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
| May 16, 2011
USGBC and AIA unveil report for greening K-12 schools
The U.S. Green Building Council and the American Institute of Architects unveiled "Local Leaders in Sustainability: A Special Report from Sundance," which outlines a five-point national action plan that mayors and local leaders can use as a framework to develop and implement green schools initiatives.
| May 16, 2011
Dassault Systèmes to distribute Gehry Technologies’ digital project
Dassault Systèmes and Gehry Technologies announced that Gehry Technologies’ Digital Project products will be integrated into the Dassault Systèmes’ portfolio and distributed through Dassault Systèmes. Digital Project is a suite of 3D BIM applications created by Gehry Technologies using Dassault Systèmes’ CATIA as a core modeling engine.
| May 11, 2011
DOE releases guide for 50% more energy-efficient office buildings
The U.S. Department of Energy today announced the release of the first in a new series of Advanced Energy Design Guides to aid in the design of highly energy efficient office buildings. The 50% AEDG series will provide a practical approach to commercial buildings designed to achieve 50% energy savings compared to the commercial building energy code used in many areas of the country.
| May 10, 2011
Google hires Ingenhoven Architects to design new Mountain View office
The current Googleplex is straining at the seams and yet the company is preparing its biggest hiring surge ever, so Google decided now’s the time to build its own office space—a first for the Internet giant. The company hired Ingenhoven Architects, a German firm that specializes in sustainable architecture, to create plans for what could be a 600,000-sf office.
| May 10, 2011
Solar installations on multifamily rooftops aid social change
The Los Angeles Business Council's study on the feasibility of installing solar panels on the city’s multifamily buildings shows there's tremendous rooftop capacity, and that a significant portion of that rooftop capacity comes from buildings in economically depressed neighborhoods. Solar installations could therefore be used to create jobs, lower utility costs, and improve conditions for residents in these neighborhood.
| May 10, 2011
Dinner is now served…atop the Lincoln Memorial?
Take a look at the temporary restaurant sitting atop Brussels’ historic Arc de Triomphe-Triomfboog. The Cube, by Electrolux, offers 18 diners a spectacular view of the Parc du Cinquantenair, and is one of two structures traveling across Europe, making stops at famous landmarks in Belgium, Italy, Switzerland, Sweden, and Russia. What do you think about one of these 60-tonne structures being placed on a U.S. memorial?
| May 6, 2011
Ellerbe Becket now operating as AECOM
*/ The architecture, interiors and engineering firm Ellerbe Becket, which joined AECOM in 2009, has fully transitioned to operating as AECOM as of May 2, 2011.
| May 2, 2011
URS acquires Apptis Holdings, a federal IT service provider
SAN FRANCISCO, CA and CHANTILLY, VA– April 28, 2011 – URS Corporation and Apptis Holdings, Inc., a leading provider of information technology and communications services to the federal government, announced that they have signed a definitive agreement under which URS will acquire Apptis.
| May 2, 2011
Perkins+Will merges with Vermeulen Hind Architects, offically launches Perkins+Will Canada
Ottawa and Hamilton-based Vermeulen Hind Architects, one of Canada’s leading healthcare architectural firms, has merged with Perkins+Will. Vermeulen Hind joins Toronto-based Shore Tilbe Perkins+Will and Vancouver-based Busby Perkins+Will to create Perkins+Will Canada. The combination marks the official launch of Perkins+Will Canada, a merge that will establish the firm as among the pre-eminent interdisciplinary design practices in Canada.
