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VA Capitol Health Care Network (VISN 5) Department of Veterans Affairs, VHA Construction Program Overview Presentation to Society of American Military.

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Presentation on theme: "VA Capitol Health Care Network (VISN 5) Department of Veterans Affairs, VHA Construction Program Overview Presentation to Society of American Military."— Presentation transcript:

1 VA Capitol Health Care Network (VISN 5) Department of Veterans Affairs, VHA Construction Program Overview Presentation to Society of American Military Engineers (SAME) 28 February 2014 Presented By: Pedro E. Garcia, VISN 5 Capital Asset Manager (CAM) I ntegrity C ommitment A dvocacy R espect E xcellence I ntegrity C ommitment A dvocacy R espect E xcellence

2 VETERANS HEALTH ADMINISTRATION What we do Capital Asset Management Office:Capital Asset Management Office: – Network oversight & support as needed: Construction projects and leases Energy Program Facilities Management Operations Biomedical Engineering RTLS Implementation Vehicle Fleet Management & Acquisitions – Capital Asset Master Planning Partnership with Strategic Planning & IT Offices

3 VETERANS HEALTH ADMINISTRATION VISN 5 - At a Glance 3 Martinsburg VAMC Representation & Key Facts 8 Senators 8 Senators 17 Congressional Districts 17 Congressional Districts 9 Vet Centers 9 Vet Centers Washington DC VAMC Medical Center Locations Baltimore VAMC Perry Point VAMC

4 VETERANS HEALTH ADMINISTRATION VISN 5 – At a Glance Pre-Decisional/Not for Public Release FY 2013 Mid-Year Budget Review – VISN 5 4  Square Miles: 19,269  Veteran Enrollees: 227,183  States: 04*  VAMCs: 04  CBOCs: 18  Vet Centers: 12  State Veterans Homes: 01  VBA Regional Offices: 02  National Cemeteries: 06  State Veteran Cemeteries: 05 *District of Columbia not included

5 VETERANS HEALTH ADMINISTRATION VISN 5 - At a Glance 5 Geography 19,269 square miles 19,269 square miles 4 States and the District of Columbia 4 States and the District of Columbia 4 Medical Centers 4 Medical Centers 18 CBOCs 18 CBOCs 4 Community Living Centers 4 Community Living Centers 2 Domiciliaries 2 Domiciliaries Representation & Key Facts 8 Senators 8 Senators 15 Congressional Districts 15 Congressional Districts 12 Vet Centers 12 Vet Centers 1 State Veteran Home 1 State Veteran Home 2 VBA Regional Offices 2 VBA Regional Offices 6 National Cemeteries 6 National Cemeteries 5 State Veterans Cemeteries 5 State Veterans Cemeteries Partners & Affiliates 11 Public Housing Authorities 11 Public Housing Authorities 8 Medical School Affiliates 8 Medical School Affiliates 80 VSO Partners 80 VSO Partners 4 National Unions-10 Locals 4 National Unions-10 Locals Department of Defense Department of Defense 4 Co-located CBOCs w/ MTF 4 Co-located CBOCs w/ MTF 8 IDES Sites 8 IDES Sites 2 JIFs 2 JIFs Key Facts Veteran Centric

6 VETERANS HEALTH ADMINISTRATION VISN 5 - At a Glance 6 FY2012 Care Delivery

7 VETERANS HEALTH ADMINISTRATION Transformation Strategy 7

8 VETERANS HEALTH ADMINISTRATION Capital Investment Strategy 8 VISN-wide CAMP Veteran Population & Enrollees VA Strategic Plan VA Healthcare Delivery Model VHA Strategic Plan VISN Strategic Plans Focus on identifying overall health outcome goals for enrolled patients relying on VHA for health care and eligible Veteran population and enrolled patient population. Focus on identifying overall health outcome goals for enrolled patients relying on VHA for health care and eligible Veteran population and enrolled patient population. Recognizes that the VISN is the operational center for delivering healthcare to Veterans. Recognizes that the VISN is the operational center for delivering healthcare to Veterans. Capital Assets are defined as: Capital Assets are defined as: – Construction Projects / Leases – Medical & Non-Medical Equipment – Virtual Care Technologies – Information Technology – Vehicle Fleet VISNCapitalAsset Management Plan (CAMP)

9 VETERANS HEALTH ADMINISTRATION 9 Strategic Capital Investment Planning (SCIP) process 10-year Construction/Lease Plan: FY 2016 – year Construction/Lease Plan: FY 2016 – 2025 SCIP is intended to be an integrated comprehensive planning process for capital programs across all Administrations SCIP is intended to be an integrated comprehensive planning process for capital programs across all Administrations The overarching goal of SCIP is to establish an improved corporate approach to prioritizing all VA capital investments and to ensure investments are targeted to reduce existing gaps based on projected utilization/workload and other data-driven infrastructure gaps The overarching goal of SCIP is to establish an improved corporate approach to prioritizing all VA capital investments and to ensure investments are targeted to reduce existing gaps based on projected utilization/workload and other data-driven infrastructure gaps 9

