Tec

Surge

Childr111 Mi

Constru

chnicaDue: Dece

ery Exp

ren’s Natichigan Avenue

And

uction Manage

al Reember 3, 2

pansio

tional Mede, NW • Washing

rea Kle

ement • Advise

port 2007

n Phas

dical Centgton, DC 200

ein

ed By Dr. Mess

3

se 1

ter 010

ner 

 

 

Execut

A. Crit

B. Crit

C. Prob

D. Tech

E. Weig

tive Summ

tical Indus

tical Issue

blem Ident

hnical Ana

ght Matr

Te

mary………

stry Issue

es Resear

tification

alysis Me

ix…………

S

Andre

echnica

Table o

………………

es….………

rch Metho

n……………

ethods……

……………

Surger

Child111

ea Klein • Cons

al Rep

of Conte

……………

………………

od...………

………………

………………

…………….…

ry Expa

dren’s Na Michigan Aven

struction Mana

port 3

ents

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ansion

tional Menue, NW • Was

agement • Adv

3

………………

……………

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……………

……………

……………

Phase

edical Cenhington, DC 20

vised By Dr. Me

………2

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……...7

………..9

…….…10

……….11

e 1

nter 0010

essner

1 

 

 

Executi

Testchtose ThthcoinsochpCo Thopcomenpa

ive Summa

echnical Assigtudy of the seshosen researchopics chosen toemester.

he topics discuhe current laboonference part

n the constructolutions and chhosen it for myrefabrication iontrol Risk Ass

he selected anperating roomost savings thr

methods and pngineering foratient recover

ary

nment #3 is a ssions held at th topic, the proo be studied fo

ussed at the Roor workforce. ticipants resultion industry thanges for they research topn hospital rensessment (ICRA

nalysis topics wms. Evaluating rough reusing ossible redesigr schedule redy will not be d

S

Andre

preliminary stthe PACE Rounoblems with mor an in depth

oundtable weEach topic wating in a large he attendees w

e future. I partic. Narrowingovations with A) regulations

were a reevaluathe mechanicmaterials will

gn of certain euction and cos

disturbed by co

Surger

Child111

ea Klein • Cons

tage to writingndtable held omy thesis build

analysis, and

re prefabricatis presented bybrainstorming

were able to gticularly enjoye the focus of pa primary inte.

ation of the mcal system for p

require researelements. The st savings in fuonstruction or

ry Expa

dren’s Na Michigan Aven

struction Mana

g my thesis proon October 25t

ding that coulda weight matr

on, building iny a panel and wg session. By e

grasp new conced the discuss

prefabrication,erest in how it

echanical systpossible prefabrch into currenacoustical ana

uture projects repair work in

ansion

tional Menue, NW • Was

agement • Adv

oposal. It incluth, 2007, a discud provide brearix for the plan

nformation mowith questionexamining thecepts and comion on prefabr I would like tocan be tied to

tem and acousbrication, sche

nt design and calysis will be uwhen delicate

n neighboring

Phase

edical Cenhington, DC 20

vised By Dr. Me

udes a summarussion of my

adth topics, thenned report ne

odeling (BIM), s from the

e current situatme up with iderication and hao examine

o the Infection

stical design ofedule reductioconstruction sed as value

e procedures aareas.

e 1

nter 0010

essner

ry and

e ext

and

tions as for ave

f the on and

and

2 

 

 

A. Criti

A brief su

 P

Prinfa InImadargede Thpberewistobew Belareto Oinmac B

BIthbty

cal Indust

mmary of thr

refabrication

refabrication isnstalled. The actors include

ndustry leadersmplementationdapts to changre also differineneral consenesigning a pro

he applicationrefabrication ae in charge is d

equiring the mwould take a gr

sue is how to mogether in alteeing moved o

will be put toge

enefits of prefaabor, and the ineduce VOC emo minimize trav

Overall, many ondustry and its

many, but with ccepted and u

Building Inform

IM is a currenthe use of intelluilding. It use

ype of thinking

ry Issues

ree panel disc

n

s defined, primmain types areresidential con

s have many cn is the largestge. Many feel g opinions of sus of the PAC

oject with the i

n of prefabricatalready, when difficult to ans

most prefabricareat deal of timmeet current c

ernative locationce they are a

ether once on

abrication inclnherent benef

missions, dust cvelling distanc

obstacles lie in s current think

standardized sed.

