I work for a very large international firm that is one of the leaders in healthcare. We are implementing Revit across the company and have been using it on some rather large HC projects with mixed results. The biggest problems for us have been a lack of Revit families that are specific to HC. Users have been creating a lot of in place families, drawing model lines, and IMPORTING AutoCAD. Our main focus is trying to get some streamlined families developed that are not to heavy in 3D (keep any solid visible
only in 3D if at all possible. I have a pretty generic Specialty Equipment family that drives multiple types of med equip through a type catalog. It represents as a box - extrusion in 3D only, symbolic lines in plan/section/elevation, plan graphic toggle to show undercounter (instance based), Material parameter to assign unique material by type for 3D studies, object style subcategories created that are specific to views i.e. meq-3d, meq-plan,meq-plan undercounter,meq elevation etc.
Working with linked models across the WAN we recommend the use of Detached copies, exchanged at a regular interval. Typical separtion is obviously an Arch model and a Strut model. The respective disciplines are linking in Detached copies of eachotthers model. If at all possible, use the floor slabs from the S model in the A model, Copy monitor the Grids and levels in most cases. I have suggested that shear walls in the S model are copy/monitored in the A model but have yet to see that happen.
Tags, we have two different familes, one is specifically for coarse scale overall plans. Text is 1/16" (Sorry I am Imperial
Code Plans. We are using a version of a Steve Stafford tool (find the thread here on AUGI) that is a two pick family to calculate exiting distances. We also have created shared parameters for Occupancy loading and use a schedule with calculated values to do the math. This was developed before I came on board so I am not super familiar with it but that the 30K' view.