19. Exhibit R - EHRM Infrastructure Upgrades.pdf

RLP # 36C248-24-R-0040 - LEASE # 36C248-24-L-0003

Exhibit R

EHRM INFRASTRUCTURE UPGRADES

1. GENERAL INTENT:

The Lessor shall provide design and construction work necessary at this CBOC site to support the Veterans Health Administration’s (VHA) change to the new Electronic Health Record Management (EHRM). VHA requests the Lessor to provide design and construction services to include all labor, materials, tools, equipment, transportation, supervision, and other services necessary to meet the requirements of this scope of work.

1.1 General Requirements

1.1.1 The Lessor shall provide design services and a complete design package containing drawings and specifications. The design drawings and specifications shall follow all applicable codes, manuals, standards, and guides, including those listed in Paragraph 3.

1.1.2 The Lessor shall provide construction services to meet listed requirements:

1.1.2.1 Communication infrastructure including new data outlets, patch panels, upgrades to Cat 6A cable, fiber infrastructure backbone within building.

1.1.2.2 Electrical infrastructure including electrical panel upgrades, normal and emergency power, as applicable, bonding, Uninterruptible Power Supply (UPS) system and Building Management (BMS) interfaces to manage and monitor UPS.

1.1.2.3 HVAC infrastructure including temperature and humidity upgrades, rack and space sensors, and BMS interfaces to manage and monitor temperature and humidity.

1.1.2.4 New construction and finishes.

1.1.2.5 Design Intent Drawings (DID) shall incorporate the physical security elements including 4 telecommunication room cameras, 4 alarms, and necessary interfaces to the security system. VA will furnish security system equipment and installation.

1.1.2.6 Identification and appropriate remediation of hazardous materials, as needed for project.

1.2 Design Effort

1.2.1 Lessor shall coordinate a Design Intent Drawings (DID) workshop with their respective design and construction team and VHA to develop, review, and complete final DIDs.

1.2.2 Lessor shall take meeting minutes and distribute meeting minutes to VA COR/LCO within three days of meeting. Meeting minutes shall be submitted by the Lessor and approved by VHA.

1.2.3 Lessor shall provide as-builts 15 days after final inspection approval by COR.

1.3 Testing

1.4.1 The Lessor shall provide a written testing plan in accordance with specifications and

Building Industry Consulting Service International (BICSI) standards. The plan will provide a schedule and a written sequence of what will be tested, how and what the expected outcome will be. This document will be submitted for approval prior to commencing testing. The Lessor shall document testing results and submit to VHA.

1.4.2 Lessor will coordinate final tests with VHA COR and conduct final tests in his/her presence. Lessor shall furnish all labor, materials, equipment, instruments, and forms, to conduct and record such tests.

2. STATEMENT OF WORK:

2.1 The Lessor shall ensure all below requirements from the VA Office of Electronic Healthcare Modernization Site Infrastructure and End User Device Requirements are met.

2.2 Local Area Network (LAN)

2.2.1 Reference: Infrastructure Standard for Telecommunications Spaces, Version 3.1, https://www.cfm.va.gov/til/dguide/OIT-InfrastrucStdTelecomSpaces.pdf.

2.2.2 Horizontal cabling shall be Category 6 (Cat6) or higher (American National Standards

Institute (ANSI)/Technology Industries Association (TIA)-1179 Healthcare Facility Telecommunications Infrastructure). If existing horizontal cabling is not minimally Cat6, Lessor shall upgrade to Category 6A (Cat 6A).

2.2.3 Telecommunications outlets/connectors and the horizontal cross-connects (patch panels) shall be of equal or greater Category to connected horizontal cable.

2.2.4 Installation shall be compliant with the BICSI standards (ANSI/NECA/BICSI 568, Standard for Installing Commercial Building Telecommunications Cabling and ANSI/TIA-1179-A Healthcare Facility Telecommunications Infrastructure for new installations).

2.2.4.1 New cable installations additionally shall be compliant with TIA 568.2-D, TIA

TSB-184-A, and NFPA-70 Section 725.144 to prevent PoE heat accumulation.

Provide certification reports to the COR.

2.2.4.2 Alternatively, new UTP cabling shall carry a UL listed "LP" (Limited Power) rating.

https://www.cfm.va.gov/til/dguide/OIT-InfrastrucStdTelecomSpaces.pdf

2.2.4.3 Cat6A cable shall be terminated to a CAT6A RJ-45 patch panel in IT closet and CAT6A RJ-45 jack at wall plate and labeled at both ends.

2.2.4.4 Use a cable analyzer to determine cable length (max cable length 90M/295 linear feet) and certify that cable meets or exceeds TIA-EIA-568-C.2.

2.2.4.5 Cables shall be installed in continuous lengths from origin to destination, no splices with a 1’ service loop.

2.2.5 All patch cables shall be Category 6A for copper, OM4 for multi-mode fiber or OS2 level for single mode fiber.

2.2.6 Cable management shall be implemented for all patch cables in accordance with the latest version of Infrastructure Standard for Telecommunications Spaces, ensuring proper bend radius, bundling, airflow, support and labeling.

2.2.7 1 GbE connectivity to desktops, and other End User Devices.

2.2.8 End-to-End latency from the user desktop to Cerner Data Center of equal to or less than

90ms for Citrix connection.

2.2.9 Provide additional data drops and network ports in Telecommunication Rooms (TR) to support required network printers and medical devices per Cerner Current State Review (CSR). If the CSR is not provided as an attachment to this document, an additional Lease Amendment may be required.

