Exhibit A.2_ Program for Design_Room Content List.pdf

PROGRAM FOR DESIGN

DERMATOLOGY & DIABETES VA CLINIC

VISN: 15 State: MO Station ID: 657 Station: St Louis, John Cochran Division

Department: 1 - ENDOCRINOLOGY

Functional Area: 1 - STAFF AND ADMINISTRATION

Qty Room Code Room Name Unit Area

Net Area

Const Phase

Const Type

1 LR001 Lockers, Personal Property 30 30 1 0

1 OFA09 Office, Medium, clinic manager 100 100 1 0

1 TPG01 Toilet, Staff, Unisex 60 60 1 0

1 TPG01 Toilet, Staff, Unisex 60 60 1 0

1 OFA02 Office, Administrative Shared- 2 person 120 120 1 0 per service request, would like 3 two person shared offices

1 OFA02 Office, Administrative Shared- 2 person 120 120 1 0 per service request, would like 3 two person shared offices

1 OFA02 Office, Administrative Shared- 2 person 120 120 1 0 per service request, would like 3 two person shared offices

1 OFA07 Workstation, Medium 56 56 1 0

Per service request

1 OFA07 Workstation, Medium 56 56 1 0

Per service request

1 OFA07 Workstation, Medium 56 56 1 0

Per service request

1 OFA07 Workstation, Medium 56 56 1 0

Per service request

FA Totals: Room Qty: 11 Net Area: 834 Gross Area: 1,084

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Program For Design (08 Oct 2019 02:20PM)

DERMATOLOGY & DIABETES VA CLINIC

DERMATOLOGY & DIABETES OUTPATIENT VA CLINIC

TBD

Functional Area: 2 - PATIENT

Qty Room Code Room Name Unit Area

Net Area

Const Phase

Const Type

1 WTG10 Waiting, General, 10 People 215 215 1 0

1 RECP1 Reception 120 120 1 0

1 EXRG3 Exam Room 120 120 1 0

1 EXRG3 Exam Room 120 120 1 0

1 EXAM1 Exam / Treatment Room, Foot Care 140 140 1 0

1 TPG01 Toilet, Patient, Single User, Unisex 60 60 1 0

1 TPG01 Toilet, Patient, Single User, Unisex 60 60 1 0

1 EXRG3 Exam Room 120 120 1 0

1 EXRG3 Exam Room 120 120 1 0

1 RTGR1 Group Room, Education 240 240 1 0

1 EXRG3 Exam Room 120 120 1 0

1 EXRG3 Exam Room 120 120 1 0

1 EXRG3 Exam Room 120 120 1 0

1 EXRG3 Exam Room 120 120 1 0

1 EXRG4 Exam Screening/Nurse Intake 120 120 1 0 added per service request

FA Totals: Room Qty: 15 Net Area: 1,915 Gross Area: 2,490

Privacy Act - FOR OFFICIAL USE ONLY

Program For Design (08 Oct 2019 02:20PM)

DERMATOLOGY & DIABETES VA CLINIC

Functional Area: 3 - SUPPORT

Qty Room Code Room Name Unit Area

Net Area

Const Phase

Const Type

1 USCL1 Utility Room, Soiled 80 80 1 0

1 UCCL1 Utility, Clean 60 60 1 0

1 JANC1 Housekeeping Aides Closet (HAC) 60 60 1 0

1 SRE01 Storage, Equipment 100 100 1 0

1 SRLG1 Storage Area, Logistics, clean supply 100 100 1 0

FA Totals: Room Qty: 5 Net Area: 400 Gross Area: 520

Dept Totals: Room Qty: 31 Net Area: 3,149 Gross Area: 4,094

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Program For Design (08 Oct 2019 02:20PM)

DERMATOLOGY & DIABETES VA CLINIC

Endocrinology/Diabetes Room Specific Requirements (1)

The Veteran’s Health Administration has determined that the Patient Align Care Team (PACT) concept will be implemented in all future Outpatient VA Clinic leases. Essentially the process is for the patient to arrive and be seen by care givers in a manner where the care givers come to the patient. Functions such as blood draw, nutrition/dietary advice, and pharmaceuticals will now come to the patient rather than the patient going to separate offices. Additionally, care givers will no longer have private areas, but sit in communal areas with system furniture.

The guidance for how facilities are to be created and how they will function can be found on the VA Technical Information Library, www.cfm.va.gov/TIL. It should be noted that not all of the functions identified in the PACT Guidance will be used for this specific lease.

Unless Annotated below, room finishes, equipment, furniture, door hardware and wall mounted items for each Room Code can be found in the VA Technical Information Library. Please refer to www.cfm.va.gov/til/spclRqmts.asp#room, VA PG-18-14 Room Finishes/Door and Hardware Schedule for Door Hardware/Privacy Locks specifications.

The following paragraphs identify the room/area specific requirements:

1. Endocrinology Waiting Area:

A. Main Patient Waiting Area

Room Code: WTG10 Total Programmed SF: 215 Number of Spaces: 1 VHA Provided Equipment:

- Wall Mounted Television

- Waiting Room Furniture

- Wall Mounted Wall Clock

- Wall Mounted Coat Hooks x 4 Comments:

- Power, Data Drop and Cable Television Outlet Required for Television and Patient Kiosk in this area.

