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)
Integrity Commitment Advocacy Respect Excellence
What we do
• 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
VETERANS HEALTH ADMINISTRATION
VISN 5 - At a Glance
Martinsburg VAMC
Medical Center Locations
Representation
Baltimore VAMC
& Key
Facts
•
8 Senators
•
17 Congressional
Districts
•
9 Vet Centers
Washington DC VAMC
Perry Point VAMC
VETERANS HEALTH ADMINISTRATION
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VISN 5 – At a Glance
 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
VETERANS HEALTH ADMINISTRATION
FY 2013 Mid-Year Budget Review – VISN 5
Pre-Decisional/Not for Public Release
4
VISN 5 - At a Glance
•
•
•
•
•
•
Geography
19,269 square miles
4 States and the District of
Columbia
4 Medical Centers
18 CBOCs
4 Community Living
Centers
2 Domiciliaries
Representation & Key Facts
•
8 Senators
•
15 Congressional Districts
•
12 Vet Centers
•
1 State Veteran Home
•
2 VBA Regional Offices
•
6 National Cemeteries
•
5 State Veterans
Cemeteries
Key Facts
Partners & Affiliates
•
•
•
•
•
11 Public Housing Authorities
8 Medical School Affiliates
80 VSO Partners
4 National Unions-10 Locals
Department of Defense
•
4 Co-located CBOCs w/
MTF
•
8 IDES Sites
•
2 JIFs
Veteran Centric
VETERANS HEALTH ADMINISTRATION
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VISN 5 - At a Glance
Facility
Complex.
VISN 5
FY2012 Care Delivery
CBOCs
FY 2012
Uniques
FY 2012
Outpatient
Visits
FY 12
Admissions
(Acute and
LTC)
FY 12
Acute
BDOC
505
18
148,642
1,796,394
16,984
116,528
Acute
Beds
Long
Term
Care Beds
Dom
Beds
482
561
VA Maryland
Health Care
System
1B
236
263
193
6
53,169
639,305
6,719
53,025
Martinsburg
VAMC
2
71
178
312
7
33,992
462,972
3,123
15,643
Washington
DC VAMC
1B
175
120
0
5
68,828
694,117
7,142
47,860
VETERANS HEALTH ADMINISTRATION
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Transformation Strategy
VETERANS HEALTH ADMINISTRATION
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Capital Investment Strategy
VISN
Capital
Asset
Management Plan
(CAMP)
VISN Strategic Plans
VHA Strategic Plan
VA Healthcare Delivery Model
VA Strategic Plan
Veteran Population & Enrollees
VETERANS HEALTH ADMINISTRATION
VISN-wide CAMP
• 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.
• Capital Assets are defined as:
– Construction Projects / Leases
– Medical & Non-Medical Equipment
– Virtual Care Technologies
– Information Technology
– Vehicle Fleet
8
Strategic Capital Investment
Planning (SCIP) process
• 10-year Construction/Lease Plan: FY 2016 – 2025
• 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
VETERANS HEALTH ADMINISTRATION
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9
CAMP-SCIP Strategic Capital Focus Areas
1. Safety
2. End Homelessness
3. Virtual Hospital Expansion
4. Improve Environment of Care
5. Home Based Primary Care (HBPC) Expansion
VETERANS HEALTH ADMINISTRATION
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CAMP-SCIP Strategic Capital Focus Areas
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
VETERANS HEALTH ADMINISTRATION
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Special Focus Areas
• Mission Critical Utility Sustainment Survey
• Physical Security Vulnerability Assessments
• Electrical Studies
• Hurricane Readiness Study (Perry Point)
• Steam Generation Special Studies (Perry Point & Martinsburg)
VETERANS HEALTH ADMINISTRATION
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Existing Gaps
Access
• Enrollees w/in Access Guidelines – Drive time:
– Washington:
83%
– VAMHCS:
80%
– Martinsburg: 70%
VETERANS HEALTH ADMINISTRATION
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Existing Gaps
Wait Time
Baltimore
Baltimore - LR
Perry Point
Primary Care
(% Met)
83%
93%
89%
97%
93%
91%
Specialty Care
(% Met)
91%
93%
93%
96%
96%
94%
VETERANS HEALTH ADMINISTRATION
Martinsburg Washington
VISN Total
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Existing Gaps
Supplies-Equip-Prosthetics
Amb: LTC Non-Institutional
Amb: Dental Clinic
Pharmacy
Amb: Med. & Othr Non-Surg Special.
