Building Healthcare

Target value design (TVD) is an essential component of Lean Construction. It reduces waste by ending a construction process that lacks an early, properly defined plan. Imagine your next job, working together from start to end, in a partnership based on trust and mutual respect.

Now is the time to embrace TVD. This approach leads to collaboration where everyone agrees to focus on the same priorities and vision. The discipline and teamwork required in target value design will yield several advantages as owners realize benefits in time management, cost savings and speed to market.

How is TVD different?

Historically cost savings are found in value engineering. As a healthcare facility, you may be frustrated by the rework challenges or the often-required sacrifices typical in value engineering. As compromises are made, some of the functions or aesthetics you planned for your construction may be lost. In TVD, collaboratively and quickly setting goals, facility owners maximize value and identify targets without sacrificing their vision. It works because teamwork starts on day one.

 Target Value Design and Cost Certainty

Christman’s best-in-class preconstruction group maximizes value through specialization in healthcare. How do we do it? Starting with conceptual designs and early programming, we unite stakeholders to coordinate the TVD budget. Christman then leads the team as the design progresses, keeping the group focused on methods that meet the schedule and budget targets.

The key to our success is Christman’s in-house healthcare planners who work alongside our mechanical, electrical and plumbing (MEP) experts. Christman’s early understanding of MEP systems provides cost certainty before the design is complete. In this approach, the team begins by defining the target cost for each building element, and then works together toward a design solution which meets or beats the identified target. This process also allows for real-time cost and schedule feedback rather than the more iterative design-price-evaluate process.

In this strategy, the team identifies key decision points and allows for early release of major building components to decrease schedule risk. Christman hosts discussions with key trade partners to minimize delays and encourage early input. We understand that information provides cost certainty and eliminates surprises on bid day.

Five Benefits You Will Appreciate

Using TVD practices, healthcare facilities can open their doors and begin providing critical patient care to the community as soon as possible. Using this data-driven process to establish expected price, performance and quality requirements—we can meet your goals.

Five Target Value Design Benefits:

• Reduced cost risk
• Reduced schedule risk 
• Reduced scope creep and cost overruns
• Achieve expected value and performance goals
• Reduce or eliminate negative iteration—backtracking, redesigning and rework

Contact Christman’s Vice President of National Healthcare Services, Brian Crissman, to learn how to reduce or eliminate waste and rework while realizing a savings of up to 20 percent on your initial expected cost.

Healthcare facility managers understand that construction can be a challenge. On a recent project with a long-term partner, in Grand Rapids, MI, TVD was used to deliver an ambulatory medical building. Having benefitted from a long-standing and trusting partnership, the TVD approach was a simple choice and instrumental in project success.

Key to any great outcome is collaboration.

The team started discussions early to address challenges that included material cost escalation, labor limitations and supply chain delays. The project began with the client’s vision to create a high-functioning team that operated with a shared consciousness. This environment was built on team-based understanding and allowed everyone to make educated, rapid decisions that were right for the project.

Once a construction budget was identified TVD allowed the group to galvanize around:

• Value certainty
• Clear expectations 
• Eliminating reactive approaches
• Innovative solutions

The firm’s senior director of real estate strategy identified early course correction as his favorite benefit. “TVD gave us a framework for making decisions that added value and confidence. When a system or piece of equipment was straying from our plan, we were able to quickly identify the problem, pinpoint a solution and get the project back on target.” 

When healthcare services are at stake, delays cannot be part of the calculation. Target value design minimized the project’s challenges and created a one-team approach to meeting the project goals. Click here to see our other healthcare projects.