Hospital Management System Diagrams

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					VSM FUTURE STATE MAP - GLOSSARY OF TERMS

        Target Value Design
        Future State Map
        Ideal State Map
        Stretch Goal
        Integrating Event
        A3 Report
        Set-Based Design

        OSHPD Terms
                Increment
                Segment
                Conditional Approval
Case History




Methodology




Tools
          BIM
          Last Planner
          Pull Scheduling
VSM FUTURE STATE MAP - HOSPITAL ASSUMPTIONS


                   100 Bed Hospital
                   Greenfield Site
                   OSHPD Building only approximately 250,000 GSF
                   Integrated Project Delivery Team
                   Integrated OSHPD process
                   Big Room Integrated Team Aproach
                   Incremental Permit Packaging

                                  Increment                Segment
                                  Geotech



                                  Foundation/Steel
                                                           Review of Analisys approach w/assumptions (Narrative)
                                                           Loading Criteria
                                                           Lateral Design Model
                                                           Gravity Design Model
                                                           Specs and Secondary Systems
                                                           Basement and Foundation
                                                           Diaphram Design
                                  Shell/Core



                                  TI's



                                  Furniture/Fixture/Equipment Fit-up


                   Increments will be broken down into segments for integrated OSHPD review for conditional approval

                   Definitions:   Increments - Packages submitted for permit and approval
                                  Segments - Design information/items that will be reviewed and conditionally approved
                                  Conditional Approval - reviewed and accepted but does not stand as approved



        12 Mo      Planning/Programming
                                12 Mo          Design
                                                                                 32 Mo      Construction
                                                           OSHPD - Permit
                   EIR/Entitlements




        Design sets to include:
                   Rating system based on project goals
                   Implications to other systems/disciplines
IDENTIFIED WASTE
                                                                                                             Map (14
                                                                                                             mo. Desgn                   Resources
                                                                                                             process)                    (person
Meeting         Phase              Description                                                               Reference Time Lost         days (pd's))
Sutter VSM II   Waste Program      Lack of project definition                                                P1
Sutter VSM II   Waste Program      "Unbaked Cake"
Sutter VSM II   Waste Program      Length of approval process                                                P2
Sutter VSM II   Waste Program      Lack of commitment to scope (living with your decision)
Sutter VSM II   Waste Program      Lack of flexibililty of program to accommodate outside factors
                                   (estimation, demand for service)
Sutter VSM II   Waste Program      Lack of understanding of business process by endusers
                                   (standardization)
Sutter VSM II   Waste SD's         Starting SD's without business plan approval (problem                     SD1
                                   solutionpriorto problem definition)
Sutter VSM II   Waste SD's         Early or late engagement of key A/E/CMSC/party                            SD2
Sutter VSM II   Waste SD's         Exploring desing options outsideo f project scope or budget
Sutter VSM II   Waste SD's         Failure to communicate project goals or assumptions to team.              SD3
Sutter VSM II   Waste SD's         Budget not defined.
Sutter VSM II   Waste SD's         Misalignment of code interpretations between design team and
                                   OSHPD - program flex concepts not communicated and vetted).

Sutter VSM II   Waste SD's         User group/input process                                                  SD4
Sutter VSM II   Waste SD's         Lack of alignment between system and affiliate.
Sutter VSM II   Waste SD's         Lack of project champion.
Sutter VSM II   Waste SD's         Lack of vision/guidingprojects (determining value).
Sutter VSM II   Waste SD's         Information needed by team members is not defined.
Sutter VSM II   Waste SD's         Focus on details too soon.
Sutter VSM II   Waste DD's         Desing disciplines not hearing user group concerns first hand, or
                                   not having early "vision" discussions with client.
Sutter VSM II   Waste DD's         Timing (continuous flow of work)
Sutter VSM II   Waste DD's         Failure to identify AMOC's.
Sutter VSM II   Waste DD's         Incomplete SD's / program still unresolved                                DD1
Sutter VSM II   Waste DD's         User group behavior                                                       DD2
Sutter VSM II   Waste DD's         Shift of design intent from SD's.                                         DD3
Sutter VSM II   Waste DD's         Developing a design just for critique or contract conformance             DD4
                                   (especially MEP).
Sutter VSM II   Waste DD's         Code interpretation during DD's.
Sutter VSM II   Waste DD's         Design team reviews and decisions made in silos (no "big room").

Sutter VSM II   Waste DD's         Lack of work in 3D.                                                       DD6
Sutter VSM II   Waste DD's         Waiting for owner deicsions / approvals.
Sutter VSM II   Waste DD's         Desing to budget cycle                                                    DD5
Sutter VSM II   Waste DD's         Moving forward without approvals.
Sutter VSM II   Waste DD's         Target costing batches too large.
Sutter VSM II   Waste Permitting   Slowest discipline determing critical path.
Sutter VSM II   Waste Permitting   "BIN" time - waiting to review.                                           P1           Bin time /
                                                                                                                          1st rev. -
                                                                                                                          70%
                                                                                                                          backcheck -
                                                                                                                          80% / 1st
                                                                                                                          rev. 30%
                                                                                                                          backcheck
                                                                                                                          20% touch
                                                                                                                          time
Sutter VSM II   Waste Permitting   Overproduction (where is the note?).
Sutter VSM II   Waste Permitting   Drawings not correct or complete.                                         P2           Time spent
                                                                                                                          documentin
                                                                                                                          g
                                                                                                                          incomplete
                                                                                                                          documents
Sutter VSM II   Waste Permitting   Drawings submitted too soon.
Sutter VSM II   Waste Permitting   Owner changes during permitting.                                          P6
Sutter VSM II   Waste Permitting   Batch size.
Sutter VSM II   Waste Permitting   Questions instead of comments (document / code clarity).                  P3           6-8 weeks
                                                                                                                          cycle time,
                                                                                                                          20% touch
                                                                                                                          time




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                                                                                                              Map (14
                                                                                                              mo. Desgn              Resources
                                                                                                              process)               (person
Meeting         Phase                Description                                                              Reference Time Lost    days (pd's))
Sutter VSM II   Waste Permitting     Plan checker learning curve.                                             P4        10 - 15 %
                                                                                                                        getting back
                                                                                                                        up to speed.

Sutter VSM II   Waste Permitting     Lack of communication.                                                   P5           5 - 10%
Sutter VSM II   Waste Permitting     Inconsistence of reviewers.
Sutter VSM II   Waste Permitting     Reviewer preference of solution (multiple reviewers)
Sutter VSM II   Waste Permitting     Gaps between reviews (loss of knowledge or familiarity)
Sutter VSM II   Waste Permitting     Inappropriate review (coordinating)
Sutter VSM II   Waste Permitting     Lack of project introduction to OSHPD.                                   P5
Sutter VSM II   Waste Permitting     Inconsistent document organization communication.
Sutter VSM II   Waste Permitting     Variations in code interpretations.
Sutter VSM II   Waste Permitting     Lack of documentation and agreements on interpretation.
Sutter VSM II   Waste Permitting     Lack of consistency in review staff (technical and experience).
Sutter VSM II   Waste CD's           Incomplete SD's / program still unresolved                               CD1
Sutter VSM II   Waste CD's           No dimension lines
Sutter VSM II   Waste CD's           Equipment selection not properly timed.
Sutter VSM II   Waste CD's           Changes "ripple" through disciplines.                                    CD2
Sutter VSM II   Waste CD's           Overproduction - unnecessary documents (repetition of details).          CD3
Sutter VSM II   Waste CD's           Underproduction - not the right documents or information.
Sutter VSM II   Waste CD's           Overprocessing - focuson wrong elements.
Sutter VSM II   Waste CD's           Specifications.
Sutter VSM II   Waste CD's           CYA plans and specifications.                                            CD3
Sutter VSM II   Waste CD's           Redsign - Owner / Budget / Code
Sutter VSM II   Waste CD's           Timing - over the fence budget and constructability                      CD6
Sutter VSM II   Waste CD's           Lack of coordination between design team
Sutter VSM II   Waste CD's           Accuracy and correctness of lables (alignment with customer).
Sutter VSM II   Waste CD's           Document organization and format
Sutter VSM II   Waste CD's           Lack of standardization (studs, stairs) optimizing the pieces (steel     CD4
                                     tonnage).
Sutter VSM II   Waste CD's           Lack of appropriate resources (people, who draws what, design            CD5
                                     assist).
Sutter VSM II   Waste CD's           Deferred approvals.
Sutter VSM II   Waste CD's           Engineer drawings not used for construction
Sutter VSM II   Waste Construction   Document history / clarity
Sutter VSM II   Waste Construction   Incomplete design                                                        CO1
Sutter VSM II   Waste Construction   Lack of coordination (technical disciplines)
Sutter VSM II   Waste Construction   Communication (RFI's)
Sutter VSM II   Waste Construction   Unnecessary detailing.
Sutter VSM II   Waste Construction   Lack of standardization.
Sutter VSM II   Waste Construction   Designer/fabricator not aligned.
Sutter VSM II   Waste Construction   Design - constructability disconnect
Sutter VSM II   Waste Construction   Information loss at hand off (technology)
Sutter VSM II   Waste Construction   Shop drawing process occurs late and without collaboration and is
                                     redrawn.
Sutter VSM II   Waste Construction   Document organization
Sutter VSM II   Waste Construction   Submittals process (including post-approvals).
Sutter VSM II   Waste Construction   Unnecessary drawings packaged in overall set or to each "client"

