Building DC Issue #6

ISSUE 6 SIX SECRETS TO A SEAMLESS HEALTHCARE RENOVATION Breaking down the key lessons learned SYNCHRONIZING EFFORTS Using technology to solve complex challenges at the Institute for Contemporary Art PAINTING THE TOWN GILBANE RED Ward 1 to ward 8, the city is our canvas Collaboration and communication is essential to a smooth construction process. Utilizing technology can facilitate communication and help coordinate complex construction activities. By using BIM 360, the ICA project team has been able to maintain all A/E and trade contractor Building with models in one centralized location. From these models, Gilbane can develop custom models and viewpoints to use as discussion pieces Point cloud of the laser scan of the during meetings. Finally, Bluebeam UnitedHealth Group space Studio helps maintain up-to-date Laser scanning has gained momentum documentation of all the parties and is now widely used on large-scale involved throughout the construction renovation projects. However, its process. From BCOM submissions potential on interior work is significant. to requests for information to Our D.C. Interiors Group was recently construction change directives (CCD), hired by UnitedHealth Group (UHG) all of this historical information can to complete a 13,000 square-foot be accessed in customized layers. This renovation of their existing sixth floor real-time information is drastically space, as well as a 24,000 square-foot at the Institute for Contemporary Art improving construction operations build-out of additional space. Before across the country. work began, our team recommended laser scanning a majority of the floor Gone are the days of laying drawings the Revit models. Then, using Synchro plan to determine existing conditions. on a light table and using post- 4D scheduling software, the team The architect, RSP, was unfamiliar with its during closeout. Now, creating developed and verified sequencing the technology or how to capitalize mockups in BIM and using an iPad for the complex structure. By tying the on the extent of its capabilities. As a for punchlists are second nature. baseline Primavera P6 schedule and result, Gilbane organized a training Technology continues to permeate the subsequent P6 monthly updates to the session to walk through the software construction industry in all facets from 4D scheduling software, the team was and to explain how best to maximize preconstruction to closeout. Project then able to create a real-time visual its value on the UHG project. Since RSP teams are using these technologies to schedule. This visually compared the is located in Minnesota, this software find new ways to improve efficiencies newly developed baseline with the allowed the team to see every as- and quality. original plan and the actual progress. built condition in great detail without In doing so, the team was able to ever stepping foot on the jobsite. A prime example is the Institute for clearly demonstrate the schedule and Completed within a week, it has since OF STEEL Contemporary Art (ICA) at Virginia consequently improve the progress of provided real-time information that Commonwealth University (VCU). construction. Technical project showcase allows has supported seamless collaboration The building, designed by world- Gilbane employees to learn from between our onsite team in D.C. and renowned architect Steven Holl, is a complexities at the ICA the architects 1,100 miles away. complex framework of cantilevered In January 2017, Gilbane established spaces that represents Steven Holl’s an internal program that highlights The laser scan is currently being used concept of “forking time.” It tells a story active projects each quarter. The to coordinate the new fit-out and tie- of the convergence of Richmond’s program provides employees access in to the existing space, with a 1/4 inch past, present and future into a single to some of the most complex and accuracy from 150 feet. It will enable building at the heart of the city. With interesting projects across the mid- the team to release critical trades and the intricacies of the design comes Atlantic. Employees are able to learn materials early, facilitating the fast- complex engineering and sequencing directly from one another about the track schedule. A floor levelness survey to bring the building to life. Gilbane innovative processes and techniques was created from day one that can be used A/E Revit models as baselines 4D Schedule their peers are using in the field. used throughout life of the project. to build customized worksets within Page 2 Page 3 AUTHORITIES HAVING LOGISTICS/PHASING JURISDICTION (AHJ) Visiting a hospital can How many times have be stressful. Ensuring you reached the end of a project that there is enough signage and you had to add additional and wayfinding displays to direct sprinklers or move a smoke detector? patients, staff and visitors to the Requesting pre-inspections and correct location can help alleviate engaging AHJs regularly throughout some of that stress. A designated the construction process establishes entrance for construction personnel a rapport. It allows the AHJ to notify can also help avoid obstructions to Seamless Hospital Renovation the construction and design team visitors. Lastly, budgeting for a valet early on of problem areas so that early is a must. Having a valet on site they can be resolved before final allows for patients to be in and out of inspections. By the time the project the hospital hassle free. In order for hospitals to stay relevant, renovations are a necessity. According to the 2016 Hospital Design and Construction is nearing completion and final 1 Facilities Survey, three quarters of the projects under construction or planned in the next three years were either expansions Health Facilities Management/ ASHE 2016 Hospital inspections occur, the AHJs know Construction Survey 1 or renovations. Renovations give hospital facilities managers the opportunity to get more for their money. They can the facility and the areas that needed 2 Health Facilities Management/ ASHE 2017 Hospital modernize portions of their facilities that they feel will have the biggest impact to their current and future patients. In 2017, adjustments. Construction Survey 86 percent of hospital budgets allocated for renovations saw either no change or an increase compared to the previous GARY ORTON year according to the 2017 Hospital Construction Survey.2 VP Healthcare Gilbane Mid-Atlantic Division With the increase in renovation work, facilities managers, general contractors, and architects are looking for ways to work together to minimize the disruption to ongoing operations. Gary Orton, VP of Healthcare for Gilbane’s mid-Atlantic division Gary Orton is the Vice President and an expert in occupied acute care healthcare renovations, has outlined six major areas to focus on during a renovation. and Director of Healthcare for Focusing on these areas can help a renovation run smoothly. Gilbane Building Company’s Mid-Atlantic division. He currently manages all of the healthcare Frederick construction projects in the COMMUNICATION the way healthcare renovations are in the renovation from concept to Children's National Memorial Hospital D.C., Maryland, Pennsylvania Medical Center managed. The project hub would occupancy allows for continuity and a Sterile Processing and Virginia areas in addition Inpatient Psychiatric Communicating shutdowns, be a tool that measures controls like clear vision. Involving all department Department to consulting on pursuits in the Unit Renovation deliveries and the progress temperature and air pressure through head staff throughout the process can Carolinas. Gary has 28 years of of the renovation with physicians and a centralized Wi-Fi connection. It would also help minimize design changes. experience managing all forms clinical staff can help alleviate impacts send alerts when those levels are This collaboration ensures that the of healthcare construction from to ongoing operations. If the staff are outside of their established parameters new design will function for all its acute care facilities to operation aware of the construction schedule so team members could address the stakeholders. room renovations to large- they can plan accordingly. issue before patients, visitors and staff scale healthcare projects. His are affected. UTILITY INTERRUPTIONS QUALITY OF CARE IMPACTS experience totals more than CHANGES Utility interruptions have one billion dollars in healthcare Patient, visitor and staff the potential to impact the Sibley Memorial Hospital construction, with more than comfort are important in Anything from architect healthcare facility more than any of the Existing Tower Building $700 million in renovations of maintaining a successful changes to hospital other factors discussed. Therefore, they Renovation occupied acute care facilities. hospital. While noise, dust and personnel changes can have an effect must be planned in detail and should Gary graduated with a Bachelor vibrations from ongoing construction on the schedule, budget, staff and require written notification 10 working of Science in Construction are occupational hazards, they can patients. Allowing the design team days in advance of the outage. Hospital Management from Colorado negatively impact a patient’s comfort. access to a space prior to finalizing facility personnel are the only ones State University and is certified What if there was a way to track the construction documents can have who should initiate utility interruptions through

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