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Imagine a future where everything is connected to the internet. Not just your phone and your laptop, but your car, your house, even parts of your body.–Joshua Gliddon
Integrated Practice Taking Hold in Healthcare?
For several years I have used Google Alerts as one tool for keeping current with the progress of building information modeling development and integrated practice. Every day since early 2007, I receive alerts for the terms: bim, building information model, integrated practice, big bim and little bim. In the early days there were few alerts; recently there are days with twenty or more alerts on any one of these topics.
Over the last year, I started to notice patterns in the alerts, so I began tracking the alerts by industry.
The patterns highlight major issues about how the construction industry sees and understands integrated practice. The patterns show the level of acceptance within different industries and indicate who is embracing integrated practice and who is not.
Health care organizations of all kinds (doctors, dentists and chiropractors especially) are moving to integrated practice technologies. Lawyers and accountants, as well. Baseball teams, meditation gurus, social workers, writers, artists and IT are moving. However the patterns seem to show that far fewer architects and contractors are taking the plunge.Health care and science add up to a total of 58% of the alerts. Legal, the arts, sports, meditation, social work, education, accounting, writing and IT account for an additional 30%. Construction industry alerts account for only 12%.
It is interesting that fully 88% of the postings for integrated practice have little or nothing to do with design and construction.
Integrated practice was not created by and is not unique to the construction industry. It is a way to a goal, a process, not an end goal. The patterns from Google Alerts seem to be saying that other industries are much more actively involved in their own integrated practice implementation than are architects and contractors.
The alerts talk a lot about the benefits to individual industry members. There is little talk of the holistic benefits from integration. Construction industry discussions revolve around integrating design and construction with a nod toward operations. Few talk about or advocate for wider initiatives such as integrated decision making. Even fewer work toward possibilities such as the integration of design and construction with health care to create more sustainable and efficient processes.
The patterns show that other industries are embracing integrated practice. The patterns may also show that the construction industry is missing an opportunity for a larger discussion. Why is it that the construction industry has not engaged in such discussions?
- Is it because architects and contractors do not understand where they fit into the larger world? Do they spend too much time focused on what they see as their niche?
- Is it because too many react to the demand for integrated practice, rather than proactively using the process to do better and more?
- Is it because the construction industry does not understand how to apply technology to create better and more efficient processes?
- Is the construction industry so wrapped up in its’ own issues that the industry’s point of view is too limited in today’s world?
- Is it because construction industry professionals are only talking to themselves?
- Is it because construction industry professionals are not connecting to and learning from others?
- Is it plain old inertia and ego?
- Or, is it that construction industry professionals do not write in forums indexed by Google?
Whatever the answer to these questions, the pattern suggests that the construction industry needs to become more engaged in the broader discussion of what it means to be integrated.
Princeton University defines integrated as: formed or united into a whole; introduced into another entity; designated as available to all races or groups; or resembling a living organism in organization or development.
The Google Alert pattern and Princeton’s definition both suggest that the industry needs to become more engaged in integration and to widen its’ view of what integrated practice really means to the world outside of the construction industry.