Sutter VSM II   Waste Construction   Changes in "client" or team
Sutter VSM II   Waste Construction   Interpretation of code by field staff
Sutter VSM II   Waste Construction   Design incomplete
Sutter VSM II   Waste Construction   RFI process
Sutter VSM II   Waste Construction   Supplemental documents
Sutter VSM II   Waste Construction   OSHPD approval loop
Sutter VSM II   Waste Construction   PCO
Sutter VSM II   Waste Construction   CO
Sutter VSM II   Waste Construction   Approval
Sutter VSM II   Waste Construction   Work installed
Kaiser VSM II                        Not enough time - unrealistic promises, unexpected issues, failure
                                     of one part to deliver, other demands, fear
Kaiser VSM II                        Projects so big, connections unseen
Kaiser VSM II                        Lack of systemic approach




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                                                                                                Map (14
                                                                                                mo. Desgn                      Resources
                                                                                                process)                       (person
Meeting         Phase   Description                                                             Reference Time Lost            days (pd's))
Kaiser VSM II           Poor information transfer - not understandingwhat others need, not
                        understanding possible prevision, not easy to understand, too late

Kaiser VSM II           Customization / innovation
Kaiser VSM II           Poor information - accuracy / preliminaries, - incompleteness, -
                        timing, - changes not marked.
Kaiser VSM II           Lack of design team resources and everyone else's resources, too;
                        lack of skills
Kaiser VSM II           Incomplete unnecessary set to OSHPD
Kaiser VSM II           OSHPD cycle time / que time, in series
Kaiser VSM II           Best practices manual / (opportunity)
Kaiser VSM II           Different understandings of what OSHPD must have
Kaiser VSM II           Coordination
Kaiser VSM II           BC turnaround
AIA                     Using wrong processes for wrong client.
AIA                     Design for multiple vendors
AIA                     Something in the spec you don't understand (see staffing)
AIA                     Out of synch. processes.
AIA                     Information pu in too many places
AIA                     OSHPD looking at trivials
AIA                     Incomplete OSHPD reviews -> later comments
AIA                     Client decisions - right person/stick to it
AIA                     Out of synch. with owner values
AIA                     Lack of innovation
Kaiser VSM II           Assumptions - workarounds, - pricing?, - implications
Kaiser VSM II           Conflicts between owner
Kaiser VSM II           Human error
Kaiser VSM II           Expertise / Ignorance
Kaiser VSM II           Expectation about who provides information
Kaiser VSM II           Culture of irresponsibility
Kaiser VSM II           Use wrong person for task
Kaiser VSM II           Expecting all at once
Kaiser VSM II           Disconnect money from design too long
Kaiser VSM II           User group process - programming, schematic design (SD), design                      60 days
                        development (DD), Contract Documents (CD), Permitting,
                        Construction Administration (CA) - Mistakes or delays in DD cause
                        no delay in DD but delay the project 20 days in CD and 40 days in
                        CA.
Kaiser VSM II           Escalation - programming                                                             N/A               N/A
Kaiser VSM II           Escalation - SD ($3 million per month)                                               30 days
Kaiser VSM II           Escalation - DD ($3 million per month)                                               30 days
Kaiser VSM II           Escalation - CD ($3 million per month)                                               30 days
Kaiser VSM II           Escalation - Permitting ($3 million per month - $9 million total)                    90 days
Kaiser VSM II           Escalation - CA                                                                      N/A
Kaiser VSM II           Equipment changes (exmpl.: imaging/b ig, 64 slice) - programming                                   0              0
Kaiser VSM II           Equipment changes (example: imaging/b ig, 64 slice) - SD                                           0              0
Kaiser VSM II           Equipment changes (example: imaging/b ig, 64 slice) - DD                                           0             10
Kaiser VSM II           Equipment changes (example: imaging/b ig, 64 slice) - CD                                           0             30
Kaiser VSM II           Equipment changes (example: imaging/b ig, 64 slice) - Permitting -                   N/A - we        N/A - we
                        we won't do it.                                                                      won't do it     won't do it
Kaiser VSM II           Equipment changes (example: imaging/b ig, 64 slice) - CA (60                                       0         105
                        person days contractor, 45 person days designer)
Kaiser VSM II           Owner Changes - Programming                                                                      0               0
Kaiser VSM II           Owner Changes - SD                                                                               0               0
Kaiser VSM II           Owner Changes - DD                                                                               0               0
Kaiser VSM II           Owner Changes - CD (per time - 0 time inc. per 30 Days)                                          0               0
Kaiser VSM II           Owner Changes - Permitting                                                                       0              50
Kaiser VSM II           Owner Changes - CA (50 PD UES, 60 PD contractor)                                                 0             110
Kaiser VSM II           Addtnl Bus. Case Change (exmpl: birthing=> cardiac) - Prog.                                     15
Kaiser VSM II           Addtnl Bus. Case Change (exmpl: birthing=> cardiac) - SD                                        30
Kaiser VSM II           Addtnl Bus. Case Change (exmpl: birthing=> cardiac) - DD                                        45
Kaiser VSM II           Addtnl Bus. Case Change (exmpl: birthing=> cardiac) - CD                                        60
Kaiser VSM II           Addtnl Bus. Case Change (exmpl: birthing=> cardiac) - Perm.                                    100
Kaiser VSM II           Addtnl Bus. Case Change (exmpl: birthing=> cardiac) - CA                                        60
Kaiser VSM II           Standards Change (example: DHOT) - Programming                                                   0                0



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                                                                                                  Map (14
                                                                                                  mo. Desgn                    Resources
                                                                                                  process)                     (person
Meeting          Phase   Description                                                              Reference Time Lost          days (pd's))
Kaiser VSM II            Standards Change (example: DHOT) - SD                                                             0              5
Kaiser VSM II            Standards Change (example: DHOT) - DD                                                             0             20
Kaiser VSM II            Standards Change (example: DHOT) - CD                                                             0             30
Kaiser VSM II            Standards Change (example: DHOT) - Permit                                                        30             30
Kaiser VSM II            Standards Change (example: DHOT) - CA                                                             0             40
Kaiser VSM II            User Group Change (example: Pharmacy) - Programming                                               0              0
Kaiser VSM II            User Group Change (example: Pharmacy) - SD                                                        0              0
Kaiser VSM II            User Group Change (example: Pharmacy) - DD                                                        0              0
Kaiser VSM II            User Group Change (example: Pharmacy) - CD                                                        0              0
Kaiser VSM II            User Group Change (example: Pharmacy) - Permit (30 days time                                     30              0
                         lost here goes to 40 days resoure person days extra in CA)

Kaiser VSM II            User Group Change (example: Pharmacy) - CA                                                        0               40
St. Joe VSM II           St. Joe rating structure: [1] serious opportunity for improvement,
                         [2] …, [3] still to focus on but later
St. Joe VSM II           [1] Program reconciliation
St. Joe VSM II           studies, number of meetings, unclear process, don‟t have right
                         people in the room
St. Joe VSM II           [1] user group meetings – unclear process
St. Joe VSM II           [2] confirmation of system parameters
St. Joe VSM II           [1] med. equipment selection
St. Joe VSM II           [1] leadership/user approval process
St. Joe VSM II           [2] third-party MEP review/coordination
St. Joe VSM II           [1] budget validation/VE & constructability
St. Joe VSM II           [1]OSHPD submittal not complete
St. Joe VSM II           [1] OSHPD back check
St. Joe VSM II           [2] Design team detail drawings vs. shop drawings
St. Joe VSM II           [3] Code compliance drawings not needed for construction
St. Joe VSM II           [1] Changes during CD phase
St. Joe VSM II           [1+] Unclear definition of the deliverables
St. Joe VSM II           [1] Unclear expectations of „when‟
St. Joe VSM II           Waiting for determination of occupancy judgment (“1”/”B”)
St. Joe VSM II           Underutilized people/potential (waste #8)
St. Joe VSM II           [2] Business lacking description of what is „value‟
St. Joe VSM II           [3] A/E selection process – lost time/revenue if not selected
St. Joe VSM II           [3] „forgetfulness‟ – design decision log
St. Joe VSM II           [1] budget go/no go
St. Joe VSM II           [2] Infrastructure sizing/locations (wastes # 1, 6, 7, 8) too early
St. Joe VSM II           [3] outside peer review
St. Joe VSM II           [1] End of phase submittal package (batch sizes) & transition
                         between phases
St. Joe VSM II           [1] Timing of input from OSHPD
St. Joe VSM II           [1] Timing of selection of CM/GC
St. Joe VSM II           [2] Deferred approvals
St. Joe VSM II           ↑ 50% review package
St. Joe VSM II           ↑ 100% review package
St. Joe VSM II           ↑ 50% CD review package
St. Joe VSM II           [2] Prelim MEP coordination drawings
St. Joe VSM II           [1] Clearly define OSHPD submittal package
St. Joe VSM II           [1] OSHPD backcheck process
St. Joe VSM II           [1] First submittal to OSHPD not 100% complete