mation Modeli

hot topic in inigent multidims new technol

g. The main go

S

Andre

cussions held

marily, as the ae prefabricationstruction as o

oncerns with pt hurdle to conprefabricationwhen in the d

CE Roundtableintention of us

tion in construan entire proj

swer. Should tated materials?me and care, ancode and inspeons. Transportssembled off ssite.

lude higher qufits which makcontaminationce.

the way of preing, prefabricaprocedures an

ing (BIM)

ndustry worldwmensional modlogies, which roal of BIM wou

Surger

Child111

ea Klein • Cons

at the 2007

act of construcon, pre-assembopposed to co

prefabricationnquer, due in pn will limit the esign process

e that the earliesing prefabrica

uction is also a ect is using prhe general co? Coordinatingnd labor preseection requiretation to the sisite and dama

uality of assemke it ideal for g

, and will force

efabrication. Wation has a futund general pra

wide. Not havdels to integrarequire new skuld be an integ

ry Expa

dren’s Na Michigan Aven

struction Mana

7 PACE Round

ting pieces of bly, and on vermmercial cons

n in its implempart to how slocreativity of arto begin cons

er prefabricatiated materials,

large issue. Wefabricated mntractor have g the efforts o

ents an importaements when pite is also a conge caused by t

mblies, with smreen construce assembly to

While it may reure in construc

actices, prefabr

ving a completate the design kill sets and tragrated design

ansion

tional Menue, NW • Was

agement • Adv

dtable in Stat

an assembly brsus off site costruction, and

entation and aowly the constrchitects and e

sidering prefabon is consider, time and mo

While many traaterials, the qucontrol, or thef the teams boant issue. Anopieces of a buincern with largthe transporta

maller tolerancetion. Assemblbe conducted

equire an overction. It will tarication will be

tely formalizedand construct

aining, and it aand delivery, w

Phase

edical Cenhington, DC 20

vised By Dr. Me

te College, PA

before they areonstruction. Ot

lean construc

application. truction industengineers. Thebrication. It is ed the better. ney can be sav

ades use uestion of whoe trade contracoth on and off other applicatilding are put ge, heavy loadation, and how

es, less cost foling off site wi

d within a local

rhaul of the enake the effort oecome more w

d definition, BItion analysis olso takes a diffwithout reduc

e 1

nter 0010

essner

A.

e ther

ction.

try ere the By

ved.

o will ctor site on

ds w they

r ll l zone

tire of

widely

M is f a ferent tion

3 

 

 

inusge Ounmhede Thhambeshhetrdehaonin Peavthbedew Buthpofwth W

Cpprefe

n quality. Whilsers are havingetting started,

Owners presentnfamiliar with

made early in a elpful, but theesign more, an

he next major as control of th

model, how deteginning of a phould all the delp enhance if

rades have adoetermine if coave as much ton board, and t

nvolved.

erhaps the largvailable howevhere are groupenefits of all thesign team to

want to follow o

uilding Informhere is much toroblems, if a tef BIM, the indu

was nice to see he industry me

Workforce Dev

urrently the corojects are beiroblem is espe

etiring, the pooewer people w

e the industryg trouble unde, and getting t

t one of the mthe technologproject to pro

e users must unnd they need t

problem withhe model, authtailed the modproject. Clearesigners be ab

f not replace stopted BIM easinflicts with otho gain from ushe biggest cha

gest problem fver each come

ps working on he attempts. Fmake decision

or create.

