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
| Oct 12, 2010
Building 13 Naval Station, Great Lakes, Ill.
27th Annual Reconstruction Awards—Gold Award. Designed by Chicago architect Jarvis Hunt and constructed in 1903, Building 13 is one of 39 structures within the Great Lakes Historic District at Naval Station Great Lakes, Ill.
| Oct 12, 2010
Full Steam Ahead for Sustainable Power Plant
An innovative restoration turns a historic but inoperable coal-burning steam plant into a modern, energy-efficient marvel at Duke University.
| Oct 12, 2010
From ‘Plain Box’ to Community Asset
The Mid-Ohio Foodbank helps provide 55,000 meals a day to the hungry. Who would guess that it was once a nondescript mattress factory?
| Oct 11, 2010
HGA wins 25-Year Award from AIA Minnesota
HGA Architects and Engineers won a 25-Year Award from AIA Minnesota for the Willow Lake Laboratory.
| Oct 11, 2010
MBMA Releases Fire Resistance Design Guide for metal building systems
The Metal Building Manufacturers Association (MBMA) announces the release of the 2010 Fire Resistance Design Guide for Metal Building Systems. The guide provides building owners, architects, engineers, specifiers, fire marshals, building code officials, contractors, product vendors, builders and metal building manufacturers information on how to effectively meet fire resistance requirements of a project with metal building systems.
| Oct 11, 2010
Rhode Island is the first state to adopt IGCC
Rhode Island is the first state to adopt the International Green Construction Code (IGCC). The Rhode Island Green Buildings Act identifies the IGCC as an equivalent standard in compliance with requirements that all public agency major facility projects be designed and constructed as green buildings. The Rules and Regulations to implement the Act take effect in October 2010.
| Oct 8, 2010
Union Bank’S San Diego HQ awarded LEED Gold
Union Bank’s San Diego headquarters building located at 530 B Street has been awarded LEED Gold certification from the Green Building Certification Institute under the standards established by the U.S. Green Building Council. Gold status was awarded to six buildings across the United States in the most recent certification and Union Bank’s San Diego headquarters building is one of only two in California.
| Oct 6, 2010
Windows Keep Green Goals in View
The DOE's National Renewable Energy Laboratory has almost 600 window openings, and yet it's targeting LEED Platinum, net-zero energy use, and 50% improvement over ASHRAE 90.1. How the window ‘problem’ is part of the solution.
| Oct 6, 2010
From grocery store to culinary school
A former West Philadelphia supermarket is moving up the food chain, transitioning from grocery store to the Center for Culinary Enterprise, a business culinary training school.
| Sep 30, 2010
Luxury hotels lead industry in green accommodations
Results from the American Hotel & Lodging Association’s 2010 Lodging Survey showed that luxury and upper-upscale hotels are most likely to feature green amenities and earn green certifications. Results were tallied from 8,800 respondents, for a very respectable 18% response rate. Questions focused on 14 green-related categories, including allergy-free rooms, water-saving programs, energy management systems, recycling programs, green certification, and green renovation.
