Constructing with Care

Harnessing Prefabrication to Balance the Value Equation: Achieving Cost Certainty and Mitigating Risk


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In Episode 18 of Constructing With Care, host Leslie Tullio welcomes back Sarah Francis (Enterprise AVP of Standards and Activation at Advocate Health), Jeff Schroder (AVP of Planning, Design & Construction at Atrium Health), and Sean Ashcroft (Healthcare Core Market Leader at DPR Construction). Together, they explore how prefabrication and standardization in healthcare environments drive cost certainty, boost efficiencies, reduce risk, and still allow for innovation. This episodes highlights: 

  • The importance of robust pre‑construction collaboration: by bringing decision‑makers onboard sooner, teams can identify schedule savings and cost efficiencies early.

  • How knowing handoffs between trades in advance enables reducing two weeks of work from scopes, enhancing efficiency on-site.

  • The 80/20 rule: 80% standardized design ensures efficiency; 20% flexibility supports unique needs.

  • How standardization frees time to focus on innovation—like implementing AI, new tools, and future‑proofed master planning.

  • Why prefabrication enhances cost certainty, expedites schedules, elevates quality, and reduces risk.

  • Tips to influence stakeholders, demonstrating community benefit, clinical engagement, proven partners, and breaking traditional paradigms.

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Constructing with CareBy DPR Construction