The Herman Family Pavilion provides advanced diagnostic and surgical services for high acuity- and trauma-level care. It adds critical care patient beds in two units; replaces the existing surgery department, central sterile processing, clinical lab and pathology service; and provides stand-alone building systems supporting the spaces. The 20-bed ICU, Smart and Hybrid operating rooms surgical unit and support service programs consolidate QVMC’s critical functions into a single facility. It followed a BIM-enabled Lean form of delivery in which the design team and construction trades jointly completed Phased Plan Review OSHPD approvals via “design-assist” and “design-build” formats. The pavilion has earned LEED Gold certification.