A0002 - ATTACHMENT 5 - Program For Design.pdf

Program For Design

FREDERICKSBURG HCC FINAL REVISION (24 JUL 2018 VERSION)

MAJOR LEASE

FREDERICKSBURG, VA

Projected Year: 2019 Midpoint Year: 2022

VISN: 6 State: VA Station ID: 652 Station: Richmond

Installation: VA Medical Center

Project Created: 23 Mar 2017 04:31PM ET by Bailee Bannan Space Plan Last Edited: 24 Jul 2018 03:00 PM ET by John Pate

Report Generated: 24 Jul 2018 09:05 AM ET

Program For Design Privacy Act FOR OFFICIAL USE ONLY Revised July 24, 2018

SUBMITTED MAY 20, 2020 • 36C10F18R0529 FREDERICKSBURG, VA OPC

Use or disclosure of the data, drawings and all information contained on this sheet is subject to the restrictions on the Title Page of this Revised Proposal.

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FREDERICKSBURG HEALTH CARE CENTER

PROGRAM FOR DESIGN

24 JULY 2018 REVISION

Department Dept NTG 7/24/2018

PFD NSF

Department

Gross Ambulatory Surgery 1.70 28,772 48,912 ABOA 426,722 Audiology and SLP 1.55 4,598 7,127 Cardiovascular Lab 1.50 2,736 4,104 Dental 1.55 6,125 9,494 DoD Clinical Space 1.40 10,835 15,169 Education 1.30 2,003 2,604 Notes EMS / LLTS 1.30 4,400 5,720 1. Social Work has a different NTG Factor (1.30) than Mental Health and Substance Abuse (1.40 each);

Engineering 1.50 3,044 4,566 error has been corrected to remove discrepancy in Social Work NTG calculation.

Eye Clinic 1.60 6,217 9,947 2. Nuclear Medicine Service has a different NTG factor (1.50) than Radiology and MRI (1.60 each);

GI Suite (includes Endoscopy) 1.50 7,817 11,726

HAS 1.30 3,358 4,365

HCC Administratur Suite 1.30 4,362 5,671 Human Resources 1.30 1,890 2,457 Lobby 1.50 2,055 3,083 Logistics 1.10 5,736 6,310 Medical Specialty Clinic 1.50 15,252 22,878 Mental Health 1.40 14,974 20,964 Nuclear Medicine 1.50 4,670 7,005

OIT 1.30 6,105 7,937

Path and Lab 1.40 7,398 10,357 Pharmacy 1.30 6,560 8,528 PM&R (includes Pain Clinic) 1.35 22,235 30,017 Police 1.30 1,210 1,573 Primary Care / PACT 1.50 23,329 34,994 Prosthetics 1.25 2,964 3,705 Public Affairs / Medical Media 1.30 1,160 1,508 Radiology / MRI Suite 1.60 15,130 24,208 Service Orgs/Voluntary Service 1.20 1,385 1,662 Spinal Cord Injury 1.50 1,385 2,078

SPS 1.30 4,351 5,656

Social Work Service 1.30 330 429 Substance Abuse 1.40 3,909 5,473 Telehealth 1.35 1,608 2,171

VCS 1.20 6,397 7,676

Women's Health Clinic 1.50 10,344 15,516

F / Department Gross/ ABOA Comparisons = 244,644 355,587 X 1.20 ABOA = 426,722

Fredericksburg HCC Space Reconciliation Privacy Act FOR OFFICAL USE ON LY

Revised July 24, 2018

SUBMITTED MAY 20, 2020 • 36C10F18R0529 FREDERICKSBURG, VA OPC

Use or disclosure of the data, drawings and all information contained on this sheet is subject to the restrictions on the Title Page of this Revised Proposal.

24 JULY 2018 REVISION

Department Functional Area Room Room Code Qty Area 7/24/2018 Revised Area

LOBBY REVISED LOBBY / RECEPTION Alcove, Wheelchair Storage SRLW1 2 100 200

LOBBY REVISED LOBBY / RECEPTION Kiosk, Patient Check-In (My Healthy Vet) RCHK2 2 105 210

LOBBY REVISED LOBBY / RECEPTION Lactation Room LAC01 3 75 225

LOBBY REVISED LOBBY / RECEPTION Lobby, Vestibule LOB02 2 250 500

LOBBY REVISED LOBBY / RECEPTION Reception / Volunteer Information Desk RCP01 1 200 200

LOBBY REVISED LOBBY / RECEPTION Toilet, Family / Assist TNPFM 4 80 320

LOBBY REVISED WAITING Waiting, Family WTF03 1 400 400

TOTALS = 15 2,055

Lobby Privacy Act FOR OFFICIAL USE ONLY

Revised July 24, 2018

SUBMITTED MAY 20, 2020 • 36C10F18R0529 FREDERICKSBURG, VA OPC

Use or disclosure of the data, drawings and all information contained on this sheet is subject to the restrictions on the Title Page of this Revised Proposal.

24 JULY 2018 REVISION

Department Functional Area Room Room Code Qty Area 7/24/2018 Revised Area

SERVICE ORGANIZATIONS (280) UPDATED STAFF AND ADMINISTRATIVE AREA Office, Service Organization Representative (AM Legion/DAV/VFW/VBA OFA09 4 100 400

SERVICE ORGANIZATIONS (280) UPDATED STAFF AND ADMINISTRATIVE AREA Office, State Service Organization Representative OFA09 2 150 300

SERVICE ORGANIZATIONS (280) UPDATED SUPPORT AREA Copy / Office Supply Room SACS1 1 100 100

SERVICE ORGANIZATIONS (280) UPDATED SUPPORT AREA Storage, Equipment SRE01 1 150 150

VOLUNTARY SERVICE (290) UPDATED RECEPTION AREA Reception / Secretary RCP01 1 85 85

VOLUNTARY SERVICE (290) UPDATED STAFF AND ADMINISTRATIVE AREA Office, Volunteer Service Coordinator OFA09 1 100 100

VOLUNTARY SERVICE (290) UPDATED VOLUNTEER AREA Storage SRS01 1 250 250

TOTALs = 11 1,385

Service Organizations / Voluntary Service Privacy Act FOR OFFICIAL USE ONLY

Revised July 24, 2018

SUBMITTED MAY 20, 2020 • 36C10F18R0529 FREDERICKSBURG, VA OPC

Use or disclosure of the data, drawings and all information contained on this sheet is subject to the restrictions on the Title Page of this Revised Proposal.

24 JULY 2018 REVISION

Department Functional Area Room Room Code Rev Qty Area 7/24/2018

Revised Area

PRIMARY CARE. 6 PACT MODULES REVISED LOBBY / RECEPTION AREA Alcove, Volunteer SRLW1 1 120 120

PRIMARY CARE. 6 PACT MODULES REVISED LOBBY / RECEPTION AREA Alcove, Wheelchair Storage SRLW1 1 120 120

PRIMARY CARE. 6 PACT MODULES REVISED LOBBY / RECEPTION AREA Kiosk, Patient Check-In RCHK2 1 105 105

PRIMARY CARE. 6 PACT MODULES REVISED LOBBY / RECEPTION AREA Reception RCP03 1 385 385

PRIMARY CARE. 6 PACT MODULES REVISED LOBBY / RECEPTION AREA Toilet, Family TNPFM 1 80 80

PRIMARY CARE. 6 PACT MODULES REVISED LOBBY / RECEPTION AREA Toilet, Female TNPF3 1 265 265

PRIMARY CARE. 6 PACT MODULES REVISED LOBBY / RECEPTION AREA Toilet, Male TNPM3 1 295 295

PRIMARY CARE. 6 PACT MODULES REVISED LOBBY / RECEPTION AREA Waiting, PACT 3 WTPC3 1 4,395 4395

TOTALS = 8 5765

PRIMARY CARE. 6 PACT MODULES REVISED PATIENT ALIGNED CARE TEAM (PACT) 6.5 MODULES, 24 TEAMS Alcove, Height / Weight Accessible Station PEHW2 1 40 40

PRIMARY CARE. 6 PACT MODULES REVISED PATIENT ALIGNED CARE TEAM (PACT) 6.5 MODULES, 24 TEAMS Alcove, Height / Weight Station PEHW1 2 30 60

PRIMARY CARE. 6 PACT MODULES REVISED PATIENT ALIGNED CARE TEAM (PACT) 6.5 MODULES, 24 TEAMS Alcove, Medication RCA06 3 20 60

PRIMARY CARE. 6 PACT MODULES REVISED PATIENT ALIGNED CARE TEAM (PACT) 6.5 MODULES, 24 TEAMS Blood Draw Alcove RCA97 2 80 160

PRIMARY CARE. 6 PACT MODULES REVISED PATIENT ALIGNED CARE TEAM (PACT) 6.5 MODULES, 24 TEAMS Conference Room CFR01 2 240 480

