The Design-Build Institute of America’s (DBIA) annual conference and expo is one of the most educational and dynamic events to attend each year. I had the great fortune of joining contacts and colleagues at this year’s event in New Orleans. Making this year’s DBIA Expo especially exciting, the event marked the 25th anniversary of the DBIA’s founding – a moment when select AEC industry leaders came together to advance design-build as a successful project delivery platform.
The team at the DBIA Conference 2018.
For those unfamiliar, the DBIA conference is an event that unites AEC professionals, building owners, leaders in design-build delivery, and relative newcomers to share the latest trends, ideas and best practices that can fuel both progressive project delivery models for the future. There are scores of educational sessions, countless novel ideas shared, and incredible energy around the built environment’s future at these events. The DBIA also announces awards and its new Board of Directors, which was an exciting moment as my colleague Deb Sheehan was selected to serve on the DBIA BOD for the year ahead.
Reflecting on this year’s conference, I wanted to share three key takeaways that will influence the year ahead:
Chart courtesy of DBIA
Further Evidence: Design-Build is Faster, More Reliable and Cost Effective
As design-build continues to gain momentum each year as an effective project delivery platform, new data and evidence to serve as proof is key. There was excitement at the DBIA conference around the organization’s new research report, “Revisiting Project Delivery Performance” that shows America’s design-build projects continue to deliver faster, and with greater reliability in cost and schedule performance, than other methods. Here are some highlights from the data:
- On average, projects using design-build cost 1.9% less per square foot when compared to construction manager-at-risk (CMR), and 0.3% less when compared to design-bid-build (DBB).
- Design-build projects also average 2.4% less cost growth than a comparably scoped project using CMR and 3.8 less cost growth than a project using DBB.
- Design-build projects see 3.9% less schedule growth than CMR and 1.7% less than DBB. They’re also 13% faster than CMR during the construction phase and 36% faster than DBB.
Design-build can continue to drive value on a project level and for our larger built environment. As Lisa Washington CAE, CEO/executive director of DBIA has said, “As our nation continues to struggle with the unmet needs of crumbling infrastructure and budgets stretched thin, it’s no surprise that most states have embraced design-build as a better way to deliver projects vital to our economic growth. Whether it’s a billion-dollar airport or small community library, this research confirms design-build continues to deliver innovative projects that save time and money.”
The report has been covered in the media and it can be read in entirety online.
Design-Build for Transportation & Aviation in 2019
During this year’s conference, I co-chaired a Market Sector Roundtable with Geoff Neumayr, chief development officer for San Francisco International Airport, Aviation which proved remarkably enlightening. Those involved shared their thoughts on design-build’s growing impact and potential in the aviation industry. It became that the potential for design-build in aviation required more than just a singular discussion at the national conference.
A chart representing how design-build functions differently than other project delivery platforms. Chart courtesy of the DBIA.
So, in 2019, DBIA will take a deep-dive focus on aviation at the first-ever Design-Build for Transportation & Aviation Conference this April in Cincinnati. The DBIA has held an event focused on transportation in the past, but it’s exciting to see the aviation industry elevated in this manner.
The Aviation Market Sector Roundtable I co-chaired with Geoff Neumayr of SFO.
Several of our most exciting current design-build projects sit in the aviation industry. We’re currently helping Los Angeles International Airport construct its new Midfield Satellite Concourse and a Terminal Cores and Automated People Mover Interface and doing work with San Francisco International Airport (SFO). Being connected to these projects day in and day has shown our team the remarkable success and potential for design-build in aviation and it’s great to see a dedicated event on the topic for 2019.
Deep Interest in Virtual Design and Construction
Our gkkworks/CannonDesign team brought more people than ever to this year’s conference, including Brian Skripac, our director of virtual design + construction (VDC). In talking with him, he was thrilled with the excitement and energy around VDC. He moderated a technology form titled, “Exploring the Value of BIM on Projects,” and told me this afterward: “One of the important takeaways from the session which really summarized things well was, ‘as BIM adoption goes up, so does group cohesion, facility quality and project delivery speed.’ – all important benefits and outcomes.