2. Endocrinology Reception Area:

A. Reception

Room Code: RECP1 Total Programmed SF: 120 Number of Spaces: 1 Room Associations:

- Collocated with the Main Patient Waiting Areas

- Within eyesight of the Kiosks to aid patients.

Contractor Provided Unique Equipment:

- Power, Data and Phone Outlets for each Reception Point

- Additional data drops for Copier and Printers

- One additional analog phone outlet for emergencies http://www.cfm.va.gov/TIL http://www.cfm.va.gov/til/spclRqmts.asp#room

- Solid Surface Reception Counters VHA Provided Equipment:

- Furniture

- Computers and Monitors

- Printer

- Phones -Wall Mounted Clock with second hand Comments:

-Total SF Programmed includes Patient Check-Out.

3. Endocrinology Restrooms:

A. Patient Public Restrooms

Room Code: TPG01 Total Programmed SF: 120 Number of Spaces: 2 Total SF Each Area: 60 Room Associations:

- Must allow for Public Access

- One associated with the patient waiting area and one associated with the patient clinic area.

-Unisex Restrooms Contractor Provided Unique Equipment:

- Power Outlet

- Mirror

- Paper Towel Dispenser

- Toilet Paper Dispenser

- Electronic Liquid Antimicrobial Soap Dispenser

- Sink

- Toilet

- Patient Emergency Pull Cord for each Toilet

- Baby Changing Station -Sanitary Napkin Dispenser (Non- Coin Operated) -Sanitary Napkin Bins (in each stall) VHA Provided Equipment: (NONE) Comments:

- The Patient Emergency Pull Cord will activate an audible and visual alarm in the Provider Team Area as well as a dome light in the hallway outside the restroom.

-Trash Cans will not be built in.

B. Staff Restrooms

Room Code: TPG01 Total Programmed SF: 120 Number of Spaces: 2 Total SF Each Area: 60 Room Associations:

- Located in the Clinical Space.

- Unisex Restrooms Contractor Provided Unique Equipment:

- Power Outlet

- Mirror

- Paper Towel Dispenser

- Toilet Paper Dispenser

- Electronic Liquid Antimicrobial Soap Dispenser

- Sink

- Toilet

- Sanitary Napkin Disposal Bin VHA Provided Equipment: (NONE) Comments:

- Trash Cans will not be built-in.

4. Endocrinology Exam Rooms:

A. General Exam Rooms

Room Code: EXRG3 Total Programmed SF: 960 Number of Spaces: 8 Total SF each area: 120 Room Associations:

- Next to Provider Team Area Contractor Provided Unique Equipment:

- Power and Data Outlets (2 Data/1 Phone)

- Built-in Case Work (horizontal surface will be solid surface and the vertical surfaces plastic laminate)

- Sink built into solid surface

- Paper Towel Dispenser

- Electronic Liquid Antimicrobial Soap Dispenser

- Glove Box Holder (Holds 4 boxes of different sized gloves (Small Medium, large, Ex-large)

- Patient Coat Hooks (x2)

- Bracket for Wall Mounted Computer Work Station

- Privacy Curtain Rails

- Sharps Disposal Bracket -Wall Mounted White Board -Electronic Hand Sanitizer (alcohol based) -Two entry ways VHA Provided Equipment:

- Furniture (Exam Stool and one or two visitor chairs)

- Exam Chair/Table

- Clinical Scope (Otoscope, ophthalmoscope, blood pressure cuff, exam light, etc.)

- Wall Mounted Computer Work Station

- Privacy Curtains

- Wall Mounted Sharps Box

- Rolling storage cabinet/cart

- Phone -Wall Mounted Wall Clock with second hand Comments:

- Provide Separate entrances for the patient and the providers/clinical staff.

Figure 11.2.8, Preferred Exam Room Layout

B. Exam/Treatment/Foot Care

Room Code: EXAM1 Total Programmed SF: 140 Number of Spaces: 1 Room Associations:

- Next to Provider Team Area

Contractor Provided Unique Equipment:

- Power and Data Outlets (2 Data Drops and 1 Phone Drop)

- Built-in Case Work (horizontal surface will be solid surface and the vertical surfaces plastic laminate)

- Sink built into solid surface

- Paper Towel Dispenser

- Electronic Liquid Antimicrobial Soap Dispenser

- Glove Box Holder (Holds 4 boxes of different sized gloves (Small Medium, large, Ex-large)

- Patient Coat Hooks (x2)

- Bracket for Wall Mounted Computer Work Station

- Privacy Curtain Rails

- Sharps Disposal Bracket

- Wall Mounted White Board VHA Provided Equipment:

- Furniture (Exam Stool, Visitor Chair X 2)

- Exam Chair/Table

- Clinical Scope (Otoscope, ophthalmoscope, blood pressure cuff, exam light, etc.)

