E85 – Design-Build + Target Value Delivery: A Lifeline for Rural Healthcare in Times of Uncertainty
Rural hospitals face escalating pressures that directly affect the health, safety, and welfare of patients, staff, and surrounding communities. Accelerated construction cost escalation, inflation-driven material and labor volatility, evolving federal funding conditions, and workforce shortages place critical healthcare capital projects at heightened risk—often threatening clinical functionality, patient safety, and equitable access to care.
This session examines how an integrated Design-Build + Target Value Delivery (TVD) approach supports safer, more resilient rural healthcare environments by enabling informed decision-making, cost predictability, and risk mitigation throughout planning, design, and preconstruction. Using the Hillsboro Health Surgery, Entrance, and Central Utility Plant (CUP) project as a case study, presenters from BSA LifeStructures, O’Shea Builders, and Hillsboro Health will demonstrate how early interdisciplinary teaming, continuous cost modeling, and scope–value alignment preserved critical clinical requirements while responding to market uncertainty.
Attendees will gain actionable strategies for aligning project scope and budgets with patient safety, operational continuity, and long-term community well-being. The session highlights delivery methods that reduce owner risk, support equitable access to healthcare facilities, and strengthen the resilience of rural hospitals serving vulnerable populations.
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