PRIMARY CARE. 6 PACT MODULES REVISED PATIENT ALIGNED CARE TEAM (PACT) 6.5 MODULES, 24 TEAMS Consult Room, Patient Aligned Care Team (PACT) RCA07 20 125 2500

PRIMARY CARE. 6 PACT MODULES REVISED PATIENT ALIGNED CARE TEAM (PACT) 6.5 MODULES, 24 TEAMS Exam Room, Patient Aligned Care Team (PACT) EXPA1 24 125 3000

PRIMARY CARE. 6 PACT MODULES REVISED PATIENT ALIGNED CARE TEAM (PACT) 6.5 MODULES, 24 TEAMS Exam Room, Women's Health EXW01 3 125 375

PRIMARY CARE. 6 PACT MODULES REVISED PATIENT ALIGNED CARE TEAM (PACT) 6.5 MODULES, 24 TEAMS Locker, Staff Personal Property LR004 6 60 360

PRIMARY CARE. 6 PACT MODULES REVISED PATIENT ALIGNED CARE TEAM (PACT) 6.5 MODULES, 24 TEAMS Office, Administrative Officer 1 100 100

PRIMARY CARE. 6 PACT MODULES REVISED PATIENT ALIGNED CARE TEAM (PACT) 6.5 MODULES, 24 TEAMS Office, Assistant Group Practice Manager 1 100 100

PRIMARY CARE. 6 PACT MODULES REVISED PATIENT ALIGNED CARE TEAM (PACT) 6.5 MODULES, 24 TEAMS Office, MSA Supervisor 2 100 200

PRIMARY CARE. 6 PACT MODULES REVISED PATIENT ALIGNED CARE TEAM (PACT) 6.5 MODULES, 24 TEAMS Office, Nurse Manager 2 100 200

PRIMARY CARE. 6 PACT MODULES REVISED PATIENT ALIGNED CARE TEAM (PACT) 6.5 MODULES, 24 TEAMS Office, Section Chief 1 100 100

PRIMARY CARE. 6 PACT MODULES REVISED PATIENT ALIGNED CARE TEAM (PACT) 6.5 MODULES, 24 TEAMS Procedure Room, General TRPR1 3 180 540

PRIMARY CARE. 6 PACT MODULES REVISED PATIENT ALIGNED CARE TEAM (PACT) 6.5 MODULES, 24 TEAMS Shared Medical Appointment Room CLSC4 4 400 1600

PRIMARY CARE. 6 PACT MODULES REVISED PATIENT ALIGNED CARE TEAM (PACT) 6.5 MODULES, 24 TEAMS Staff Lounge SSLG2 1 300 300

PRIMARY CARE. 6 PACT MODULES REVISED PATIENT ALIGNED CARE TEAM (PACT) 6.5 MODULES, 24 TEAMS Staff Lounge SSLG1 1 200 200

PRIMARY CARE. 6 PACT MODULES REVISED PATIENT ALIGNED CARE TEAM (PACT) 6.5 MODULES, 24 TEAMS Storage, Medical Equipment SRE01 4 120 480

PRIMARY CARE. 6 PACT MODULES REVISED PATIENT ALIGNED CARE TEAM (PACT) 6.5 MODULES, 24 TEAMS Storage, Shared Medical Appointments SRE01 4 80 320

PRIMARY CARE. 6 PACT MODULES REVISED PATIENT ALIGNED CARE TEAM (PACT) 6.5 MODULES, 24 TEAMS Team Work Area WRTM1 12 240 2880

PRIMARY CARE. 6 PACT MODULES REVISED PATIENT ALIGNED CARE TEAM (PACT) 6.5 MODULES, 24 TEAMS Toilet, General Procedure Room Patient TPB01 3 75 225

PRIMARY CARE. 6 PACT MODULES REVISED PATIENT ALIGNED CARE TEAM (PACT) 6.5 MODULES, 24 TEAMS Toilet, PACT Patient TPG01 3 60 180

PRIMARY CARE. 6 PACT MODULES REVISED PATIENT ALIGNED CARE TEAM (PACT) 6.5 MODULES, 24 TEAMS Toilet, Staff TNPG1 3 60 180

PRIMARY CARE. 6 PACT MODULES REVISED PATIENT ALIGNED CARE TEAM (PACT) 6.5 MODULES, 24 TEAMS Toilet, Women's Health Exam Room Patient TPG01 3 60 180

PRIMARY CARE. 6 PACT MODULES REVISED PATIENT ALIGNED CARE TEAM (PACT) 6.5 MODULES, 24 TEAMS Utility Room, Clean UCCL1 3 60 180

PRIMARY CARE. 6 PACT MODULES REVISED PATIENT ALIGNED CARE TEAM (PACT) 6.5 MODULES, 24 TEAMS Utility Room, Soiled USCL1 3 90 270

PRIMARY CARE. 6 PACT MODULES REVISED PATIENT ALIGNED CARE TEAM (PACT) 6.5 MODULES, 24 TEAMS Workstation, Extended Team OFA07 6 56 336

TOTALS = 123 15606

PRIMARY CARE. 6 PACT MODULES REVISED GERI-PACT Balance /Caloric Testing Room TRPR1 1 180 180

PRIMARY CARE. 6 PACT MODULES REVISED GERI-PACT Blood Speciman Collection Room LBBD1 1 120 120

PRIMARY CARE. 6 PACT MODULES REVISED GERI-PACT Consultation Room, Social Work and Mental Health OFDC2 2 125 250

PRIMARY CARE. 6 PACT MODULES REVISED GERI-PACT Geri PACT Exam Rooms, w/ Patient Lift EXRG1 5 120 600

PRIMARY CARE. 6 PACT MODULES REVISED GERI-PACT Office, Social Work OFDC2 2 120 240

PRIMARY CARE. 6 PACT MODULES REVISED GERI-PACT Team Room WRTM1 2 200 400

PRIMARY CARE. 6 PACT MODULES REVISED GERI-PACT Workstation, Extended Team OFA07 3 56 168

TOTALS = 16 1,958

DEPARTMENT TOTALS = 147 0 23,329

Primary Care PACT Privacy Act FOR OFFICIAL USE ONLY

Revised July 24, 2018

SUBMITTED MAY 20, 2020 • 36C10F18R0529 FREDERICKSBURG, VA OPC

Use or disclosure of the data, drawings and all information contained on this sheet is subject to the restrictions on the Title Page of this Revised Proposal.

24 JULY 2018 REVISION

Department Functional Area Room Room Code Qty Area 7/24/2018 Revised Area

WOMEN VCS (FOR MODELS 2&3) (258) REVISED RECEPTION AREA Alcove, Refreshment Center NCWD4 1 60 60

WOMEN VCS (FOR MODELS 2&3) (258) REVISED RECEPTION AREA Kiosk, Patient Check-in CLSC1 1 30 30

WOMEN VCS (FOR MODELS 2&3) (258) REVISED RECEPTION AREA Lactation Room LAC01 2 75 150

WOMEN VCS (FOR MODELS 2&3) (258) REVISED RECEPTION AREA Office, Patient Advocate OFA04 1 120 120

WOMEN VCS (FOR MODELS 2&3) (258) REVISED RECEPTION AREA Reception RCP02 1 260 260

WOMEN VCS (FOR MODELS 2&3) (258) REVISED RECEPTION AREA Toilet, Family TNPFM 2 80 160

WOMEN VCS (FOR MODELS 2&3) (258) REVISED RECEPTION AREA Waiting, Family WTF01 1 125 125

WOMEN VCS (FOR MODELS 2&3) (258) REVISED RECEPTION AREA Waiting, General WTG21 1 440 440 WOMEN VCS (FOR MODELS 2&3) (258) REVISED PATIENT AREA Dressing Room / Cubicle DR001 3 35 105 WOMEN VCS (FOR MODELS 2&3) (258) REVISED PATIENT AREA Exam Room, Multipurpose (Pharmacist) EXW01 1 125 125

WOMEN VCS (FOR MODELS 2&3) (258) REVISED PATIENT AREA Exam Room, Womens Health (2.5 x 6 Prov) EXW01 15 125 1875

WOMEN VCS (FOR MODELS 2&3) (258) REVISED PATIENT AREA Exam / Consult Room (Mental Health / Social Work) EXR10 8 120 960

WOMEN VCS (FOR MODELS 2&3) (258) REVISED PATIENT AREA Lockers, Personal Property, Women LR001 2 30 60

WOMEN VCS (FOR MODELS 2&3) (258) REVISED PATIENT AREA Procedure Room, Gynecology TROB1 1 180 180

WOMEN VCS (FOR MODELS 2&3) (258) REVISED PATIENT AREA Procedure Room, Urology-Gynecology TROB2 1 240 240

WOMEN VCS (FOR MODELS 2&3) (258) REVISED PATIENT AREA Shared Medical Appointment Room CLSC4 1 300 300

WOMEN VCS (FOR MODELS 2&3) (258) REVISED PATIENT AREA Shared Medical Appointment Room CLSC4 1 400 400

