Issuu

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Introduction

04-05

Our Mission & Vision

06-07

Methodology

08-09

Quick, Clean & Safe

10-11

Scope & Approach

12-13

Design & Construction Objective

14-21

Manufactured Structured Scheduling System

22-27

Vacuum Plumbing System

28-29

Med Gas Distribution System

30-31

Modern Day Uses For Magnets

32-33

Patient Privacy

34-35

How To Achieve Optimal Healthcare Acoustics

36-39

Plug & Play Lighting & Electrical Device Technology

Sustainability

Outcomes

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CONTENTS

42-43

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INTRODUCTION At Massa Manufacturing and Assembly (MMA), we understand that reconfiguring current space can be both costly and timepressures, and industry regulations, coupled with site limitations can present new and unique challenges. Space that is antiquated, ineffectively designed or under-utilized can affect key performance indicators such as quality, safety, employee engagement and customer satisfaction, which impacts

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consuming. Organizational needs, market

an organization’s financial success. Our solution affords clients with buildings, structures, and interior desings that provide optimal solutions in the built environment with reduced capital expenditure (CAPEX) complexity and production costs. By

employing

Integrated

Project

Delivery system (IPD) utilizing Design for Manufacturing & Assembly (DfMA) with Modular Panels, MMA generates efficiencies throughout all phases of the design, fabrication, and construction process. Every aspect of the project from entitlements and permits, to design, manufacturing, sourcing, and assembly is skillfully managed, getting projects to market quicker. 05

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OUR MISSION & VISION MMA

employs

Integrated

Project

Delivery System (IPD) utilizing Design for Manufacturing & Assembly (DfMA) approach which incorporates prefabricated clinical walls, building systems, HVAC, lead shielding,

magnet

technology,

vacuum

the job requires. Our streamlined approach offers measurable goals and quantifiable outcomes that address space complexity, create build consistency, and enhance speed to market. Our regulatory compliant solution has low life cycle costs, is clean, durable, and dependable, with potential

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plumbing systems, and any other innovation

for future repurposing and adaptability. MMA are the architects behind inbox health clinics nationwide. We are not only the designers; we are the manufacturers, assemblers, builders, and sourcing team for every component and system of the project. The prefabrication, modularization and

standardization

construction

processes and assets within factorycontrolled environments, supported by DfMA techniques, offers a viable solution to traditional build challenges. By presenting transformative improvements across the asset lifecycle in time, cost, quality, health, and safety, off-site construction offers predictability, accuracy, and consistency. 07

METHODOLOGY Traditional

Design

Bid-Build

often

results

in construction deliverables that lack build consistency, as various contractors manage means and methods, resulting in finish and quality inconsistencies from box to box. At a time when our industry is facing a skills shortage, taking the build off site to a factory-controlled environment reduces

the

levels

resources

required

and removes the dependency on traditional A S S E M B LY-

construction skills. MMA identified this opportunity early on and

devised an improved construction methodology

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focusing on IPD utilizing DfMA and modular panels. Design solutions “assembled” on-site rather than “constructed” on-site offers the prospect of using fewer people in a more controlled and safer

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environment.

INTEGRATED PROJECT DELIVERY SYSTEM (IPD) IPD is a construction project delivery method that combines ideas from integrated practice and lean construction processes. It seeks efficiency and involvement from all participants (people, systems, business structures and practices) through all phases of design, fabrication, and construction. IPD reduces CAPEX complexity by simplifying key processes with a unified project execution approach, allowing the client to better manage CAPEX risk. 08

DESIGN FOR MANUFACTURING & ASSEMBLY (DfMA) DfMA is used as the foundation for concurrent engineering processes to simplify and fully optimize the structure wherever possible, to reduce manufacturing and assembly costs and to quantify improvements. By facilitating greater off-site manufacturing and vastly reducing on-site construction, buildings are constructed with higher levels of speed and safety. This process delivers both resource and cost efficiencies, and does not impede creative design,

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inspiration, or compromise on quality.

