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Skanska Prefabrication Case Study (19 MB) - Hilti Egypt

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<strong>Prefabrication</strong> <strong>Case</strong> <strong>Study</strong><br />

Miami Valley Hospital<br />

Dayton, OH<br />

Tony Colonna<br />

<strong>Skanska</strong> USA Building Inc.<br />

Marty Corrado<br />

<strong>Skanska</strong> USA Building Inc.<br />

2011 NYC Healthcare Symposium<br />

10/27/2011<br />

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The Business <strong>Case</strong> for <strong>Prefabrication</strong><br />

Earlier Project Delivery<br />

• Reduced Time to First Revenue<br />

• Finance Costs<br />

Lower Construction Costs<br />

• Lower General Conditions<br />

• 4-8% Savings on Prefabricated<br />

Modules<br />

Guaranteed Delivery Through A Predictable Process<br />

2011 NYC Healthcare Symposium<br />

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Delivering Measureable Value<br />

<strong>Case</strong> <strong>Study</strong>: Regional Hospital<br />

$175M Project, 30 Month Base Schedule<br />

Key Assumptions:<br />

• Net Profits<br />

• $8,300 Per Adjusted Admission<br />

• 1,500 Adj. Admissions Per Month<br />

• General Conditions<br />

• Rate of 4.0%<br />

• Prefabricated Modules<br />

• Target Contract Value: $ 3.5M<br />

• Savings Rate: 8%<br />

$2,000,000<br />

$1,500,000<br />

$1,000,000<br />

$500,000<br />

Projected Value for 4 Month<br />

Schedule Reduction<br />

$0<br />

Net Profits General Conditions Construction<br />

Optimal Value Delivered Through A Predicable Delivery Date<br />

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Savings Example<br />

Traditional (Stick Build) vs. Prefabricated<br />

Key Differences:<br />

Traditional<br />

Construction<br />

Overhead and Profit<br />

Material Costs<br />

Labor (Construction)<br />

<strong>Prefabrication</strong><br />

Services<br />

Labor (Installation)<br />

Logistics<br />

• Material Changes<br />

• Lower Construction Labor<br />

• Installation Labor<br />

• Hoisting and Rigging<br />

• Actual Installation<br />

• Logistics<br />

• Crane Rental<br />

• Trucking<br />

• Site Delivery Labor<br />

Projected Pre-Fab Module Savings: 4% to 8%<br />

2011 NYC Healthcare Symposium<br />

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Substantial Completion<br />

Substantial Completion<br />

Achieving the Results<br />

Month<br />

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 <strong>19</strong> 20 21<br />

Foundations<br />

Site Prep<br />

Structure<br />

Floor 1<br />

Basement<br />

Floor 5<br />

Floor 4<br />

Floor 3<br />

Floor 2<br />

Punch<br />

<strong>Prefabrication</strong> Schedule Traditional Schedule<br />

Foundations<br />

Site Prep<br />

Structure<br />

Floor 5<br />

Floor 4<br />

Floor 3<br />

Floor 2<br />

Floor 1<br />

Basement<br />

Punch<br />

Schedule Impact of <strong>Prefabrication</strong><br />

Parallel Processing Earlier Start Times<br />

Higher Efficiency Less Construction Time<br />

Standardized Work Shorter Punch Lists<br />

2011 NYC Healthcare Symposium<br />

10/27/2011<br />

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<strong>Prefabrication</strong> <strong>Case</strong> <strong>Study</strong><br />

Miami Valley Hospital<br />

Dayton, OH<br />

.<br />

2011 NYC Healthcare Symposium<br />

10/27/2011<br />

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Miami Valley Hospital<br />

South East Addition<br />

• Premier Health Partners – 4 hospital health system<br />

• Southwest region of Ohio<br />

• Not for Profit institution<br />

• Largest private employer in Dayton<br />

• Regions only Level 1 Trauma Center<br />

• 816 beds / 2.5 million square feet<br />

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2011 NYC Healthcare Symposium<br />

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7-23-2007<br />

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8-23-2010<br />

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−484,000 square foot expansion<br />

