S02. Exhibit 2a - BuringtonSummary Space Plan for 3 Teamlets 20231115.xlsx
XLSX spreadsheet 25 KB Posted
- Solicitation number
- 36C26324R0033
About this file
This document appears to be a space plan for a new Community Based Outpatient Clinic (CBOC) in Burlington, Iowa for the Department of Veterans Affairs (VA). The space plan outlines the detailed requirements for various clinic areas including patient care, reception, administrative, support, and specialty service spaces across approximately 19,400 rentable square feet. The plan references a previously approved out-of-cycle SCIP (Strategic Capital Investment Planning) space approval of 13,000 net usable square feet.
The related federal contract opportunity is a Request for Proposal (RFP) issued by the VA Veterans Health Administration for a new leased CBOC facility in Burlington, IA to replace an existing CBOC. The RFP solicitation number is 36C26324R0033. The RFP seeks proposals for a medical lease space to house the new CBOC facility. The RFP provides details on the required clinic spaces and specifications outlined in the space plan document.
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Text version
7-28-17
| Ottumwa CBOC Summary Space Requirements (1 PACT Module) 7/28/17 | ||||
| Space | Qty | Net SF | Total NUSF | Rentable SF |
| Patient Area | ||||
| Standard Exam Rooms | 6 | 120 | 720 | 1,087 |
| Womens Health Exam | 1 | 120 | 120 | 181 |
| Womens Health Toilet | 1 | 60 | 60 | 91 |
| Womens Health/Bariatric Exam Rooms w/ overhead lift | 1 | 150 | 150 | 227 |
| Women's Health/Bariatric Exam Toliet | 1 | 90 | 90 | 136 |
| Acute Treatment Rooms | 2 | 150 | 300 | 453 |
| Consult Family Rooms w/ wall mount V-Tel | 4 | 120 | 480 | 725 |
| Height & Weight Station | 2 | 30 | 60 | 91 |
| Unisex Patient Toilet | 3 | 50 | 150 | 227 |
| Unisex Patient Toilet with shower | 1 | 75 | 75 | 113 |
| PACT Teamlet Work Area (Provider, RN, LPN, MSA) | 4 | 250 | 1,000 | 1,510 |
| PACT Neighbor Team Room (SW, Dietitian, Pharmacist) | 1 | 250 | 250 | 378 |
| Admin. Storage & Copy Area | 1 | 100 | 100 | 151 |
| Team Work Room | 1 | 150 | 150 | 227 |
| Reception Area | ||||
| Vestibule | 1 | 100 | 100 | 151 |
| Wheelchair Storage | 1 | 50 | 50 | 76 |
| Waiting/Comons | 1 | 1,000 | 1,000 | 1,510 |
| Kiosk - Patient Check-in | 2 | 50 | 100 | 151 |
| My HealtheVet | 1 | 50 | 50 | 76 |
| Veterans Identification Processing | 1 | 100 | 100 | 151 |
| Reception | 1 | 150 | 150 | 227 |
| Police & Security Operations Room | 1 | 100 | 100 | 151 |
| Male Public Toilets | 1 | 225 | 225 | 340 |
| Female Public Toilets | 1 | 225 | 225 | 340 |
| Staff and Administrative Areas | ||||
| Admin. Work Area (to include Mail) | 1 | 200 | 200 | 302 |
| Locker Alcove, Clinical Staff Personal Property | 2 | 100 | 200 | 302 |
| Break Room | 1 | 350 | 350 | 529 |
| Lactation Room | 1 | 50 | 50 | 76 |
| Unisex Staff Toilet | 4 | 50 | 200 | 302 |
| Support Areas | ||||
| Medication Room | 1 | 120 | 120 | 181 |
| Dirty Utility | 1 | 80 | 80 | 121 |
| General Storage | 1 | 150 | 150 | 227 |
| Telephone & IT Closet | 1 | 100 | 100 | 151 |
| Special Systems Room (Fire, Code Green, Nurse Call | 1 | 80 | 80 | 121 |
| Education Area | ||||