10 VETERANS HEALTH ADMINISTRATION CAMP-SCIP Strategic Capital Focus Areas 10 1.Safety 2. End Homelessness 3.Virtual Hospital Expansion 4.Improve Environment of Care 5.Home Based Primary Care (HBPC) Expansion

11 VETERANS HEALTH ADMINISTRATION CAMP-SCIP Strategic Capital Focus Areas 11 6.Expand VA/DoD Partnerships 5.Medical Equipment safety, standardization & replacement plan 6.Vehicle Fleet Plan 7.Energy Plan to reduce consumption 8.Increase Research Program Integration

12 VETERANS HEALTH ADMINISTRATION Special Focus Areas 12 Mission Critical Utility Sustainment Survey Mission Critical Utility Sustainment Survey Physical Security Vulnerability Assessments Physical Security Vulnerability Assessments Electrical Studies Electrical Studies Hurricane Readiness Study (Perry Point) Hurricane Readiness Study (Perry Point) Steam Generation Special Studies (Perry Point & Martinsburg) Steam Generation Special Studies (Perry Point & Martinsburg)

13 VETERANS HEALTH ADMINISTRATION Existing Gaps 13 Access Enrollees w/in Access Guidelines – Drive time: Enrollees w/in Access Guidelines – Drive time: – Washington: 83% – VAMHCS:80% – Martinsburg: 70%

14 VETERANS HEALTH ADMINISTRATION Existing Gaps 14 BaltimoreBaltimore - LRPerry PointMartinsburgWashingtonVISN Total Primary Care (% Met) 83%93%89%97%93%91% Specialty Care (% Met) 91%93% 96% 94% Wait Time

15 VETERANS HEALTH ADMINISTRATION Existing Gaps 15 VAMHCSMartinsburgWashingtonVISN Total Supplies-Equip-Prosthetics64%87%96%78% Amb: LTC Non-Institutional69%64%75%70% Amb: Dental Clinic47%37%40%42% Pharmacy30%29%42%33% Amb: Med. & Othr Non-Surg Special.31%26%37%32% Amb: Mental Health Programs23%37%22%26% Amb: Surgical Specialties22%26%29%26% Amb: Prim Care-Geriat.-Urgent Care18%25%28%23% Amb: Laboratory and Pathology20%25% 23% Amb: Radiology and Nuclear Medicine16%27% 23% Inpatient LTC12%-2%43%19% Inpat. Resident. Rehab Mental Health Prog.-10%4%-1%-2% Acute Inpatient Surgery-12%-8%-17%-14% Acute Inpatient Mental Health-33%-48%-31%-35% Acute Inpatient Medicine-16%-19% Utilization FY22 Projection change from FY12 Baseline

16 VETERANS HEALTH ADMINISTRATION Existing Gaps 16 Baltimore (SF) Baltimore-LR (SF) Perry Point (SF) Martinsburg (SF) Washington (SF) VISN Total (SF) Common/Swing/Construction281,07049,860(246,032)107,905218,748411,551 (18%) Outpatient Specialty Care30,5307,61414,10734,39190,020176,662 (30%) Outpatient Mental Health6,8652,141(24,301)36,22276,15897,085 (32%) Primary Care59,2497,255(18,162)23,47420,83592,650 (24%) Research103,936(15,250)004,41993,104 (35%) Ancillary/Diagnostic26,316(9,490)(15,033)39,88428,76670,442 (15%) Acute Inpatient Mental Health10,9650(48,542)(11,831)14,460(35,048) (-13%) LTC: CLC / Hospice053,515(75,497)(44,224)18,833(47,373) (-11%) Administration(18,414)16,138(48,250)10,45421,533(18,539) (-5%) Acute Inpat. Med. & Surgery11,2150(7,624)8,002(29,804)(18,211) (-10%) Support/Infrastructure19,0368,500(156,580)32,61384,391(12,041) (-2%) Total:530,768120,283(625,914)236,890548,257810,282 (13%) Space

17 VETERANS HEALTH ADMINISTRATION Existing Gaps 17 BaltimoreBaltimore-LRPerry PointMartinsburgWashingtonVISN Total Mechanical$11,560,626$412,515$30,581,539$18,094,656$32,236567$92,985,902 Architectural$2,467,454$1,760,714$15,967,860$19,420,911$26,633,020$66,249,958 Electrical$6,558,633$1,239,357$17,186,080$14,743,610$12,419,329$52,147,009 Plumbing$501,663$547,481$12,485,858$5,291,173$8,497,247$27,323,421 Hazmat$0 $2,161,299$6,240,973$2,404,566$10,806,838 Transport$1,730,373$0$3,298,934$1,311,007$777,686$7,117,999 Energy$0$32,221$0$4,088,983$1,662,639$5,783,842 Water$0$838,831$1,342,459$1,752,421$208,568$4,142,279 Sanitary$0 $1,284,712$0$2,233,478$3,518,190 Access$54,098$241,416$1,162,034$993,196$392,961$2,843,707 Storm Water$0$123,615$1,853,769$90,470$35,650$2,103,505 Structural$0 $1,276,847$312,655$0$1,589,502 Steam Gen$0 $365,762$68,761$0$434,523 Info. Tech.$0 $13,791$353,200$17,507$384,498 Total:$22,872,846$5,196,150$88,016,752$73,726,209$87,619,217$277,431,174 Facility Conditions