WOMEN VCS (FOR MODELS 2&3) (258) REVISED PATIENT AREA Sub-Waiting WRC03 1 60 60

WOMEN VCS (FOR MODELS 2&3) (258) REVISED PATIENT AREA Toilet, Exam Room Patient TPG01 16 60 960

WOMEN VCS (FOR MODELS 2&3) (258) REVISED PATIENT AREA Toilet, Gynecology Procedure, Patient TPG01 1 60 60

WOMEN VCS (FOR MODELS 2&3) (258) REVISED PATIENT AREA Workroom, Team (24 FTE) WKTM1 6 240 1440

WOMEN VCS (FOR MODELS 2&3) (258) REVISED PATIENT AREA X-ray, Mammography XDM01 1 150 150

WOMEN VCS (FOR MODELS 2&3) (258) REVISED SUPPORT AREA Alcove, Clean Linen LCCL3 1 90 90

WOMEN VCS (FOR MODELS 2&3) (258) REVISED SUPPORT AREA Housekeeping Aides Closet (HAC) JANC1 1 60 60

WOMEN VCS (FOR MODELS 2&3) (258) REVISED SUPPORT AREA Laboratory, Satellite LBSP1 1 120 120

WOMEN VCS (FOR MODELS 2&3) (258) REVISED SUPPORT AREA Storage, Medical Equipment SRE01 1 100 100

WOMEN VCS (FOR MODELS 2&3) (258) REVISED SUPPORT AREA Utility Room, Clean UCCL1 1 120 120

WOMEN VCS (FOR MODELS 2&3) (258) REVISED SUPPORT AREA Utility Room, Soiled USCL1 1 90 90

WOMEN VCS (FOR MODELS 2&3) (258) REVISED STAFF AND ADMINISTRATIVE AREA (11 FTE) Conference Room, Large CRA03 1 400 400

WOMEN VCS (FOR MODELS 2&3) (258) REVISED STAFF AND ADMINISTRATIVE AREA (11 FTE) Lockers, Personal Property, Staff LR001 2 30 60

WOMEN VCS (FOR MODELS 2&3) (258) REVISED STAFF AND ADMINISTRATIVE AREA (11 FTE) Office, Nurse Manager OFA09 1 100 100

WOMEN VCS (FOR MODELS 2&3) (258) REVISED STAFF AND ADMINISTRATIVE AREA (11 FTE) Office, Women Veterans Program Manager OFA09 1 100 100

WOMEN VCS (FOR MODELS 2&3) (258) REVISED STAFF AND ADMINISTRATIVE AREA (11 FTE) Toilet, Staff TNPG1 3 60 180

WOMEN VCS (FOR MODELS 2&3) (258) REVISED STAFF AND ADMINISTRATIVE AREA (11 FTE) Staff Lounge SSLG1 1 200 200

WOMEN VCS (FOR MODELS 2&3) (258) REVISED STAFF AND ADMINISTRATIVE AREA (11 FTE) Workstation, Administration (MSA MH; Rad; Techs for Rad) OFA06 4 48 192

WOMEN VCS (FOR MODELS 2&3) (258) REVISED STAFF AND ADMINISTRATIVE AREA (11 FTE) Workstation, Specialty Providers (OB-GYN Touchdown) OFA07 4 56 224

WOMEN VCS (FOR MODELS 2&3) (258) REVISED STAFF AND ADMINISTRATIVE AREA (11 FTE) Workstation, Women Veterans Program Assistant OFA06 1 48 48

TOTALS = 92 10,344

Women Veterans Clinic Service (WVCS) Privacy Act FOR OFFICIAL USE ONLY

Revised July 24, 2018

SUBMITTED MAY 20, 2020 • 36C10F18R0529 FREDERICKSBURG, VA OPC

Use or disclosure of the data, drawings and all information contained on this sheet is subject to the restrictions on the Title Page of this Revised Proposal.

24 JULY 2018 REVISION

Department Functional Area Room Room Code Qty Area 7/24/2018 Revised Area

MEDICAL SPECIALTY CLINICS REVISED DERMATOLOGY Dermatology, UV Booth OPDU1 1 180 180

MEDICAL SPECIALTY CLINICS REVISED DERMATOLOGY Exam Room Dermatology EXPA1 9 125 1125

MEDICAL SPECIALTY CLINICS REVISED DERMATOLOGY Procedure Room, MOHS Surgery TRPR1 1 180 180

MEDICAL SPECIALTY CLINICS REVISED DERMATOLOGY Reception RECP1 1 140 140

MEDICAL SPECIALTY CLINICS REVISED DERMATOLOGY Team Room WRTM1 2 240 480

MEDICAL SPECIALTY CLINICS REVISED DERMATOLOGY Toilet, Patient TPG01 2 60 120

MEDICAL SPECIALTY CLINICS REVISED DERMATOLOGY Utility Room, Clean UCCL1 1 60 60

MEDICAL SPECIALTY CLINICS REVISED DERMATOLOGY Utility Room, Soiled USCL1 1 90 90

MEDICAL SPECIALTY CLINICS REVISED INFUSION / ONCOLOGY CLINIC Copy Room SACP1 1 80 80

MEDICAL SPECIALTY CLINICS REVISED INFUSION / ONCOLOGY CLINIC Exam Room, VA EXRG0 3 120 360

MEDICAL SPECIALTY CLINICS REVISED INFUSION / ONCOLOGY CLINIC Intravenous Infusion - Chemo Prep CSMR3 1 180 180

MEDICAL SPECIALTY CLINICS REVISED INFUSION / ONCOLOGY CLINIC Intravenous Infusion, Oncology OPCT1 12 120 1440

MEDICAL SPECIALTY CLINICS REVISED INFUSION / ONCOLOGY CLINIC Intravenous Infusion, Preparation - Ante Room OPCT2 1 60 60

MEDICAL SPECIALTY CLINICS REVISED INFUSION / ONCOLOGY CLINIC Intravenous Infusion, Therapy OPCT1 8 120 960

MEDICAL SPECIALTY CLINICS REVISED INFUSION / ONCOLOGY CLINIC Nurse Station NSTA2 2 160 320

MEDICAL SPECIALTY CLINICS REVISED INFUSION / ONCOLOGY CLINIC Procedure Room TRPR1 1 180 180

MEDICAL SPECIALTY CLINICS REVISED INFUSION / ONCOLOGY CLINIC Team Room WRTM1 1 240 240

MEDICAL SPECIALTY CLINICS REVISED INFUSION / ONCOLOGY CLINIC Toilet, Patient TPG01 2 60 120

MEDICAL SPECIALTY CLINICS REVISED INFUSION / ONCOLOGY CLINIC Toilet, Procedure Room, Patient TPB01 1 75 75

MEDICAL SPECIALTY CLINICS REVISED INFUSION / ONCOLOGY CLINIC Waiting, General WTG07 2 150 300

MEDICAL SPECIALTY CLINICS REVISED MULTI-MEDICAL SPECIALTY CLINIC Alcove, Height / Weight EXR11 1 30 30

MEDICAL SPECIALTY CLINICS REVISED MULTI-MEDICAL SPECIALTY CLINIC Bio-Medical Engineer BMER1 1 150 150

MEDICAL SPECIALTY CLINICS REVISED MULTI-MEDICAL SPECIALTY CLINIC Exam Room, Patient Aligned Care Team (PACT) EXPA1 20 125 2500

MEDICAL SPECIALTY CLINICS REVISED MULTI-MEDICAL SPECIALTY CLINIC MSA Workspace OFA07 1 56 56

MEDICAL SPECIALTY CLINICS REVISED MULTI-MEDICAL SPECIALTY CLINIC Office, Social Worker OFA04 2 120 240

MEDICAL SPECIALTY CLINICS REVISED MULTI-MEDICAL SPECIALTY CLINIC Outpatient Pulmonary Function Screening OPPS1 1 120 120

MEDICAL SPECIALTY CLINICS REVISED MULTI-MEDICAL SPECIALTY CLINIC Procedure Room TRPR1 2 180 360

MEDICAL SPECIALTY CLINICS REVISED MULTI-MEDICAL SPECIALTY CLINIC Pulmonary Function, Treadmill OPPF5 1 220 220

MEDICAL SPECIALTY CLINICS REVISED MULTI-MEDICAL SPECIALTY CLINIC Reception RCP02 1 260 260

MEDICAL SPECIALTY CLINICS REVISED MULTI-MEDICAL SPECIALTY CLINIC Shared Physician Office OFA02 4 120 480

MEDICAL SPECIALTY CLINICS REVISED MULTI-MEDICAL SPECIALTY CLINIC Staff Lounge SSLG2 1 300 300

MEDICAL SPECIALTY CLINICS REVISED MULTI-MEDICAL SPECIALTY CLINIC Storage, Equipment and Shelving SRSE1 1 120 120

