Keystruct Projects

New Building for Existing Oral Surgery Practice Focuses on Patient Comfort

Kelly Tetkoskie July 18, 2019
Newly Constructed Susquehanna Oral Surgery Center
New Susquehanna Oral & Maxillofacial Surgical Center in York

Dr. James Boyle has been serving the oral and maxillofacial surgical needs of the York and Lancaster communities for many years from his office on Eastern Boulevard. In order to better serve his patients, Dr. Boyle wanted to update his very busy existing practice. However, because he is a sole practitioner, he needed to ensure that any changes to his office did not impact the care provided to his patients. Keystruct worked closely with Dr. Boyle and his staff to create a new office that will successfully meet Dr. Boyle’s needs without sacrificing patient care.

The Keystruct pre-construction team met with SAA Architects and Dr. Boyle to establish the exact needs for the new Susquehanna Oral & Maxillofacial Surgical Center. Several design options were discussed, before settling on the one-story building that includes surgical rooms, pre-op and recovery areas, exam rooms, a laboratory, imaging room, and other support spaces.

The site for the new building was a vacant lot, just a few blocks from the existing practice. Located directly across the street from a school, in a complex retail and residential area, there were significant challenges with the project site. Because of the construction of the building and the excavation for an underground stormwater collection system, there was no area on the site for project staging. Additionally, while the site had two entrances, due to the proximity of the school, one of the entrances had to be closed to limit traffic on the street in front of the school. These two factors required careful coordination of manpower, materials, and equipment to allow appropriate access to the site. In addition, the management of workflows had to be monitored closely to prevent delays.

Weather was the biggest challenge throughout the duration of the project. Construction during one of the wettest years in history threatened to delay the project from the very beginning, requiring extraordinary scheduling efforts and careful coordination to keep this project moving forward. Because of the excessive rain and the resulting mud, installation of the underground stormwater collection system was delayed. Keystruct adjusted the construction schedule to begin the erection of the building when the work on the stormwater system was hampered by the wet weather. Daily communication and coordination related to the weather conditions allowed the work to progress despite these challenges.

An additional issue with the site work occurred when the excavation revealed a great deal of subsurface rock. Due to the project location, blasting could not be used to remove the rock. In order to keep the impact to a minimum during the excavation, hoe-ramming was used to break the rock for removal. While this effort could have delayed the project, Keystruct was able to maintain the schedule by monitoring the later stages of construction and coordinating the building erection with the site work to make up time.

Communication on the jobsite was threatened because of a language barrier with the roofing subcontractor’s workforce. Because the roofers on-site were not English speakers, the Keystruct Superintendent had to find a solution to communicate vital information. He worked with the office supervisor at the roofing company to translate information to the on-site personnel about specific instructions and site-specific safety information. Additionally, he used a translation app on his cell phone to talk directly to the site personnel for his more immediate communication needs.

Because the building is a surgical center, the facility required special medical gas systems. Keystruct installed the systems and then coordinated with a certified medi-gas contractor to ensure that the systems were connected properly. Another specialty feature of this facility was the installation of the vacuum line for the dental chairs. Because this is an item specific to dental offices, the site personnel were not familiar with this equipment and initially the lines were overlooked. Through the Keystruct Superintendent’s jobsite quality inspection, it was discovered that the lines had been omitted and the situation was quickly corrected.

While working on the interior spaces of the new facility, Keystruct was able to implement a significant cost savings measure for the owner. The interior doors from the owner’s existing space were very high quality and in excellent condition, therefore Keystruct recycled all of the doors from the existing office and re-purposed them to the new space. This effort resulted in the need to purchase only three additional doors for the new location, thus saving considerable money in the project budget.

Because this project is a healthcare facility, there were very strict regulations and inspection requirements throughout the construction period from a number of authorizing agencies. These included multiple inspections of the site work, stormwater, and building. In addition, the plumbing, electrical, and medical gas systems required specific certifications. The Keystruct Superintendent coordinated these inspections and worked closely with the engineering team to ensure that the project would meet the necessary requirements and achieve the appropriate certifications.

The updated office features fresh finishes, with a modern aesthetic focused on the patient experience. A special feature of the completed building is the model train in the recovery area. Keystruct installed the specialized track at the top of the walls in the recovery room, to add a relaxing visual to the post-op area. Dr. Boyle and his staff completed the move to the new facility with no down-time, allowing his patients access to their care. The new Susquehanna Oral & Maxillofacial Surgical Center provides a state-of-the-art practice that offers the local community advanced and specialty care in a comforting environment.