- Wall Mounted Computer Work Station

- Privacy Curtains

- Wall Mounted Sharps Box

- Rolling storage cabinet/cart

- Phone

- Wall Mounted Clock with second hand Comments:

C. Exam Screening/Nurse Intake

Room Code: EXRG4 Total Programmed SF: 120 Number of Spaces: 1 Room Associations:

- Near Reception Contractor Provided Unique Equipment:

- Sink

- Paper Towel Dispenser

- Electronic Liquid Antimicrobial Soap Dispenser

- Coat Hooks

- Bracket for Wall Mounted Computer Work Station

- Glove Box Holder (Holds 4 boxes of different sized gloves (Small Medium, large, Ex-large)

- Wall Mounted White Board

- Power and Data Outlets (2 Data Drops and 1 Phone Drop)

- Privacy Curtain Rails

- Sharps Disposal Bracket VHA Provided Equipment:

- Furniture

- Exam Chair/Table

- Clinical Scope (Otoscope, ophthalmoscope, blood pressure cuff, exam light, etc.)

- Wall Mounted Computer Work Station -Privacy Curtains

- Wall Mounted Sharps Box

- Rolling storage cabinet/cart

- Phone

- Wall Mounted Clock with second hand Comments:

- Provide separate entrances for the patient and providers/clinical staff.

5. Endocrinology Clinical Administrative Areas:

A. Office Space

Room Code: OFA09 Total Programmed SF: 100 Number of Spaces: 1 Room Associations:

- Locate near front of patient flow, centrally located between reception and clinical administration space

- Office for Clinic Manager Contractor Provided Unique Equipment:

- Coat Hooks

- Large Wall Mounted White Board

- Power and Data Outlets (2 Data Drops and 1 Phone Drop) VHA Provided Equipment:

- Furniture

- Computer and Monitor

- Phone

- Wall Mounted Clock with second hand

Comments:

- Provide duel entry into office, one for the provider and one for the patient.

- In the event of duress requirement, the provider should be able to exit the space without crossing in front of or by the patient.

Room Code: OFA02 Total Programmed SF: 360 Number of Spaces: 3 Total SF each area: 120 Room Associations:

- Locate near patient flow, centrally located between reception and clinical administration space Contractor Provided Unique Equipment:

- Coat Hooks

- Large Wall Mounted White Board

- Power and Data Outlets (2 Data Drops and 1 Phone Drop) VHA Provided Equipment:

- Furniture (Desks, Desk Chairs, Filing Cabinets, etc.)

- Computer and Monitor

- Phone

- Wall Mounted Clock with second hand Comments:

- Shared Office (2 FTEE per office)

C. Open Team Work Area

Room Code: OFA07 Total Programmed SF: 224 Number of Spaces: 4 Total SF each area: 56 Room Associations:

- Centrally Located within Leased Space Contractor Provided Unique Equipment:

- Raised Flooring for Electrical and Data distribution

- Power and Data Outlets (2 Data Drops and 1 Phone Drop) VHA Provided Equipment:

- Furniture (Systems Furniture/Cubicles/Desk Chairs/Visitor Chairs, Filing Cabinets, etc.)

- Wall Mounted clock with second hand

- Computers and Monitors

- Phones Comments:

- The power and data outlets shall be incorporated into the raised floor with sufficient whips to allow for relocating into another raised floor section 5 feet in any direction.

- Area must have direct natural light

6. Endocrinology Multi-Purpose Rooms:

A. Group Room, Education

Room Code: RTGR1 Total Programmed SF: 240 Number of Spaces: 1 Room Associations:

- Located along the path to Exam Rooms.

Contractor Provided Unique Equipment:

- Power and Data Outlets (2 Data Drops and 1 Phone Drop); one power and data outlet to be ceiling mounted for projector.

- Drop down Screen for projector viewing VHA Provided Equipment:

- Furniture (Conference Room Table/Chairs, Computer Stand, etc.)

- Ceiling Mounted Projector -Wall mounted clock with second hand -Computer and Monitor

- Phone

B. Staff Locker Area

Room Code: LR001 Total Programmed SF: 30 Number of Spaces: 1 Room Associations:

- Located near the open clinical administrative areas

- Can be co-located with community staff lounge. Staff to decide Contractor Provided Unique Equipment:

- 2 Person Side by Side Lockers VHA Provided Equipment:

-Wall Clock with second hand

7. Endocrinology Support Areas:

A. Equipment Storage

Room Code: SRE01 Total Programmed SF: 100 Number of Spaces: 1 Room Associations: Close Proximity to Team Work Area.

Contractor Provided Unique Equipment: N/A VHA Provided Equipment:

N/A Comments: (NONE)

B. Utility Room, Clean

Room Code: UCCL1 Total Programmed SF: 60 Number of Spaces: 1 Room Associations:

-Close Proximity to Team Work Area Contractor Provided Unique Equipment: N/A VHA Provided Equipment: N/A Comments: N/A

C. Clean Supplies Storage

Room Code: SRLG1 Total Programmed SF: 100 Number of Spaces: 1 Room Associations:

- Close Proximity to Exam Rooms

- Close to Clean Utility Room

Power and Data Outlets (2 Data Drops)

- Pyxis Comments: Space is required have humidity and temperature controlled and monitored independently of other spaces.

