The equivalent of a new kindergarten class is born every day at Orlando’s Arnold palmer hospital. With more than 10,500 births in 2004 in a hospital that was designed in 1989 for a capacity of 6,500 births a year, the newborn intensive care unit was stretched to the limit. Moreover, with continuing strong population growth in central florida, the hospital was often full. It was clear that new facilities were needed.

After much analysis, forecasting, and discussion, the management team decided to build a new 273-bed building across the street from the existing hospital. But the facility had to be built in accordance with the hospital’s guiding principles and its uniqueness as a health center dedicated to the specialized needs of women and infants. Those guiding principles are: family-centered environment, a healing environment where privacy and dignity are respected, sanctuary of caring that includes warm, serene surroundings with natural lighting, sincere and dedicated staff providing the highest quality care, and patient centered flow and function. The vice president of business development, karl hodges, wanted a hospital that was designed from the inside out by the people who understood the guiding principles, who knew most about the current system, and who were going to use the new system, namely, the doctors and nurses. Hodges and his staff spent 13 months discussing expansion needs with this group, as well as with patients and the community before developing a proposal for the new facility on December 17, 2001. An administrative team created 35 user groups, which held over 1,000 planning meeting (lasting from 45 minutes to a whole day). They even created a “supreme court” to deal with conflicting views on the multifaceted issues facing the new hospital. Funding and regulatory issues added substantial complexity to this major expansion, and hodges was very concerned that the project stay on time and within budget. Tom hyatt, director of facility development, was given the task of onsite manager of the $100 million project, in addition to overseeing ongoing renovations, expansions, and other projects. The activities in the multiyear project for the new building at arnold palmer are shown in table 3.

Activity scheduled time precedence activity (ies)

1. Proposal and review 1 month —

2. Establish master schedule 2 weeks 1

3. Architect selection process 5 weeks 1

4. Survey whole campus and its needs 1 month 1

5. Conceptual architect's plans 6 weeks 3

6. Cost estimating 2 months 2, 4, 5

7. Deliver plans to board for consideration/decision 1 month 6

8. Surveys/regulatory review 6 weeks 6

9. Construction manager selection 9 weeks 6

10. State review of need for more hospital beds (“certificate of need”) 3.5 months 7, 8

11. Design drawings 4 months 10

12. Construction documents 5 months 9, 11

13. Site preparation/demolish existing building 9 weeks 11

14. Construction start/building pad 2 months 12, 13

15. Relocate utilities 6 weeks 12

16. Deep foundations 2 months 14

17. Building structure in place 9 months 16

18. Exterior skin/roofing 4 months 17

19. Interior buildout 12 months 17

20. Building inspections 5 weeks 15, 19

21. Occupancy 1 month 20

What is the critical path for this project and how long is the project expected to take?

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