Costs

Hospital Systems Continue Building Large Projects

Turner Construction is providing integrated project delivery via a construction management contract that allows everyone to participate as a single entity, Maurice LaBonne, senior vice president of facilities services at the NS-LIJHS, says. “Integrated project delivery is not legally available for health-care projects in the state of New York, but we are adopting the processes,” he says. “We are among the first to adopt this type of delivery for a health-care project.”

New LEED Category

Since the U.S. Green Building Council this April added a special health-care category to its Leadership, Energy and Environmental Design (LEED) rating system, health-care developers have become more conscious of green design, Woodin says. “The rating system didn't work for years, with only one hospital becoming LEED-certified,” he says.

Hospitals have become more performance-driven with customers, clients, regulators and the general public demanding more operational statistics. “We have more high-performing hospitals with documented results,” Woodin says.

Sheffield says green initiatives are definitely more the norm for hospitals now than several years ago. “LEED is more rigorous for hospitals, with criteria for 24/7 operations, huge energy demand and the need for processed water and filtered air,” she says. “There is more of a drive to meet the challenges of the unique set of building requirements.”

The University of California required the Jacobs Medical Center to apply for LEED certification and incorporate many green features in the hospital design, such as a variable-air-volume air-distribution system, fritted glass to reduce heat gain and use of reclaimed water for water towers and irrigation. The project is on track for achieving LEED Silver, Cleaton says.

As hospital owners look to the future they are focusing more on ambulatory rather than inpatient care, sources say. While the aging population ensures there will be more demand for services, hospital owners recognize that stays will be shorter. “Hospitals need to be outpatient- friendly for those coming in and out,” Woodin says. “Basic way-finding is important so patients can get to the right place quickly.” LaBonne says, by the end of the decade, 50% of income will come from ambulatory care. “As an integrated health-care system with 14 hospitals, we see the need to have more of a population-based strategy shift in health-care initiatives from treating sick and diseased people to preventive care,” he says.


1	Stanford Univ. Medical Center Expansion, Palo Alto, Calif.	New	3,500	Stanford University Medical Center, Palo Alto, Calif.
2	Medical LifeCare Campus, Riverside, Calif.	New	3,300	March Healthcare Development, Riverside, Calif.
3	Union Village, Henderson, Nev.	New	1,500	Haskell Company Corporate HQ, Jacksonville, Fla.
4	UNMH North Campus Hospital, Albuquerque, N.M.	New	1,000	UNM Hospital, Albuquerque, N.M.
5	New Orleans VA Medical Center, New Orleans, La.	New	800-845	Dept. of Veterans Affairs Medical Center, New Orleans, La.
6	Exempla St. Joseph Replacement Hospital, Denver, Colo.	New	623	Exempla St. Joseph Hospital, Denver, Colo.
7	RFQ/AE: Tricare Medical Facilities, Huntsville, Ala.	A/R, New, Additions	498	US Army Corps of Engineers, Huntsville, Ala.
8	CPMC Cathedral Hill Hospital, San Francisco, Calif.	New	450	California Pacific Medical Center, San Francisco, Calif.
9	Highland Hospital Acute Tower, Oakland, Calif.	New	431	County of Alameda General Services Agency, Oakland, Calif.
10	Children's Hosp. & Adult Critical Care Tower, Iowa City, Iowa	New	270	University of Iowa Hospital Architects, Iowa City, Iowa
11	UConn Health Center, Farmington, Conn.	A/R, New	258	University of Connecticut, Storrs Mansfield, Conn.
12	Jennie Sealy Hospital Replacement, Galveston, Texas	A/R, New	250	University of Texas Medical Branch, Galveston, Texas
13	North Alabama Medical Center, Huntsville, Ala.	New	250	RegionalCare Hospital Partners, Brentwood, Tenn.
14	Sacred Heart Medical Center, Springfield, Ore.	A/R, New, Additions, Int. Comp.	250	PeaceHealth Medical Group, Eugene, Ore.
15	St. Michaels Medical Emergency, Newark, N.J.	A/R, New, Additions	250	St Michael's Medical Center, Newark, N.J.
16	Ambulatory Services Expansion, Brooklyn, N.Y.	A/R, New	234	SUNY Downstate Medical Center, Brooklyn, N.Y.
17	Centegra Hospital, Huntley, Ill.	New	233	Centegra Health System, McHenry, Ill.
18	Suburban Hospital Expansion, Bethesda, Md.	A/R, New	230	Suburban Hospital, Bethesda, Md.
19	Advocate Christ Hosp. - Ambulatory Pav., Oak Lawn, Ill.	New	200	Advocate Christ Medical Center, Oak Lawn, Ill.
20	Emory Hospital Patient Tower/Garage, Atlanta, Ga.	New	200	Emory University, Atlanta, Ga.
21	Meadows Medical Center, Las Vegas, Nev.	New	200	JWM Ventures, LLC, Las Vegas, Nev.
22	Mercy Crystal Lake Hospital, Crystal Lake, Ill.	New	200	Mercy Hospital & Medical Center, Chicago, Ill.
23	New Holy Cross Hospital, Germantown, Md.	New	200	Holy Cross Hospital of Silver Spring, Silver Spring, Md.
24	Reading Hospital - Surgical Building, Reading, Pa.	New	189	Reading Hospital & Medical Center, West Reading, Pa.
25	Washington Hospital Building Replacement, Fremont, Calif.	New	150-180	Washington Township Healthcare System, Fremont, Calif.

Johanna Knapschaefer, ENR’s New England Special Correspondent, has been writing about trends in design and construction of buildings, bridges, tunnels and other infrastructure for more than a decade. She also profiles award-winning industry leaders and delves into broader construction issues such as workforce training, worker safety and health, climate change remediation and emerging offshore wind and tidal energy developments. Over the past two decades, her articles have appeared in Architectural Record, BusinessWeek, the Boston Globe, American Banker, Modern Metals, BusinessNH Magazine, Pittsburgh Magazine and many other publications. Johanna is fluent in Japanese, and taught English and academic writing in the Science and Engineering Department of Ritsumeikan University, Kyoto, while living in Japan for eight years.

When not writing, Johanna enjoys mountain climbing, singing and playing her Spanish guitar.

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