Amb: Mental Health Programs
Amb: Surgical Specialties
Amb: Prim Care-Geriat.-Urgent Care
Amb: Laboratory and Pathology
Amb: Radiology and Nuclear Medicine
Inpatient LTC
Inpat. Resident. Rehab Mental Health Prog.
Acute Inpatient Surgery
Acute Inpatient Mental Health
Acute Inpatient Medicine
Utilization
VAMHCS
64%
69%
47%
30%
31%
23%
22%
18%
20%
16%
12%
-10%
-12%
-33%
-16%
Martinsburg
87%
64%
37%
29%
26%
37%
26%
25%
25%
27%
-2%
4%
-8%
-48%
-19%
Washington
96%
75%
40%
42%
37%
22%
29%
28%
25%
27%
43%
-1%
-17%
-31%
-19%
VISN Total
78%
70%
42%
33%
32%
26%
26%
23%
23%
23%
19%
-2%
-14%
-35%
- 19%
FY22 Projection change from FY12 Baseline
VETERANS HEALTH ADMINISTRATION
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Existing Gaps
Space
Baltimore
(SF)
Baltimore-LR
(SF)
Perry Point
(SF)
Martinsburg
(SF)
Washington
(SF)
Common/Swing/Construction
Outpatient Specialty Care
Outpatient Mental Health
Primary Care
Research
Ancillary/Diagnostic
281,070
30,530
6,865
59,249
103,936
26,316
49,860
7,614
2,141
7,255
(15,250)
(9,490)
(246,032)
14,107
(24,301)
(18,162)
0
(15,033)
107,905
34,391
36,222
23,474
0
39,884
218,748
90,020
76,158
20,835
4,419
28,766
411,551
176,662
97,085
92,650
93,104
70,442
Acute Inpatient Mental Health
LTC: CLC / Hospice
Administration
10,965
0
(18,414)
0
53,515
16,138
(48,542)
(75,497)
(48,250)
(11,831)
(44,224)
10,454
14,460
18,833
21,533
(35,048) (-13%)
(47,373) (-11%)
(18,539) (-5%)
Acute Inpat. Med. & Surgery
11,215
0
(7,624)
8,002
(29,804)
(18,211) (-10%)
Support/Infrastructure
19,036
8,500
(156,580)
32,613
84,391
(12,041) (-2%)
530,768
120,283
(625,914)
236,890
548,257
810,282 (13%)
Total:
VETERANS HEALTH ADMINISTRATION
VISN Total
(SF)
(18%)
(30%)
(32%)
(24%)
(35%)
(15%)
16
Existing Gaps
Facility Conditions
Baltimore
Baltimore-LR
Perry Point
Martinsburg
Washington
VISN Total
Mechanical
$11,560,626
$412,515
$30,581,539
$18,094,656
$32,236567
$92,985,902
Architectural
Electrical
$2,467,454
$6,558,633
$1,760,714
$1,239,357
$15,967,860
$17,186,080
$19,420,911
$14,743,610
$26,633,020
$12,419,329
$66,249,958
$52,147,009
$501,663
$547,481
$12,485,858
$5,291,173
$8,497,247
$27,323,421
$0
$0
$2,161,299
$6,240,973
$2,404,566
$10,806,838
$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
$0
$1,284,712
$0
$2,233,478
$3,518,190
$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
$0
$1,276,847
$312,655
$0
$1,589,502
Steam Gen
$0
$0
$365,762
$68,761
$0
$434,523
Info. Tech.
