Kainuu Hospital - the best example of deep BIM collaboration

The BIM-based design has been at the core of the project right from the start. This Finnish hospital project got the special recognition award at the Tekla Global BIM Awards 2018.

Kainuu Central Hospital’s construction and renovation will enable local on-call medical services and integrate basic and specialized healthcare with a shared building.  Kainua Alliance carried out this wood construction project according to Smart Hospital objectives which aim to increase efficiency and fluency in operations and care, and property utilization and maintenance.

The main areas of the current hospital were completed in 1969. The new hospital consists of three parts: the new main building (F), the new logistics terminal (G) and the renovation of the current emergency building (E) to serve other hospital operations. The renovation takes 5% of the gross area. Project development started in March 2015 and the implementation phase in February 2017. The hospital will be completed in two phases and finished in the autumn of 2021.

A demanding and impressive timber project
Kainuu Hospital is a demanding project, both technically and operationally. The building and its technical solutions must first and foremost support effective medical care. It’s important to ensure the flexible use of facilities and thereby support the requirements of the changing hospital operations, which is why the building services play a major role in the project. Regarding HVAC implementation, the management of the essential systems (including operating conditions, monitoring, security and communications) have been centralized in an integrated user interface. Energy-efficient lighting, heating and cooling solutions, logistics automation, reserve power supply and ICT solutions are all important reforms that will serve the whole property.

The new Kainuu hospital is an impressive public timber construction project, which has affected its design from the start. Production and economy-wise, prefabricated wood panels was the most effective solution. More than 10,000 m² of wood-framed facade elements will be attached to the concrete frame of the building. The elements are delivered ready for installation with windows and flashing included. In practice, the facade of the main hospital building will be completely made of wood. The gross area of the seven-story building is 46,282 m² and is made up of 7,350 precast concrete units and 11,270 m3 of cast-in-place concrete. The weight of the steel structures is 290,700 kg.
 
A challenge for construction is that the emergency services must not be interrupted during the project. The safety of the patients and the personnel is the number one priority on site. By phases, the transfer of operations can be implemented without temporarily moving the patient care.

 BIM is an organic part of the project

Collaboration among the project parties has been exceptionally efficient, using a Big Room on site, remote connections, data reserves and BIM coordination. User-centered design that involves the participation of the hospital staff in various work committees has brought up opportunities, requirements and limitations to be handled together with the alliance parties. The alliance has implemented the entire design based on the client’s operation plan from a premise scheme, master plan and conceptual design to an approved general plan and the building decision.

Modeling is not a separate task but an organic part of the project implementation. In addition to structural, architectural and mechanical design, modeling of the hospital equipment has added value in the project. In addition to project coordination, the key BIM benefits have accrued from comparing alternative designs and implementing changes in the conceptual design phase and in cost estimation, procurement and building production tasks.

Estimodeling for accuracy
A major challenge in the development phase was to reliably estimate the cost for the building decision and to match the target price of the alliance. Models were used extensively with Tekla Model Sharing during real-time quantity calculations that served the project’s cost management. The quantities were obtained from the model using the Organizer tool. Accurate quantities were a significant benefit in the calculation phase, as the same information could not have been realistically produced by any other method. The tight schedule was met thanks to the collaboration between the design and calculation teams. Although structural drawings had not been published for all floors, obtaining the bills of quantities for different production phases was possible by using the model. In addition to the structural model, the cost calculations utilized the ArchiCAD model in the native and IFC formats.

Precast elements preferred
With the building frame, the objective has been to use as many precast elements as possible and to minimize the amount of cast-in-place concrete. Keeping up with the production schedules required ten designers to simultaneously work on the structural model, which called for discipline and preparations to avoid software conflicts and delays. Tekla Structures was the main software used in the frame design.

Data flow from model to fabrication
All precast concrete data was transferred from the Tekla model directly to the manufacturer’s ERP system. It would have been extremely difficult to manage all the special materials for the hospital without the data available in the model. With the help of the model, it was possible to plan the production for both procurement and material calculations before obtaining official production drawings.

Vertex BD software was used in designing the wood panels, and geometry source data and hole reservations were imported from the Tekla model. Data exchange between the programs was performed in IFC format. In addition, Trimble SketchUp was in use to model certain construction elements and temporary references. Hole reservations were managed completely based on the model.

3D virtual reality utilized
The main participatory tool was the Sweco CAVE (Computer Assisted Virtual Environment), which allows nearly 1:1 scale movement in 3D virtual reality. More than 800 members of the hospital staff have participated in the CAVE sessions so far. The models were also used in the hospital units’ information sessions. On-site, BIM is used to plan and monitor production, as well as to actively manage the various construction tasks. For the project engineers, a model is an important tool to create an overall schedule and weekly plans and to manage the production meetings. Mobile devices and on-site BIM Kiosks are used to aid construction. The QR codes embedded in the drawings make construction and site management more efficient because they can be used to quickly open the right model on a mobile device.

“Innovative aspects like AR and Cave were not just used because they are innovative, but because they are really needed for this type of facilities - to understand how future users can benefit from this opportunity to see the future facility which they work for."
Marina KorolTekla Global BIM Awards 2018 jury memberCEO at Concurator