CLUSTER ADJUSTMENT. Propose Cluster/IPD Rela:onship Review Check- in Call Structure Agree on Appropriate Clusters Determine Cluster Leaders & Members

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ADJUSTMENT Propose Cluster/IPD Rela:onship Review Check- in Call Structure Agree on Appropriate Clusters Determine Cluster Leaders & Members

UHS Temecula Cluster Integra:on Flow of Requests INTEGRATED TEAM (Cluster Leaders) Commitments Become Milestones INTEGRATED TEAM S Pull Plan Level Macro Micro Check- ins Occur 2x per week Daily or As- Needed Milestones Come From Master Schedule Macro Pull Plan Commitments Hand- offs Between Cluster Leaders Cluster Members Break Down Work 1 week max 2 day max Reflec:ons Every 3 weeks Every 3 weeks

UHS Temecula Daily Check- in/pull Plan Schedule Monday Tuesday Wednesday Thursday Friday Check- in IPD Check- in Check- in Check- in IPD Check- in Cluster leaders to establish structure of daily check- ins Cluster leaders only Focus Check- in on macro hand- offs between clusters Cluster leaders to establish structure of daily check- ins Cluster leaders to establish structure of daily check- ins Cluster leaders only Focus Check- in on macro hand- offs between clusters Macro Pull Plan Milestones- 2 ahead Intervals 2 ahead Weeks 2 ahead Status Work Update Work Register Measure PPC Micro Pull Plan Pull to Milestones Established from Macro Pull Plan Commitments Commitments Mile- stones PDCA Process Regularly Conduct Structured Reflec:ons (3 wks)

UHS Temecula Design/Budget/Schedule/Constructor Design Schedule Budget Each cluster should integrate es:ma:ng, schedule, and constructor with design Constructor Leads to break- downs/ miscommunica:on Design/EsFmate/ Schedule/ Constructor Design/EsFmate/ Schedule/ Constructor INTEGRATED TEAM Overall Budget/ Macro Schedule Design/EsFmate/ Schedule/ Constructor Design/EsFmate/ Schedule/ Constructor

MEMBERSHIP/ REPRESENTATIVES Same cluster members thru the life of the project IPD Con:nuity Cluster leader may change depending on the phase of project Individual members :me commitments may vary over :me

UHS Temecula - Cluster Forma:on Community Public RelaFons Healthcare User OperaFons Site Medical Equipment Project OperaFons INTEGRATED TEAM Structural Core / Shell Interiors Build- out MEP/FP IS- IT

UHS Temecula - Cluster Details Healthcare User OperaFons Community Public RelaFons Medical Equipment UHS Dept. Heads UHS Subject Ma_er Experts HMC H/C Planners UHS Regional Mgr. UHS P/R Local P/R UHS Planner UHS IS/IT HMC DPR/Turner Vendors Rebecca Hathaway- Leader Frank L., Tara L., Chuck D., George V., Seena H., Nancy S., Kathy D., Barbara C., Terry M., Dave Smith Frank Lopez to determine Leader Rebecca H., Tara L., Steve W. Nancy SquarFno - Leader -? JV rep TBN Marius Nimitz, Seena H. Dave Smith, Kathy Duffy Imelda Flores Tara Laski Steris Rep? Seimens Rep? on Toshiba Rep?? call

UHS Temecula - Cluster Details Project OperaFons Interiors Build- Out MEP / FP / IS- IT Master Schedule Produc:on Planning Purchasing Budget - Es:ma:ng Safety Quality BIM Coord. Cost Accoun:ng Framing / Drywall (DPR) Kitchen Casework Lab Casework Doors Frames Hardware T- Grid Ceiling, Flooring, Paint Plumbing HVAC Electrical Fire Prot./Alarm IS/IT, PTS Steve Yots - Leader Tom M., Ed S., Jim R., Frank V. (IOR), Danny P. Chris O., Vanessa V. Kelley R., Richard S., Doug A. Lee T., Tom S., Raul R. Ward Thompson Leader Marius N., Steve W., Steve H., Eric S. Mike B. (Mission Bell) Jenna S., Sheldon V., Joseph M., Ken Lindsey - Leader Dean S., Corey L., Bob K., Dave Smith, Nate Kathy D., Price B., Mark O.

UHS Temecula - Cluster Details Core and Shell Structural Site HMC DPR Framing Kone Elevator PCI Vision Systems Roofing Saiful Bouquet HMC DPR Concrete Schuff Steel Driller (TBN) URS HMC Site Work Geotech Soil Report Soil Tes:ng Surveyor Dan Munch - Leader Steve H., Tom M. Manish S. (Kone) Gordon S. (PCI) Gary C. (Vision sys) Tom S., Ed Straub Leader YK, Dan M., Steve W., Steve H. Mike P. (Schuff), Marc L. (Schuff) Bryan Fiehler (DPR/C Supt) Tyler Boland (DPR/C PM) Tom S. Tom M. - Leader Dan M, Steve W, Margie D, Cynthia G, Emily H, Tom W, Dean S. Doug A.

UHS Temecula Support Teams Core Team Coordina:on and overall day- to- day management and administra:on of the Project consistent with Integrated Project Delivery principles Bill S, Tara L, Steve W, Rebecca H, George Z, Dave S, Ken L, Sco_ D, Bob K Community of PracFce Advance the teams applica:on of lean behaviors, skills, processes and tools George Z, Dean S, Steve Y, Corey L, Dan M, Chris O, Tara L, Kris:n H (Coach)

Cluster Member/Leader Responsibili:es LEADER Role Model / Mo:vate Use pull planning to organize work of cluster Ensure that cluster s commitments are being met Verify cluster member constraints are being removed Verify that cluster topics make their way on to agenda Represent the cluster in integrated team mee:ngs Organize daily cluster check- in structure as appropriate Assist with On- Boarding process Foster A3 process in decision making Foster lean learning and principles MEMBER Make reliable commitments Manage commitments to comple:on Make cluster leader aware of any and all constraints Ac:vely par:cipate in pull planning Ac:vely par:cipate in development of A3 s Fill in for cluster leader as needed Ac:vely pursue lean principles and learning

UHS Temecula Implementa:on Strategy By May 31st: Cluster Leaders to meet with an:cipated cluster members Cluster Leaders to agree with cluster members which days & :mes to use for check- in Cluster Leaders to reinforce/clarify responsibili:es of cluster members Report- out required on 31 st by each cluster leader discussing cluster membership, daily check- in structure, etc

Plus / Delta