Brian also shared that “other presentations on a schedule-driven BIM approach highlighted the value of integrating trade contractors and their models early in the project delivery process while also being able to use big data from the QA/QC process,” and VDC came up when SFO’s Geoff Neumayr talked about the importance of achieving the benefits listed above (group cohesion, facility quality, etc.) which will continue to be value-adds for clients embarking on projects via the progressive design-build model.
I can’t state enough how much I look forward to the DBIA conference each year. The 2018 event in New Orleans did anything but disappoint, and I look forward to advancing design-build in new ways between now and next year’s event in Las Vegas.
Learn more about our progressive design-build team >
Telehealth not only has the ability to increase convenience and improve care for remote patients, it also improves emergency department throughput, and ultimately can reduce potentially avoidable admissions.
While telemedicine capabilities are some of the most exciting existing in healthcare today, inconsistent reimbursement standards continue to hinder successful program adoption. Challenges continue in navigating the state-level variability in regulations and capturing procedures to receive the appropriate compensation and reimbursement. Because of its potential, it is crucial for organizations implementing telehealth to work closely with legislators and insurance companies to ensure reimbursement occurs in a timely and effective manner. Fortunately, the growing interest in implementing telehealth solutions has prioritized reimbursement evolution.
The purpose of this paper is to review the current landscape of telehealth reimbursement and provide insight into strategies for dealing with the complex regulatory environment. For example, when we asked a renown Academic Medical Center in Dallas about its telemedicine capabilities, they give a semi-standard response: “We would like to offer more, but billing is a significant challenge.” We’ll also take a deeper dive and show how one particular organization’s telehealth services are functioning like a well-oiled machine.
Download our Tactical Report on Telehealth Reimbursement >
The inaugural Innovation Accelerated By Design event hosted by CannonDesign’s Los Angeles office explored the role of design in spurring innovation. Last Thursday, more than 100 designers, educators, health and business leaders and innovators came together to hear leaders from Kaiser Permanente, Showtime and University of Utah share thoughts on how design can fuel innovation.
Hosted at the Herman Miller Showroom, Innovation Accelerated By Design welcomed inspiring presentations, sparked interesting dialogue, and offered exciting peeks into the future of design. The event featured a series of TED-style presentations followed by a panel discussion moderated by CannonDesign’s Director of Strategy, Swapna Sathyan.
Our moderator and speakers (From L-R) Swapna Sathyan, Mehrdad Yazdani, Troy D’Ambrosio, Sunil Shah, Jana Winograde
Starting with this inaugural event, our team is excited to build on the momentum generated and continue to feature thought leaders and industry experts through various channels and events in 2019 and beyond. For those unable to attend or simply interested, here’s a look at four key takeaways from last Thursday’s event.
Internal Disruption is Important
Sunil Shah, Kaiser Permanente’s VP of Facilities Strategy, Planning & Design, kicked off the evening with a thorough look at the health system’s legacy of innovation. He shared that from Kaiser Permanente’s perspective, “(their) buildings need to be a beacon – so what does that mean for design?” From breakthrough cancer centers, to its Health Hub concept, and even its new School of Medicine, Kaiser Permanente consistently leads the health industry in generating novel ideas to meet shifting customer demand and preferences.
Sunil was clear that this innovation doesn’t just happen and he shared that Kaiser Permanente is fully aware it must constantly “internally disrupts ourselves” to foster these exciting ideas and concepts. Sunil then focused more on how his team has opened around 50 medical office buildings since 2015 that reshape patient experience in healthcare. He shared that in healthcare, “Customer experience matters. Brand matters. The healthcare doctor’s office has a much broader role than an episodic event that happens in people’s lives.”
This recognition guides so much of Kaiser Permanente’s design efforts and they’ve rooted their visionary responses to elevating customer experience in “design, technology, services models and operational models.”
Unleashing Creativity Can Be Intentional
As one of the leading entertainment media companies in the world, Showtime Networks is a paragon for fueling creativity. The company’s President of Business Operations Jana Winograde shared how the company has redesigned its workplace in Los Angeles to empower its creative people and culture for the decades ahead. She highlighted, “For Showtime, it was about having a space that encouraged the creative process in every way, and creating and designing spaces for that.”
