Medical Office Development – Involved from Project Concept
We like to work with the medical business from the very start of the project so we can help find the best plan at the best price. Kurt McLaughlin shared this example:
Next week I am meeting a doctor in his existing office because the facility will not be available to him long. We will look at several properties, go over design options and help him consider the best plan for his practice, then make a recommendation on which property to purchase. We will then go through multiple designs for that property to narrow down the perfect project for him and his business.
This process is definitely the way to start and we gladly help our clients through all steps of the process.
Start with the End in Mind
We encourage you to not start with a process in a mind but with the end in mind. Some of the things to consider are cost and design and how efficient the dental building is for you.
- you may not want to build a hospital when what you need is a clinic
- you may not want to build a bank building if you are a chiropractor
Medical Office New Construction
We organize and execute your project around your specific priorities and coordinate the construction around those goals. We start with the end in mind.
Factoring in Your Ability to Grow
The ability to grow always has to be taken into consideration, not just today or tomorrow but in the long-range future.
The Overall Picture
We help you set up an end goal. When you ask us to install a door, we ask what’s happening and help you consider the bigger picture. We may end up putting the door there, but we always have the discussion with you about the overall plan so together we can decide the best plan of action.
The Same for Both Small and Large Projects
We always want to get the plan solidified, then start working toward it. It doesn’t matter if it’s a $2000 project or a $2 million project. We approach all projects with this mindset so our clients’ don’t later wish they had considered the overall picture.
Our Small Project Division
Tenant improvements are typically $200,000 to$350,000. Our Small Project Division handles projects from $1000-$200,000.
On projects over $20,000-$30,000, the paperwork increases, since it usually includes the bidding process and contracts. A small project may have a contract and a schedule, but very few submittals. The more money you spend, the more you want to get involved in the documentation side of the process. It moves from “get it done and send me an invoice” to submittals, procurements, schedules, and accountabilities.
When doing projects on a negotiated pricing basis, which is common, we have an ‘open books’ policy with each client regarding the client’s project. We want to make sure we provide ‘the perfect job for a perfect price’.
Large projects involve a project manager and superintendents, but on smaller projects, we have someone monitoring the project, but not necessarily dedicating all their time to it. A $350,000 tenant improvement for a doctor or medical provider in an outlying building is a sizable project, but certainly not the largest we have done. When a project is done inside a medical facility like a hospital, the costs can be significantly higher.
Never Been Done Before
There are some kinds of projects where nobody knows how to do it, because it’s never been done before or not been done in a certain type of building. Instead of passing the project by, our company draws on the combined experience of the construction field, plus cutting edge innovative thinking, to figure out the solution.
We are always excited to do the next greatest thing that has not been developed yet.
Medical Office Multiphase Construction
A large project might have 5-6 phases and each phase may have 3 sub-phases. Multiphase construction goes back to keeping the end in mind. It may be that you have enough money to pay for a project, but you only have that money because you are generating it (you need to keep working while the remodel is going on). To make this happen we might need to do night, off-hours or phased work.
We start with what you need your facility to look like when it’s done, then go backwards and separate it into bites, which might be:
- keeping some of your procedure rooms, exam rooms or recovery rooms open while we work on the others so you can maintain your work flow and profits as a company
- relocating your staff and patients as little as necessary
- having your staff work 2 extra hours a day during remodeling, so you can accommodate your entire patient load
Multiphase construction takes longer, but it allows your clinic or medical facility to stay open during construction.
There are multiple options, including setting them up in a temporary location. We work with you to determine the best plan.
Professional medical equipment is an ever-expanding field since manufacturers are constantly developing new technologies. We pre-plan for that, building in extra space for wiring and installing conduits for future pulls, as well as anticipating the need for additional water lines, vacuum lines and upgraded power requirements.
We realize equipment maintenance staff will frequently need access to equipment for the duration of the life of the building. We pre-plan with you for what they will need to provide maintenance, do upgrades, install new equipment, etc. A wider doorway now my save you a significant remodeling cost in the future.
