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California Healthcare Facilities Project

California Healthcare Facilities Project

Project Production Systems Laboratoryhttp://p2sl.berkeley.edu/

Project Production Systems Laboratoryhttp://p2sl.berkeley.edu/

9th WorkshopMay 7, 2008

Agenda1:00 Start up1:10 Thoughts on experiments in phased review-Gillengerten and Ballard1:30 Palomar presentation and discussion-Gavan, KPFF and Beekman, OSHPD2:20 OSHPD Structured Plan Review: Tools for plan submission--Peter Feng 2:55 Break3:15 Reports from pilot projects -Kaiser Oakland & template triplets, Scott Slotterback -Cathedral Hill Hospital, Arlee Monson -Chinese Hospital, Philip Sun -Clovis Community Hospital, Bonnie Walker -Eden Hospital, Digby Christian -San Carlos Hospital, Craig Matheny4:45 New Initiatives: ePlan and Advanced Mapping—George Zettel and Iris Tommelein4:55 Wrap Up -Set next meeting time -Offers, Requests & Commitments -Plus/Delta

Experiments in Phased Review

• SB306 authorizes OSHPD to do phased review, but does not define that process.

• The California Healthcare Facilities Project has agreed to evaluate the various experiments in different ways of doing phased review.

• Most large healthcare projects now want to do phased review, and we may be able to learn from any or all of them, but to provide some focus, we propose to concentrate on the following pilot projects.

Pilot Projects• Cathedral Hill Hospital• Chinese Hospital• Clovis Community Medical Center• Eden Hospital-Sutter Health• Kaiser Oakland Replacement Hospital• Kaiser template hospitals-the triplets• Palomar• San Carlos-Sutter Health • Santa Rosa-St. Joseph’s • Southern California hospital to be named-St. Joseph’s • Stanford Medical Center• UCSF Mission Bay Hospital

Issues1. Should pre-conditions be required for phased review:

BIM, design assist, training in integrated project delivery?

2. Are two sets of books unavoidable? To what extent can we coordinate the permitting process and the development of design for other purposes such as bidding?

3. To what extent is the lack of coordination a function of staffing plans adequate for the traditional design and permitting of healthcare projects, but not for the new approach?

4. To what extent and when must design options be limited? Is phased review consistent with set based design?

Issues

5. How should changes be managed if they should occur despite best efforts?

6. Does phased review change project or OSHPD costs? Can we validate the assumption that early OSHPD involvement will reduce rework (both for OSHPD and the design team) through early detection of errors and from elimination of non-viable options from sets?

7. Can each design aspect to be permitted be phased in the same way; e.g., structural and fire life safety?

8. How best to incorporate licensing and entitlements?9. …???

Criteria for Evaluating Experiments• Was time to permit reduced; were targets

achieved? • Were interim milestones met?• Did it cost more to go faster? • If it did cost more, was it worth it? Was the

additional investment worth making?• Was a better quality product produced?• Did the project and OSHPD teams have a better

working experience?• …???