−12 floors – 7 floors of inpatient beds<br />

−Allows conversion to all private rooms<br />

on campus<br />

−Heart Center focus<br />

−Starting point for campus transformation<br />

−Strategy is to evolve campus to high acuity /<br />

high technology<br />

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Our Motivation:<br />

• Improve quality<br />

• Reduce construction time<br />

• Reduce cost<br />

• Lean out the design and construction process<br />

• Reduce impact on the environment<br />

• Tight urban site with little staging area<br />

• Pushing Building Information Modeling<br />

• Leverage standardization and flexibility<br />

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Four Initiatives<br />

Temporary Bridge<br />

Modular, Demountable<br />

Caregiver Workstations<br />

Integrated MEP Racks<br />

Patient Room<br />

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December 12<br />

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December 13<br />

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December 14<br />

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December 15<br />

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Temporary Bridge – Performance Metrics<br />

Conventional Delivery<br />

•$2,100,000 to construct<br />

•4-6 months disruption<br />

of entry<br />

Prefabricated Delivery<br />

•$980,000 to construct<br />

•3 days of construction<br />

not disruption<br />

•Overnight removal of<br />

bridge after completion of<br />

permanent connector –<br />

zero disruption to campus<br />

and worksite<br />

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March 9<br />

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March 10<br />

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Four Initiatives<br />

Temporary Bridge<br />

Modular, Demountable<br />

Caregiver Workstations<br />

Integrated MEP Racks<br />

Patient Room<br />

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Patient Floor Design Workshop<br />

Patient Floor Design Drivers<br />

• Openness<br />

• Visibility<br />

• Access to patient and access to caregiver<br />

• Access to equipment<br />

• Standardization<br />

• Flexibility<br />

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Enhanced Staff Visualization<br />

• Open Support Core<br />

• No Columns<br />

• No Full Height Partitions<br />

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Flexibility<br />

• Staff support and storage stations<br />

• Modular and demountable<br />

• Adapt to changes in staffing ratios<br />

and technology<br />

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2011 NYC Healthcare Symposium<br />

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2011 NYC Healthcare Symposium<br />

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Four Initiatives<br />

Temporary Bridge<br />

Modular, Demountable<br />

Caregiver Workstations<br />

Integrated MEP Racks<br />

Patient Room<br />

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Above-ceiling MEP equipment<br />

• HVAC ducts and control boxes<br />

• Gas, plumbing, and sprinkler lines<br />

• Electrical conduit and cable trays<br />

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2011 NYC Healthcare Symposium<br />

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Sub-contractor’s<br />

NavisWorks<br />

Model<br />

Installation Photo<br />

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Strut and<br />

Seismic<br />

Connections in<br />

Navisworks<br />

Strut and<br />

Seismic<br />

Connections in<br />

Fabrication<br />

Shop<br />

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Four Initiatives<br />

Temporary Bridge<br />

Modular, Demountable<br />

Caregiver Workstations<br />

Integrated MEP Racks<br />

Patient Room<br />

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Patient Room Design Workshop<br />

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Optimized Patient-to-Staff Visualization<br />

Visibility into patient room is maximized with glass doors<br />

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views to outside<br />

Bed Orientation Maximizes Connection to Daylight and Views<br />

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Patient Safety<br />

Toilet room Is contiguous with headwall. Patient is never without a handrail, never crosses the room.<br />

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Toilet Room Module<br />

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Headwall Module<br />

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<strong>Case</strong>work Module<br />

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Clinical Mock-ups<br />

• Clarity for Clinical Team – Clinician<br />

simulations<br />

• Early Decisions<br />

• Advanced construction limits user changes<br />

• Collaborative design equates to design<br />

ownership and builds consensus<br />

Final finished and equipped<br />

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Constructability Mock-ups<br />

• Clarity for Design Team<br />

• Better understanding of logistics<br />

• Clarity for Sub-Contractors<br />

• Preview for Regulatory Agency<br />

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Prefabricated Headwall / Footwall units<br />

awaiting transport at fabrication shop<br />

Field photo of wall unit delivered and sheathed,<br />

with dual Hill-Rom headwall systems installed<br />

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In-Progress Performance Metrics<br />

