By Kyle Houser, Contributing Writer

Healthcare facility managers have never faced a more challenging environment in which to operate. As a result, they are under increasing pressure to implement innovative strategies that optimize project planning and execution. 

One such approach is integrated project delivery (IPD) Light, which adapts the traditional IPD model and aims to improve collaboration and cost-efficiency without the complexity often associated with full IPD projects. 

Material delays and long-range planning 

One of the most pressing challenges facing healthcare construction projects is supply chain disruptions, which have resulted in delays of up to two years for critical equipment, including generators, chillers and electrical switchgear. These delays can wreak havoc on project timelines and budgets. 

With IPD Light, the procurement process begins early — long before design development is complete. By identifying long lead items and securing orders as soon as possible, teams can mitigate the risk of delays. 

In one recent IPD Light project, a curtain wall manufacturer was brought on early in the planning process to ensure the wall could be modular and efficient for the building’s design. This proactive planning allowed the team to avoid delays and ensured the timely delivery of crucial materials. 

Related Content: Streamlined Integrated Project Delivery Tackles Design Challenges

During the planning stages of another recent project, a hospital in Philadelphia realized that its electrical infrastructure was outdated and overtaxed. Using the IPD Light model, the team was able to order critical equipment early, such as generators and electrical meters, before design development was complete, ensuring the hospital could meet its tight timeline without costly delays. 

Implementation strategies  

Foster communication and collaboration. From the beginning, the owner should establish clear goals for the team and create an environment where open dialogue and feedback are encouraged. Teams must collaborate across all stages of the project, ensuring everyone understands their role in achieving the shared objectives. This culture of collaboration leads to more efficient decision-making and better overall project outcomes. 

Establish key performance indicators (KPI). Using KPIs for decision making helps the team track progress, while using A3s provides a structured way to document decisions, risks and trade-offs. These tools promote transparency and accountability, helping the team stay focused on delivering value for the project. 

Find an example. Contact a facility that has used IPD Light or the Lean approach, and ask targeted questions. People familiar with the Lean approach will be able to implement IPD Light scenarios for projects. 

An IPD Light contract encompasses Lean principles, such as establishing leadership huddles and cadence, as well as using a planner system to determine critical milestones and targeted deadlines. By learning from other facilities — especially those on the West Coast, where IPD Light has been successfully implemented for years — teams can identify best practices and avoid common pitfalls. Asking targeted questions early in the process ensures that all parties are aligned and prepared to handle the complexities of the project. 

Bring on trade partners early. Although this strategy costs more upfront, applying trade partners’ real-world expertise earlier in the process often yields immense savings later. An IPD Light contract establishes a total value design or total value dollar (TVD) for the job. Early engagement of trade partners helps ensure that costs do not exceed this TVD, which in turn helps healthcare facilities managers plan their cash flow more effectively. 

As healthcare facilities face mounting challenges, adopting innovative approaches including IPD Light can provide the flexibility, collaboration and cost-efficiency necessary to succeed in a complex environment. By focusing on early collaboration, transparency and resource optimization, IPD Light creates a model that enhances project outcomes and team culture. 

For healthcare facilities managers, the message is clear: Embracing collaboration and early decision making is key to navigating challenges and achieving long-term success. As more managers explore the benefits of IPD Light, they can expect better patient care, improved project outcomes and a healthier bottom line. 

Kyle Houser, P.E., LC, CHEPP, is principal with TLC Engineering Solutions.