| V-Tel/Conference Room w/sink | 1 | 400 | 400 | 604 |
| V-Tel/Conference Room | 1 | 200 | 200 | 302 |
| Conference Room Storage | 1 | 100 | 100 | 151 |
| Acquisition and Material Management | ||||
| Clean Storage | 1 | 150 | 150 | 227 |
| Equipment Storage | 1 | 150 | 150 | 227 |
| Telehealth | ||||
| Telehealth Exam Rooms w/V-Tel | 2 | 150 | 300 | 453 |
| Laboratory | ||||
| Laboratory/Blood Draw | 1 | 500 | 500 | 755 |
| Lab Toilet | 2 | 50 | 100 | 151 |
| Physical Therapy | ||||
| Physical Therapy Gym | 1 | 700 | 700 | 1,057 |
| Physical Therapy Treatment (small) | 1 | 120 | 120 | 181 |
| Physical Therapy Treatment (large) | 1 | 150 | 150 | 227 |
| Physical Therapy Storage | 1 | 100 | 100 | 151 |
| Mental Health Program | ||||
| Mental Health Team Room (5 workstations) | 1 | 250 | 250 | 378 |
| Dedicated MH Exam | 5 | 100 | 500 | 755 |
| Mental Health Clinical Video Telehealth | 2 | 80 | 160 | 242 |
| Radiology | ||||
| Procedure including Control Room, Changing Room, Sink | 1 | 450 | 450 | 680 |
| Home Based Primary Care | ||||
| HBPC Team Room (10 work stations) | 1 | 300 | 300 | 453 |
| HBPC Storage | 1 | 100 | 100 | 151 |
| Ancillary/Specialty Services | ||||
| Audiology (hearing aid fit, repair) extra sound insulation & quiet location | 1 | 120 | 120 | 181 |
| Podiatrist Exam | 2 | 120 | 240 | 362 |
| Clinic Management | ||||
| Clinic Manager Office | 1 | 120 | 120 | 181 |
| Sum of Space | 12,545 | 18,943 | ||
| Total Rentable SF | 18,943 |
Circulation Factor of 1.51 used for all spaces
| Out of Cycle SCIP Approved Space = 13,000 NUSF |
| (Out of Cycle SCIP submitted 8-22-2016 (VHA23-636A8-2018-34638) |
2 Providers now
03-29-2022
| Burlington CBOC Summary Space Requirements (3 PACT Teamlets) 03/29/2022 | ||||||
| Item # | Space | Qty | Net SF | Total NSF | NUSF | |
| A | Patient Area | |||||
| A1 | Standard Exam Rooms | 5 | 120 | 600 | 810 | |
| A2 | Womens Health Exam | 0 | 120 | 0 | 0 | |
| A3 | Womens Health Toilet | 0 | 60 | 0 | 0 | |
| A4 | Bariatric Exam Rooms | 1 | 150 | 150 | 203 | |
| A5 | Bariatric Exam Toliet | 1 | 90 | 90 | 122 | |
| A6 | Acute Treatment Rooms | 2 | 150 | 300 | 405 | |
| A7 | Consult Family Rooms w/ wall mount V-Tel | 3 | 120 | 360 | 486 | |
| A8 | Height & Weight Station | 1 | 30 | 30 | 41 | |
| A9 | Unisex Patient Toilet | 2 | 50 | 100 | 135 | |
| A10 | Unisex Patient Toilet with shower | 1 | 75 | 75 | 101 | |
| A11 | PACT Teamlet Work Area (Provider, RN, LPN, MSA) | 3 | 250 | 750 | 1,013 | |
| A12 | PACT Neighbor Team Room (SW, Dietitian, Pharmacist) | 1 | 250 | 250 | 338 | |
| A13 | Admin. Storage & Copy Area | 1 | 100 | 100 | 135 | |
| A14 | Team Work Room | 1 | 150 | 150 | 203 | |
| B | Reception Area | 0 | ||||
| B1 | Vestibule | 1 | 100 | 100 | 135 | |
| B2 | Wheelchair Storage | 1 | 50 | 50 | 68 | |
| B3 | Waiting/Comons | 1 | 550 | 550 | 743 | |
| B4 | Kiosk - Patient Check-in | 2 | 50 | 100 | 135 | |
| B5 | My HealtheVet | 1 | 50 | 50 | 68 | |
| B6 | Veterans Identification Processing | 1 | 100 | 100 | 135 | |
| B7 | Reception | 1 | 200 | 200 | 270 | |
| B8 | Police & Security Operations Room | 0 | 100 | 0 | 0 | |
| B9 | Volunteer Area | 1 | 80 | 80 | 108 | Requested by Voluntary Services: POC - Caesar Emano |
