Case Study 2

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Central Piedmont Community College *

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252

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Industrial Engineering

Date

Feb 20, 2024

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docx

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4

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Introduction The mission statement of the Arnold Palmer Children’s Hospital is that they are committed to excellence in serving and supporting our patients, our physicians, our guests and fellow team members . They not only care for people, they care about them. They will do everything in their power to ensure that all people are treated with respect, dignity, kindness and compassion ( www.arnoldpalmerhospital.com ). The hospital is located in Orlando, FL. Network for planning and construction 1. Proposal and review 2. Establish master schedule 3. Architect selection process 4. Survey whole campus and its needs 5. Conceptual architect’s plans 6. Cost estimating 7. Deliver plans to board for consideration/decision 8. Surveys/regulatory review 9. Construction manager selection 10. State review of need for more hospital beds (“Certificate of Need”) 11. Design drawings 12. Construction documents 13. Site preparation/demolish existing building 14. Construction start/building pad 15. Relocate utilities 16. Deep foundations 17. Building structure in place 18. Exterior skin/roofing 19. Interior buildout 20. Building inspections 21. Occupancy Critical Path and Longevity of Project Activity 1, Activity 4, Activity 6, Activity 7, Activity 10, Activity 11, Activity 13, Activity 14, Activity 16, Activity 17, Activity 19, Activity 20, Activity 21 a  This list of activities is abbreviated for purposes of this case study. For simplification, assume each week = .25 months (i.e., 2 weeks = .5 month, 6 weeks = 1.5 months, etc.). Activity Time (Months) Critical Path 1. Proposal and review 1 2. Establish master schedule .5 1 3. Architect selection process 1.25 1 4. Survey land/needs 1 1
5. Architect plans (concept drawing) 1.5 3 6. Cost estimation 2 2, 4, 5 7. Deliver plans to board for consideration/decision 1 6 8. Community involvement (surveys and questionnaires)/regulatory review and requirements 1.5 6 9. Select company to construct/ hire construction manager 2.25 6 10. State review of need for more hospital beds (“Certificate of Need”) 3.5 7,8 11. Design drawings 4 10 12. Construction documents 5 9,11 13. Site preparation/demolish existing building 2.25 11 14. Construction start/building pad 2 12,13 15. Relocate utilities 1.5 12 16. Deep foundations 2 14 17. Building structure in place 9 16 18. Exterior skin/roofing 4 17 19. Interior buildout 12 17 20. Building inspections 1.25 15,19 21. Occupancy 1 20 Total: Complexion of Hospital Build A hospital building is more complex than an office building for the following reasons: specialized needs, regulatory requirements, infrastructure, patient flow and function, and unique spaces. The hospital focuses on the special needs of women and infants that require specific equipment and facilities not found in a typical office building. Hospitals have strict regulations and codes regarding safety, hygiene and patient care that must be followed during construction. Hospitals require extensive infrastructure for medical gasses, electrical systems, piping and specialized HVAC systems to ensure a suitable environment for patients and staff. Hospitals must be designed to allow efficient patient flow, with privacy, accessibility and infection control in mind. Hospitals have specialized spaces such as operating theaters, delivery rooms, intensive care units, and specialized diagnostic spaces that require careful
planning and construction. The construction of a hospital is very intricate and involves many people in the planning and processing phase. The hospital is a community building and the community should be involved in the stages of the build. There were over 1000 planning meetings for the building of the Arnold Palmer hospital and over 35 user groups (Building a hospital is much more complex than an office building for several reasons. In this case, hundreds of “users” of the new building had extensive input. Second, the design of the new layout (circular, pod design) is somewhat radical compared to traditional “linear” hospitals. Third, the hospital was built with future expansion in mind (Hanson, 2019). Fourth, the Guiding Principles impacted on design/construction. Fifth, hospitals, by their very nature, are more complex from a safety, health hazard, security, quiet, serenity perspective than an office building. Project Duration What percentage of the whole project duration was spent in planning that occurred prior to the proposal and reviews? Prior to the actual building construction? Why? Before proposal and reviews = 13 months Planning before the actual construction of the building: Activity 1: Design and review (1 month) Activity 2: Establish a master plan (2 weeks) Activity 3: Architect Selection Process (5 weeks) Activity 4: Explore the entire campus and its needs (1 month) Activity 5: Concept Architect Plans (6 weeks) Activity 6: Cost estimation (2 months) Activity 7: Delivery plans for consideration/decision (1 month) Activity 8: Survey/Regulation Review (5 weeks) Activity 9: Selection of the construction manager (9 weeks) Activity 10: State review of the need for more hospital beds ("Certificate of Need") (3.5 months) Since there were 13 months of planning prior to the proposal/ review stage (listed as Activity 1) and the project then took months (for a total of months), 20% of the time was spent in planning. Construction itself started with activity 17 (32.25 months);
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