sutter medical center castro valley images from vsm meetings

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Sutter Medical Center Castro Val Images from VSM Meetings

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Page 1: Sutter Medical Center Castro Valley Images from VSM Meetings

Sutter Medical Center Castro Valley

Images from VSM Meetings

Page 2: Sutter Medical Center Castro Valley Images from VSM Meetings

Sutter Medical Center Castro Valley

Images from VSM Meetings

Wall 1 – Multidiscipline design team

Wall 2 – Hospital Operations

Wall 3 EIR Team

Page 3: Sutter Medical Center Castro Valley Images from VSM Meetings

Sutter Medical Center Castro Valley

Images from VSM Meetings

Page 4: Sutter Medical Center Castro Valley Images from VSM Meetings

Sutter Medical Center Castro Valley

Project Schedule at Validation – Accelerated Schedule

OSHPD REVIEWCONCEPTCRITERIA DESIGN

DETAILED DESIGN

8 Months4.5 Months3 Months 12-16 Months

OSHPD REVIEWSD PHASE DD PHASE CD PHASE

12/30/2008Submit Complete OSHPD Package

7/1/09OSHPD Approval on StructuralStart of Construction

9/15/07Start of SDs

16.5 Months

Page 5: Sutter Medical Center Castro Valley Images from VSM Meetings

Sutter Medical Center Castro Valley

Project Schedule at Validation – Accelerated Schedule

12/30/2008Submit Complete OSHPD Package

7/1/09OSHPD Approval on StructuralStart of Construction

9/15/07Start of SDs

16.5 Months

OSHPD REVIEWCONCEPTCRITERIA DESIGN

DETAILED DESIGN

8 Months4.5 Months3 Months 12-16 Months

OSHPD REVIEWSD PHASE DD PHASE CD PHASE

General Observations• All Discipline drawings submitted to OSHPD at one time.• Review time from 12-16 months or more.• SD,DD,CD phases arbitrary.• Risk of rework during SD, DD, CD phases (late program freeze).• Design can change through SD, DD, CD phases (all disciplines).• Risk to construction start date – traditional review process (12-16 months)• EIR impact on process.

Page 6: Sutter Medical Center Castro Valley Images from VSM Meetings

Sutter Medical Center Castro Valley

Current State Map

VSM Goals • Arrive at a common understanding of workflow.• Identify key cross discipline discussions and information flow.• Re-define intermediate project design milestones based on systems and information flow.• Identify last responsible moment to make decisions on program.• Reduce rework during design by avoiding starting tasks prematurely.• Redefine traditional design process to leverage Phased OSHPD Review Process.• Better understand the EIR process in relation to design process, permitting, and construction.• Develop team collocation approach.• Identify opportunities to reduce handoffs from design to construction (BIM and Direct Digital

Exchange).

Page 7: Sutter Medical Center Castro Valley Images from VSM Meetings

Sutter Medical Center Castro Valley

First VSM Workshop 10/19/07

Freeze Floor Plan

• Overall attitude must start design ASAP (behind schedule)• Started Value Stream Map at Macro Level• Direction given to team is to focus on identifying major tasks and constraints

Page 8: Sutter Medical Center Castro Valley Images from VSM Meetings

Sutter Medical Center Castro Valley

On Line Meetings (10/29/07)

Freeze Floor Plans3/01/08

User Input

• Multi-Discipline input via online meetings• Continued focus on information flow and constraints.• Introduced process time (time it takes to get a task done without rework)

Target Program Freeze12/24/07

Page 9: Sutter Medical Center Castro Valley Images from VSM Meetings

Sutter Medical Center Castro Valley

Value Stream Map (11/09/07)

• Focus on workflow leading to program freeze / floor plan freeze.• General OSHPD Phased Review approach.

Target Floor Plans Freeze3/01/08

Target Program Freeze12/24/07

User Input LRM to start multi-discipline design

Page 10: Sutter Medical Center Castro Valley Images from VSM Meetings

Sutter Medical Center Castro Valley

Value Stream Map (11/19/07)

• Detailed review of workflow for program freeze and building floor freeze.

• Detailed multi-discipline discussions about LRM for start of detailed multi-discipline design.

Page 11: Sutter Medical Center Castro Valley Images from VSM Meetings

Sutter Medical Center Castro Valley

Value Stream Map (11/19/07)

User Input LRM to start multi-discipline design

Target Floor Plan FreezeJune 08

Program Freeze3/08

Page 12: Sutter Medical Center Castro Valley Images from VSM Meetings

Sutter Medical Center Castro Valley

Value Stream Map (11/24/07) – EIR Process Value Stream

User Input

LRM to start multi-discipline design

Target Floor Plan FreezeJune 08

Program Freeze4/21

Page 13: Sutter Medical Center Castro Valley Images from VSM Meetings

Sutter Medical Center Castro Valley

Value Stream Map (1/19/08) – More Frequent Key Project Milestones

Identified project milestones based on level of completion of various design elements.

• Identified key project milestones based on building components• Identified need to break large detailed design activities into smaller batches.• Began transition to swim lane approach.• Began to map the EIR process in greater detail.

Page 14: Sutter Medical Center Castro Valley Images from VSM Meetings

Sutter Medical Center Castro Valley

Value Stream Map 5/6/08 – Transition to Production Planning

Page 15: Sutter Medical Center Castro Valley Images from VSM Meetings

Sutter Medical Center Castro Valley

Overall Concept

Evolving Future state

Identify milestones

Validate overall scheduleLine of Balance

Revise future state map incorporate lessons learned to reduce schedule and risk

Pull schedule between milestones & Weekly Production Planning

SPS| Production Manager

Collocation strategy

Track commitments

Page 16: Sutter Medical Center Castro Valley Images from VSM Meetings

Sutter Medical Center Castro Valley

Images from VSM Meetings