A vertical expansion is sometimes a healthcare facility's only option, but with an operating hospital, it is among the most complex types of healthcare construction, according to an article on the Layton website.
But with planning and management,a hospital can remain fully operational and maintain systems integrity, the article said.
Daily and sometimes hourly communication with the hospital staff is essential to a successful vertical expansion.
Noise, vibration, utility shutdowns, partial elevator shutdowns, parking, wayfinding, crane paths, temporary walkways, etc., all need to be coordinated on an ongoing basis. With constant communication, disruptions to patients, staff and visitors are mitigated.
Designing for Distraction: Benefits for Children, Families
Staffing and Consolidation Reshape Outpatient Facility Strategies
Adams Health Network Falls Victim to Phishing Attack
Ventilation and Filtering for Infection Control 
ChristianaCare Opens Aston Campus Neighborhood Hospital