1. Facility & Existing Conditions Assessment

• Detailed on-site field verification and documentation

• Code compliance review (local, state, healthcare-specific regulations)

• Space utilization analysis and departmental performance review

• Identification of constraints, deficiencies, and expansion opportunities

2. MEP / Engineering Systems Evaluation

• Assessment of mechanical systems (HVAC capacity, redundancy, pressurization requirements)

• Review of electrical infrastructure (normal/emergency power, load capacity, critical systems)

• Evaluation of plumbing and medical gas systems for adequacy and compliance

• Infrastructure gap analysis for new clinical programs and technologies

• System narratives outlining upgrade or replacement needs

• Structural systems analysis as required

3. Functional Programming & Planning

• Stakeholder interviews and clinical workflow analysis

• Development of departmental space programs with room-by-room requirements

• Adjacency matrices and operational relationship mapping

• Alignment of program with regulatory and accreditation requirements

4. Schematic-Level Drawings (Pre-Design Visualization)

• Test-fit floor plans within existing or proposed building footprints

• Stacking diagrams showing vertical departmental organization

• Blocking plans illustrating horizontal layout strategies

• Adjacency and workflow diagrams to validate efficiency

• Site utilization studies including access, circulation, and expansion zones

5. Phasing & Constructability Analysis

• Phasing plans illustrating sequenced construction in active facilities

• Identification of swing spaces and temporary relocations

• Infection Control Risk Assessment (ICRA) and Interim Life Safety Measures (ILSM) strategies

• Construction impact analysis on patient care and operations

• Logistics diagrams for site access, material flow, and separation of construction/public zones

• Early coordination with contractors (if applicable) to validate constructability

6. Cost Modeling & Project Alignment

• Order-of-magnitude cost estimates based on schematic scope

• Alignment of budget with program, phasing, and infrastructure upgrades

• Identification of cost drivers and value management opportunities

• Support for funding strategies and project prioritization

7. Deliverables & Decision Support

• Comprehensive pre-design report summarizing findings and recommendations

• Schematic drawing package supporting scope definition

• MEP assessment documentation and upgrade roadmaps

• Phasing and logistics plans for implementation strategy

• Clear definition of project scope, risks, and next steps

1. Comprehensive Design & Construction Document Peer Review

• Conduct a thorough evaluation of proposed architectural and engineering design documents thru all phases of design

• Review drawings, specifications, and technical submissions to healthcare regulatory agencies for plan review

• Assess clarity, and completeness of documentation with respect to each phase of project development

• Identify potential phasing and constructability hurdles ahead of time so they can be addressed within the design documents

2. Issue & Conflict Identification

• Detect design inconsistencies, coordination gaps, and technical conflicts between architectural and engineering consultants

• Identify areas for optimization, clarification, or redesign

• Highlight constructability challenges and sequencing concerns

4. Value Engineering & Cost Optimization

• Evaluate appropriateness of materials and systems incompliance with goals and budgets

• Identify alternative solutions that maintain performance and quality

• Support informed decision-making without compromising design intent

• Track project milestones and schedule adherence

• Provide progress reporting aligned with project deliverables