Constructing with Care

DPR Construction

Welcome to the Constructing with Care podcast, brought to you by DPR, a trusted healthcare builder. A dialogue among health industry leaders discussing the impact of construction to the healthcare environment.

  1. 26 ago

    Capital Planning Under Pressure: Data, Decisions & Building with Conviction

    Capital Planning Under Pressure: Data, Decisions & Building with Conviction Healthcare capital planning has never been simple. But with financial pressures, shifting reimbursement, rising construction costs and increasing demands for flexibility, health systems are being forced to make difficult decisions about where—and when—to invest. In this special compilation episode of Constructing With Care, we revisit some of the most compelling insights from conversations with healthcare leaders and advisors across several previous episodes. Together, these perspectives explore how health systems can make smarter capital decisions when the path forward isn't always clear. From prioritizing the "critical few" to using data without becoming overwhelmed by it, the conversation examines what it takes to move from analysis to action—and how today's capital investments can create flexibility for tomorrow. The episode also explores the financial and operational value of prefabrication, including speed to market, standardization, cash flow, risk mitigation and the ability to adapt facilities as healthcare needs evolve. In this episode, you'll hear insights on: How financial pressure is changing the way health systems prioritize capital investments The opportunity cost of not building—and why waiting can carry its own risk How leaders can distill complex data into the information needed to make decisions Why stakeholder engagement and active listening are essential to effective capital planning Using BIM and other technologies as data-driven decision-making tools—not simply documentation How health systems can test assumptions and continuously evaluate financial risk Avoiding analysis paralysis and knowing when it's time to make the decision Building flexibility into longterm capital strategies rather than relying on rigid plans The financial and operational value of prefabrication and standardization Why speed, adaptability and operational resiliency are becoming increasingly important measures of capital value How leadership culture can create the confidence to challenge conventional approaches Featured voices Curtis Skolnick — CommonSpirit Health Jonathan Bykowski — Array Advisors Sarah Francis — Advocate Health Jeff Schroder — Atrium Health Editor's Note: This episode is part of our Constructing With Care Highlights series, featuring curated insights from previous conversations on timely issues shaping healthcare design, construction and capital investment.

  2. 19 jun

    AI, Labor Shortages & the Future of Healthcare Facilities: Originally from Healthcare Facilities Network

    Today, we're sharing a conversation from the Healthcare Facilities Network podcast featuring DPR Construction's Healthcare Core Market Leader, Hamilton Espinosa. In this discussion, Hamilton joins Patrick Murphy, Regional President at CREF, and podcast host Peter Martin to explore the challenges and opportunities shaping the future of healthcare facilities. From workforce shortages and evolving career paths to artificial intelligence and emerging construction technologies, this conversation examines how healthcare organizations, facility leaders, and builders can adapt to a rapidly changing landscape while keeping people at the center of every decision. In This Episode Why labor shortages continue to impact healthcare facilities and construction alike How data centers and other industries are competing for the same skilled workforce The growing role of AI in healthcare, construction, and facility operations How prefabrication and off-site manufacturing are transforming healthcare construction Why mentorship, apprenticeships, and hands-on learning are critical for the next generation The importance of creating workplaces that attract and retain skilled talent How healthcare organizations can rethink hiring requirements to expand their talent pool Why mission-driven work remains one of healthcare's greatest strengths Key Takeaways The Workforce Challenge Isn't Going Away Healthcare facilities are facing a perfect storm of aging infrastructure, aging employees, and growing demand for services. At the same time, industries such as data centers are attracting skilled tradespeople with higher wages, making recruitment and retention increasingly difficult. AI Is Changing How We Work Rather than replacing people, AI is creating opportunities to automate routine tasks, improve decision-making, enhance safety, and allow professionals to focus on higher-value work. The conversation explores both the promise and the practical realities of AI adoption across healthcare and construction. Alternative Career Paths Matter The panel discusses the growing acceptance of vocational training, apprenticeships, and hands-on career development. As labor shortages continue, organizations must broaden how they recruit and develop talent rather than relying solely on traditional degree requirements. Construction Is Becoming More Industrialized Prefabricated building components, robotics, automated layout tools, and data-driven workflows are helping construction teams improve efficiency and address labor shortages while maintaining quality and safety. Culture Is a Competitive Advantage Creating better work environments—from mentorship programs to improved jobsite conditions—plays a critical role in attracting and retaining talent. Investing in people is no longer optional; it's essential. Featured Guests Hamilton Espinosa National Healthcare Core Market Leader, DPR Construction Patrick Murphy Regional President, CREF Hosted by: Peter Martin, Healthcare Facilities Network Connect With Us If you enjoyed this conversation, subscribe to Constructing with Care for more discussions on healthcare construction, facilities, leadership, innovation, and the people shaping the future of the built environment.

