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What is the Design Phase?

The Design phase includes schematic design (SD), design development (DD), and the creation of construction documents (CDs). The phases range from high-level concepts in schematic design through refinement of details during design development, and providing all information required for bidding and building in construction documents.

 

Depending on how the project is implemented, these phases can overlap. For example, if your project is design-build, certain aspects of the building (such as building infrastructure) may be finalized before others (such as interior details).

 

During the design phase, the design intent should illustrate the relationships between project components (adjacencies, forms, size, and overall appearance). Floor plans, sections, ceiling plans, power/communication plans, finish plans, elevations, construction details and written specifications are refined for the project. Coordination with mechanical, electrical, plumbing, fire protection, and other building systems are completed during this phase.

 

Some question you should ask during this phase are:

  • What project components require outside expertise such as lighting design, landscape design, wayfinding, or acoustical design? 
  • How can the site topography be maximized to capture the best views, building access, and landscape features?

 

Many design decisions of varying level of detail need to be made at this stage. Activities occurring during design that are also led by the healthcare organization include: selecting a construction manager/general contractor for estimating, if not already engaged during predesign, determining specialty consultants needed for project, initiating the permit process, and developing a purchase plan for items not included in the design and construction scope of work (often furniture and equipment).

 

Design Activities

Activities developed during this phase that are led by the design team include: refining the space function/flow analysis, confirming the conceptual diagramming developed during pre-design, and architectural design process (schematic design, design development, furniture fixtures, equipment, technology planning, and construction documents).

 

Evidence-Based Design

The evidence to support design concepts gathered during the pre-design phase can be supplemented with additional detailed evidence to answer specific issues or questions that come up during design. Review and interpret any additional evidence for its quality and applicability to your project.

 

As design details are developed, you can create preliminary hypotheses linking the design innovations with potential outcomes—for example, the use of a defined entrance and clear signage will improve access and navigation for patients. Define outcome metrics for the set interests prioritized by your organization and collect baseline data in the existing facility (if relevant).

 

The EBD steps that occur in this phase include: Step Four: create and innovate EBD concepts; Step Five: develop a hypothesis; and Step Six: collect baseline performance measures. See the Evidence-Based Design Tab for detail about the EBD activities during this phase.

Resources

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)

Written by The Center for Health Design for the California HealthCare Foundation.  The design of the physical environment plays an important role in improving health care quality, work efficiency, and cost-effectiveness. Safety-net clinic design can have a substantial impact on the effectiveness of innovative care delivery models, but guidelines are limited.  To contribute to a better understanding of the topic, this white paper seeks to identify key characteristics of the physical environment design for new care delivery models and to provide preliminary design recommendations.

 

Phases and activities related to this resource include:

Pre-Design

  • Select/survey site and evaluate space availability

Design

  • Continue conceptual diagramming
  • Schematic design
  • Design development
  • Furniture, fixtures, equipment (FFE) and technology planning

Written by The Center for Health Design for the California HealthCare Foundation. Cultural issues that may affect patients' healthcare interactions include models of health and disease; perception of hospitals, doctors, and other healers; hierarchical vs. egalitarian cultures; family and social relationships; and communication norms. These factors influence patients' health-seeking behavior as well as their relationships with providers and clinics.

 

This paper suggests several design strategies to support culturally sensitive care, including the need for patient and family engagement throughout the planning and design process. Other recommendations include locating the clinic within the community, devising a wayfinding system to enable easy navigation, and designing the waiting areas and exam rooms to support the presence and involvement of families.

 

Phases and activities related to this resource include:

Pre-Design

  • Space function/flow analysis

Design

  • Continue conceptual diagramming
  • Design development
  • Furniture, fixtures, equipment (FFE) and technology planning

 

 

The WBDG is the only web-based portal providing government and industry practitioners with one-stop access to up-to-date information on a wide range of building-related guidance, criteria and technology from a 'whole buildings' perspective. Currently organized into three major categories—Design Guidance, Project Management and Operations & Maintenance—at the heart of the WBDG are Resource Pages, reductive summaries on particular topics. Phases and resources specific to this resource include:

Design

  • Design development
  • Early permit-third party approvals

Authored by Jain Malkin.  Phases and activities related to this resource include:

Design

  • Design development
  • Furniture, fixtures, equipment (FFE) and technology planning

 

Authored by Canfield, B.T. Phases and activities related to this resource include:

Design

  • Begin transition 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


.

Guidlines and questions to ask when hiring a consultant. Phases and activities related to this resource include:

Design

  • Select specialty consultants

 

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 USGBC, last updated in May 2011.  The phases and activities related to this resource include:

Organizational Readiness

  • Develop community awareness/engagment

Pre-Design

  • Select/survey sites and evaluate space availability
  • Plan and program

Design

  • Design development
  • Furniture, fixtures, equipment (FFE) and technology planning

Created by USGBC, last updated in May 2011.  The phases and activities related to this resource include:

Organizational Readiness

  • Develop community awareness/engagment

Pre-Design

  • Select/survey sites and evaluate space availability
  • Plan and program

Design

  • Design development
  • Furniture, fixtures, equipment (FFE) and technology planning

Created by the Veterans Administration.  The attached files are guidlines for working with the VA in primary care settings.  Phases and activities that relate to these resources include:

Organizational Readiness

  • Conduct allocation planning/preliminary space assessment
  • Site considerations (note narrative)

Pre-Design

  • Conduct a market needs analysis and assessment
  • Create space function/flow analysis
  • Plan and program

Design

  • Continue conceptual diagramming
  • Design development
  • Furniture fixtures, equipment (FFE) and technology planning

Created by Labs for the 21st Century/EPA/DoE and covers the entire design process with a focus on sustainability. This resource is specific to the construction documents activity within the design phase.

Design

  • Construction document
     

Created by Labs for the 21st Century/EPA/DoE and covers the entire design process with a focus on sustainability.  This resource is specific to the design development activity within the Design phase.

Design

  • Design development
     

Created by Labs for the 21st Century/EPA/DoE and covers the entire design process with a focus on sustainability.  This resources is specific to Schematic Design.  The Phases and actives relevant to this resource include:

Design

  • Schematic design
     


 

Created by Gates Family Foundation.  Phases and Activities applicable to this resource include:

Organizational Readiness

  • Conduct operational planning
  • Develop community awareness/engagement
  • Develop a business plan
  • Development of project budget
  • Explore various funding options

Pre-Design

  • Determine financial feasability
  • Start a capital campaign feasibility study
  • Develop a capital process/fiscal planning
  • Continue community engagement and collaboration
  • Refine project budget and schedule

Design

  • Design development

Created by the the Comunnity Clinics Initiative. Phases and Activities applicable to this resource include:

Organizational Readiness

  • Create a business plan

Pre-Design

  • Evaluate work flow
  • Refine project budget and scope

Design

  • Design development

Created by Capital Link.

 

Phases and Activities applicable to this resource include:

 

Pre-Design

  • Select/survey sites and evaluate space availability

 

Design

  • Design development

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

Developed by the Whole Building Design Guide a program of the National Institute of Building Sciences.

 

Phases and Activities applicable to this resource include:

Pre-Design

  • Plan and program

Design

  • Schematic design

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