MEDICAL SPECIALTY CLINICS REVISED MULTI-MEDICAL SPECIALTY CLINIC Team Room WRTM1 3 240 720

MEDICAL SPECIALTY CLINICS REVISED MULTI-MEDICAL SPECIALTY CLINIC Team Room - Nurses WRTM1 3 240 720

MEDICAL SPECIALTY CLINICS REVISED MULTI-MEDICAL SPECIALTY CLINIC Toilet, Patient TPG01 2 60 120

MEDICAL SPECIALTY CLINICS REVISED MULTI-MEDICAL SPECIALTY CLINIC Toilet, Patient Procedure TLTB1 2 75 150

MEDICAL SPECIALTY CLINICS REVISED MULTI-MEDICAL SPECIALTY CLINIC Utility Room, Clean UCCL1 2 60 120

MEDICAL SPECIALTY CLINICS REVISED MULTI-MEDICAL SPECIALTY CLINIC Utility Room, Soiled USCL1 1 90 90

MEDICAL SPECIALTY CLINICS REVISED NEUROLOGY Exam Room EXRG3 5 120 600

MEDICAL SPECIALTY CLINICS REVISED NEUROLOGY Exam Room, EMG (Electromyeloram) / EEG (Electroencephalogram) EXRE2 1 170 170

MEDICAL SPECIALTY CLINICS REVISED NEUROLOGY Office, Nurse Manager OFA08 1 80 80

MEDICAL SPECIALTY CLINICS REVISED NEUROLOGY Procedure Room TRPR1 1 180 180

MEDICAL SPECIALTY CLINICS REVISED NEUROLOGY Sleep Study Pre-screen OFDC2 1 120 120

MEDICAL SPECIALTY CLINICS REVISED NEUROLOGY Workstation, LPN OFA06 3 48 144

MEDICAL SPECIALTY CLINICS REVISED NEUROLOGY Workstation, MSA OFA06 3 48 144

MEDICAL SPECIALTY CLINICS REVISED NEUROLOGY Workstation, Neurologist OFA07 2 56 112

MEDICAL SPECIALTY CLINICS REVISED NEUROLOGY Workstation, Nurse Practicioner OFA07 1 56 56

MEDICAL SPECIALTY CLINICS REVISED NEUROLOGY Workstation, Sleep Physician OFA07 1 56 56

MEDICAL SPECIALTY CLINICS REVISED NEUROLOGY Workstation, Sleep Tech OFA06 3 48 144

TOTALS = 124 15,252

Medical Specialty Clinics Privacy Act FOR OFFICIAL USE ONLY

Revised July 24, 2018

SUBMITTED MAY 20, 2020 • 36C10F18R0529 FREDERICKSBURG, VA OPC

Use or disclosure of the data, drawings and all information contained on this sheet is subject to the restrictions on the Title Page of this Revised Proposal.

24 JULY 2018 REVISION

Department Functional Area Room Room Code Qty Area 7/24/2018 Revised Area

CARDIOVASCULAR LABORATORY REVISED RECEPTION AREA Kiosk, Patient Check-In CLSC1 1 30 30

CARDIOVASCULAR LABORATORY REVISED RECEPTION AREA Reception RCP02 1 260 260

CARDIOVASCULAR LABORATORY REVISED NON-INVASIVE CARDIOLOGY SUPPORT AREA Alcove, Crash Cart RCA01 1 30 30

CARDIOVASCULAR LABORATORY REVISED NON-INVASIVE CARDIOLOGY PATIENT AREA EKG Testing Room OPEC1 1 120 120

CARDIOVASCULAR LABORATORY REVISED NON-INVASIVE CARDIOLOGY PATIENT AREA Echocardiograph Room OPPE1 1 140 140

CARDIOVASCULAR LABORATORY REVISED NON-INVASIVE CARDIOLOGY PATIENT AREA Exam Room, Cardiology EXRC1 8 120 960

CARDIOVASCULAR LABORATORY REVISED NON-INVASIVE CARDIOLOGY PATIENT AREA Reading Room, Echocardiograph XVC01 1 120 120

CARDIOVASCULAR LABORATORY REVISED NON-INVASIVE CARDIOLOGY SUPPORT AREA Storage, Equipment SRE01 1 100 100

CARDIOVASCULAR LABORATORY REVISED NON-INVASIVE CARDIOLOGY SUPPORT AREA Storage, Non Invasive Cardiology Supplies SRSE1 1 120 120

CARDIOVASCULAR LABORATORY REVISED NON-INVASIVE CARDIOLOGY PATIENT AREA Stress Echocardiograph Room OPPE2 1 200 200

CARDIOVASCULAR LABORATORY REVISED NON-INVASIVE CARDIOLOGY PATIENT AREA Stress Testing Treadmill Room OPTM1 1 180 180

CARDIOVASCULAR LABORATORY REVISED NON-INVASIVE CARDIOLOGY PATIENT AREA Toilet, Patient TPG01 1 60 60

CARDIOVASCULAR LABORATORY REVISED STAFF AND ADMINISTRATIVE AREA Copier / Printer Room RPR01 1 80 80

CARDIOVASCULAR LABORATORY REVISED STAFF AND ADMINISTRATIVE AREA Workstation, Physician OFA07 4 56 224

CARDIOVASCULAR LABORATORY REVISED STAFF AND ADMINISTRATIVE AREA Workstation, Nurse OFA07 2 56 112

TOTALS = 26 2,736

Service Organizations / Voluntary Service Privacy Act FOR OFFICIAL USE ONLY

Revised July 24, 2018

SUBMITTED MAY 20, 2020 • 36C10F18R0529 FREDERICKSBURG, VA OPC

Use or disclosure of the data, drawings and all information contained on this sheet is subject to the restrictions on the Title Page of this Revised Proposal.

24 JULY 2018 REVISION

Department Functional Area Room Room Code Qty Area 7/24/2018 Revised Area

AUDIOLOGY AND SPEECH PATHOLOGY SERVICE (204) REVISED RECEPTION AREA Reception / Control Clerk RCP02 1 260 260

AUDIOLOGY AND SPEECH PATHOLOGY SERVICE (204) REVISED AUDIOLOGY CLINIC PATIENT AREA Auditory Rehabilitation OPMH1 1 280 280

AUDIOLOGY AND SPEECH PATHOLOGY SERVICE (204) REVISED AUDIOLOGY CLINIC PATIENT AREA Cerumen Management EXEN1 1 140 140

AUDIOLOGY AND SPEECH PATHOLOGY SERVICE (204) REVISED AUDIOLOGY CLINIC PATIENT AREA Electrophysiology Room OPAE1 1 120 120

AUDIOLOGY AND SPEECH PATHOLOGY SERVICE (204) REVISED AUDIOLOGY CLINIC PATIENT AREA Exam / Consult Audiology EXAU1 2 120 240

AUDIOLOGY AND SPEECH PATHOLOGY SERVICE (204) REVISED AUDIOLOGY CLINIC PATIENT AREA Hearing Aid Fabrication / Modification Room HATL1 1 210 210

AUDIOLOGY AND SPEECH PATHOLOGY SERVICE (204) REVISED AUDIOLOGY CLINIC PATIENT AREA Hearing / Diagnostic, Booth, 1-Person PEHS3 5 260 1300

AUDIOLOGY AND SPEECH PATHOLOGY SERVICE (204) REVISED AUDIOLOGY CLINIC PATIENT AREA Instrument Calibration and Storage Room BMER1 1 200 200

AUDIOLOGY AND SPEECH PATHOLOGY SERVICE (204) REVISED AUDIOLOGY CLINIC PATIENT AREA Posturography EXRG3 1 150 150

AUDIOLOGY AND SPEECH PATHOLOGY SERVICE (204) REVISED AUDIOLOGY CLINIC PATIENT AREA Programming / Fitting HAFR1 4 160 640

AUDIOLOGY AND SPEECH PATHOLOGY SERVICE (204) REVISED AUDIOLOGY CLINIC PATIENT AREA Toilet, Patient TPG01 1 60 60

AUDIOLOGY AND SPEECH PATHOLOGY SERVICE (204) REVISED AUDIOLOGY CLINIC PATIENT AREA Vestibulography EXRG3 1 150 150

AUDIOLOGY AND SPEECH PATHOLOGY SERVICE (204) REVISED SUPPORT AREA Storage, Equipment and Supplies, Audiology SRSE1 1 100 100

AUDIOLOGY AND SPEECH PATHOLOGY SERVICE (204) REVISED STAFF AND DMINISTRATIVE AREA Office, Audiology Service Chief OFA09 1 100 100

AUDIOLOGY AND SPEECH PATHOLOGY SERVICE (204) REVISED STAFF AND DMINISTRATIVE AREA Staff Lounge SSLG1 1 140 140 AUDIOLOGY AND SPEECH PATHOLOGY SERVICE (204) REVISED STAFF AND DMINISTRATIVE AREA Toilet, Staff TNPG1 1 60 60 AUDIOLOGY AND SPEECH PATHOLOGY SERVICE (204) REVISED STAFF AND DMINISTRATIVE AREA Workstation, Administrative Assistant OFA07 1 56 56 AUDIOLOGY AND SPEECH PATHOLOGY SERVICE (204) REVISED STAFF AND DMINISTRATIVE AREA Woekstation, Audiologist OFA07 5 56 280

AUDIOLOGY AND SPEECH PATHOLOGY SERVICE (204) REVISED STAFF AND DMINISTRATIVE AREA Workstation, Audiology Tech OFA07 2 56 112

TOTALS = 32 4,598

Service Organizations / Voluntary Service Privacy Act FOR OFFICIAL USE ONLY

Revised July 24, 2018

SUBMITTED MAY 20, 2020 • 36C10F18R0529 FREDERICKSBURG, VA OPC

Use or disclosure of the data, drawings and all information contained on this sheet is subject to the restrictions on the Title Page of this Revised Proposal.

