Dental/Medical Design and Construction Planning

Working With a Single Source of Delivery

If you are a practice owner or manager and are growing and need to expand or perhaps desire your own stand-alone building, the task of determining the best space to meet your needs can at first seem daunting. This does not have to be the case. Working with a qualified and integrated team that can be your single source for complete design and construction will help paint the picture, count the costs and coordinate all construction activities for a seamless transition from planning through permitting and into construction. A professional team will ask appropriate questions, listen to your vision/needs and guide you through the process. Your time is valuable and cannot be spent trying to direct a design and construction process.


Variables to Consider

There are many variables to consider which will affect your end goal. A few of these might be whether you want to purchase land and build a new facility, have found space in an existing building that you would like to build out and lease or perhaps you have found an existing building that you would like to purchase and repurpose to meet your needs. If an existing space, most can be repurposed to meet your needs; the question becomes, at what level of repurposing? Your investment in the space can go from A to Z depending on your specific needs including such factors as size, conditions and type of space. If a new building, have you purchased the property? Is the entire site buildable? Do we have municipal utilities close to the site? If existing, how much has to be undone prior to renovation? By working with a professional design/build team they can help you determine what will be necessary to meet your needs by laying out an efficient and functional design plan and counting all project costs prior to moving forward into final construction.


Planning and Delivery Process

In years past owners would generally go directly to an architect/engineer and have a beautiful design prepared with little understanding or thought given to the project budget. What would generally occur and still does to this day is that while the design may meet their needs, they "bid" the job out to multiple providers only to determine the project cost exceeds their budget. Also important to mention, under this circumstance you the owner assume full responsibility for the design. So, the owner has a beautiful design that cannot be constructed without going through redesign incurring valuable lost time and money. This can be extremely costly if you are under a tight time frame moving from one location to another. In lieu of a close working relationship with their design/builder, they have minimized the relationship to one of a transaction bid out to multiple "general contractors" who may or may not have picked up everything in the design. Regardless, in this circumstance the owner will end up paying the price through lost time and often unexpected costs with the potential for a sacrifice in quality.


The 3-Headed: Quality, Service and Price

The old adage that you cannot receive quality, service and price is simply false. If you are working with a professional design/build firm, you should receive all three. You will receive quality as they are partnered with a trusted and qualified team, service as this should be inherent and proven in their ability as a firm to serve their customers and price as they are providing you with fair and real project costs through your taking the time to work closely together to design a space that is functional and predetermined to be within your budget. In providing all three, you have a qualified design/build firm who will assume full and complete responsibility for the project.


The Big Question

So, with all due respect, an important question to consider: why would you not want to partner with someone you can build a level of trust with as they help you plan; who will design a plan to meet your needs; and who will count the costs for you ensuring the plan is within your budget prior to moving into construction? Your investment meets your budget; you have a space that meets your needs within your budget and are partnered with someone you have developed a high level of trust with. Why would you want anything different?

If you have a need and have thought about planning for the design, renovation and/or construction of a new dental or medical space and would like a free consultation please contact PBS at 920-868-2229.

How Does Design/Build Work?

How Much Will It Cost?

This is the question every church wants answered and every architect and contractor doesn't want to answer. Why? Because there are many issues that can affect the answer - land cost, utility cost, interior and exterior finishes, audio/visual etc. However, we at the NACDB feel that it is appropriate to provide churches with a ballpark estimate up front.

Give us a small amount of information using this form to receive more information and a cost estimate for your project needs.

How Long Will It Take?

Building a church is a commercial scale development that requires considerable attention to literally hundreds of details. Historical averages indicate that it takes 18 to 21 months for the entire process. It can take as little as 12 months for a very motivated church. However, there are many variables that are outside the control of the owner and the design-builder. The most significant of these are civil engineering issues. Every municipality has different requirements and document review times can vary wildly from city to city.

There are three main phases to the life of a project:

-Preliminary Design/Build Services: 3 to 4 months
-Construction Documents: 3 to 8 months
-Construction: 7 to 10 months

What's the First Step?

After you hire a Design/Builder, you will begin making crucial decisions about your facility. Money is saved in the Preliminary Design/Build Services (planning) phase, not in the construction phase. Items addressed in this phase are:

-Needs Assessment
-Master Planning
-Preliminary Design
-Budget Estimate

What is Needs Assessment?

Also known as programming. Needs Assessment includes meetings with the Building Committee and Staff to gather information about ministry objectives, congregation demographics, and budget parameters. This research will help determine the desired exterior image of the new facility, optimal size and character of the spaces, relationship of spaces, and other ministry directed facility issues. Some Needs Assessment activities are:

-Analysis of the long-range plans and goals of the Church
-Recommendation, consulting, revision, and/or development of the Church's long-range ministry pan
-Financial needs and abilities review. Recommendations and guidance and financing and lender options
-Analysis of current and future programming needs
-Recommendation for future space needs
-Analysis and development of a Master Plan of the ministry and traffic flow for the complete build-out of the church's new property
-Suggested schematic architectural design to suggest the size and character of the design and construction of the project resulting in a Schematic Design package that will include Floor ---Plans, Elevations, and Bird's Eye View? drawings

What Happens Next?

