This 85,000-sq.-ft. renovation project will provide state-of-the-art perioperative services to the existing hospital at Virginia Commonwealth University. The new department will include a post-anesthesia care unit (PACU), 19 operating rooms (ORs), a magnetic resonance imaging (MRI) suite, two hybrid ORs, and support spaces. The project also includes an extension to the fifth floor waiting room, directly above the patient drop-off area.
DPR has broken the project into multiple phases, with completion expected in early 2018. Throughout the project's duration within the occupied hospital, the 14 existing ORs must remain functional. For this reason, DPR has portioned the floor into two phased sequences, the Gateway phasing and Main Hospital phasing, which will occur simultaneously. The team will spilt the renovation on the Gateway Hospital's fifth floor into six phases and the renovation on the Main Hospital's fifth floor into 16 phases. This phasing pattern will remain throughout the three-year construction duration.
In addition to the constraints within the facility, the VCU Medical Center is located in the heart of downtown, surrounded on all sides by active medical facilities on the VCU Health System campus, busy and tight city streets, and populated sidewalks. The project team (DPR, HKS, subcontractors, etc.) are working side by side in an off-site "Big Room" environment for streamlined collaboration. Team members are working around the clock, including nights and weekends, to minimize disruptions to the hospital's ongoing operations.
The project is also pursuing LEED-Silver certification.
DPR was hired alongside the design team (HKS), and the team has since been collaborating in the Big Room, along with the mechanical, electrical, and fire protection trade partners throughout the design process. The team is coordinating a "one model" approach, where the team maintains one model per trade (i.e., architectural model, mechanical model, electrical model, etc.) through the entire life of the project. This means the model the team creates in the design phase will be the exact model used for prefabrication, construction, and eventually, owner turnover. The design team adds elements and creates redlines of the model and the subcontractors add more details.
The team organized access to Revit files using Revit Server, with the addition of Clarity software. This allows team members to model their specified trade model regardless of where they are located (the Big Room or the company's office). Using this system, the entire team is creating design documents for organizing, phasing, and carrying out construction activities.
DPR applied BIM in the Gateway Bump-Out portion of the project where the team simulated steel placement to show hospital administration what portion of the hospital entrance needed to be shut down and when. Because each step of the process was modeled, the construction team was able to analyze constructability issues as well as evaluate impacts to operational hospital as the construction progresses.
Additionally, DPR involved Oculus Rift goggles to enable users to virtually walk through BIM mockups and provide feedback before construction began. The virtual walk-throughs yielded more than 35 suggested changes to the design and layout of the operating and post-operative recovery rooms.