ThedaCare Medical Center

ThedaCare Regional Cancer Center
Our unique approach to Integrated Project Delivery (IPD) is:

  • Based on building relationships of trust with owners, designers, and contractors.
  • Integrating people, systems, business structures and practices to harness all of our talents and insights.
  • Providing solutions not excuses.
  • Reducing waste and optimizing efficiency through all phases of design, fabrication and construction.

Tweet/Garot has worked on numerous projects utilizing the IPD approach. Our team goal is to function as a single company with unified goals and objectives to deliver optimal project performance.

ThedaCare Medical Center

Our approach begins with embracing Lean Principles as they apply to design and construction. In effect, this is learning how to do construction from system designs: one-line drawings converted to coordination drawings, then converted to as-built documentation, which eliminates the many duplications experienced in traditional construction delivery systems.

Detailed “Pull” Scheduling is another component of the IPD approach, where each team member breaks down their estimate by floor, by system, and by area to determine how much labor is required in each area of the building, and then uses those man-hours to determine man-days of work. The team goes through the sequence of the construction components and assigns each trade a start and completion time for their work which is updated at the end of each day. In addition, the team works together to determine which member is best qualified to purchase different components of the designed systems.

ThedaCare Regional Cancer Center

By analyzing alternative systems, equipment, and material early on in the design phase, we are able to aid the project team in utilizing the HVAC and Plumbing components that will provide the most value to the owner, both in first costs and lifecycle costs. And with proper scheduling, we ensure a more efficient project performance.