  3. 21 ene

    Building with Intention: How DPR's Healthcare Fellowship Is Shaping Better Outcomes

    Building with Intention: How the Healthcare Fellowship Is Shaping Better Outcomes Recorded live from the DPR Healthcare Fellowship Summit in Scottsdale, Arizona As healthcare systems demand faster delivery, greater coordination, and measurable value, one thing is becoming clear: technical expertise alone isn't enough. In this episode of Constructing With Care, host Leslie Tulio explores how DPR Construction's Healthcare Fellowship is redefining what it means to build healthcare facilities — by grounding project delivery in clinical insight, empathy, and patient-centered thinking. Recorded at the DPR Healthcare Fellowship Summit, this episode features perspectives from fellowship leaders and participants who share how deeper understanding of clinical workflows, patient flow, and hospital operations is leading to more predictable outcomes and stronger collaboration. In This Episode, You'll Learn: Why the Healthcare Fellowship was created to address the "why" behind healthcare spaces — not just the "what" How clinical operations, funding models, and patient-centered care are integrated into the fellowship curriculum Why empathy and early engagement reduce risk and improve project predictability How fellowship-trained builders are changing job site culture by connecting trades to patient outcomes What "go slow to go fast" really means in healthcare construction Episode Timeline Highlights: 00:00 – 01:10: Introduction & purpose of the Healthcare Fellowship 01:10 – 04:30: Why the fellowship was created and how it bridges gaps between builders and healthcare leaders 04:30 – 06:50: Fellowship impact on project teams and job site culture 06:50 – 08:10: Integrated delivery, early engagement, and complex healthcare challenges 08:10 – 10:40: "Go slow to go fast" — designing and building with intention 10:40 – End: Fellowship outcomes and closing reflections Learn More Explore more healthcare construction insights and episodes at: constructingwithcare.com  Subscribe to Constructing With Care on your favorite podcast platform, and follow DPR Construction on LinkedIn and YouTube for featured content.

  4. 21/10/2025

    Achieving Conviction in Capital Planning: Part 3 Bridging the Gaps from Strategy to Implementation