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Streach Goals

          Electronic doc rvw by OSHPD
          Target Value Cost Model Integrated with BIM Model
          Plan reviewers are the field staff (less desirable: field staff participate in review)
te in review)
PARKING LOT OF IDEAS
Sheet Moniker                    Column 1                                Column 2                        Column 3                           Column 4                     Column 5
VE C Plan G                      Design VSM during construction          Construction Phase VSM          RFP process idea roll:
                                                                                                         teams to next job
VE C Plan G                      Pre-program activities                  Adequacy of resources to review Program approval
                                                                         data?
VE C Plan G                      Who hires / contract furniture and      Length of time per A/E response When to initiate first
                                 medical equipment planners?             to backchecks                   OSHPD meeting
                                 (Architect with owner participation.)
VE C Plan G                      Standardize OSHPD submittal format      Move more DD into SD & CD             Major medical                Training design team in
                                                                                                               equipment selected           "building" and builders/
                                                                                                               "actual"                     with "Design" intern
                                                                                                                                            program.

VE C Plan G                      What does the IOR need in                                                     Better way to document
                                 documents?                                                                    design intent - to
                                                                                                               correct level of
                                                                                                               information with right
                                                                                                               specialists (only
                                                                                                               estimating what's see
                                                                                                               on ddrawings versus
                                                                                                               seeing what will be
                                                                                                               there.)
VE C Plan G                      Ways to docujment "code                 Timing of deferred approval +
                                 interpretation" over life of job -      along with submittal of CD + after
                                 independent of key players              permit + 2 years after permit

VE C Plan G                      Use of detail book                      Major option M/E/P/S not fully        OSHPD process
                                                                         budgete validated                     redesign
VE C Plan G                     Drawing to meet different end-users of Better RFI process
                                information
List of Minimum Deliverables to List of Minimum Deliverables to
OSHPD                           OSHPD
List of Minimum Deliverables to Entitlement process
OSHPD
List of Minimum Deliverables to Early OSHPD review of program /          OSHPD review of reoom
OSHPD                           standards                                templates and standards
List of Minimum Deliverables to Potential to rework after SD due to
OSHPD                           cost/scope
List of Minimum Deliverables to Interactive plan reviews (over the
OSHPD                           shoulder reviews w/OSHPD)
List of Minimum Deliverables to Single OSHPD individual on project
OSHPD                           team at programming
List of Minimum Deliverables to Field inspector vs OSHPD reviewer
OSHPD                           (may the best one win)
List of Minimum Deliverables to Equipment change during construction
OSHPD                           (mech. Elec., medical)
List of Minimum Deliverables to How to get theh plans and                Coordination of user process with
OSHPD                           specifications to be what the contractor technical development
                                is actually going to build
List of Minimum Deliverables to Standard electronic comment reports
OSHPD                           (OSHPD)
List of Minimum Deliverables to Electronic plan submittal and review     Parallel reviews, not serial
OSHPD                           (OSHPD)
List of Minimum Deliverables to Parallel reviews, notg serial
OSHPD
USM IV                          Early sub input                          Owner decisions / timely and          Basic design decisions Self assembled team /
                                                                         documented on A4 during all                                  A / GC / E / MEP subs
                                                                         phases "not including major
                                                                         business case changes"
USM IV                          Last responsible moment matrixes / for Obtaining reliab le commitments         BIM 3D
                                each phase                               from all team players with
                                                                         accountability
USM IV                          Owner / general contractor agree to      Regular OSHPD review/comment
                                earliest possible GMP with allowance
                                for labor and material escalation

Cost Control - St. Joe parking   Immediate cost feedback to design       Target value design
lot USM #1
Cost Control - St. Joe parking                                           Validate program budgete (at
lot USM #2                                                               program)
Cost Control - St. Joe parking                                           Subs (smart ones) on board
lot USM #3                                                               suppliers early
Cost Control - St. Joe parking                                           Define value process for
lot USM #4                                                               decisions/options
Cost Control - St. Joe parking                                           Manage scope
lot USM #5
Cost Control - St. Joe parking                                           No changes
lot USM #6
CHW doesn't select               CHW doesn't select consultants          - Note from typist: writing on this
consultants                                                              sheet covered by post it notes -
                                                                         both listed here
CHW doesn't select               Role of PG&E?
consultants




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PARKING LOT OF IDEAS
Sheet Moniker               Column 1                                   Column 2                             Column 3                     Column 4                     Column 5
CHW doesn't select          Conceptual estimating capability
consultants
CHW doesn't select          Align incentives of project team
consultants
CHW doesn't select          Target value design
consultants
CHW doesn't select          Commit to specialty contractors early
consultants
CHW doesn't select          6.5 / Contingency
consultants
CHW doesn't select          Defer final selectionof medical            Mockups sooner than at CD stage Redefine scope of SD, Involve contractors
consultants                 equipment until last responsible                                           DD, & CD for design     during design.
                            moment                                                                     team, especially the
                                                                                                       engineering disciplines

CHW doesn't select          Rework contractural relationships (or      Move CD OSHPD plan revie             Common system           OSHPD preliminary                 Pre-design review b y
consultants                 equitable risk allocation)                 schedule to earlier                  architect to be adopted review                            OSHPD
                                                                                                            by each owner

USM IV 3/                   Do we integrate lean as ourguiding
                            principle?
USM IV 3/                   A la Green Building Council, pebble
                            projects have people register attempts
                            to charge process
USM IV 3/                   What alliances should we form, with
                            whom, and for what?
USM IV 3/                   Provide a value stream mapping
                            template people can use to evaluate
                            their own projects?
USM IV 3/                   "Healthcare Capital Project
                            Committee?"
USM IV 3/                   Join hands with Western Data
                            Healthcare Group
VIS/Concept Business Case   Validating scope, budget, schedule, risk
Org. Concepts
VIS/Concept Business Case   When : @ business case
Org. Concepts
VIS/Concept Business Case   Performers: owner (business
Org. Concepts               strategists), A, Cm/6c, consulting
                            engineer as appropriate,
                            subcontractors as appropriate
VIS/Concept Business Case   Deliverables:                              Identification of conceptual code-
Org. Concepts                                                          related issues
VIS/Concept Business Case                                              Room by room space program
Org. Concepts
VIS/Concept Business Case                                              Concept black diagram
Org. Concepts
VIS/Concept Business Case                                              Exterior
Org. Concepts
VIS/Concept Business Case                                              Functional program
Org. Concepts
VIS/Concept Business Case                                              Infrastructure studies
Org. Concepts
VIS/Concept Business Case                                              Siting
Org. Concepts
VIS/Concept Business Case                                              OSHPD predes review (all
Org. Concepts                                                          performers present)
VIS/Concept Business Case                                              Budget
Org. Concepts
VIS/Concept Business Case                                              Schedule
Org. Concepts
VIS/Concept Business Case                                              Project description
Org. Concepts
VIS/Concept Business Case                                              System narratives
Org. Concepts
VIS/Concept Business Case   Time:
Org. Concepts
Milestones of Approval      Do design A B C?
Process - B/D
Milestones of Approval      When: aftger business case approval.
Process - B/D
Milestones of Approval      A. All consultans, Cn/6C, subs, O
Process - B/D               equip., users (0), OSHPD, local
                            government
Milestones of Approval      Deliverables: Final design means:          Architect, structural engineer,
Process - B/D                                                          MEP
Milestones of Approval                                                 Onwer scope COMMITTED!
Process - B/D
Milestones of Approval                                                 OSHPD approval (currentrly
Process - B/D                                                          constrained)
Milestones of Approval                                                 Schedule
Process - B/D




