LITERATURE REVIEW OF MANAGEMENT IN HEALTH CARE DELIVERY - BUILDING INFORMATION MODELING



2.1       Introduction
            Building information modeling (BIM) is a life cycle analysis tool. Bim focuses on a digital representation of a building physical and functional characteristics in order to calculate information about the facility. Such information can be used to help make a vital design and also operational building decisions. BIM make it easier to estimate qualities of materials needed for a project which reduces waste and save money.

            According to Lorenz (2006), BIM is a tool for more efficient facility management. In addition to Bim’s use for macro process, such as understanding and maintaining HVAC systems, it has proven useful for even fairly routine purposes. How many times does the square footage get measured in the life a building? Asked Deke Smith of National Institute of Building Sciences, “every time you renovate, every time you clean the carpet possibly”. An accurate BIM model provides the information updated to reflect additions and or modernization instantaneously.

2.2       Empirical Review
            A number of project teams and facility manager have used BIM and shared their experiences with industry publications following are some of the publication reviewed for this study.
(a)       Richard Dallam and Ted Buchanan (2006) conducted a study at Swedish hospital in Seattle on build a better building with 3D models. The study was prompted by the need to reduce interdisciplinary coordination errors and changes. Hundreds  of hours were saved during design using BIM. A collusion-detection programme was ran daily and often. The team essentially “prebuild the project” allowing problems to be resolved as they were found throughout the design.
            Jim, Bedrick (2005) conducted a study in Webcor on “Bim and process improvement” as publisher architecture, engineering and construction (AEC) bytes, December 13th 2005. He found out that BIM was a great advantage to a cost and a thermal performance analysis of exterior skin options by Anselem + Allen Lawrence Berkeley national laboratory (LBNL) and Webcor.
            According to Bedrick tradition energy analysis required 2D drawings and 14 days while also going through that process, LBNL used BIM model and a simulation programme to produce the save analysis in one day. After moving to another skin option, LDNL profound a fill energy consumption analysis in two days. Hence BIM is akin to further sustainability goals with a robust platform for analysis.

2.3       Theoretical Review
Perhaps the best way to define BIM as opened by Ted Sive (2007) is to go back in history, designers and builders (the second oldest professional) have long worked in two main phases. First the designer imagines the project and design the details, completing work with a drawing and written road map (the contract documents and specification).
            This process changed incrementally over the century until over two decades ago when CAD (computer aided drafting) generally entered the main stream. (CAD software has grown into a robust tool for Achitecture engineering construction AEC firm with an impressive amount of coordination, efficiency and work flow improvement, but CAD is still an enhancement of what is been done for century: drawn lines to represent object in buildings. The lines themselves doubt have further meaning.
            BIM is much more of a change for the industry than CAD. It reorganize the sequence, timing and duration of the design process, ushers in a new model of constant, detailed, communication, put a geometrically larger amount of information into one place. At its highest level according to Ted Sive, a BIM model is an intelligent digital representation of physical and fundamental characteristics about a capital facility”.
            To implement BIM, data is entered into a model so that it can be analyzed and the facility can be modified as necessary. BIM help building stakeholders make decision while taking into account important life cycle cost determinations. The basic principle of BIM  is to create and enhance interoperability since BIM is a flexible and adaptive system, changes to the input model can be made so that project managers can  asses the possible effect on the output.
            BIM technology enable developer to use 3D computers model of a facility to help with the deigns, construction, maintenance and operation of a building, combing graphical information such as plans and elevations and non graphical information, such as cost specification schedules and maintenance requirements into a BIM model result in a single source of information. A model should access all graphic and non graphic information about a facility and help eliminate, re-gathering or reformatting of facility information.

2.4       Theoretical Framework                                                                          
            Most complex projects in the architecture, engineering and construction (AEC) industries involve multidisciplinary collaboration and the exchange of large building data set. Traditionally, the collaboration effort across the discipline have been based on the frequent exchange of 2D drawings and documents. However during the past decade, the wide spread adoption of object- oriented computer –aided design CAD tools have generated more interest in BIM. A number of BIM –compliant applications such as analysis tools, model checkers and facility management application have been developed.