Jana touched on numerous features of the new workplace (set to open in 2019) as she shared renderings and video fly-throughs. She touched on how the company integrated technology, screening rooms, collaborative space and pushed the design solutions to inherently inspire those who will work within it. She also focused her presentation on Showtime’s need to “design a space that can adapt to industry change.” Jana shared that with the entertainment industry seeing new entrants in the form of technology companies, company culture, and recruit and retain is shifting in dynamic new ways.
“We looked across industries for the best workplace ideas and pushed ourselves to think about what we’ll need today, tomorrow, 10 years from now, to thrive. It’s a moving target; that’s how we think about our business, and we brought that same perspective to the workplace design process.”
Welcome Ideas from Everywhere
Troy D’Ambrosio, the Executive Director of the Lassonde Entrepreneur Institute at University of Utah, then took the stage to share how just two years after the university opened its breakthrough entrepreneurial education building, Lassonde Studios, it has quintupled the number of student-led startups on campus. “Last year, we had over 500 startups and 100 of those are still running,” he shared. Beyond this startup amplification, Lassonde Studios has also helped the University of Utah jump up in national rankings, increase student engagement on campus and accelerate funding streams.
In his presentation, Troy identified “unique compression of talent,” as a core driver for this success. Lassonde Studios welcomes students from all disciplines and levels to live in its 400+ residences and every student on campus is welcome to use its ground floor 20,000 square foot entrepreneurial hangar. The building enhances this idea of idea-sharing, as Troy added, “not only did we mashup students, but we mashed up types of spaces, like open collaborative zones, prototype spaces, workshops, hackable spaces, you name it.”
Troy added that one of the defining marks of Lassonde Studios is that students define it. “I walked in recently, and there was someone riding a scooter, someone playing the piano… it’s non-stop action and it’s 24/7 for those who live within it.”
It’s an Extraordinary Time to Be a Designer
Our own Mehrdad Yazdani helped close the series of presentations with a look at how the design process is evolving and why it must continually evolve to help organizations meet their ever-present challenges. After enthusiastically telling the attendees it was an extraordinary time to be a designer, Mehrdad shared that “we are living in a world that is rapidly changing. The emergence of new technology, (the) convergence of new generations – everything about how we work is changing.” To accommodate this change and stay relevant, Mehrdad concluded, “designers must change, too.”
Mehrdad’s presentation then focused on how prototyping, emerging technologies and new processes all help designers engage their clients and identify new solutions and opportunities that never previously existed. Having worked with Sunil from Kaiser and Troy from University of Utah closely, Mehrdad was able to highlight anecdotes from the design processes that informed their projects and unite the presentations dynamically.
“In such a remarkably evolving world, design is a common denominator that can help businesses, health systems, educators – it’s a powerful tool to help us create a brighter future.”
Inspired by the series of presentations and discussion, several audience members had questions for the crowd. The group also enjoyed the atmosphere of the Herman Miller showroom, food and drinks after the formal presentation had concluded.
Our team was thrilled with the quality of speakers for our inaugural event, their insightful presentations and we look forward to building on the great start to this event series.
While the major shift from inpatient to ambulatory care is allowing healthcare systems to remain at the forefront of medicine, it also creates significant challenges with respect to reimbursement, revenue, and patient volume. Exacerbating those challenges, there isn’t a “one size fits all” ambulatory strategy. Just as there is no single type of consumer, there is no single right or highest use of an ambulatory facility. Every patient is unique in how they want to interact with a health institution. And technology, digital solutions, experience, and patient expectations all play a role in their interactions.
In order to build a successful ambulatory strategy, health systems need to approach ambulatory care similar to how a chef approaches a recipe. While you may start with the same ingredients, the different amounts and ways in which they are mixed together will create very different results. It is essential for health systems to identify those ingredients, and then combine them strategically to create the successful recipe that matches their patients’ expectations.
Our ambulatory care team understands the many questions this “recipe” may pose for an organization, which is why our approach recognizes the uniqueness of each health system – targeting our efforts to identify ambulatory marketing opportunities and tailor solutions that correlate with each client’s definition of value.
We recently created a report that outlines the four major categories of ambulatory influencers and defines the building blocks for an ambulatory care site, to guide healthcare systems in tailoring an ambulatory strategy to their own unique brand of healthcare delivery.
READ OUR REPORT – PERSPECTIVES AND FUTURES IN AMBULATORY CARE >