24 JULY 2018 REVISION

Department Functional Area Room Room Code Qty Area 7/24/2018 Revised Area

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED RECEPTION AREA Consult Room OFDC2 1 125 125

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED RECEPTION AREA Kiosk, Patient Check-In RECP4 1 40 40

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED RECEPTION AREA Patient Education / Resource Kiosk, CLSC1 1 30 30

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED RECEPTION AREA Reception / Check-In RCP02 1 260 260

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED RECEPTION AREA Toilet, Family TLTF3 1 70 70

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED RECEPTION AREA Waiting, General WTG19 1 395 395

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED PATIENT AREA Alcove, Crash Cart RCA01 1 20 20

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED PATIENT AREA Alcove, Equipment RCA02 2 30 60

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED PATIENT AREA Consult Room OFDC2 1 125 125

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED PATIENT AREA Exam / Assessment Room EXRG0 2 120 240

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED PATIENT AREA Minor Procedure Room 1 180 180

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED PATIENT AREA Procedure Room, Endoscopy TREE1 4 300 1200

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED PATIENT AREA Toilet, Patient TPG01 2 60 120

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED PREP AND RECOVERY AREA Alcove, Crash Cart RCA01 1 20 20

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED PREP AND RECOVERY AREA Alcove, Refreshment Center NCWD4 1 80 80

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED PREP AND RECOVERY AREA Cubicle, Prep / Recovery RROP1 16 110 1760

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED PREP AND RECOVERY AREA Nurse Station NSTA2 2 180 360

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED PREP AND RECOVERY AREA Storage, Equipment SRE01 1 160 160

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED PREP AND RECOVERY AREA Toilet, Prep / Recovery Patient TPG01 4 60 240

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED SUPPORT AREA Alcove, Clean Linen LCCL1 1 40 40

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED SUPPORT AREA Alcove, Wheelchair / Stretcher SRLW1 1 60 60

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED SUPPORT AREA Medication Area MEDP1 1 80 80

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED SUPPORT AREA Storage, Cylinder, Gas RROP1 1 60 60

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED SUPPORT AREA Storage, Equipment SRE01 2 160 320

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED SUPPORT AREA Storage, Sterile SRS04 1 80 80

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED SUPPORT AREA Utility Room, Clean UCCL1 2 120 240

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED SUPPORT AREA Utility Room, Soiled USCL1 2 80 160

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED STAFF AND ADMINISTRATIVE AREA Copier / Printer Room RPR01 1 80 80

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED STAFF AND ADMINISTRATIVE AREA Locker Room, Staff LR001 1 80 80

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED STAFF AND ADMINISTRATIVE AREA Office, Administrative Officer OFA09 1 100 100

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED STAFF AND ADMINISTRATIVE AREA Office, Digestive Diseases - Endoscopy Service Chief OFA09 1 100 100

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED STAFF AND ADMINISTRATIVE AREA Office, Nurse Manager (QA Testing) OFA09 1 100 100

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED STAFF AND ADMINISTRATIVE AREA Toilet, Staff TNPG1 2 60 120

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED STAFF AND ADMINISTRATIVE AREA Workstation, MSA OFA06 1 48 48

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED STAFF AND ADMINISTRATIVE AREA Workstation, Nurse Practitioner OFA07 2 56 112

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED STAFF AND ADMINISTRATIVE AREA Workstation, Nursing / Techs OFA06 8 48 384

DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287) REVISED STAFF AND ADMINISTRATIVE AREA Workstation, Physician OFA07 3 56 168

TOTALS = 76 7,817

Digestive Diseases / G.I.

Privacy Act FOR OFFICIAL USE ONLY

Revised July 24, 2018

SUBMITTED MAY 20, 2020 • 36C10F18R0529 FREDERICKSBURG, VA OPC

Use or disclosure of the data, drawings and all information contained on this sheet is subject to the restrictions on the Title Page of this Revised Proposal.

24 JULY 2018 REVISION

Department Functional Area Room Room Code Qty Area 7/24/2018 Revised Area

DENTAL SERVICE (222) REVISED RECEPTION AREA Kiiosk, Patient Check-In CLSC1 1 30 30

DENTAL SERVICE (222) REVISED RECEPTION AREA Reception RECP1 1 160 160

DENTAL SERVICE (222) REVISED RECEPTION AREA Waiting, General WTG21 1 440 440

DENTAL SERVICE (222) REVISED DENTAL TREATMENT PATIENT AREA Clean Supply Room UCCL1 1 100 100

DENTAL SERVICE (222) REVISED DENTAL TREATMENT PATIENT AREA Computerized Tomography (CT) Room, Cone-Beam DNXC1 1 120 120

DENTAL SERVICE (222) REVISED DENTAL TREATMENT PATIENT AREA Computerized Tomography (CT) Room, Cone-Beam Control Room DNXC2 1 30 30

DENTAL SERVICE (222) REVISED DENTAL TREATMENT PATIENT AREA Dental Treatment Room (DTR), Oral Hygiene DNTG2 3 130 390

DENTAL SERVICE (222) REVISED DENTAL TREATMENT PATIENT AREA Dental Treatment Room (DTR), General DNTG1 13 120 1560

DENTAL SERVICE (222) REVISED DENTAL TREATMENT PATIENT AREA Dental Treatment Room (DTR), Special Needs Patient DNTG5 1 150 150

DENTAL SERVICE (222) REVISED DENTAL TREATMENT PATIENT AREA Storage, Dental Supplies SRS01 1 100 100

DENTAL SERVICE (222) REVISED DENTAL TREATMENT PATIENT AREA Storage, Mobile Equipment SRE01 1 120 120

DENTAL SERVICE (222) REVISED DENTAL TREATMENT PATIENT AREA Storage, Sterile Instruments DNSC3 1 250 250

DENTAL SERVICE (222) REVISED DENTAL TREATMENT PATIENT AREA Sub-Waiting WTG03 1 80 80

DENTAL SERVICE (222) REVISED DENTAL TREATMENT PATIENT AREA Toilet, Patient TPG01 1 60 60

DENTAL SERVICE (222) REVISED DENTAL SURGERY SUITE PATIENT AREA Alcove, Crash Cart RCA01 1 15 15

DENTAL SERVICE (222) REVISED DENTAL SURGERY SUITE PATIENT AREA Dental Treatment Room (DTR), Oral Surgery DNTS1 2 180 360

DENTAL SERVICE (222) REVISED DENTAL SURGERY SUITE PATIENT AREA Patient Prep / Recovery Room DNTR1 1 120 120

DENTAL SERVICE (222) REVISED DENTAL SURGERY SUITE PATIENT AREA Storage, Equipment SRE01 1 120 120

DENTAL SERVICE (222) REVISED DENTAL SURGERY SUITE PATIENT AREA Utility Room, Clean UCCL1 1 120 120

DENTAL SERVICE (222) REVISED DENTAL SURGERY SUITE PATIENT AREA Utility Room, Soiled USCL1 1 120 120

DENTAL SERVICE (222) REVISED DENTAL SURGERY SUITE PATIENT AREA Workroom, Staff WRCH1 1 120 120

DENTAL SERVICE (222) REVISED DENTAL LABORATORIES Laboratory, General Purpose DNPL1 1 250 250

DENTAL SERVICE (222) REVISED DENTAL LABORATORIES Storage, Dental Models DNMS1 1 120 120

DENTAL SERVICE (222) REVISED DENTAL LABORATORIES Storage, Equipment SRSE1 1 60 60

DENTAL SERVICE (222) REVISED SUPPORT AREA Dental Equipment Mechanical Room MECH1 1 150 150

DENTAL SERVICE (222) REVISED SUPPORT AREA Storage, Gas Cylinder / Gas Tank Room SRGC2 1 60 60

DENTAL SERVICE (222) REVISED STAFF AND ADMINISTRATIVE AREA Locker / Changing Room, Staff LR002 2 90 180

DENTAL SERVICE (222) REVISED STAFF AND ADMINISTRATIVE AREA Office, Dental Service Assistant Chief OFA09 1 100 100

DENTAL SERVICE (222) REVISED STAFF AND ADMINISTRATIVE AREA Copier / Office Supply Room RPR01 1 80 80

DENTAL SERVICE (222) REVISED STAFF AND ADMINISTRATIVE AREA Staff Lounge SSLG1 1 200 200

DENTAL SERVICE (222) REVISED STAFF AND ADMINISTRATIVE AREA Toilet, Staff TNPG1 1 60 60

DENTAL SERVICE (222) REVISED STAFF AND ADMINISTRATIVE AREA Workroom, Dental Staff WKTM1 1 300 300

TOTALS = 48 6,125

Dental Privacy act FOR OFFICIAL USE ONLY

Revised July 24, 2018

SUBMITTED MAY 20, 2020 • 36C10F18R0529 FREDERICKSBURG, VA OPC

Use or disclosure of the data, drawings and all information contained on this sheet is subject to the restrictions on the Title Page of this Revised Proposal.

