Healthcare Commissioning

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Recent Projects

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Children’s Hospital Boston – Boston, Massachusetts

New Clinical Expansion Project

This 245,000 square foot addition to the existing hospital included new Operating Rooms, Radiology, the first Inter-Operative MRI in Boston, Medical/Surgical Intensive Care Units, and Age-Based Inpatient Care Units. It was completed in 2004 and was designed by Shepley Bulfinch Richardson and Abbott, Architects. Mechanical, electrical, and plumbing design was provided by BR+A Consulting Engineers.

Follow-on projects to this addition included complete phase renovation of the existing Peri-operative suite. This involved renovation of 13 existing operating rooms, staff locker rooms, the PACU, Central Sterile Processing, and Supply Areas, and other support.


Commissioning services provided included the following:

  • Design Review

  • Commissioning plan
  • Functional performance testing of 100% of all systems and spaces
  • Emergency power simulations
  • Failure mode analysis and testing
  • NFPA 99 testing of patient receptacles
  • Short circuit study verification
  • Commissioning energy recovery systems

Beth Israel Deaconess Medical Center – Boston, Massachusetts

East Campus Replacement Generator Plants 1 & 2

The East Campus Generator Replacement Project consisted of two large generator facilities. Each project replaced existing generator capacity supporting existing Inpatient and other areas in the Medical Center. The first phase of the work included 2-1000 kW generator units and new transfer switches and controls for Life Safety, Critical Branch, and Equipment Branch loads throughout the campus. The second phase of the project included the replacement of existing emergency generators in the Feldberg Building with three new 1,250 kW standby generators. 

 This phase of the project called for the phased cut over fourteen existing automatic transfer switches serving life safety, critical, and equipment branch power to the existing 600,000 square foot camps. The two generator plants were “networked” together in such a manner that if one generator plant failed the other would assume the load requirements. This included life safety coverage that transferred within 10 seconds even with one plant failed.

Commissioning services provided included the following:

  • Commissioning plan

  • Functional performance testing of the existing automatic transfer switches
  • Emergency power simulations
  • Failure mode analysis and testing
  • Short circuit study verification

Dana-Farber Cancer Institute – Boston, Massachusetts

Yawkey Center for Cancer Care

Located at 450 Brookline Avenue in Boston (in the heart of Dana-Farber’s existing campus), the new building rises fourteen stories and adds 275,000 square feet of clinical space as well as seven underground levels for parking. With 130 exam rooms, 137 infusion chairs, and numerous patient and family consultation rooms, the Yawkey Center will streamline patient services and provide flexible, comfortable space. 


It is a “green” building – designed, constructed, and operated in an environmentally and socially responsible way.

The project met LEED requirements for the award of a GOLD rating. Total Construction Costs for the four projects was $ 280,000,000. The contractor on the project was Walsh Brothers.

Commissioning services provided included the following:

  • Assistance with the development of the Owners Project Requirements (OPR) and Basis of Design (BOD)

  • Design Peer Review
  • Commissioning plan
  • Functional performance testing of 100% of all systems and spaces
  • Emergency power simulations
  • Failure mode analysis and testing
  • NFPA 99 testing of patient receptacles
  • Short circuit study verification
  • Commissioning energy recovery systems

Dana-Farber Brigham and Women’s Cancer Center – Milford, Massachusetts

Milford Cancer Center

The new 2-story building added clinical space as well as parking. With new exam rooms, infusion chairs, Linear Accelerator, compounding pharmacy, and patient and family consultation rooms.

Commissioning services provided included the following:

  • Assistance with the development of the Owners Project Requirements (OPR) and Basis of Design (BOD)

  • Design Peer Review
  • Commissioning plan
  • Functional performance testing of 100% of all systems and spaces
  • Emergency power simulations
  • Failure mode analysis and testing
  • NFPA 99 testing of patient receptacles
  • Short circuit study verification
  • Commissioning energy recovery systems

Beth Israel Deaconess Medical Center – Needham, Massachusetts

West Suburban Cancer Center

The new 4-story building added clinical space as well as parking. With new exam rooms, infusion chairs, Linear Accelerator, compounding pharmacy, and patient and family consultation rooms.

Commissioning services provided included the following:

  • Assistance with the development of the Owners Project Requirements (OPR) and Basis of Design (BOD)

  • Design Peer Review
  • Commissioning plan
  • Functional performance testing of 100% of all systems and spaces
  • Emergency power simulations
  • Failure mode analysis and testing
  • NFPA 99 testing of patient receptacles
  • Short circuit study verification
  • Commissioning energy recovery systems

Cape Cod Hospital - Barnstable, Massachusetts

Emergency Center Expansion

Expansion and renovation of the existing Emergency Department to increase capacity to the existing hospital ED. The renovation and expansion will provide the most accessible and modern amenities possible to meet current needs and provide for seasonal fluctuations. The final project will result in much-improved patient experience, updated technologies, and enhanced provider efficiency. 

Commissioning services provided included the following:

  • Design Peer Review

  • Commissioning plan
  • Functional performance testing of 100% of all systems and spaces
  • Emergency power simulations
  • Failure mode analysis and testing
  • NFPA 99 testing of patient receptacles
  • Short circuit study verification
  • Commissioning energy recovery systems

Falmouth Hospital - Falmouth, Massachusetts

Emergency Center Expansion

Expansion and renovation of the existing Emergency Department to increase capacity to the existing hospital ED. The renovation and expansion will provide the most accessible and modern amenities possible to meet current needs and provide for seasonal fluctuations. The expansion will result in 52 state-of-the-art treatment spaces, a new radiology suite dedicated to emergency patients, and a welcoming new reception and triage entrance. The final project will result in much-improved patient experience, updated technologies, and enhanced provider efficiency. 

