4. North Kansas City Appendix A - Program for Design.pdf
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This document is a Program for Design for the Northland Community-Based Outpatient Clinic (CBOC) in Kansas City, Missouri, detailing a comprehensive facility expansion project. The program covers multiple departments and functional areas across approximately 129,537 gross square feet, including Outpatient/PACT Clinic, Magnetic Resonance Imaging, Inpatient Surgical/Endovascular Services, Digestive Diseases Endoscopy Service, Sterile Processing Service, and Environmental Management Service.
The design program encompasses 465 rooms across six departments, with a total net area of 67,015 square feet. Key functional areas include patient care spaces (exam rooms, procedure rooms, waiting areas), diagnostic services (radiology, MRI, endoscopy), surgical support areas (pre-operative and recovery spaces), sterile processing facilities, and administrative support zones. The project is projected for 2023 with a midpoint in 2024, located at the VA Medical Center in Kansas City, Missouri, and involves a detailed room-by-room breakdown of space allocation, construction phase, and room type for each department.
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PROGRAM FOR DESIGN
NORTHLAND CBOC - 23-08-10 ADDITION OF 3RD OR
POST VIRTUAL ENDO/SURGERY FEEDBACK CHANGES NORTHLAND KANSAS CITY CBOC
NORTHLAND KANSAS CITY
Projected Year: 2023 Midpoint Year: 2024
VISN: 15 State: MO State: 589 Station: Kansas City
Installation: VA Medical Center
Project Created: 7/22/2021 12:31:14 PM by Charles Rone Space Plan Last Edited: 8/30/2023 3:59:15 PM by Bruce Metts
Contents List Created: 7/6/2023 1:59:11 PM by Bruce Metts Contents List Last Edited: 8/30/2023 9:21:45 AM by Bruce Metts
Report Generated: 30 Aug 2023 04:16PM ET
NORTHLAND CBOC - 23-08-10 ADDITION OF 3RD OR (POST VIRTUAL ENDO/SURGERY FEEDBACK CHANGES NORTHLAND KANSAS CITY CBOC)
Department: 01 - OUTPATIENT / PACT CLINIC (265)
Functional Area: 01 - LOBBY / RECEPTION AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
5 CLSC2 Workstation, Patient Education 30 150 1 0
1 NCWD4 Alcove, Volunteer 120 120 1 1
1 RCP03 Reception 1261 1261 1 0
1 SRLW1 Alcove, Wheelchair 73 73 1 0
1 SRLW1 Alcove, Wheelchair 90 90 1 1
2 TNPFM Toilet, Family 0 0 1 0
1 WTF03 Waiting, PACT Family 225 225 1 1
1 WTPC2 Waiting, PACT 2 4652 4652 1 0
FA Totals: Room Qty: 13 Net Area: 6,571 Gross Area: 9,857
Department: 01 - OUTPATIENT / PACT CLINIC (265)
Functional Area: 03 - PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
2 CFR01 Conference Room 240 480 1 1
2 CFR01 Training Room, Staff 240 480 1 1
2 CLSC4 Shared Medical Appointment Room 400 800 1 0
1 CSUS1 Utility Room, Soiled 63 63 1 0
18 EXPA1 Exam Room, Patient Aligned Care Team (PACT) 125 2250 1 0
2 EXW01 Exam Room, Women's Health 125 250 1 0
2 LR001 Locker, Staff Personal Property 60 120 1 0
2 OFA07 Workstation, Administrative 56 112 1 0
8 OFA07 Workstation, Extended Team 56 448 1 0
8 OFDC2 Consult Room, Patient Aligned Care Team (PACT) 125 1000 1 0
3 PEHW2 Alcove, Height / Weight Accessible Station 40 120 1 0
2 RCA06 Alcove, Medication 80 160 1 0
2 SL001 Lounge, Staff 220 440 1 0
1 SRE01 Storage, Medical Equipment 120 120 1 0
2 SRE01 Storage, Shared Medical Appointments 100 200 1 0
