Digby Christian

The Sutter Medical Center Castro Valley project has been recognized throughout the construction industry as a unique project in design and approach, catching the interest of architects and builders throughout the world. We sat down with Digby Christian, Sutter Health Project Manager, for a closer look at what makes this project unique.

Q. Why is this project different than other projects you and the team members have been involved in?

One of the unique features of the project team is that we have an 11-party contract, with the non-owner members putting all of their profit at risk. I’m very confident that’s a unique set-up in the United States.

Another unique feature is that the trade contractors involved in the design and construction of the new hospital have a goal of achieving a fully coordinated, constructable, affordable design, complete with fabrication drawings, before the facility is even built. We do not want to resolve issues in the field during construction. We want to resolve them all as part of completing the design rather than in the field during construction when change orders are costly and time-consuming.

Q. There is a lot of emphasis on the team approach to this project. Who participates in the regular project team meetings?  How do they work together?

The Project Team is managed by a six-member team called the Core Group. I’m on it representing Sutter Health, as is Bryan Daylor, Eden’s Vice President of Ancillary & Support Services, representing Eden Medical Center. The other four members are from DPR Construction (general contractor), Capital Engineering (mechanical and plumbing design), Devenney Group (architectural design), and J.W. McClenahan (plumbing). We meet every two weeks to ensure the project is managing all the risks as optimally as possible. All decisions are required to be unanimous, and for the two years that we’ve been meeting, we have met that requirement.

A much larger group comprising all the designers, builders and specialty consultants meets at least every two weeks to resolve any strategic issues affecting the whole project. There are also subgroups that meet almost daily to keep information flowing fast and efficiently through the project team.

What are the benefits of this team approach?

You get a fully informed designed. You get an efficient plan for construction. But the main thing you gain is certainty about scope, cost and completion date.  These large projects traditionally go a long way over budget and finish very late and with compromises to the goals that the owner had. We worked hand in glove with each other for close to 18 months to get the cost of the project down without altering any of the goals for the building, and now for at least a year I have been completely confident of our ability to get the triple victory of on budget, on time, and with all the goals intact. That’s a tremendous difference from traditional delivery of these complex, expensive, long duration projects.

What have you learned by this approach?

That it works. To make it work requires that a very large team of people works very hard all day, every day for years. But if the owner’s goals are clear, and the team is working under a contract that puts their interests completely in alignment with the owner’s interests, that that monumental level of effort is exactly what you can get out of a team.  Hospital construction in California is some of the most complex, most strictly regulated, construction in the world and it is extraordinarily unforgiving of oversights and errors. To deliver a hospital on time, on budget with no compromises to what the owner and community want is about as ambitious as it gets in construction at this stage in our industry’s evolution.

How has this changed construction projects for the system? For the industry?

It’s been a tremendous proof of concept for how Sutter Health would like to deliver its projects.  And because the project has been written about in various trade publications and has now won two awards for its delivery model, it does have the potential to be a game-changing project in the industry. I would like it to be just that. Our modern society deserves a rock-solid reliable delivery method for these critical facilities, and until now, in my opinion it has not had that.

If you have any questions for Digby or any member of the team, please feel free to let us know or send us your comments.

One year later: the hospital is taking shape

The first of this month marked one year since the celebratory groundbreaking for construction of the new hospital in Castro Valley. Passing this one-year milestone is worthy of a little reflection on the long journey to get here.

The concept of a new hospital first surfaced in the late 1990s, brought about by legislation created as a result of the Northridge earthquake that damaged several hospitals to the point that patients and staff were endangered and operations were curtailed. In California, and perhaps more so in the Bay Area, such a danger needed to be remedied.

Stimulated by the new State requirements, Eden Medical Center soon came to the conclusion that a replacement facility was a much better long-term investment for the community than complex and costly repairs and retrofitting. With the building being nearly 50 years old at the time, and the delivery of hospital services dramatically changed from the 1950s when Eden Hospital was originally designed, it was the easy decision to make. Financing the project was another matter.