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PARKING LOT OF IDEAS
Sheet Moniker                   Column 1                                   Column 2                            Column 3                     Column 4                     Column 5
Milestones of Approval                                                     Constructability approval
Process - B/D
Milestones of Approval                                                     Detailed design needed by
Process - B/D                                                              oshpdto validate design/code
                                                                           compliance
Milestones of Approval                                                     Documents needed to permit
Process - B/D                                                              (burn, blow off, fall down)
Milestones of Approval                                                     Documents needed to permit
Process - B/D                                                              (burn, blow off, fall down)
Milestones of Approval                                                     Documents needed to build
Process - B/D
Milestones of Approval                                                     Design complete, deferred
Process - B/D                                                              approval except equipment
Milestones of Approval          Time:____________
Process - B/D
Milestones of Approval          Parklot: change?
Process - B/D
Milestones of Approval          When                                       Aftger design, validate code
Process - C/D                                                              compliance
Milestones of Approval          Deliverable:                               Aproval with comments OSHPD,
Process - C/D                                                              A/E, D/Boubs
Milestones of Approval          Time:
Process - C/D
Wants                           Check in - early repeatedly as
                                necessary for: code requried, code
                                interpretation (design as submitted
                                meets code and shows deviations);
                                when: @ business case; predesign
                                then preliminary design @ concept.
Wants                           Appropriate batch size
Wants                           Standardized design to code OSHPD
                                not direct design
Wants                           Reliable, committed review validating
                                role
Assumptions / Ideas             Highly collaborative team                  Engineers, architects, and owners
                                                                           engaged very early and
                                                                           continuously
Assumptions / Ideas                                                        OSHPD involved early and
                                                                           valuing input from OSHPD /
                                                                           everyone!
Assumptions / Ideas                                                        "Design criteria" review package
                                                                           early
Assumptions / Ideas                                                        Interim OSHPD review
                                                                           milestones
Assumptions / Ideas                                                        Exiting plan
Assumptions / Ideas             We need to define new process toll
                                gates as write new standard work
                                (Redefine 50%, 100% - SD, DD, …)
Assumptions / Ideas             Batching based on code compliance
                                criteria not detailed construction
                                drawings.
Assumptions / Ideas             Following and evolving OSHPD best
                                practices regarding deliverables
Assumptions / Ideas             Batching (submitting by discipline:
                                electrical, mechanical, strudctural)
                                backbone (criteria) --> design
                                development
Assumptions / Ideas             Define the cloesout process early
Assumptions / Ideas             Preliminary review based on
                                "agreement" not approval
Assumptions / Ideas             Next review includes
                                thoroughdocumentationofchanges
                                from"agreement" review
Assumptions / Ideas Continued   Continuously assure alignment among
                                OSHPD and designers (one way - S.C.
                                FAQ's)
Assumptions / Ideas Continued   Facility programor functional review
                                (i.e., department)
Assumptions / Ideas Continued   Built in quality in design and
                                construction eliminating deviations that
                                occur in the development of design and
                                in assembly
Assumptions / Ideas Continued   Permitted design vs. detailed design
                                can they proceed in paralell at some
                                point? (CD's)
Assumptions / Ideas Continued   Engage cladding subs/suppliers early.

Assumptions / Ideas Continued Project field staff becomes part of the
                              OSHPD approval event. Project team
                              buy-in.
Assumptions / Ideas Continued Right people @ right time & they do it
                              right/well.




                                                                                                               D:\Docstoc\Working\pdf\a995829c-b485-401c-ac75-6b4cb272173f.xls, Idea Parking Lot ,   p. 13
PARKING LOT OF IDEAS
Sheet Moniker                 Column 1                                        Column 2                           Column 3                     Column 4                     Column 5
Assumptions / Ideas Continued Howdo we segregate parts of the
                              program that have higher potential for
                              change from those parts that
                              arenotgoingto change?
Assumptions / Ideas Continued Highly focused user input
                              inprogramming then user gropus drop
                              out - this is predicated on phased T.I.
                              however
Assumptions / Ideas Continued Continuity of OSHPD decisions from
                              review/approval throughout
                              construction (IOR)
Build D/D                     When                                            Meet target schedule
Build D/D                     Deliverables                                    Completed project as per scope
Build D/D                                                                     Per approval permit
Build D/D                                                                     On budget
Build D/D                                                                     Quality
Build D/D                                                                     On time
Build D/D                                                                     OSHPD TIO
Build D/D                                                                     Managed change
Build D/D                     Performers:                                     CM (GC, O, OSHPD, agencies,
                                                                              design, ior, subs)
Build D/D                      Time:
White Board St. Joe VSM I & II Clear definition of deliverables and   Decision documentation                     Target value design to       Identify what OSHPD          Slow down to speed up
                               expectations for deliverables and when                                            avoid budget failures        wants to see for early
                                                                                                                                              review and when
White Board St. Joe VSM I & II MEP elevations done by subs after              Detailed installation drawings                                  PROGRAM
                               100% CD                                        after 100% CDs
Parking Lot St. Joe VSM 1 & II Integrate constructability review!             75% docs @ OSHPD submission Time duration of permit OSHPD integrated into Single line drawings
                               Budgetr earlier in design                                                     / backcheck          design process B4 CD acceptable to OSHPD?

Parking Lot St. Joe VSM 1 & II                                                Complex code interpretation        Department of health         Schedule pressure:
                                                                              during design instead of during    and all AHJ                  incomplete OSHPD
                                                                              review                             coordination and             submittal, continuing
                                                                                                                 submittals                   design awaiting owner-
                                                                                                                                              decision
Parking Lot St. Joe VSM 1 & II red = waste opp

Parking Lot St. Joe VSM 1 & II blue = map more

Parking Lot St. Joe VSM 1 & II 100% done/done code compliant                  Constant review, feedback, and     Earlier code             Concept "buy-off" by             3rd party review liability
OSHPD                          documents                                      comment response                   interpretation meetings. OSHPD / life safety,             (all disciplines)
                                                                                                                 Q=?, T=?                 structural, seismic
Parking Lot St. Joe VSM 1 & II   Reproduction in documentary (level of
OSHPD                            depth)
Parking Lot St. Joe VSM 1 & II   Electronic docs/responses
OSHPD
Parking Lot St. Joe VSM 1 & II   Level of review (single line docs o.k.?)
OSHPD
Parking Lot St. Joe VSM 1 & II   Peer pre-review (codes)
OSHPD
Parking Lot St. Joe VSM III      Design Team Package Concepts                 Seamless process
Parking Lot St. Joe VSM III                                                   Eliminate unnecessary detail and
                                                                              have needed details
Parking Lot St. Joe VSM III                                                   Clear definiation of what is
                                                                              needed downstream
Parking Lot St. Joe VSM III                                                   Fees to reward design quality,
                                                                              design completion
Parking Lot St. Joe VSM III                                                   Educated subcontractor and
                                                                              motivated supplier input
Parking Lot St. Joe VSM III                                                   Who - What - How (single line
                                                                              diagrams, …)
Parking Lot St. Joe VSM III                                                   Collaborative design team
                                                                              including OSHPD
St. Joe VSM II                   Quality control
St. Joe VSM II                   Coordination/constructability
St. Joe VSM II                   Decide on deferred approval items
St. Joe VSM II                   Designfor flexibility (eg equipment
                                 changes) (eg multi-purpose rooms)
Detail Design (2)   (DD + 25%    Price validation
CD)
Detail Design (2)   (DD + 25%    Equipment list (medical)
CD)
Detail Design (2)   (DD + 25%    Utility requirements @ each space
CD)
Detail Design (2)   (DD + 25%    Low voltage functionality
CD)
Detail Design (2)   (DD + 25%    Identify increment approach
CD)                              (preliminary)
Detail Design (2)   (DD + 25%    Identify deferred approvals
CD)
Detail Design (2)   (DD + 25%    Size structural frame (vertical / lateral)
CD)




                                                                                                                 D:\Docstoc\Working\pdf\a995829c-b485-401c-ac75-6b4cb272173f.xls, Idea Parking Lot ,   p. 14
PARKING LOT OF IDEAS
Sheet Moniker                 Column 1                                       Column 2                           Column 3                     Column 4                     Column 5
Detail Design (2) (DD + 25%   Identify all alternate means
CD)
Detail Design (2) (DD + 25%   Site utilities (local jurisdiction?)
CD)
Detail Design (2) (DD + 25%   All device locations
CD)
Detail Design (2) (DD + 25%   All plans (A / R / M / E / P / S / FP / PT /
CD)                           Sec / Skn / Low Volt / Vert Trans)