D. Utility Room, Soiled

Room Code: USCL1 Total Programmed SF: 80 Number of Spaces: 1 Room Associations:

- Close Proximity to Exam Rooms

- Near rear of clinic

- Close to Clean Utility Room Contractor Provided Unique Equipment:

- Sink

- Paper Towel Dispenser

- Liquid Soap Dispenser

- 1 Power Outlet VHA Provided Equipment: (NONE) Comments: (NONE)

E. Closet, Housekeeping

Room Code: JANC1 Total Programmed SF: 60 Number of Spaces: 1 Room Associations: (NONE) Contractor Provided Unique Equipment:

- Floor Mounted Mop Sink

- Mop Hanger Bar

- Shelving for Liquid and Cleaning Supplies VHA Provided Equipment: (NONE) Comments:

- Program space is 60 SF if VA is Sole User of the building, otherwise, this space is not included in the lease space program

8. Medical Center Shared Support Spaces:

A. Fire Alarm/Fire Suppression/Security-Comm

Room Code: N/A Total Programmed SF: 50 Number of Spaces: 1 Room Associations:

- Close to an entrance to allow for Authority Having Jurisdiction easy access.

- DO NOT collocated with the electrical Rooms/Closets VHA Provided Equipment: (NONE) Comments:

- Design of the space must follow VA Design Guides found in the VA Technical Information Library, www.cfm.va.gov/TIL

B. Mechanical Room

Room Code: MECH1 Total Programmed SF: 110 Number of Spaces: 1 Room Associations:

DO NOT Collocate with Housekeeping Closet VHA Provided Equipment: (NONE) Comments:

- Design of the space must follow VA Design Guides found in the VA Technical Information Library, www.cfm.va.gov/TIL

C. Conference Room

Room Code: CFR02 Total Programmed SF: 300 Number of Spaces: 1 Room Associations:

Centrally located within Leased space due to one conference space per lease and shared by two clinics.

Contractor Provided Unique Equipment:

Large Wall Mounted White Board Power and Data/Phone Outlets (2 data/1 phone) VHA Provided Equipment:

Furniture Wall Clock with Second Hand Tele-Video Tele-Conferencing Phone Comments:

Room requires Tele-Video Capability Design of the space must follow VA Design Guides found in the VA Technical Information Library, www.cfm.va.gov/TIL

D. Staff Lounge

Room Code: SSLG1 Total Programmed SF: 250 Number of Spaces: 1 Room Associations:

- Could be adjacent to staff lockers

- Near, but not abutting the staff restrooms

- Centrally located within Leased space due to one conference space per lease and shared by two clinics.

Contractor Provided Unique Equipment:

- Power and Data Outlets (2 Data Drops and 1 Phone Drop)

- Wall mounted telephone bracket with Phone drop

- Solid Surface Countertop with built in double sink

- Plastic Laminate Casework above and below the sink

- Ice machine Water Supply and Drain

- Large Bulletin Board (Glass Cased) for Official Office Publications

- Electronic Liquid Antimicrobial Soap Dispenser

- Paper Towel Dispenser

VHA Provided Equipment:

- Wall Mounted Phone

- Microwave

- Refrigerator with Ice Maker

- Furniture (Eating tables and stackable chairs, side table) -Wall mounted clock with second hand Comments:

This is a shared staff lounge.

E. Closet, Data

Room Code: COMC1 Total Programmed SF: 120 Number of Spaces: 1 Room Associations:

- DO NOT Collocate with any other function

- Near rear entrance of building to allow access without going through the clinical spaces.

Contractor Provided Unique Equipment: - Please refer to Exhibits titled "Agency Specific Requirements, Room Data Matrix, and Infrastructure Standard for Telecom Spaces for further details on Lessor requirements.

VHA Provided Equipment:

- VA Data Switch/server Comments:

- May be the same room as the Facility DMARC Room only if the entire building space is leased by the VA, otherwise must be separate space with owner provided connectivity to the DMARC location.

- No water, steam or other liquid utility may be located above or within the walls of the Telecommunication Room (Exception is for fire suppression is a VA requirements for this room).

9. CONCEPTUAL PLAN

The below conceptual plan is the standard layout for a PACT Outpatient Clinic. Based on specific VA St Louis Health Care System needs, the rooms/areas identified in this document do not match the conceptual plan specifically e.g., plan shows less number of exam rooms, etc. For bidding purposes, use the conceptual plan as a guideline while the specific requirements by room will be used in the final costs.

Department: 2 - DERMATOLOGY

Qty Room Code Room Name Unit Area

Net Area

Const Phase

Const Type

1 OFA09 Office, Medium 100 100 1 0

Clinic Manager -1 Office, Physicians- 3 Offices.

Requested change per Service Chief, Dr. Hornstra

1 OFA07 Workstation, Medium 56 56 1 0

Workstations for 5 Residents and 5 Nurses.

1 OFA07 Workstation, Medium 56 56 1 0

Workstations for 5 Residents and 5 Nurses.

1 OFA07 Workstation, Medium 56 56 1 0

Workstations for 5 Residents and 5 Nurses.

1 OFA07 Workstation, Medium 56 56 1 0

Workstations for 5 Residents and 5 Nurses.

1 OFA07 Workstation, Medium 56 56 1 0

Workstations for 5 Residents and 5 Nurses.

1 OFA07 Workstation, Medium 56 56 1 0

Workstations for 5 Residents and 5 Nurses.

1 OFA07 Workstation, Medium 56 56 1 0

Workstations for 5 Residents and 5 Nurses.

1 OFA07 Workstation, Medium 56 56 1 0

Workstations for 5 Residents and 5 Nurses.

