Emergency Department & Trauma Center Expansion
An emergency department and trauma center doubled in size around a live ambulance entrance that stayed open every hour of construction.
- Owner
- Confidential
- Region
- U.S. Midwest & Mountain
- Market
- Healthcare
- Capital value
- $96M
- Size
- 64 treatment bays
- Delivery
- CM at-risk
- Duration
- 24 months
- Completed
- 2025
What was at stake.
The department saw more than two hundred patients a day. Every phase moved triage, waiting or ambulance access, and each move needed a state notice and clinical approval. The phasing drawings were clear, but the schedule had no way to tell anyone when a move was really ready.
How we controlled it.
What our schedulers and cost engineers did on this project.
Phases as milestones
Each of the seven phases became a gated milestone with inspections, signage, staff training and the patient move all tied in logic.
Ambulance access first
Ambulance and walk-in routes were treated as constraints that no activity could break, and every look-ahead checked them.
Weekly look-aheads
A plain-language three-week look-ahead went to nursing leadership every Friday, so no move came as a surprise.
Change logged fast
Clinical change requests were priced and logged within days, so scope growth never hid inside the contingency.
The result.
In an emergency department, a phase is ready when a nurse can work in it. That is the date we scheduled.
Senior scheduler, EvrardBanes
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