Shurid Rahman, Sutter Health Brett Paloutzian, HED Matthew Jogan, Ghafari Associates Nicholas Grage, IntegraBIM

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HED Matthew Jogan, Ghafari Associates Nicholas Grage, IntegraBIM

1 How 3D Model Coordination Eliminates Risks from Challenging Healthcare Renovations Shurid Rahman, Sutter Health Brett Paloutzian, HED Matthew Jogan, Ghafari Associates Nicholas Grage, IntegraBIM October 18, 2017 C A P T U R E A N D L E V E R A G E T H E L E A N A D V A N T A G E

What you will learn What are critical risks for a existing renovation project in healthcare Early Design Permit Construction How model coordination can

2 What you will learn What are critical risks for a existing renovation project in healthcare Early Design Permit Construction How model coordination can document, manage and solve these risks Specific examples from our project Alta Bates Summit Medical Center Things we would have liked to know earlier 2

3 Project Context

4 Alta Bates Summit Medical Center Campus in Oakland, CA Pill Hill Neighborhood 2015 SB90 Seismic Compliance and Master Facility Plan Merritt Ground Floor Renovation Dietary Department MRI Suite Doctors Lounge 4

5 Sutter ABSWR- Dietary, MRI, Doctor s Lounge 5

6 Site Advantages and Challenges Advantages Compliance Availability Proximity and connectivity Challenges in existing spaces Floor-to-floor heights Existing utilities to remain Non-conforming conditions Disruptions Unexpected/discovered conditions 6

7 Critical Risk Assessment Early Construction ELEMENT RISKS + PROCESS RISKS Issue you can solve now. Issues that materialize with time, which you cannot fully solve now. 7

8 Critical Risk Assessment Early Construction ELEMENT RISKS Incomplete Design Scope Cooking Hood Exhaust Grease Duct Walk-in Refrigerators/Freezers Lagging MRI Suite Design Cryogen Vent Routing Variable Existing Conditions Waterproofing Slab Levelness PROCESS RISKS Schedule Delays Design to field handoff Changing site conditions Unexpected Design Issues Hidden existing conditions not captured No trade partner input in the design Incomplete design scope going into construction Late MRI selection Procurement Risks Restaurant equipment MRI 8

9 What does Sutter want to achieve? Three goals Fast and reliable construction schedule Accuracy and customization of design Informed change management How can critical risks be eliminated to achieve these goals? 9

10 LCI CONGRESS PRESENTATION STYLE GUIDE Modeling Culture and Workflows

Engage Trades and Vendors Early to create informed models during Design.

11 C A P T U R E A N D L E V E R A G E T H E L E A N A D VA N TA G E BIM Principles BIM is a tool for Risk Management. Focus on Workflow First, Model Creation Next. Use BIM to Establish a Single Source of Truth. Engage Trades and Vendors Early to create informed models during Design. Plan the Work to define the workflows that will determine how 3D content needs to be developed. Model the Build, then Build the Model. Create processes that enable Design for Fabrication. 11

12 BIM - Focus on Workflow First Improve the Information Supply Chain via Process Mapping. Re-align Team Workflow to Optimize the Overall Outcome. Align the workflow to Leverage 3D. Eliminate Waste within Information Production and Exchange. Process Mapping information handoffs for Integrated Mechanical Design 12

BIM - Establish a Single Source of Truth Create a

Team reviews the Design in 3D on a regular basis.

13 BIM - Establish a Single Source of Truth Create a culture where there is only One Source of 3D Information for each system. Share Incomplete Information, often. Team reviews the Design in 3D on a regular basis. Use the 3D Model information to Inform all Outputs. Documentation as a direct output from fabrication informed 3D models 13

Development of 3D models is directly related to the Team s Plan.

14 BIM - Plan the Work Define the Team Workflows that determine how the 3D Content needs to be developed, not the other way around. Development of 3D models is directly related to the Team s Plan. Early and detailed development of inflexible systems. Handoff Work Planning in Design using vplanner 14

Team is Managing the Content via 3D models, and Managing the Work via collaborative visual planning.

15 BIM - Best Practices Develop workflows to support a Build the Model approach. ALL work is in 3D. Models are kept Updated & Accurate. The team is Sharing Incomplete Information, often. Team is Managing the Content via 3D models, and Managing the Work via collaborative visual planning. Team members are modeling work with Direct Input from trades & vendors. Model review outcomes include a set of Clearly Captured Action Items that resolve issues. 3D Model Design Review = Action Items are captured as activities in the Team s Plan and managed via LPS using vplanner. 15

16 LCI CONGRESS PRESENTATION STYLE GUIDE Examples

17 Accommodating Disparate Programs - MRI Challenges: Getting it to fit in the volume of space available ADA clearances Magnetic Gauss fields that can kill people Imaging department above Sterile processing department below Dining seating on other side of the wall 17

18 MRI Gauss Field Concerns 18

19 MRI Gauss Field 2D to 3D 19

20 MRI Gauss Field- Analyze the Impact 20

Existing Conditions Complexity Hoods and Exhaust Challenges: Floor to underside of beams = 10-5 Fire sprinkler could not penetrate beams Grease ducts slope Long distance from hoods to exterior

21 Existing Conditions Complexity Hoods and Exhaust Challenges: Floor to underside of beams = 10-5 Fire sprinkler could not penetrate beams Grease ducts slope Long distance from hoods to exterior Solutions: Lowered ceilings from 9 to 8 Changed light fixture type (low profile) Re-routed electrical racks Facilities Management included in the process Moved access doors Added valves to systems to improve maint 21

22 Design Intent vs. Constructability - Soffits I am most comfortable with the state of details on this project than any other currently Framer. 22

23 Design Intent vs. Constructability - Soffits In coordination we found that a soffit just would not work The above ceiling conditions were too congested 23

24 Design Intent vs. Constructability - Soffits With a materials change, the design intent was maintained and constructability achieved 24

25 Weaving around existing conditions 25

26 LCI CONGRESS PRESENTATION STYLE GUIDE What s Next and Lessons Learned

27 Critical Risk Assessment Early Construction ELEMENT RISKS Incomplete Design Scope Cooking Hood Exhaust Grease Duct Walk-in Refrigerators/Freezers Lagging MRI Suite Design Cryogen Vent Routing Variable Existing Conditions Waterproofing Slab Levelness PROCESS RISKS Schedule Delays Design to field handoff Unexpected site conditions Post demolition scan and effort Design Variability Hidden existing conditions not captured No trade partner input in the design Incomplete design scope going into construction Change Management Analysis Late MRI selection Procurement Risks Restaurant and MRI equipment 27

What we would have liked to learn sooner Team understanding that design as an evolving iterative process Sooner is better Modeling sooner creates better content to inform

28 What we would have liked to learn sooner Team understanding that design as an evolving iterative process Sooner is better Modeling sooner creates better content to inform design Having better existing information sooner Developing model based workflows sooner Alignment between Management and BIM team Context of a small team and limited resources 28

29 In the spirit of continuous improvement, we would like to remind you to complete this session s survey in the Congress app! We look forward to receiving your feedback. Highest rated presenters will be recognized.

Managing Design as an Information Supply Chain

Managing Design as an Information Supply Chain Fall BIMForum Orlando, FL Disney's Yacht Club Resort October 20 21, 2015 Matthew Jogan, AIA Ghafari Associates mjogan@ghafari.com Managing Design as an Information