Design-Build Collaboration: McCarthy’s Field-First Approach to Streamlining Prefab and Coordination

In the rapidly evolving landscape of construction and design, the ability to adapt, innovate and lead through technology is no longer optional –– it’s essential. BJC HealthCare’s Barnes-Jewish Hospital Renewal Project is a multi-year, multi-phase transformation to renew the organization’s academic medical center campus on the Washington University Medical Campus in St. Louis, Missouri. BJC selected McCarthy Building Companies to lead the design-build construction of the campus centerpiece, a new 17-story, 280 bed patient care replacement tower.

Immediately after completing the schematic design of the tower, McCarthy began using Revizto to support design development, coordination and clash detection with MEP trade partners. The entire project team and stakeholders have continued to use the collaboration platform through ongoing construction on the jobsite, supporting issue resolution and tracking progress and installation verification.

The Role of Revizto in Fostering Collaboration

BJC HealthCare’s Barnes-Jewish Hospital Renewal Project is a new 17-story, 280 bed patient care replacement tower. The tower includes seven floors of private inpatient rooms, two intensive care unit floors and public space.
BJC HealthCare’s Barnes-Jewish Hospital Renewal Project is a new 17-story, 280 bed patient care replacement tower. The tower includes seven floors of private inpatient rooms, two intensive care unit floors and public space. 

In recent years, McCarthy has made a committed effort to move toward an integrated virtual builder culture. 

Construction worker holding phone with Revizto Site app
The Revizto Site app empowers all team members to visualize models, track issues and access centralized and real-time project information right from the palm of their hands.

Alex Belkofer, Senior Virtual Design and Construction (VDC) Director at McCarthy, explained, “Recognizing the value of today’s digital solutions, we began reevaluating our model-based coordination methods. In order to achieve our vision, we needed a tool that could work for the entire project team, not just VDC builders. We knew that to grow a culture of virtual builders, we have to put ourselves into the shoes of those actual builders, whether project engineer, construction manager, design integrator, field operations manager, superintendent, project manager, etc.”

The decision to integrate Revizto into the Barnes-Jewish project was not made lightly. McCarthy’s Project Lifecycle Technology Evaluation Committee, a group composed of VDC experts and other key stakeholders, conducted a thorough evaluation of various solutions before selecting Revizto. This methodical, field-first approach ensured the technology would be effective not only for VDC practitioners but also for the diverse team members working on the ground.

The impact of Revizto on the project was immediate and profound. By facilitating real-time communication and collaboration among all stakeholders, the platform allowed the team to identify and resolve issues early in the design and construction phases. As Kara Lewandowski, McCarthy’s VDC Manager, noted, Revizto enabled the team to address potential challenges with creative solutions before they became costly problems. This proactive approach is a hallmark of effective leadership in the construction industry –– anticipating issues and addressing them before they impact the project timeline or budget.

Building Trust and Driving Adoption

For technology to be truly effective in the construction industry, it must be embraced by everyone involved in the project, from the most tech-savvy VDC engineer to the field superintendent who has spent decades on job sites. McCarthy’s success with Revizto on the Barnes-Jewish project underscores the importance of building trust through ease of use and demonstrable value.

The user-friendly interface and accessibility of Revizto from any device –– even without an internet connection –– enables field adoption and streamlines complex design-build projects.

Belkofer said one of the biggest challenges in adopting new technology is ensuring it meets the needs of the people who will be using it daily. In the field, every click counts, and the simplicity and intuitiveness of Revizto’s interface made it accessible to all team members, regardless of their technological proficiency. This ease of use led to widespread adoption across the project, with over 100 projects utilizing the platform within the first six months.

This level of adoption is not just a reflection of Revizto’s capabilities but also of McCarthy’s leadership in fostering a culture of collaboration and innovation. By prioritizing the needs of their field teams and ensuring the technology added real value, McCarthy was able to build the trust necessary for widespread buy-in –– a critical factor in the success of any digital transformation effort.

Belkofer concluded, “Revizto is solving problems every single day for our people. It’s a tool that bridges the gap between the office and field. We’re getting information fast, highly reliable and high fidelity, which enables fast decision-making and communication. A tool like Revizto meets the needs of the team –– and not just in our organization but across the entire AEC landscape. It’s a tool for the job. That’s powerful and impactful.” 

Watch the full video case study on Revizto’s website. To learn more about how your next project could benefit from using Revizto, request a demo now.


Brooke Vezzetti has always been passionate about connecting people through impactful events and marketing strategies. As the Field Marketing Manager at Revizto, she plays a pivotal role in organizing AEC events like Revizto Field Days and other marketing initiatives. Before joining Revizto nearly two years ago, Brooke worked for a water treatment chemical manufacturer, bringing her diverse experience to enhance industry engagement and communication.