STL IPD Team Sutter Health HerreroBOLDT California Pacific - - PowerPoint PPT Presentation

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STL IPD Team Sutter Health HerreroBOLDT California Pacific - - PowerPoint PPT Presentation

Dec 15, 2022 284 likes •673 views

STL IPD Team Sutter Health HerreroBOLDT California Pacific Medical Center Pankow SmithGroupJJR Herrick Boulder Associates Architects Harris Salinas Degenkolb Rosendin Electrical

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STL IPD Project Team

  • St. Luke’s Replacement Hospital

STL IPD Team

  • Sutter Health
  • California Pacific Medical Center
  • SmithGroupJJR
  • Boulder Associates Architects
  • Degenkolb
  • Silverman & Light
  • Southland Industries
  • BKF
  • SWA Group
  • Vantage
  • Criterion
  • Marshall Associates
  • Kate Keating & Associates
  • Schachinger
  • Simpson Gumpertz & Hager
  • Guidepost Solutions
  • Syska & Hennessey
  • HerreroBOLDT
  • Pankow
  • Herrick
  • Harris Salinas
  • Rosendin Electrical
  • Southland Industries
  • KHS&S
  • Bagatellos
  • Clark Pacific
  • Lawson Roofing
  • RLH
  • Otis Elevator
  • Ryan Engineering
  • Advanced Pneumatic Tube
  • SRS
  • Fuel Oil Systems
  • UCD
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View from Cesar Chavez at Guerrero – Phase 3

  • St. Luke’s Replacement Hospital
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Existing View from Cesar Chavez at Guerrero

  • St. Luke’s Replacement Hospital
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Phase 1 – Hospital Complete

  • St. Luke’s Replacement Hospital
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Phase 2 – Hospital & Plaza Complete

  • St. Luke’s Replacement Hospital
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Phase 3 – Hospital, Plaza, & MOB Complete

  • St. Luke’s Replacement Hospital
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Phase 3 – Hospital, Plaza, & MOB Complete

  • St. Luke’s Replacement Hospital
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View from Cesar Chavez - Phase 3

  • St. Luke’s Replacement Hospital
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View from San Jose Avenue - Phase 3

  • St. Luke’s Replacement Hospital
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View of Plaza at Main Entry - Evening

  • St. Luke’s Replacement Hospital
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Building a Project Team

  • St. Luke’s Replacement Hospital

Sutter’s 5 Big Ideas

increase relatedness

innovation competitive continuous improvement reliability build trust

collaborate; really collaborate

  • ptimize the

whole tightly couple learning with action projects as networks of commitments

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Validation Study Binder

  • St. Luke’s Replacement Hospital
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The Complexity of the Plenum Space

  • St. Luke’s Replacement Hospital
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Why choose IPD?

  • St. Luke’s Replacement Hospital

IPD answers: what if …

… rather than design alone before coming together for reviews & decisions, we come together to decide then design to those decisions? … rather than estimating based on a detailed design, we design based on a detailed estimate? … rather than evaluate the constructability of a design, we design what is constructable?

Source: Macomber, Howell, Barbiero

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Why Choose IPD? – Traditional Project Delivery

  • St. Luke’s Replacement Hospital

Common Understanding CM/GC Hired Major Trades Hired Pre-Construction Services Architect Hired Engineers Hired 100% SD DD CD Construction

MILESTONE COST ANALYSIS, SHROUDED IN MYSTERY; VERY LITTLE INPUT FROM THE FIELD

Adapted from work by Will Lichtig

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Why Choose IPD? – Integrated Project Delivery

  • St. Luke’s Replacement Hospital

Adapted from work by Will Lichtig

Common Understanding CM/GC Hired Major Trades Hired Architect Hired Engineers Hired 100% SD DD CD

NEARLY-CONTINUOUS COST ANALYSIS, TRANSPARENT & OPEN BOOK; HIGH DEGREE OF TRADE PARTNER INPUT

DESIGN SERVICES CONSTRUCTION

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Structure of the STL IPD Team

  • St. Luke’s Replacement Hospital
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Design/Build - Mechanical

  • St. Luke’s Replacement Hospital

Engineering Model 2D or 3D Detailing Model 3D Construction Documents Fabrication

Engineering/Detailing Model 3D Construction Documents Fabrication

Standard Model Progression

  • St. Luke’s Model Progression
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Design/Build – Mechanical

  • St. Luke’s Replacement Hospital
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View from Cesar Chavez – After

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  • St. Luke’s Replacement Hospital
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View from Cesar Chavez – Main Entry After

  • St. Luke’s Replacement Hospital
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View from 27th Street - After

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  • St. Luke’s Replacement Hospital
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View of Typical Patient Room

  • St. Luke’s Replacement Hospital
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View of Service Provider Station/Corridor

  • St. Luke’s Replacement Hospital
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View of ICU/Surgery Waiting

  • St. Luke’s Replacement Hospital
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View of Café

  • St. Luke’s Replacement Hospital
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View of Emergency Department Waiting

  • St. Luke’s Replacement Hospital
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View of Upper Lobby

  • St. Luke’s Replacement Hospital
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Working in TVD – Floor to Floor Heights

  • St. Luke’s Replacement Hospital
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  • St. Luke’s Replacement Hospital

Working in TVD – Floor to Floor Heights

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STL IPD – Choosing by Advantages / A3 Report

  • St. Luke’s Replacement Hospital
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Disposable Task Force – Site Grading!

  • St. Luke’s Replacement Hospital

A problem surfaced. . .

  • The team realized that the streetscape

package (civil, landscape) did not include the ramp at the loading dock entry

  • Streetscape package was set to be

submitted later that day

  • Submittal was put on a hold and a

disposable task force was formed

  • The news got worse the deeper we dug!
  • Ultimately, three initial areas of concern

were discovered:

1. Grades at the doors off of the café 2. Loading dock ramp / entry 3. Grades at the ED walk-up entry

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Disposable Task Force – Site Grading!

  • St. Luke’s Replacement Hospital
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Disposable Task Force – Site Grading!

  • St. Luke’s Replacement Hospital

A deeper look. . .

  • Team studied the problem to understand the issue
  • Found an additional point of concern at the ambulance entry
  • The owner’s entitlements group challenged the team to keep

the ramp within the property line, further stressing the solution

  • Work began in a counter clockwise manner around the

building

  • Plan was formulated

1. Deal with the café entry 2. Fix the loading dock ramp 3. Accommodate ambulance drop off 4. Resolve grades at the ED walk-in entry

  • There was logic in solving things in this order due to analysis
  • f the various constraints on the areas of work
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Disposable Task Force – Site Grading!

  • St. Luke’s Replacement Hospital
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Disposable Task Force – Site Grading!

  • St. Luke’s Replacement Hospital
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Disposable Task Force – Site Grading!

  • St. Luke’s Replacement Hospital

A solution is reached. . .

  • Plenum congestion became the constraint governing the site grading at

both levels.

  • Mechanical detailers confirmed that the 1st floor plenum could be

reduced

  • The plenum was compressed and the 1st floor raised to accommodate

the grades at the café entrance

  • Loading dock ramp was pulled back, floor-to-floor height was modified,

grades were modified in the sidewalk and curb height, and structure was modified to make the ramp fit

  • Slope in the ambulance bay was modified and grades in street and

sidewalk were altered to maintain egress path of travel

  • Street grading was altered, grading in the drop-off area was changed,

and a curb was added to meet FFE at the ED walk-in entry

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View of Plaza at Main Entry - Evening

  • St. Luke’s Replacement Hospital