Commissioning services provided included the following:

  • Design Peer Review

  • Commissioning plan
  • Functional performance testing of 100% of all systems and spaces
  • Emergency power simulations
  • Failure mode analysis and testing
  • NFPA 99 testing of patient receptacles
  • Short circuit study verification
  • Commissioning energy recovery systems

Milford Regional Medical Center - Milford, Massachusetts

Emergency Department Expansion

Slated to open in the fall of 2015, this building project adds nearly 78,000 square feet of direct patient care (116,000 square feet with parking) to the Medical Center. The emergency department (ED) will increase from 30 to 52 beds and double in size to nearly 30,000 square feet. In addition, the intensive care unit will grow from 4,600 to 13,000 square feet in order to accommodate today’s advanced life-saving technologies and increase the bed count from 10 to 16 beds. This project will also include a full floor of private patient rooms which will allow the hospital to convert the remaining two- and four-bedrooms to private.

Commissioning services provided included the following:

  • Commissioning plan

  • Functional performance testing of 100% of all systems and spaces
  • Emergency power simulations
  • Failure mode analysis and testing
  • NFPA 99 testing of patient receptacles
  • Short circuit study verification
  • Commissioning energy recovery systems

Lawrence General Hospital – Lawrence, Massachusetts

New Surgical Building 

The new 3-story building added clinical space. With new exam rooms, Central Sterile, new operating rooms, and PACU.

Commissioning services provided included the following:

  • Assistance with the development of the Owners Project Requirements (OPR) and Basis of Design (BOD)

  • Design Peer Review
  • Commissioning plan
  • Functional performance testing of 100% of all systems and spaces
  • Emergency power simulations
  • Failure mode analysis and testing
  • NFPA 99 testing of patient receptacles
  • Short circuit study verification
  • Commissioning energy recovery systems

Beth Israel Deaconess Medical Center – Boston, Massachusetts

Center for Life Sciences Tenant Improvements

The tenant improvements for the Center for Life Sciences building consisted of biomedical laboratory space fit-out from the 4th floor to the 10th floor for the total square footage of 320,000. The 2009 project included laboratory space, 35,000 square feet of a barrier facility for laboratory animals, and two BioSafety Level 3 containment laboratories.


The project was not LEED rated. Total Construction Costs for the four projects was $ 180,000,000. The contractor on the project was William A. Berry.

Commissioning services provided included the following:

  • Commissioning plan

    • Scheduling with the Construction Manager
    • Coordinating Commissioning Team activities
    • Weekly Commissioning Coordination Meetings
  • Functional performance testing of 100% of all systems and spaces
  • Emergency power simulations
  • Failure mode analysis and testing
  • Short circuit study verification
  • Commissioning energy recovery systems

University of Massachusetts Medical School

Jamaica Plain Campus

Department of Public Health, State Laboratories

  • Replacement to the Existing Chilled Water Plant-New 1800 ton chilled water plant to replace existing aged equipment. Work included a new Honeywell building automation system, new cooling towers, water pumps, and distribution.
  • Replacement Air Handling equipment- New custom-built air handling unit to replace existing in the Penthouse. Phased replacement of equipment and controls to allow for continued facility operation.
  • Containment Laboratories - New air distribution and exhaust systems to upgrade laboratory spaces in general and to upgrade the Biosafety Level 3 laboratories used for infectious and select agent testing. 

Commissioning services provided included the following:

  • Commissioning plan

  • Scheduling with the Construction Manager
  • Coordinating Commissioning Team activities
  • Weekly Commissioning Coordination Meetings
  • Functional performance testing of 100% of all systems and spaces
  • Emergency power simulations
  • Failure mode analysis and testing
  • Short circuit study verification

Fay School, Southborough MA

  • Village Dormitory- Fay broke ground for Phase One construction on the ten-year Campus Master Plan with two new Village Dormitories at 28,000 sq./ft. Fay earned the U.S. Green Building Council’s LEED (Leadership in Energy and Environmental Design) Certification at the Gold level for the Village Dormitories

  • Pre-Kindergarten / Kindergarten - The new 30,000 sq./ft. the building, incorporating Goodnow House, houses pre-kindergarten, kindergarten, and grades one and two.

Commissioning services provided included the following:

  • Commissioning plan

  • Scheduling with the Construction Manager
  • Coordinating Commissioning Team activities
  • Weekly Commissioning Coordination Meetings
  • Functional performance testing of 100% of all systems and spaces
  • Emergency power simulations
  • Failure mode analysis and testing

Westford Technology Park West

Westford, Massachusetts

Westford Technology Park West is a 92-acre master-planned first-class office, office/R&D park that is fully permitted and approved for 975,000 square feet of space of which 350,000 square feet has been developed. Synergy provided LEED commissioning on the final phase of the second building, a 175,000 square foot build-to-suit for Red Hat was completed in May 2013.

Commissioning services provided included the following:

  • Commissioning plan

  • Scheduling with the Construction Manager
  • Coordinating Commissioning Team activities
  • Weekly Commissioning Coordination Meetings
  • Functional performance testing of 100% of all systems and spaces
  • Emergency power simulations
  • Failure mode analysis and testing

Keurig Green Mountain

Burlington, Massachusetts

Synergy provided LEED commissioning for the Keurig Green Mountain development. The work was accomplished in two Phases including development laboratories, class A office space for a total of approximately 500,000 square feet.

Commissioning services provided included the following:

  • Commissioning plan

  • Scheduling with the Construction Manager
  • Coordinating Commissioning Team activities
  • Weekly Commissioning Coordination Meetings
  • Functional performance testing of 100% of all systems and spaces
  • Emergency power simulations
  • Failure mode analysis and testing