Prefabricating a New Clinical Building at Boston Children s Hospital

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1 SESSION TWO: PANELIZE+ PERFORM Prefabricating a New Clinical Building at Boston Children s Hospital JIM CHAMBERS Shepley Bulfinch JASON LANSBERRY Suffolk Construction JOSHUA KIVELA Simpson Gumpertz & Heger SESSION TWO: PANELIZE+ PERFORM Prefabricating a New Clinical Building at Boston Children s Hospital JIM CHAMBERS Shepley Bulfinch JASON LANSBERRY Suffolk Construction JOSHUA KIVELA Simpson Gumpertz & Heger Simpson Gumpertz & Heger

2 COPYRIGHT MATERIALS This presentation is protected by US and International Copyright laws. Reproduction, distribution, display and use of the presentation without written permission of the speaker is prohibited. AIA CREDITS Provider Number: J380 Course Number: PREFABHOSP60 Credit(s) earned on completion of this course will be reported to AIA CES for AIA members. Certificates of Completion for both AIA members and non AIA members are available upon request. This course is registered with AIA CES for continuing professional education. As such, it does not include content that may be deemed or construed to be an approval or endorsement by the AIA of any material of construction or any method or manner of handling, using, distributing, or dealing in any material or product. Questions related to specific materials, methods, and services will be addressed at the conclusion of this presentation. Simpson Gumpertz & Heger

3 YOU ARE HERE New health care facilities are required to meet the needs of aging Baby Boomers and a growing Millennial workforce. Construction of these facilities can pose logistical challenges in tight urban environments for projects like the new Hale Family Clinical Building at Boston Children s Hospital in the Longwood Medical Area. The 550,000 square foot, eleven story building will add 3 acres of surgical space, a state of the art neonatal intensive care unit, and improved patient amenities in the heart of the growing hospital campus. HALE SITE In this session, we will discuss the need for new health care and life science facilities and show how site constraints, phasing requirements, schedule demands, and technical infrastructure upgrades led to designing a completely prefabricated facade for the Hale building. Members of the design and construction team will also review the design assist process and touch on other project requirements, such as interior microclimates and facade reuse. 5 LEARNING OBJECTIVES Discuss how changing consumer demands are transforming health care facilities. Identify site, schedule, and quality constraints that led to using prefabricated wall panels at the Hale Family Clinical Building. Understand key performance features of prefabricated wall systems for medical and life science facilities. Learn how to overcome common limitations of panelized building enclosure systems with collaborative design, 3D modelling, and hygrothermal analysis. 6 Simpson Gumpertz & Heger

4 Project History Key Building Features Address capacity challenges Standardizing on right sized single bed patient rooms Consolidate Interdisciplinary Care Comply with current standards and best practices Anticipate future best practices Evolution of Standards and Best Practices 1980s Family centered care Family space integrated into patient care spaces 2000s Private rooms in ICUs Decentralized nursing Medical technology 2020s Digital age Collaborative hotspots Business centers Extended family stay 7 Inpatient Room Trends Main Main South Mandell Hale BENCHMARKS 44 Beds 24 Beds 11 Beds 32 Beds ` NICU Open Concept (60 sf each) 120 sf bays 175 sf rooms 300 sf rooms 8 Simpson Gumpertz & Heger

5 Master Planning Evaluation Exploration Site Options Year Studied Meets Forecasted Bed Need Meets Program & Benchmark* Within Project Cost Parameter Selection Criteria Meets Schedule (6 8yr) Connected to Main Campus Programs** Meets Patient Safety & Operational Objectives Feasibility of Site/Decant/ Construction 1 Hale Family Clinical Building 2008/ 2014 O O O O O O O 2 Relocate out of LMA 2014 O O X X N/A N/A N/A 3 New Enders 4 LRI 2009/ 2014 O O X X O O X 2009/ / +/ X X X X O 5 Brookline 2014 X X X O X X O 6 SPB Longwood 8 9 Wolbach Site 4 Alternatives (Partial Hale Building) Patient Clinical Center in Motor Court 2008/ 2014 O O X X O O X 2009/ 2013 O O X X X X +/ 2009 X X O O O X O 2009 O O X X O O X 10 Longwood Avenue Tower 2009 O X X X O O X 11 Patient and Family Garage 2009 X X O X X X X 12 Expansion South of Existing Hunnewell 2008 O X X X O X X 13 Jimmy Fund Building 2008 O X X X X O X 14 Main Building 2 Story Vertical Expansion 2006 X X O O O X X Guiding Principles / Goals & Objectives Guiding Principles Focuses Patient / Family Innovating Leadership Healthy Workplace Safest Care Excellence in Care Accelerated Solutions Goals and Objectives Acuity adaptable Create a healthier work environment 10 Simpson Gumpertz & Heger

6 Program Components Proposed Hale Family Clinical Building 11 Massing Constraints 12 Simpson Gumpertz & Heger

7 Program with Special Interior Conditions 1. Operating Rooms 2. Satellite Pharmacy 3. Winter Gardens 4. Bridge Connection 5. Patient Rooms 13 Bridge to Existing 14 Simpson Gumpertz & Heger

