Construction in Operating Environments

Delivering construction projects safely during ongoing operations

Hospitals and healthcare facilities are rarely developed on greenfield sites. New construction, refurbishments, and reorganizations are typically carried out within existing facilities while maintaining uninterrupted operations, high standards of care, and patient safety.

The technical and clinical commissioning of projects in active hospital environments requires a precisely coordinated approach. New spaces, systems, and processes must be integrated gradually without disrupting daily operations or compromising patient care.

We have extensive experience planning and delivering complex construction projects during ongoing operations. In close collaboration with our clients and project stakeholders, we manage and oversee projects across all cost groups through an integrated construction management approach.

From developing robust phasing, relocation, and commissioning strategies to operational coordination and control, we align all stakeholders and create the conditions for safe, efficient, and seamless project execution, even in highly challenging environments.

Supported by digital tools and Lean Construction Management (LCM), we apply lean principles from industry and software development to construction processes, creating transparent, reliable, and efficient workflows throughout ongoing operations.

Are You Facing the Following Challenges?

• Do you need to carry out construction activities while the hospital remains operational?  
• Do you want to minimize disruption for patients, staff, and visitors?  
• Are you managing complex refurbishment work within occupied buildings?  
• Do you require coordinated construction phasing, relocation, or decanting strategies?  
• Are safe circulation routes, hygiene standards, and safety concepts critical to your project?  
• Do you need efficient coordination between hospital operations, users, and construction activities?  
• Do you want to reduce schedule, cost, and quality risks from early project stages?  
• Do you need a single point of contact to coordinate all project stakeholders? 

Key Factors to Consider:

• Ensuring uninterrupted hospital operations throughout the construction phase  
• Early integration of construction sequencing, operational requirements, and user needs into the project planning process
• Planning and managing complex construction phases, relocations, and temporary solutions  
• Compliance with hygiene, safety, and emergency escape route requirements
• Minimizing noise, dust, and vibration impacts
• Maintaining safe construction logistics and coordinated circulation routes
• Improving efficiency through lean methodologies and streamlining processes
• Ensuring transparent communication and coordination among all stakeholders 

Our approach to construction project management during operations:

We take responsibility for the project management, planning, coordination, and execution of construction works during ongoing operations, with the objective of maintaining uninterrupted facility performance throughout the construction phase. 

From the earliest project stages, we work closely with our clients to develop robust construction phasing, relocation, and operational concepts. Functional dependencies, operational requirements, as well as technical and logistical constraints are considered from the outset During implementation, we coordinate all project stakeholders to ensure seamless alignment between construction activities and day-to-day operations. From tendering through commissioning and handover, our integrated construction management approach combines continuous control and monitoring across all phases of the project. 

By applying lean methodologies, structured communication processes, and digital project management tools, we create transparent workflows, improve coordination, and reduce risks for both ongoing operations and the overall project.