Framework for change control in healthcare construction projects compared to current practice

Traditionally, the evaluation of changes in construction projects focuses on implications for cost and time. Analysis of impact on the configuration and subsequent end-user functionality is less analysed. Healthcare constructions have complex configurations and the functionality is imperative for patient care. There are problems with the deliveries in healthcare construction projects not fulfilling end-user functionality. Control of configuration changes reduces the risk for deviations from intended functionality. This study establishes the information required to obtain control and the availability in healthcare construction projects. A framework based on a literature review describes the information that is required to control configuration changes. In a case study of thirteen healthcare reconstruction projects, the available information about changes was compared with the framework. Management of changes was deficient in all the cases. In the investigated project logs, the implications of the configuration changes were significantly underestimated. Object models data provided detailed information about the impact of changes on the configuration, but this possibility was not used. There was no available information about requests to change the configuration, consequence analyses or implementation decisions. This study fills a research gap by adding the configuration perspective to change management in construction projects.