Page 2 of 23FOR OFFICIAL USE ONLY30 Aug 2023 04:16PM ET
NORTHLAND CBOC - 23-08-10 ADDITION OF 3RD OR (POST VIRTUAL ENDO/SURGERY FEEDBACK CHANGES NORTHLAND KANSAS CITY CBOC)
Functional Area: 03 - PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
4 TNPG1 Toilet, Staff 60 240 1 0
1 TPB01 Toilet, General Procedure Room Patient 70 70 1 0
3 TPG01 Toilet, PACT Patient 60 180 1 0
2 TPG01 Toilet, Women's Health Exam Room Patient 63 126 1 0
1 TRPR1 Procedure Room, General 180 180 1 0
1 UCCL1 Clean Storage 120 120 1 0
1 UCCL1 Utility Room, Clean 63 63 1 0
2 WKTM3 Workroom, Patient Aligned Care Team (PACT) 100 200 1 0
8 WRTM1 Team Work Area 240 1920 1 0
1 WRTM2 Tele-Health Room 125 125 1 0
1 WRTM3 Tele-Retinal Room 125 125 1 0
FA Totals: Room Qty: 82 Net Area: 10,392 Gross Area: 15,588
Department: 01 - OUTPATIENT / PACT CLINIC (265)
Functional Area: 05 - AUDIOLOGY AND SPEECH PATHOLOGY CLINIC
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 CAS06 Audiology Hearing Aid Repair Room, ASLP Svc 160 160 1 0
1 CAS31 Audiology Cerumen Management Room, ASLP Svc 160 160 1 0
1 EXAU1 Exam / Consult, Audiology 125 125 1 0
2 HAFR1 Hearing Aid Fitting Room 125 250 1 1
2 PEHS4 Exam, Audiometric Booth 260 520 1 0
1 SRSE1 Storage, Equipment 180 180 1 0
1 TPG01 Toilet, Audiology Patient 60 60 1 0
FA Totals: Room Qty: 9 Net Area: 1,455 Gross Area: 2,183
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NORTHLAND CBOC - 23-08-10 ADDITION OF 3RD OR (POST VIRTUAL ENDO/SURGERY FEEDBACK CHANGES NORTHLAND KANSAS CITY CBOC)
Functional Area: 06 - DENTAL CLINIC
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 CDS13 Special Needs Dental Treatment Room (DTR), Dental Clnc 150 150 1 0
1 DNPL1 Laboratory, Dental Prosthetics 280 280 1 0
5 DNTG1 Dental Treatment Room (DTR), Multi-Functional 130 650 1 0
1 DNXS1 X-Ray Room, Panoramic / Cephalometric 180 180 1 0
1 LCCL1 Linen Room, Clean 120 120 1 0
1 LCSL2 Linen Room, Soiled 90 90 1 0
1 MECH1 Dental Equipment Mechanical Room 120 120 1 0
1 OFDC2 Consult Room, Dental 125 125 1 0
1 SRE01 Storage, Equipment 100 100 1 0
1 TPG01 Toilet, Dental Patient 60 60 1 0
1 WRTM1 Team Work Area, Dental Clinic 240 240 1 0
FA Totals: Room Qty: 15 Net Area: 2,115 Gross Area: 3,173
Department: 01 - OUTPATIENT / PACT CLINIC (265)
Functional Area: 07 - EYE CLINIC
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 CDL21 Clean Supply Storage Room 81 81 1 0
1 CEY15 Ophthalmology Tomography Room, Eye Clnc 185 185 1 0
1 CEY21 Ophthalmology YAG Laser Room, Eye Clnc 130 130 1 0
5 EYOT2 Exam / Treatment Room 130 650 1 0
1 EYOT4 Exam / Training Room, Low Vision 150 150 1 0
1 EYVF1 Visual Fields Room 130 130 1 0
1 EYVS1 Photography Room 130 130 1 0
1 SB201 Universal Patient Toilet, Bldg Sprt 60 60 1 0
1 WRTM1 Team Work Area, Eye Clinic 240 240 1 0
1 WTG03 Sub-Waiting, Dilation Patient 80 80 1 0
FA Totals: Room Qty: 14 Net Area: 1,836 Gross Area: 2,754
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NORTHLAND CBOC - 23-08-10 ADDITION OF 3RD OR (POST VIRTUAL ENDO/SURGERY FEEDBACK CHANGES NORTHLAND KANSAS CITY CBOC)
Functional Area: 08 - MENTAL HEALTH CLINIC
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 IMH17 Exam Room, MH PCU 125 125 1 0
6 OFDC1 Consult Room, Mental Health 125 750 1 0
1 OPMH1 Group Therapy Room, Mental Health 300 300 1 0
1 RCP03 Reception 100 100 1 0
