Readiness & Execution Assessment
A bounded, fixed-fee review that tells a healthcare owner, board, or investor whether a facility project is ready to be committed to — before the capital is.
The question it answers
Is this project ready to commit to?
Not whether the new service line is a good idea, and not whether the team is capable. Whether the project as it is currently defined, budgeted, designed, equipped, approved, and governed can be delivered on the terms the owner is assuming.
The review has edges. Its scope, duration, and fee are fixed before it starts, and it ends with a document the owner can act on — not an open-ended engagement.
What we examine
Fifteen areas, reviewed against the project as it actually stands.
Clinical program
Which services, volumes, and care model the building is for, and whether they are agreed.
Business case
The revenue, reimbursement, and demand assumptions the project depends on.
Site and existing building
Whether the site or building can carry the program, including hidden conditions.
Regulatory pathway
Plan review, licensure, certificate of need where it applies, and who owns each step.
Accreditation and survey readiness
Whether the plan leaves time to be ready for life-safety and accreditation survey.
Infection control and occupied-space phasing
Whether the phasing and the infection control risk assessment were built together.
Design maturity
How settled and coordinated the design is, and whether users have signed off.
Medical equipment and technology
Selection, budget, lead times, and fit with the rooms that house it.
Capital budget
What is included, what is missing, and how contingency is structured.
Schedule credibility
Whether the dates are derived from approvals and lead times or simply asserted.
Delivery method
The contracting approach and how it allocates risk between owner and builder.
Owner's team
Who holds each decision on the owner's side, and whether anyone holds the whole.
Project controls
Cost, schedule, and change reporting that the owner can rely on.
Governance
Decision rights, escalation, and reporting to the board or investment committee.
Activation and transition
Staffing, training, moves, and the first days of operation.
What you receive
One document, written for executives and board members, with the supporting analysis attached.
Readiness position
An overall view of whether the project is ready, with the reasons shown.
Critical risks
Ranked, with the consequence of each stated plainly.
Open decisions
What the owner still has to decide, and by when.
Budget exposure
Where the number is most likely to move, and why.
Schedule weak points
The dates least likely to hold, and what drives them.
Regulatory and survey gaps
Where the approval or readiness path is unclear or unowned.
Owner's team gaps
Roles and capabilities the owner's side is missing.
Recommended delivery approach
The contracting and organizational model the review supports.
Priority actions
What to do first, in order.
First 90 days
A concrete plan for the period immediately after the review.
Who commissions it
Whoever will answer for the project if it goes wrong.
Health system boards
Trustees asked to approve a capital commitment and explain why.
Executive teams
CEOs, CFOs, and chief operating officers carrying the financial and operational exposure.
Physician and practice owners
Owners of surgery centers, clinics, and veterinary practices without an in-house facilities team.
Investors
Private equity and real estate investors underwriting a healthcare build or acquisition.
Lenders
Credit parties assessing delivery risk before funding.
Operators
Senior living and post-acute operators taking on a development or repositioning.
Fixed fee, scoped in advance.
The work is document review, interviews across the owner's side and the project team, independent analysis, and a review of draft findings with the commissioning party before the report is final. Its length is set in the scope.
The fee is agreed before the review begins. It is not published, because a single clinic fit-out and a multi-phase hospital program are too different for one figure to mean anything.
Common questions about the assessment
What is a healthcare project readiness assessment?
When should a readiness assessment be commissioned?
How long does the assessment take?
How much does it cost?
Is this a design review or a code review?
Insights on project readiness
The assumptions and decisions a readiness review is built to test.
Major medical equipment decisions have to lead the design they drive
A scanner, a sterilizer or a compounding isolator sets the loads, shielding, utilities and data connections of the space around it. Chosen late, the room is designed around a guess.
On a healthcare project, the approvals path is the schedule
A healthcare building answers to more reviewers than almost any other kind. Their approvals are sequential, outside the owner's control and tied to the license, so they belong at the start of the schedule rather than the end.
Ask about an assessment
Describe the project and the decision it feeds. We will tell you what a scoped review would cover.