{"id":16794,"date":"2023-10-17T11:43:45","date_gmt":"2023-10-17T15:43:45","guid":{"rendered":"https:\/\/www.consigli.com\/?p=16794"},"modified":"2023-10-18T11:31:49","modified_gmt":"2023-10-18T15:31:49","slug":"revolutionizing-healthcare-construction-the-power-of-pre-fabrication-pre-purchasing","status":"publish","type":"post","link":"https:\/\/www.consigli.com\/revolutionizing-healthcare-construction-the-power-of-pre-fabrication-pre-purchasing\/","title":{"rendered":"Revolutionizing Healthcare Construction: The Power of Pre-fabrication & Pre-purchasing"},"content":{"rendered":"
Dartmouth Hitchcock Medical Center (DHMC) is the only Level 1 trauma hospital in New Hampshire, providing primary and specialty care to patients throughout New Hampshire and Vermont. Despite DHMC\u2019s technical staff having the ability to support the area\u2019s most complex cases, their facilities could not meet patient base demand and often exceeded capacity, forcing DHMC to turn away hundreds of patients per month.<\/p>\n
In 2018, the DHMC board approved the construction of a new, six-story 240,000 square foot Inpatient Tower, expanding services and capacity by adding 64 state-of-the-art inpatient beds and shell space for future flexible expansion.<\/p>\n
The facility was designed with an interdisciplinary and \u201cfuture-proof\u201d approach. Patient rooms provide flexibility to serve as med\/surg, step-down, or even critical care options, depending on need. Each room is private and offers space for visitors to be with their loved ones during their stay. And, technology is at the forefront, with integrated patient dashboards, MyChart Bedside, and telemetry units, allowing patients to interact with their provider teams at their fingertips.<\/p>\n
The Upper Valley is a collection of small, quintessential New England towns along the Vermont\/New Hampshire border. The area is large, but the population\u00a0is low, and DHMC is the only hospital within many miles for these residents.<\/p>\n
DHMC\u2019s priorities and obligation to Upper Valley residents extended beyond the care they were providing. It was important to the hospital to put the Upper Valley to work through this significant construction project, and to the extent it was possible, keep the labor and vendor base local.<\/p>\n
Consigli\u2019s knowledge of the New Hampshire subcontractor market and capabilities informed a thoughtful strategy to do just that, ultimately keeping over 50% of the project spend with local firms.<\/p>\n
Keeping the Work Local: <\/strong>The Consigli team took a holistic view of the planning and buyout for this project: identify which scope areas could be supported by local subcontractors and vendors,\u00a0and then determine where there were opportunities to introduce creative solutions\u2014like pre-fabrication<\/a> and material pre-purchasing\u2014that would infuse greater efficiencies into the project.<\/p>\n To start, the team mapped out all local subcontractors with the size, capacity, and experience to take on a project of this scale and complexity. The subcontractors were invited to an open house event where they could learn more about the project, meet the Consigli team, and get a sense of the expectations and timing for bidding.<\/p>\n \u201cOur plan was to use local labor whenever we could, and when we maxed out that avenue, we explored creative solutions that could enhance the overall delivery of the project,\u201d said Ricky Gala, Senior Project Manager.<\/p>\n