Healthcare · RenovationCompleted 2023

Cardiothoracic Robotic Operating Suites

Open-heart surgery runs here every weekday. The rebuild had to fit around it, hour by hour.

LocationAtlanta, GA

ClientConfidential

LocationAtlanta, GA

SectorHealthcare

Value$64M

Size38,000 sq ft

DeliveryCM at Risk

Duration18 months

StatusCompleted 2023

Why it mattered

Building inside a working hospital means every hour of construction is taken from patient care. The discipline is to take as little as possible, give it back on the hour agreed, and treat infection control as logic, not paperwork.

The challenge

An academic hospital set out to rebuild its cardiothoracic operating suites for a new generation of surgical robotics, inside the same building where its surgeons operate on hearts every day.

Each room could leave service only in windows negotiated with surgery, anesthesia and infection prevention. A missed window meant cancelled cases and patients rebooked weeks out, so every slip carried a clinical cost before it carried a financial one.

Our role

CPM Scheduling Look Ahead Planning Commissioning & Startup Scheduling Schedule Updates

Schedule at a glance

The whole program, on one line.

Start to finish, as the schedule tells it. For work still in progress, the bar moves with today's data date.

StartJan 2022

Duration18 months

HandoverJul 2023

Progress—

Capture the constraintsScript every outagePublish the look-aheadReturn rooms on time

How we held the date

Our approach, phase by phase.

The same disciplined sequence we bring to every engagement, shaped around what this project needed most.

PHASE 01PHASE 02PHASE 03PHASE 04

PHASE 01Capture the constraints

Surgical calendars, ICRA classes, utility dependencies and clinical sign-offs written into the schedule as hard logic.

PHASE 02Script every outage

Each shutdown and room turnover planned hour by hour and walked through with facilities and clinical leadership beforehand.

PHASE 03Publish the look-ahead

A rolling two-week view issued to clinicians in plain language, so no department was ever caught unaware.

PHASE 04Return rooms on time

Commissioning, air balancing, testing and terminal cleaning sequenced so each space went back to care on its scheduled hour.

What changed

The difference we made

Measured the only way that matters: whether the date and the budget held.

Result 01No unplanned room closures

Every suite left and returned to service on the dates agreed with clinical leadership, across eighteen months of work.

Result 02Infection control in the logic

Barriers, negative pressure and inspections were hard predecessors, so no one could skip them to buy back time.

Result 03First robotic case on plan

Installation, calibration and team training ran as one critical chain to the first scheduled case.

Services engaged

What we brought to it

Our work in Healthcare

2.01.01CPM Scheduling

Critical Path Method schedules engineered so that every date has a reason, every float value means something and every forecast can be trusted in a boardroom.

2.01.13Look Ahead Planning

Rolling look-ahead plans that translate the master schedule into ready, resourced, constraint-free work at the workface, where productivity is won or lost.

2.01.15Commissioning & Startup Scheduling

System-based commissioning and startup schedules that carry facilities from mechanical completion to reliable operation without the familiar last-mile slip.

2.01.06Schedule Updates

Disciplined periodic updates that capture verified progress, explain every movement and keep the schedule an instrument of command rather than a record of hope.

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