ThedaCare and Shared Partners ~ Multi-Specialty Ambulatory Care Center

Appleton, Wisconsin

Project Description

This new 156,000 sq. ft., three-story facility houses primary care and specialty doctors in an innovative partnership. The freestanding ambulatory facility brings a health system, employed and independent physicians and ancillary services together as equity partners with shared services and consultation across specialties. Shared registration and scheduling for all services, an electronic medical records system, state-of-the-art endoscopy and diagnostics and same-day access for all providers. The center is expected to have 4,100 patient registrations per week and houses over 300 employees.

“The majority of the project team all agreed that the culture at the site was one of the best projects they have worked on, a huge testament coming from people who have been in the business for over 30 years.” 
Jeff Corcoran
President Corcoran Glass & Paint

Practices relocating to the new facility include: Morton Pharmacy, Fox Valley Surgical Associates – satellite, Fox Valley Pulmonary Medicine, Valley Urologic Associates, Women’s Health Specialists – satellite, Radiology Associates of Appleton – satellite and the following ThedaCare services:

  • At home – satellite

  • Behavioral health – satellite

  • Orthopedics plus – satellite

  • Outpatient treatment

  • Physicians-family medicine

  • Physicians - infectious disease

  • Physicians – internal medicine

  • ThedaCare sleep lab

The facility includes a large imaging department and centralized laboratory for all the building’s occupants. It also includes:

  • Emergency department

  • Exam rooms

  • Physician offices

  • Surgery suites

  • A comprehensive lab

  • Phlebotomy advanced CT

  • State-of-the-art endoscopy

  • Radiology, ultrasound

  • Digital mammography and imaging

  • Two MRIs – one open bore and one highly advanced small bore.

NC-Gold LEED Features
LEED features include:

  • Building footprint: minimized to limit disturbance to native soils and plant specimens and to maintain erosion control and native habitats for wildlife

  • Native and adaptive plant/landscape choices selected specifically to capitalize on ambient moisture and reduce the need for additional irrigation

  • Low-flow plumbing fixtures reduce water consumption by 30 percent over standard fixtures, exceeding mandates set by the Energy Policy Act

  • Interior and exterior lighting schemes minimize the trespass of light to the outside of the building and off of the project site, helping eliminate unwanted glare

  • Heating, ventilation and air conditioning systems have been designed to be 26 percent more energy efficient than industry standards require

  • Interior building materials contain no formaldehyde and low levels of volatile organic compounds, helping ensure healthful indoor air quality

  • Solar Panels: used for domestic water heating - the system will handle 60-75 percent of the annual load with an approximate seven year payback

  • Zoned and task lighting designs reduce total amounts of energy needed to light work areas and promote productivity, comfort and well-being of building occupants

  • Dedicated heat recovery chiller: reclaims heat generated by medical process equipment and sends it to the heating system to be used for comfort space conditioning

  • Room occupancy sensors: for space conditioning to adjust room temperatures during unoccupied periods

  • A detailed construction waste management plan was developed for the duration of the project. Isolated dumpsters sorted and recycled the following materials: concrete, scrap metal, wood, cardboard, co-mingles and drywall. Approximately 75 percent of jobsite waste was diverted from the landfill.

Based on the energy model for the building, early projections target the focus on energy rebate to total around $50,000. This rebate is given to promote efficient energy usage in the design of the building’s mechanical and electrical systems. The dollar value of the rebate mirrors the projected yearly savings this building will earn as compared to a building designed with an industry standard basis of design. The MEP team put forth the extra effort to decrease the future life-cycle cost of the facility.

Integrated Lean Project Delivery® (ILPD)
Integrated Lean Project Delivery (ILPD) was instilled into this project very early. The Lean process fostered a collaborative team approach that consistently looked at the benefits to the “whole” project (benefiting the owner) – not what benefited individual contractors. Each of the key team members were a part of an Integrated Project Delivery contract. This contract required the transparency of costs to help inject the most value for each dollar spent. In addition, a shared savings clause was put in place to reward the team for eliminating the unnecessary waste in design and construction. Waste was significantly reduced – allowing the owner to purchase more project enhancements that would not have been possible through traditional construction methods.

Building Information Modeling (BIM)
Boldt was instrumental in bringing BIM to this project to eliminate MEP clash detection through timely collaborative meetings. BIM meetings focused around the coordination of all floors and included all major trades on the project.

Through BIM, we were able to recognize minimal rework, reliable deliveries and very high installation productivity rates – which all result in lower costs and schedule improvements.

Once MEP installation started, the benefits of the planning sessions was evident. For example, the model showed the challenges of working around the large steel beams that support the grand stair in the lobby. The foremen were amazed at how smoothly the early stages of installation went. The pre-planning and prep work eliminated the confusion as to where systems need to be placed, in addition, the order of installations was planned to maximize productivity.

Learn more about our Integrated Lean Project Delivery capabilities or our sustainable efforts.

Architect/Engineer

HGA

Boldt's Role

Integrated Lean Project Delivery, Construction Manager, General Contractor

Key Points

  • Encircle Health was delivered under an Integrated Lean Project Delivery® (ILPD) with shared savings.
  • Encircle Health was seeking a LEED® Silver Certification (Leadership in Energy and Environmental Design), but was awarded the LEED® Gold Certification.
  • Starting in late fall, Boldt placed their schedule in the heart of winter, in which they experienced record snow falls. Despite the harsh winter conditions, the project duration was a little over a year, shortening the typical 15 month schedule for this size project by nearly three months.