Presentation on theme: "Hospital and Staff Housing Complex"— Presentation transcript:
1Hospital and Staff Housing Complex CEM-512Mohammad Shaflout AliAbdulkarim I. SulaisSayer Al-ShammariMohammed A. Al-JumaiaMohammed A. Al-GhamdiNaif Al-Subaey
2Outline Introduction Project Description Value Engineering Procedure Information PhaseCreative PhaseJudgment PhaseDevelopment PhasePresentation and Report PhaseSummary
3IntroductionA Value Engineering study was conducted on the design development, Phase 3, 50% working drawings proposed for the hospital.The study was conducted at the Architect’s and Engineer’s office in November 1996.The objective of the study was to review the design documents to optimize the cost impact of design decisions.The project involved a hospital of some 350,000 S.F. and a housing complex of five buildings of some 195,000 S.F.The costs validated by the VE team and agreed to by the A/E amounted to approximately $93,000,000.
4Project Description Requirements of the Hospital a. Number of Beds = 180 b. Area of land = 500,000 SF. c. Parking one car per bed plus staff and out-patient d. Site plan is provided. e. Housing: It is required to accommodate all doctors and a total of 130 nurses; a recreational area is to be provided.
5Project Description2. Civil Structural Engineering a. Site On-site wastewater treatment, effluent recycled for irrigation. Utility building housing chillers, O2, incinerator. b. Structure Pre-cast hollow-core slabs with a reinforced concrete frame.3. Architectural a. Walls Interior: Drywall partitions with two (2) 1/2” sheets each side. Exterior: Pre-cast concrete panels with upper 20% window area. b. Floor Heavy-duty vinyl flooring, in general, with lobbies and ground-floor granite specified in selected areas. c. Finishing Material of Facia Pre-cast concrete panels d. Partition Wall Finishes Enamel paint. e. Ceilings Armstrong-type painted tiles and waterproofed gypsum board for wet areas. Selected area in basement calls for linear metallic ceilings.
6Project Description4. Mechanical Systems The mechanical works include the following systems: a. Domestic hot and cold water system. b. Reverse osmosis/ionized water system. c. Drainage system. d. Rainwater drainage system. e. Oxygen, vacuum and other medical gases network system. f. Heating, ventilation and air-conditioning system, consisting of: • Four (4) air-cooled chillers (size not noted in outside equipment area) • Fan coil units with fresh-air ventilation in general patient rooms • Fan coil units in general out-patient areas • VAV in administration areas Single-zone constant volume, 100% outside air with heat recovery in critical areas. g. Steam boiler for laundry, sterilizing and washer/decontaminators units. h. Fire fighting system: Wet pipe, combined sprinkler standpipe system with combination electric and diesel fire pumps. i. Waste disposal and incinerator system. j. Low-pressure gas (LPG) services. k. Irrigation system. l. Automatic temperature control system.