Designing for the Future
We assume your office will continue to be the best, newest and most cutting edge facility, so we build to prepare for the future. When we design a building, we design it not only for the equipment you have, but for the equipment you are going to have, even though it does not even exist yet.
This informs the decisions we make about underground, soffetting, trenching, water, power, backing, and putting in additional pathways. We prepare for equipment and technology of the future that are not even in use today, because it is a lot less expensive to prepare for them now than to retrofit later. It also increases the value of your building should you decide to sell it.
Listening to the Equipment Providers
We diligently learn by communicating with the equipment providers, listening to:
- What they know is in the development stage for future manufacture
- Where they see their industry going
- What equipment will go digital next
- What wiring requirements will be for new equipment
- What the vacuum and ADA requirements are going to be
We ask questions like:
- Where do you think your company is going with equipment design?
- How are you going to be able to service the equipment after it is installed?
- Will the equipment be on the 2nd or 3rd floor, and if so, is it elevatorable?
- How are we going to get the equipment in (and out)
- What power do you need and do you need additional circuits?
Kurt McLaughlin recalls several experiences as a project manager prior to forming Portland Commercial Construction.
We have built operating rooms in sterile cores while maintaining other operating rooms open and active, by setting up and maintaining a very specific negative air. It’s not something that can be done with plastic walls, and it takes a daily dedication to maintain the environment.
We have made corridors from an operating room through a construction site to a remote recovery area, with a stairway up and over the construction area. One 3-month project using sterile corridors required only shutting down the O.R. wing for 2 days in order to remove the sterile core and flooring and finish up the construction.
On a separate project, he helped give added value to the client.
This $6 million project included about $2.5 million worth of maintenance work. After 18 months of construction we were within 2 weeks of the original end date and gave back several hundred thousand dollars because it was a negotiated project.
On another project, he remodeled an active Neonatal Intensive Care Unit (NICU) and kept it functioning throughout the construction process.
Medical Office Construction – Easy to Work With
We are easy to work with. We understand construction and what needs to be done. We are very willing to look at all the options and be on that cutting edge and make things happen. We don’t say ‘no’, but say ‘we’ll figure it out’. We do not have ‘we can’t get it done’ in our vocabulary.
When You Need Help
It’s one thing for you to find and hire a roofer, a concrete company or a flooring installer occasionally, but you may need our help when several of these things need to happen in a short period of time. We are often work in intensive, critical areas in medical facilities, so when it comes to remodels in any situation, we bring that experience and that level of concern to it.
Minimize or Eliminate Downtime
You might have a call center or a restaurant that needs remodeling. We understand the need to minimize or eliminate downtime. We keep your facility clean and free of dust so you can keep working. Our expertise at medical-specific construction rolls over into every aspect of construction.
We bring this approach to the project whether it is a $1000 project or a $10 million dollar project. The process is the same: how do we handle a project on an existing building so it doesn’t affect the neighbors, the community and the city. That’s where we excel.
The Perfect Job at the Perfect Price
We give each client all the correct information and involve everyone who needs to be involved. We find out who is or will be affected and what we need to do to get it done with as little impact as possible. The cost consideration comes into the equation as well: is it the most effective for you to shut down or more effective for us to do multiphase construction where you pay a little bit more, but it’s the best course. We talk it through to get the perfect job at the perfect price. We don’t run it, knock it out, make a mess and leave you wishing you’d done it a different way.
Medical Office – Tenant Improvements
On small medical projects of $20,000 and below, not a lot of paperwork is typically involved. For all project, regardless of the size, we are always accountable for price and quality.
Once we have the plan for the project established, our attitude is to get things done while collaborating throughout the project. Our motto to ‘organize and execute around priorities’ comes into play so we never let a client down but gain another strong referral from a satisfied client.
We move forward confidently to finish strong.
Medical Office Maintenance
Your medical clinic may have maintenance staff to cover routine maintenance and take care of simple emergencies, but they may not have the time or qualifications to handle utilities upgrades, painting projects, site improvements, and additions, deletions, or modifications of facilities.
We can set up maintenance contracts with you so you can simply call us – and know that a quality company will take care of your needs in the most cost-effective and timely way.