Detail Design (2) (DD + 25%   Accessibility
CD)
Detail Design (2) (DD + 25%   Fume dispersal (wind study)
CD)
Detail Design (2) (DD + 25%   Vibration sensitive areas
CD)
Detail Design (2) (DD + 25%   Design assist trades on board
CD)
Detail Design (2) (DD + 25%   CEQA complied to
CD)
Kaiser II (3) (after Detail   Documentation                                  Price validation
Design (2))
Kaiser II (3) (after Detail                                                  Confirmation of detail design
Design (2))
Kaiser II (3) (after Detail                                                  Packaging (risk assessment)
Design (2))
Kaiser II (3) (after Detail   Project start up                               Finalize business case (identify
Design (2))                                                                  risk)
Kaiser II (3) (after Detail                                                  Bring players to table
Design (2))
Kaiser II (3) (after Detail                                                  Entitlement process
Design (2))                                                                  started/continued
Kaiser II (3) (after Detail                                                  Program defined
Design (2))
Kaiser II (3) (after Detail                                                  Schedule commitment
Design (2))
Kaiser II (1) PG I Solution   Standard OSHPD submittal across
                              disciplines
Kaiser II (1) PG I Solution   Early interactive collaborative review
                              process - OSHPD, design team and
                              owner
Kaiser II (1) PG I Solution   Information flow
Kaiser II (1) PG I Solution   Better alignment of design, cost and
                              risk schedule




                                                                                                                D:\Docstoc\Working\pdf\a995829c-b485-401c-ac75-6b4cb272173f.xls, Idea Parking Lot ,   p. 15
                                                                                                                                                             Line                Discipline                    Month 1-1                          Month 1-2                              Month 1-3                              Month 1-4                       Month 2-1                       Month 2-2                         Month 2-3                      Month 2-4                        Month 3-1                         Month 3-2
                                                                                                                                                                                                                                      Owner uses value stream mapping        Secure board approvals, funding.                                         Waste 05 - Entice entity into
Completed                                                                                              STARTING POINT COMPLETE:                                                                                                                                                                                                                                                       Waste DD2 - User Group           Validate all still fits in business
                      Complete business      Input from lessons     Code expert IDs                                                                                                                Define standards, emergency        with end-user defined service model    Decide on project delivery method,       Identify advisory ("users")     profession by high salaries /
Department Value                                                                                       •Team defined                                         01     Owner, Row 1                                                                                                                                                                                                      Meeting #1 lessons in lean       case. Document lessons
                      case                   learned into program   special requirements                                                                                                           operations, goals                  project definition. Program, due       i.e., integrated team, incentivize new   groups.                         OK if high value to Owner
Stream Mapping                                                                                         •Schedule defined                                                                                                              diligence, market to value.            behavior (All)                                                                                           principles                       learned "D.L.L."
                                                                                                                                                                                                                                                                                                                                                      "Better Fees"
                                                                                                       •General scope
                                                                                                                                                                                                                                                                                                                      Design team to provide needs,
                                                                                                       •Site plan                                                                                                                     Establish change management
Vision                Diagram user group                                                               •Block and stack                                                                            Owner facility standards           process and priorities with assigned                                            tied to critical path and
                                             Land Acquisition       EIR Process started                                                                      02     Owner, Row 2
                      process                                                                                                                                                                      defined                            cost and schedule impacts based                                                 sequence to help owner
                                                                                                       •Building separations                                                                                                          on time line.
                                                                                                       •Major code issues identified                                                                                                                                                                                  manage process.
                      Mission & funding      Goals Established:
                                                                                                       •Delivery process                                                                                                           Develop cost risk model for
                                                                                                       •Unique conditions/requirements                                                             Input from lessons learned into                                                                                    confirm business case to cost
Values                commitment matches     Quality, Image,                                                                                                 03     Owner, Row 3                                                   Total Project Cost - continous
                                                                                                                                                                                                   program.                                                                                                           model
                      business case          Sustainable, Energy                                                                                                                                                                   update
                                             Patient Care Levels,
                                             Service Types,                                                                                                                                                                           Identify scope specifics that
Programming           Process flow mapping                          Final Program                                                                            04     Owner, Row 4                   Site selection approval                                                                                            Key User Group Approvals
                                             Flexibility                                                                                                                                                                              require delayed confirmation


                                                                                                                                                                                                                                    Preliminary building
                                                                                                                                                                                                   Define floor-to-floor height and                                                                                   Finalize Structural Grid and                                    Identify accessibility issues.                                                                                                     Site design developed for sign-
                                                                                           To the extent possible document to CHA best practices             05     Architect, Row 1                                                configuration / stories, plan                                                                                     Massing Studies                                                  Ceiling height/plenum studies                                   Prelim wall sections
                                                                                                                                                                                                   begin grid analysis                                                                                                Floor-to-Floor heights                                          Decide compliance approach.                                                                                                        off
                                                                                                                                                                                                                                    dimensions


                                                                                                                                                                                                                                      Develop OSHPD work paln                Confrim/refine program space Concept plans and stacking                  Prelim MEP Equip room
                                                                                                                                                             06     Architect, Row 2               Begin BIM / 3D model (team)                                                                                                                                                        Start Exiting/Occupancy          Confirm/refine site plan                                        Fenestration studies
                                                                                                                                                                                                                                      (whole team)                           and codes                    diagrams.                                   locations/shafts


                                                                                                                                                                                                   Begin concept plans and
                                                                                                                                                             07     Architect, Row 3                                                                                                                                                                  Confirm/refine adjacency plan
                                                                                                                                                                                                   stacking diagrams.


                                                                                                                                                                                                   Last planner scheduling
                                                                                                                                                                                                                                      Building skin design sets
                                                                                                                                                             08     Architect, Row 4               implemented with last
                                                                                                                                                                                                                                      defined
                                                                                                                                                                                                   responsible moment matrix

  OSHPD Touch-Points Group
     Monthly meetings through project (design, permit, build)                                                                                                09     OSHPD [+ DHS + Local], Row 1
         •All disciplines (including builder)                                                                                                                                                                                OHSPD Mtg No. 1                                                                                                                                                                                                                                                                   OHSPD Mtg No. 3
                                                                                                                                                                                                                                                                                                                                                                              OHSPD Mtg No. 2
         •Meaningful, focused, planned engagement (agenda)                                                                                                                                                                   Administrative Meeting: Goals, •rules of engagement, •cost                                                                                                                                                                                                                        Arch/FLSO:Concept Development / Major systems, planning,
                                                                                                                                                                                                                                                                                                                                                                              Present project and schedule. Define Incremental packages. Define
         • Design team define deliverables/agenda                                                                                                                                                                            management, •schedule, •program, Strategy framework: • Monthly                                                                                                                                                                                                                    blocking and stacking, site issues, initial code input.
                                                                                                                                                                                                                                                                                                                                                                              codes to be used. Identify major known code issues. Oshpd to
         •IOR part of process                                                                                                                                10     OSHPD [+ DHS + Local], Row 2                             meeting (with Team),•breakouts (as needed), •early alignment with                                                                                                                                                                                                                 Structural: Design Criteria, Anaysis approach w/assumptions
                                                                                                                                                                                                                                                                                                                                                                              present review team members. identify early AMC's and/or Program
         •Closely monitored by Owner                                                                                                                                                                                         external plan check consultants be used? Right people at meetings.
                                                                                                                                                                                                                                                                                                                                                                              Flexibility.
         •Peer reviewers part of process, not outside process                                                                                                                                                                Input to basis of design - code interpretation - assign team - other                                                                                                                                                                                                              Identify major AMC's.
         •May include document review in between                                                                                                                                                                             resource - ACM IOR RCO.                                                                                                                                                                                                                                                           Reveiw and improve process.
         •Interim "Conditional Approval" where appropriate
                                                                                                                                                             11     OSHPD [+ DHS + Local], Row 3
         •Ongoing, interim dialogue encouraged
         •Show everything to OSHPD - OSHPD to do internal training to focus their review Decide issues as we go. Stick to decisions.
         •Team agrees enough information is in place to release work
         •Establish Continuous Improvement Process
                                                                                                                                                             12     OSHPD [+ DHS + Local], Row 4




                                                                                                                                                             13     Structural Engineer, Row 1     Begin BIM / 3D model (team)



                                                                                                                                                                                                   Structural system design sets                                                                                                                                                                                       Structrual design set selected
                                                                                                                                                             14     Structural Engineer, Row 2                                                                                                                        Refine structural design sets   Foundation criteria complete.
                                                                                                                                                                                                   defined                                                                                                                                                                                                             (gravity and lateral systems)



