- Façade design-assist of a unitized & panelized system improving building energy efficiency & project schedule from the original design
- Innovative procurement strategies to maximize local participation and lower overall project costs
- Utilized a Target Value Design approach to estimating to aid in early phases of design while providing real-time cost feedback
Dartmouth-Hitchcock Medical Center (DHMC) is New Hampshire’s only academic medical center, Level 1 trauma center and comprehensive cancer center and overall largest provider of healthcare in the state. Due to an increase in demand, the medical center expanded with a new, five-story tower on its campus, adding 64 inpatient beds for specialty and acute-care services. The design consists of two floors fit-out with 32 beds each with two shell floors for the future beds and a rooftop mechanical penthouse, as well as a first-floor featuring administration areas and shell space for future fit-out. Patient rooms were built to ICU standards and have the flexibility to be used for either medical/surgical, Conversion Ready Step Down or ICU purposes.
All construction occurred adjacent to the fully occupied medical center and connected to the active building. Additionally, significant utility connections such as power, medical gases and domestic water required shutdowns of the existing facility in order to get services to the new building. Intensive pre-construction planning ensured minimal disruptions and safe, unimpeded patient, staff and visitor access throughout the duration of the project. The pre-construction team engaged in a design-to-budget approach to evaluate pre-fabrication opportunities for schedule acceleration including the penthouse unit, façade system, headwall units, bathroom units and M/E/P/FP rack systems. An intensive pre-fabrication plan was developed with subcontractors to limit manpower on site and improve quality, and all major M/E/P equipment was pre-purchased to establish and verify costs early.