Our Design-Build Process

Healthcare executives face difficult issues when planning for a renovation or replacement of a facility. Our first-hand knowledge of these critical issues and concerns has informed our innovative and successful process, which marries the best practices of design-build with the unique requirements of working in challenging healthcare settings.


Our process minimizes the project risk for clients and reduces the delivery schedule by overlapping the design phase and construction phase of a project.

Additional benefits:

  • Substantial contractor involvement during planning
  • Compression of time
  • Emphasis on quality and service
  • Enhanced communication between the contractor and the client
  • Increased accountability by the contractor
  • Single source project delivery
  • A value-based project feedback system


Our depth of experience in building challenging high-tech facilities allows us to add considerable value to our clients’ planning process. Our approach maximizes safety, efficiency, and customer service. CMSI does not provide engineering services. We contract all engineering with properly licensed design professionals and firms in the states and jurisdictions that CMSI serves. Incorporating engineering services ‘local’ to the project results in better design, lower cost, and reduction of preparation time.

  1. Project Programming

    • Review project scope
    • Identify specialty equipment requirements
    • Review project schedule and critical path items
  2. Site Survey and Schematic Design

    • Perform site survey and evaluation
    • Develop conceptual design and critical design elements
    • Develop preliminary schedule and budget
  3. Design Development

    • Develop major design elements, to include equipment requirements
    • Work out mechanical and electrical details
    • Develop a more detailed project schedule and budget
  4. Final Construction and Permit Documents

    • Final design details and construction drawings
    • Submit for necessary permits
    • Finalize project schedule and budget
    • Release long lead materials and critical path items
  5. Construction

    • Execute project plan on time and on budget
  6. Equipment Install Owner Occupancy

    • Coordinate the installation of owner equipment
    • Finalize all necessary inspections
    • Facilitate owner move-in
  7. Project Close Out

    • Complete and turn over all as-built documents
    • Review warranty and maintenance information
    • Provide operational training on all critical systems