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
| Jun 10, 2014
Site optimization: Paving the way for smoother land development projects
The biggest cost differential when dealing in site development from one site to another is the earthwork. So, when selecting a site, it is critical to not only take into account the initial purchase price of the property, but also what sort of investment it will take to prep the site for development.
| Jun 10, 2014
Gaudi’s famed cathedral on ice: Dutch students to construct 132-foot ice replica of Sagrada Familia
"Sagrada Familia in Ice" will be built with a mixture of wooden fibers and plain ice that is three times stronger than ice.
| Jun 10, 2014
Built-in balcony: New skylight windows can fold out to create a patio
Roof window manufacturer Fakro offers a skylight window system that quickly converts into an open-air balcony.
| Jun 10, 2014
New York's first-ever public housing for visually-impaired begins upgrade
Selis Manor is the first government-funded residence for the vision-impaired and disabled in New York City. MAP’s design eases crowding, increases security, and separates residents and visitors.
| Jun 9, 2014
6 design strategies for integrating living and learning on campus
Higher education is rapidly evolving. As we use planning and design to help our clients navigate major shifts in culture, technology, and funding, it is essential to focus on strategies that help foster an education that is relevant after graduation. One way to promote relevance is to strengthen the bond between academic disciplines and the campus residential life experience.
| Jun 9, 2014
Green Building Initiative launches Green Globes for Sustainable Interiors program
The new program focuses exclusively on the sustainable design and construction of interior spaces in nonresidential buildings and can be pursued by both building owners and individual lessees of commercial spaces.
| Jun 9, 2014
10 projects named 2014 AIA Small Project Award winners
Yale's funky new Ground café and a pavilion made from 53,780 recycled plastic bottles are among the nation's best new small projects.
| Jun 9, 2014
Eli Broad museum files $19.8 million lawsuit over delays
The museum, meant to hold Eli and Edythe Borad's collection of contemporary art, is suing the German company Seele for what the museum describes as delays in the creation of building blocks for its façade.
| Jun 8, 2014
What’s the word of the day? It’s all about ‘resiliency’
Just for the sake of argument, let’s put aside the rhetoric about climate change—whether it’s actually happening, whether it’s a result of manmade activity—and agree that we are experiencing some pretty dramatic weather events that are having huge impacts on populations here in the U.S. and worldwide.
Smart Buildings | Jun 8, 2014
Big Data: How one city took control of its facility assets with data
Over the past few years, Buffalo has developed a cutting-edge facility management program to ensure it's utilizing its facilities and operations as efficiently, effectively, and sustainably as possible.
