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
