Medical Construction & Design

SEP-OCT 2014

Medical Construction & Design (MCD) is the industry's leading source for news and information and reaches all disciplines involved in the healthcare construction and design process.

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50 Medical Construction & Design | September/October 2014 mcdmag.com T he results are in. For the past three years, the Con- struction Industry Institute at the University of Texas, Austin has been building a secure national database of healthcare facility project metrics. The results of this work were made available recently to facility owners who contributed data to the benchmarking project, and are both useful and fascinating. They promise to vastly improve the accuracy and outcomes of planning and delivering hospitals and other healthcare facilities. The initial benchmarking report, published in May, included data from nearly 90 healthcare construction projects. The fi ndings, some surprising, included: > Hospitals in seismic zones 3 & 4 are 54 percent more expensive to build than those in zones 1 & 2. > It's 26 percent more expensive to build on an existing medical campus than to build elsewhere. > Hospitals that require environmental impact statements are 19 percent more expensive to build than ones where none is required. This might seem obvious but these statistics will assist in budgeting for these projects. > Construction schedule growth for hospitals using BIM was half of that for hospitals that did not use BIM. > LEED hospitals are less expensive to build than non-LEED projects. That's not a typo — less expensive. Appreciating the value of having objective benchmarking data against which to compare our own performance, Kaiser Permanente contributed to the database, and is an enthusias- tic champion of the tool. The CII database allows healthcare companies, architects and contractors to confi dentially com- pare its projects to similar projects from across the industry on up to 200 measures, including cost, schedule, delivery method, contracting method, sustainability and more. Kaiser Permanente has internal historical data against which to compare current projects, as well as ad-hoc studies, but this ongoing collection of self-reported, independently validated data is the fi rst of its kind. It will be invaluable when building business cases and proposing capital investments. Benchmarking and LEED The CII benchmarking data showing LEED hospitals and medi- cal offi ces are less expensive to build than non-LEED buildings is valuable information to have, as we continue to socialize a commitment to the guidelines with people who still don't believe green buildings can cost less than traditional con- struction. The idea that LEED isn't cheap is still a widely held assumption in the industry. Business leaders who may value environmental stewardship, but whose focus and expertise is elsewhere, are hardwired to want to minimize capital costs. Kaiser Permanente's commitment to pursue a minimum of LEED Gold certifi cation for construction of all new hospitals, medical offi ces and other major projects was bolstered by the success of its fi rst LEED Gold hospital, the Westside Medical Center, which opened in August 2013 in Hillsboro, Oregon. The hospital achieved LEED Gold certifi cation for a net additional cost of less than 1 percent of the total cost of construction, and those additional up-front costs are expected to pay back fi ve- fold in operational savings over the medical center's lifetime. We have opened additional LEED buildings since then, but sustainable green Measure New database, tracking to supercharge project planning, delivery and LEED projects By Ramé Hemstreet up

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