                                                                                                                                                             15     Structural Engineer, Row 3


                                                                                                                                                                                                                                                                                                                      Identify location/space
                                                                                                                                                                                                                                                                                                                                                                                                                       Coordinate room layouts, shaft
                                                                                                                                                                                                                                      Major Electrical Design sets                                                    requirements and approx                                                                                                         Design power system
                                                                                                                                                             16     Electrical Engineer, Row 1     Begin BIM / 3D model (team)                                                                                                                                                                                         sizes, and feeder routing with                                  Major elect design set select     Develop site plan
                                                                                                                                                                                                                                      defined.                                                                        weights of Major Electrical                                                                                                     backbone (riser diagram).
                                                                                                                                                                                                                                                                                                                                                                                                                       architect and other trades.
                                                                                                                                                                                                                                                                                                                      equipment for each design set
                                                                                                                                                                                                   Calc system loads( Prerequisite:                                                                                                                                                                                    Define generic spare,
                                                                                                                                                                                                   massing/stacking diagrams, site                                                                                                                                                                                     equipment weights, heat (for                                                                      Coordinate utility routings with
                                                                                                                                                             17     Electrical Engineer, Row 2                                                                                                                                                                                        Design feeder routing.                                          Do short-circuit calcs.
                                                                                                                                                                                                   plan, program, emerg. operatns                                                                                                                                                                                      generatic equipment), fuel and                                                                    mechanical.
                                                                                                                                                                                                   strategy)                                                                                                                                                                                                           exhaust.

                                                                                                                                                                                                   Establish contractor                                                      Utility company submissions,
                                                                                                                                                             18     Electrical Engineer, Row 3
                                                                                                                                                                                                   preferences                                                               get requirements

                                                                                                                                                                                                                                                                                                                      Identify location/space
                                                                                                                                                                                                                                      Major Tech Design sets                                                          requirements and approx                                         Define low voltage systems,
                                                                                                                                                             19     Technologh Consultant, Row 1
                                                                                                                                                                                                                                      defined.                                                                        weights of Major T equipment                                    backbone.
                                                                                                                                                                                                                                                                                                                      for each design set
                                                                                                                                                                                                                                                                                                                      Identify location/space                                         Refine Equipment space
                                                                                                                                                                                                                                                                                                                                                                                                                       Coordinate room layouts, shaft
                                                                                                                                                                                                                                                                                                                      requirements and approx                                         sizing to team (X x X sf).                                      Shafrs and primary distribution
                                                                                                                                                             20     Mechanical Engineer, Row 1     Begin BIM / 3D model (team)                                                                                                                                                                                         sizes, and feeder routing with                                 Major mech design set select
                                                                                                                                                                                                                                                                                                                      weights of Major M/P                                            Room size of equipment,                                         set
                                                                                                                                                                                                                                                                                                                                                                                                                       architect and other trades.
                                                                                                                                                                                                                                                                                                                      equipment for each design set                                   weights. #/sf on roof.
                                                                                                                                                                                                   Calc system loads                                                                                                                                                                                                Define generic spare,
                                                                                                                                                                                                                                                                                                                                                                                      All mechanical, plumbing, FS,
                                                                                                                                                                                                   (Prerequisite:                                                                                                                                                                                                   equipment weights, heat (for                                                                         Coordinate utility routings with
                                                                                                                                                             21     Mechanical Engineer, Row 2                                                                                                                                                        Motor sizes to electrical       spaces, equipment, verticals,
                                                                                                                                                                                                   massing/stacking diagrams,                                                                                                                                                                                       generatic equipment), fuel and                                                                       electrical.
                                                                                                                                                                                                                                                                                                                                                                                      backbone for each design set
                                                                                                                                                                                                   site plan, program)                                                                                                                                                                                              exhaust.

                                                                                                                                                                                                   Establish contractor               Major Mechanical design sets Utility company submissions,
                                                                                                                                                             22     Mechanical Engineer, Row 3
                                                                                                                                                                                                   preferences                        defined                      get requirements

                                                                                                                                                                                                                                                                                                                      Set Target Cost Goals:
                                                                                           Target Value Design Established (by system):                                                            Initiate Target Value Cost                                                Integrating Event: Whole                 >Establish subsystem            Establish Site Logistic Plan    Update Taget Value Cost                                                                                                            Update Taget Value Cost
                                                                                           >Cost Modeling Tool Defined                                       23     CM / GC, Row 1                 Model to allow continuous cost                                            team to develop cost model               performance criteria (trade-off Design Sets                     Model                                                                                                                              Model
                                                                                           >Approved Max. Total Project Cost (Based on design assumptions)                                         updating and set based design                                             inputs with Basis of Design
                                                                                                                                                                                                                                                                                                                      curves)
                                                                                                                                                                                                                                                                             to establish probable cost
                                                                                                                                                                                                                                                                             baseline.                                >Agree on decision making
                                                                                                                                                                                                   Develop cost risk model for        Material cost and availability                                                  process (A3 report)
                                                                                                                                                             24     CM / GC, Row 2
                                                                                                                                                                                                   construction cost budget           trends and forecasts                                                            >Set specific dollar value
                                                                                                                                                                                                                                                                                                                      goals by system


                                                                                                                                                             25     CM / GC, Row 3



                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         Site Design Developed for
                                                                                                                                                             26     Civil Engineer, Row 1          Begin BIM / 3D model (team)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         sign-off


                                                                                                                                                                                                                                                                                                                                                                                                                                                                      D:\Docstoc\Working\pdf\a995829c-b485-401c-ac75-6b4cb272173f.xls, 14 Month Design Phase,   p. 16
Line                Discipline                      Month 1-1                     Month 1-2                   Month 1-3                      Month 1-4                       Month 2-1                    Month 2-2            Month 2-3   Month 2-4                       Month 3-1                         Month 3-2

                                         Provide input to team on site
27     Civil Engineer, Row 2                                                                        Site and Utilities Survey
                                         issues



28     Landscape Arch, Row 1




29     Structural Subcontractor, Row 1




30     Structural Subcontractor, Row 2


                                                                         Construction preferences
                                                                                                    Provide cost inputfor budget   Monthly cost updates                                         Provide cost inputfor budget
31     Electrical Subcontractor, Row 1                                   agreed to with Owner &                                                                   Identify long lead items.
                                                                                                    targets / target value         (prerequisits, design changes)                               targets / target value
                                                                         Engineer


32     Electrical Subcontractor, Row 2


                                                                         Construction preferences
                                                                                                    Provide cost inputfor budget   Monthly cost updates
33     Mechanical Subcontractor, Row 1                                   agreed to with Owner &                                                                   Identify long lead items.
                                                                                                    targets / target value         (prerequisits, design changes)
                                                                         Engineer


34     Mechanical Subcontractor, Row 2




35     Exterior Wall Contractor




36     Fire Protection Contractor




37     Drywall Framing Contractor



       Elevator/Vertical Transportaion
38
       Contractor

                                                                                                                                                                   Medical Equipment Planner:
                                         Input from utility providers,
                                                                                                                                                                   Provide input on Imaging
39     Others, Row 1                     alternatives, cost/funds
                                                                                                                                                                   equipment. Point load of >
                                         matching?
                                                                                                                                                                   1000 #.


40     Others, Row 2                                                                                                                                                                            Traffic Study Input




                                                                                                                                                                                                                                               D:\Docstoc\Working\pdf\a995829c-b485-401c-ac75-6b4cb272173f.xls, 14 Month Design Phase,   p. 17
                               Month 3-3                  Month 3-4                 Month 4-1                           Month 4-2                        Month 4-3                           Month 4-4                        Month 5-1                         Month 5-2                        Month 5-3               Month 5-4              Month 6-1                         Month 6-2                          Month 6-3            Month 6-4              Month 7-1                         Month 7-2                         Month 7-3

                                                                                                                                             SD-2 key stakeholders, i.e. O/A/CMGC                                                                    Waste DD2: Schedule user                                                                                                                              Waste DD#3
                                                                                                            SD-2 early or late engagement                                                                                                                                                                                                                             Validate it still fits in biz case                                              Risk assess quantitative and
                     M & P systems agreement                                                                                              make recommendations based on                                            Lat. system selected              input document with A4's sign                                                                                                                         Owner sign off of program /
                                                                                                            of key A / E / CMGC / O party programat selected milestones.                                                                                                                                                                                              D.L.L.                                                                          qualitative (key milestones)
                                                                                                                                                                                                                                                     off's.                                                                                                                                                planning

                                                                          SD-4 User group / input process -
                                                                                                            Risk assessment - quality and Validate it still fits in B17 case.
                                                                          lack of project champion (results                                                                                                                                          Medical equipment located
                                                                                                            quantity (key milestones)     D.L.L.
                                                                          in avoidable changes)




                                                 Finalize MEP equipment                                                                                                                                            Med gas outlets quantities per                                                                                                                     Complete interior elevations
                                                                          Begin reflected ceiling plans     Occupancy design complete.       Begin Interior elevations                                                                                                                Prelim Finish Schedule                         Finalize Fire life safety plan                                                                                   Medical equipment finalized
                                                 rooms/shafts                                                                                                                                                      room                                                                                                                                               (including all devices)


                                                                                                                                                                                                                   Elevator specification                                                                                            Finalize site plan - accessibility Coordinate fire stop. Other
                                                                                                                                                                                                                   complete                                                                                                          and utility connections            details and submit.



