Palo Alto Medical Foundation, San Carlos Campus

San Carlos, California
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Prefabrication Assists in the Completion of PAMF, San Carlos


This 4-story, 170,000-square-foot medical center near San Francisco was completed utilizing an IPD (Integrated Project Delivery) construction method. KHS&S was a part of this 11 trade partner project team with a shared risk pool that promoted team integration and a closer and more productive relationship. The medical center is comprised of 260 exam rooms, 4 operating rooms, a radiology department that includes MRI, CT and mammography rooms and a complete laboratory with 12 draw stations.

KHS&S’ scope of work on the medical center included both interior and exterior construction. As part of the exterior construction, KHS&S completed the shop drawings and construction of 600 exterior panels. On the interior KHS&S completed a level 5 finish throughout the center.

Lean Construction techniques were used to facilitate efficient project delivery, these methods included pull planning and work plans. To support this process the project team engaged in weekly training sessions.  

The impact that prefabricated the exterior panels had on the project:

1. Schedule Savings

We were able to construct all the framing prior to the steel structure being installed. Traditionally this would take 3-4 months to get ready to lath.

2. Improved Safety 

The project recorded one injury in 33,200 hours of work; far below the national average.

3. Lean Material Ordering

Detailed ordering reduced metal waste to an almost insignificant amount.

4. Freed Up Interior Space at the Perimeter

Traditional exterior framing requires a 20’ path around the exterior is to be kept clear from materials and constructing the exterior wall. We were able to go from slabs with safety cables at the exterior edge, to a framed wall that shed water within a few weeks.

The project was recently featured in San Mateo Daily Journal. Click on the link below to learn about the project.

New San Carlos medical center opening