A lean way of design and production for healthcare construction projects

As a consequence of the lack of solid conceptual foundation, the project management concepts and techniques usually applied within the construction sector are fragmented and have proved to be incapable of solving the complex problems of design management. As a result, healthcare providers have become frustrated with the outcomes such as cost and schedule overruns, accidents, less than expected quality and inadequate functionality. However, an investigation of successful healthcare projects reveals that new approaches have been developed to tackle such problems. This study uses recent data based on six construction projects. The idea is demonstrate how successful projects are dealing with the integration between design, production, and operations, through an appropriate approach to the management of production systems. The paper aims to assist the different parties of the AEC industry to better understand how practices applied into design phase could support the efficiency in the management of production systems

A lean way of design and production for healthcare construction projects

As a consequence of the lack of solid conceptual foundation, the project management concepts and techniques usually applied within the construction sector are fragmented and have proved to be incapable of solving the complex problems of design management. As a result, healthcare providers have become frustrated with the outcomes such as cost and schedule overruns, accidents, less than expected quality and inadequate functionality. However, an investigation of successful healthcare projects reveals that new approaches have been developed to tackle such problems. This study uses recent data based on six construction projects. The idea is demonstrate how successful projects are dealing with the integration between design, production, and operations, through an appropriate approach to the management of production systems. The paper aims to assist the different parties of the AEC industry to better understand how practices applied into design phase could support the efficiency in the management of production systems

Target value design: using collaboration and a lean approach to reduce construction cost

Target Costing is an effective management technique that has been used in manufacturing for decades to achieve cost predictability during new products development. Adoption of this technique promises benefits for the construction industry as it struggles to raise the number of successful outcomes and certainty of project delivery in terms of cost, quality and time. Target Value Design is a management approach that takes the best features of Target Costing and adapts them to the peculiarities of construction. In this paper the concept of Target Value Design is introduced based on the results of action research carried out on 12 construction projects in the USA. It has been shown that systemic application of Target Value Design leads to significant improvement of project performance – the final cost of projects was on average 15% less than market cost. The construction industry already has approaches that have similarities with elements of the Target Value Design process or uses the same terminology, e.g. Partnering and Target Cost Contracts, Cost planning, etc. Following an exploration of the similarities and differences Target Value Design is positioned as a form of Target Costing for construction that offers a more reliable route to successful projects outcomes

Intelligent Products: Shifting the Production Control Logic in Construction (With Lean and BIM)

Production management and control in construction has not been addressed/updated ever since the introduction of Critical Path Method and the Last Planner® system. The predominant outside-in control logic and a fragmented and deep supply chain in construction significantly affect the efficiency over a lifecycle. In a construction project, a large number of organisations interact with the product throughout the process, requiring a significant amount of information handling and synchronisation between these organisations. However, due to the deep supply chains and problems with lack of information integration, the information flow down across the lifecycle poses a significant challenge. This research proposes a product centric system, where the control logic of the production process is embedded within the individual components from the design phase. The solution is enabled by a number of technologies and tools such as Building Information Modelling, Internet of Things, Messaging Systems and within the conceptual process framework of Lean Construction. The vision encompasses the lifecycle of projects from design to construction and maintenance, where the products can interact with the environment and its actors through various stages supporting a variety of actions. The vision and the tools and technologies required to support it are described in this pape

The activity-based costing method developments: state-of-the art and case study

This paper analyses the management accounting applications which try to improve the Activity-based Costing method. In the first part, we describe them using the Strategic Management Accounting stream. Then, we present the main features of these applications. In the second part, we examine in details two of these features: The widening of the analysis perimeter and the relevant level of details to analyse the costs. Then, we analyse several proposals: Customer Profitability Analysis (CPA), Interorganizational Cost Management (IOCM), Resource Consumption Accounting (RCA) and Time-driven ABC (TDABC). Finally, we describe an experience observed in the IT supply European division of an international group. This group experiments what we call at the end a supply chain ABC tool to manage its interorganizational relations.Activity-based Costing, Strategic Management Accounting, Time-driven ABC, Case study.

Carbon capture from natural gas combined cycle power plants: Solvent performance comparison at an industrial scale

Natural gas is an important source of energy. This article addresses the problem of integrating an existing natural gas combined cycle (NGCC) power plant with a carbon capture process using various solvents. The power plant and capture process have mutual interactions in terms of the flue gas flow rate and composition vs. the extracted steam required for solvent regeneration. Therefore, evaluating solvent performance at a single (nominal) operating point is not indicative and solvent performance should be considered subject to the overall process operability and over a wide range of operating conditions. In the present research, a novel optimization framework was developed in which design and operation of the capture process are optimized simultaneously and their interactions with the upstream power plant are fully captured. The developed framework was applied for solvent comparison which demonstrated that GCCmax, a newly developed solvent, features superior performances compared to the monoethanolamine baseline solvent

Framework for Understanding the Relationship between Lean and Safety in Construction

