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
| Apr 19, 2012
Nauset begins work on $20M Joint Forces HQ at Hanscom AFB
3D imaging key to project timetable and cost containment.
| Apr 19, 2012
HBD Construction names Steven Meeks vice president
Meeks will provide expertise for the company in its many diverse areas of construction projects including health care, senior living, education and retail.
| Apr 18, 2012
Lafarge moving North American headquarters to Illinois
Lafarge CEO John Stull says the factors in their decision were location in the Midwest and area transportation.
| Apr 18, 2012
Positive conditions persist for Architecture Billings Index
The AIA reported the March ABI score was 50.4, following a mark of 51.0 in February; greatest demand is for commercial building projects.
| Apr 18, 2012
Syska Hennessy re-launches Information and Communication Technology practice
The ICT practice will focus a blend of products including Information Technology, Security, Audiovisual, Building Automation, Fire Life Safety, Medical Communications and Intelligent Building Systems.
| Apr 18, 2012
Perkins+Will designs new complex for Johns Hopkins Hosptial
The Charlotte R. Bloomberg Children’s Center and the Sheikh Zayed Tower create transformative patient-centric care.
| Apr 18, 2012
BBS Architects & Engineers acquires Ward Associates
The merged companies’ on-going project portfolio valued at $220 million.
| Apr 17, 2012
Princeton Review releases “Guide to 322 Green Colleges”
The guide profiles 322 institutions of higher education in the U.S. and Canada that demonstrate notable commitments to sustainability in their academic offerings, campus infrastructure, activities and career preparation.
| Apr 17, 2012
FMI report examines federal construction trends
Given the rapid transformations occurring in the federal construction sector, FMI examines the key forces accelerating these changes, as well as their effect on the industry.
| Apr 17, 2012
Freese and Nichols awarded Malcolm Baldridge National Quality Award
Freese and Nichols is the only engineering and architecture firm to ever receive this recognition.