I wanted to post this fun gadget that allows you to peruse our library of key terms that we have used. Find one you like and just click on it to read more!

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The Practice of Lean Construction Principles in Healthcare

Are you familiar with principles and processes of lean construction in healthcare? Few people in the construction field have taken the time to actually implement lean construction principles that are found as a result of best practice and experience. Dan D’Amico applies lean construction techniques in all healthcare projects to achieve a level of optimization which is coordinated and determined by what outcome his client desires to achieve . Logistical planning is accomplished and implemented ahead of the project starting, while lean construction is the process of synchronization of supply management with installation, the logistics of design, prefabrication and virtual medical design flowcharting. I am interested in your thoughts. Please comment with your experience.

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Solving workplace healthcare issues

Below is a video from ABC world news that discusses the reforms set in motion by Safeway CEO Steve Burd. THe video discusses his healthcare reforms from inside his own company.

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Minimally Invasive Spine Institute; the practice of Dr. Douglas Won, MD – The staff, under the leadership of Dr. Won, are included in the construction process. Dr. Won takes the opportunity to share with his staff the vision for his practice. Dr. Won’s vision for practice that is built and designed specifically for his patients has been flawlessly executed; now the staff must be trained on specific service traits that will bring life to the environment. The Clarity Construction Management team will seamlessly turn the project over to the Clarity Health Management group who will prepare the space operationally to provide patient services. (Dec 7, 2009 – Las
Colinas, Tx).

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A group of physicians wants to own its own hospital. Clarity Health works with the physicians and provides comprehensive services ranging from consulting services and project syndication to full operations management. These services are provided by a Clarity Health project company that is partially owned by the physicians that are leading the project. This ensures the hospital operating company is viable and can manage its start-up and operating expenses. Clarity Health also tests the viability of the health care model in the marketplace in reference to competition, reimbursement, legal and regulatory requirements. The hospital operating company and the owners of the hospital operating company will be required to guarantee the lease.

Clarity Development provides full development services including the preparation of development plans, negotiating all contracts, managing construction, and sourcing and negotiating the terms of all financing. Clarity Development charges an industry standard development fee, financing fee and leasing commission. All of these services are provided by, and the fees paid to, a Clarity Development project company that may be in part owned by the physicians that are championing the project.
Clarity Development works with Clarity Realty to finance the project. Clarity Realty will set up a Clarity Realty project company to own the real estate. Clarity Realty will work with equity investors and individual physicians or physician groups, to provide equity for the project. The intent is to provide a preferred return on equity. Clarity Realty will work with Clarity Development to obtain financing for the project.

The intent is that the Clarity Realty project company will charge a lease rate equal to a pre determined yield on cost of the project with set annual lease escalation. Clarity Realty charges an asset management fee to the Clarity Realty project company.

Upon completion of the building, the Clarity Realty project company will either hold the building in its portfolio, or sell the completed and leased building to a third party or a Real Estate Investment Trust (REIT) for a determined Capitalization Rate (Cap Rate). The REIT will either be predetermined prior to the start of development or marketed to after lease-up of the facility.

Upon the sale to the REIT, or the refinancing of the building, the intent is that the proceeds will be distributed to the equity investors to make possible a pre determined Internal Rate of Return (IRR). Remaining excess gains will be distributed as per the requirements of the entity financing the project

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Clarity Government Services

Clarity Government Services is based in Dallas, Texas. Formed by two Army Officers, Ronald A. Duperroir, President, and Daniel S. D’Amico, Chief Operating Officer envisioned creation of full service medical construction and services company. In addition to project management overseeing the complicated environment of healthcare construction and compliance; Clarity Construction Services also provides experienced support services focused and coordinated specific to the project in the areas of medical equipment, furniture, fixtures planning and procurement. Together with select teaming partners, the Clarity team provides support services in the area of physical plant evaluation, maintenance, repair and replacement.

Medical building construction brings unique challenges and requires a builder that has specific knowledge and focus in the healthcare market. Trained at the University of Oregon in the School of Architecture, Ronald A. Duperroir earned a bachelors degree in public planning, policy and management with a focus on healthcare project management. This degree was later complemented with a master degree in Healthcare Administration from Baylor University. As President of Clarity Government Services, Mr. Duperroir’s foundation of knowledge in supporting the fighting force is founded upon a 20 years of service within the US Army. He retired in June 2000 from the Army Medical Department, Medical Service Corps. Upon retirement he served in senior leadership positions with Johnson and Johnson, Health Systems and Management Division, the Baylor Healthcare System Dallas, and Cirrus Health. During this period he was directly responsible for the construction and operational oversight of 18 healthcare facilities (medical office buildings, ambulatory surgery centers, and hospitals).

He served in both Desert Storm and Shield. His awards include, but are not limited to, the Legion of Merit, the Bronze Star, the Meritorious Service Medical (4 awards) and the Army Commendation Medical (5 Awards). Mr. Duperroir is holds a disability rating issued by the veterans affairs in June 2000.

Mr. Daniel S. D’Amico serves as the company’s Chief Operating Officer and is an eleven year veteran of the US Army where he served in various senior leadership positions within US Army Quartermaster Corps. He is a seasoned healthcare development and operations executive with extensive experience in leadership, project management, cost accounting, facilities construction and corporate compliance. As an Army Major, Mr. D’Amico most recently called back to active duty where he served as the Political-Military for the country of Uzbekistan responsible for providing all critical analysis on political, economic and military issues in support of Operation Enduring Freedom and the Global War on Terrorism. Mr. D’Amico also has also served as a company commander, battalion logistics officer, brigade human resources officer, director of post wide logistics and command liaison for all medical clinics. Mr. D’Amico also served as director of operations in multiple military organizations.

Combined the senior leadership team holds 50 years of specialized healthcare construction and operational experience. The combination of commercial and government construction from leaders who have served as government and commercial executives is rarely found under one roof and provides an awesome combination.

As a small business concern, Clarity is mentored by two of the nation’s finest healthcare design/build companies. The Clarity team is not only knowledgeable in their chosen are of concentration, but will networked with America’s large business. Clarity uses other small business concerns in the trades to a design firms to provide you the option of choosing from a wide array of proven designs and existing floor plans or designing your new facility from the ground up. Either way, our extensive experience ensures that you will get the best possible building, on time and within your budget. Regardless of location, Clarity Government Services is uniquely qualified to provide you with a true single-source for turn-key construction services.

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