1 OFA07 Workstation, Medium 56 56 1 0

Workstations for 5 Residents and 5 Nurses.

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Program For Design (08 Oct 2019 02:20PM)

DERMATOLOGY & DIABETES VA CLINIC

Qty Room Code Room Name Unit Area

Net Area

Const Phase

Const Type

1 OFA07 Workstation, Medium 56 56 1 0

Workstations for 5 Residents and 5 Nurses.

1 TNPG1 Toilet, Staff, Unisex 60 60 1 0

1 TNPG1 Toilet, Staff, Unisex 60 60 1 0

1 LR001 Lockers, Personal Property 48 (30) 48 1 0

1 OFA09 Office, Medium 100 100 1 0

Clinic Manager -1 Office, Physicians- 3 Offices.

Requested change per Service Chief, Dr. Hornstra

1 OFA09 Office, Medium 100 100 1 0

Clinic Manager -1 Office, Physicians- 3 Offices.

Requested change per Service Chief, Dr. Hornstra

1 OFA09 Office, Medium 100 100 1 0

Clinic Manager -1 Office, Physicians- 3 Offices.

Requested change per Service Chief, Dr. Hornstra

FA Totals: Room Qty: 17 Net Area: 1,128 Gross Area: 1,466

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Program For Design (08 Oct 2019 02:20PM)

DERMATOLOGY & DIABETES VA CLINIC

Functional Area: 2 - PATIENT

Qty Room Code Room Name Unit Area

Net Area

Const Phase

Const Type

1 EXRG3 Exam Room 120 120 1 0

1 EXRG3 Exam Room 120 120 1 0

1 EXRG3 Exam Room 120 120 1 0

1 EXRG3 Exam Room 120 120 1 0

1 EXRG3 Exam Room 120 120 1 0

1 EXRG3 Exam Room 120 120 1 0

1 RCED2 Reception/ Check-In 200

(240) 200 1 0

2 MSA's plus space for copier

1 EXRG4 Exam Screening/Nurse Intake 120 120 1 0

1 TPB01 Toilet, Patient Single User, Bariatric/Unisex 75 75 1 0

1 TPG01 Toilet, Patient, Single User, Unisex 60 60 1 0

1 PDU1 Treatment Room, Phototherapy 130 (0) 130 1 0

1 PDU1 Treatment Room, Phototherapy 130 (0) 130 1 0

1 TRGS1 Treatment, General Surgical, Moh's 175 175 1 0

1 TRGS1 Treatment, General Surgical, Moh's 175 175 1 0

1 TRGS1 Treatment, General Surgical, Moh's 175 175 1 0

1 WTG20 Waiting, General, 20 People 415 415 1 0

1 LBDE1 Laboratory, Dermatology/Moh's 140

(120) 140 1 0

FA Totals: Room Qty: 17 Net Area: 2,515 Gross Area: 3,270

Privacy Act - FOR OFFICIAL USE ONLY

Program For Design (08 Oct 2019 02:20PM)

DERMATOLOGY & DIABETES VA CLINIC

Functional Area: 3 - SUPPORT

Qty Room Code Room Name Unit Area

Net Area

Const Phase

Const Type

1 USCL1 Utility Room, Soiled 80 80 1 0

1 UCCL1 Utility, Clean 60 60 1 0

1 JANC1 Housekeeping Aides Closet (HAC) 60 60 1 0

1 CSMR1 Medication Room 80 80 1 0

1 SRE01 Storage, Equipment 100 100 1 0

1 SRLG1 Storage Area, Logistics 100 100 1 0

Clean Supply Storage

FA Totals: Room Qty: 6 Net Area: 480 Gross Area: 624

Dept Totals: Room Qty: 40 Net Area: 4,123 Gross Area: 5,360

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Program For Design (08 Oct 2019 02:20PM)

DERMATOLOGY & DIABETES VA CLINIC

Dermatology Room Specific Requirements (2)

The Veteran’s Health Administration has determined that the Patient Align Care Team (PACT) concept will be implemented in all future Outpatient VA Clinic leases. Essentially the process is for the patient to arrive and be seen by care givers in a manner where the care givers come to the patient. Functions such as blood draw, nutrition/dietary advice, and pharmaceuticals will now come to the patient rather than the patient going to separate offices. Additionally, care givers will no longer have private areas, but sit in communal areas with system furniture.

The guidance for how facilities are to be created and how they will function can be found on the VA Technical Information Library, www.cfm.va.gov/TIL. It should be noted that not all of the functions identified in the PACT Guidance will be used for this specific lease.

Unless Annotated below, room finishes, equipment, furniture, door hardware and wall mounted items for each Room Code can be found in the VA Technical Information Library. Please refer to www.cfm.va.gov/til/spclRqmts.asp#room, VA PG-18-14 Room Finishes/Door and Hardware Schedule for Door Hardware/Privacy Locks specifications.

The following paragraphs identify the room/area specific requirements:

1. Dermatology Waiting Area:

A. Main Patient Waiting Area

Room Code: WTG20 Total Programmed SF: 415 Number of Spaces: 1 VHA Provided Equipment:

- Wall Mounted Television

- Waiting Room Furniture

- Wall Mounted Wall Clock

- Wall Mounted Coat Hooks x 4 Comments:

- Power, Data Drop and Cable Television Outlet Required for Television and Patient Kiosk in this area.

