An integrated approach to building: the right team and correct early decisions guide successful projects.Whether you are renovating an existing senior environment, repositioning repositioning Laparoscopic surgery The changing of a Pt's position during a procedure to improve access or visualization of the operative field, which may be linked to complications, as it changes anatomic planes of operation. Cf Laparoscopic surgery. a campus, or building a new continuing care continuing care a professional convention that a veterinarian who is treating an animal is obliged to continue treating that case unless an arrangement is made with its custodian to transfer the care to another practitioner or to a specialist. retirement community (CCRC Noun 1. CCRC - an agency in the Department of Defense that is a national center for research on all aspects of injury control and casualty care Casualty Care Research Center ), the earliest decisions can have a substantial effect on the timing, cost, and outcome of construction projects. Similarly, property entitlement issues, property assessments, or facility conditions can greatly dictate success or pitfalls with any renovation and/or new building projects. Consequently, how wisely an eldercare eld·er·care n. Social and medical programs and facilities intended for the care and maintenance of the aged. provider organization chooses its development team and how well that team plans ahead will have a significant effect on the long-term success of any construction project. The trend toward identifying a Program Manager, or Owner's Representative, to lead the construction project team is becoming a vital factor in accomplishing an integrated approach to the building process. Outsourcing (1) Contracting with outside consultants, software houses or service bureaus to perform systems analysis, programming and datacenter operations. Contrast with insourcing. See netsourcing, ASP, SSP and facilities management. can fulfill ful·fill also ful·fil tr.v. ful·filled, ful·fill·ing, ful·fills also ful·fils 1. To bring into actuality; effect: fulfilled their promises. 2. this role if in-house resources with expertise in senior developments are not available. A typical team includes the Owner, Program Manager, Designer, and Builder. Defining the right team enables project personnel to make early decisions that guide the building from vision to occupancy. The Process Begin with the definition of roles and responsibilities for project participants. The Program Manager will need to establish a design and construction delivery method. Traditionally, design-bid-build was done; now other delivery methods such as fast-track, design/build, and construction management are being considered more frequently. A common method today is a Guaranteed Maximum Price A Guaranteed Maximum Price (also known as GMP, Not-To-Exceed Price, NTE, or NTX) contract is a cost-type contract (also known as an open-book contract) where the contractor is compensated for actual costs incurred plus a fixed fee subject to a ceiling price. (GMP GMP (guanosine monophosphate): see guanine. ) agreement whereby a General Contractor A general contractor is an organization or individual that contracts with another organization or individual (the owner) for the construction of a building, road or any other execution of work or facility. provides preconstruction services and a contract is negotiated. In a design-bid-build, or traditional method, full construction documents are competitively bid to multiple contractors and a lump sum Lump sum A large one-time payment of money. for construction is chosen. In a fast-track scenario, multiple bid packages are issued so that construction phases can overlap and reduce the overall duration of building. With a construction manager, an agreement is negotiated for time and materials labor and materials (time and materials) n. what some builders or repair people contract to provide and be paid for, rather than a fixed price or a percentage of the costs. , with subcontractors bidding. There is no right or wrong way; selecting the methodology that suits your project requirements is the key. Whatever the method, early involvement of various team members is crucial in completing a building project timely and effectively. A well-qualified Program Manager must understand senior environments, be skilled at zoning processes, have solid experience with the construction type being undertaken, and communicate well with project participants. In this capacity, whoever is functioning as the Owner's Representative should understand where the most common problems occur and be ready to offer solutions. An outsourced Program Manager, if used, should be proficient pro·fi·cient adj. Having or marked by an advanced degree of competence, as in an art, vocation, profession, or branch of learning. n. An expert; an adept. in construction cost estimation estimation In mathematics, use of a function or formula to derive a solution or make a prediction. Unlike approximation, it has precise connotations. In statistics, for example, it connotes the careful selection and testing of a function called an estimator. and establishing overall project budgets for senior developments. Visioning Planning for projects should include property assessment or a facility conditions analysis. As an Owner's building program is defined, it is measured against whether construction is to occur on an existing campus or a proposed site. The delivery of the construction project in a timely and cost-effective manner is a key issue in building. Team Roles The project team begins achieving its goals by entitling the property for the proposed use. Various team members will assist in securing local municipal approvals. The Owner is in the best position to voice the project's parameters; the Designer's plans respectfully re·spect·ful adj. Showing or marked by proper respect. re·spect ful·ly adv. respond to community wishes; the Builder communicates how
construction will be handled to minimize disruption; and the Program
Manager coordinates all of these efforts.