mation Modelino be solved abeam is ready austry is becom

the group at tembers presen

velopment

onstruction wong bid, with fe

ecially acute. Sor reputation o

who make a car

S

Andre

y players are merstanding thehe project tea

ajor blockadesgy and how it covide the full enderstand it firto be prepared

BIM is how tohors versus usdel should be, ly the architecble to alter thetandard drawiily, i.e. the MEPher trades are sing BIM. To ballenge to ind

for BIM in indues with its owncreating a stan

For the time bens about what

ng is going to bbout how best nd willing to wing more accethis Roundtabnt at last year’s

orkforce is dwewer laborers tSeveral factorsof the construcreer out of con

Surger

Child111

ea Klein • Cons

making progrese need and usem to buy-into

s for BIM in thechanges the b

extent of its adrst. Owners usd to make big d

o get everyoneers, how manyand what soft

ctural design tee model, or shongs, does everP trades, who npresent. Lowee completely sustry right now

ustry is the lacn format and isndard, there iseing, resolvingt software will

be a vital part to use it on pr

work through tepting and tryile seemed mo

s PACE Semina

indling and it to staff them. s attributing toction industry

nstruction.

ry Expa

dren’s Na Michigan Aven

struction Mana

ss in this type oe of BIMs. The the concept a

e constructionbuilding proces

vantages. As asing it need todecisions earli

e on the team iy trades need ware will be ueam needs to ould only one ryone need acneed extremeer trades, i.e. csuccessful, thew is how to sp

k of standardss not compatibs more than ong this issue fallbe used for a p

of constructiorojects. The bethe issues. As ng to solve th

ore open to BIMar.

is a bigger issuIn the Washin

o the lack of la, changes in w

ansion

tional Menue, NW • Was

agement • Adv

of thinking, mae biggest challeand use it.

n industry. Moss. BIM needs a tool, BIM can

o be trained to ier than typica

involved. Queto be involvedsed, create isshave access toperson be in c

ccess to them aly detailed dra

concrete and fie entire projecread the word

s. Multiple softble with all othne group, whics largely on thproject, and w

on in the futureenefits of BIM more people e issues at han

M as a whole in

ue than many ngton DC area bor are the ba

workforce dem

Phase

edical Cenhington, DC 20

vised By Dr. Me

any owners anenge of BIM is

ost owners are to be a decisio

n be extremelythink about th

al.

estions such asd in making thues from the

o the model, bcontrol? If BIMas a user? Certawings to inishes, might t team needs t

d, and get ever

tware packageher formats. Wch reduces thehe owner and what standards

e, but right nowoutweigh the become cham

nd. As an asiden comparison w

realize. Largein particular, tby boomers ographics, and

e 1

nter 0010

essner

nd

on y he

s who e

ut M is to

tain

not to be ryone

es are While e

s they

w

mpions e, it with

r the

d

4 

 

 

Coinofongrbeimpthcoansc Thwtrinanpw A poeflaanwimco Aorre K

ThmininSem

onstruction nenterested in thf construction ne primary issruff, abrupt anetter, looking

mage does notublic exposure

here aren’t maounseling on and soft skills anchool.

his poor reputwould not recoraining managn the workers cnd better worklaces would be

would be a high

final major coopulation seesffective and sk

anguage develnd in many ins

with this newermmigrant workompanies, and

s a whole, the rder to accom

enovation of m

ey Contacts

his Roundtablemany people wndustry needs nterested to seeminar in the s

mark and impro

eeds people, ais industry. Beworkers and m

ue is the attitund has a bad dlike they are ot impress manye to the new fany new faces t

alternate careend to adapt to

ation is not onmmend it as aement staff to

conditions. Woking conditione safer, laboreher retention r

omponent to ts this as a repu

killed as othersopment progr

stances implemr workforce, bukers are trained workers with

construction iplish this goal

management te

e session provwere of the issu

is to be able toee if any of thespring. One ofove the system

S

Andre

and a large parefore people wmanagement sude of the worisposition. Ow

out to make as y people, and aces of construto find. Ideas ter paths withino the new work

nly a perceptioa career to theio manage peoporkers who are

ns. If managemrs would be wrate.

his issue is theutation ruinings, if managed prams on both tmented with eut also trainingd in useful fiel

hout any exper

industry could, and obtain thechniques and

ved to be very ues, and how oo adapt to andse topics take f the reasons I

m from within.

