Attachment 3 - Phasing MEP Narrative and Product Data - Chicago EHRM - 537-21-700.pdf

Basis of Design

Final CD: Issued for Bid and Construction

Jesse Brown VA Medical Center 820 S. Damen Ave Chicago IL 60612

EHRM Infrastructure Upgrades

VA Project # 537-21-700

March 12, 2025

Phasing & MEP Narrative

Product Data

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Modernization (OEHRM) Program is a large-scale, commercial Electronic Health Record (EHR) implementation.

The Scope of Work modification resulting from the Contract Mod #1, the design will include the design of 5 new exterior towers for Telecommunication Rooms, attached to building(s) 1A, 1B, 11A, 11B and 30.

Existing rooms within the building will be repurposed in building(s) 1A, 40 and 32 as well.

ii. Phasing Narrative

Work on this project is anticipated to be performed as a multiple phase under one general contract.

Work on cable and fiber replacement will require access to spaces adjacent and along the path of cable and fiber replacement. These spaces are in addition to the TRs and other related rooms.

The AE Team will provide a conceptual phasing plan but the final phasing sequence and duration will depend on the coordination between the general contractor (GC) and the VA, considering the hospital's operational needs and patient safety. The final construction phasing plan will follow the methodology described in this project or provide a new plan for the VA COR to review and approve. The GC shall provide a detailed Critical Path Method (CPM) schedule for each phase, showing the start and finish dates, milestones, and dependencies. The VA should provide the GC with the necessary feedback on all areas involved, including acceptable relocation of VA employees during construction and potential work hours for each phase and location. The GC shall also provide a written narrative for each phase, describing the scope of work, temporary systems, infection control measures and utility shutdowns. The GC shall obtain the VA's approval before proceeding to the next phase or if two phases can be done simultaneously.

The goals of this project are to design new Information Technology (IT) infrastructure and physical (i.e., facilities) infrastructure. The scope of this project includes but is not limited to the following infrastructure improvements: new redundant fiber risers, new and refurbish existing LAN closets (Power, UPS, Fire Protection, Bonding, Card Access Door Locks, Heating, Ventilation, and Air Conditioning), replace / add horizontal cabling to the devices.

i. Architectural – Goals / Programming Criteria:

Statement of Work - General

Basis of Design

Final CD: Issued for Bid and Construction

Jesse Brown VA Medical Center 820 S. Damen Ave Chicago IL 60612

EHRM Infrastructure Upgrades

VA Project # 537-21-700

Phasing methodology The phasing plan divides the new Telecommunication Rooms between exterior and interior TRs and their construction into two overall stages per building:

Stage 1. TR construction and TR MEPT: The proposed phasing plan for the new telecommunication rooms is based on construction typical sequence and Jesse Brown specific requirements.

Stage 2. Overall deployment: The proposed phasing plan for deployment of the new data cable and fiber, and related MEP, is based on an Infection Control Risk Assessment (ICRA), identifying the type of construction project activity and patient risk groups, in order to provide measures for safety, infection, dust control and construction waste management for each ICRA class area.

EXTERIOR TRs

Stage 1. TR construction The first phase (Excavation and foundations) should be done simultaneously in all exterior towers to avoid unnecessary remobilization of machinery and personnel, and to avoid as much disruption as possible to the VA patients and personnel. The rest of the stages could be done simultaneously at all towers or staggered, depending on the GC work force, VA work times and space constraints.

Phase 1. Excavation and foundations.

All exterior towers excavation, related civil work, foundations and on-ground slab should be completed first. The proposed sequence would be TR 11A, TR 11B, TR 1B, TR 30 & TR 1AA. TR 11A is key as it also houses a new electrical room needed for this project.

Phase 2. Demolition and structure.

The new TR floors are tied to the existing building slabs. New TRs slabs can be completed after the demolition of the existing brick veneer. The GC and the VA COR will need to coordinate if the veneer demolition needs to be phased per floor or as a full demolition. This phasing plan opts for a phased demolition per floor so phases 2A and 2B apply to each floor.

Phase 2A. Demolition.