Innovation

Design

Assembling

Prototyping

Manufacturing

QUICK, CLEAN & SAFE key

IPD often requires more time upfront for

stakeholders at the early planning stages

thorough planning and collaboration, which

of the project, including owners, architects,

generates smoother execution and fewer

contractors, suppliers, and consultants. This

unexpected

approach aims to optimize project outcomes

Changes and adjustments can be deliberated

holistically by emphasizing mutual goals,

and implemented earlier in the process,

risk-sharing, and open communication. Our

therefor minimizing disruptions as the project

DfMA Documentary

progresses,

resulting in a well-organized,

clean,

and

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Our

IPD

approach

involves

all

safe,

delays

during

construction.

efficient

work

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environment that produces minimal waste.

showcases our collaborative IPD bandwidth nationwide, and highlights some of our various team members from Trane, Accorn,

The timelapse video from a Jacksonville,

CED, KI, USEI, Miller Knoll, and Harrington

Florida project displays how our crews

Casework.

methodically assemble a health clinic, using scissor lifts and screw guns. It is an impressive quantity of work completed in such a short amount of time.

Time lapse video

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Our most recent project is a 6500 square foot health clinic assembled in eleven weeks allowing the client to open for business in record time. Our work included initial design, documentation, permitting, assembly, installing all FF&E, obtaining all required regulatory approvals, including physicist certifications and proper shielding for radiological diagnostics. The client’s compliance team was extremely satisfied with the outcome, as we exceeded their stringent construction compliance requirements, and they were thoroughly impressed with how clean and safe the project site was maintained…. Basically dust free. To view the time lapse video of this healthcare project, along with an animated process of systems installation in field, please access the QR code.

Animated process 11

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SCOPE & APPROACH the project participants and end users.

DESIGN & PROGRAMING INTEGRATION

Each discipline works together to address

Documentation

The IPD approach fosters teamwork and requires

meticulous

communication,

coordination and collaboration amongst

project complexities and are accountable for their contributions to the project outcome. Benefits of this approach include dramatically decreasing risks, ensuring projects can be delivered on time, allaying budget concerns, and improving overall quality. 12

mock-ups

should

seriously be considered for the continued development

the

program.

Cross-

functional feedback from- Merchandising, Operations, Strategy, Marketing, IT, and Loss Prevention, is crucial to the success of this program.

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MERCHANDISING INTEGRATION Development of Merchandising Presentation Strategy & Program Requirements with a primary focus on Documentation of the following: Hierarchy of product presentationincluding an outline of selection hierarchy. Capacity analysis - Collection sizes & variables. Documentation & assessment of current tools to determine final program requirements.

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DESIGN & CONSTRUCTION OBJECTIVE We are now designing, assembling and

The work was done during non-operational

building pharmacies, 100,000 square foot

store hours so as not to impact store

central prescription, mail order, and specialty

operations.

prescription fulfillment facilities, as well as projects in optometry, vision, and branding programs nationwide. MMA developed a premanufactured brand prototype, allowing for several hundred linear feet of branding work to be completed within one to three days at each site.

MMA can refurbish existing locations and bring your new ventures to market quickly. For example, we successfully designed and built a 35,000 square foot clinic from the ceiling grid to the floor in twelve days. This included all walls, finished floors, electrical, plumbing,

casework,

medical equipment. 14

furnishings,

and

Our walls are prefinished 22 gauge steel with sound attenuation and all

MODULAR PANELS

required blocking. Our pre-built walls are fully unitized, with all utilities (plumbing, electrical, etc.) in place.

Easy to assemble and disassemble.

95% cut to fit in the factory, only posts mess, noise, and disruption. Custom color matching is available to incorporate client branding.

Dedicated Installation manager/

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and trim are cut on-site, reducing

project management.

International factory-certified installation network.

Installation costs are “turnkey” and all-inclusive.

To code fire suppression integration.

Our collective team includes a furniture company and a door company. 15

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SEISMIC ZONE REQUIREMENTS MMA, in association with our nationallybased

structural

team,

our

ceiling

manufacturer, and our wall manufacturer’s structural engineering team have collectively developed a method of utilizing a clipping system that is secured to the ceiling grid and two perimeter walls excluding the necessity to have the walls to be braced to the deck. This method maximizes ease of construction, cost containment, and accelerates speed to market. 17

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FURNITURE VS CONSTRUCTION Our prefabricated, demountable walls offer substantial

advantages

over

traditional

construction because they are considered furniture. This classification allows for less

rigorous

permitting

requirements

and accelerated depreciation, resulting in immediate savings to an organization in both time and dollars. 19

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The modular company we partner with is employee-owned

with

2500

employees

worldwide, inclusive of the facility technicians who have an average tenure of fifteen years.