Surger

Child111

ea Klein • Cons

rt of this discuswill seriously costaff needs to

rkers already inwners and cons

much money is a limiting fa

uction with its to improve then the industry,kforce, and the

on of outsidersir own childrenple more effece trained and i

ment was moreworking under

e increase of img factor, when properly. To rethe laborer an

excellent resultg and job cultuds and are qua

rience need to

d use a facelift,he people need job culture.

resourceful anopen they wered adopt techno

root in the indam so interes

ry Expa

dren’s Na Michigan Aven

struction Mana

ssion was focuonsider the coimprove. The

n place. A sterstruction manaas possible no

actor in generaincreased con

e image includ retraining cure possibility of

s. Many peopln. Options to cctively, and to in the industrye willing to admore reasona

mmigrant workthe truth is th

elieve some ofnd managements. Language bure. Just like aalified to take

o be trained to

, and present aded, the indus

nd enlightenine to new ideasologies and idedustry over theted in this ind

ansion

tional Menue, NW • Was

agement • Adv

used on how tonstruction tradproblem has meotypical consagement staff o matter the coating interest. ncerns for safede televised prrrent employef recruiting at y

e who work wchange this atget owner’s to

y are leaving tovocate better ble time const

kers. A large pese immigran

f the problemsnt side have bbarriers are non labor force, aon different johandle respon

a better picturstry needs to u

ng. I was surprs. Part of the ceals for a bettee next few moustry is to see

Phase

edical Cenhington, DC 20

vised By Dr. Me

o get more pedes, the reputamany levels, bstruction workdo not fair mu

onsequences. There is little ty and quality

rograms, es in behavioryounger levels

within the induttitude includeo take more into seek better wconditions, wo

traints, and the

percentage of tt workers can

s suggestions feen considere

ot the only proa portion of th

obs within thensibilities on s

e to society. Inundergo a

ised by how awcultural changeer society. I amnths until the how I can mak

e 1

nter 0010

essner

ople ation

but ker is uch This

, but

ral s of

stry e terest

wages ork ere

the be as for

ed, oblem he ir ite.

n

ware e the m PACE ke my

5 

 

 

I m

Si

met several pe¬ Stan Ca

¬ James

ince the sessio¬ Corinn

¬ Ben Mo¬ Leaha

eople who willarlat: Hensel P

Stan’s compboth relate t

Faust: Turner Turner is a nindustry I ho

on, I have made Ambler: Bart

Corinne proconstruction

organ: Barton Martynuska: B

S

Andre

be good contPhelps pany is known to my project.Construction

national compaope will prove

e several otheton Malow

ovided two conn. Malow

Barton Malow

Surger

Child111

ea Klein • Cons

tacts for my th

for experience

any with manyto be invaluab

er contacts thro

ntacts within h

ry Expa

dren’s Na Michigan Aven

struction Mana

esis research.

e in prefabrica

y resources, anble

ough interview

her company w

ansion

tional Menue, NW • Was

agement • Adv

ation and for c

nd Jim’s exper

ws and corresp

who have expe

Phase

edical Cenhington, DC 20

vised By Dr. Me

lean rooms wh

ience in the

pondence.

erience in hosp

e 1

nter 0010

essner

hich

pital

6 

 

 

B. Criti Problem S

HUcospanRibesp

It anco

Research

ThimpcocoreA

Research

1. To m

2. Resm

3. MaICar

4. Senarpexex

5. Comdi

cal Issues

Statement:

ospital renovanited States. Uonducted whilpaces is nothinn occupied hoisk Assessmene done to imppecifically pref

is my goal to rnd labor savinonstruction.

h Goal:

he intent of mmplement on hractices alreadompare to my ontractors andeducing onsitemerican Instit

Steps:

obtain a true umake contract wsearch statistic

my target audieke contact wit

CRA regulationreas of researcnd out preliminre already beinrefabrication, txample of thisxpertise and ampile data froirection on wh

