Best Practices for Project Management, Design, and Construction of ...

Other team members to include are the Clinical Informatics Nurse to ensure that the
clinical needs of the systems are being addressed, as well as the Clinical Engineering
Department (Bio-Med) to ensure that all cabling and power needs are being addressed for
the clinical equipment and systems that must be linked to the network.
Due to the overall coordination and installation responsibilities of multiple trades,
experience has proven that the best approach is to have the project construction team
responsible for installing everything including the finished wall, ceiling, floor and
equipment racks and mounting. IT/IS would then be responsible for the installation of IT/IS
equipment and operational testing. IT/IS installation and testing should be included in the
owner’s project schedule as it will impact beneficial occupancy.
It is becoming more apparent to the healthcare industry that IT systems are complex.
Because of the multi-disciplines that are needed to design the IT infrastructure, it is highly
recommended that Facilities Construction be the hospital lead for such projects due to
their experience with central plant infrastructure systems for both hospitals buildings and
the campus.
Best Practice 14: Ensure that the application for plan review is complete
Design professionals are customarily responsible for preparing the OSHPD plan review
application. However, mistakes are frequently made. The hospital representative should review
the application to ensure that:
• The right forms and all applicable forms are used and are completed correctly and
thoroughly as well as signed by the appropriate parties (e.g., projects with incremental
submittals and permits will require a special form);
• An appropriate hospital official with adequate OSHPD knowledge is named as the facility
representative (who will receive copies of OSHPD correspondence that would otherwise
go only to the designers);
• The boxes on the form describe how this work furthers fulfillment of your SB 1953
Compliance Plan (although almost all work does, most goes uncredited);
• The hospital owner will pay 1.64% of construction costs (excluding designer’s fees and
other "soft" costs) to OSHPD as their fee for service (see ; and
• OSHPD has deemed the plan complete owing to no defects or omissions.
An applicant is expected to be as accurate as possible in estimating construction costs and there
will be adjustments made at the end of the project. Please refer to Code Application Notice
1-7-133 on OSHPD’s website for more comprehensive information about fees.
(OSHPD Best Practices) Page 100 DRAFT FINAL, Sept. 2011