Communication barriers, a tight schedule and budget, and highly complex technical designs are just a few of the challenges that general contractors face when building state-of-the-art health care facilities. When applied to a project the size and scale of the Palomar Medical Center, these challenges become exponentially more difficult. To tackle these difficult obstacles, DPR Construction implemented a high-performance team approach that requires the support of every individual on the project team to solve problems and make decisions to successfully complete projects.