Install temporary infection control barriers to isolate the entrance to the new TRs. Take measures to protect existing equipment in adjacent rooms. VA personnel in adjacent rooms will need to be temporarily or permanently relocated. Remove ceiling tiles in the area of work and store them to be reinstalled. Complete asbestos abatement where ACM is found within the area of work. Remove existing brick veneer (only in current floor level of work), windows and upper portions of the facade where necessary for MEPT. Prepare the openings to receive new windows and to patch existing brick veneer. Install weather protection while new windows and brick veneer are not installed.

Phase 2B. Structure.

Columns and upper floor beams to be installed. Upper floor slab to be installed after the demolition of the upper floor brick veneer.

Phase 3. Exterior enclosure Once the whole tower structure is finished, install CFMF and finish enclosure.

Install new windows and new TR doors and patch remaining openings to match existing brick veneer.

Phase 4. Interior work and roof work Create new access corridors where specified in architectural drawings. Complete roof work and interior work: architectural, plumbing, HVAC ducts and pipes, electrical panels and fire protection work. Racks to be installed and ready to receive new backbone and structured cabling. See technology for cabling installation phasing. See buildings overall phasing plan and MEPT narrative for general installation /distribution phasing.

Phase 5. Final work Remove temporary infection control barriers. Reinstall ceiling tiles / install new tiles and fix/paint new and any damaged surfaces. Install CCTV cameras and access card readers.

INTERIOR TRs

Stage 1. TR construction No exterior work or exterior demolition will be performed in these rooms.

Phase 1. Excavation and foundations.

Not needed for these rooms

Phase 2. Demolition and structure.

The new tr floors are planned to occupy existing tr locations (building 40) or to repourpose existing rooms for the new use (building 1a and building 30).

Phase 2a. Demolition.

Install temporary infection control barriers to isolate the entrance to the new trs. Take measures to protect existing equipment in adjacent rooms. It is not expected that va personnel in adjacent rooms will need to be temporarily or permanently relocated. Remove ceiling tiles in the area of work. Do not store them as they will not need to be reinstalled. Complete asbestos abatement where acm is found within the area of work.

Phase 2b. Structure.

Structural work will be limited to existing slabs reinformcement for new penetrations, if needed, see structural drawings for scope of work.

Phase 3. Exterior enclosure Not needed for these rooms

Phase 4. Interior work and roof work Complete roof work and interior work: architectural, plumbing, hvac ducts and pipes, electrical panels and fire protection work. Racks to be installed and ready to receive new backbone and structured cabling. See technology for cabling installation phasing. See buildings overall phasing plan and mept narrative for general installation /distribution phasing.

Phase 5. Final work Remove temporary infection control barriers. Fix/paint new and any damaged surfaces. Install cctv cameras and access card readers.

EXTERIOR & INTERIOR TRs

Stage 2. Overall deployment

The proposed phasing plan for overall deployment is based on an Infection Control Risk Assessment (ICRA), identifying the type of construction project activity and patient risk groups. See specs 01 10 20 IC Infection Control for additional information.

Specific phasing for mechanical, plumbing, fire protection, electrical and technology is covered on the Appendix II, MEPT Narrative and additional instructions can be found in MEPT drawings.

PART 1: INFECTION CONTROL RISK ASSESSMENT

Type Construction Project Activity

Type A☐

Inspection and Non-Invasive Activities.

Include, but are not limited to:

□ Removal of one to two ceiling tiles for visual inspection only

□ Painting but NO SANDING

□ Wall covering, electrical trim work, minor plumbing, and activities that do not generate dust or require cutting of walls or access to ceilings other than for visual inspection.

Type B ☐

Small scale, short duration activities that create minimal dust.

Include, but are not limited to:

□ Minor telephone and computer cabling installations.

□ Access to chase spaces.

□ Cutting of walls or ceilings where dust migration can be controlled using dustless tools, tools with dust control guards and/or dust control systems

Type C ☐

Work that generates a moderate to high level of dust or requires demolition or removal of any fixed building components or assemblies.

Includes, but is not limited to:

□ Sanding walls for painting or wall covering.

□ Removal of floor coverings, ceiling tiles, and casework.

□ New wall construction, window installation.

□ Minor duct work or electrical work above ceilings.