2. Dermatology Reception Area:

A. Reception

Room Code: RCED2 Total Programmed SF: 200

Room Associations:

- Collocated with the Main Patient Waiting Areas

- Within eyesight of the Kiosks to aid patients.

Contractor Provided Unique Equipment:

- Power, Data and Phone Outlets for each Reception Point

- Additional data drops for Copier and Printers

- One additional analog phone outlet for emergencies http://www.cfm.va.gov/til/spclRqmts.asp#room

- Solid Surface Reception Counters

- Furniture

- Computers and Monitors

- Printer

- Phones -Wall Mounted Clock with second hand Comments:

-Total SF Programmed includes Patient Check-Out.

-Two MSA’s plus Copier Space

3. Dermatology Restrooms:

A. Patient Public Restrooms

Room Code: TPG01 Total Programmed SF: 60

Room Associations:

- Must allow for Public Access

- Associated with the patient clinic area.

-Unisex Restrooms Contractor Provided Unique Equipment:

- Power Outlet

- Mirror

- Paper Towel Dispenser

- Toilet Paper Dispenser

- Electronic Liquid Antimicrobial Soap Dispenser

- Sink

- Toilet

- Patient Emergency Pull Cord for each Toilet

- Baby Changing Station -Sanitary Napkin Dispenser (Non- Coin Operated) -Sanitary Napkin Bins (in each stall) VHA Provided Equipment: (NONE) Comments:

- The Patient Emergency Pull Cord will activate an audible and visual alarm in the Provider Team Area as well as a dome light in the hallway outside the restroom.

-Trash Cans will not be built in.

Room Code: TPB01 Total Programmed SF: 75

Room Associations:

- Must allow for Public Access

- Associated with the patient waiting area.

-Unisex Restrooms Contractor Provided Unique Equipment:

- Power Outlet

- Mirror

- Paper Towel Dispenser

- Toilet Paper Dispenser

- Electronic Liquid Antimicrobial Soap Dispenser

- Sink

- Toilet

- Patient Emergency Pull Cord for each Toilet

- Baby Changing Station -Sanitary Napkin Dispenser (Non- Coin Operated) -Sanitary Napkin Bins (in each stall) VHA Provided Equipment: (NONE) Comments:

- The Patient Emergency Pull Cord will activate an audible and visual alarm in the Provider Team Area as well as a dome light in the hallway outside the restroom.

-Trash Cans will not be built in.

B. Staff Restrooms

Room Code: TPG01 Total Programmed SF: 120 Number of Spaces: 2 Total SF Each Area: 60 Room Associations:

- Located in the Clinical Space.

- Unisex Restrooms Contractor Provided Unique Equipment:

- Power Outlet

- Mirror

- Paper Towel Dispenser

- Toilet Paper Dispenser

- Electronic Liquid Antimicrobial Soap Dispenser

- Sink

- Toilet

- Sanitary Napkin Disposal Bin VHA Provided Equipment: (NONE)

- Trash Cans will not be built-in.

4. Dermatology Exam Rooms:

A. General Exam Rooms

Room Code: EXRG3 Total Programmed SF: 720 Number of Spaces: 6 Total SF each area: 120 Room Associations:

- Next to Provider Team Area Contractor Provided Unique Equipment:

- Power and Data Outlets (2 Data/1 Phone)

- Built-in Case Work (horizontal surface will be solid surface and the vertical surfaces plastic laminate)

- Sink built into solid surface

- Paper Towel Dispenser

- Electronic Liquid Antimicrobial Soap Dispenser

- Glove Box Holder (Holds 4 boxes of different sized gloves (Small Medium, large, Ex-large)

- Patient Coat Hooks (x2)

- Bracket for Wall Mounted Computer Work Station

- Privacy Curtain Rails

- Sharps Disposal Bracket -Wall Mounted White Board -Electronic Hand Sanitizer (alcohol based)

-Two entry ways

- Furniture (Exam Stool and one or two visitor chairs)

- Exam Chair/Table

- Clinical Scope (Otoscope, ophthalmoscope, blood pressure cuff, exam light, etc.)

- Wall Mounted Computer Work Station

- Privacy Curtains

- Wall Mounted Sharps Box

- Rolling storage cabinet/cart

- Phone -Wall Mounted Wall Clock with second hand Comments:

Figure 11.2.8, Preferred Exam Room Layout

B. Treatment Room, Phototherapy

Room Code: PDU1 Total Programmed SF: 260 Number of Spaces: 2 Total SF each area: 130 Room Associations:

- Next to Provider Team Area

Contractor Provided Unique Equipment:

- Power and Data Outlets (2 Data Drops and 1 Phone Drop)

- Built-in Case Work (horizontal surface will be solid surface and the vertical surfaces plastic laminate)

- Sink built into solid surface

- Paper Towel Dispenser

- Electronic Liquid Antimicrobial Soap Dispenser

- Glove Box Holder (Holds 4 boxes of different sized gloves (Small Medium, large, Ex-large)

- Patient Coat Hooks (x2)

- Bracket for Wall Mounted Computer Work Station

- Privacy Curtain Rails

- Sharps Disposal Bracket

- Furniture (Exam Stool, Visitor Chair X 2)

- Exam Chair/Table

- Clinical Scope (Otoscope, ophthalmoscope, blood pressure cuff, exam light, etc.)

