flexiblefullpage -
billboard - default
interstitial1 - interstitial
Currently Reading

A hospital addition in Maryland was designed and built in 120 days

Healthcare Facilities

A hospital addition in Maryland was designed and built in 120 days

Lean practices, and early engagement with the county’s permitting department, moved this project forward quickly.

By John Caulfield, Senior Editor | August 27, 2020

A 12,560-sf addition to Meritus Health Center in Maryland went from concept to completion in four months. Design-to-permit alone took less than six weeks. Image: (c) John Cole

On March 20, Meritus Health Center in Hagerstown, Md., submitted an emergency certificate of need to the state of Maryland’s Healthcare Commission, which one day later approved the hospital’s plan for its permanent 2 South Regional Infection Containment Wing to support COVID-19 infected patients.

Two days after that approval, Gilbane Building Company and Matthei & Colin Associates started assembling a building team to design and build this new facility. (A decade earlier, this same team built the 510,000-sf, 267-bed Meritus Medical Center in what at that time was a record 30 months.)

“Eight days after our initial call, our team was moving soil and digging foundations,” says Gary Orton, vice president and director of healthcare for Gilbane’s Mid-Atlantic division. “A project like this would typically take more than a year to conceptualize, design and build, but we didn’t have that kind of time.”

The steel framing was erected in six weeks and the building was airtight in two months. Streamlining was evident in the reduction of the construction punch list to seven open items, from 73.

The 12,560-sf addition was completed on July 31; the time between the start of designing this wing and its receipt of a temporary certificate of occupancy was only 120 days. The addition was accepting patients by early August.


Also see: A time-lapse video of the hospital wing’s construction



As this project proceeded, the first critical steps, according to Matthei & Colin, were defined as: identifying long lead materials/systems and get them ordered as the building was being designed; engaging County and State officials to develop a plan to streamline the permit processes, while ensuring quality and safety of the final product; and developing a schedule with major milestones identified along the critical path.

“We reinvented decision making and certification processes to recognize the realities of working remotely and serving the schedule to bring the facility online as quickly as possible for the community,” says William Heun, lead architect for the project and partner with Matthei & Colin Associates.

According to Gilbane, the fast-track schedule was abetted by bringing the Washington County (Md.) permit and inspections department into daily meetings with the Building Team, to identify areas of improvement and to minimize delays in the permitting and life safety processes.

Gilbane adds that the design-to-permit time for the addition, which normally would take six to nine months for a building this size, was whittled down to less than six weeks.

The team exercised Lean practices to coordinate and streamline processes, expedite permitting, and procurement, design, and construction.

Exterior metal stud wall framing was fabricated on the ground and lifted into place when the structural steel frame was erected. Millwork and casework were assembled in the largest and most complete units possible. Headwalls were prefabricated with all power, gases, outlets and light controls in place, reducing installation time and providing a single point of connection above the ceiling. Door hardware was installed on doors off site, to minimize carpenters’ time in the project area.

Among the project's time-saving measures was prefabricating the patient room headwalls. Image: Gilbane, courtesy of Meritus Health.



CM Cost Plus Fee was the delivery method deployed for this $12.5 million addition, which is the first of its kind in the region, with 20 ventilator-capable negative pressure isolation rooms designed and built to contain any type of infectious disease. A sophisticated nurse call system enhances connectivity between patients and the nursing staff. Eight of the wing’s rooms have corridor windows with integrated blinds.

The Building Team included Frederick, Seibert & Associates (CE, land surveying, and landscape architecture), Leach Wallace Associates (MEP engineer), and GRAEF-USA (SE). Other suppliers and subcontractors listed are Heffron, Cindell Construction, Davenport Commercial, Ellsworth Electric, Emmitsburg Glass, Johnson Controls, Kalkreuth Roofing and Sheet Metal, KBK Builders, Kinsley Manufacturing, Modular Services, PAINTech, Ruppert Landscape, Robert W. Sheckles, Siemens, Swisslog Healthcare Solutions, Triad Engineering, and Virginia Sprinkler.

Related Stories

Augmented Reality | Jan 27, 2023

Enhancing our M.O.O.D. through augmented reality therapy rooms

Perkins Eastman’s M.O.O.D. Space aims to make mental healthcare more accessible—and mental health more achievable.

Hospital Design Trends | Jan 19, 2023

Maximizing access for everyone: A closer look at universal design in healthcare facilities

Maria Sanchez, Interior Designer at Gresham Smith, shares how universal design bolsters empathy and equity in healthcare facilities.

Fire and Life Safety | Jan 9, 2023

Why lithium-ion batteries pose fire safety concerns for buildings

Lithium-ion batteries have become the dominant technology in phones, laptops, scooters, electric bikes, electric vehicles, and large-scale battery energy storage facilities. Here’s what you need to know about the fire safety concerns they pose for building owners and occupants.

Healthcare Facilities | Dec 20, 2022

4 triage design innovations for shorter wait times

Perkins and Will shares a nurse's insights on triage design, and how to help emergency departments make the most of their resources.

Healthcare Facilities | Dec 20, 2022

Designing for a first-in-the-world proton therapy cancer treatment system

Gresham Smith begins designing four proton therapy vaults for a Flint, Mich., medical center.

Cladding and Facade Systems | Dec 20, 2022

Acoustic design considerations at the building envelope

Acentech's Ben Markham identifies the primary concerns with acoustic performance at the building envelope and offers proven solutions for mitigating acoustic issues.

Sponsored | Resiliency | Dec 14, 2022

Flood protection: What building owners need to know to protect their properties

This course from Walter P Moore examines numerous flood protection approaches and building owner needs before delving into the flood protection process. Determining the flood resilience of a property can provide a good understanding of risk associated costs.

Healthcare Facilities | Dec 14, 2022

In Flint, Mich., a new health center brings together children’s mental and physical health services

Families with children who experience behavioral health issues often have to travel to multiple care facilities to see multiple teams of specialists. In Flint, Mich., the new Center for Children’s Integrated Services at Genesee Health System (GHS), a public mental health provider, brings together all of the GHS children’s programs, including its behavioral health programs, under one roof. It provides families a single destination for their children’s mental healthcare.

Adaptive Reuse | Dec 9, 2022

What's old is new: Why you should consider adaptive reuse

While new construction allows for incredible levels of customization, there’s no denying that new buildings can have adverse impacts on the climate, budgets, schedules and even the cultural and historic fabrics of communities.

Healthcare Facilities | Nov 17, 2022

Repetitive, hotel-like design gives wings to rehab hospital chain’s rapid growth

The prototype design for Everest Rehabilitation Hospitals had to be universal enough so it could be replicated to accommodate Everest’s expansion strategy.

boombox1 - default
boombox2 -
native1 -

More In Category

halfpage1 -

Most Popular Content

  1. 2021 Giants 400 Report
  2. Top 150 Architecture Firms for 2019
  3. 13 projects that represent the future of affordable housing
  4. Sagrada Familia completion date pushed back due to coronavirus
  5. Top 160 Architecture Firms 2021


Magazine Subscription

Get our Newsletters

Each day, our editors assemble the latest breaking industry news, hottest trends, and most relevant research, delivered to your inbox.


Follow BD+C: