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UHS Temecula – Cluster Integration
Flow of
CLUSTER
Requests CLUSTER
INTEGRATED
INTEGRATED
CLUSTER
TEAM CLUSTER
TEAM
(Cluster Leaders)
(Cluster Leaders)
CLUSTER
CLUSTER
Become
Commitments Milestones
INTEGRATED TEAM CLUSTERS
Pull Plan Level Macro Micro
Check-ins Occur 2x per week Daily or As-Needed
Milestones Come From Master Schedule Macro Pull Plan Commitments
Hand-offs Between Cluster Leaders Cluster Members
Break Down Work 1 week max 2 day max
Reflections Every 3 weeks Every 3 weeks
UHS Temecula – Daily Check-in/Pull Plan Schedule
Monday Tuesday Wednesday Thursday Friday
CLUSTER IPD CLUSTER CLUSTER
CLUSTER IPD CLUSTER CLUSTER IPD
IPD
Check-in Check-in Check-in Check-in
Check-in Check-in Check-in Check-in Check-in
Check-in
•Cluster leaders to •
Cluster leaders only •Cluster leaders to •Cluster leaders to •
establish structure of • Cluster leaders only
Focus Check-in on establish structure of establish structure of •
daily check-ins macro hand-offs Focus Check-in on
daily check-ins daily check-ins macro hand-offs
between clusters between clusters
Macro Pull Plan
• Milestones- 2 ahead Micro Pull Plan
• Intervals – 2 ahead • Pull to Milestones
• Weeks – 2 ahead Established from
• Status Work Macro Pull Plan
•Update Work Register Commitments
• Measure PPC
Commitments Mile-
stones
PDCA Process – Regularly Conduct Structured Reflections (3 wks)
PDCA Process – Regularly Conduct Structured Reflections (3 wks)
UHS Temecula – Design/Budget/Schedule/Constructor
Design
Design
Each cluster should integrate
Schedule
Schedule Budget
Budget estimating, schedule, and
constructor with design
CLUSTER
Constructor CLUSTER CLUSTER
Constructor CLUSTER
Design/Estimate/
Design/Estimate/ Design/Estimate/
Design/Estimate/
Schedule/
Schedule/ Schedule/
Schedule/
Constructor
Constructor Constructor
Leads to break- Constructor
downs/miscommunication
INTEGRATED
INTEGRATED
TEAM
TEAM
Overall Budget/
Overall Budget/
Macro Schedule
Macro Schedule
CLUSTER
CLUSTER CLUSTER
CLUSTER
Design/Estimate/
Design/Estimate/ Design/Estimate/
Design/Estimate/
Schedule/
Schedule/ Schedule/
Schedule/
Constructor
Constructor Constructor
Constructor
CLUSTER MEMBERSHIP/
REPRESENTATIVES
• Same cluster members thru the life of the project –
IPD Continuity
• Cluster leader may change depending on the phase of project
• Individual members’ time commitments may vary over time
UHS Temecula - Cluster Formation
Healthcare
Healthcare
User
User
Community
Community Operations
Operations
Public
Public Site
Relations Site
Relations
Medical
Medical Structural
INTEGRATED Structural
Equipment INTEGRATED
Equipment
TEAM
TEAM
Core / Shell
Project Core / Shell
Project
Operations
Operations
Interiors
Interiors MEP/FP IS-IT
Build-out MEP/FP IS-IT
Build-out
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