18 VETERANS HEALTH ADMINISTRATION Existing Gaps 18 BaltimoreBaltimore-LRPerry PointMartinsburgWashingtonVISN Total Sustainability (# of Bldgs Required) 117 (met w/ 8) 6116 Energy Efficiency (Btu / Facility SF – % Gap met) 42,860 (57%) Combined w/ Baltimore 67,993 (68%) 35,648 (31%) 12,136 (8%) 158,637 (36%) Water Efficiency (Gallons/Facility SF – % Gap met) 43 (182%) Combined w/ Baltimore 17 (38%) 0 (met) 10 (30%) 70 (69%) GHG Emission (Metric Tons – % Gap met) 4,048 (27%) Combined w/ Baltimore 3,980 (27%) 8,111 (53%) 3,709 (20%) 19,828 (31%) Renewable Energy (kWh) 5,162,685 Combined w/ Baltimore3,809,3854,438,4515,793,60919,204,130 Energy

19 VETERANS HEALTH ADMINISTRATION Existing Gaps 19 Functional & Other Patient Privacy Patient Privacy Parking Parking Sterile Processing System (SPS) Criteria Sterile Processing System (SPS) Criteria OR Criteria OR Criteria EoC Patient Safety & Security Compliance EoC Patient Safety & Security Compliance NFPA – OSHA Criteria NFPA – OSHA Criteria ADA Access Criteria ADA Access Criteria

20 VETERANS HEALTH ADMINISTRATION Vision for FY ProjectLocationEstimated Size Construct CLC Residential Houses (Major)Perry PointUnder $100 M New or Expanded CBOCsTBD CLC & Hospice ExpansionsDC, LR, MBUnder $ 10 M Medical / Psych Ward & ICU RenovationsDC / BTUnder $ 10 M Construction 47-Bed DomiciliaryMartinsburgUnder $ 10 M Upgrade Fire Alarm SystemPerry PointUnder $ 20 M Upgrade Electrical DistributionDC, MBUnder $ 5 M Upgrade Chiller Plant / Boiler DC / Perry PointUnder $ 10 M FY 2015 / 2016 Forecast

21 VETERANS HEALTH ADMINISTRATION Vision for FY ProjectLocationEstimated Size Multi-Award Task Order Contract (MATOC)VISN-wide$5 M Equipment PlanningVISN-wideUnder $ 1 M Construct Dementia Unit (CON)MartinsburgUnder $ 10 M Managed Care / ED Improvements & Enrollment Center (CON)BaltimoreUnder $ 10 M Construct Two 12-Bed CLC Residential Wings (DES)MartinsburgUnder $ 10 M Construct Dental & Audiology Outpatient Center (DES)MartinsburgUnder $ 10 M FY 2014 Forecast

22 VETERANS HEALTH ADMINISTRATION Vision for FY Project LocationEstimated Size Construct Warehouse (DES)Perry PointUnder $ 10 M Renovate Sterile Processing (DES)WashingtonUnder $ 5 M Renovate Rest RoomsBT, DCUnder $10 M Misc. Halls & Walls ProjectsBT, LR, DCUnder $ 5 M Install New Emergency GeneratorsMartinsburgUnder $ 5 M HVAC Maintenance, Upgrades & Retro- Commissioning BT, LR, PP, DC, MBUnder $ 10 M Retrofit CLC for ADA CompliancePerry PointUnder $ 1 M FY 2014 Forecast (Cont’d)

23 VETERANS HEALTH ADMINISTRATION Vision for FY ProjectLocationEstimated Size MRI Site PrepPerry PointUnder $ 1 M OR Hybrid ConversionMartinsburgUnder $ 1 M Linear Accelerator Site PrepWashingtonUnder $ 2 M Nurse Call ReplacementsPP, MBUnder $ 5 M FY 2014 Forecast (Cont’d)

24 VETERANS HEALTH ADMINISTRATION Additional Information Capital Asset Management Pedro Garcia –VISN 5 Capital Asset Manager – Steve Reinert –VISN 5 Energy Manager – Ann Valliyakalayil –VISN 5 RTLS Manager / Biomedical Engineer –

25 VETERANS HEALTH ADMINISTRATION Additional Information Contracting Scott Sands –VISN 5 Director of Contracting – Donyale Smith –VISN 5 Deputy Director of Contracting –

26 VETERANS HEALTH ADMINISTRATION Additional Information Contracting (cont’d) Kandi McDonald –Construction Team Manager – MD/Martinsburg, WV – ext Harry Parker –Construction Team Manager - DC – ext

27 VETERANS HEALTH ADMINISTRATION Questions 27


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