Speed to Market Strategies

Project Acceleration

Team 3

Brian J. Smith Director, Strategic Project Development Cleveland Clinic Foundation Coker Barton Senior Vice President of Healthcare Hoar Construction Donald Orndoff Sr. Vice President, National Facilities Services Kaiser Foundation Health Plan, Inc. Eric Burk, LEED AP, CHC Preconstruction Director Balfour Beatty Construction Frank Aucremanne Executive Director, Buildings & Properties The Cleveland Clinic Foundation Michael Weiss, PhD ABD, HCCP President, Chief Executive Officer Working Buildings, LLC Paul E. Strohm Senior Vice President, Director, Healthcare HOK Architects Scott Nelson, AIA, ACHA Director, Planning & Design Advocate Health Care Victor Sanvido Senior Vice President Southland Industries Dana Swenson, PE, MBA Senior VP & Chief Facilities Officer U Mass Memorial Healthcare Brent Wilson

Barbara Wagner

Director, Federal Healthcare

Senior Vice President

HKS Architects

Clark Construction

Joe Powell Executive Director Academy for Healthcare

Rebekah G. Gladson Facilitator rggroup global, Inc.

“Speed to Market Strategies”

• Changing demands of heathcare require improved project and/or solution speed

• How quickly can healthcare services be delivered

• Definitions of vary depending on owner – Start point – End point – Includes……

Owner Game Changers

• Strategic Plan / Business Plan – What is the business need to be satisfied?

• Funding – What are the range of options (funding

requirements/options)?

• Decision Making – What is the recommendation

Early Project Phases

STRATEGIC PLAN

DEVELOPMENT OF PROGRAM

ANALYSIS OF OPPORTUNITIES/

SOLUTIONS TO MEET PROGRAM

Informs

Informs

Traditional Project Metrics

Cost Schedule

Program*

* Depends on Team and Owner metric definition.

Quality

Significant Factors Impacting “Speed to Market”

• Owners Responsibilities – Observations

• Lack of a Strategic Plan and/or Specific Planning Process

• Internal Consultation • Decision Making

– Culture

Owner’s Cont’d – Recommendations

• Development of Strategic Plan – Appendix in White Paper with Suggestions

– Clear Communications

– Understand Project Budget and Cost Estimating Process

• Informed Decisions • Minimize Changes • New Types of Contracts Require Training • Flexibility has Cost/Schedule/Operational

Impacts • Provide Knowledgeable Staff • Provide External Teams with clear

Decision Framework

Significant Factors Impacting “Speed to Market”

• Design Professionals – Observations

• Owners Don’t Always Know the Type of Consultation Needed

• Sophisticated Owners Often Do and Should be Respected

• Understanding Impact of Missed Business Opportunities

Design Professionals Cont’d – Recommendations

• “Fresh Eyes” – Not the Same Problem • Need for Cost Estimates w/o Detailed

Conceptual Plans • Improved Continuity of Design

Professional’s Team • Design Professional Favor Integrated

Project Process, but they are the Designer • Complete Work around Planning/

Programming & Option Analysis BEFORE moving to Final Design Phase

Significant Factors Impacting “Speed to Market”

• Construction Professionals – Observations

• Carry the Most Project Risk outside of Owner

• Often has least amount of Knowledge regarding Owner’s Goals, Desires, etc.

• Frustrated by Discrepancy Between Owner’s Cost Model & Real Market Cost

• Construction Innovations can Assist with “Speed to Market” Outcomes

Construction Professionals Cont’d – Recommendations

• Allow Contractors to Share in both Risk and Reward of Project Performance

• Contractor’s can take Lead on Improving Project Lean Processes

• Develop “Smart Starts” on Projects • Utilize one BIM for consultants and subs • Allow Qualified Subs to take on some

Design Responsibilities – EARLY • Use Prefabrication and Unitized Systems

New Metrics for Success

Patient Day or

Interaction

MANAGEMENT

INNOVATION

First vs Long Term Operating

VALUE

Owner Management

Predictive Performance

New Solutions

Flexibility

Best Practices and Future Look

• New Owner Doctrine Regarding User Input

• Share Risk Between all Parties to the Contract

• Design and Construction Fees Based on Performance Metrics

• Change in Type of Metrics

Discussion