1 SB201 Universal Patient Toilet, Bldg Sprt 60 60 1 0
1 SRS01 Storage, General 60 60 1 1
1 WRTM1 Team Work Area, Mental Health 180 180 1 0
FA Totals: Room Qty: 12 Net Area: 1,575 Gross Area: 2,363
Department: 01 - OUTPATIENT / PACT CLINIC (265)
Functional Area: 09 - MULTI-SPECIALTY CLINIC
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 CCD21 Echocardiograph Room, Cardio Svc 150 150 1 0
1 CPR18 Equipment Storage Room, Prsthtcs Svc 100 100 1 0
6 EXPA1 Exam Room, Multi-Specialty 130 780 1 0
1 PEHW1 Alcove, Height / Weight Station 30 30 1 0
1 SB201 Universal Patient Toilet, Bldg Sprt 60 60 1 0
1 SC243 Team Room, Clncl Sprt 240 240 1 0
1 SV581 Medication Alcove, Phrm Svc 60 60 1 0
1 TNPG1 Toilet, Non-Patient, Single User, Universal 60 60 1 0
2 TPB01 Toilet, Multi-Specialty Procedure Room Patient 75 150 1 0
2 TRPR1 Procedure Room, Multi-Specialty 180 360 1 0
1 UCCL1 Utility, Clean 125 125 1 0
1 USCL1 Utility Room, Soiled 75 75 1 0
FA Totals: Room Qty: 19 Net Area: 2,190 Gross Area: 3,285
Page 5 of 23FOR OFFICIAL USE ONLY30 Aug 2023 04:16PM ET
NORTHLAND CBOC - 23-08-10 ADDITION OF 3RD OR (POST VIRTUAL ENDO/SURGERY FEEDBACK CHANGES NORTHLAND KANSAS CITY CBOC)
Functional Area: 10 - PHYSICAL MEDICINE AND REHABILITATION (PM&R) CLINIC
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 CT161 ATech Outdoor Therapeutic Area, PMR Svc 0 0 1 0
1 PTEA1 Treatment Exercise Area 910 910 1 0
1 PTTC1 Treatment Room 125 125 1 0
1 SRE01 Storage, Equipment 200 200 1 0
1 TPG01 Toilet, PM&R Patient 60 60 1 0
FA Totals: Room Qty: 5 Net Area: 1,295 Gross Area: 1,943
Department: 01 - OUTPATIENT / PACT CLINIC (265)
Functional Area: 11 - PROSTHETICS AND SENSORY AIDS CLINIC
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
2 CPR01 Soft Goods Fabrication Fitting / Exam Room, Prsthtcs Svc 120 240 1 0
1 CPR17 Cast Room, Prsthtcs Svc 180 180 1 0
1 CPR21 Prosthetic / Orthotic Laboratory Fume Room, Prsthtcs Svc 200 200 1 0
1 CPR22 Prosthetic / Orthotic Laboratory Dust Room, Prsthtcs Svc 300 300 1 0
1 MRPA1 Mailing Room, Prosthetic Appliances 80 80 1 0
1 OFA03 Workstation, Dispensing Prosthetic Clerk 56 56 1 0
1 SRCS1 Storage, Prosthetic Appliances 150 150 1 0
1 TPG01 Toilet, Patient, Single User, Universal 60 60 1 0
1 WTG03 Sub-Waiting, Prosthetics Patient 80 80 1 0
FA Totals: Room Qty: 10 Net Area: 1,346 Gross Area: 2,019
Department: 01 - OUTPATIENT / PACT CLINIC (265)
Functional Area: 14 - PATHOLOGY AND LABORATORY MEDICINE (PLM) SERVICE
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 LBGM1 Laboratory, General 500 500 1 1
1 LBSS1 Shipping / Receiving 100 100 1 0
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NORTHLAND CBOC - 23-08-10 ADDITION OF 3RD OR (POST VIRTUAL ENDO/SURGERY FEEDBACK CHANGES NORTHLAND KANSAS CITY CBOC)
Functional Area: 14 - PATHOLOGY AND LABORATORY MEDICINE (PLM) SERVICE
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
3 LBVP1 Blood Specimen Collection Room 80 240 1 0
1 SRS01 Storage, Bulk 140 140 1 0
1 TNPG1 Toilet, Staff 60 60 1 0
2 TPSP1 Toilet, Specimen Collection 60 120 1 1
FA Totals: Room Qty: 9 Net Area: 1,160 Gross Area: 1,740
Department: 01 - OUTPATIENT / PACT CLINIC (265)
Functional Area: 15 - PHARMACY SERVICE
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 OFDC2 Consult Room, Pharmacy 125 125 1 0
1 PHOW1 Dispensing, Window 60 60 1 0
