The Medical Fitness Imperative – Post 11

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Post 11 - Project Management

THE MEDICAL FITNESS IMPERATIVE
AN IN-DEPTH SERIES ABOUT THE HOWS AND WHYS OF MEDICALLY-BASED FITNESS AND WELLNESS
- Hervey Lavoie, F-MFA

 

Project management is a full time job and is often filled by an experienced, independent professional project manager whose primary responsibility is to represent the owner's interest as he or she coordinates the multi-disciplinary team needed to turn a board resolution into a building.
RESPONSIBILITIES:
Some hospitals maintain in-house project management personal, but regardless of whether this function is outsourced or on the payroll, there is a lot of heavy organizational lifting to do in bringing a project from concept to occupancy.  Project management services span the entire development continuum from feasibility through design, construction, commissioning, move-in, final acceptance and warranty compliance.  Duties include:

  • Clarifying project vision and assuring fit to outcome
  • Selecting and contracting the design team
  • Coordinate the consultant team from architects to lawyers to cost estimators
  • Site selection/evaluation/due diligence/ acquisition
  • Coordinating surveys and site related fact -finding
  • Setting and enforcing project budget and schedule
  • Confirming development entitlements and certificate of need
  • Monitor user groups input and confirm resulting program compliance
  • Manage source of funds and payment processing
  • Manage cost authority services to ensure budget compliance
  • Select and control the method of contracting for construction services
  • Manage quality control procedures
  • Manage both internal and external project related communication, record keeping and monthly reports
  • Oversee the construction of the project
  • Conduct constructability review
  • Conduct tenant- landlord negotiations
  • Manage the purchase and installation of fixtures, furniture and equipment
  • Control of risk management and security measures
  • Coordinate project related insurance coverage
  • Oversee final acceptance, operational training, move-in and transition to occupied operational mode
  • Follow-up post-occupancy troubleshooting and warranty enforcement

DEFINING SUCCESS

Successful project management is a function of both attitude and experience.  This quote says it all.  "I feel my greatest strength is the fact that I have sat in the seat of a Bobcat and in the leather chair of a Boardroom and everything in between.  I have a real appreciation for the physical effort needed to do a job as well as the financial, leagal and engineering elements that must also be part of the equation.  Ive learned firsthand respect for the guy in the field in work boots, the engineer at the CAD terminal and the executive sitting at the Board table getting funding and investor approval, all of whom are absolutely necessary to a successful project".

-    David Cochrane, Project Manager

 

WHAT TO AVOID:

  • Moonlighting - Part time project managers with full time "day job"
  • Duplicate responsibility - Shared project management role
  • Gaps in responsibility - Unclear or incomplete job descriptions

 

THE BOTTOM LINE:
Development of a multi-million dollar real estate asset is a complex, time consuming process requiring thousands of timely decisions over  a development duration of 18 - 30 months.  The services of a full time professional project manager can be secured for 2% or less of total project cost and is money well spent.