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
| Sep 19, 2013
6 emerging energy-management glazing technologies
Phase-change materials, electrochromic glass, and building-integrated PVs are among the breakthrough glazing technologies that are taking energy performance to a new level.
| Sep 18, 2013
Annual SteelDay to include 125 free events around the U.S.
Hosted by the American Institute of Steel Construction (AISC), its members and partners, SteelDay invites the AEC community and the public to see the contributions the industry has made in the design and construction of steel buildings and bridges.
| Sep 18, 2013
WHR Architects opens first European office, in Copenhagen
WHR Architects has opened its first European office in Copenhagen, Denmark. The decision to locate in the Danish capital was spurred by the Danish healthcare system’s initiative to renew and expand their facilities across the country.
| Sep 17, 2013
NCARB convenes special task force to explore additional pathways to architectural licensure
Potential new pathways to architectural licensure are being explored through the work of a new Licensure Task Force launched by the National Council of Architectural Registration Boards (NCARB). Led by NCARB Immediate Past President Ronald B. Blitch, FAIA, FACHA, NCARB, the group held its first meeting at NCARB offices on September 6-7 in Washington, DC.
| Sep 17, 2013
SMPS Foundation announces new business development research book
The SMPS Foundation has released its latest research book, A/E/C BUSINESS DEVELOPMENT – The Decade Ahead.
| Sep 17, 2013
Healthcare project will merge outpatient clinic with YMCA to promote wellness and prevention
Penrose-St. Francis Health Services and the YMCA of the Pikes Peak Region announce collaboration, along with developer The Boldt Company, to create next-generation wellness facility.
| Sep 17, 2013
AIA sees uptick in architecture billings for August
AIA's Architecture Billings Index was 53.8 in August, up from 52.7 the previous month, signaling increased demand for design services nationwide. The West and Northeast regions saw the biggest ABI gains last month.
| Sep 16, 2013
Does brainstorming work?
The idea-generating process known as brainstorming has come under some intense fire recently. Critics contend that it suspends much-needed criticism and conflict while suppressing the creative ideas of introverts.
| Sep 16, 2013
Forty-three percent of energy leaders will invest more in efficiency next year (infographic)
Forty-three percent of energy leaders say their investment in energy efficiency next year is projected to be more than it was last year, according to survey results released today by Schneider Electric. Twenty-two percent said their projected investment would stay the same, and 10 percent reported their investment would be less than last year.
| Sep 16, 2013
Forty-three percent of energy leaders will invest more in efficiency next year (infographic)
Forty-three percent of energy leaders say their investment in energy efficiency next year is projected to be more than it was last year, according to survey results released today by Schneider Electric. Twenty-two percent said their projected investment would stay the same, and 10 percent reported their investment would be less than last year.