    In the third episode of this Constructing With Care, short series, host Leslie Tullio from DPR Construction is once again joined by Curtis Skolnik of CommonSpirit Health and Jonathan Bykowski of Array Advisors. Throughout Episode 21 the team explores how healthcare organizations can execute with confidence, from lean construction and technology integration to data-driven decision-making. The conversation dives into the challenges of bridging gaps between strategy, operations, and clinical realities, the role of AI in modeling patient care, mitigating bias in decision-making, and the power of Lean and Six Sigma processes to streamline implementation. Key Topics 01:20 – Emerging Technologies & Process Enablement Curtis and Jonathan discuss promising technologies and the potential for AI to optimize planning and operational decisions, including modeling patient flow and bed utilization. 02:18 – Bridging Strategy, Data, and Clinical Operations The discussion highlights the disconnects between hospital strategy teams, clinical operations, and patient care realities. AI is seen as a tool to bridge these "chasms," helping identify opportunities like step-down care vs. ICU placement. 04:14 – Entrepreneurial Opportunities in Chasm Bridging The panel identifies gaps in healthcare data utilization and how new ventures could address them. 05:23 – Managing Data Overload Conversation on balancing the abundance of data with actionable insights, ensuring decision-makers aren't overwhelmed. 06:39 – Future-State Planning & Flexibility Jonathan emphasizes that long-term plans need built-in flexibility—"back roads maps"—to accommodate changing inputs and dynamic healthcare environments. 10:42 – Human Complexity in Implementation The panel explores how humans and bias affect project execution and the importance of structuring implementation to account for these complexities. 13:26 – Advocating for Equitable Participation Jonathan shares strategies for ensuring all voices are heard in planning sessions, emphasizing equity over equality to combat power dynamics and bias. 17:08 – Lean Six Sigma for Implementation The conversation pivots to Lean and Six Sigma principles, demonstrating how a systems-based approach improves project execution and reduces downstream inefficiencies. 21:13 – Lean Philosophy & Process Accountability The episode closes by reinforcing that errors and inefficiencies are always a reflection of the process, not individuals, and that continuous improvement depends on fixing the system rather than assigning blame. Quote Jonathan Bykowski, Array Advisors "We need to stop chasing perfect data and start trusting the patterns we see in real-time."

  5. 23/09/2025

    Achieving Conviction in Capital Planning: Part 2, Data-Driven Decision Making

    In episode 20 of Constructing With Care, host Leslie Tullio from DPR Construction continues the conversation with Curtis Skolnik of CommonSpirit Health and Jonathan Bykowski of Array Advisors. Building on their earlier discussion about vision, stakeholder alignment, and data-driven strategy, they now dive into how organizations execute with confidence—exploring the role of lean construction, BIM/VDC, technology integration, and leadership in navigating capital projects. Host, Leslie Tullio is joined by: Curtis Skolnick, CommonSpirit Health Jonathan Bykowski, Array Advisors Episode Highlights 01:30 – The role of BIM and VDC Curtis discusses how early-stage planning tools accelerate implementation, but also the challenge of how far to push them in upfront planning. 02:59 – Industry gaps in technology adoption Jonathan challenges the AEC industry's slow progress, explaining why BIM is really data and how outdated paradigms still hold projects back. 05:42 – Balancing innovation with value Curtis emphasizes that innovation must have practical value, not just novelty. 06:17 – Creating room for experimentation  Jonathan highlights the lack of a "safe space" to test new approaches and how integrated project delivery helps create room for experimentation. 07:35 – Financial risk and uncertainty Curtis explains how CommonSpirit uses constant data modeling to mitigate financial risk in a volatile environment. 09:14 – Resource allocation challenges A look at how health systems manage limited human resources and prioritize projects. 10:53 – Rethinking ROI Jonathan describes how clients are focusing more on long-term flexibility and adaptability, not just immediate cost-benefit. 13:02 – Building a leadership bench Curtis shares how CommonSpirit fosters a culture of collaboration, innovation, and change through leadership development. 15:40 – Working with different client cultures Jonathan explains how Array Advisors adapts its role to support diverse organizational cultures, sometimes even using creative tactics like removing titles in meetings. 17:53 – Building trust and relationships Both guests reflect on the importance of trust and relationship-building in driving project success. 19:25 – What the future holds Predictions for the next 5–10 years: the emergence of a two-tier healthcare system and the need for faster decision-making. 21:13 – Advice for navigating uncertainty Curtis: Understand your risk tolerance and the risk/reward equation. Jonathan: Be brave and do no harm. Quotes Curtis Skolnick   "Not all ROI is financial—sometimes it's access, equity, or the human impact that matters most."

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Welcome to the Constructing with Care podcast, brought to you by DPR, a trusted healthcare builder. A dialogue among health industry leaders discussing the impact of construction to the healthcare environment.

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