- Wall Mounted Computer Work Station

- Privacy Curtains

- Wall Mounted Sharps Box

- Rolling storage cabinet/cart

- Phone

- Wall Mounted Clock with second hand Comments:

C. Exam Screening/Nurse Intake

Room Code: EXRG4 Total Programmed SF: 120

Room Associations:

- Near Reception Contractor Provided Unique Equipment:

- Sink

- Paper Towel Dispenser

- Electronic Liquid Antimicrobial Soap Dispenser

- Coat Hooks

- Bracket for Wall Mounted Computer Work Station

- Glove Box Holder (Holds 4 boxes of different sized gloves (Small Medium, large, Ex-large)

- Wall Mounted White Board

- Power and Data Outlets (2 Data Drops and 1 Phone Drop)

- Privacy Curtain Rails

- Sharps Disposal Bracket VHA Provided Equipment:

- Furniture

- Exam Chair/Table

- Clinical Scope (Otoscope, ophthalmoscope, blood pressure cuff, exam light, etc.)

- Wall Mounted Computer Work Station -Privacy Curtains

- Wall Mounted Sharps Box

- Rolling storage cabinet/cart

- Phone

- Wall Mounted Clock with second hand Comments:

- Provide separate entrances for the patient and providers/clinical

D. Treatment, General Surgical, Moh’s

Room Code: TRGS1 Total Programmed SF: 525 Number of Spaces: 3 Total SF each area: 175

Room Associations: Next to Provider Team Area

- Sink

- Paper Towel Dispenser

- Electronic Liquid Antimicrobial Soap Dispenser

- Coat Hooks

- Bracket for Wall Mounted Computer Work Station

- Glove Box Holder (Holds 4 boxes of different sized gloves (Small Medium, large, Ex-large)

- Wall Mounted White Board

- Power and Data Outlets (2 Data Drops and 1 Phone Drop)

- Privacy Curtain Rails

- Sharps Disposal Bracket VHA Provided Equipment:

- Furniture

- Exam Chair/Table

- Clinical Scope (Otoscope, ophthalmoscope, blood pressure cuff, exam light, etc.)

- Wall Mounted Computer Work Station -Privacy Curtains

- Wall Mounted Sharps Box

- Rolling storage cabinet/cart

- Phone

- Wall Mounted Clock with second hand Comments:

- Provide separate entrances for the patient and providers/clinical staff.

- VHA Provided Equipment and Contractor Provided Unique Equipment listed above is not all inclusive.

5. Dermatology Laboratory, Moh’s:

Room Code: LBDE1 Total Programmed SF: 140

Room Associations:

- As far away as possible from the staff Break Room Contractor Provided Unique Equipment:

- Solid Surface Countertop

- Cabinetry

- Countertop Quad Power Outlets and Data Outlets (3 Data Drops and 1 Phone Drop Each)

- Wall power outlets and Data Outlet (2 Data Drops & 1 Phone Drop Each)

- Two Separate Sinks in Countertop

- Emergency Eye Wash Station (Independent of Sink Water Supply) -Shelving for medical equipment

- Electronic Liquid Antimicrobial Soap Dispenser VHA Provided Equipment:

- Label Printers

- Document Printer

- Computers and Monitors

- Phones

- Medical Refrigerator

- Centrifuges

- Furniture

- VHA Provided Equipment and Contractor Provided Unique Equipment listed above is not all inclusive.

6. Dermatology Clinical Administrative Areas:

A. Office Space

Room Code: OFA09 Total Programmed SF: 400 Number of Spaces: 4 Total SF each area: 100 Room Associations:

- Locate near front of patient flow, centrally located between reception and clinical administration space

- Office for Clinic Manager and Physicians Contractor Provided Unique Equipment:

- Coat Hooks

- Large Wall Mounted White Board

- Power and Data Outlets (2 Data Drops and 1 Phone Drop) VHA Provided Equipment:

- Furniture

- Computer and Monitor

- Phone

- Wall Mounted Clock with second hand Comments:

- Provide duel entry into office, one for the provider and one for the patient.

- In the event of duress requirement, the provider should be able to exit the space without crossing in front of or by the patient.

B. Open Team Work Area

Room Code: OFA07 Total Programmed SF: 560 Number of Spaces: 10 Total SF each area: 56 Room Associations:

- Centrally Located within Dermatology Footprint Contractor Provided Unique Equipment:

- Raised Flooring for Electrical and Data distribution

- Power and Data Outlets (2 Data Drops and 1 Phone Drop) VHA Provided Equipment:

- Furniture (Systems Furniture/Cubicles/Desk Chairs/Visitor Chairs, Filing Cabinets, etc.)

- Wall Mounted clock with second hand

- Computers and Monitors

- Phones Comments:

- The power and data outlets shall be incorporated into the raised floor with sufficient whips to allow for relocating into another raised floor section 5 feet in any direction.