Confirmed Performance Improvements<br />

Reduced Labor Costs<br />

Improved Worker Productivity<br />

Improved Worker Safety<br />

Reduced Waste<br />

Improved Build Quality<br />

Accelerated Schedule<br />

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Reduced Labor Costs<br />

178 Patient Rooms and 120 MEP Racks, completing work<br />

across 5 spec sections<br />

Total number of workers in shop: 18<br />

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Reduced # of Workers on site (and reduced peak)<br />

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Reduced Labor Cost<br />

Generic Scenario:<br />

Prevailing wage for site labor: $50 per hour<br />

Prevailing wage for shop labor: $40 per hour<br />

Labor rate savings: 20%<br />

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Improved Worker Safety<br />

Conventional installation of a VAV box control system requires<br />

5-8 trips up a ladder<br />

Our rack crews did all of their work standing on the floor<br />

Number of shop injuries: Zero<br />

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Manhours Worked<br />

Improved Worker Safety<br />

Manhours Worked<br />

2500000<br />

2000000<br />

1500000<br />

Eastern TN Hospital (250,000 SF)<br />

Western TN (600,000 SF)<br />

MVH (500,000 SF)<br />

1000000<br />

500000<br />

0<br />

1<br />

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#<br />

Improved Worker Safety<br />

Incident Summary Report<br />

70<br />

60<br />

50<br />

40<br />

30<br />

Eastern TN Hospital (250,000 SF)<br />

Western TN Hospital (600,000 SF)<br />

MVH (500,000 SF)<br />

20<br />

10<br />

0<br />

Recordables<br />

Incident Recordables & Rates<br />

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Rate<br />

Improved Worker Safety<br />

Incident Summary Report<br />

8.00<br />

7.00<br />

6.00<br />

5.00<br />

4.00<br />

3.00<br />

East TN Hospital (250,000 SF)<br />

Western TN Hospital (600,000 SF)<br />

MVH (500,000 SF)<br />

2.00<br />

1.00<br />

0.00<br />

Recordables<br />

Incident Recordables & Rates<br />

DART RATE<br />

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Reduced Waste<br />

Metal studs, ductwork, conduit, and pipe were ordered to length<br />

Number of dumpsters filled at prefab shop : Less than One<br />

Comparables: Ohio Project 544ksf = $138,970 waste removal cost<br />

Florida Project 1 423ksf = $200,006 waste removal cost<br />

2011 NYC Healthcare Symposium<br />

Florida Project 2<br />

MVH SEA<br />

480ksf = $490,083 waste removal cost<br />

485ksf = $125,000 waste removal cost<br />

(estimated)<br />

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Improved Build Quality<br />

System leaks were easier to detect, locate, and repair<br />

Working on floor rather than overhead allowed for 360 degree inspection of work<br />

Fewer connections eliminate medical system cross connections<br />

Ducts and pipes cleaned and capped in shop<br />

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Flexibility and Maintenance<br />

No fly zone accommodates new systems<br />

Predictability of systems eases maintenance<br />

Organization provides space for access<br />

2011 NYC Healthcare Symposium<br />

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Accelerated Schedule<br />

<strong>Prefabrication</strong> work begins: 2 February 2009 <strong>Prefabrication</strong> work complete: 12 October 2009<br />

The prefabrication work was started, and finished,<br />

before it would have even begun on a conventional jobsite<br />

Early completion equates to earlier revenue generation<br />

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Opportunities for Improvement<br />

Lessons Learned<br />

Expanded Scope - More prefabrication in the patient room and other<br />

aspects of facility<br />

Tighter integration between Design Team and Fabrication Team<br />

Planning for early release of submittals<br />

Real-time Metrics<br />

Logistics Planning, Just in Time Delivery<br />

Close proximity of <strong>Prefabrication</strong> Shop<br />

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<strong>Prefabrication</strong> <strong>Case</strong> <strong>Study</strong><br />

Miami Valley Hospital<br />

Dayton, OH<br />

QUESTIONS??<br />

2011 NYC Healthcare Symposium<br />

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