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MANUFACTURING CAPABILITIES & CAPACITIES

The facility in Manitowoc, Wisconsin is 225,000 square feet and has the capacity to manufacture 1600 panels a week, with full fabrication, paint and assembly capabilities. The factory uses cellular manufacturing and can easily scale up based on product demand and has an 80,000 square foot warehouse to store raw materials and finished goods.

MANUFACTURED STRUCTURED SCHEDULING SYSTEM

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MMA, in collaboration with our collective team members, focuses on a Manufactured Structured Scheduling System.

Our objective is: To transform our project sites to a factory floor.

To ensure that all vendors complete their required work within our designated time frames. To instill a “consistent pattern of behavior” mindset in our installers. Production schedules are more important than ever before, especially considering the

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To develop a structured schedule for every vendor.

increased sophistication in manufacturing methods and the software necessary to manage production in a more precise manner, while also accounting for the increased complexity of global supply chains. Utilizing our well-defined production schedule that is based on accurate data inputs, our production schedules can be changed and adjusted to address temporary shifts in production requirements caused by seasonality, rapidly evolving consumer preferences, and other disruptions. The

basic

Scheduling

components include

Planning,

Production ‍Routing,

Scheduling, ‍Dispatching, and ‍Execution.‍ 23

SCHEDULING

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Utilizes the established planning level to produce goods from components or raw materials. It is time-based and must satisfy the demand established at the planning level. These timetables can be department-specific, product specific, and process-specific. Master production schedules are used at the highest level, defining the product timeframes, while sub-schedules may be department specific for sub-assemblies or for mixes and blends.

ROUTING In discreet manufacturing, final products are made from a lengthy and complex series of sub-processes. A bill of materials may be used to dictate what items are required and in what quantity. Routing maps out the flow of required process steps and dictates the path and sequence of performed operations. Including steps that must be done inhouse and those components that may need to be

PLANNING In production scheduling, the role of planning is to utilize the company’s resources to maintain consistency, reduce downtime and mitigate bottlenecks to optimize production.

sub-contracted and then returned to the production flow for final assembly.

Is the process of assigning the sequence of jobs to be completed from a sub-set of jobs in the production queue. Dispatching is used to make decisions for immediate action, in comparison to planning where decisions are determined for future actions. Dispatching is used in both pull and push production systems. In a push system, production dictates how much of the product will be “pushed” to the market, while in a pull system current demand “pulls” the goods thereby determining when and how much to produce.

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DISPATCHING

EXECUTION Production scheduling must rely on proper execution to ensure that all processes are performed correctly and in the order they are intended to be produced and installed in the field. This requires that everyone knows what they are supposed to do and when they are supposed to do it. Execution involves informed management decisions, trained staff, accurate data as inputs into the production plan, a manufactured structured schedule, reliable sales figures and forecast numbers. All must be present for the organization to execute its production schedule and complete orders. 25

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Why is Vacuum Plumbing the environmental choice? A typical vacuum system can reduce potable water consumption for toilets by 68%, with a highly efficient vacuum toilet

VACUUM PLUMBING SYSTEM

requiring only a half-gallon per flush. Of the many benefits vacuum plumbing offers, the water and waste treatment savings are one of the most important features of this technology. The savings can be thousands year for larger applications. A five-hundred-

are simple and viable alternatives to

person commercial office building that is

underground piping, as noted in the latest

serviced by a single vacuum center and half

edition of the IPC and UPC Codes. Vacuum

gallon per flush vacuum toilets will save over

plumbing

265,000 gallons of water per year, compared

systems

use

the

combined

energies of vacuum pressure and gravity for

to conventional low-flush toilets.

the collection, conveyance, and disposal of waste through a piping network that can be

Vacuum plumbing systems can be used on

routed above ground.

virtually any project, and certain design and construction conditions make it the most

