Healthcare Design - January 2014 - 49


Less is more
A tightly focused design team used Lean
and IPD planning to keep costs low on the
new Temecula Valley Hospital in California
By George Vangelatos
TEMECULA VALLEY HOSPITAL in Temecula, Calif., is a 140-bed

acute care hospital that was built based on Lean principles and an
integrated project delivery (IPD) approach. Design began in April
2010, construction started in June 2011 and was completed in July
2012, and the facility started accepting patients in September 2013.
HMC Architects (Los Angeles) partnered with a DPR/Turner joint
venture to deliver the Temecula Valley Hospital. Working with the hospital system, Universal Health Services (UHS; King of Prussia, Pa.),
the team used target value design to drive toward the $150 million
total project cost, making it one of the most cost-effective hospitals
ever built in California. The entire seven-party contractual IPD team
put up its profit as a guarantee to UHS that the target would be hit,
and if that goal was exceeded, all parties would share in the profit.
IPD and Lean tools and processes were utilized from the beginning of the project, including "big room" meetings, pull planning,
A3 reporting, process mapping and simulation, and target value
design. The IPD team was on board since day one, and subcontractors were involved during schematic design. After the project
broke ground, DPR/Turner used video techniques to continually
improve construction processes by moving supplies closer to the
construction team or identifying step reduction opportunities for
repetitive tasks.
Above: Temecula Valley Hospital is the first hospital to open in Temecula, Calif. The main
entry and drop-off canopy at the rotunda are designed to be tied to a second 160-bed
tower to be built as part of a future Phase 2 expansion to accommodate population
growth. Above, right: Each of the patient floor lobbies and waiting areas is appointed
with furniture and finishes to create a homelike and comfortable environment.
HCDmagazine.com 02.14

49


http://www.HCDmagazine.com

Table of Contents for the Digital Edition of Healthcare Design - January 2014

Contents
Healthcare Design - January 2014 - Cover1
Healthcare Design - January 2014 - Cover2
Healthcare Design - January 2014 - 1
Healthcare Design - January 2014 - 2
Healthcare Design - January 2014 - 3
Healthcare Design - January 2014 - Contents
Healthcare Design - January 2014 - 5
Healthcare Design - January 2014 - 6
Healthcare Design - January 2014 - 7
Healthcare Design - January 2014 - 8
Healthcare Design - January 2014 - 9
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Healthcare Design - January 2014 - 11
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Healthcare Design - January 2014 - Cover3
Healthcare Design - January 2014 - Cover4
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