| B10 | Male Public Toilets | 1 | 225 | 225 | 304 | |
| B11 | Female Public Toilets | 1 | 225 | 225 | 304 | |
| B12 | Family Toilet | 1 | 75 | 75 | 101 | |
| C | Staff and Administrative Areas | 0 | ||||
| C1 | Admin. Work Area (to include Mail) | 1 | 200 | 200 | 270 | |
| C2 | Locker Alcove, Clinical Staff Personal Property | 2 | 100 | 200 | 270 | |
| C3 | Break Room | 1 | 300 | 300 | 405 | |
| C4 | Lactation Room | 1 | 50 | 50 | 68 | |
| C5 | Unisex Staff Toilet | 3 | 50 | 150 | 203 | |
| D | Support Areas | 0 | ||||
| D1 | Medication Room | 1 | 120 | 120 | 162 | |
| D2 | Dirty Utility | 1 | 80 | 80 | 108 | |
| D3 | General Storage | 1 | 150 | 150 | 203 | |
| D4 | Telephone & IT Closet | 1 | 120 | 120 | 162 | |
| D5 | Special Systems Room (Fire, Code Green, Nurse Call | 1 | 100 | 100 | 115 | |
| E | Education Area | 0 | ||||
| E1 | V-Tel/Conference Room w/sink | 1 | 400 | 400 | 540 | |
| E2 | V-Tel/Conference Room | 1 | 200 | 200 | 270 | |
| E3 | Conference Room Storage | 1 | 100 | 100 | 135 | |
| F | Acquisition and Material Management | 0 | ||||
| F1 | Clean Storage | 1 | 150 | 150 | 203 | |
| F2 | Equipment Storage | 1 | 150 | 150 | 203 | |
| G | Telehealth | 0 | ||||
| G1 | Telehealth Exam Rooms w/V-Tel | 2 | 150 | 300 | 405 | |
| H | Laboratory | 0 | ||||
| H1 | Laboratory/Blood Draw | 1 | 450 | 450 | 608 | |
| H2 | Lab Toilet | 2 | 50 | 100 | 135 | |
| I | Physical Therapy | 0 | ||||
| I1 | Physical Therapy Gym | 1 | 550 | 550 | 743 | |
| I2 | Physical Therapy Treatment (small) | 1 | 120 | 120 | 162 | |
| I3 | Physical Therapy Treatment (large) | 1 | 150 | 150 | 203 | |
| I4 | Physical Therapy Storage | 1 | 100 | 100 | 135 | |
| I5 | Chiropactor Exam | 1 | 125 | 125 | 169 | |
| J | Mental Health Program | 0 | ||||
| J1 | Mental Health Team Room (5 workstations) | 1 | 180 | 180 | 243 | |
| J2 | Dedicated MH Exam | 5 | 120 | 600 | 810 | |
| J3 | Mental Health Clinical Video Telehealth | 2 | 80 | 160 | 216 | |
| BHIP (5 workstations) | 1 | 300 | 300 | 405 | ||
| K | Radiology | 0 | ||||
| K1 | Procedure including Control Room, Changing Room, Sink | 1 | 450 | 450 | 608 | |
| L | Home Based Primary Care | 0 | ||||
| L1 | HBPC Team Room (5 work stations) | 1 | 300 | 300 | 405 | |
| L2 | HBPC Storage | 0 | 100 | 0 | 0 | |
| M | Ancillary/Specialty Services | 0 | ||||
| M1 | Audiology (hearing aid fit, repair) extra sound insulation & quiet location | 1 | 120 | 120 | 162 | |
| M2 | Audiology Booth | 1 | 300 | 300 | 405 | |
| M3 | Eye Class Repair and Fitting | 1 | 100 | 100 | 135 | |
| M4 | Teleretinal Exam | 2 | 125 | 250 | 338 | |
| M5 | Eye Exam | 1 | 140 | 140 | 189 | |
| M6 | Specialty Care Exam | 2 | 120 | 240 | 324 | |
| N | Clinic Management | 0 | ||||
| N1 | Clinic Manager Office | 1 | 100 | 100 | 135 | |
| N2 | Medical Director | 1 | 100 | 100 | 135 | |
| N3 | Clinic Administtrative Officer | 1 | 100 | 100 | 135 | |
| Sum of Space | 12,515 | 16,875 | ||||
| Total Rentable SF | 19,407 |
| Circulation Factor of 1.35 used for all spaces |
| Sum of Space Circulation Factor of 1.15 |
| Out of Cycle SCIP Approved Space = SEPS not Approved |
File details come from the government source that posted it. Updated .