24 JULY 2018 REVISION

Department Functional Area Room Room Code Rev Qty Area 9/26/2019 DHA

Revision MEDICAL HOME / SPECIALTY CARE / UCC (301) RECEPTION Kiosk, Patient Check-in CLSC1 1 30 30

MEDICAL HOME / SPECIALTY CARE / UCC (301) RECEPTION Patient Education CLSC3 2 120 240

MEDICAL HOME / SPECIALTY CARE / UCC (301) RECEPTION Play Waiting PLAY1 1 120 120

MEDICAL HOME / SPECIALTY CARE / UCC (301) RECEPTION Reception RECP1 1 200 200

MEDICAL HOME / SPECIALTY CARE / UCC (301) RECEPTION Waiting WRC01 1 720 720

MEDICAL HOME / SPECIALTY CARE / UCC (301) EXAM PATIENT AREA Alcove, Height / Weight EXR11 2 30 60

MEDICAL HOME / SPECIALTY CARE / UCC (301) EXAM PATIENT AREA Exam / Consult EXR10 2 120 240

MEDICAL HOME / SPECIALTY CARE / UCC (301) EXAM PATIENT AREA Exam, Podiatry EXP01 1 120 120

MEDICAL HOME / SPECIALTY CARE / UCC (301) EXAM PATIENT AREA Exam Room EXRG1 21 120 2520

MEDICAL HOME / SPECIALTY CARE / UCC (301) EXAM PATIENT AREA Exam Room, Airborne Infection Isolation (AII) EXRG6 1 180 180

MEDICAL HOME / SPECIALTY CARE / UCC (301) EXAM PATIENT AREA Exam Room, Telehealth EXTH1 2 120 240

MEDICAL HOME / SPECIALTY CARE / UCC (301) EXAM PATIENT AREA Lactation Room LAC01 1 100 100

MEDICAL HOME / SPECIALTY CARE / UCC (301) EXAM PATIENT AREA Nurse Station NSTA1 2 140 280

MEDICAL HOME / SPECIALTY CARE / UCC (301) EXAM PATIENT AREA Office, Behavioral Health Provider OFDC1 2 120 240

MEDICAL HOME / SPECIALTY CARE / UCC (301) EXAM PATIENT AREA Physical Therapy Treatment Room PTPR1 1 150 150

MEDICAL HOME / SPECIALTY CARE / UCC (301) EXAM PATIENT AREA Screening EXRG4 2 120 240

MEDICAL HOME / SPECIALTY CARE / UCC (301) EXAM PATIENT AREA Toilet, Airborne Infection Isolation (AII) TLTU1 1 60 60

MEDICAL HOME / SPECIALTY CARE / UCC (301) EXAM PATIENT AREA Toilet, Patient TLTU1 3 60 180

MEDICAL HOME / SPECIALTY CARE / UCC (301) TREATMENT PATIENT AREA Immunization OPIR1 1 240 240

MEDICAL HOME / SPECIALTY CARE / UCC (301) TREATMENT PATIENT AREA Observation / Hydration OOHR1 2 120 240

MEDICAL HOME / SPECIALTY CARE / UCC (301) TREATMENT PATIENT AREA Treatment Room, General TRGM1 2 175 350

MEDICAL HOME / SPECIALTY CARE / UCC (301) TREATMENT PATIENT AREA Toilet, Patient TLTU1 1 60 60

MEDICAL HOME / SPECIALTY CARE / UCC (301) TREATMENT PATIENT AREA Waiting, Immunization / Observation WRC01 1 120 120

MEDICAL HOME / SPECIALTY CARE / UCC (301) SUPPORT Alcove, AED RCA01 1 15 15

MEDICAL HOME / SPECIALTY CARE / UCC (301) SUPPORT Alcove, Ultrasound XRM01 1 15 15

MEDICAL HOME / SPECIALTY CARE / UCC (301) SUPPORT Alcove, Wheelchair SRLW1 1 15 15

MEDICAL HOME / SPECIALTY CARE / UCC (301) SUPPORT Telecommunications Room COMC1 1 130 130

MEDICAL HOME / SPECIALTY CARE / UCC (301) SUPPORT Janitor Closet JANC1 1 40 40

MEDICAL HOME / SPECIALTY CARE / UCC (301) SUPPORT Storage, Central Supply SRE01 1 200 200

MEDICAL HOME / SPECIALTY CARE / UCC (301) SUPPORT Storage, Equipment SRE01 1 200 200

MEDICAL HOME / SPECIALTY CARE / UCC (301) SUPPORT Utility Room, Clean Medical Supplies UCCL1 1 200 200

MEDICAL HOME / SPECIALTY CARE / UCC (301) SUPPORT Utility Room, Soiled USCL1 1 90 90

MEDICAL HOME / SPECIALTY CARE / UCC (301) STAFF AND ADMINISTRATION Copy / Office Supply RPR01 2 50 100

MEDICAL HOME / SPECIALTY CARE / UCC (301) STAFF AND ADMINISTRATION Lockers, Personal Property LR002 1 120 120

MEDICAL HOME / SPECIALTY CARE / UCC (301) STAFF AND ADMINISTRATION LPN Team One Room OFA03 1 550 550

MEDICAL HOME / SPECIALTY CARE / UCC (301) STAFF AND ADMINISTRATION LPN Team Two Room OFA03 1 550 550

MEDICAL HOME / SPECIALTY CARE / UCC (301) STAFF AND ADMINISTRATION Office, Nurse Manager OFA04 1 100 100

MEDICAL HOME / SPECIALTY CARE / UCC (301) STAFF AND ADMINISTRATION Office, OIC OFA04 1 100 100

MEDICAL HOME / SPECIALTY CARE / UCC (301) STAFF AND ADMINISTRATION Office, Practice Manager OFA04 1 100 100

MEDICAL HOME / SPECIALTY CARE / UCC (301) STAFF AND ADMINISTRATION Office, RN OFA04 3 100 300

MEDICAL HOME / SPECIALTY CARE / UCC (301) STAFF AND ADMINISTRATION Office, Shared, Ortho / Pod & Derm Provider OFA05 1 100 100

MEDICAL HOME / SPECIALTY CARE / UCC (301) STAFF AND ADMINISTRATION Office, Shared, PC Provider OFA05 4 100 400

MEDICAL HOME / SPECIALTY CARE / UCC (301) STAFF AND ADMINISTRATION Office, Shared, PC Provider / Nutitionist OFA05 1 100 100

MEDICAL HOME / SPECIALTY CARE / UCC (301) STAFF AND ADMINISTRATION Staff Lounge SL001 1 200 200

MEDICAL HOME / SPECIALTY CARE / UCC (301) STAFF AND ADMINISTRATION Storage, Patient Records FILE1 1 100 100

MEDICAL HOME / SPECIALTY CARE / UCC (301) STAFF AND ADMINISTRATION Toilet, Staff TLTU1 3 60 180

TOTALS = 85 10,835

DoD Clinical Space Privacy act FOR OFFICIAL USE ONLY

Revised July 24, 2018

SUBMITTED MAY 20, 2020 • 36C10F18R0529 FREDERICKSBURG, VA OPC

Use or disclosure of the data, drawings and all information contained on this sheet is subject to the restrictions on the Title Page of this Revised Proposal.