Research

ations and expUnfortunately,le the rest of thng new to the ospital is causent(s), ICRAs, in h

rove the qualifabrication.

research the egs, but also fo

y research ovehospital constrdy in place by c

plans. Hopefud facility manae labor and labute of Architec

understandingwith contractocs on hospital rence. th owners andns and which isch to best benenary surveys tong used for hetarget trades f would be condvice they havm these conta

hich trades to f

S

Andre

Method

pansions are an, to meet to thhe hospital coconstruction i

e for even morehospital constty of construc

effect of prefabr its benefits to

er this coming ruction projeccertain contracully, the guidegers to aid in u

bor costs, and icts (AIA).

g of the currenors to ask quesrenovation an

owner’s repressues prefabricefit the end uso general and althcare proje

for prefabricatntacting mechave. acts to determfocus on.

Surger

Child111

ea Klein • Cons

n integral part he continual nentinues to opendustry howee concern. Whruction has alltion and infec

brication on hoo the health an

semester is tots where infeccting trades w

e I create throuusing prefabricin better meet

nt ICRA regulatstions and affird expansion p

esentatives to cation may heser. trade contract

ects. These surtion and any suanical contrac

ine how best t

ry Expa

dren’s Na Michigan Aven

struction Mana

of maintainineeds of the puerate normally

ever the risk of hile the implemeviated manytion control in

ospital renovatnd safety of pa

o create a guidction control is

which will provugh my researccation as a meting the ICRA g

tions. Read therm my conclusprojects to crea

establish whalp address. Th

tors to discernrveys would inuggestions forctors known fo

to format a gu

ansion

tional Menue, NW • Was

agement • Adv

g the health cblic, these pro

y. Working in pcontaminatio

mentation of Iny of the problemn the healthcar

tion projects, natients in hosp

de with prefabrs a major conceide examples ach can be usedeans of reducinguidelines set f

e guideline estsions. ate a firm basis

t concerns thehis will hopefu

n what methodclude the amo

r what else it mor prefabricatio

ide, and to pro

Phase

edical Cenhington, DC 20

vised By Dr. Me

are systems inojects must be partially occupn and infectionfection Contrms, I feel morere market;

not only for itspitals undergo

rication ideas tern. There areand experiencd by owners, ng schedule timforth by the

tablished, and

s of need and v

ey have about lly provide tar

ds of prefabricount and meth

may be of use ton to see what

ovide further

e 1

nter 0010

essner

n the

pied n in rol e can

s cost ing

to e ce to

me,

d

verify

the rget

ation hod of to. An t

7 

 

 

6. Creanp

7. Estainho

8. Takgu

Sample S

Preliminar¬ A¬ H¬ D

w¬ W¬ D

gu Post Guide

¬ W¬ D¬ D¬ D¬ D

th¬ A¬ W

eate the guide nd contractorsroject for the mablish credibil

nexperienced, ow easy the gu

king the resultsuide myself an

urvey Questi

ry Survey to Ore you familiarave you used id you have di

were they, and Was prefabricat

o you think fauidelines?

eline Survey Was the guide e

id the guide po you feel the o you feel thiso you have an

he guide? Examre there any su

Would you use

for prefabricas. The hope fomaximum benity of the guidto review the uide is to undes from the surv

nd make adjus

ons:

Owners r with the 2006ICRA guidelineifficulties in mhow did you ation used to anbricating mate

easy to undersprovide sufficie

topics outlines guide would ny suggestionsmples: newer uggestions yothis guide in f

S

Andre

tion in healthcor this guide is nefit. de by asking m

guide and comerstand and imveys and commtments as req

6 ICRA guidelies for past or paintaining any

attempt to solvny extent durinerials and syste

stand and folloent informatioed covered issube useful to fu

s for ways to betechnologies, u wish to mak

future projects

Surger

Child111

ea Klein • Cons

care projects uto create som

members of themplete a survemplement, andments from inuired.

