Project Delivery Systems for Healthcare Projects: To Lean or Not to Lean

Project Delivery Systems for Healthcare Projects: To Lean or Not to Lean

2018

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DOI: https://doi.org/10.60164/i9a3g4b3g

Authors: Ahmed Khalafallah, Ahmed Fahim

Citation:

Khalafallah, A., & Fahim, A. (2018). Project Delivery Systems for Healthcare Projects: To Lean or Not to Lean. In Lean Construction Journal pp. 47–62.

Abstract:

Question: How can project owners employ the expected impacts of project delivery systems to select between traditional and lean-oriented systems for healthcare projects?

Purpose: The ultimate purposes of this paper are to: (1) understand the characteristics of traditional and lean-oriented project delivery systems used in healthcare projects; (2) identify the key factors that influence the selection of delivery systems for healthcare projects; (3) understand the impacts of delivery system selection on the project performance; and (4) present a logical process that can be used as a basis for selecting project delivery systems for healthcare projects.

Research Method: The research methods include data gathering, along with using structured surveys to healthcare project stakeholders and semi-structured interviews with a randomly selected group of senior experts.

Findings: This paper establishes a novel strategy for project delivery system selection for healthcare projects that takes into account five guiding principles identified by stakeholders.

Limitations: The findings are based on a structured survey within the State of Kuwait, and semi-structured interviews with a selected group of senior experts.

Implications: The strategy for selecting project delivery system focuses on examining the readiness of the owner to accept the risks of scope clarity and budget risks; eradicating the perils of change orders and claims; observing the financial flexibility of the owner; including the owner’s preference to project delivery speed; and establishing project responsibility and control.

Value for authors: The novel strategy presented within this study serves as a guide to help owners understand and analyze the underlying dynamics and key factors that should be considered when selecting a project delivery system for healthcare projects.

Keywords: healthcare projects, project delivery systems, design and build

Paper type: Full paper