24 JULY 2018 REVISION

Department Functional Area Room Room Code Qty Area 7/24/2018 Revised Area

EYE CLINIC (233) REVISED RECEPTION AREA Reception RCP02 1 260 260

EYE CLINIC (233) REVISED RECEPTION AREA Waiting, General WTG15 1 310 310

EYE CLINIC (233) REVISED PATIENT AREA Consult Room OFDC2 1 125 125

EYE CLINIC (233) REVISED PATIENT AREA Electrodiagnosis Room EYER1 1 150 150

EYE CLINIC (233) REVISED PATIENT AREA Exam / Treatment Room, Ophthalmology EYOT2 9 130 1170

EYE CLINIC (233) REVISED PATIENT AREA Exam / Training Room, Optometrist Low Vision EYOT2 1 135 135

EYE CLINIC (233) REVISED PATIENT AREA Exam / Treatment Room, Optometry EYOT2 4 135 540

EYE CLINIC (233) REVISED PATIENT AREA Eye Procedure Room EYOT2 1 150 150

EYE CLINIC (233) REVISED PATIENT AREA Eyeglass Fitting and Display, and Dispensing Room EYFD1 1 180 180

EYE CLINIC (233) REVISED PATIENT AREA Laser Injection Room TREY2 2 130 260

EYE CLINIC (233) REVISED PATIENT AREA Patient Education / Contact Lens Dispensing Room EYCL1 1 130 130

EYE CLINIC (233) REVISED PATIENT AREA Photography Room EYVF1 1 150 150

EYE CLINIC (233) REVISED PATIENT AREA Photography Room EYVF1 1 120 120

EYE CLINIC (233) REVISED PATIENT AREA Pre-Testing Room EYVS1 1 170 170

EYE CLINIC (233) REVISED PATIENT AREA Ultrasound / Optical Coherence Tomography Room XDUS1 1 180 180

EYE CLINIC (233) REVISED PATIENT AREA Visual Fields Room EYVF1 2 120 240

EYE CLINIC (233) REVISED PATIENT AREA Waiting, Dilation WTG03 1 80 80

EYE CLINIC (233) REVISED SUPPORT AREA Storage, Equipment SRE01 1 120 120

EYE CLINIC (233) REVISED SUPPORT AREA Storage Alcove, Medical Equipment RCA01 1 15 15

EYE CLINIC (233) REVISED SUPPORT AREA Storage Alcove, Wheelchair SRLW1 1 40 40

EYE CLINIC (233) REVISED SUPPORT AREA Supply Room, Clean UCCL1 2 80 160

EYE CLINIC (233) REVISED STAFF AND ADMINISTRATIVE AREA Nurse Workroom WRCH1 1 160 160

EYE CLINIC (233) REVISED STAFF AND ADMINISTRATIVE AREA Office, Ophthalmology / Optometry Chief OFA09 1 100 100

EYE CLINIC (233) REVISED STAFF AND ADMINISTRATIVE AREA Staff Lounge SSLG1 1 200 200

EYE CLINIC (233) REVISED STAFF AND ADMINISTRATIVE AREA Support Equipment Area SRE01 1 40 40

EYE CLINIC (233) REVISED STAFF AND ADMINISTRATIVE AREA Toilet, Staff TNPG1 2 60 120

EYE CLINIC (233) REVISED STAFF AND ADMINISTRATIVE AREA Workstation, Eyecare Provider OFA07 9 56 504

EYE CLINIC (233) REVISED STAFF AND ADMINISTRATIVE AREA Workstation, MSA OFA07 2 56 112

EYE CLINIC (233) REVISED STAFF AND ADMINISTRATIVE AREA Workstation, Secretary OFA07 1 56 56

EYE CLINIC (233) REVISED EDUCATION AREA Training Room, Resident CFR01 1 240 240

TOTALS = 54 6,217

Eye Clinic Privacy Act FOR OFFICIAL USE ONLY

Revised July 24, 2018

SUBMITTED MAY 20, 2020 • 36C10F18R0529 FREDERICKSBURG, VA OPC

Use or disclosure of the data, drawings and all information contained on this sheet is subject to the restrictions on the Title Page of this Revised Proposal.

24 JULY 2018 REVISION

Department Functional Area Room Room Code Qty Area 7/24/2018 Revised Area

SPINAL CORD INJURY REVISED SPINAL CORD INJURY Exam Room, Spinal Cord Injury TRPR1 3 180 540

SPINAL CORD INJURY REVISED SPINAL CORD INJURY Office, Nurse Manager OFA09 1 100 100

SPINAL CORD INJURY REVISED SPINAL CORD INJURY Office, Provider, Social Worker OFDC1 1 120 120

SPINAL CORD INJURY REVISED SPINAL CORD INJURY Office, Provider, Psychiatrist OFDC1 1 120 120

SPINAL CORD INJURY REVISED SPINAL CORD INJURY Toilet, SCI Patient TPB01 3 75 225

SPINAL CORD INJURY REVISED SPINAL CORD INJURY Workstation, LPN OFA07 1 56 56

SPINAL CORD INJURY REVISED SPINAL CORD INJURY Workstation, MSA OFA07 1 56 56

SPINAL CORD INJURY REVISED SPINAL CORD INJURY Workstation, Physician OFA07 3 56 168

TOTALS = 14 1,385

Spinal Cord Injury Privacy Act FOR OFFICIAL USE ONLY

Revised July 24, 2018

SUBMITTED MAY 20, 2020 • 36C10F18R0529 FREDERICKSBURG, VA OPC

Use or disclosure of the data, drawings and all information contained on this sheet is subject to the restrictions on the Title Page of this Revised Proposal.

24 JULY 2018 REVISION

Department Functional Area Room Room Code Qty Area 7/24/2018 Revised Area

TELE-HEALTH REVISED TELE-HEALTH TECH Exam Room, Tele-health EXTH1 10 120 1,200

TELE-HEALTH REVISED TELE-HEALTH TECH Storage, Equipment SRE01 1 120 120

TELE-HEALTH REVISED TELE-HEALTH TECH Workstation, Tele-Health Techs OFA06 6 48 288

TOTALS = 17 1,608

Tele Health Privacy Act FOR OFFICIAL USE ONLY

Revised July 24, 2018

SUBMITTED MAY 20, 2020 • 36C10F18R0529 FREDERICKSBURG, VA OPC

Use or disclosure of the data, drawings and all information contained on this sheet is subject to the restrictions on the Title Page of this Revised Proposal.

24 JULY 2018 REVISION

Department Functional Area Room Room Code Rev Qty Area 7/24/2018

Revised Area

MENTAL HEALTH CLINIC (260) REVISED RECEPTION AREA Reception RCP03 2 385 770

MENTAL HEALTH CLINIC (260) REVISED RECEPTION AREA Waiting, General WTG28 2 540 1080

TOTALS = 4 1,850

MENTAL HEALTH CLINIC (260) REVISED SPECIALTY MENTAL HEALTH Biofeedback OPMH3 2 120 240

MENTAL HEALTH CLINIC (260) REVISED SPECIALTY MENTAL HEALTH Office, Clerical Space for 2 AdPacs OFA05 2 120 240

MENTAL HEALTH CLINIC (260) REVISED SPECIALTY MENTAL HEALTH Office, Homeless Team OFA05 1 120 120

MENTAL HEALTH CLINIC (260) REVISED SPECIALTY MENTAL HEALTH Office, Provider, Local Recovery Coordinator OFDC1 1 120 120

MENTAL HEALTH CLINIC (260) REVISED SPECIALTY MENTAL HEALTH Office, Provider, Marriage and Family Thereapist OFDC1 2 120 240

MENTAL HEALTH CLINIC (260) REVISED SPECIALTY MENTAL HEALTH Office, MH Supervisor 4+A23 1 120 120

MENTAL HEALTH CLINIC (260) REVISED SPECIALTY MENTAL HEALTH Office, MSA Supervisor OFA04 1 120 120

MENTAL HEALTH CLINIC (260) REVISED SPECIALTY MENTAL HEALTH Office, MSA Workspaces OFA05 2 120 240

MENTAL HEALTH CLINIC (260) REVISED SPECIALTY MENTAL HEALTH Office, Provider, MST Coordinator OFDC1 1 120 120

MENTAL HEALTH CLINIC (260) REVISED SPECIALTY MENTAL HEALTH Office, Provider, Neuro-Psychologist OFDC1 4 120 480

MENTAL HEALTH CLINIC (260) REVISED SPECIALTY MENTAL HEALTH Office, Provider, Psychiatrist OFDC1 24 120 2880

MENTAL HEALTH CLINIC (260) REVISED SPECIALTY MENTAL HEALTH Office, Provider, Psychologist OFDC1 8 120 960

TOTALS = 49 5,880

Mental Health / Substance Abuse Privacy Act FOR OFFICIAL USE ONLY

Revised July 24, 2018

SUBMITTED MAY 20, 2020 • 36C10F18R0529 FREDERICKSBURG, VA OPC

Use or disclosure of the data, drawings and all information contained on this sheet is subject to the restrictions on the Title Page of this Revised Proposal.

