Responsible for delivering major healthcare projects, the University of California in San Francisco (UCSF) has devised creative ways of reducing waste and increasing value through project delivery. In a previous paper, we described UCSF Health's journey to rethink project delivery practices. The adoption of Target Value Delivery (TVD) is a core enabler of their success. The University has consistently adopted TVD to deliver complex healthcare projects within or below their allowable costs. Previous papers have provided evidence and insights into why and how such success has been achieved. However, the focus so far has been on collaboration and cost management. This paper describes the strategies utilized to focus on and manage value generation. The term human-centered innovation was chosen to emphasize stakeholder engagement and empathy building as input to idea generation. This approach shaped how TVD is implemented in these case studies. Its analysis provided insights into complementary design and decision-making strategies traditionally used in TVD. In particular, the design strategies observed in this research expand the documentation of TVD best practices to include not only solution development strategies but also participatory and empathic ways of understanding, framing, and reframing design problems.
With the intent to move towards value generation, public organizations have been increasingly searching for alternative procurement and project delivery routes. Countries like the U.S., Finland, U.K., Norway, and Australia are pioneers in adopting alternative means to project delivery in the public sector. Past studies have documented the benefits of more collaborative arrangements in that sector. However, their impact on project performance and their ability to generate value still lack evidence and documentation. In addition, little is known about project management practices that helped organizations focus on value and achieve better project performance within this context. Thus, this paper aims to provide evidence about the impact of alternative delivery methods on generating better project outcomes in the public sector, highlighting fundamental mechanisms and lean management practices that have contributed to these results. This research follows a multi-case study approach, reporting the journey taken by The University of California San Francisco (UCSF) Health to rethink its project delivery methods in the public sector. A close collaboration between the University of California Berkeley (UC Berkeley) and UCSF allowed data to be collected throughout the years. This paper results from a reflection of collected data and new insights gained through focused group discussions.
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