2.2.10 Copper structured cabling shall be certified as meeting or exceeding TIA-EIA-568.1-D

(max fixed cable length 90M/295 linear feet) independent of media type.

2.2.11 Lessors shall provide service with a minimum of 10 GbE fiber or better.

2.2.12 Network Infrastructure devices supported by UPS and or Emergency Power Backup

Generator as described below in 2.3.

2.3 Power

2.3.1 UPS Functional Requirements: This Scope of Work includes UPS requirements for OIT equipment only. All OIT equipment in the Telecommunications Room shall be connected to the

UPS.

2.3.1.1 All UPS units supporting Information Technology infrastructure shall be functional and maintain a 10-minute run-time.

2.3.1.2 UPS shall be managed and report the following information to a management system.

2.3.1.2.1 Overload

2.3.1.2.2 Battery Temperature High

2.3.1.2.3 Battery Charge Low

2.3.1.2.4 Battery Failure

2.3.1.2.5 Critical Condition (fan failure, low output voltage, etc.)

2.3.1.3 UPS shall support both monitoring and remote management to include full compliance with RFC-1628 – UPS Management Information Base Support for Simple Network Management Protocol (SNMP) v3.0, BaCnet and Modbus protocols.

2.3.1.4 UPS shall be connected to a monitoring system by Ethernet (wired or wireless) or serial interface (RS-232 or RS-485).

2.3.1.5 All units within one (1) year of end of life by facility Go-Live shall be replaced with new units.

2.3.1.5.1 End of Life for stand-alone units assumed to be six (6) years from date placed into service.

2.3.1.5.2 End of Life for UPS batteries assumed to be three (3) years from date replaced.

2.3.2 Upstream bonding requirements to the Secondary Bonding Busbar or Primary Bonding Busbar must use two lugs. Bonding for telecommunications equipment must be performed per manufacturer's specifications. All grounding shall comply with ANSI/NECA/BICSI 607-C, Generic Telecommunications Bonding and Grounding (Earthing) for Customer Premises, November 2015.

2.4 Heating, Ventilation, and Air Conditioning (HVAC) Design Requirements

2.4.1 Reference: U.S. Department of Veterans Affairs Office of Construction & Facilities

Management HVAC Design Manual, dated May 1, 2019, https://www.cfm.va.gov/til/dManual/dmHVAC.pdf.

2.4.2 Telecommunications Rooms, Class B space temperature range 41°F to 95°F, relative humidity: 8 to 80% noncondensing.

2.4.2.1 Temperature and humidity shall be monitored in proximity to the OIT equipment rack. Place sensors either on populated rack or within 6 feet of rack.

2.4.2.2 Temperature and humidity shall be connected to a monitoring system by

Ethernet (wired or wireless) or serial interface (RS-232 or RS-485).

2.4.2.3 In areas where there are environmental issues (e.g., steam pipes, lack of ventilation, etc.), the use of thermal curtains and additional vents will be considered as a temporary alternative, not permanent resolution. Any existing temporary alternatives, such as thermal curtains and door vents, shall be corrected with an approved, engineered solution.

https://www.cfm.va.gov/til/dManual/dmHVAC.pdf

2.5 Physical Security Design Requirements

2.5.1 Reference: Infrastructure Standard for Telecommunications Spaces, https://www.cfm.va.gov/til/dManual/dmTelecomm.pdf.

2.5.2 Provide an electronic Security Management System (SMS) with a Physical Access Control

System (PACS).

2.5.3 Doors shall include a mechanical spring loaded “deadlocking feature” (not separate

“deadbolt” lock), PACS associate electronic Personal Identity Verification (PIV) card access device with keypad, electric strike and digital Closed Caption Television (CCTV) color camera routed to and directly controlled by the facility SMS.

2.5.4 Telecommunication Room security system shall be connected to a UPS or emergency backup power system.

2.5.5 Facility programmable door controller shall be fully functional in a standalone status if connection to the SMS is lost. Once the connection is restored, the local door control system shall update the SMS, regarding all operations that occurred after the connection was interrupted. Then, the SMS shall update the local door control units to current operational function.

2.5.6 The PACS and SMS shall be fully compliant with VA’s PII, PIV "Smart" ID Card and at a minimum, FIPS 201-1 and NRTL (i.e. UL) listed and labeled.

2.6 Lessor/Contractor Provided Equipment

2.6.1 Uninterruptable Power Supply (UPS)

2.6.1.1 Manufacturer: EATON

2.6.1.2 Model: 9PX 0-3K

2.6.2 Rack Sensor

2.6.2.1 Manufacturer: APC

2.6.2.2 Model: NetBotz Rack Sensor Pod 150 – NBPD0150

2.6.3 IT Equipment Room CheckPoint Wireless Temperature and Humidity Sensor

2.6.3.1 Manufacturer: Medical Resources

2.6.3.2 Model: TEMP125

https://www.cfm.va.gov/til/dManual/dmTelecomm.pdf

3. MANUALS, STANDARDS AND DESIGN GUIDES: The work will be completed in compliance with the following manuals, standards, and design guides. Where there appear to be contradictions, VA shall make a final determination on applicability of manuals, standards, and design guides.

3.1 VA OEHRM Site Infrastructure and End User Device (EUD) Requirements Version 2.0

3.2 Infrastructure Standards for Telecommunications Spaces Version 3.1 (dated July 1, 2021)

3.3 HVAC Design Manual (dated November 1, 2017 with Rev dated March 1, 2020) https://www.cfm.va.gov/til/dguide/OIT-InfrastrucStdTelecomSpaces.pdf https://www.cfm.va.gov/til/dManual/dmHVAC.pdf