nes establishepresent projecy of the procedve them? ng your projecems off site is

ow? n on prefabricues prevalent uture project oetter the guideworkforce issu

ke for material s either alone o

ry Expa

dren’s Na Michigan Aven

struction Mana

using languagemething which

e target audieney. This surveyd if they woulddustry membe

ed by the AIA?cts in your facildures outlined

ct? a viable optio

cation practicein healthcare c

owners and coe or the ideas ues, etc… the guide is m

or in conjuncti

ansion

tional Menue, NW • Was

agement • Adv

e friendly to owcan be implem

nces, both expy would includd use it in practers, I would th

ity? d in you progra

n to help main

es and implemconstruction?

onstruction teafor prefabricat

missing? ion with the IC

Phase

edical Cenhington, DC 20

vised By Dr. Me

wners, designemented early in

perienced and e questions abtical applicatioen reevaluate

am? If so, wha

ntain the ICRA

entation?

ams? tion outlined w

CRA regulation

e 1

nter 0010

essner

ers, n a

bout ons.

the

t

within

ns?

8 

 

 

C. Prob

The foconstrreduc

M

InthanamdetoAm

 A

Gthhathmop

E

ThOlifsusyen Fi

Thhawsh

blem Identif

ollowing itemsructed by an ae the project c

Mechanical Sy

n this renovatihe offices it orind replaced. Amount of the sesigned to be

o reduce the colso, the use of

means of sched

Acoustical Ana

iven the sensithe Critical Inteave been take

he plans for momaterials being

ption of study

lectrical Syst

he electrical syOperating room

fe support systupply and emeystem controlsnsure it meets

ire Protectio

he project is cuave spray firep

with a new desihow possible s

fication

s are elements lternative met

cost, the projec

ystem:

on project a spginally held. T

As the largest vschedule, and LEED® certifie

ost and schedprefabrication

dule reduction

alysis:

tivity of the arnsive Care Unin to isolate coore renovation

g put into placey.

tem:

ystem for this rms are the maintems working.ergency powes. It is an optio the requireme

n:

urrently havinproofing on thign and is delaschedule reduc

S

Andre

of the Surgerythod. The goact schedule, o

pace is being dThese changesvalued packagwould probabd but the use ule. Recyclingn is a distinct p.

eas surroundinit (CICU), noise

onstruction non in the future e, or the use of

renovation is cn focus, and in. Large complr. Examining t

on for value enents.

g a major issuee ceiling whic

aying further cctions and rev

Surger

Child111

ea Klein • Cons

y Expansion pral of this projecr both. They w

designed to has required all oe on this proje

bly be examineof more efficie

g and/or reuse possibility for t

ng which house during constise through altthis is an impo

f more materia

critical providen most cases coex equipmentthe design wo

ngineering and

e with fireprooh is unacceptaonstruction in

veal constructa

ry Expa

dren’s Na Michigan Aven

struction Mana

roject which cct is to analyzewill be evaluate

andle a differeof the existing ect, the mechaed as a breadtent methods atechnology w

the mechanica

ses the Neonaruction is a maternative methortant issue toals being place

ed the nature oonsume large t gets hooked

ould provide ind cost savings

ofing the operable. The design the ORs. A cloability issues.

ansion

tional Menue, NW • Was

agement • Adv

ould be redesie and evaluateed in a later re

ent and more smechanical w

anical work takh topic. The bnd equipmen

would be examal systems if de

tal Intensive Cajor concern. hods and meao consider. Aned in the inter

of the work doamounts of enup to both the

nformation on to “right-size”

rating rooms. gn team has noser look with

Phase

edical Cenhington, DC 20

vised By Dr. Me

igned or e these items toeport.

specialized usework to be remkes a considerabuilding is not

t may be analymined for feasib

esigned correc

Care Unit (NICUSeveral measuns, however, g analysis of finstitial floors is

one in the buildnergy to keep e main power energy use anthe equipmen

It was designeot yet come uthe system ma

e 1

nter 0010

essner

o

e than oved able

yzed bility. ctly as

U) and ures given nish

an

ding. the

nd nt and

ed to p ay

9 

 

 

D. Tech

The foreduct

M

Loscredepdefareim

A

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