2 PHOW1 Prescription Receiving, Window 80 160 1 0
1 SB244 Housekeeping Aides Closet (HAC), Bldg Sprt 60 60 1 0
1 SS204 ServIce / Section: Chief / AO / Supervisor Office, Stff Sprt 100 100 1 0
1 SS262 Breakroom, Stff Sprt 140 140 1 0
1 SV423 OP Filling & Assembly Area, Phrm Svc 600 600 1 0
1 SV431 OP Automated Filling / Storage, Phrm Svc 360 360 1 0
3 SV432 OP Processing Area, Phrm Svc 56 168 1 0
1 SV433 OP Secured Dispensing / Storage Room, Phrm Svc 150 150 1 0
1 SV442 OP Expired Drug Collection / Disposal, Phrm Svc 30 30 1 0
1 SV443 OP Inventory Receiving / Breakdown, Phrm Svc 200 200 1 0
1 SV511 IP Sterile Non-Hazardous Drug Buffer Room, Phrm Svc 180 180 1 0
1 SV521 IP Sterile Hazardous Drug Buffer Room (C-SEC), Phrm Svc 100 100 1 0
1 SV541 IP Hazardous Drug Storage Room, Phrm Svc 60 60 1 0
1 SV548 IP Sterile Compounding Anteroom, Phrm Svc 150 150 1 0
FA Totals: Room Qty: 19 Net Area: 2,643 Gross Area: 3,965
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NORTHLAND CBOC - 23-08-10 ADDITION OF 3RD OR (POST VIRTUAL ENDO/SURGERY FEEDBACK CHANGES NORTHLAND KANSAS CITY CBOC)
Functional Area: 16 - CLINIC MANAGEMENT
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 OFA09 Office, CMO 100 100 1 0
1 OFA09 Office, Nurse Manager 100 100 1 0
1 SS209 Shared Office, Stff Sprt 140 140 1 0
FA Totals: Room Qty: 3 Net Area: 340 Gross Area: 510
Department: 01 - OUTPATIENT / PACT CLINIC (265)
Functional Area: 17 - BUSINESS SERVICES
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 SS203 MH Provider / Advocate Office, Stff Sprt 130 130 1 0
1 SS204 ServIce / Section: Chief / AO / Supervisor Office, Stff Sprt 100 100 1 0
1 WKTM1 Workroom, Business Services 240 240 1 0
FA Totals: Room Qty: 3 Net Area: 470 Gross Area: 705
Department: 01 - OUTPATIENT / PACT CLINIC (265)
Functional Area: 18 - ENGINEERING SERVICE
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 BMER1 Repair Shop, Biomedical Engineering 200 200 1 1
FA Totals: Room Qty: 1 Net Area: 200 Gross Area: 300
Department: 01 - OUTPATIENT / PACT CLINIC (265)
Functional Area: 19 - LOGISTICS SERVICE
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 DOCK1 Receiving / Shipping Dock 0 0 1 0
1 MMGS1 Storage, Bulk Items 500 500 1 0
1 MMRP1 Receiving Breakout and Inspection Room 456 456 1 0
Page 8 of 23FOR OFFICIAL USE ONLY30 Aug 2023 04:16PM ET
NORTHLAND CBOC - 23-08-10 ADDITION OF 3RD OR (POST VIRTUAL ENDO/SURGERY FEEDBACK CHANGES NORTHLAND KANSAS CITY CBOC)
Functional Area: 19 - LOGISTICS SERVICE
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 SB272 Recycling Station, Bldg Sprt 0 0 1 0
1 SB541 Full Gas Cylinder Storage Room, Lgstcs Svc 40 40 1 0
1 SB551 Empty Gas Cylinder Storage Room, Lgstcs Svc 40 40 1 0
1 SB653 Mailroom, Lgstcs Svc 80 80 1 0
1 SRLG2 Storage Area, Logistics PACT 2 1200 1200 1 0
1 SRS04 Storage, Sterile Consumables (Soft Goods) 280 280 1 0
1 SRSE1 Storage, Unit Items 520 520 1 0
FA Totals: Room Qty: 10 Net Area: 3,116 Gross Area: 4,674
Department: 01 - OUTPATIENT / PACT CLINIC (265)
Functional Area: 20 - POLICE SERVICE
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 CROP1 Operations Room 200 200 1 0
1 LR001 Locker Room 125 125 1 0
1 LR001 Locker Room - Female 125 125 1 0
1 OFA09 Office, Police Service 100 100 1 0
1 POH01 Holding Room 60 60 1 0
