Browsing All Posts filed under »Project Cost«

Right-Sizing at Scale: Is It Possible?

July 8, 2014


Two weeks ago, I had the privilege of touring the new Exempla St. Joseph replacement hospital in Denver. The project is known there as St. Joe Heritage or simply “Heritage”. Designed by ZGF with local architectural participation, and constructed by Mortenson, with local construction participation, it is massive—at one time the largest healthcare project in […]

Where Will Your PD+C Break?

February 21, 2014


According to SquareTrade, a warranty company, broken smart phones have cost Americans $13 billion over the past five years.  Of those accidents leading to phone death, over half most recently occurred in the home. Along with SquareTrade’s data, Fast Company included a graphic in a recent issue that showed where our latest iPhone or Android home-based […]

Life Cycle Cost—As If!

May 23, 2013


I am a LEED AP, BD+C, HIJK, and have been such for nearly ten years.  I believe in the top and bottom-line benefits of sustainable design, and think green design provides a superior built environment for both individual and community…which is why I have had such a hard time reconciling my own conflicted feelings after […]

Efficient Investment in Beds

October 8, 2012


Depending on who you ask, hospital beds are either something worth stockpiling, or more likely to sit vacant in the next few years.  Those who think beds will be empty cite a huge transition from inpatient to outpatient care, while those who desire more beds cite the sheer numbers of aging Baby Boomers. This is one example […]

A/E/C Fees Not Worth a War

October 4, 2012


In his hilarious stand-up, “For What It’s Worth”, comedian Dave Chappelle set up a humorous routine on judgment and capabilities of kids in the news when he famously asked: “How old is fifteen, really?” Borrowing Chappelle’s approach, in regard to judgment and capabilities of A/E/C teams (but with all humor aside) I now ask:  how […]

Pay Now or Pay Later

March 2, 2012


Last month I met with a Director of Planning and Design at a four-hospital health system. We were having a philosophical debate on the role of design-build in healthcare. He argued it was not wise on large projects. I questioned why, and he related from painful experience how he inherited some facilities within his system that […]

Consider This a Burn Notice

February 22, 2012


 As Republican presidential hopefuls square off in primaries across the U.S., a lot of talk is on how much money candidates are spending to position themselves as the most attractive.  The longer the primary process stretches on, the more resources are needed. Political pundits note that candidate “super PACs” bring in millions a month yet can spend […]