8 Internal Green Spaces 15 Integration of Historical Facade 16 Simpson Gumpertz & Heger

9 System Selection Architect Point of View Partially Repetitive Geometry, but complexity driven by context and program Interior Green Spaces Demanding Clinical Program Integration of Historical Façade Extending Over Existing Buildings Bridge Connection to Existing Building 17 SESSION TWO: PANELIZE+ PERFORM Prefabricating a New Clinical Building at Boston Children s Hospital JIM CHAMBERS Shepley Bulfinch JASON LANSBERRY Suffolk Construction JOSHUA KIVELA Simpson Gumpertz & Heger Simpson Gumpertz & Heger

10 System Selection Architect Point of View Partially Repetitive Geometry, but complexity driven by context and program Interior Green Spaces Demanding Clinical Program Integration of Historical Façade Extending Over Existing Buildings Bridge Connection to Existing Building Contractor Point of View Site access/logistics Quality/durability Schedule Subcontractor selection 20 CREATE+CONSTRUCT BOSTON Simpson Gumpertz & Heger

11 21 CREATE+CONSTRUCT BOSTON Simpson Gumpertz & Heger

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14 27 Installation 28 Simpson Gumpertz & Heger

15 Fabrication facilities can operate in inclement weather and workers are more productive in a controlled environment. Schedule and Productivity Fabrication and assembly can begin in advance of steel erection. Erection on site is faster and building is enclosed quicker to allow weather sensitive trades to begin work sooner. More working room is available on site with just in time deliveries. Minimizes on site waste and surplus materials increasing the amount of workable area on the project site Simpson Gumpertz & Heger

16 Labor Costs Fabrication facility workers typically have lower wages than skilled on site workers. Skilled worker with higher wages are only used for critical procedures such as installation. Fabricator required to employ a additional engineering and management staff increasing costs. Additional design costs for each component for fabrication. 31 Material & Equipment Costs Buy in bulk, which reduces material handling costs from manufacturers such as milling and cutting. Deliveries can be maximized to the fabrication facilities reducing shipping fees from manufacturers. Purchasing equipment for fabrication in lieu of paying high rental costs for each project. Increased costs for maintaining equipment. 32 Simpson Gumpertz & Heger

17 Wall Subcontractor Selection Request for Proposals Instructions: Provide a panelized wall system for the exterior of the building to include the following: Glass and Aluminum Curtain Wall Systems Storefront and Vestibule Aluminum framed entrances including hardware Precast Stone Panels Louver panels with stud back up system (Priced as an alternate) Metal Panels and support system Exterior Canopies Soffits Exterior Metal Stud System (Including horizontal surfaces, i.e. soffits) Exterior Sheathing A V Barriers and transitions strips as required. Insulation Sheet Metal Flashings and Trim Joint Sealants / Caulking systems Interview Process Allows the bidders an opportunity to present their proposed design intent and strategy to the Owner, Design team and Suffolk for consideration. Explain their Design Assist Process. 33 SESSION TWO: PANELIZE+ PERFORM Prefabricating a New Clinical Building at Boston Children s Hospital JIM CHAMBERS Shepley Bulfinch JASON LANSBERRY Suffolk Construction JOSHUA KIVELA Simpson Gumpertz & Heger Simpson Gumpertz & Heger

18 Design Assist Process What is design assist and why do we use it? Collaboration between wall contractor and members of the design and construction team to achieve design intent at budget and on schedule Develop shop drawings during process Adjust project specifications as required to align with design Long lead time of glazing Design efficiency Fewer change orders Cost control 35 Design Assist Process What made our process successful? Defined process Defined deliverables Schedule alignment 3D modelling Shorter schedule duration compared to design bid build 36 Simpson Gumpertz & Heger

19 Building Enclosure Performance Requirements IBC Occupancy group IV Essential facilities with emergency and surgical treatment ASCE 7 Importance factors 1.5 for wind, snow, and earthquake loads Resilient, reliable structures that remain functional after major environmental events Infection control Water penetration resistance Air leakage Condensation control Strength Deflection Movement Durability Low maintenance 37 PRECAST CONCRETE PANELS PREFABRICATED WALL PANELS CURTAIN WALL 38 Simpson Gumpertz & Heger

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22 43 JOINT SIZE (STRUCTURAL SEPARATION) AMPLIFIED PLAN WIND SEISMIC POINT GRID BUILDING FLOOR X(IN) Y(IN) X(IN) Y(IN) 4 J.1-4 FARLEY Simpson Gumpertz & Heger

23 Interior Environment ASHRAE Facility specific Temperature RH Ventilation Rate Pressurization Interior 60 deg. F. 60% RH Positively pressurized Exterior O deg. F. 46 Simpson Gumpertz & Heger

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25 49 Questions? This concludes The American Institute of Architects Continuing Education Systems Course Simpson Gumpertz & Heger