1 SB191 Universal Non-Patient Toilet, Bldg Sprt 60 60 1 0
1 SB821 Secure Evidence Room, Police Svc 80 80 1 0
1 SB831 Armory / Weapons Storage Room, Police Svc 60 60 1 0
1 SS262 Breakroom, Stff Sprt 120 120 1 0
FA Totals: Room Qty: 9 Net Area: 930 Gross Area: 1,395
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NORTHLAND CBOC - 23-08-10 ADDITION OF 3RD OR (POST VIRTUAL ENDO/SURGERY FEEDBACK CHANGES NORTHLAND KANSAS CITY CBOC)
Functional Area: 21 - CANTEEN SERVICE
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 BX002 Vending Machine Area 150 150 1 1
1 FSCD4 Canteen, PACT 2 250 250 1 0
1 SRE01 Storage, Equipment RSA 100 100 1 0
1 SV628 Coffee Shop Seating Area, VC Svc 250 250 1 0
FA Totals: Room Qty: 4 Net Area: 750 Gross Area: 1,125
Department: 01 - OUTPATIENT / PACT CLINIC (265)
Functional Area: 22 - STAFF SUPPORT AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 CFR01 Conference Room 240 240 1 1
1 CFR01 Training Room, Staff 240 240 1 1
1 LAC01 Lactation Room 100 100 1 0
1 SRE01 Storage, Equipment 180 180 1 0
2 TNPG1 Toilet, Staff 60 120 1 0
1 WRTM2 Tele-Health Room 125 125 1 0
FA Totals: Room Qty: 7 Net Area: 1,005 Gross Area: 1,508
Department: 01 - OUTPATIENT / PACT CLINIC (265)
Functional Area: 23 - SUPPORT AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
4 COMC1 Communications Room 170 680 1 0
1 COMC1 Communications Room 780 780 1 0
1 JANC1 Housekeeping Aides Closet (HAC) 0 0 1 0
1 JANC1 Housekeeping Aides Closet (HAC) 0 0 1 1
1 UTC01 Utility Room, Recycled Material 0 0 1 1
FA Totals: Room Qty: 8 Net Area: 1,460 Gross Area: 2,190
Page 10 of 23FOR OFFICIAL USE ONLY30 Aug 2023 04:16PM ET
NORTHLAND CBOC - 23-08-10 ADDITION OF 3RD OR (POST VIRTUAL ENDO/SURGERY FEEDBACK CHANGES NORTHLAND KANSAS CITY CBOC)
Functional Area: 24 - RADIOLOGY PATIENT AREA (COPIED 28 MAR 2022 08:30AM ET)
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 OFDC2 Consult Room 125 125 1 0
1 OFDR1 Mammography Quality Assurance 80 80 1 0
1 SRE01 Storage, Equipment 100 100 1 0
1 TPG01 Toilet, General Purpose Radiology Patient 60 60 1 0
1 TPG01 Toilet, Ultrasound Patient 60 60 1 0
1 WRL01 Holding Bay, Patient Stretcher 60 60 1 0
1 XDM01 Mammography Room 150 150 1 0
1 XDUS1 Ultrasound Room 180 180 1 0
FA Totals: Room Qty: 8 Net Area: 815 Gross Area: 1,223
Department: 01 - OUTPATIENT / PACT CLINIC (265)
Functional Area: 25 - COMPUTED TOMOGRAPHY (CT) PATIENT AREA (COPIED 28 MAR 2022 08:30AM ET)
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 MEDP1 Medication Preparation Room 120 120 1 0
1 SRS01 Storage Room 120 120 1 0
1 TPG01 Toilet, Patient 60 60 1 0
1 WTG03 Sub-Waiting, CT 80 80 1 0
1 XCTC1 Control Room 120 120 1 0
1 XCTI1 Physician Viewing Room 120 120 1 0
1 XCTS1 Scanning Room, CT 400 400 1 0
1 XMRE1 Power and Equipment Room 125 125 1 0
FA Totals: Room Qty: 8 Net Area: 1,145 Gross Area: 1,718
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NORTHLAND CBOC - 23-08-10 ADDITION OF 3RD OR (POST VIRTUAL ENDO/SURGERY FEEDBACK CHANGES NORTHLAND KANSAS CITY CBOC)
Functional Area: 26 - RADIOLOGY SUPPORT AREA (COPIED 28 MAR 2022 08:30AM ET)
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 LCCL3 Alcove, Clean Linen 90 90 1 0
1 RCA01 Alcove, Crash Cart 30 30 1 0
1 SV583 Medication Room, Phrm Svc 60 60 1 0
1 UCCL1 Utility Room, Clean 60 60 1 0
1 USCL1 Utility Room, Soiled 80 80 1 0