                                                                                                                                                                                                                   Lighting design prelim                                                                                            RCP to consultants




                     Skin design set selected                                                                                                                                       Begin Med Equip coordination




                                                                          Geotechnical report accept
                                                                                                    OHSPD Mtg No. 4                                                                                                                         OHSPD Mtg No. 5                                                                                                   OHSPD Mtg No. 6                                                                                                 OHSPD Mtg No. 7
ept Development / Major systems, planning,                                                          SE: loading criteria                                                                                                                    SE: lateral design model                                                                                          SE: gravity design model                                                                                        SE: Specifications, secondary systems, connection details
king, site issues, initial code input.                                                              A/FLSO: prelim life safety plan,•program•site plans•building defined                                                                    A/FLSO: site access, life safety plan•site utilities (tanks, fuel storage,                                        A/FLSO: •primary building egress, smoke compartment, occupancies                                                A/FLSO: •Upper level exiting plans (occ loads/travel dist, suites, occ
 Criteria, Anaysis approach w/assumptions                                                           with adjacencies (e.g. I/B alignment)•prelim ADA•Exterior envelope                                                                      etc.)•building defined with adjacencies (e.g. I/B alignment)•site                                                 defirned•site utilities final•site access/egress/ADA final•Roof plan.                                           seps etc)•upper level ADA•exterior openings, louvers, etc.•upper
                                                                                                    Mech/Elec: Site utilities POE, rieser diagrams, main equipment                                                                          ADA•Exterior envelope cont. include curtain wall etc.                                                             Mech/Elec: Air riser diagrams and zoning, air equipment locate,                                                 level equipment plans and room names.
                                                                                                    rooms and/or CUP defined                                                                                                                Mech/Elec: Equipment layout main for rooms (prelim equipment list                                                 schedule and plan•electrical riser diagrams and prelim short circuit,                                           Mech/Elec: Utility distribution routing•Finalized MEP rooms and
                                                                                                    Present AMC's                                                                                                                           and redundancy defined), system diagrams cont., fuel, water and                                                   emergency generation plans, calcs, schedules.                                                                   calcs•Med gas plant calcs and schedules•upper level power and
                                                                                                    Reveiw and improve process.                                                                                                             sewer storage strategy defined.                                                                                   Present AMC's                                                                                                   lighitng plans prelim•upper level air distribution and specialty rooms
                                                                                                                                                                                                                                            Present AMC's                                                                                                     Reveiw and improve process.                                                                                     (e.g. isolation room design)
                                                                                                                                                                                                                                            Reveiw and improve process.                                                                                                                                                                                                       Present AMC's
                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Reveiw and improve process.




                                                                                                                                                                                                                   Basic foundation design           Submit structural analysis for                                                                                   Coordinate fire stop. Other                                                                                                                         Complete typical details and
                                                                                                                                                                                                                   complete                          review                                                                                                           details and submit.                                                                                                                                 submit to OSHPD.



                                                                                                                                                                                                                                                     Structural plans 75% complete




                                                                                                                                                                                                                                                                                  Consult to architect on lighting
                                                                          Prepare full spec (with                                                                                                                                                                                                                                                                     Coordinate fire stop. Other                                                     Coordinate architectural or
                                                                                                            In-house QC.                                                                                           Lighting calcs                    Detailed equipment schedules design, power outlet design,
                                                                          electrical contractor)                                                                                                                                                                                                                                                                      details and submit.                                                             design/structural calculations.
                                                                                                                                                                                                                                                                                  low voltage device design


                                                                                                            Develop lighting fixture
                                                                                                            schedule




                                                                                                                                                                                                                                                     Major equipment sized,                                                                                           Coordinate fire stop. Other                                                     Coordinate architectural or
                                                                                                            In-house QC.                                                                                           Under slab utilities                                               Start documenting design                                                                                                                                                                                                            Complete air blance calcs.
                                                                                                                                                                                                                                                     located, specified                                                                                               details and submit.                                                             design/structural calculations.


                     Complete calculations for
                     building loads




                                                                                                            Update Taget Value Cost                                                                                                                  Update Taget Value Cost                                                                                          Update Taget Value Cost              CM/GC constructability input                                                 Update Taget Value Cost
                                                                                                                                             Construction Logistics Plan
                                                                                                            Model                                                                                                                                    Model                                                                                                            Model                                documented on A4                                                             Model




                                                                                                            Site utility plan                                                                                                                                                                                                        Complete site utility design.                                                                                                                      Drainage design complete          Complete Civil design.



                                                                                                                                                                                                                                                                                                                                                                                                                                                        D:\Docstoc\Working\pdf\a995829c-b485-401c-ac75-6b4cb272173f.xls, 14 Month Design Phase,   p. 18
Month 3-3   Month 3-4              Month 4-1            Month 4-2   Month 4-3   Month 4-4   Month 5-1           Month 5-2   Month 5-3   Month 5-4            Month 6-1   Month 6-2   Month 6-3   Month 6-4             Month 7-1                         Month 7-2                         Month 7-3




                        Assist electrical engineer in
                                                                                                                                                    Select equipment.
                        preparing full spec




                                                                                                                                                    Select equipment.




                                                                                                                                                                                                             Complete elevator shop
                                                                                                        DGS review
                                                                                                                                                                                                             drawings.




                                                                                                                                                                                                              D:\Docstoc\Working\pdf\a995829c-b485-401c-ac75-6b4cb272173f.xls, 14 Month Design Phase,   p. 19
                                    Month 7-4                          Month 8-1                       Month 8-2                       Month 8-3               Month 8-4             Month 9-1                        Month 9-2                      Month 9-3              Month 9-4              Month 10-1                           Month 10-2                    Month 10-3                    Month 10-4                      Month 11-1                      Month 11-2                        Month 11-3                        Month 11-4
                                                                                                                                                                                                           Waste DD5                                                                                                         Waste DD6
                        Validate it still fits in biz case   Plumbing fixture agreement -                                                                                                                  Target value design                                                          Validate it still fits in biz case   Have the 3D work done by the
                        D.L.L.                               Owner and Architect.                                                                                                                          •Accurate concedptual cost                                                   D.L.L.                               design assist team at 50% SD and
                                                                                                                                                                                                           estimating                                                                                                        reworked at 100% SD.




                                                                                                                                                                           No more architectural design
                                                             Plumbing fixture agreement -
                                                                                                                            Finalize finish schedule                       past this point (floor plans,                                                                                Waterproofing complete.
                                                             Owner and Architect.
                                                                                                                                                                           interiors)


                                                             Lighting fixture agreement -
                                                                                                                                                                           Begin door hardware groups
                                                             Owner and Architect




                                                                                                                                                                                                                                                                                                                                                                                                                           Receive Structural Increment
                                                                                                                                                                                                                                                                                                                                                                                                                           for final approval
                                                                                    OHSPD Mtg No. 8                                                                                               OHSPD Mtg No. 9                                                                                                 OHSPD Mtg No. 10                                                                                                                        OHSPD Mtg No. 11
                                                                                    SE: Basement foundations, connection details, other anchorage                                                 SE: Diaphram design, connection details, upper floor equipment                                                  SE: Other details/calcs, lower floor equipment anchorage                                                                                A/FLSO: •life-safety details•final interiors upper level•upper level fire
vel dist, suites, occ                                                               A/FLSO: •Lower level exiting plans (occ loads/travel dist, suites, occ                                        anchorage                                                                                                       A/FLSO: •Final lower level exiting plans•final lower level ADA•final                                                                    alarm prelim•exterior enclosure details
                                                                                    seps etc)•lower level ADA•door Schedule prelim•lower level                                                    A/FLSO: •Final upper level exiting plans•final upper level ADA•final                                            lower level equipment plans•fire proofing details•interiors upper                                                                       Mech/Elec: •fire protection upper level•plumbing plans upper
                                                                                    equipment plans and room names.                                                                               upper level equipment plans•fire proofing details•interiors upper level                                         level•final site plans and site utility                                                                                                 level•duct plans and airflow schedules upper level•electrical circuiting
                                                                                    Mech/Elec: Diesel system•Med gas (riser, calcs, alarms)•plumbing                                              Mech/Elec: Diesel system final•electrical final load justification •Med                                         Mech/Elec: •roof drain calcs, plans, riser•Med gas plans zoning                                                                         and panels roof•fire/smoke damper locations upper level
                                                                                    fixture schedule•lower level power and lighitng plans prelim•lower                                            gas plans zoning upper level•plumbing fixtures upper level•Upper                                                lower level•plumbing fixtures lower level•lower level final room power                                                                  Present AMC's
                                                                                    level air distribution and specialty rooms (e.g. kitchen exhaust design)                                      level final room power and lighitng plans •misc mech equip                                                      and lighitng plans •misc mech equip schedules, plan location
                                                                                    Present AMC's                                                                                                 schedules, plan location                                                                                        Present AMC's
                                                                                    Reveiw and improve process.                                                                                   Present AMC's                                                                                                   Reveiw and improve process.
                                                                                                                                                                                                  Reveiw and improve process.