The Owner will complete market studies, an operational impact analysis, and a financial feasibility determination. A Designer who has a broad range of experience in the proposed type of project will be selected. The Builder will be involved early in the process, knowing local constructability issues and codes, including health department regulations for licensed programs. The Program Manager will run cost estimates to define the project budget and develop the master schedule. The development timeline identifies milestones of planning and later implementation; it is a road map that guides the process. Team members coordinate efforts throughout the process, with communication being the most important critical success factor. Every building project prioritizes three factors: schedule, cost, and quality. Effective management moves a project along in a timely fashion. Total project costs are managed through programming, reviewed with value engineering, and then adjusted according to according to prep. 1. As stated or indicated by; on the authority of: according to historians. 2. In keeping with: according to instructions. 3. Potential Change Orders (PCOs). The Building Process No building process is without its imperfections; PCOs are inevitable. If the planning process has accounted for appropriate contingencies, a PCO PCO 1 Patient complains of 2 Polycystic ovaries, see there is not necessarily a bad thing. A change order can be used to add enhancements to a project. A good schedule also allows for time to address a PCO in order to get the project back on track. When a PCO comes up during a building project, the building team must know the right questions to ask and have a process in place to evaluate the answers. Review the sidebar (1) A Windows Vista desktop panel that holds mini applications (gadgets) such as a calendar, calculator, stock ticker and Vonage phone dialer. It is the Windows counterpart to the Dashboard in the Mac. See Windows Vista and gadget. ("Potential Change Orders," p. 19) defining the common types of PCOs. If a building team understands how the project might be affected by change orders, it can anticipate alternatives and work the necessary contingencies into the budget and schedule. Communication The Program Manager acts as a "quarterback," calling the plays that will "score" on schedule, cost, and quality. His or her skillfully skill·ful adj. 1. Possessing or exercising skill; expert. See Synonyms at proficient. 2. Characterized by, exhibiting, or requiring skill. planning for zoning ensures a timely entitlement process that will reduce the overall schedule. An early conceptual estimate that takes into consideration all the implications of building the desired program will enable the project budget to be met. A good Program Manager doesn't just save money; he or she makes sure that the Owner's dollars are well spent. Senior housing organizations can add value to a project by having a clear vision of their program and of the team they want to carry out the building. The participants need to understand the project scope and the limitations of their roles. Information and instructive in·struc·tive adj. Conveying knowledge or information; enlightening. in·struc tive·ly adv. material should
be available for various team members to help them do their respective
jobs in the best manner possible.
For example, the Designer has access to market study information or the Builder has an understanding of related financial material and how to commit to project parameters. If the General Contractor acutely understands the financing, development of a GMP agreement will be in line with project expectations. Currently, senior housing lenders prefer a GMP contract, and that it be in place before construction financing. It is crucial, however, that Owners remain engaged in the construction process even after a GMP is signed. Owners often participate less in the details or day-to-day building activities because of the perceived comfort level of a GMP. However, because the scope of existing construction is often based on less than full contract drawings and construction contingencies must be managed properly, program management becomes essential to maximizing the value of building costs. The Owner's representative becomes central to communicating the Owner's wishes along these lines. The Integrated Approach Most experienced observers agree that the best collaboration occurs when the Owner, Program Manager, Designer, and Builder work together as directly as possible. This integrated approach provides clear and direct communication between and among all team members. So, once the right team is in place, consider how the team will meet and how key decisions will be made. It is imperative that the Owner ensures that a decision-making structure is in place because, without one, the professionals will not be in a position to do their jobs well. Make sure that the team identifies critical issues early on and that it articulates appropriate strategies to mitigate risk. As the Italian economist Vilfredo Pareto Noun 1. Vilfredo Pareto - Italian sociologist and economist whose theories influenced the development of fascism in Italy (1848-1923) Pareto observed in coining the so-called 80/20 principle, "The first 20% of effort often contributes 80% of the benefit." An integrated building process is one that involves people working together. The right people understand that construction problems are temporary and that every one of them has a solution, given the appropriate time, attention, and input from the team. Frank R. Muraca, AIA AIA - Application Integration Architecture , is the Managing Director of ARCH Consultants, Ltd., an Owner's Representative firm located in Lincolnshire, Illinois Lincolnshire is an affluent village in Lake County, Illinois, United States. The population was 6,108 at the 2000 census. It is the headquarters of Hewitt Associates, Quill Corporation, and Takeda Pharmaceuticals North America, as well as Newman/Haas Racing, an auto racing team in , that provides planning and program management services specifically for senior environments. For further information, phone (888) 692-4925 or visit www.archltd.com. To send your comments to the author and editors, e-mail muraca0607@nursinghomesmagazine.com. BY FRANK R. MURACA, AIA RELATED ARTICLE: Potential Change Orders Consider the following common types of change order situations when evaluating how PCOs affect cost and schedule: * Errors and Omissions errors and omissions n. short-hand for malpractice insurance which gives physicians, attorneys, architects, accountants and other professionals coverage for claims by patients and clients for alleged professional errors and omissions which amount to negligence. Changes involving findings from any survey, record documents, program communication, site investigation, or coordination of disciplines * Code Interpretation Governing authority changes an interpretation * Unforeseen Conditions Changes caused by hidden conditions (e.g., unsuitable soils) * Program Changes Owner-directed changes (i.e., ones that deviate from original scope) * Miscellaneous Changes caused by weather delay, natural disaster, accident, commodities cost, labor strike, etc. |
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