BUILDING INNOVATIVE SOLUTIONS

About the Project

The St. Joseph’s Women’s Hospital Neonatal Intensive Care Unit (NICU) is a $50 Million Construction Management At-Risk 3-phase addition to the existing Women's Hospital. Phase I of the project consists of a 125,000 SF new 5-story tower and was just opened for patients in early August 2011.

The new tower features the Hinks and Elaine Shimberg Breast Center on the first floor, the Neonatal Intensive Care Unit on the second and third floors, Mom/Baby private rooms and primary nursery space on the fourth floor, and private medical/surgical impatient rooms on the fifth.

The existing NICU, positioned a dramatic 40 feet from the new tower, remained fully operational throughout the duration of construction, and routinely cares for more than 50 neonates a day. Originally built more than 25 years ago, the 42-bed facility was constructed when limited technology and minimal equipment was available for premature babies. That facility was experiencing extreme overcrowding, and provided limited privacy for patients and families.

The new facility offers 64 private NICU suites on two floors, designed for parents to stay with their newborns 24 hours a day. Clustered in “neighborhoods” of four NICU suites per nurses’ station, each 250 SF room contains a baby zone with the incubator, monitors, ventilator and other necessary equipment, a family zone with private bathroom, sleeper sofa, storage area and television, and a nurses’ zone with sink and medical supplies. Each suite was also designed to minimize noise and control light – providing the optimal environment for premature infants. With the average stay in the NICU at 18 days, the new environment enables parents to effectively interact with their baby, and should aid in reducing that time.

The first floor, featuring the Hinks and Elaine Shimberg Breast Center, continues the “private room” design, with private mammogram, ultrasound, Imaging, MRI and breast health rooms for women. The fourth floor has private mother/baby rooms, so that each family can remain together before, during and after labor. The fifth floor features private rooms for women’s inpatient surgeries and recovery. Designed by HKS Architects, the new facility provides the optimum private, healing environment for women and babies.

Phase II and III will be the demolition of the existing NICU and the construction of a new grand atrium/entrance, administration and connection to the new NICU. The project is scheduled for a summer 2012 completion. The project is currently registered under LEED version NC 2.2.

Applying BIM Before & During Construction

The NICU project team has been applying BIM technology throughout the preconstruction and construction process to use the model as a tool for far more than the traditional creation of 3-dimensional photos and “clash detection”.

The St. Joseph’s Women’s Hospital NICU preconstruction team, including Preconstruction Director Chris Moeller and BIM Modeler/Project Engineer Chris Moore, LEED AP have utilized the Revit Model created by HKS Architects for the project to reduce the time it takes to do quantity takeoff and increase the estimating accuracy of the following building components:

  • Building Envelope Quantification
  • Division 9 Finishes Quantification
  • On the Fly Area Studies
  • Interior Wall Partition Quantification

Additionally, Chris Moeller and Chris Moore created a skin model of the façade utilizing Revit Software. By associating costs with the building façade, the team was able to show real-time price changes and value analysis to the building skin as the different components of the skin were modified within the model. For example, when a change to a skin material is made in the model, the price changes instantly to reflect the new design. This allows the complete project team to make decisions on aesthetics and price of the building skin more effectively.

This project’s construction site is very tight and presents many logistical challenges to the team. Again, utilizing the Architect’s Revit building model, the team created a 3D/2D Site Logistics and Site Utility and Coordination model. The model has been effectively used by the complete project team including CM, Owner, Architect, Engineers, and Subcontractors for communication, safety, and planning prior to and during construction.

During the bid process, it was provided as a bid document in the form of Electronic Site Logistics Plans to communicate the complex multi-phasing aspect of the project to the subs for more accurate pricing. The plans were also used for tight site utility coordination once construction began.

The team has continuously modified these logistics plans as necessary for communication during construction. The 40+ pages of growing logistics were created as a joint effort by all members of both the preconstruction and construction teams for this project. Kevin Stewart, Project Director, Steve Williams, Senior Superintendent, and Jordan Carlin, Safety and Infection Control Director, along with Chris Moeller and Chris Moore work continuously together to actively maintain and update the Logistics BIM Model that generates these plans.

This model has been used to create a video-type display of the project being built for the team to display in the hospital so that visitors, patients, and staff understand the project on a deeper level, and know the impacts of each stage.

As represented by this major healthcare project in Florida, the use of BIM technology expands much further than just a “pretty design tool”. The technology can be utilized from preconstruction and into the field, aiding in communication, coordination, budget and schedule monitoring and much more. The BIM Model is an invaluable tool to the Barton Malow Team, as its utilization on each project has become just the “way we do business”.

Linda Hollingsworth

“I'm passionate about healthcare! It's a market that places substantial value on exactly who and what Barton Malow is and has to offer. Healthcare clients value partnerships and relationships and provides an opportunity to help our friends in the healthcare community provide real value to their organizations and communities.”