After Needs Assessment is complete, a Master Plan of the existing campus will be developed to document the vision of the Church. The Master Plan will identify all future structures, their usage and their placement on the property.

What's It Going to Look Like?

A schematic architectural design will then be developed to further establish the size and character of the project. The schematic design will include the floor plans and elevations for the initial facility of the Master Plan and further define the building layouts. The schematic design package will provide information to develop a preliminary budget estimate for the initial facility. The design/builder will sometimes solicit bids from consultants and subcontractors to help provide an initial construction estimate for the owner's review and approval.

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5 Reasons the Design/Build Process is Superior

PBS is a Design/Build firm dedicated to providing solutions that focus on integrity and consistency and building authentic relationships in order to exceed our customers' expectations.

Design/Build is a method of project delivery in which one entity – the Design/Build team – works under a single contract with the project owner to provide comprehensive design and construction services. One entity, one contract, one unified flow of work from initial concept through completion – thereby re-integrating the roles of designer and builder. Design/Build is also known as single-source delivery.

Design/Build is the desired alternative to Design/Bid/Build. Under the latter approach, design, engineering and construction services are all split by separate entities, separate contracts and separate work, with you the owner assuming responsibility for all design and engineering. Design/Build is a method of project delivery in which one entity – the Design/Build team – works under a single contract with the project owner to provide all their design and construction services. Here are five reasons why the Design/Build process is superior.

1) Time Savings - By eliminating all design bid phases for engineering and construction, PBS can provide occupancy 3-5 months sooner.

2) Single Source Responsibility - By making us your single source responsibility for both design and construction, you retain tight control, thereby improving quality - saving you significant time and money.

3) Professional Construction - We assign a Project Manager to control all phases of your project. This manager reports directly to you - elminating multiple contacts, lost time and finger pointing under the older Design/Bid/Build model.

4) Cost Savings - Our Design/Build concept uniquely allows you to continue growing your existing business while we build the most efficient facility for you.

5) Finance - Another convenient service provided by PBS. We will guide you through the details, allowing you to focus on managing your business.

For more information, click here.

3 Tips When Working with Volunteers

Working with the staff and leadership of The Village Christian Church was an absolute pleasure. The wonderful relationship that we were all able to develop allowed for excellent collaboration and the ability to solve project hurdles quickly.

Using the design/build delivery method we were able to maximize the overall amount of space as well as its function based on the overall budget established by this ministry. As a trusted partner, we will do whatever we can to work within a customer's ministry budget parameters.

With ministry projects, challenges can arise at times with the need for careful communication and collaboration. On this recent project the ministry was able to procure donations of several items providing them with the ability to save a significant amount of money. These items were to be installed by volunteers who were associated with the church. Having a clear definition of where our scope of work stops and the volunteer's scope starts can be challenging.

Here are 3 tips when working with volunteers:

  1. THANK them for their commitment to the ministry and willingness to serve.
  2. Provide them with a thorough understanding of what needs to be completed in their area of service.
  3. Confirm for the benefit of the ministry that each are qualified and have the time to accommodate the master construction schedule. Determine in advance which areas need skilled labor and which areas need the work of many hands.

Proper sequencing of volunteers can also be difficult since most of the volunteers are performing their work after hours. Thankfully we were able to work through these challenges with good communication established at the onset of the project. Because of this they were able to receive the cost savings without greatly extending the overall schedule.

The end result is an attractive and inviting ministry facility with the ability to accommodate many uses for ministry.

Partnering with Al-Amin Brothers Transportation

Partnering with Al-Amin Brothers Transportation through the design and construction of their new refrigerated warehouse, freezer and corporate headquarters was an honor for PBS.

Al-Amin Brothers Transportation approached PBS as they were making plans to accommodate their continued growth. Their plans were strategic around how to best accommodate their team, continue to provide quality service to their customers and keep up with changing regulations within the industry.  Their desire was to work with a single source of delivery/responsibility for the design and construction of their new facility.  By utilizing this delivery method, Al-Amin worked closely with PBS to develop the most efficient facility for their needs.

After a period of extensive and thorough planning including coordination with local government and permitting authorities the final design provides them with a professional, efficient and aesthetically pleasing facility.  Their new headquarters also provides them with significant room for expansion and positions Al-Amin Brothers Transportation at the forefront of the refrigerated cooler/freezer warehousing and transportation industry.

As great as the experience was, the more valuable result of this partnership for PBS was the relationship that developed with the Al-Amin Brothers team.