Replacement Hospital Rising

By on April 12, 2019

From AGCMO:  The SSM Health Saint Louis University Hospital will be a state-of-the-art facility when it welcomes its first patient in September 2020. For the project team, including SSM Health (owner), Alberici (construction manager), Lawrence Group (designer), and Northstar (program manager), it’s only fitting that the construction of this facility incorporate some of the latest trends in hospital construction.

Lean Construction
Lean construction methods are nothing new to SSM Health or Alberici, who embarked on their first lean project together almost 15 years ago, at Cardinal Glennon Children’s Hospital. Drawing upon experience on three previous lean projects, the team is applying lean practices to the SSM Health SLU Hospital project. The project’s contract documents include a Collaborative Project Charter, which formalizes the partnering relationship and clarifies roles among team members, including the owner, designer, program manager, and construction manager. This encourages cooperation, transparency and innovation among key participants to ensure that the design and construction of the new facility provides the most value with the least amount of waste.

The heart of the team’s lean effort is the Last Planner System (LPS). Designed by the Lean Construction Institute, LPS is a production control system which minimizes waste, maximizes productivity and reduces workhours. LPS relies on input from craftspeople and subcontractors, who confirm that work is progressing on schedule through weekly work plans and daily huddles. Their input helps develop a detailed milestone schedule and associated look-ahead schedules. These look-ahead schedules give the team the flexibility to rapidly adapt to modifications and unforeseen changes.

The team developed a detailed procurement plan, which included design-assist for critical scopes of work. In the plan, they defined design-assist for the project, clarified roles for each team member, and established deliverables based in the AIA requirements of SD, CD, and DD. They also identified deliverable needed between design intervals to meet the project’s procurement strategy.

Based on this procurement strategy, the team engaged design-assist subcontractors for MEP and curtainwall at the end of schematic design. The design-assist partners were selected based on qualifications, team, and fees, and worked with IMEG (the engineer of record) to incorporate their technical expertise into the construction documents.

By engaging key subcontractors for design-assist, the team is providing higher quality and budget certainty for these critical scopes. Design-assist partners included AGC members Murphy Company, Guarantee Electrical Company, Corrigan Company Mechanical Contractors, Ahern Fire Protection, Kaiser Electric, Inc., and C & R Mechanical Company.

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