How to manage a healthcare construction project – Part 3 (of 3)

So, here we are. The final blog post about how a healthcare Design-Build construction company should manage a healthcare project. In Part 1, we examined the initial steps and assessments that need to be taken at the onset of any healthcare construction project – whether it’s a new build or a medical facility renovation. And in Part 2, we looked at schematic design and design development regarding their role in nailing the guaranteed maximum price. In this final portion, Part 3 of 3, we’ll be reviewing the final construction documents needed to get your project moving, as well as an overview of final steps.

Final Construction Documents

The completion of your final construction documents is the responsibility of the entire Design-Build construction team and is vital to the long-term success of both the project and your new or renovated healthcare facility.

Midway through final documentation, construction documents are reviewed by the project manager, project engineer and project superintendent. At this stage, a constructability drawing review is crucial. Additionally, the estimate should be analyzed for accuracy, and to make certain any changes to the plan have been accounted for. This way, everyone is on the same page.


Next, the medical facility project enters what we call the procurement stage – a very detailed stage consisting of several critical steps.

First, it’s important that your healthcare Design-Builder produce a detailed construction schedule. While this may seem overly cautious, it will guarantee that the project is on-time and on-budget. Additionally, it will keep everyone accountable – something that is crucial with any project, especially a large healthcare construction project. At The Korte Company, we’ve never delivered a project late or over-budget, and a company-wide commitment to detailed construction schedules is why.

In the procurement stage, your builder should review and pre-qualify potential local and regional bidders and their bids with you. This is very important, as it’s your money and you should know where and how it’s being spent. When possible, we utilize the local labor force. It’s just the way we do things, and recommend you consider having your healthcare builder do this as well. Your healthcare builder should work to develop a detailed set of bid instructions and solicit full coverage of all major bid packages. This is the next step in qualifying the subcontractors that will be putting their “name” on the building as well. Remember that old axiom of a chain only being as strong as its weakest link, well it applies here too.


Let’s shift gears and talk about the actual build. If you work in construction, you’ll likely already have a healthcare construction process in place. If you don’t, there are a few areas of focus that are key components in the successful delivery of your Design-Build healthcare construction project.

First, make sure that your team is well-versed in establishing clear, precise lines of communication. This is vital to the success of any construction project and is one of the biggest benefits of Design-Build healthcare construction. 

Once lines of communication are set, the project should mobilize. And it should run like a well-oiled machine. There should be a thorough preconstruction meeting with the owner and all major subcontractors and vendors. Pre-installation meetings on all major building components are also necessary. 

Throughout your healthcare construction project, your healthcare Design-Build construction company must conduct bi-weekly meetings to coordinate construction, monitor progress and retain accountability. Quality control should be a topic of most conversations, ensuring proper installation and adherence to all contract documents. Remember, if the healthcare construction project was planned properly in the beginning, the end result should be exactly what everyone is expecting. That’s building smart.

Commission and closeout

Finally, it’s time for the ribbon cutting. But, the job doesn’t end there. A good healthcare builder should provide as-built drawings, operations manuals, training in use of building and equipment, and of course, an eleven-month checkup.

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