                                                                                                                                                                                                                                                                                                                                                    Foundation / Structural Steel Package Complete
                                                                                                                                                                                                                                                                                                                                                    •Underground utilities, •all civil work required for OSHPD package,                                   Skin details
                                                                                                                                                                                                                                                                                                                                                    •F/S mains, •all vertical components, •exiting / life safety,
                                                                                                                                                                                                                                                                                                                                                    waterproofing •exterior skin cfriteria, •equipment weights and
                                                                                                                                                                                                                                                                                                                                                    locations, •MEP backbone (*spaces, *verticals, *services), •basement
                                                                                                                                                                                                                                                                                                                                                    wall penetrations, •Tanks (*O2, *fuel), •ADA compliance•connection
                                                                                                                                                                                                                                                                                                                                                    details




                                                                                                                                                                                                                                                                                                                                                                                                                           Equipment finalized to
                                                                                                                                                                                                           Penetrations complete                                                                                             See text box at structural.
                                                                                                                                                                                                                                                                                                                                                                                                                           structural




                                                                                                                                                                                                                                                                                                                                                                                                                           Final mechanical equipment to Equipment finalized to
                        Finish duct main design.                                                                                                                                                           Penetrations complete                                                                                             See text box at structural.
                                                                                                                                                                                                                                                                                                                                                                                                                           Electrical                    structural



                                                                                                                                                                                                                                                                                        SFD's to Electrical




                                                                                              Update Taget Value Cost                                                                                      Update Taget Value Cost                                                                                           Update Taget Value Cost                                                                                                      Update Taget Value Cost
                                                                                              Model                                                                                                        Model                                                                                                             Model                                                                                                                        Model
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Start of Site Prep Construction:
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Major Utilities, Excavation/Fill, Site
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  drainage, Roadways (strategic to
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  construction activity)




                                              Site Package for City Permit:
                                              Civil work required for site-prep to initiate                                                                                                                                                                                                                                  See text box at structural.
                                              construction of foundations •Major
                                              Underground utilities and utilities under
                                              roadways, grading plans, site drainage.
                                                                                                                                                                                                                                                                                                                                                                                                                                                            D:\Docstoc\Working\pdf\a995829c-b485-401c-ac75-6b4cb272173f.xls, 14 Month Design Phase,   p. 20
Month 7-4                      Month 8-1
        Underground utilities and utilities under   Month 8-2   Month 8-3            Month 8-4         Month 9-1   Month 9-2   Month 9-3   Month 9-4   Month 10-1            Month 10-2            Month 10-3        Month 10-4   Month 11-1           Month 11-2                        Month 11-3                        Month 11-4
        roadways, grading plans, site drainage.




                                                                                                                                                                    Steel shops complete




                                                                                                                                                                                           Select anchorage system




                                                                            M&P equipment submittals                                                                                       Select anchorage system




                                                                                                                                                                                                                                               D:\Docstoc\Working\pdf\a995829c-b485-401c-ac75-6b4cb272173f.xls, 14 Month Design Phase,   p. 21
          Month 12-1                 Month 12-2                       Month 12-3                       Month 12-4            Month 13-1                 Month 13-2                       Month 13-3                         Month 13-4            Month 14-1           Month 14-2                      Month 14-3                     Month 14-4

CONSTRUCTION
                                                                                                                                                                                                                                                               CEQA compliance
DOCUMENTS 6 MONTHS




Complete door and window
                                                                                                                     Complete casework design                                                                                                                                       Core/Shell/TI Package Submit                                                                                                                               Finalize equipment and order.
schedule
                                                                                                                                                                                                                                                                                    •Fully coordinated shop drawings (including seismic)
                                                                                                                                                                                                                                                                                    •For rooms containing major medical equipment: A/E provisions and
                                                                                                                                                                                                                                                                                    code complete to suit room type (system, not rough-in) for
                                                                                                                                                                                                                                                                                    equipment.




                                                                                                                                                                                                                                                                                                                              Structural Increment package                    Geotechnical report accepted
                                                                                                                                                                                                                                                               OHSPD Mtg No. 13                                               Approval                                        (required!)
                           OHSPD Mtg No. 12                                                                                                     OHSPD Mtg No. 13                                                                                               A/FLSO: •finishes and material final•misc attachment
                           A/FLSO: •life-safety details•final interiors upper level•lower level fire                                            A/FLSO: •finishes and material submittals•misc attachment                                                      details•lower fire alarm final•misc details
                           alarm prelim•exterior enclosure details                                                                              details•final interiors lower level•upper level fire alarm final•misc                                          Mech/Elec: •fire protection lower level final•plumbing plans
                           Mech/Elec: •fire protection lower level•plumbing plans lower                                                         details                                                                                                        lower level final•duct plans and airflow schedules lower level
                           level•duct plans and airflow schedules lower level•electrical circuiting                                             Mech/Elec: •fire protection upper level final•plumbing plans upper                                             final•electrical circuiting and panels lower level
                           and panels upper level•fire/smoke damper locations lower level                                                       level final•duct plans and airflow schedules upper level final•electrical                                      final•fire/smoke damper locations lower level final
                           Present AMC's                                                                                                        circuiting and panels upper level final and lower level
                                                                                                                                                prelim•fire/smoke damper locations upper level final




                                                                                                                                                                                                                                                                                                                                                                                                                                               Cladding package complete
Skin details                                                                                 Skin connection calcs
                                                                                                                                                                                                                                                                                                                                                                                                                                               (when?)




                                                                                                                                                                                                                                                                                                                            Future State: Long term
                                                                                                                                                                                                                Complete circuiting and                                                                                     supplier relationship with                                                       IT / Equipment cabling            Equipment fit-out package as
                                                                                                                                                                                                                                          Complete FA plans
                                                                                                                                                                                                                detailed panel schedule                                                                                     design team for continuous                                                       package as late as possible.      equipment ordered.
                                                                                                                                                                                                                                                                                                                            flow.




                                                                                                                                                                                                                                                                                                                                                                                                                                               Equipment fit-out package as
                                                                                                                                                                               Complete branch piping plans Complete branch duct design   Complete F/S plans
                                                                                                                                                                                                                                                                                                                                                                                                                                               equipment ordered.




                           Update Taget Value Cost                                                                                              Update Taget Value Cost                                                                                        Update Taget Value Cost




                                                                                                                                                                                                                                                                                                                                                             Construction Start
                           Model                                                                                                                Model                                                                                                          Model




                                                                                                                                                                                                                                                                                                                                                                   Date
                                                                                                                                                                                                                                                                                                                                                                                                                                            D:\Docstoc\Working\pdf\a995829c-b485-401c-ac75-6b4cb272173f.xls, 14 Month Design Phase,   p. 22
Month 12-1   Month 12-2   Month 12-3             Month 12-4                       Month 13-1         Month 13-2   Month 13-3   Month 13-4   Month 14-1           Month 14-2          Month 14-3   Month 14-4




                                                                                                                                                                                                               Order steel (once steel
                                       Start skin fabrication details                                                                                                                                                                       Structural steel fabrication
                                                                                                                                                                                                               package permitted)




                                                                                                                                                         Anchorage design complete
                                                                                                                                                         with calculation




                                                                                                                                                         Anchorage design complete
                                                                                                                                                         with calculation




                                                                        Obtain local jurisdiction
                                       Start elevator fabrication       approval for civl and site
                                                                        utilities




                                                                                                                                                                                                                                         D:\Docstoc\Working\pdf\a995829c-b485-401c-ac75-6b4cb272173f.xls, 14 Month Design Phase,   p. 23

				
DOCUMENT INFO
Description: Hospital Management System Diagrams document sample