Gratefully, the commitment of Sutter Health allows us to be where we are today. After many years of planning, with stops and starts in trying to find the right plan, the right place, the right size at the right cost, our new hospital project was funded, and site work began right away.

Our goal remains to have the new hospital open by 2013 in order to meet Claifornia seismic safety requirements. It will be a remarkable building itself, an icon on the hill in Castro Valley that will be a source of pride for the entire area. More important, it will be here to take care of people when they need it most, and certainly when that long-anticipated earthquake strikes the Bay Area, perhaps on our own Hayward Fault. While hoping that never occurs, we will be ready and capable of safely continuing care for our community.

Safety first! Rebar installation on Level 2 shear walls is underway, while the first floor shear walls are now complete.

Nearly a year after the California Nurses Association filed a challenge to prevent Sutter Health from rebuilding Eden Medical Center, the petition has been denied. The judgment by Alameda County Superior Court was entered on July 7, 2010, and the Order Denying the Petition is now on the court’s website case # RG09462329. You can also view a PDF version of the judge’s order.

For all of us at Eden Medical Center, and more importantly, residents of Alameda County, this is very good news. We have always believed that this misguided attempt to stop a State-mandated rebuilding project was not based upon merit. Gratefully, the court agreed with our position.

On July 1, 2009, we broke ground to begin the project, just weeks after receiving approval of our Environmental Impact Report from the Alameda County Board of Supervisors. Despite the union’s challenge filed last year, work continued without hesitation. As a result, we remain on the very tight schedule to meet the opening date of January 2013.  Any delay caused by this action would have put the timely opening, if not the project, in jeopardy.

When completed, the 230,000-square-foot hospital and 80,000-square-foot medical office building will provide assurance to the people of Alameda County that it will not only withstand a significant earthquake, but remain operational to aide victims affected by it.

The entire steel framework has been completed, and work continues to at a rapid pace. Weather permitting through the end of this year, the project team hopes to have the exterior and roofs completed, weather tight before the spring rains, and begin working in earnest on the interior finishes.

A significant effort is underway to involve the employees, volunteers, physicians and community in supporting the new hospital through philanthropy. We sat down with Jack Alotto, president of the Eden Medical Center Foundation, to find out more about their fund-raising efforts.

Why philanthropy?
Philanthropy is a way for the public to invest in our new hospital. And we take that investment seriously. The Foundation represents a unique stakeholder in the new hospital. Our donors are our shareholders, so to speak, and they tell us how they want us to invest their money. We give them that right.  No matter what amount they give, they tell us where they want that money to go, whether for Trauma Services or Neuroscience or any other program, service or equipment.

Philanthropy enables a broad section of community to have a partnership stake in a new facility. In other words, here is Sutter Health giving, in essence, a gift to the community by funding $320 million for its construction. And now the community can partner with Sutter Health to bring that gift to life, to direct funds programs and services that the community decides it needs. In this way, philanthropy unites Sutter Health with the community to meet the community’s health care needs. That’s an exciting thing to do.

What is the Foundation’s role in making the new hospital a reality?
We have pledged $12.8 million toward equipment and technology in the new building. All of that money is going to advance patient care. That’s our goal, and that is our board’s pledge to hospital administration.

It is very important to me that we get more and more people involved at whatever level they are comfortable, whether it’s the Eden Hospital Auxiliary recent donation of $500,000 or a $20 gift from a grateful patient. We are all a part of this effort.

Right now, the People of Eden – the leaders, the physicians, the employees – have already pledged more than $1 million. The most gratifying part of my work is meeting with employees, seeing the commitment and personal support for the care we give. Every one of Eden’s leaders has already made a gift, and I would love to see 100% commitment from the employees and physicians as well. Our employees can inspire the community to invest as well, so we will all have a say in the hospital’s future.

Where can we learn more about the Eden Medical Center Foundation?
You can visit us on the hospital Website, call us at (510) 889-5033, or we can meet with groups and individuals to explore how to become a partner in care.