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
A STREAMLINED PROCESS
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.
ADDITION SUITED TO TREAT ALL INFECTIOUS DISEASES
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
| Apr 3, 2012
Suffolk completes phase one of Baystate Medical Center expansion
Construction management firm awarded emergency department project for successful build of $296 million MassMutual Wing and Davis Family Heart and Vascular Center.
| Mar 28, 2012
Holden Cancer Center opens at University of Iowa Hospitals and Clinics
The new cancer clinic provides a significant increase in patient space from the prior facility, which was located in an adjacent building.
| Mar 28, 2012
Tsoi/Kobis & Associates developing master plan for UT Southwestern Medical Center
Firm will spearhead strategies for transforming existing in-patient hospital into state-of-the-art ambulatory care facility.
| Mar 26, 2012
Jones Lang LaSalle completes construction of $536M Parkview Regional Medical Center
Hospital ushers in new era of local access to advanced medical treatments in Northeast Indiana.
| Mar 21, 2012
Iowa’s Mercy Medical Center’s new Emergency Department constructed using Lean design
New Emergency Department features a "racetrack" design with a central nurses' station encircled by 19 private patient examination rooms and 2 trauma treatment rooms.
| Mar 19, 2012
HKS Selected for Baylor Medical Center at Waxahachie
Baylor Medical Center at Waxahachiewill incorporate advanced technology including telemedicine, digital imaging, remote patient monitoring, electronic medical records and computer patient records.
| Mar 14, 2012
Tsoi/Kobus and Centerbrook to design Jackson Laboratory facility in Farmington, Conn.
Building will house research into personalized, gene-based cancer screening and treatment.
| Mar 6, 2012
Country’s first Green House home for veterans completed
Residences at VA Danville to provide community-centered housing for military veterans.
| Mar 1, 2012
7 keys to ‘Highest value, lowest cost’ for healthcare construction
The healthcare design and construction picture has been muddied by uncertainty over the new healthcare law. Hospital systems are in a bind, not knowing what levels of reimbursement to expect. Building Teams serving this sector will have to work even harder to meet growing client demands.