7Project Description5. Electrical Building load is estimated at 6000 KVA. The following systems are proposed: a. Standing Generator System: KVA units. b. UPS Systems: Central plus 2 floor units for selected areas. A minimum of 30 minutes backup used. c. Power Distribution: Vertically via XLPE cable in shafts. d. Lighting: Primary lighting recessed parabolic fluorescent fixtures and energy-saving lamps. Fixtures to have electronic ballasts and deo starters. e. Telecommunication: Distribution will be by horizontal and vertical ladder-type trays. Telephone company to provide backup lines. Standard equipment to be specified. f. Radio Communication: Masts and power to be provided on roof. g. Fire Alarm System: System to be microprocessor-based automatic, analog - addressable system alarm, to be displayed on a digital readout screen, and CRT shall display graphics of system under activated alarm.h. Security System: Four sub-systems to be provided: a) Key management system for low-risk public areas b) Card access control for high-risk areas c) Closed-circuit TV Lightning Protection: System to consist of air terminal, electric device, arrestor., lightning conductors, earthing rods and pits. j. Earthing (Grounding) System: System to consist of Power Co. transformer grounding, equipment grounds, foundation earthing, and special systems, e.g., OR, UPS, medical equipment, low-current systems. k. Special Call Systems: 1) Staff automatic system 2) Nurse call and hospital communications system 3) Radio paging system
8Project Description6. Cost Estimate The estimate was developed by the Project Manager and adjusted and validated by the designers’ estimator. The project estimate at bid and area analysis is as follows: Main Hospital and supporting areas (356,000 S.F.) = $ 74,000,000 Unit Cost $ 210/S.F. Housing and Dormitories plus supporting areas (197,000 S.F.) = $ 18,000,000. Unit Cost = $ 93/S.F.Total Estimated Costs $ 93,000,000
10GeneralValue engineering is a creative, organized approach , whose objective is to optimize the life cycle cost and/or performance of a facility.A multidisciplinary team was formed.The objectives of each team member were to:analyze the project,find high-cost areas,recommend alternatives,estimate initial and life cycle costs whenever significant for the original system and for each proposed alternative, andassure that proposed recommendations did not sacrifice essential functions and timely completion of the project.
14Value Engineering Job Plan VE team analyzed design documents:Plans,Cost estimates, andDesign report.VE study was organized into six distinctive parts:Information PhaseCreative PhaseJudgment PhaseDevelopment PhasePresentation PhaseReport PhaseDesign team and owner made an initial presentation on the design constraints and development.
15Value Engineering Job Plan Information PhaseCreative PhaseJudgment PhaseDevelopment PhasePresentation and Report Phase
16Information Phase Function Analysis Cost/Worth Model Function Analysis Worksheet (Hospital)Function Analysis Worksheet (Housing)Cost/Worth Model(Hospital)(Housing)For the following areas:Site-Work Structural ArchitecturalMechanical Electrical Medical EquipmentGeneral
21Value Engineering Job Plan Information PhaseCreative PhaseJudgment PhaseDevelopment PhasePresentation and Report Phase
22Creative PhaseVE team thought of as many ways as possible to provide the necessary functions at a lower initial and/or life cycle cost and design enhancements to improve required functions.Judgment of ideas was restricted.
23Value Engineering Job Plan Information PhaseCreative PhaseJudgment PhaseDevelopment PhasePresentation and Report Phase
24Judgment PhaseVE team judged and ranked the ideas generated from the creative phase.Evaluating Factors:State-of-the-art of the idea,Cost to develop,Probability of implementation,Time necessary to implement,Magnitude of idea’s potential benefit, andAesthetics.Ideas were ranked from 1 to 10.Ideas with a ranking of 8 or more were developed further.
25Value Engineering Job Plan Information PhaseCreative PhaseJudgment PhaseDevelopment PhasePresentation and Report Phase
26Development Phase Economic Factors 10% (Compounded annually) Discount Rate30 yearsAnalysis PeriodPresent Worth converted Annualized MethodEquivalence ApproachConstant DollarsInflation Approach9.42Present Worth Annuity FactorOperating Costs0.03 cents/KWhr (average)Energy Cost1 to 5% of capital cost depending on elementMaintenance Cost
27Development PhaseSome 127 ideas were generated during the initial review phase, from which 56 ideas were developed.Some 22 design suggestions representing VE team design review type comments were generatedThese proposals represent potential initial savings of over $16,000,000 and additional follow-on potential savings in operation, maintenance, and increased revenue of about $265,000/year.Suggested recommendations of potential deferred construction costs for supporting and medical equipment are included amounting to some $5,000,000.
