When it opens in 2023, a new healthcare facility for MedStar Georgetown University Clinic in Washington, D.C., will element the most current health care and technological innovations.

The new 477,213-sq.-foot health care and surgical making will element 156 affected person rooms, 32 test rooms and a rooftop helipad with direct entry to 31 running rooms. An intraoperative MRI method with a ceiling-mounted rail method connecting the diagnostic area and adjacent running rooms will bring the MRI magnet directly to the affected person. In addition, the challenge consists of a 600-vehicle, underneath-grade parking garage, 18 elevators and six acres of new green area.

The web-site is on the land of the previous Kober-Cogan Setting up, which was shut down in May 2010 right after the discovery of mould in the making and beforehand experienced housed the hospital’s psychiatry office. 

That presented distinctive worries for the challenge staff, led by Bethesda, Maryland-based Clark Construction. Miles of drinking water utility lines, many of which were not documented, were running directly less than the locale of the new pavilion to feed both of those MedStar Georgetown University Clinic and the Georgetown University campus structures. The challenge staff experienced to relocate these utilities outside of the making footprint to allow the challenge to start.

“The Clark staff intended and engineered a 250-foot-extended utility bridge to assist chilled drinking water and electrical providers from the central utility plant to the current MedStar Georgetown Clinic,” said Bradley Hunter, challenge executive at Clark Construction Team. “The bridge installation necessary near coordination with mechanical and electrical contractors who set up the utilities on prefabricated racks which were then hung from steel beams measuring 60 toes, enabling excavation to start underneath.”

Clark intended a short-term utility bridge to assist energetic utilities for the current hospital.

Permission granted by Clark Construction


Clark Construction, alongside with architects HKS and Shalom Baranes Associates, assembled a BIM model of the current utilities. As structure progressed and the basic structure and caisson locations were set, “we executed supplemental borings at all caisson locations and additional knowledgeable the BIM excavation model,” explained Hunter.

This first stage permitted the Clark staff to superior notify the value model with regard to deep foundations and to start revising the excavation system. With just about 1,000 piles to set up for assist in the course of excavation, Clark recorded the precise soil and utility conditions encountered in serious-time with each and every pile and enter the info into the BIM model. This drastically increased Clark’s being familiar with of the web-site and permitted to go on to revise and resequence the excavation system in progress of the industry crews, explained Hunter. 

“At the completion of pile installation, we were able to have a really complete profile of the anticipated excavation effectively in progress of the final period of excavation,” said Hunter. “With this info, we have been able to build mitigation procedures in an work to limit impacts to the significant route of the challenge.”

Workforce turns to technological know-how on web-site

Clark executed a preliminary study with traditional study devices, these types of as the Leica MS50, which combines complete station operation, GNSS connectivity, digital imaging and 3D laser scanning in a one instrument. The 3D technological know-how executed checks of slab edges, precast concrete, joints and floor flatness. The technological know-how also coordinates current structures to accomplish tie-ins with the façade.

Right after finishing and environment study management points around the web-site, the staff started the scanning and format process, explained Kathleen Lavelle, challenge manager at Clark Construction Team.

“For 3D laser scanning, we use our Leica MS50 once more which has total scanning abilities. We use our study management points to tie the scanning info into web-site coordinates. Right after scanning is complete, Leica’s Infinity system is applied to clear up the scan,” explained Lavelle. “This can be exported to different file formats depending on the computer software being applied to perform with the info.”

The study staff applied Leica MultiWorx, an add-on application to Autocad Civil 3D. This scan info can be applied to create current conditions and as-created drawings as wanted.

Managing an inflow of men and women

Due to its locale adjacent to a college and healthcare centre, the Clark staff experienced to think of solutions to control the flow of students, clients and visitors, especially early in the COVID-19 pandemic to account for social distancing suggestions.

To do this, the building staff created a short-term pedestrian bridge to preserve entry alongside the east side of the jobsite. On top of that, an on-web-site batch plant, generating much more than 35,000 cubic yards of concrete, assisted with website traffic congestion by lessening the variety of deliveries to the challenge web-site. The plant eliminated an estimated 3,five hundred vans off the road as effectively as making certain concrete good quality on web-site, according to Lavelle.

Eradicating vans from the road also assisted lessen sounds amount, another challenge as the building web-site is in near proximity to many household neighborhoods, explained Andree Yaap, challenge executive at Clark Construction Team.

Clark also labored intently with the HKS and owner to examine which challenge factors could be created offsite. Applying a formal scoring and analysis process, the staff picked factors to prefabricate based on what would offer the most advantage to the challenge, explained Yaap.

The challenge consists of much more than seven hundred prefabricated resources, like 156 toilet pods, running area ceilings, affected person headwalls, electrical rooms, medical rooms, MEP skids and racks, and interior partitioning, explained Yaap.

A line of affected person toilet pods completely ready to be set up.

Permission granted by Clark Construction


Setting up factors were created across the country, with toilet pods being created in Texas, running area ceilings being created in Oregon, headwalls being created in Oklahoma and wall panels being created in Virginia, explained Yaap.

“Clark’s attempts have assisted to expedite schedules and lessen expenses,” said Yaap. “Other added benefits include things like increased good quality ensuing from assembly in a managed atmosphere, the reduction of building exercise on web-site and a reduction in sounds stages, neighborhood website traffic and congestion.”