Safety and lean aim at similar goals in making the construction process faster, better and safer (Main et al. 2008). This research intends to answer the basic question: “Is there a relationship between lean and safety principles to help in reduction of waste and incidents?” The primary objective of this research is to understand the relationship of lean and safety through risk and uncertainty reduction. A qualitative analysis of lean methods and safety practices in the construction industry will be derived. Relationships between lean methods and safety practices will also be studied and the impacts of safety on lean methods will be analyzed. A framework that expresses the relationship of lean and safety theories will yield an understanding of the relations. The proposed framework will provide a larger picture of the association of lean and safety will explore the common grounds used in the minimization of waste and risk. The limitation of this research lies in qualitative findings from the data collected. A quantitative analysis involving the documentation of project processes and safety data would further strengthen the relationships identified. On the contrary, a quantitative approach would not provide a perspective on a larger scale. The principles of lean and safety are aligned and the construction industry could benefit by their integration A relationship has been established between lean methods and safety programs. Lean methods add value and eliminate waste, and safety helps in risk mitigation. Thus, it is widely evident that lean and safety have a synergy that can be harnessed to create a safe, productive workplace

Seeking evidence for the role of ontological assumptions in the thinking of managers and professionals

Shingo's (1988) seminal innovation in the theory of production management can be seen as a re-conceptualization of production as flow rather than transformation (Koskela 1992). These alternatives can in turn be regarded as reflections of opposing ontological positions which have dominated Western philosophy, holding respectively that reality is constituted of either temporal process, or atemporal substance (Roochnik 2004). Koskela & Kagioglou (2005) suggest that lean production philosophy is based in a process ontology, radically different from the atemporal metaphysics underlying conventional methods and theories. Chi (1992) has argued that the disjunction between ontological categories such as 'substance' and 'process' can constitute a particularly acute barrier to understanding. Studies such as Itza-Ortiz, Rebello & Zollman (2003) have demonstrated the possibility of specifying and classifying learners' mental models as an aid to learning. We examine procedures typically adopted in Quantity Surveying, Structural Engineering Design and Project Planning, in order to specify the mental models involved. We find evidence of an underlying substance ontology. Methods of measurement used in Quantity Surveying are designed to account for physical, rather than temporal properties. In design, the emphasis is on representing the properties of the finished structure, rather than the processes by which it is constructed. More subtly, the temporal dimensions of the construction process are represented in project planning as 'lumps' of time, thus ignoring important facets of their nature as events. We conclude that attention to the role of ontological categories in industry thinking will facilitate the teaching of process oriented approaches to construction project management

An Exploratory Study of Patient Falls

Debate continues between the contribution of education level and clinical expertise in the nursing practice environment. Research suggests a link between Baccalaureate of Science in Nursing (BSN) nurses and positive patient outcomes such as lower mortality, decreased falls, and fewer medication errors. Purpose: To examine if there a negative correlation between patient falls and the level of nurse education at an urban hospital located in Midwest Illinois during the years 2010-2014? Methods: A retrospective crosssectional cohort analysis was conducted using data from the National Database of Nursing Quality Indicators (NDNQI) from the years 2010-2014. Sample: Inpatients aged ≥ 18 years who experienced a unintentional sudden descent, with or without injury that resulted in the patient striking the floor or object and occurred on inpatient nursing units. Results: The regression model was constructed with annual patient falls as the dependent variable and formal education and a log transformed variable for percentage of certified nurses as the independent variables. The model overall is a good fit, F (2,22) = 9.014, p = .001, adj. R2 = .40. Conclusion: Annual patient falls will decrease by increasing the number of nurses with baccalaureate degrees and/or certifications from a professional nursing board-governing body

Integration of Cost andWork Breakdown Structures in the Management of Construction Projects

Scope management allows project managers to react when a project underperforms regarding schedule, budget, and/or quality at the execution stage. Scope management can also minimize project changes and budget omissions, as well as improve the accuracy of project cost estimates and risk responses. For scope management to be effective, though, it needs to rely on a robust work breakdown structure (WBS). A robust WBS hierarchically and faithfully reflects all project tasks and work packages so that projects are easier to manage. If done properly, the WBS also allows meeting the project objectives while delivering the project on time, on budget, and with the required quality. This paper analyzes whether the integration of a cost breakdown structure (CBS) can lead to the generation of more robust WBSs in construction projects. Over the last years, some international organizations have standardized and harmonized different cost classification systems (e.g., ISO 12006-2, ISO 81346-12, OmniClass, CoClass, UniClass). These cost databases have also been introduced into building information modeling (BIM) frameworks. We hypothesize that in BIM environments, if these CBSs are used to generate the project WBS, several advantages are gained such as sharper project definition. This enhanced project definition reduces project contradictions at both planning and execution stages, anticipates potential schedule and budget deviations, improves resource allocation, and overall it allows a better response to potential project risks. The hypothesis that the use of CBSs can generate more robust WBSs is tested by the response analysis of a questionnaire survey distributed among construction practitioners and project managers. By means of structural equation modeling (SEM), the correlation (agreement) and perception differences between two 250-respondent subsamples (technical project staff vs. project management staff) are also discussed. Results of this research support the use of CBSs by construction professionals as a basis to generate WBSs for enhanced project management (PM)