30A7 Original Design Proposed Design The clinical labs and hemodialysis department are located between axis 10, 15 and A, F. they are divided into separate areas for blood donation, clinical lab and for hemodilysis.Proposed DesignConsider rearrangement of the clinical labs and blood donation as per Sketch No. A-7 the change allows for an improved separation between the donation area and clinical labs, and accessibility of outpatients to donation area. In addition, switching the donation area and hemodialysis area will allow an increase of 3 additional beds for hemodialysis patient. Note: See ME 6 for overall savings generated.Discussion, Advantages and DisadvantagesThe rearranged layout improves the flow of outpatients to the labs and blood donator to the donation area, keeping the required privacy of the clinical labs. It will allow the addition of hemodialysis beds that will increase the revenue of the hospital. Also, the present design does not accommodate pediatric patients. Additional beds will be designated for this purpose.
33A8 Original Design Proposed Design Calls for 7 in. exterior precast concrete wall panels for both hospital and housing.Proposed DesignUse 5 in. precast wall panels for hospital only.Use CMU, plaster and texture paint for housing units.Discussion, Advantages and DisadvantagesThe VE team discussed this issue with a local manufacturer who indicated that a 5 in. panel would be sufficient.This change will give a considerable weight and will save money.Maintenance cost should be slightly higher for the housings exteriors and for the thinner precast wall panels. It should not exceed $ 3000 / yr.
41ME 6 Original Design Proposed Design Present design call for 4 beds in hemodialysis.Proposed DesignRevise design to add 3 additional beds.Discussion, Advantages and DisadvantagesThis area is in demand. Hemodialysis is a needed service with long lists at existing hospitals. The local market should be more than able to supply the need for the additional beds.
43Value Engineering Job Plan Information PhaseCreative PhaseJudgment PhaseDevelopment PhasePresentation and Report Phase
44Presentation PhaseVE recommendations were further screened by the VE team before the oral presentation of results.At the conclusion of the workshop, VE proposals were reviewed, edited for clarity, and re-evaluated for computation of cost savings.
45Report Phase LIST OF FIGURES & TABLES EXECUTIVE SUMMARY SECTION 1 INTRODUCTION General The Value Engineering Team Executive Briefing VE Study AgendaSECTION 2 PROJECT DESCRIPTION Requirements Civil/Structural Architectural Mechanical Electrical Drawings Cost Estimate of Main Hospital Cost Estimate of the Housing and DormitoriesSECTION 3 VALUE ENGINEERING ANALYSIS PROCEDURE General VE Job Plan Economic Factors Hospital Cost/Worth ModelFunction Analysis Worksheets - Hospital Function Analysis Worksheets Housing Housing Cost/Worth Model Creative/Evaluation WorksheetsSECTION 4 SUMMARY OF RESULTS General Value Engineering Recommendations Summary of Potential Cost Savings from VE Proposals Design Suggestions Value Engineering Recommendations/WorksheetsAPPENDICES A. Report of Hospital Consultant B. Mechanical Engineering Comment C. Marked-up Set of Drawings, 1 Master Only
46SummaryGeneral The team suggests that the Owner considers two options to defer initial cost outlays:Delete nurses’ house and rent space. A rough cash flow analysis indicates Owner will be some $200,000 /yr ahead using an equivalent cash flow analysis avoiding a $3,500,000 capital expenditure.Consider design build, lease-back for 20 years. By doing this Owner will defer some $15,000,000 in capital outlay and own the facilities after 20 years. He incurs some additional annual leasing costs that would be less than amortizing his capital investment over 20 years.Note: The above savings are not additive.
47Summary- ContinuedArchitectural - 16 Items totaling approximately $3,500,000Structural -2 Items totaling approximately $130,000Mechanical - 14 Items totaling about $1,000,000 in initial and $110,000/yr. in annual savingsElectrical - 11 items totaling approximately $3,800,000 in initial savings and $100,000/yr. in annual costsMedical Equipment - 9 Items totaling approximately $7,500,000 in initial costs plus $650,000/yr. in additional income
50Summary- ContinuedEventually, 35 proposals were implemented. Initial cost savings between $10,000,000 and $12,000,000 should result and annual follow-on costs up to $1,000,000/yrThat’s about 11% to 13% savings in initial costs.