Medical Construction & Design

JAN-FEB 2015

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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St. Jude Medical Center is owned by St. Joseph Health, the 10th largest not- for-profi t health system in the country. The health system oversees St. Jude Medical Center, a faith-based, nonprofi t, 329-bed, acute care hospital in Fullerton, California built in the late 1950s. In 2008, in the midst of the country's Great Recession, St. Joseph Health embarked on a major capital investment to update its hospital facilities in order to meet California seismic standards by the mandated 2015 deadline. Early integration eliminates risk To ensure a successful completion, Petra Integrated Construction Strategies, the project management fi rm representing St. Joseph Health, assembled its team early in the process, even before confi rming what needed to be built, to resemble an Inte- grated Project Delivery team. This team included Taylor Design, McCarthy Build- ing Companies, Inc. and KPFF Consulting Engineers. With this early and innovative delivery method, Petra ICS could gather initial estimates from all team mem- bers to generate a reliable cost model. The team immediately began to develop plans for a new 11-story tower located on a southeast portion of the St. Jude Medical Center campus. However, the Southeast Tower was never realized. While the southeast quadrant of the campus seemed to be an obvious location, further research revealed the site was fraught with logistical challenges, constructability issues and factors that would lead to cost escalations. Although this eight-month setback may have discouraged other project teams, the team working with St. Joseph Health developed a solution to deliver the new tower. This new plan included changing to a new site location with a revised scope that met all program needs, provided the opportunity for expanded services and advanced technology, and improved the established schedule and budget. The new tower, now on the northwest side of the campus, began as a simple 13-line email outlining scope and timeline. It evolved into construction of a 200,000-square-foot, four-story acute care building with a bridge at the fourth fl oor of the new tower connecting it to the existing hospital, along with a 14,000-square-foot central utility plant. Aligning through common purpose To ef ectively move the newly revised project forward, the team was entrusted to develop the contract and terms of the design-build relationship. Along the way, Petra ICS sought ways to encour- age further cultural alignment among all of the organizations through clarity of scope and a focus on purpose. In turn, the team members took the lead in determin- 1 2 36 Medical Construction & Design | JA N UA RY/ F EBRUA RY 2015 | MCDM AG.COM

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