{"id":11853,"date":"2021-11-05T11:00:19","date_gmt":"2021-11-05T15:00:19","guid":{"rendered":"https:\/\/www.consigli.com\/?p=11853"},"modified":"2021-11-10T09:47:04","modified_gmt":"2021-11-10T14:47:04","slug":"3-things-to-consider-before-building-your-next-outpatient-facility","status":"publish","type":"post","link":"https:\/\/www.consigli.com\/3-things-to-consider-before-building-your-next-outpatient-facility\/","title":{"rendered":"3 Things to Consider Before Building Your Next Outpatient Facility"},"content":{"rendered":"

In 2019, over 21 million square feet of outpatient facilities were built in the U.S., driven by the current healthcare trends of reducing\u00a0operating costs, improving access to care and enhancing the patient experience.<\/p>\n

While outpatient facilities are less expensive to build and operate than a traditional hospital and are often situated in suburban locations where real estate is more affordable, there are still significant cost factors that can easily tip the scales on your\u00a0bottom line.<\/p>\n

How does Consigli\u2014which has built 40+ outpatient care centers\u2014collaborate with owner and design teams to deliver high-quality, durable buildings in an efficient, cost-sensitive manner? Brian Hamilton, Consigli\u2019s Director of Healthcare & Life Sciences, provides 3 Critical Insights to Consider When Planning Your Next Outpatient Facility.<\/a><\/p>\n

Certainty of Cost <\/strong><\/h2>\n

On any project, healthcare owners are looking for one thing\u2014certainty. Certainty of first cost, first patient date and the long-term operational efficiency of the building they\u2019re investing in.<\/p>\n

Target Value Design (TVD) is one of the best ways to control costs and get early budget certainty. It directs a design and construction management team toward a budget\u2014not a blank check\u2014by providing cost buckets for various building elements (i.e. building enclosure, M\/E\/P, finishes, etc.) that drive the cost of outpatient facilities. If costs need to be moved from one bucket to another, the value and impacts of that move need to be considered.<\/p>\n

\"\"Consigli Tip:<\/em> <\/strong>As a rule of thumb, outpatient care facility budgets typically follow a 30\/30\/40 rule: 30% on finishes, 30% on the building envelope and 40% on M\/E\/P systems. Traditionally, outpatient facilities have been significant consumers of energy due to the specialty equipment, lighting and HVAC controls (i.e. air exchange) required in the spaces. If you can gain efficiencies in the M\/E\/Ps, there can be significant long-term cost savings as a result (more on this later).<\/a><\/p>\n

Leveraging Buying Power<\/strong><\/h2>\n
\"\"

Pre-fabricated mechanical penthouse at Dana-Farber Cancer Institute’s Merrimack Valley Cancer Center<\/p><\/div>\n

Standardization of building systems and finishes over a multi-facility rollout will result in a cost savings and long-term ease of maintenance. When things like HVAC, heating, elevators, finishes, flooring, ceilings, generators and fa\u00e7ade systems are uniform across multiple sites, there are opportunities that become available that can improve cost, schedule and long-term maintenance for the facilities.<\/p>\n

\"\"Consigli Tip:<\/em> <\/strong>There are three strategies that we\u2019ve seen consistently lower costs by standardizing building design across multiple sites: (1) Designing for Pre-fabrication, (2) Opening Up the\u00a0Competition and (3) Bulk Buying Through Standardization. Smart owners will push design and construction teams to creatively employ one, two or all three of these strategies on their projects:<\/p>\n