$0
$0
$13,791
$353,200
$17,507
$384,498
$22,872,846
$5,196,150
$88,016,752
$73,726,209
$87,619,217
$277,431,174
Plumbing
Hazmat
Transport
Access
Total:
VETERANS HEALTH ADMINISTRATION
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Existing Gaps
Energy
Baltimore
Baltimore-LR
Perry Point
Martinsburg
Washington
VISN Total
Sustainability
(# of Bldgs Required)
1
1
7
(met w/ 8)
6
1
16
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%)
3,809,385
4,438,451
5,793,609
19,204,130
Renewable Energy
(kWh)
Combined w/
5,162,685
Baltimore
VETERANS HEALTH ADMINISTRATION
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Existing Gaps
Functional & Other
• Patient Privacy
• Parking
• Sterile Processing System (SPS) Criteria
• OR Criteria
• EoC Patient Safety & Security Compliance
• NFPA – OSHA Criteria
• ADA Access Criteria
VETERANS HEALTH ADMINISTRATION
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FY 2015 / 2016 Forecast
Project
Construct CLC Residential
Houses
Vision
for
(Major)
Location
FY 2014
Estimated Size
Perry Point
Under $100 M
TBD
TBD
DC, LR, MB
Under $ 10 M
DC / BT
Under $ 10 M
Construction 47-Bed Domiciliary
Martinsburg
Under $ 10 M
Upgrade Fire Alarm System
Perry Point
Under $ 20 M
Upgrade Electrical Distribution
DC, MB
DC / Perry
Point
Under $ 5 M
New or Expanded CBOCs
CLC & Hospice Expansions
Medical / Psych Ward & ICU Renovations
Upgrade Chiller Plant / Boiler
VETERANS HEALTH ADMINISTRATION
Under $ 10 M
20
FY 2014 Forecast
Project
Location
Estimated Size
Vision for FY 2014
Multi-Award Task Order Contract (MATOC)
VISN-wide
$5 M
Equipment Planning
VISN-wide
Under $ 1 M
Construct Dementia Unit (CON)
Managed Care / ED Improvements &
Enrollment Center (CON)
Martinsburg Under $ 10 M
Baltimore
Under $ 10 M
Construct Two 12-Bed CLC Residential
Wings (DES)
Martinsburg Under $ 10 M
Construct Dental & Audiology Outpatient
Center (DES)
Martinsburg Under $ 10 M
VETERANS HEALTH ADMINISTRATION
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FY 2014 Forecast
Project
(Cont’d)
Location
Estimated Size
Vision for FY 2014
Construct Warehouse (DES)
Perry Point
Under $ 10 M
Renovate Sterile Processing (DES)
Washington
Under $ 5 M
BT, DC
Under $10 M
BT, LR, DC
Under $ 5 M
Martinsburg
Under $ 5 M
HVAC Maintenance, Upgrades & RetroCommissioning
BT, LR, PP,
DC, MB
Under $ 10 M
Retrofit CLC for ADA Compliance
Perry Point
Under $ 1 M
Renovate Rest Rooms
Misc. Halls & Walls Projects
Install New Emergency Generators
VETERANS HEALTH ADMINISTRATION
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FY 2014 Forecast
(Cont’d)
Vision for FY 2014
Location
Project
Estimated Size
MRI Site Prep
Perry Point
Under $ 1 M
OR Hybrid Conversion
Martinsburg
Under $ 1 M
Linear Accelerator Site Prep
Washington
Under $ 2 M
PP, MB
Under $ 5 M
Nurse Call Replacements
VETERANS HEALTH ADMINISTRATION
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Additional Information
Capital Asset Management
•
Pedro Garcia
– VISN 5 Capital Asset Manager
– Pedro.Garcia@va.gov
– 410-691-7814
•
Steve Reinert
– VISN 5 Energy Manager
– Steve.Reinert@va.gov
– 410-691-0603
•
Ann Valliyakalayil
– VISN 5 RTLS Manager / Biomedical Engineer
– Ann.Valliyakalayil@va.gov
– 410-691-7302
VETERANS HEALTH ADMINISTRATION
Additional Information
Contracting
•
Scott Sands
– VISN 5 Director of Contracting
– scott.sands@va.gov
– 202-579-6098
•
Donyale Smith
– VISN 5 Deputy Director of Contracting
– donyale.smith@va.gov
– 410-303-9640
VETERANS HEALTH ADMINISTRATION
Additional Information
Contracting (cont’d)
•
Kandi McDonald
– Construction Team Manager – MD/Martinsburg, WV
– kandi.mcdonald@va.gov
– 410-642-2411 ext. 2920
•
Harry Parker
– Construction Team Manager - DC
– harry.parker@va.gov
– 202-745-8000 ext. 58408
VETERANS HEALTH ADMINISTRATION
Questions
VETERANS HEALTH ADMINISTRATION
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