BIM-led Prefabrication: An Effective Way Forward for Healthcare MEP Projects

Designing and planning for mechanical, electrical, and plumbing (MEP) systems for healthcare facilities brings with it a set of daunting challenges for the entire MEP (M&E) fraternity. Considering the project complexities, stringent building codes, healthcare standards, local regulations, and constricted deadlines, MEP (M&E) designers and contractors are always walking a tight line.

Whilst building information modelling(BIM) techniques at the design stage may improve interdisciplinary MEP coordination, help detect design clashes and streamline scheduling/costing in the preconstruction phase, very little is known about how BIM-led prefabrication of MEP systems offsite can help enhance quality, save time and money, and optimise the logistical flow on site. The BIM design data, embedded in the MEP models, can be used to create fabrication drawings by either using traditional detailing or using fabrication softwares (AutoDesk Fabrication). These drawings display fabrication details which can be directly recognised by the CNC machines for production purposes.

One of the most challenging engineering systems to design, healthcare facilities house a range of medical and therapeutic departments to treat different illnesses. Each of these departments has its own set of requirements for HVAC, electrical, plumbing and fire protection systems as well as plant areas. So, whether the hospital’s MEP system demands HVAC systems with precise humidity control, temperature, and indoor air quality (IAQ) standards or custom isolation for operating rooms, the information rooted in the BIM 3D documents can enhance modularisation of mechanical, electrical and plumbing systems.

Some other MEP components which are specifically used in healthcare facilities include sprinklers, fire suppression systems, high-pressure steam boilers, direct-expansion (DX) cooling systems, and tamper-proof receptacles. As it is well known in the AEC industry worldwide, BIM is a change in approach which brings together all the discipline-specific professionals during the pre-construction phase. On the contrary, the traditional design-bid-build approach lacks coordination between the concerned disciplines.

Accordingly, when MEP (M&E) designers, consultants, and fabricators use BIM for prefabrication of MEP components, the benefits are worthy. Besides, the modularisation of mechanical, electrical and plumbing systems in a controlled environment and installing them on site is highly effective considering its cost savings, quality improvements, labour efficiency, waste reduction, and in-time completion benefits.

Considering the complex nature of MEP (M&E) systems in healthcare facilities and an increase in adoption of BIM, prefabrication and modularisation will offer more productivity and efficiency gains to MEP (M&E) designers, contractors, manufacturers, fabricators, and installers. Modern prefabrication technologies along with integrated project delivery (IPD) can certainly lead to greater predictability, timely project completion, and increased cost savings.

BIM Drives Cost-Efficiencies for Plumbing Design

Since our construction industry is grappled with severe productivity issues and tight margins, the AEC industry is striving hard to come up with new ways of improving productivity, reducing construction costs and delivering a better-built building. Building Information Modeling, a new technological advancement in the AEC industry after CAD seems to have the potential to address these issues.

As per the definition of BIM by The National Building Information Model Standard (NBIMS), “BIM is a digital representation of physical and functional characteristics of a facility and it serves as a shared knowledge resource for information about a facility forming a reliable basis for decisions during its life cycle from inception onward”. BIM has evolved from being just a buzzword to the centrepiece of AEC technology and it has significant benefits for plumbing design.

BIM enables a 3d virtual representation of the plumbing systems thus helping to better understand the final outcome, make more informed decisions and detect collisions. One of the major benefits BIM technology serves for plumbing is interference-checking. Using BIM to detect early collisions helps to prevent costly design changes during the actual construction process whilst also reducing guesswork and errors.

Since the underground plumbing lines are located in reference to the foundations; BIM enables a plumbing designer with actual building footings marked by the structural engineer to preserve the structural integrity of the building. With the help of the building footings, a plumbing designer can easily coordinate the underground routing without compromising the structural design of the building. 

Building Information Modeling is an ‘information’ rich model.  In addition to building shape, costs, design, construction time, physical performance, costs and logistics, BIM also provides information about two additional parameters in the case of plumbing fixtures – information about the required gpm flow of the standard fixture and the reduced gpm flow. 

With an aim to conserve energy and natural resources, there has been an increased focus on green building projects. BIM facilitates easier identification of systems in LEED Plumbing Design by creating different colour systems. Since there is a variation in colour, identifying grey water routing becomes easier and hence helps to prevent cross contamination with other waste systems.

BIM creates a unified working environment with multiple disciplines working together on a single file. A plumbing engineer can create a design for hot and cold water and simultaneously check the HVAC design worksheet for conflicts.

BIM serves a plethora of benefits for plumbing design such as increased efficiency, accuracy and coordination of the system as well as reducing the time and cost involved in it.