□ Major cabling activities.

□ Any activity that cannot be completed within a single work shift.

Type D ☐

Major demolition and construction projects.

Includes, but is not limited to:

□ Activities that require consecutive work shifts.

□ Requires heavy demolition or removal of a complete cabling system.

□ New construction.

PART 2 : PATIENT RISK GROUPS

□ Low Risk □ Medium Risk □ High Risk □ Highest Risk

Office Areas

Other non-patient care areas (e.g. EMS, Biomed)

Waiting Rooms

Canteen Services

Storage rooms

Chapel Lobbies

Cardiology

Echocardiology

Endoscopy

Nuclear Medicine

Physical Therapy

Radiology/MRI

Respiratory Therapy

Mental Health

Ambulatory Care Clinics

CBOCs

Laboratories Outpatient

Pharmacy/Non-compounding areas

Emergency Room

Labor and Delivery

Newborn Nursery

Outpatient Surgery

Pediatrics

Pharmacy

Community Living

Center (CLC)

Surgical Units

Pain Clinic

Inpatient

Immunocompromised patient care areas

Burn Unit

Cardiac Cath Lab

SICU/MICU

Operating Rooms (including C-section rooms)/Pre-Op/PACU

Sterile Processing Service

Medical Supply & Distribution

Inpatient Pharmacy IV & Compounding Areas

Hemodialysis

Negative Pressure Isolation rooms

Oncology

PART 3 : MATRIX CLASS OF PRECAUTIONS

IC Matrix Class of Precautions: Construction Project by Patient Risk Group and Construction Project Type

Patient Risk Group / Activity Type

□ TYPE A □ TYPE B □ TYPE C □ TYPE D

□ LOW Risk Group □ I (green) □ II (yellow) □ II (yellow) □ III/IV (pink)

□ MEDIUM Risk Group □ I (green) □ II (yellow) □ III (pink) □ IV (red)

□ HIGH Risk Group □ I (green) □ II (yellow) □ III/IV (pink) □ IV (red)

□ HIGHEST Risk Group □ II (yellow) □ III/IV (pink) □ III/IV (pink) □ IV (red)

Note: Infection Control approval is required for ALL construction or renovation activities.

ICRA CONSTRUCTION PRECAUTIONS

C

LA

SS

During construction project, the following shall be performed daily: Upon completion of the phased work in any room, the following shall be performed per room:

C

LA

SS

I

1. Execute work by methods to minimize raising dust from construction operations.

2. For visual inspection only, dampen ceiling tile with water spray before removing. Replace a ceiling tile immediately after inspection; do not leave unattended.

Clean up ceiling tile and flooring surfaces below with HEPA filtered vacuum or damp mop.

C

LA

II

As above and:

1. Provide active means to prevent dust from dispersing. Dust left on the floors, clothing and/or body is not allowed in order to prevent spreading and tracking. “Active means” are:

a. Vacuum attachments on tools with HEPA vacuum when generating dust, or

b. HEPA vacuuming immediately as the dust is generated.

c. Remove or isolate HVAC system in areas where work is being performed.

d. Water mist work surfaces to control dust while cutting.

e. Seal unused doors with duct tape.

f. Block off and seal all HVAC air vents.

g. Place +tacky mat at inside of entrance of work area and change frequently or when ineffective.

h. Wet mop and/or vacuum with +HEPA-filtered vacuum the work area before leaving the site. Brooming is not sufficient.

2. Whenever transporting outside of construction site, wipe materials, equipment and work surfaces with EPA registered, unscented +disinfectant, which has manufacturer’s labeling as a bactericide, tuberculocide, virucide, and fungicide.

3. There shall be no standing, uncovered water during construction. This includes water in equipment drip pans and open containers within the construction areas. All accidental spills shall be cleaned up and dried within 12 hours. Remove and dispose of porous materials that remain damp for more than 72 hours.

As above and:

1. Wet mop and/or vacuum with

HEPA-filtered vacuum before leaving work area and wipe work surfaces with disinfectant.

