VA Capitol Health Care Network (VISN 5) - PowerPoint Presentation

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VA Capitol Health Care Network (VISN 5) - PPT Presentation

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 ID: 676066

amp visn capital care visn amp care capital perry baltimore martinsburg point health amb existing washington acute 2014 plan met medical total

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Slide1

VA Capitol Health Care Network (VISN 5)Department of Veterans Affairs, VHAConstruction Program Overview

Presentation to Society of American Military Engineers (SAME)28 February 2014Presented By:Pedro E. Garcia, VISN 5 Capital Asset Manager (CAM)

ntegrity

ommitment

dvocacy

espect

xcellenceSlide2

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 OfficesSlide3

VISN 5 - At a Glance3

Martinsburg VAMC

Representation & Key Facts

8 Senators

17 Congressional Districts

9 Vet Centers

Washington DC VAMC

Medical Center Locations

Baltimore VAMC

Perry Point VAMCSlide4

VISN 5 – At a Glance

Pre-Decisional/Not for Public ReleaseFY 2013 Mid-Year Budget Review – VISN 5

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 includedSlide5

VISN 5 - At a Glance5

Geography

19,269 square miles

4 States and the District of Columbia

4 Medical Centers

18 CBOCs

4 Community Living Centers

DomiciliariesRepresentation & Key Facts8 Senators15 Congressional Districts12 Vet Centers1 State Veteran Home

2 VBA Regional Offices6 National Cemeteries5 State Veterans CemeteriesPartners & Affiliates11 Public Housing Authorities8 Medical School Affiliates80 VSO Partners

4 National Unions-10 LocalsDepartment of Defense

4 Co-located CBOCs w/ MTF

8 IDES Sites

2 JIFsKey FactsVeteran CentricSlide6

VISN 5 - At a Glance6

FY2012 Care Delivery

Facility

Complex.

Acute Beds

Long Term Care Beds

Dom

Beds

CBOCsFY 2012UniquesFY 2012Outpatient Visits

FY 12 Admissions (Acute and LTC)FY 12 Acute BDOCVISN 5482561

505

148,642

1,796,39416,984116,528VA Maryland Health Care System1B236

263

193

53,169

639,305

6,719

53,025

Martinsburg VAMC

178

312

33,992

462,972

3,123

15,643

Washington DC VAMC

175

120

68,828

694,117

7,142

47,860Slide7

Transformation Strategy7Slide8

Capital Investment Strategy8

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.

Recognizes that the VISN is the operational center for delivering healthcare to Veterans.Capital Assets are defined as:

Construction Projects / LeasesMedical & Non-Medical EquipmentVirtual Care TechnologiesInformation TechnologyVehicle FleetVISNCapitalAssetManagement Plan (CAMP)Slide9

9Strategic Capital Investment Planning (SCIP) process

10-year Construction/Lease Plan: FY 2016 – 2025SCIP is intended to be an integrated comprehensive planning process for capital programs across all AdministrationsThe 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

9Slide10

CAMP-SCIP Strategic Capital Focus Areas10

Safety

End Homelessness

Virtual Hospital Expansion

Improve Environment of

Care

Home Based Primary Care (HBPC) ExpansionSlide11

CAMP-SCIP Strategic Capital Focus Areas11

Expand VA/DoD Partnerships

Medical Equipment safety, standardization & replacement plan

Vehicle Fleet Plan

Energy Plan to reduce consumption

Increase Research Program IntegrationSlide12

Special Focus Areas12

Mission Critical Utility Sustainment Survey

Physical Security Vulnerability Assessments

Electrical Studies

Hurricane Readiness Study (Perry Point)

Steam Generation Special Studies (Perry Point & Martinsburg)Slide13

Existing Gaps13

Access

Enrollees w/in Access Guidelines – Drive time:

Washington: 83

VAMHCS: 80

Martinsburg

: 70%Slide14

Existing Gaps14

Baltimore

Baltimore - LR

Perry Point

Martinsburg

Washington

VISN Total

Primary

Care (% Met)83%93%

89%97%93%91%Specialty

Care(% Met)

91%

93%

93%96%96%94%

Wait TimeSlide15

Existing Gaps15

VAMHCS

Martinsburg

Washington

VISN Total

Supplies-Equip-Prosthetics

64%

87%

96%78%

Amb: LTC Non-Institutional69%64%75%70%Amb: Dental Clinic

47%

37%

40%

42%Pharmacy30%29%42%33%

Amb

Med.

Othr

Non-

Surg

Special.

31%

26%

32%

Amb

: Mental Health Programs

23%

37%

22%

26%

Amb

: Surgical Specialties

22%

26%

29%

26%

Amb

Prim Care-

Geriat

.-Urgent

Care

25%

28%

23%

Amb

: Laboratory and Pathology

20%

25%

23%

Amb

: Radiology and Nuclear Medicine

16%

27%

23%

Inpatient LTC

12%

-2%

43%

19%

Inpat

. Resident.

