Palomar Medical Center West: Segmented Review Process

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Palomar Medical Center West Segmented Review
Process
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Discussion Points

• Project Overview
• Why This Process?
• Details of What Was Done
• Ingredients
• Successes
• Lessons Learned

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Building Stats 725,000 BGSF 360 Beds Project
Cost 690 million Construction Schedule Start
July 2007 Finish December 2010
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H O S P I T A L P L A N N I N G
360 Bed Hospital (288 Beds 72 shelled
rooms) 192 Acute Care Beds 168 ICU Beds 56
Emergency Positions (Level 1 Trauma) 12
Operating Rooms 6 Cath Lab/Interventional
Radiology Rooms 18 Imaging Rooms
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I N T E G R A T E D P R O J E C T D E L I V E
R Y
Integrated Team Process / BIM Design Assist
Contracts
BIM and Design-Assist Strategy
Design progresses over the same time with
assistance from contractors
Early OSHPD Preliminary reviews begin before
documents are finalized
Select contractors are chosen
Other contractors bid when Permit is awarded
Early contractors assist in design and begin
their coordination efforts.
Fabrication can begin earlier and all work is
coordinated in 3D
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I N T E G R A T E D P R O J E C T D E L I V E
R Y
OSHPD Pilot Permit Process
Courtesy of the Office of Statewide Health
Planning Development
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Why This Process?

• Innovation stems from problem solving
• Start dates often move, but end dates usually do
  not
• Ongoing Collaborative Discussion with OSHPD
• Blend of communication, desire to improve the
  process, and needs of the project

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The Segments

• Segment 1 Detailed Approach
• Rules of Engagement
• Design Methodology, Modeling Assumptions, Code
  Interpretations.
• Using Past Experience, Address Every Rock in the
  Road that has occurred on past reviews from both
  sides.

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The Segments

• Segment 2 Building Configuration and Loading
  Criteria
• Building Configuration and Layout of Lateral
  Force Resisting System
• All Loading Assumptions
• All Special Loading and Vibration Sensitive Areas
• Matching Architectural and Structural

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The Segments

• Segment 3A Lateral Model and Frame Sizes
• Complete Lateral Design Model and Accompanying
  Frame Elevations
• Substantial Work Effort For Design and Review
• Most Subsequent Design Activities are Dependent
  on Output From This Model

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The Segments

• Segment 3B Gravity Design and Model
• Beams, Girders, Columns, Slabs
• Both Model and Drawings
• Most Subsequent Detailing is Impacted By This
  Sizing.

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The Segments

• Segment 4 General Notes, Specifications,
  Typical Details
• Specific Details Are Derived From Typical Details
• Floater in the Process For Continuity of Review

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The Segments

• Segment 5A Foundations
• Heavily Dependent on All Information in 3A and 3B
• Segment 5B Diaphragms, Drags, and Chords
• Heavily Dependent on All Information in 3A and 3B

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Final Submittal

• Incorporates all Information From Segments
• All Detailing Now Introduced
• Unique Design Features That Develop Late
  Introduced

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Schedule
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Necessary Ingredients

• Owner and Architect That Can Commit To The
  Structure and Not Look Back
• Collaborative Team
• Cooperative Review Team
• Frequent Face to Face Interaction
• Sufficient Manpower and Fee

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Extremely Helpful Ingredients

• Design Assist Subs on Board
• 3D Coordination BIM

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What Worked Best

• Rules of Engagement Segment
• Model Segments
• Designer and Reviewer Both Impact The Design
  Better Experience For All
• Saved Time

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Lessons Learned

• Minimize Overlapping of Segments
• Focus More On Process, Less On Dates
• Recognize and Address Continuous Deadline
  Pressure For Team
• Obtain Clarity on What is Being Conditionally
  Approved
• Control Bookkeeping
• Address Long Lead Items AMC, Soils, Ground
  Motion
• Do Not Limit To Structural Review

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Q U E S T I O N S ?