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Construction

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What is Construction?

There are several approaches to constructing a building. Using a design-build or construction management approach means the contractor will already be well-versed in your project. In a traditional design-bid-build process, the project is put out to bid, and a general contractor is selected according to pre-established factors, such as experience, schedule, and cost.

 

During the construction phase, the goal of the project team is to monitor the implementation of the design into construction to ensure that the original intent has not been compromised. Activities occurring during construction that are led by the healthcare organization include: launching internal readiness and process improvement plans, obtaining zoning and use permits, establishing early permit and third party approvals, and beginning transition planning, and obtaining the Certificate of Occupancy (CO). 

 

Construction Activities

Activities developed during this phase that are design team-led processes include: coordinating construction administration documents, developing punch lists, and completing project close-out.

 

Evidence-Based Design

The team should monitor implementation of design (Step Seven) to ensure EBD innovations are implemented as envisioned during the design phase.

Resources

Print Resources

Created by the Construction Management Association of America (CMAA).  The phases and activities related to this resource include:

Construction

  • Conduct construction inspection and surveillance
  • Substantial completion
  • Notice of completion
  • Final completion

Authored by Sydney M. Levy. Phases and activities related to this resource include:

Construction

  • Conduct construction inspection and surveillance
  • Substaintial completion
  • Notice of completion
  • Final completion

Created by NCB Capital Impact. Phases and activities related to this resource include:

Organizational Readiness

  • Conduct operational planning
  • Conduct allocation planning/preliminary space assessment
  • Finalize strategic planning
  • Develop community awareness/engagement
  • Develop the business plan (Sect VII)
  • Development of project budget
  • Explore various financing options
  • Develop a preliminary project schedule
  • Hire a project manager and architect (Sect IV)

Pre-Design

  • Determine financial feasability
  • Conduct a market needs analysis and assessment
  • Select/survey sites and evaluate space availability (Sect IV.b)
  • Select an attorney, architect/interior designer, contractor and construction manager
  • Establish the remaining project team
  • Property aquisition/site control
  • Refine project budget/schedule (Sect VIII)

Design

  • Continue conceptual diagramming
  • Design development
  • Permit process
  • Zoning/use processing
  • Furniture, fixtures, equipment (FFE) and technology planning
  • Purchasing plan
  • Construction documents
  • Value engineering (p. 33)
  • Early permit - third party approvals (p. 40-41)
  • Bid and award - this may be phased, based on contract type

Construction

  • Conduct construction inspection and surveillance (p. 43-49)
  • Create the punch list (p. 55)

Created by Clinica Sierra Vista. Phases and activites related to this resource include:
Construction

  • Transition planning
  • Project close out 

Occupancy

  • Marketing/Outreach planning

Created by Construction Management Association of America (CMAA). Phases and activities related to this resource include:

Pre-Design

  • Select an attorney, architect/interior designer, contractor and construction manager

Design

Construction

  • Establish project controls
  • Substantial completion
  • Notice of completion
  • Final completion


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Study Guide 3: Integrating Evidence-Based Design: Practicing the Healthcare Design Process.

Guide Three pulls together the evidence-based design (EBD) process to walk you through the key steps of the design process in detail from pre-design, design, construction and occupancy. Practical examples demonstrate key areas and show how EBD is practically applied.

 

Purchase >

 

Phases and activities related to this resource include:

Organizational Readiness

Pre-Design

  • Evaluate work flow
  • Start conceptual diagramming

Design

  • Continue conceptual diagramming
  • Design development
  • Bid and award-this may be phased based on contract type

Construction

  • Substantial completion
  • Final completion

Occupancy

 

Created by Labs for the 21st Century/EPA/DoE and covers the entire design process with a focus on sustainability. Phases and activities associated with this resource include:

Construction

  • Commissioning phase
     

Created by Deloitte. Phases and activities included in this phase include:

Organizational Readiness

  • Conduct operational planning
  • Determine staffing needs
  • Develop a business plan
  • Plan for the project mission/vision

Construction

  • Internal readiness

Created by New York State Division of Housing and Community Renewal (DHCR)/Franke Consulting Group.
 

Created by the Facility Guidelines Institute, 2010 edition. There is a read only version of the guidelines at the bottom of the linked page. Phases and Activities applicable to this resource include:

Pre-Design

  • Select/survey sites and evaluate space availability
  • Property aquisition/site control
  • Start conceptual diagraming

Design

  • Continue conceptual diagraming
  • Schematic design
  • Design development
  • Permit process
  • Zoning/use processing
  • Construction documents

Construction

  • Notice of completion
  • Final completion
  • Commissiong phase

Occupancy

  • Certificate of occupancy
  • Licensing

A free resource from Capital Link and Primary Care Development Corporation on developing a health center. Phases and Activities applicable to this resource include:

Organizational Readines

  • Conduct operational planning
  • Conduct allocation planning/preliminary space assessment
  • Finalize strategic planning
  • Create project organizational leadership
  • Development of project budget
  • Explore various financing options
  • Consider sites (see chapter 5)
  • Develop a preliminary project schedule (see chapter 2, and Appendix B)
  • Hire a project manager and architect

Pre-Design

  • Determine financial feasability
  • Select/survey sites and evaluate space availability (see chapter 5)
  • Select an attorney, architect/interior designer, contractor and construction manager (see chapter 3-4, 6 and Appendix D)
  • Establish the remaining project team (see chapter 4, Appedix D and E)
  • Property aquisition/site control 
  • Plan and program
  • Refine project budget/schedule 
  • Start conceptual diagraming

Design

  • Continue conceptual diagraming
  • Schematic design
  • Design development
  • Construction documents
  • Bid and award - this may be phased based on project type (see chapter 7)

Construction

  • Notice of completion
  • Final completion
  • Transition planning