Vacuum toilet drainage operates on the

cost-effective solution available. Vacuum

principle of having most of the plumbing

plumbing is especially beneficial in multiple-

system

vacuum.

level environments because it eliminates the

Vacuum drainage systems are ventless, with

need for floor penetration above and below.

one or two roof penetrations and a single

Vacuum plumbing avoids the need to trench

connection to an existing sanitary line. Many

concrete slabs, allowing us to keep mess

local and state plumbing codes have also

and noise at a minimum, reduce overall

accepted vacuum plumbing as an approved

disruption, and impact speed to market.

under

continuous

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of dollars and millions of gallons of water per

The Vacuum plumbing systems we utilize

alternative for a variety of waste types including condensate, grey water, sanitary waste, and grease waste.

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Magnets have been used for thousands of years by many cultures throughout the world, often for therapeutic purposes. Today magnets are incorporated in industrial machinery, consumer products, computers, and even transportation. Industrial Magnets are used in auto manufacturing and aerial manufacturing industries to hold and transport large metal components. Electromagnets are used in industrial conveyor systems, and by cranes to pick up and drop heavy loads. We utilize magnet technology as part of our health clinic designs as magnets offer increased adaptability and flexibility to the end user. The steel surfaces of our walls allow everything a health space requires, including monitors, workstations, inter-diagnostic panels, lead apron racks, sharps containers, gloves, and paper towel holders, etc., to be mounted via magnets specifically designed to hold the corresponding weight.

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MODERN DAY USES FOR MAGNETS

When there is a need to repurpose a room or adjust equipment to meet regulatory codes, there is no need to drill into the walls. Our innovative magnet technology is strong and safe and allows for the design, branding, or function of a room to be changed easily by just adding or removing the necessary items. No mess, no holes, no hassle. 33

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PATIENT PRIVACY For health care projects, MMA utilizes sound attenuation materials in conjunction with our wall system’s Sound Transmission Class (STC) rating, air exchange grilles in the ceilings, and sound masking systems to address patient privacy, HIPAA compliance regulations and health facility accreditation standards. 34

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SOUND ATTENUATION MATERIALS Sound attenuation materials are used to reduce the transmission of sound between two spaces. These materials are especially useful in healthcare facilities where patient privacy is critical. There are several types of sound attenuation materials, including sound barriers, sound-absorbing materials, and

sound

isolation

products.

These

materials work by absorbing, reflecting, or diffusing sound waves. To maximize patient privacy, we utilize 1-3/4 inch think ceiling tiles and lay insulation over them for additional noise absorption. 35

HOW TO ACHIEVE OPTIMAL HEALTHCARE ACOUSTICS There are a variety of sounds present in clinical settings including those from individualized discussions, patient/clinician interactions, medical equipment, rolling carts, HVAC systems and other sources. A S S E M B LY-

These sounds can be irritating and disruptive at times, particularly to those patients with certain medical conditions, which can be

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exacerbated by hearing issues, medication intake, pre-existing fears and anxieties and age. Acoustics in healthcare environments are

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complex and require a careful, strategic design. Specific acoustical considerations in healthcare settings include supporting patient well-being and privacy; supporting communication among staff; and meeting standards

and

regulations

Health

Insurance Portability and Accountability Act of 1996 (HIPAA). Evidence Based Design acknowledges acoustical control as a key component in healthcare design. In this Calhoun facility, acoustical control was an essential necessity. Numerous steps were taken to control sound levels and transmission. Maintaining patient privacy was our highest concern. The following are some of the targeted mitigation measures implemented into our facility. 36

Vulcanized

Composition

Rubber

Rooftop HVAC units are high SEER

Underlayment: Flooring is an especially

units with lower fan speed to mitigate noise

important

transmission

design

element

within

the

healthcare environment. Not only is it 5.

type of flooring specified greatly influences

It was essential to install a state-of-the-art

the outcome of each space. ECO Silence

Sound Masking System in our clinic. Our

Underlayment

Vulcanized

primary focus is to provide our patients’

Composition Rubber (recycled tires) is

right to speech privacy, as well as the

an underlayment designed to exceed IIC

physical and psychological effects of noise

requirements while maintaining a low profile.

