As Healthcare Providers Integrate, So Must We

November 20, 2014  |  Troy Seanor AIA

We believe that that design build project delivery is the best option for delivering complex healthcare projects. By removing silos, design-build results in lower overall costs and faster speed to market. In this series, we discuss several reasons why this approach generates superior solutions for healthcare providers.

In “Mending Wall,” first published in 1914, Robert Frost writes “Good fences make good neighbors”, metaphorically summarizing the traditional viewpoint of individual disciplines in design-bid-build construction administration. It’s interesting to note the quote itself references an English proverb from the mid-17th century, a time when professional associations were taking shape and gaining prestige and influence in Northern Europe. These professions, including architecture, represented a massive move away from the Master Builder project delivery model used over thousands of years of human history. Certainly there are very good reasons why the fence metaphor and professional posture remain.

Many of us, however, harbored nagging questions over the years about an outlook that segregates disciplines. At its core, “good fences” make our profession directionless and static, and we have pondered a way that surpasses the defense of our traditional domain.

Today, we embrace design-build as a preferred project delivery model in a move forward, ironically with an eye toward the Master Builder model of the distant past. As the healthcare industry shifts toward holistic medicine and disease-based care, those of us who develop facilities for healthcare must similarly remove our silos and integrate our approach.

Fairly recently, new delivery models such as Integrated Project Delivery (IPD) have started gaining traction in the market. Having worked within most project delivery methodologies, our experience has found that incorporating the general contractor into the team at the very beginning – before critical decisions are made solely between the owner and the architect – is the defining advantage of design-build.

Next in the series, we discuss the advantages of an integrated design build team.

Download our Guide To Design Build Project Delivery

ABOUT THE AUTHOR                        Troy Seanor AIA

Troy Seanor is a leader of FreemanWhite’s architectural group and a member of its management team. Healthcare facility design has been the sole focus of his professional career, and from initial conception to final detail coordination, he maintains quality control and design integrity through his continuous project involvement. In addition, Troy has faced the challenge of restrictive time schedules and budgets with successful, innovative designs that have exceeded client expectations.

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