Building where the client cannot close.

Infection control is a sequencing problem, not a line item

Every penetration through an occupied envelope happens under containment, and the containment class is agreed with the clinical team before the work is priced, not after. Treating ICRA as a cost you add at the end is the single most common way these jobs run late.

On the Mercy Health pavilion we held ICRA Class IV for twenty-six months against a live surgical wing and never closed an operating room. That is not a safety statistic, it is a scheduling one: the containment dictated the order of work, so we designed the order of work around it from day one.

Why the structure sometimes has to change

That project was drawn as cast-in-place concrete. Months of formwork against an occupied wall made it untenable, so it became structural steel with composite deck and the frame closed in eleven weeks instead of six months of noise beside a surgical suite. The right structure for a healthcare addition is often not the cheapest structure in isolation.

What we will want from you early

• A named clinical contact who can approve shutdown windows, not a committee
• Your infection control risk assessment policy, before we price anything
• The rooms that genuinely cannot be disturbed, separated from the ones that would merely be inconvenient