Building a high performing building requires project teams to integrate their knowledge, their organization and their information, leveraging metrics, models (energy, BIM, cost and schedule), co-location and collaboration, and production management. This model, the 'Simple Framework for Integrating Project Delivery' was validated in action on the UCSF Mission Bay Hospitals project. The senior project leaders created an integrated community that employed Lean and Virtual Design and Construction methods to create solutions in the best interest of the project.