2.6       BIM in Practice           
            According to Ted Sive (2007) strategic understanding and application of BIM requires understanding the differing ways in which the technology is viewed, utilized, feared and enjoyed. This is because the BIM model is shared and dependent upon by all participants in the continuum of building planning, design, construction management and so on.
            This is unlike CAD in which documents are intricately coordinated but data remain singularly owned.   
            The shared ownership of BIM data is a core reason for the recent development of the first universal standard from BIM. Version 1.0 of the National building information modeling standard (NBIMS) was released on March 13th, 2007 by the National Institute of building sciences (NIST). Ted Sive (2007).
            Acknowledging the prove of BIM to speak across the entire life cycle of a building from conception of project to decade of use the NBIMS address the need to create standards so that technology can be applied horizontally across the facility life cycle and not just separately with vertically integrated business functions -BBIM standard.

2.7       BIM in Construction Management                  
            Participants in building process and constantly challenged to deliver successful projects despite tight budget, limited man power accelerated schedules, and limited or conflicting information the BIM concept envisages virtual construction of a facility prior to its actual physical construction in order to reduce uncertainly improve safety, work out problems, and simulate and analyze potential impacts. Sub-contractors from every trade can impute critical information into the model before beginning construction, with opportunities to pre-fabricate or pre assemble some systems off-site. Waste can be minimized on-site and product delivered an a just in time basis rather than being stock flied on-site.

2.8       BIM in Facility Management Delivery                   
            BIM can bridge the information loss associated with handing a project from design team to construction team and to building owner/operator, allowing each group to add to and reference back to all information they acquire during their period of contribution to the BIM model. This can yield benefit to the facility owner or operator.
            For example, a building owner may find evidence of a leak in his building. Rather than exploring the physical l building he may turn to the model and see that a water valve is located in the suspect  location. He could also have in the model the specific valve size, manufacturer part number and any other information ever researched in the past, pending adequate computing power. Such problems were initially addressed by Leite et al (2009) when developing a vulnerability representation of a facility constraint and threats for supporting the identification of vulnerability in building emergencies.

2.9       Anticipated Future Potential          
BIM is a relatively new technology in an industry, typically show to adopt change yet may early adopters are confident that BIM will grow to play an even more crucial role in building documentations.
Proponents claim that BIM offers:-
1.                  Improved visualization
2.                  Improved productivity due to easy retrieval of information
3.                  Increase coordination of construction documents
4.                  Embedding and linking of vital information such as vendors for specific materials, location of details and quantities required for estimation and tendering
5.                  Increase speed of delivery
6.                  Reduced costs           

2.10    BIM Scope
BIM overall scope is board and can be described within the relationship of three categorization of BIM viz:
1.      BIM as product or intelligent digital representation of data about a capital facility BIM authorizing tools are used to create and aggregate information, which before BIM, had been developed as separate tasks with non machine interpretable information in a paper centre process.

2.      BIM as a collaborative process which covers business drivers, automated process capabilities and open information standard used for information  sustainability and fidelity.

3.      BIM as a facility life cycle management tool a well understood information exchanges, workflows and procedures which team use as a repeatable, veritable, transparent and sustainable information based  environment used throughout the building life cycle.

Source NBIM standard definition (product, process supporting collaboration nationals institute of building sciences (2007) .

Note:         IFC = Industry foundation classes
                   IDM = information delivery manual
                   MBIMS = North America part of BIM standard       

2.11    Benefit of BIM      
Ø  Increase speed of project delivery improved coordination decreased cost greater productivity higher quality work on-line collaboration
Ø  New Revenue and business opportunities in operations and functions
Ø  Rapid iteration of simulations of building performance and construction sequencing
Ø  Reduction of field problem and material waste during construction
Ø  Reduction of on-site material staying, creating a less crowded and safer site.  
Facilitation of off site fabrication for some building component and assemblies  increasing their quality and longevity.

2.12    Costs 
The cost implementing BIM for a project varies widely, depending on the knowledge of the professional undertaking the BIM, the complexity of the project being modeled and other design process.  
            According to Stanford University Center for integrated facility engineering (2007) the cost of BIM might be expected to be between three hundred of one percent to one half of one percent of total project cost.  Cost are dependent on labour hours invested in BIM essentially what it cost to hirer the building cost estimator, scheduler   etc and carryout the modeling process.


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