Project Coalitions in Healthcare Construction Projects and the Application of Real Options: An Exploratory Survey

Abstract

OBJECTIVE:

Exploring the impact of the type of project coalition on types of flexibility by analyzing considered and exercised flexibilities in separated and integrated project coalitions in the design and construction phase and the operations and maintenance phase of a healthcare construction project.

BACKGROUND:

Flexibility in healthcare construction projects is increasingly needed in order to deal with growing uncertainties. Until now, little research has been carried out on how and to what extent flexibility is incorporated in different types of project coalitions chosen by healthcare organizations.

METHODS:

An exploratory survey was conducted among health organizations in both cure and care. Questions were asked on the position of the real estate department within the organization, the type of project coalitions chosen and the rationale behind this choice, and the extent to which flexibility in terms of a real option was considered and to what extent it had been exercised in a project coalition.

RESULTS:

Integrated project coalitions pay more attention to flexibility in advance in both the process and the product, but exercise them to a lesser extent than separated project coalitions. The economic feasibility of real options is higher in integrated project coalitions.

CONCLUSIONS:

The study shows that real options thinking is already incorporated in real estate management of healthcare organizations, although more flexibility is considered in advance of the project than is actually realized during and after construction.

Keywords

Built environment construction decision making hospitals planning

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References

Adler

(2003). Making the HR outsourcing decision. MIT Sloan Management Review, 45(1).

Adner

, & Levinthal

D. A.

(2004). Real options and real tradeoffs. Academy of Management Review, 29(1), 120–126.

Amram

, & Kulatilaka

(1999). Real options: Managing strategic investment in an uncertain world. Cambridge, MA: Harvard Business School Press.

Bellers

(2008). Raamwerk risicomanagement bouwprojecten zorginstellingen: Waarborg-fonds zorginstellingen. Utrecht: the Netherlands. Retrieved from http://www.wfz.nl/data/files/documenten.56.strUpload.Raamwerk%20risicomanagement%20bouwprojecten%20zorginstellingen%20juli%202008.pdf?PHPSESSID=6fcfd22aa8f8e3e105ffe05ec2629a49

Black

, & Scholes

(1973). The pricing of options and corporate liabilities. Journal of Political Economy, 81(3), 637.

Blanken

(2008). Flexibility against efficiency? An international study on value for money in hospital concessions. (Doctoral dissertation.) Enschede, the Netherlands: University of Twente.

Buono

A. F.

Bowditch

J. L.

, & Lewis

J. W.

(1985). When cultures collide: The anatomy of a merger. Human Relations, 38(5), 477–500.

Carthey

Chow

Jung

Y.-M.

, & Mills

(2010). Achieving flexible and adaptable healthcare facilities-findings from a systematic literature review. Paper presented at the 3rd Annual Conference of the Health and Care Infrastructure Research and Innovation Centre, Edinburgh, Scotland.

de Neufville

Hodota

Sussman

, & Scholtes

(2008). Real options to increase the value of intelligent transportation systems. Transportation Research Record: Journal of the Transportation Research Board, 2086(1), 40–47.

10.

de Neufville

Lee

Y. S.

, & Scholtes

(2008). Flexibility in hospital infrastructure design. Paper presented at the IEEE Conference on Infrastructure Systems, Rotterdam, the Netherlands.

11.

Dewulf

, & Wright

(2009). Capital financing models, procurement strategies and decision-making. In Rechel

Wright

Edwards

Dowdeswellc

& McKee

(Eds.), Investing in hospitals of the future (pp. 123–144). Copenhagen, Denmark: European Observatory on Health Systems and Policies.

12.

Eaton

Akbiyikli

, & Dickinson

(2006). An evaluation of the stimulants and impediments to innovation within PFI/PPP projects. Construction Innovation: Information, Process, Management, 6(2), 63–67.

13.

Fichman

Keil

, & Tiwana

(2005). Beyond valuation. California Management Review, 47(2), 74.

14.

Gehner

(2008). Knowingly taking risk: Investment decision making in real estate development. (Doctoral dissertation). Delft University of Technology, Eburon, the Netherlands.

15.

Hilmer

, & Quinn

(1994). Strategic outsourcing. Sloan Management Review, 35(4), 43–55.

16.

Kakabadse

, & Kakabadse

(2000). Critical review—Outsourcing: A paradigm shift. Journal of Management Development, 19(8), 670–728.

17.

Kiers

(2011). Zorg aan vooravond fusiegolf. Retrieved from http://www.zorgvisie.nl/Ondernemen/12226/Zorg-aan-vooravond-nieuwe-fusiegolf.htm

18.

Kreiner

(1995). In search of relevance: Project management in drifting environments. Scandinavian Journal of Management, 11(4), 335–346.

19.

Laan

(2008). Building trust: The case of the construction industry. (Doctoral dissertation). University of Twente, Enschede, the Netherlands. Retrieved from http://doc.utwente.nl/60348/1/thesis_A_Laan.pdf

20.

Leiblein

(2003). The choice of organizational governance form and performance: Predictions from transaction cost, resource-based, and real options theories. Journal of Management, 29(6), 937.

21.

Madhok

(1995). Opportunism and trust in joint venture relationships: An exploratory study and a model. Scandinavian Journal of Management, 11(1), 57–74.

22.

McKee

, & Healy

(Eds.). (2002). Hospitals in a changing Europe. Buckingham, England: Open University Press.

23.

Myers

S. C.

(1977). Determinants of corporate borrowing. Journal of Financial Economics, 5(2), 147–175.

24.

Olsson

N. O. E.

(2004, October). Flexibility in engineering projects: blessing or curse. Paper presented at the NORDNET 2004 International PM Conference, Helsinki, Finland.

25.

Olsson

N. O. E.

(2006). Management of flexibility in projects. International Journal of Project Management, 24(1), 66–74.

26.

Plexus en BKB. (2010). Bouw en Diversiteit van Wonen. Breukelen, the Netherlands: Author. Retrieved from http://www.werkenaandezorg.nl/rapport/bouwen-datarapport.pdf

27.

Raad voor de Volksgezondheid en Zorg. (2006). Dossier management van vastgoed in de zorgsector. Zoetermeer, the Netherlands: Author. Retrieved from http://rvz.net/uploads/docs/Achtergrondstudie_-_Dossier_management_van_vastgoed_in_de_zorgsector.pdf

28.

Rechel

Wright

Edwards

Dowdeswell

& McKee

(Eds.). (2009). Investing in hospitals for the future. Copenhagen, Denmark: European Observatory on Health Systems and Policies.

29.

Sommer

S. C.

, & Loch

C. H.

(2004). Selectionism and learning in projects with complexity and unforeseeable uncertainty. Management Science, 50(10), 13.

30.

Van Beek

Bisschop

Klein

A. W.

Post

H. E.

, & Staats

T. A.

(2010). Integraal bouwen, beheren en bekostigen. Utrecht, the Netherlands: TNO. Retrieved from http://www.ontwerpwedstrijden.nl/media/downloads/integraal_bouwen.pdf

31.

Van Iersel

C. J. A.

(2005). Overwegingen bij uitbestedingsstrategieen. Gouda, the Netherlands: PSIBouw.

32.

Vlek

, & Kuijpers

(2005). Real options in vastgoedontwikkeling. Real Estate Magazine, 8(39), 3.

33.

Winch

G. M.

(2010). Managing construction projects. Oxford, England: Blackwell Publishers.

34.

van Reedt Dortland

Dewulf

& Voordijk

(2013). Project coalitions in healthcare construction projects and the application of real options: An exploratory survey Health Environments Research & Design Journal 7(1), pp. 14–36.