24 JULY 2018 REVISION

Department Functional Area Room Room Code Rev Qty Area 7/24/2018

Revised Area

MENTAL HEALTH CLINIC (260) REVISED SUICIDE PREVENTION Workstation, Case Manager OFA07 6 56 336

MENTAL HEALTH CLINIC (260) REVISED SUICIDE PREVENTION Workstation, Prevention Coordinator OFA07 2 56 112

TOTALS = 8 448

MENTAL HEALTH CLINIC (260) REVISED SAME DAY ACCESS Consult Rooms OFDC1 2 120 240

MENTAL HEALTH CLINIC (260) REVISED SAME DAY ACCESS Office, Provider, Nurse Practitioner OFDC1 1 120 120

MENTAL HEALTH CLINIC (260) REVISED SAME DAY ACCESS Workstation, Social Worker OFA07 4 56 224

TOTALS = 7 584

MENTAL HEALTH CLINIC (260) REVISED PTSD CLINIC Office, Provider, Coordinator OFDC1 1 120 120

MENTAL HEALTH CLINIC (260) REVISED PTSD CLINIC Office, Provider, Psychologist OFDC1 8 120 960

MENTAL HEALTH CLINIC (260) REVISED PTSD CLINIC Workstation, Peer Support OFA07 1 56 56

TOTALS = 10 1,136

MENTAL HEALTH CLINIC (260) REVISED CWT Workstation, Program Manager OFA07 1 56 56

Mental Health / Substance Abuse Privacy Act FOR OFFICIAL USE ONLY

Revised July 24, 2018

SUBMITTED MAY 20, 2020 • 36C10F18R0529 FREDERICKSBURG, VA OPC

Use or disclosure of the data, drawings and all information contained on this sheet is subject to the restrictions on the Title Page of this Revised Proposal.

24 JULY 2018 REVISION

Department Functional Area Room Room Code Rev Qty Area 7/24/2018

Revised Area

MENTAL HEALTH CLINIC (260) REVISED CWT Workstation, Supported Employment OFA07 1 56 56

MENTAL HEALTH CLINIC (260) REVISED CWT Workstation, Transitional Work OFA07 1 56 56

TOTALS = 3 168

MENTAL HEALTH CLINIC (260) REVISED MHICM Office, Provider, Program Coordinator OFDC1 1 120 120

MENTAL HEALTH CLINIC (260) REVISED MHICM Workstation, RN Care Manager OFA07 2 56 112

MENTAL HEALTH CLINIC (260) REVISED MHICM Workstation,Social Work Coordinator OFA07 1 56 56

MENTAL HEALTH CLINIC (260) REVISED MHICM Workstation, Social Work OFA07 2 56 112

TOTALS = 6 400

MENTAL HEALTH CLINIC (260) REVISED PRRC Dayroom DAYR1 1 240 240 MENTAL HEALTH CLINIC (260) REVISED PRRC Kitchenette IPK01 1 200 200

MENTAL HEALTH CLINIC (260) REVISED PRRC Office, Provider, PRRC Coordinator OFDC1 1 120 120

MENTAL HEALTH CLINIC (260) REVISED PRRC Social Activities - Dining / Multi-purpose Room SL001 1 500 500

MENTAL HEALTH CLINIC (260) REVISED PRRC Storage, Social Activities SRS01 1 120 120

MENTAL HEALTH CLINIC (260) REVISED PRRC Workstation, LPN OFA07 1 56 56

MENTAL HEALTH CLINIC (260) REVISED PRRC Workstation, Social Work OFA07 1 56 56 MENTAL HEALTH CLINIC (260) REVISED PRRC Workstation, Social Work OFA07 1 56 56 MENTAL HEALTH CLINIC (260) REVISED PRRC Workstation, Peer Support OFA07 1 56 56

TOTALS = 9 1,404

MENTAL HEALTH CLINIC (260) REVISED GROUP THERAPY ROOMS Group Therapy Room OPMH1 6 300 1800

TOTALS = 6 1,800

MENTAL HEALTH CLINIC (260) REVISED STAFF AND ADMINISTRATIVE AREA Copy / Office Supply Room SACS1 2 100 200

MENTAL HEALTH CLINIC (260) REVISED STAFF AND ADMINISTRATIVE AREA Toilet, Staff TNPG1 2 60 120

MENTAL HEALTH CLINIC (260) REVISED STAFF AND ADMINISTRATIVE AREA Work Station, Call Center (MSA) PHCC1 10 56 560

MENTAL HEALTH CLINIC (260) REVISED STAFF AND ADMINISTRATIVE AREA Staff Lounge SSLG3 2 380 760

TOTALS = 16 1,640

DEPARTMENT TOTALS = 118 14,974

Mental Health / Substance Abuse Privacy Act FOR OFFICIAL USE ONLY

Revised July 24, 2018

SUBMITTED MAY 20, 2020 • 36C10F18R0529 FREDERICKSBURG, VA OPC

Use or disclosure of the data, drawings and all information contained on this sheet is subject to the restrictions on the Title Page of this Revised Proposal.

24 JULY 2018 REVISION

Department Functional Area Room Room Code Qty Area 7/24/2018 Revised Area Comments

SOCIAL WORK SERVICE (282) REVISED STAFF AND ADMINISTRATION AREA Storage, Equipment SRE01 1 90 90

SOCIAL WORK SERVICE (282) REVISED STAFF AND ADMINISTRATION AREA Training Room, Staff CFR01 1 240 240

TOTALS = 2 330

Social Work Service Privacy Act FOR OFFICIAL USE ONLY

Revised July 24, 2018

SUBMITTED MAY 20, 2020 • 36C10F18R0529 FREDERICKSBURG, VA OPC

Use or disclosure of the data, drawings and all information contained on this sheet is subject to the restrictions on the Title Page of this Revised Proposal.

24 JULY 2018 REVISION

Department Functional Area Room Room Code Qty Area Revised Area

SUBSTANCE ABUSE CLINIC (202) REVISED RECEPTION AREA Reception RCP02 1 260 260

SUBSTANCE ABUSE CLINIC (202) REVISED RECEPTION AREA Waiting WTG21 1 440 440

SUBSTANCE ABUSE CLINIC (202) REVISED PATIENT AREA Consult Room, Nurse Care Manager OFDC2 1 125 125

SUBSTANCE ABUSE CLINIC (202) REVISED PATIENT AREA Exam / Consult, Nurse Practitioner EXR10 2 120 240

SUBSTANCE ABUSE CLINIC (202) REVISED PATIENT AREA Group Therapy Room OPMH1 4 300 1200

SUBSTANCE ABUSE CLINIC (202) REVISED PATIENT AREA Toilet, Specimen Patient TPSP1 1 60 60

SUBSTANCE ABUSE CLINIC (202) REVISED PATIENT AREA Workroom, Team WKTM1 1 240 240

SUBSTANCE ABUSE CLINIC (202) REVISED STAFF AND ADMINISTRATION AREA Copy / Office Supply Room SACS1 1 100 100

SUBSTANCE ABUSE CLINIC (202) REVISED STAFF AND ADMINISTRATION AREA Office, Provider, Medical Director (Addictionologist) OFDC1 1 120 120

SUBSTANCE ABUSE CLINIC (202) REVISED STAFF AND ADMINISTRATION AREA Office, Provider, Psychologist OFDC1 1 120 120

SUBSTANCE ABUSE CLINIC (202) REVISED STAFF AND ADMINISTRATION AREA Office, Provider, Social Work Coordinator OFDC1 1 120 120

SUBSTANCE ABUSE CLINIC (202) REVISED STAFF AND ADMINISTRATION AREA Office, Provider, Social Worker OFDC1 5 120 600

SUBSTANCE ABUSE CLINIC (202) REVISED STAFF AND ADMINISTRATION AREA Toilet, Staff TNPG1 1 60 60

MENTAL HEALTH CLINIC (260) REVISED SUBSTANCE ABUSE CLINIC Workstation, LPN OFA07 2 56 112

MENTAL HEALTH CLINIC (260) REVISED SUBSTANCE ABUSE CLINIC Workstation, RN Case Manager OFA07 1 56 56

MENTAL HEALTH CLINIC (260) REVISED SUBSTANCE ABUSE CLINIC Workstation, Peer Support OFA07 1 56 56

TOTALS = 23 3,909

Social Work Service Privacy Act FOR OFFICIAL USE ONLY

Revised July 24, 2018

SUBMITTED MAY 20, 2020 • 36C10F18R0529 FREDERICKSBURG, VA OPC

Use or disclosure of the data, drawings and all information contained on this sheet is subject to the restrictions on the Title Page of this Revised Proposal.

24 JULY 2018 REVISION

Department Functional Area Room Room Code Qty Area 7/24/2018 Revised Area

PHYSICAL MEDICINE AND REHABILITATION SERVICE (270) REVISED PMRS RECEPTION AREA Reception RCP03 1 385 385

PHYSICAL MEDICINE AND REHABILITATION SERVICE (270) REVISED PMRS RECEPTION AREA Toilet, Public TNPG1 1 60 60

PHYSICAL MEDICINE AND REHABILITATION SERVICE (270) REVISED PMRS RECEPTION AREA Toilet, Public TNPG1 1 60 60

PHYSICAL MEDICINE AND REHABILITATION SERVICE (270) REVISED PMRS RECEPTION AREA Waiting, General WTG21 2 440 880

PHYSICAL MEDICINE AND…