on patients and caregivers. Studies have

Our 2mm underlayment can achieve Delta IIC

shown that noise creates distractions in the

ratings up to 25dB and IIC ratings up to 72

healthcare environment that can impact

dB. Rubber underlayment not only provides

safety, negatively affect health and mood,

acoustical properties it adds additional

decrease staff productivity, and increase

cushion underfoot. Caregiver staff spends

medical error rates. Sound masking is one

most of their workday on their feet and this

part of a proactive approach to ensure

reduces leg and back fatigue.

patients have privacy and comfort, while

made

from

Sound Masking in Healthcare Clinics:

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necessarily found in all spaces, but the

also providing medical staff with an optimal 2.

Interior solid core doors with high

work environment.

pressure laminate, HPL is considered to be one of the most durable decorative surface

Lay-in ceiling with sound attenuation

materials in the healthcare industry. All doors

providing a CAC value of 42. Typical

have acoustic sound seals to block sounds

throughout

from entering or exiting the rooms. 3.

The above-door transfer grille simply

has two grilles located above the door between the room and common space, one on each wall, with offset baffles to limit sound transmission. 37

WALL SYSTEM The wall system is modular and specifically designed for healthcare environments. With an STC rating range of 44-48, it can reduce sound between rooms, making speech unintelligible to protect patient privacy. This is a significant improvement over traditional drywall, which typically has an STC rating of 35. The wall system achieves this high STC rating by using a combination of soundA S S E M B LY-

absorbing materials and sound-blocking

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techniques.

AIR EXCHANGE GRILLES Air exchange grilles can also play a role in addressing HIPAA compliance. These grilles are installed in ceilings and allow for the exchange of air between rooms while preventing sound transmission. The grilles are designed to be acoustically transparent, which means that sound waves can pass through them without being amplified or distorted. This allows for the free flow of air while maintaining patient privacy. 38

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SOUND MASKING SYSTEMS Sound masking systems are used to help address HIPAA issues in healthcare facilities and are especially useful in openplan healthcare environments, such as waiting rooms or shared workspaces, where conversations are more likely to be overheard. These systems use a low-level background sound to mask or “drown out” conversations and other ambient noise, making it more difficult

overhear

Protected

Health

Information (PHI). Sound masking systems can be customized to suit the specific needs of a healthcare project and can be integrated with our other sound attenuation materials, such as the wall system, for maximum effectiveness. 39

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PLUG & PLAY LIGHTING & ELECTRICAL DEVICE TECHNOLOGY For health clinic builds, we exclusively use Plug & Play technology, as opposed

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to hardwiring. The electrical wiring in our modular walls only requires a junction box in the ceiling for modular installers to easily daisy chain power to the harness in the ceiling for instant power. Each light fixture quickly connects to another with a connector, which ensures that there are no failures and maintains compliance with all applicable codes and UL ratings. Utilizing Plug & Play technology reduces installation time and the inspections and permits required, and decreases associated labor and product costs that would be found using traditional electrical applications. Plug & Play technology saves time and money when compared to conventional lighting installations and electrical power. 40

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SUSTAINABILITY We consider our products 100% reusable, truly a great environmental story. There is

“MMA’s environmental

zero waste diverted to a landfill and there are

commitment is consistent

no costs associated with disposal. In fact, if

with LEED philosophy

there are any recyclables to discard, MMA will give those to the client to capture the recycling refunds.

and Green Construction processes” 41

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By applying IPD and DfMA techniques to design and build, our forward-thinking mindset

supports

the

realization

that

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OUTCOMES

buildings no longer need to be constructed in

the

traditional

sense.

Our

firm’s

innovations take shape by embracing similar manufacturing and assembly methods to those successfully utilized by the aerospace and automotive industries. Our collective team can manufacture parts as needed and have them ready to go as projects evolve. Our method of using unitized wall systems and modular components, supported by new off-site manufacturing technology and semi-automated assembly production allows our projects to be delivered to our clients faster, ultimately lowering costs, and improving quality and sustainability. 43

GABRIEL J. MASSA 732-310-5630 gmassa@mma-architects.com

info@mma-architects.com mma-architects.com