SME Consulting / Sectors
Depth in healthcare. Range across the built environment.
HCAI hospital compliance is the flagship credential. The same rigor carries across every highly-regulated sector SME works in — because the discipline that satisfies a hospital regulator satisfies everyone else.
01 — Flagship discipline
Healthcare & HCAI
Class A Inspector of Record for acute-care hospitals and HCAI (formerly OSHPD) facilities — where the inspection record is a legal, life-safety document, not a checkbox.
Most of this work happens inside buildings that never close. An occupied acute-care campus cannot pause for construction, which means every phase has to be planned around patients, infection control, egress and life-safety systems that must stay live. That constraint is the job.
SME is currently serving as Lead IOR on an occupied acute-care campus.
02 — Range
The other four.
Regulated construction shares a grammar. The documentation discipline, the relationship with the authority having jurisdiction, and the habit of catching a problem at submittal rather than at closeout all transfer directly.
Cleanroom, laboratory & pharmaceutical-grade
Controlled environments where the validation record matters as much as the build. Genentech among the roster.
Bridges, civic works & essential services
Public accountability, long horizons, and inspection records that outlive the people who wrote them. The San Francisco–Oakland Bay Bridge among the roster.
DSA & campus facilities
Division of the State Architect jurisdiction — the same continuous-inspection posture as HCAI, applied to schools and campuses.
High-rise, tech campus & core-and-shell
Complex, fast, and unforgiving of a weak submittal process. 181 Fremont and Park Tower in San Francisco among the roster.
Every sector here answers to someone. That is the common thread — SME works where an authority has to be satisfied, and the record has to hold up years after the ribbon is cut.
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SME works by relationship and reputation. The fastest way in is a direct note about the project — Shane reads them himself.
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