FA Totals: Room Qty: 5 Net Area: 320 Gross Area: 480
Department: 01 - OUTPATIENT / PACT CLINIC (265)
Functional Area: 27 - RADIOLOGY STAFF AND ADMINISTRATIVE AREA (COPIED 28 MAR 2022 08:30AM ET)
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 RPR01 Copier Room 120 120 1 0
1 SL001 Lounge, Staff 120 120 1 0
1 TNPG1 Toilet, Staff 60 60 1 0
FA Totals: Room Qty: 3 Net Area: 300 Gross Area: 450
Department: 01 - OUTPATIENT / PACT CLINIC (265)
Functional Area: 29 - OPTICAL SHOP AREA (COPIED 28 MAR 2022 08:32AM ET)
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 EYFD1 Eyeglass Fitting, Display and Dispensing Room 140 140 1 0
1 EYOT2 Office, Optician / Technician 150 150 1 0
FA Totals: Room Qty: 2 Net Area: 290 Gross Area: 435
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NORTHLAND CBOC - 23-08-10 ADDITION OF 3RD OR (POST VIRTUAL ENDO/SURGERY FEEDBACK CHANGES NORTHLAND KANSAS CITY CBOC)
Functional Area: 32 - RADIOLOGY SERVICE
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
2 DR001 Dressing Room 50 100 1 0
1 OFDR1 Office, Radiology 100 100 1 0
1 XDR01 Radiology Room, General Purpose 300 300 1 0
FA Totals: Room Qty: 4 Net Area: 500 Gross Area: 750
Dept Totals: Room Qty: 282 Net Area: 44,219 Gross Area: 66,329
Department: 02 - MAGNETIC RESONANCE IMAGING (275)
Functional Area: 01 - PATIENT AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 DR001 Dressing Room / Cubicle 50 50 1 0
1 RCA01 Alcove, Crash Cart 30 30 1 0
1 WRL01 Holding Bay, Patient Stretcher 60 60 1 0
1 WTMRI Sub-Waiting 80 80 1 0
1 XMRC1 Control Room 100 100 1 0
1 XMRC2 System Component Room 150 150 1 0
1 XMRS1 Scanning Room, MRI 500 500 1 0
1 XMRV1 Viewing Room 150 150 1 0
FA Totals: Room Qty: 8 Net Area: 1,120 Gross Area: 1,792
Department: 02 - MAGNETIC RESONANCE IMAGING (275)
Functional Area: 02 - SUPPORT AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 JANC1 Housekeeping Aides Closet (HAC) 60 60 1 0
1 SC083 Medication Preparation Room, Clncl Sprt 120 120 1 0
1 SRGC2 Storage, Gas / Cryogen 60 60 1 0
1 UCCL1 Utility Room, Clean 60 60 1 0
1 USCL1 Utility Room, Soiled 80 80 1 0
Page 13 of 23FOR OFFICIAL USE ONLY30 Aug 2023 04:16PM ET
NORTHLAND CBOC - 23-08-10 ADDITION OF 3RD OR (POST VIRTUAL ENDO/SURGERY FEEDBACK CHANGES NORTHLAND KANSAS CITY CBOC)
Department: 02 - MAGNETIC RESONANCE IMAGING (275)
Functional Area: 02 - SUPPORT AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 WRCH1 Work Area, Staff 120 120 1 0
FA Totals: Room Qty: 6 Net Area: 500 Gross Area: 800
Department: 02 - MAGNETIC RESONANCE IMAGING (275)
Functional Area: 03 - STAFF AND ADMINISTRATIVE AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 OFA09 Office, Supervisor 100 100 1 0
1 TNPG1 Toilet, Staff 60 60 1 0
FA Totals: Room Qty: 2 Net Area: 160 Gross Area: 256
Dept Totals: Room Qty: 16 Net Area: 1,780 Gross Area: 2,848
Department: 03 - INPATIENT SURGICAL / ENDOVASCULAR SERVICES AND AMBULATORY SURGICAL SERVICE (286)
Functional Area: 01 - AMBULATORY SURGERY CENTER (ASC) RECEPTION AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 TNPFM Toilet, Family 0 0 1 0
1 WTF03 Waiting, Family 225 225 1 0
1 WTG16 Waiting, General 330 330 1 0
FA Totals: Room Qty: 3 Net Area: 555 Gross Area: 944
Department: 03 - INPATIENT SURGICAL / ENDOVASCULAR SERVICES AND AMBULATORY SURGICAL SERVICE (286)
