Making Veterans Administration healthcare projects “better planned, better delivered” is the new goal of the VA’s Office of Construction and Facilities Management, according to Executive Director Stella S. Fiotes, AIA.
CFM plans, designs, and constructs (with the help of private-sector AEC consultants, of course) all VA projects greater than $10 million in value. The office has responsibility for design construction standards, sustainability, seismic corrections, historic preservation, and physical security.
The VA has a massive portfolio—151 hospitals, 827 community-based outpatient clinics, and 300 veterans’ centers, Fiotes told attendees at the recent American College of Healthcare Architects/AIA Academy of Architecture for Health (ACHA/AAH) Summer Leadership Summit in Chicago. Nearly two-thirds of its facilities are more than 60 years old, and 30% have a historic designation or could qualify for one.Fiotes said the VA is in the midst of a major policy shift, from “figuring out what’s broken and fixing it as much as possible”—a strictly brick-and-mortar approach—to “figuring out what services veterans need and adapting service-delivery models, facilities, and funding distribution to better meet those needs.”
The new policy, known as VA Facilities Management Integrated Planning, is directed at addressing such concerns as the need to right-size facilities based not only on where veterans are today, but where they’ll be in the future, given that many older veterans are expected to move to the warmer regions of the U.S.
Fiotes said the VA is also looking to forge affiliations with public agencies, universities, and healthcare organizations as a way to stretch its capital investment budget. Serving the healthcare needs of veterans in rural areas remains a persistent concern, she said, as does the need for the VA to promote wellness and disease prevention for its clients.
Another major initiative: the Patient-Aligned Care Team. “Primary care is the foundation of VA healthcare delivery,” said Fiotes. PACT is designed to provide “one-stop” patient-centered care through coordinated “teamlets” consisting of a physician, a nurse, an LPN or technician, and a clerk, along with a clinical pharmacist, a dietitian, and a social worker. “No clinics have been designed based on this model, but we’re working on it,” said Fiotes. “We believe they can save 15-20% on costs.”
As for sustainability, Fiotes said all VA projects must earn at least LEED Silver or two Green Globes; every project is evaluated for the feasibility of using renewable energy. Structural resilience, particularly against the threat of rising sea levels or a tsunami, has become a priority as well.
Eight major VA projects—in Las Vegas, Milwaukee, Pittsburgh, San Antonio, San Diego, Cape Coral, Fla., and two in Biloxi, Miss.—will undergo post-occupancy evaluation this fiscal year to determine how well the buildings are meeting the needs of veterans and healthcare providers. Starting in FY 2014, all major projects will experience POEs within 18-24 months of occupancy.
Two innovation programs—selected from over 450 suggestions from Veterans Health Administration employees—are under way: the development of standardized designs for outpatient clinics, and research on making wayfinding in VA facilities consistent across the board.
Fiotes ended her talk to ACHA/AAH attendees on a tempting note: “We have over $6 billion in projects that have been identified and need to be acted on.”
Read our full report from the ACHA/AAH Summit.
Related Stories
Affordable Housing | Aug 7, 2024
The future of affordable housing may be modular, AI-driven, and made of mushrooms
Demolished in 1989, The Phoenix Ironworks Steel Factory left a five-acre hole in West Oakland, Calif. After sitting vacant for nearly three decades, the site will soon become utilized again in the form of 316 affordable housing units.
Architects | Aug 5, 2024
Mastering the art of project schedule: Expert insights on design and construction
We sat down with two experts in the design field, Ron Dick (Founding Partner and Architect) and Mike Niezer (COO and Architect), to talk about everything you need to know about the entire process.
University Buildings | Aug 1, 2024
UC Riverside’s student health center provides an environment on par with major medical centers
The University of California, Riverside's new Student Health and Counseling Center (SHCC) provides a holistic approach to wellness for students throughout the UC Riverside campus. Designed by HGA and delivered through a design-build partnership with Turner Construction Company, SHCC provides healthcare offerings in an environment on par with major medical centers.
Libraries | Aug 1, 2024
How current and future trends are shaping the libraries of tomorrow
Over the last few years, public libraries have transitioned from being buildings that only store and lend books to being fully featured community centers.
MFPRO+ News | Aug 1, 2024
Canada tries massive incentive program to spur new multifamily housing construction
Canada has taken the unprecedented step of offering billions in infrastructure funds to communities in return for eliminating single-family housing zoning.
Government Buildings | Aug 1, 2024
One of the country’s first all-electric fire stations will use no outside energy sources
Charlotte, N.C.’s new Fire Station #30 will be one of the country’s first all-electric fire stations, using no outside energy sources other than diesel fuel for one or two of the fire trucks. Multiple energy sources will power the station, including solar roof panels and geothermal wells. The two-story building features three truck bays, two fire poles, dispatch area, contamination room, and gear storage.
Contractors | Aug 1, 2024
Nonresidential construction spending decreased 0.2% in June
National nonresidential construction spending declined 0.2% in June, according to an Associated Builders and Contractors analysis of data published today by the U.S. Census Bureau. On a seasonally adjusted annualized basis, nonresidential spending totaled $1.21 trillion. Nonresidential construction has expanded 5.3% from a year ago.
Student Housing | Jul 31, 2024
The University of Michigan addresses a decades-long student housing shortage with a new housing-dining facility
The University of Michigan has faced a decades-long shortage of on-campus student housing. In a couple of years, the situation should significantly improve with the addition of a new residential community on Central Campus in Ann Arbor, Mich. The University of Michigan has engaged American Campus Communities in a public-private partnership to lead the development of the environmentally sustainable living-learning student community.
MFPRO+ New Projects | Jul 31, 2024
Shipping containers converted into attractive, affordable multifamily housing in L.A.
In the Watts neighborhood in Los Angeles, a new affordable multifamily housing project using shipping containers resulted in 24 micro-units for formerly unhoused residents. The containers were acquired from a nearby port and converted into housing units at a factory.
Adaptive Reuse | Jul 30, 2024
Empty mall to be converted to UCLA Research Park
UCLA recently acquired a former mall that it will convert into the UCLA Research Park that will house the California Institute for Immunology and Immunotherapy at UCLA and the UCLA Center for Quantum Science and Engineering, as well as programs across other disciplines. The 700,000-sf property, formerly the Westside Pavilion shopping mall, is two miles from the university’s main Westwood campus. Google, which previously leased part of the property, helped enable and support UCLA’s acquisition.