2. Contain construction waste before transport in tightly covered containers. Tape may be used to ensure a tight cover.

3. Remove isolation of HVAC system in areas when work and area cleanup has been completed.

C

LA

SS

II

I

As above and:

1. Complete all critical barriers, i.e., +sheetrock, +plywood, +plastic, +prefabricated movable wall system, to seal area from non-work area or implement +control cube method before construction begins.

2. Maintain Negative Pressure Ventilation +(NPV) at 0.01" Water Column (WC) within the work site utilizing NPV machine.

3. NPV monitoring devices shall be visible from outside the worksite and readings shall be documented daily or more often as needed. Keep +track monitoring device and +tracking log at outside of entrance at the site.

4. Contain construction waste before transport in tightly covered containers. Tape covering, unless using form-fitting solid lid.

5. Seal holes, pipes, conduits, and punctures. appropriately during construction.

As above and:

1. Remove barrier materials carefully to minimize spreading of dirt and debris associated with construction.

2. Do not remove barriers from work area until completed project is thoroughly and inspected by COR, Safety and Infection Control.

C

LA

IV

As above and:

1. +Seal holes, pipes, conduits, and punctures.

2. Construct anteroom and require all personnel to pass through this room to be vacuumed using a HEPA vacuum cleaner before leaving work site OR they can wear cloth or paper coveralls that are removed each time they leave the work site.

3. All personnel entering work site are required to wear shoe covers. Shoe covers shall be changed each time the worker exits the work area.

As above

iii. Infection and Dust Control Measures

Managing the construction period for construction borne contaminants and dust is critically important. Project standards and requirements are in the specification Division 01 General Requirements. Full specification sections are part of the 65% DD, including sections 01 10 20 IC Infection Control, 01 35 26 Safety Requirements, 01 42 19 Reference Standards, 01 74 19 Construction Waste Management, and 02 41 00 Demolition.

The Architect / Engineer must coordinate with the COR during the design and complete the Infection Control documentation as well as the Interim Life Safety Measures (ILSM). Identify all dust control and any special construction requirements with VA Safety and VA IC. Specific requirements including any mitigating activities for CONSTRUCTION INFECTION CONTROL RISK ASSESSMENT / DUST CONTROL PRECAUTIONS will be provided by the AE Team in a per phase/location basis, following the requirements set in the specifications:

1. All building systems will always be maintained in full operation. Construction Shutdown work must be during low patient time and performed between Saturday 6 pm through midnight concluding by 6 pm on the following Sunday. The AE wi l l identify any expected system shutdowns and off hours work on the plans.

2. For large constriction areas, specify and show in plan the temporary construction partition with pressure differential sensor that is connected to the Building Automation System. For all other work specify the use of HEPA carts.

3. When during construction the sprinklers are out of service, or when ceiling tiles are removed, specify uniform heat detection in the area of work, connected to the existing supervised building master fire alarm system, for the duration of the work.

4. Fire-seal all penetrations through any wall or floor with Listed fire rated assembly.

5. Show on plan the location of the construction dumpsters with a surrounding safety fence, coordinate location with the COR.

6. Meet with the GEMS Coordinator and specify recycling and receipts from the salvage

/ deposal service in compliance with VA’s GEMS Policy.

7. All work in the crawl spaces must meet the OSHA Permit Required Confined Space safeguards.

8. Identify all dust control and any special construction requirements. Describe these additional requirements including any mitigating activities that will be required during construction.

9. Location of temporary construction barriers with pressure differential sensor temporarily connected to the Building Automation System. Integration to the system shall be included in the design.

iv. Design Concept:

The Architect / Engineering Team (AE) is designing upgrades to the existing telecommunications infrastructure for the Office of Electronic Health Record Modernization (OEHRM) Program. This project is a large-scale, commercial Electronic Health Record (EHR) implementation. The project will be providing exterior new Telecommunication Rooms (TR) and reallocating existing rooms within the building for a TR purpose, as indicated in the drawings.

The AE Team is to provide a design that complies with the OEHRM Program but also provides the least amount of disruption to the hospital operations.

xv. Basis of Design – Structural:

Appendix II: BID AND CONSTRUCTION MEPT Narrative

Appendix IV: Architectural Product Data

Appendix VIII: Mechanical Calculations & Product Data

Appendix X: Technology Product Data