- Area must have direct natural light

- Workstations for 5 Residents and 5 Nurses

7. Dermatology Multi-Purpose Rooms:

A. Staff Locker Area

Room Code: LR001 Total Programmed SF: 48

Room Associations:

- Located near the open clinical administrative areas

- Can be co-located with community staff lounge. Staff to decide Contractor Provided Unique Equipment:

- 2 Person Side by Side Lockers

-Wall Clock with second hand

8. Dermatology Support Areas:

A. Equipment Storage

Room Code: SRE01 Total Programmed SF: 100

Room Associations: Close Proximity to Team Work Area.

Contractor Provided Unique Equipment: N/A VHA Provided Equipment:

N/A Comments: (NONE)

B. Utility Room, Clean

Room Code: UCCL1 Total Programmed SF: 60

Room Associations:

-Close Proximity to Team Work Area Contractor Provided Unique Equipment: N/A VHA Provided Equipment: N/A Comments: N/A

C. Clean Supply Storage

Room Code: SRLG1 Total Programmed SF: 100

Room Associations:

- Close Proximity to Exam Rooms

- Close to Clean Utility Room Contractor Provided Unique Equipment:

Power and Data Outlets (2 Data Drops) VHA Provided Equipment:

- Pyxis Comments: Space is required have humidity and temperature controlled and monitored independently of other spaces.

D. Utility Room, Soiled

Room Code: USCL1 Total Programmed SF: 80

Room Associations:

- Close Proximity to Exam Rooms

- Near rear of clinic

- Close to Clean Utility Room Contractor Provided Unique Equipment:

- Sink

- Paper Towel Dispenser

- Liquid Soap Dispenser

- 1 Power Outlet VHA Provided Equipment: (NONE)

E. Closet, Housekeeping

Room Code: JANC1 Total Programmed SF: 60

Room Associations: (NONE) Contractor Provided Unique Equipment:

- Floor Mounted Mop Sink

- Mop Hanger Bar

- Shelving for Liquid and Cleaning Supplies VHA Provided Equipment: (NONE) Comments:

- Program space is 60 SF if VA is Sole User of the building, otherwise, this space is not included in the lease space program

F. Medication Room

Room Code: CSMR1 Total Programmed SF: 80

Room Associations:

- Located along the path to exam rooms Contractor Provided Unique Equipment:

- Sink built into solid surface

- Paper Towel Dispenser

- Electronic Liquid Antimicrobial Soap Dispenser

- Glove Box Holder (Holds 4 boxes of different sized gloves (Small Medium, large, Ex-large) -Sharps Disposal Bracket -PIV Access VHA Provided Equipment:

-Medical Grade Refrigerator -Wall Mounted Clock with second hand

9. CONCEPTUAL PLAN

The below conceptual plan is the standard layout for a PACT Outpatient Clinic. Based on specific VA St Louis Health Care System needs, the rooms/areas identified in this document do not match the conceptual plan specifically e.g., plan shows less number of exam rooms, etc. For bidding purposes, use the conceptual plan as a guideline while the specific requirements by room will be used in the final costs.

Department: 3 - MEDICAL CENTER

Functional Area: 1 - SUPPORT

Qty Room Code Room Name Unit Area

Net Area

Const Phase

Const Type

1 COMC1 Data Closet/Telephone 120 120 1 0

Shared data closet for entire lease

1 COM03 Communications, Security, Central Alarm 50 50 1 0

Do not co-locate with housekeeping closet. Programmed space if VA is sole user of the building, otherwise, this space is not included in the lease space program.

1 CFR02 Conference Room, 10 people 300 300 1 0

Shared Conference Room within the Leased space

1 MECH1 Mechanical Room 110 110 1 0

Do not co-locate with housekeeping closet. Programmed space if VA is sole user of the building, otherwise, this space is not included in the lease space program.

1 SSLG1 Staff Lounge 250

(140) 250 1 0

Shared staff lounge within the leased space.

FA Totals: Room Qty: 5 Net Area: 830 Gross Area: 1,121

Dept Totals: Room Qty: 5 Net Area: 830 Gross Area: 1,121

Bldg Totals: Room Qty: 76 Net Area: 8,102 Sum of Dept Gross Area: Gross Area: 14,27510,574

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Program For Design (08 Oct 2019 02:20PM)

DERMATOLOGY & DIABETES VA CLINIC

Department Area Summary (NSF/GSF)

Department Total NSF Total GSF

1 - ENDOCRINOLOGY (NTG Factor: 1.30) 3,149 4,094

2 - DERMATOLOGY (NTG Factor: 1.30) 4,123 5,360

3 - MEDICAL CENTER (NTG Factor: 1.35) 830 1,121

Totals: 8,102 10,574

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Program For Design (08 Oct 2019 02:20PM)

DERMATOLOGY & DIABETES VA CLINIC

Department Area Summary (GSF) - Current and Standard Gross Comparison

Department Current GSF Standard GSF

1 - ENDOCRINOLOGY (Curr NTG Factor: 1.30 / Std NTG Factor: 1.30) 4,094 4,094

2 - DERMATOLOGY (Curr NTG Factor: 1.30 / Std NTG Factor: 1.30) 5,360 5,360

3 - MEDICAL CENTER (Curr NTG Factor: 1.35 / Std NTG Factor: 1.35) 1,121 1,121

Totals: 10,574 10,574

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Program For Design (08 Oct 2019 02:20PM)

DERMATOLOGY & DIABETES VA CLINIC