Section 106 Consultation Meeting
Veterans Integrated Service Network 10
(VISN 10)
Louis Stokes Cleveland VA Medical Center
Jack Hetrick, FACHE
Network Director
Ronald Stertzbach, P.E.
Capital Asset Manager
August 9, 2011
Agenda
1. Department of Veterans Affairs (DVA) Organization
2. VISN 10 at a Glance
3. VA Appropriations
4. VISN 10 Operating & Capital Funding
2
Veterans Health Administration
VISN 10 at a Glance
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VAMC: 4
VAACC:1
CBOC: 31
Owned Buildings: 212
Historic Buildings 105
Owned Land: 708 acres
FY 2011 Funding
Allocation: $1.7 billion
4
VISN 10 at a Glance
FY10 VISN VetPop, Enrollment, Market Share and Patients
Veteran
Population
(Projected)
Enrollees
(Actual)
Enrollment Based
Market Share
(Enrollees to VetPop)
Patients
(Actual)
836,357
305,513
36%
199,308
5
VISN 10 at a Glance (Cont.)
Total Space (2011)
443,391 NUSF
5,752,376 GSF
Owned
(GSF)
Leased
(NUSF)
6
DVA Fiscal Year 2011
Appropriations
7
VISN 10 Fiscal Year 2011
Funding Allocations
8
VISN 10 Fiscal Year 2011
Capital Budget
9
VA Construction Programs
 Major Construction
 Project Cost > $10M for improvements to
medical centers and/or new construction
 No upper limit
 CARES Tower – $ 102 Million dollars to
relocate 233 patient beds from Brecksville
to Wade Park and to create a
Comprehensive Rehab Center
 Authorization / Appropriation (2 separate,
required actions by Congress)
 Fund is “No Year” (available until
expended; exception: specific statutory
language, eg. hurricane supplemental)
 The VISNs submit major projects during
Strategic Capital Investment Planning
process (SCIP)
 VA Central Office prioritizes and selects
projects based on criteria such as safety &
security, VA’s major planning initiatives,
increasing access, etc.
 Minor Construction
 Project cost < $10M and must construct
at least $500K in new building space
(exception: Seismic can be 100%
renovation)
 Project Examples:

Radiology Phase 1 & 2

Lab / Warehouse Phase 1 & 2

Parking Garage Expansion

Ambulatory Care Addition Phase 1 $ 2

PALMS project (out for bid)

Surgery Addition (out for bid)

Emergency Room Addition
 The VISNs submit minor projects during
Strategic Capital Investment Planning
process (SCIP)
 VA Central Office prioritizes and selects
projects based on criteria such as safety &
security, VA’s major planning initiatives,
increasing access, etc.
10
VA Construction Programs (Cont.)
 Non-Recurring Maintenance
(NRM)
 High Profile Clinical
Improvements (HPCI)
 Total Project Cost Limits:

Cannot exceed $500,000 in new building space

Cannot exceed $10M for renovations

No upper limit for project total on pure utility/building
system projects or pure demolition

Exception: High Cost Equipment Site Prep can be
100% renovation, but project total must be > $500K
 Recent NRM Projects:

Canteen Renovations

Chapel Renovations

Renovate Connecting Corridor
 The VISNs submit NRM projects during
Strategic Capital Investment Planning
process (SCIP)
 VA Central Office prioritizes and selects
projects based on criteria such as safety &
security, VA’s major planning initiatives,
increasing access, etc.
Projects that address specific clinical
initiatives and add at least $500,000 in
new building space

Recent HPCI Construction Projects:
Palliative Care Renovations

Maximum project total cost is $5M

The VISNs submit minor projects during
Strategic Capital Investment Planning
process (SCIP)

VA Central Office prioritizes and selects
projects based on criteria.
11
Planned Capital Projects
12
Facility Condition Assessment
(FCA) D’s & F’s
•FY 2010 FCA Correction Costs
 Chillicothe- $112 million
 Cincinnati- $ 34 million
 Cleveland- $105 million
 Dayton-
$ 55 million
 Columbus- $
0 million
VISN 10 Total- $306 million
13
Questions
14