The new 14,000sf, $12.7 million cancer treatment wing at the Union Street Hospital will make updated treatments available to Marlborough patients, including a state-of-the-art linear accelerator for radiation oncology, a CT Simulator for diagnostic imaging, and outpatient medical oncology services. Marlborough Hospital currently offers outpatient medical oncology, but the project will make radiation oncology services available in Marlborough for the first time.
The construction of the Cancer Pavilion marks another first – it will be the first New England healthcare project to be completed under an IPD (Integrated Project Delivery) contract. IPD is a contract form and method in which project stakeholders including the owner, architect, general contractor, engineering consultants, and subcontractors work as one group to optimize results, increase value to the owner, reduce waste, and maximize efficiency through all phases of the project. All parties are contractually incentivized to meet the same objectives through shared financial risk and reward. Using IPD, the Marlborough Hospital Cancer Pavilion was able to set aggressive cost targets to meet mutually agreed upon goals.
To facilitate the intense intellectual collaboration that a cutting-edge facility like the Cancer Pavilion requires, Tocci Building Companies of Woburn, Mass. and The S/L/A/M Collaborative of Glastonbury, Conn./Boston used VDC/BIM (Virtual Design and Construction/Building Information Modeling) technology to coordinate design and construction. Hospital staff were able to evaluate the building in 3D computer models before construction started to examine usability such as: paths to supplies, locations of patient bathrooms, and distance patients must walk to the treatment areas. BIM enabled the integrated team to review the structure in 3D and spot problems more easily than it could with a traditional 2D blueprint. Patients on the planning team explained the challenges they face getting daily treatments, thus helping the designers/builders eliminate wasted steps upfront.
Designed to be constructed and maintained with environmentally friendly materials, the Cancer Pavilion was designed with LEED in mind and features a healing garden for its patients. “The garden creates a warm and welcoming entry to the new cancer pavilion,” explained Assistant Project Manager Jeremy Garczynski. “It provides an inviting setting that makes patients feel more comfortable through the use of warm woods, indirect lighting, and comfortable seating.”
Construction of the vault to house the high-tech accelerator required advanced construction techniques. “The pouring of the LINAC vault was a milestone in itself with nearly 50 trucks delivering 500 cubic yards of concrete in one day,” said Project Manager Joe Cavallaro. “We used the BIM to plan and construct the vault’s 2’-6’ thick walls and 3’-6’ ceiling. The precision of each pour and penetration was critical to containing the radiation.”
Marlborough Hospital opted to use BIM/IPD to deliver a faster and more cost efficient project and chose Tocci for its reputation for pioneering use of those practices. Tocci won Constructech’s Gold Vision Award for its work as program manager of the $500 million, 1.73 million sf Alexandria Center™ Kendall Square (ACKS) campus in Cambridge, and this January its CEO John Tocci received the Collaboration Forum’s Pioneer Award– the only national award for IPD excellence.
Tocci’s use of BIM/VDC on the 14,000sf project is part of a continuing trend in the construction industry to employ BIM on smaller and smaller projects. “Every year, use of BIM becomes more vital to design and construction practices,” said Laura Handler, Director of Virtual Design and Construction. “It has been Tocci’s standard operating procedure since our initial implementation in 2006. Owners know that it improves project performance throughout the full lifecycle. At this point, they expect us to use BIM.”