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TECHNOLOGY & METHODS
A waiting area at Columbia St. Mary's overlooking the green roof.
TMP is a highly streamlined delivery method that engages key subcontractors in initial project plan- ning to leverage practical knowledge of specifi c types of installations and cost. These "trades" unite with the designer and construction manager to solve constructability and design issues, scheduling and the sequenc- ing of installations before construc- tion begins. Challenged with an uncertain
economy, TMP was the inspired solution when Columbia St. Mary's Health System of Milwaukee, Wis. embarked on a plan to consolidate its two east-side hospitals into a new $417-million Columbia St. Mary's Hospital overlooking Lake Michigan that would incorporate best practices in Evidence-Based Design. For a project the size and scope of Colum- bia St. Mary's, TMP was invaluable to giving the owner suffi cient control over design integrity. It also allowed project stakeholders to tap into the specialized skills of subcontractors to modify the initial design. This captured the greatest effi ciencies in cost, schedule and installation tech- niques and serviceability.
FACILITATING ONGOING COLLABORATION
Unlike integrated project delivery, where the owner cedes control over the project through strict contrac- tual obligations with the IPD team, TMP creates an ongoing collabora- tive environment that leverages the design-assist skills of the subcon- tractor. As CSM architect, HOK de- veloped a suffi ciently detailed design that clearly expressed the desired
outcomes of the owner. The team then worked with the owner and the construction manager to elicit the best design-assist ideas from a select group of skilled subcon- tractors willing to share the risk of a guaranteed maximum price on the project. The bid process asked subcontractors to evaluate the plan and offer thoughtful solutions on the best way to achieve the owner's desired results.
"Through a collaborative experi- ence, we took an owner, construc-
50 Medical Construction & Design | March/April 2012
tion manager, architect, engineer and subcontractors and turned them into a highly-motivated team that got excellent results," said Jeff Mallory of Mallory-Three-LLC, project manager for Columbia St. Mary's.
The design-assist subcontrac- tors selected for the job were in- spired to make modifi cations work for the entire project and delivered several advantages: > The steel contractor was able to lock in a fi rm price on steel at a
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