Functional Area: 02 - AMBULATORY SURGERY CENTER (ASC) PRE-PROCEDURE ASSESSMENT UNIT AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
3 EXRG3 Exam Room 120 360 1 0
1 RCA07 Alcove, Specimen Collection 60 60 1 0
1 SRE01 Storage, Equipment / Clean Supply 100 100 1 0
Page 14 of 23FOR OFFICIAL USE ONLY30 Aug 2023 04:16PM ET
NORTHLAND CBOC - 23-08-10 ADDITION OF 3RD OR (POST VIRTUAL ENDO/SURGERY FEEDBACK CHANGES NORTHLAND KANSAS CITY CBOC)
Department: 03 - INPATIENT SURGICAL / ENDOVASCULAR SERVICES AND AMBULATORY SURGICAL SERVICE (286)
Functional Area: 02 - AMBULATORY SURGERY CENTER (ASC) PRE-PROCEDURE ASSESSMENT UNIT AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 TPG01 Toilet, Patient 60 60 1 0
1 UCCL1 Utility Room, Clean 100 100 1 0
1 USCL1 Utility Room, Soiled 100 100 1 0
1 WRTM4 Team Room 180 180 1 0
FA Totals: Room Qty: 9 Net Area: 960 Gross Area: 1,632
Department: 03 - INPATIENT SURGICAL / ENDOVASCULAR SERVICES AND AMBULATORY SURGICAL SERVICE (286)
Functional Area: 03 - AMBULATORY SURGERY CENTER (ASC) PRE-OPERATIVE HOLDING / PHASE II RECOVERY PATIENT AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 JANC1 Housekeeping Aides Closet (HAC) 60 60 1 0
1 LCCL3 Alcove, Clean Linen 90 90 1 0
1 LR002 Locker / Changing Room, Female Patient 120 120 1 0
1 LR002 Locker / Changing Room, Male Patient 120 120 1 0
1 NCWD3 Nourishment Room 80 80 1 0
1 NSTA2 Nurse Station 160 160 1 0
5 RRPR1 Patient Bay, Pre-Operative Holding / Phase II Recovery 130 650 1 0
1 SINK1 Handwashing Station 40 40 1 0
1 SL001 Lounge, Staff 120 120 1 0
1 SRE01 Storage, Equipment 100 100 1 0
1 TNPG1 Toilet, Staff 60 60 1 0
2 TPG01 Toilet, Pre-Operative Holding / Phase II Recovery Patient 60 120 1 0
1 WRCH1 Workroom, Provider 120 120 1 0
1 XRM01 Alcove, Portable Imaging Equipment 30 30 1 0
FA Totals: Room Qty: 19 Net Area: 1,870 Gross Area: 3,179
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NORTHLAND CBOC - 23-08-10 ADDITION OF 3RD OR (POST VIRTUAL ENDO/SURGERY FEEDBACK CHANGES NORTHLAND KANSAS CITY CBOC)
Functional Area: 04 - AMBULATORY SURGERY CENTER (ASC) ANESTHESIA PROCEDURE PATIENT AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 ANCW2 Clean Workroom, Anesthesia 240 240 1 1
1 MEDP2 Medication Room 80 80 1 0
1 NSTA3 Nurse Station, Anesthesia Induction / Procedure Room 60 60 1 0
1 ORPP3 Anesthesia Induction / Procedure Room 360 360 1 0
1 SRE02 Equipment Room, Anesthesia 120 120 1 0
1 WRTM4 Team Room, Anesthesiology 240 240 1 0
FA Totals: Room Qty: 6 Net Area: 1,100 Gross Area: 1,870
Department: 03 - INPATIENT SURGICAL / ENDOVASCULAR SERVICES AND AMBULATORY SURGICAL SERVICE (286)
Functional Area: 05 - AMBULATORY SURGERY CENTER (ASC) SURGICAL SERVICE PATIENT AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 ORGE1 Equipment Room, General 270 270 1 0
3 ORGS1 Operating Room, General 650 1950 1 0
2 ORSA1 Scrub Sink Area 30 60 1 0
1 SRLW2 Storage, Stretcher 60 60 1 0
FA Totals: Room Qty: 7 Net Area: 2,340 Gross Area: 3,978
Department: 03 - INPATIENT SURGICAL / ENDOVASCULAR SERVICES AND AMBULATORY SURGICAL SERVICE (286)
Functional Area: 06 - AMBULATORY SURGERY CENTER (ASC) CLEAN CORE AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 CHC01 Cart Holding, Clean 120 120 1 1
1 ORCC2 Clean Core, Surgical Services 952 952 1 0
FA Totals: Room Qty: 2 Net Area: 1,072 Gross Area: 1,822