Rehab Mental Health

Prog

-10%

-1%

-2%

Acute Inpatient Surgery

-12%-8%-17%-14%Acute Inpatient Mental Health-33%-48%-31%-35%Acute Inpatient Medicine-16%-19%-19%- 19%

Utilization

FY22 Projection change from FY12 BaselineSlide16

Existing Gaps

Baltimore

(SF)

Baltimore-LR

(SF)

Perry Point

(SF)

Martinsburg(SF)Washington(SF) VISN Total(SF)

Common/Swing/Construction281,07049,860(246,032)107,905

218,748

411,551 (18%)

Outpatient Specialty Care

30,5307,61414,10734,39190,020176,662 (30%)Outpatient Mental Health

6,865

2,141

(24,301)

36,222

76,158

97,085 (32%)

Primary Care

59,249

7,255

(18,162)

23,474

20,835

92,650 (24%)

Research

103,936

(15,250)

4,419

93,104 (35%)

Ancillary/Diagnostic

26,316

(9,490)

(15,033)

39,884

28,766

70,442 (15%)

Acute Inpatient Mental Health

10,965

(48,542)

(11,831)

14,460

(35,048) (-13%)

LTC: CLC / Hospice

53,515

(75,497)

(44,224)

18,833

(47,373) (-11%)

Administration

(18,414)

16,138

(48,250)

10,454

21,533

(18,539) (-5%)

Acute

Inpat

. Med. & Surgery

11,215

(7,624)

8,002

(29,804)

(18,211) (-10%)

Support/Infrastructure

19,036

8,500

(156,580)

32,613

84,391

(12,041) (-2%)

Total:

530,768

120,283

(625,914)

236,890

548,257

810,282 (13%)

SpaceSlide17

Existing Gaps17

Baltimore

Baltimore-LR

Perry Point

Martinsburg

Washington

VISN Total

Mechanical

$11,560,626$412,515$30,581,539$18,094,656

$32,236567$92,985,902Architectural$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

$2,161,299

$6,240,973

$2,404,566

$10,806,838

Transport

$1,730,373

$3,298,934

$1,311,007

$777,686

$7,117,999

Energy

$32,221

$4,088,983

$1,662,639

$5,783,842

Water

$838,831

$1,342,459

$1,752,421

$208,568

$4,142,279

Sanitary

$1,284,712

$2,233,478

$3,518,190

Access

$54,098

$241,416

$1,162,034

$993,196

$392,961

$2,843,707

Storm Water

$123,615

$1,853,769

$90,470

$35,650

$2,103,505

Structural

$1,276,847

$312,655

$1,589,502

Steam Gen

$365,762

$68,761

$434,523

Info. Tech.

$13,791

$353,200

$17,507$384,498Total:$22,872,846$5,196,150$88,016,752$73,726,209$87,619,217$277,431,174

Facility ConditionsSlide18

Existing Gaps18

Baltimore

Baltimore-LR

Perry Point

Martinsburg

Washington

VISN Total

Sustainability

(# of Bldgs Required)117 (met w/ 8)

6116Energy 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/ Baltimore17 (38%)

et)

(30%)

(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/ Baltimore

3,809,385

4,438,451

5,793,609

19,204,130

EnergySlide19

Existing Gaps19

Functional & Other

Patient

Privacy

Parking

Sterile Processing System (SPS) Criteria

OR Criteria

EoC

Patient Safety & Security ComplianceNFPA – OSHA CriteriaADA Access CriteriaSlide20

Vision for FY 2014

20ProjectLocation

Estimated Size

Construct CLC Residential

Houses

(Major)

Perry

PointUnder $100 M New or Expanded CBOCsTBDTBD

CLC & Hospice ExpansionsDC, LR, MBUnder $ 10 M Medical / Psych Ward & ICU RenovationsDC / BTUnder $ 10 M Construction 47-Bed DomiciliaryMartinsburgUnder $ 10 M Upgrade Fire Alarm System

Perry PointUnder $ 20 M Upgrade Electrical DistributionDC, MBUnder $ 5 M Upgrade Chiller Plant / BoilerDC / Perry PointUnder $ 10 M

FY 2015 / 2016 ForecastSlide21

Vision for FY 2014

21ProjectLocation

Estimated Size

Multi-Award Task Order Contract (MATOC)

VISN-wide

$5 M

Equipment Planning

VISN-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 MFY 2014 ForecastSlide22

Vision for FY 2014

22Project Location

Estimated Size

Construct Warehouse (DES)

Perry Point

Under $ 10 M

Renovate Sterile Processing (DES)WashingtonUnder $ 5 M Renovate Rest Rooms

BT, DCUnder $10 M Misc. Halls & Walls ProjectsBT, LR, DCUnder $ 5 M Install New Emergency GeneratorsMartinsburgUnder $ 5 M HVAC Maintenance, Upgrades & Retro-

CommissioningBT, LR, PP, DC, MBUnder $ 10 M Retrofit CLC for ADA CompliancePerry PointUnder $ 1 M

FY 2014 Forecast (Cont’d)Slide23

Vision for FY 2014

23ProjectLocation

Estimated Size

MRI Site Prep

Perry Point

Under $ 1 M

OR Hybrid Conversion

MartinsburgUnder $ 1 M Linear Accelerator Site PrepWashington

Under $ 2 M Nurse Call ReplacementsPP, MBUnder $ 5 MFY 2014 Forecast

(Cont’d)Slide24