Abington Memorial Hospital Abington, Pennsylvania Brian

Abington Memorial Hospital Abington, Pennsylvania Brian Nussbaum Construction Management Spring 2004 Senior Thesis Presentation

Abington Memorial Hospital Abington, Pennsylvania Outline Project Information Steel Connection Redesign Mold in Exterior Insulation Finish Systems Green Healthcare Facilities Conclusion, Questions Brian Nussbaum Construction Management Spring 2004 Senior Thesis Pennsylvania State University

Abington Memorial Hospital Abington, Pennsylvania Building Information Building Size: 360,000 SF Construction Cost: 98.4 million 94.6 million New Construction 3.8 million Renovations Joint Venture between Intech Construction and L.F. Driscoll Construction Brian Nussbaum Construction Management Spring 2004 Senior Thesis Pennsylvania State University

E X I S T I N G H O S P I T A L ABINGTON MEMORIAL HOSPITAL PARKING SITE PLAN HOIST TOWER CRANE HOSPITAL ADDITION PARKING GARAGE HOSPITAL PARKING UPPER LEVELS CONTRACTOR PARKING LOWEST LEVEL D YORK 611) RD (RT. KEITH ROA D N WOODLAND ROAD HIGHLAND AVENUE

Abington Memorial Hospital Abington, Pennsylvania Steel Connection Redesign Brian Nussbaum Construction Management Spring 2004 Senior Thesis Pennsylvania State University

Abington Memorial Hospital Abington, Pennsylvania Steel Connection Redesign Current Steel Erection: 2200 tons of Steel Divided into 28 Derricks 83 days Duration Brian Nussbaum Construction Management Spring 2004 Senior Thesis Pennsylvania State University

Existing Proposed

Abington Memorial Hospital Abington, Pennsylvania Brian Nussbaum Construction Management Spring 2004 Senior Thesis Pennsylvania State University

Abington Memorial Hospital Abington, Pennsylvania Key Changes in Design: Elimination of Double Channels Replaced by series of angles Prefabrication: Connection between W-shape and Tube Steel Includes 5/16” plate, two angles Brian Nussbaum Construction Management Spring 2004 Senior Thesis Pennsylvania State University

Abington Memorial Hospital Abington, Pennsylvania Existing Erection Time: 1.9 Hours per connection Proposed 0.72 Hours per connection 9 Days on overall schedule Cost: Labor 5,130 Material 8,558 6 days Brian Nussbaum Construction Management 1,710 7,591 Delivery 389 Prefabrication 3 Days on overall schedule 1,035 0 14,077 566 3,174 13,511 Spring 2004 Senior Thesis Pennsylvania State University

Abington Memorial Hospital Abington, Pennsylvania Exterior Insulation Finish System (EIFS): Resistance to Mold Brian Nussbaum Construction Management Spring 2004 Senior Thesis Pennsylvania State University

Abington Memorial Hospital Abington, Pennsylvania Exterior Insulation Finish System (EIFS) Insulation Board, Reinforcing Mesh, Base Coat & Finish Coat 1.7 million EIFS Contract Used EIFS system to match existing hospital structure Substrate Adhesive Reinforcing Mesh Insulation Board Finish Coat Brian Nussbaum Construction Management Spring 2004 Senior Thesis Pennsylvania State University

Abington Memorial Hospital Abington, Pennsylvania Exterior Insulation Finish System (EIFS) Advantages: Cheap & efficient Lightweight Low maintenance Ideal for renovations Easily damaged Disadvantages: No drainage system Sealant failures Brian Nussbaum Construction Management Spring 2004 Senior Thesis Pennsylvania State University

Abington Memorial Hospital Abington, Pennsylvania Mold Type of fungus which can be found where there is water or moisture Health problems associated with mold: Respiratory Disease Coughing Sneezing Skin Rashes MOLD AND HOSPITALS DON’T MIX! Brian Nussbaum Construction Management Spring 2004 Senior Thesis Pennsylvania State University

Abington Memorial Hospital Abington, Pennsylvania Mold in Exterior Insulation Finish System (EIFS) Moisture intrusion can occur in several ways: Improper sealing around windows, doors, roof Moldings, railings, vents Cracked or damaged surface Lack of Drainage promotes moisture problems and mold growth Brian Nussbaum Construction Management Spring 2004 Senior Thesis Pennsylvania State University

Abington Memorial Hospital Abington, Pennsylvania Mold in Exterior Insulation Finish System (EIFS) EIFS Do’s Document Review Inspections Training Protect EIFS from weather prior to installation EIFS Don’ts Leave any joint unsealed (windows, doors) Install without manufacturer approval Brian Nussbaum Construction Management Spring 2004 Senior Thesis Pennsylvania State University

Abington Memorial Hospital Abington, Pennsylvania Mold in Exterior Insulation Finish System (EIFS) Abington Memorial Hospital is taking an active stance on moisture protection EIFS manufacturer offers services to prevent improper installation Plan Reviews Quality Management Program Pre-construction Meeting Third-party inspection Brian Nussbaum Construction Management Spring 2004 Senior Thesis Pennsylvania State University

