The current process of achieving all these goals was based on the main pillar, the Noble Hall, where nine representatives of the outpatient IPR team met regularly during project construction to assess the progress of all ongoing projects, share experiences and evaluate innovative tests, and consider ways to address urgent problems. While there are different IPR options with different approaches to compensation, risk sharing and decision making, a key point for the client is to convince the planning and construction partners to sign a single contract that puts their benefits at risk in the event of budgetary or economic difficulties, as well as to share the savings and efficiency gains achieved during project implementation. For example, Commissioner Nelson noted that the winter storms have affected some of the work on a particular project. Therefore, the project team has developed a prefabricated and insulated external wall panel that can be quickly installed so that it can be quickly placed where the work will be carried out. For example, the team implemented a more modular design and moved from a construction platform to a production platform for prefabricated mechanical structures, wall panel systems, facade cladding and inspection of ready-to-use shelves and bathrooms. Mr. Nelson believes that the current multi-stakeholder structural agreement concluded with the external consulting group of Aurora Health is an agreement that will remain in force indefinitely, although formally it should be reviewed and renewed every five years. “But at least we have achieved better results in terms of time, budget, quality and safety on the ground than in the past, compared to previous projects of similar scale and complexity,” “he” says. For the lawyer Aurora Health of Chicago and Milwaukee, the ninth largest non-profit health care system in the United States, with 28 hospitals and more than 500 additional health facilities, the first waste management initiative in the design and construction sectors coincided with a severe downturn in 2008. “It was a big leap forward. “However, by the end of 2017, the economy was already 14 percent below the target, and construction time and avoidable changes were reduced by 30 percent to 0.27 percent of construction costs. The team also developed an external modular viewing room module, which is easy to install during construction, improving quality and saving a lot of time. Dal Gallo believes that a five-year review of all IPR framework agreements is needed, partly due to changes in the design and construction legislation, but also to improve documentation by integrating the results. “We wanted the agreement to be adopted so that we did not have to discuss the structure and conditions of any future project,” says Nelson. According to Dahl Galló, an intellectual property rights approach in which risks and benefits are shared between the parties is probably the most appropriate approach for business owners developing numerous or large and complex projects funded by private owners.