A vision of community springs to life

March 1, 2011
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Ahuja Medical Center promotes a unique design concept centered on the surrounding neighborhoods it will serve
Ahuja Medical Center (AMC), Beachwood, Ohio Ahuja Medical Center (AMC), Beachwood, Ohio Interior view, Ahuja Medical Center (AMC), Beachwood, Ohio Gardens will bloom in wetlands where the facility is located Open, spacious environment Interior with a view of the outside Public area Public area Patient room Nature continues as a theme throughout the facility Wood and natural colors create spacious open areas Spacious lobby Reception desk Interior hallway
Scott Pease/Scott Pease Photography 2011

Construction hurdle face-off

The construction team tackled several major challenges head-on while navigating the AMC project. First, sheet flooring could not be installed in the building as a whole on its scheduled start date. “The flooring manufacturer's testing indicated the concrete slab moisture content was too high. We had to find a sealer that would allow us to install the floor and maintain the warranty. We found a product, but we still had to bead blast the floor and then add, in most cases, two coats of the product. This time was not in our project schedule. We overcame the delay by increasing manpower, going to extended hours, and developing a re-sequenced fragmented schedule,” Sucec says.

That construction dilemma was quickly followed up with an encore hurdle thanks to Mother Nature. “We also experienced two separate wind/rain storms that forced rainwater into the building from the temporary roof. The second storm also damaged the permanent roofing system. Both storms resulted in rainwater entering the building from the roof and flowing down into the building for five floors. We had to remove painted drywall, finished casework, and finished flooring; determine the extent of the damage; initiate a mold mitigation process; validate that all damaged material was replaced; and rebuild all the affected interior area. Given the hospital's extreme sensitivity to mold, the testing and inspection were extraordinarily complex. We again accomplished this with additional manpower and extended hours,” Sucec says.

No need to break the bank

Kraus and Sucec agree that the budget was the most challenging aspect of the AMC project. “We [architect and contractor] talked early and often-from design through final construction,” Kraus says. “As with most projects, we had a considerable hurdle to [value engineer] nearly $30 million out of the project to control costs. Not only did we meet together, but we met with subcontractors as well to review the design, refine details, and improve pricing. In many cases, by focusing on good communication, we were able to adjust the design together, making informed decisions.”

That type of communication not only made the project run smoothly, it quickly proved to be successful for the owner's bottom line as well. “We lead the team through three months of value engineering, and spent more time writing the most complete scopes/bid packages,” Sucec says. “Our efforts resulted in more than $1.7 million in savings due to value engineering revisions that were incorporated into the final project. Also, due to our extensive and thorough bidding process, we were able to return $2.3 million of our original $4.8 million construction contingency to the owner. We returned these savings in several phases during the construction period so that the owner could utilize the money during their purchase of medical equipment and during their transition phase.”

That mantra resonated on the design side of the project as well. “When terra cotta pricing first came in, the typical VE options quickly arose of possibly looking at brick or precast,” Kraus says. “However, when we met with the subs and were able to overlay both the schedule, as well as the cost of the total wall system, we realized that by making the panel sizes of the terra cotta one foot longer, we could greatly save labor through fewer pieces to hang and greatly reduce the price. By communicating together, we learned that the lighter system requires less steel, and shallower footings also improve costs. The lesson is communication. Great design doesn't have to break the bank, all parties need to be flexible and nimble to search for the best solutions to the challenge.” HBI

For more information on University Hospitals Ahuja Medical Center, visit www.uhhospitals.org. Healthcare Building Ideas 2011 Winter;8(1):28-38

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