on Valentine’s Day 2011 (2/14/11)

• Safety program

• No fatalities

• Responsiveness of team

• No finger pointing / just answer seeking 

• 13 forensic engineers / scientists

• CCIP

• Resolution without litigation

• Project re‐ construction with no impact on overall project schedule

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Lessons Learned

• Coordination/communication (can you hear me)

Communication

Managing Expectations

• Use your experts (that’s why you hired them)

• Using new systems (change can be tough)

• Planning is only so good (then stuff happens)

• Plan for a DISASTER