Abington Memorial Hospital Abington, Pennsylvania Green Healthcare Facilities Brian Nussbaum Construction Management Spring 2004 Senior Thesis Pennsylvania State University

Abington Memorial Hospital Abington, Pennsylvania Healthcare Facilities Average between 70 to 75 million square feet of construction each year Over 20 billion in construction costs Hospital services: Inpatient Outpatient Service (food, supply) Administrative Diagnostic and treatment Research and teaching Brian Nussbaum Construction Management Spring 2004 Senior Thesis Pennsylvania State University

Abington Memorial Hospital Abington, Pennsylvania Healthcare facilities are highly intensive and demanding in terms of resources operational 24 hours/ day occupies far more square feet per building than any other building type employs over 6.2 million people, 6% of the workforce creates over 5 million tons of solid waste annually HEALTHCARE FACILITIES ARE HIGHLY SUITABLE FOR SUSTAINABLE DESIGN Brian Nussbaum Construction Management Spring 2004 Senior Thesis Pennsylvania State University

Abington Memorial Hospital Abington, Pennsylvania Green Building Design Minimal effect on the environment: Construction materials Construction methods Energy use Operating and Maintenance methods U.S. Green Building Council has established the LEEDtm rating system for sustainable construction Brian Nussbaum Construction Management Spring 2004 Senior Thesis Pennsylvania State University

Abington Memorial Hospital Abington, Pennsylvania Greening of Healthcare Facilities Survey A survey was created for owners, buildings, and designers with experience in sustainable healthcare construction Goals of the survey: Why go for sustainable construction? Why aren’t more healthcare facilities sustainable? What benefits are you attempting to achieve? Brian Nussbaum Construction Management Spring 2004 Senior Thesis Pennsylvania State University

Abington Memorial Hospital Abington, Pennsylvania Green Building Design There are many ways a building can benefit from sustainable construction: Reduced operating costs Enhanced public image Increased productivity Corporate responsibility Environmentally friendly Financial incentives Marketing device Enhanced well-being well-being of of occupants occupants Enhanced Increased property value Improve market performance Brian Nussbaum Construction Management Spring 2004 Senior Thesis Pennsylvania State University

Abington Memorial Hospital Abington, Pennsylvania Increased Physician/Staff Productivity An improvement in productivity could result in: Treatment of more patients More productive procedures Higher quality treatment Students in sunlit classrooms scored 20-26% higher scores and absent 3–4 days less than conventionally lit classrooms U.S. Green Building Council suggests a 6-16% increase in productivity Brian Nussbaum Construction Management Spring 2004 Senior Thesis Pennsylvania State University

Abington Memorial Hospital Abington, Pennsylvania Enhanced Well-Being of Occupants Poor Indoor Air Quality (IAQ) is one of top five environmental risks to public health, according to EPA One of six requirements for LEEDtm certification is a healthy IAQ Healthy IAQ can lead to: Reduced absenteeism Increased staff retention Brian Nussbaum Construction Management Improved recruitment Increased productivity Spring 2004 Senior Thesis Pennsylvania State University

Abington Memorial Hospital Abington, Pennsylvania Enhanced Well-Being of Occupants Study of Patients with views of brick wall vs. scenic view Patients with outside view Shorter length of stay Fewer medical problems Required less pain medication Brian Nussbaum Construction Management Spring 2004 Senior Thesis Pennsylvania State University

Abington Memorial Hospital Abington, Pennsylvania Green Guidelines for Healthcare Construction (GGHC) LEEDtm rating system is not highly applicable to healthcare facilities American Society for Healthcare Engineering (ASHE) has developed a rating system, based on LEEDtm which focuses on issues specific to healthcare facilities 109 points, as opposed to LEEDtm’s 69 points Brian Nussbaum Construction Management Spring 2004 Senior Thesis Pennsylvania State University

Abington Memorial Hospital Abington, Pennsylvania Green Guidelines for Healthcare Construction (GGHC) Credits more applicable to healthcare facilities, such as Environmental Health Mission Statement & Program Building Orientation Medical Equipment Efficiency Toxin Elimination Brian Nussbaum Construction Management Spring 2004 Senior Thesis Pennsylvania State University

Abington Memorial Hospital Abington, Pennsylvania Green Guidelines for Healthcare Construction (GGHC) Self-Certifying Topics designed to: Support the healing environment Reduce energy demand Minimize waste Protect IAQ Maximize daylight Brian Nussbaum Construction Management Spring 2004 Senior Thesis Pennsylvania State University

Abington Memorial Hospital Abington, Pennsylvania Conclusions Steel Connection Redesign Prefabrication requires less erection time Savings of 6 days on schedule EIFS Resistance to Mold Ensure proper installation to prevent moisture and mold growth Green Healthcare Facilities Sustainability proposes many benefits to healthcare facilities Improved productivity and enhanced well-being of occupants Brian Nussbaum Construction Management Spring 2004 Senior Thesis Pennsylvania State University

Abington Memorial Hospital Abington, Pennsylvania Questions? Brian Nussbaum Construction Management Spring 2004 Senior Thesis Pennsylvania State University