Page 16 of 23FOR OFFICIAL USE ONLY30 Aug 2023 04:16PM ET
NORTHLAND CBOC - 23-08-10 ADDITION OF 3RD OR (POST VIRTUAL ENDO/SURGERY FEEDBACK CHANGES NORTHLAND KANSAS CITY CBOC)
Functional Area: 07 - AMBULATORY SURGERY CENTER (ASC) POST-ANESTHESIA CARE UNIT (PACU) / PHASE I RECOVERY PATIENT AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 JANC1 Housekeeping Aides Closet (HAC) 60 60 1 0
1 LCCL3 Alcove, Clean Linen 90 90 1 0
1 LCCL3 Alcove, Neptune Docking Station 60 60 1 0
1 MEDP2 Medication Room 160 160 1 0
1 NSTA1 Nurse Station, PACU / Phase I Recovery 120 120 1 0
1 RCA01 Alcove, Crash Cart 30 30 1 0
1 RCA04 Alcove, Blanket Warmer 30 30 1 0
4 RRBP1 Patient Bay, PACU / Phase I Recovery 130 520 1 0
1 SINK1 Handwashing Station 40 40 1 0
1 SL001 Lounge, Staff 120 120 1 0
1 SRE01 Storage, Equipment 100 100 1 0
2 TNPG1 Toilet, Staff 60 120 1 0
1 UCCL1 Utility Room, Clean 60 60 1 0
1 USCL1 Utility Room, Soiled 80 80 1 0
FA Totals: Room Qty: 18 Net Area: 1,590 Gross Area: 2,703
Department: 03 - INPATIENT SURGICAL / ENDOVASCULAR SERVICES AND AMBULATORY SURGICAL SERVICE (286)
Functional Area: 08 - AMBULATORY SURGERY CENTER (ASC) SUPPORT AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 CHS01 Cart Holding, Soiled 20 20 1 0
1 CMP02 Surgery Integration Server Room 100 100 1 0
1 PHDS1 Pharmacy, Satellite 120 120 1 0
1 RCA01 Alcove, Crash Cart 30 30 1 0
1 SRGC3 Storage, Gas Cylinder 120 120 1 0
1 UCCL3 Utility Room, Surgical Clean 100 100 1 0
1 UTLC2 Chute Room, Waste Disposal 80 80 1 0
1 UTLC3 Chute Room, Soiled Linen Disposal 80 80 1 0
1 XCCI1 Instrument Room 200 200 1 0
Page 17 of 23FOR OFFICIAL USE ONLY30 Aug 2023 04:16PM ET
NORTHLAND CBOC - 23-08-10 ADDITION OF 3RD OR (POST VIRTUAL ENDO/SURGERY FEEDBACK CHANGES NORTHLAND KANSAS CITY CBOC)
Functional Area: 08 - AMBULATORY SURGERY CENTER (ASC) SUPPORT AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
FA Totals: Room Qty: 9 Net Area: 850 Gross Area: 1,445
Department: 03 - INPATIENT SURGICAL / ENDOVASCULAR SERVICES AND AMBULATORY SURGICAL SERVICE (286)
Functional Area: 09 - AMBULATORY SURGERY CENTER (ASC) STAFF AND ADMINISTRATIVE AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 CFR01 Conference Room 240 240 1 1
1 LR002 Locker / Changing Room, Female Staff 120 120 1 0
1 LR002 Locker / Changing Room, Male Staff 120 120 1 0
1 LR005 Alcove, Scrubs Distribution 80 80 1 0
1 OFA07 Workstation, Scheduler 56 56 1 0
1 OFA07 Workstation, Secretary 56 56 1 0
1 OFA07 Workstation, Staff Surgeon 56 56 1 0
1 OFA09 Office, OR Coordinator 100 100 1 0
1 OFA09 Office, OR Nurse Manager 100 100 1 0
1 RPR01 Copier / Office Supply Room 120 120 1 0
1 SL001 Lounge, Staff 120 120 1 0
1 TSSF1 Toilet / Shower, Female Staff 80 80 1 0
1 TSSM1 Toilet / Shower, Male Staff 80 80 1 0
1 WRTM1 Team Room - Surgery 240 240 1 0
FA Totals: Room Qty: 14 Net Area: 1,568 Gross Area: 2,666
Dept Totals: Room Qty: 87 Net Area: 11,905 Gross Area: 20,239
Department: 04 - DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287)
Functional Area: 02 - PATIENT AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
3 EXRG0 Exam / Assessment Room 120 360 1 0
1 RCA02 Alcove, Equipment 30 30 1 0
Page 18 of 23FOR OFFICIAL USE ONLY30 Aug 2023 04:16PM ET
NORTHLAND CBOC - 23-08-10 ADDITION OF 3RD OR (POST VIRTUAL ENDO/SURGERY FEEDBACK CHANGES NORTHLAND KANSAS CITY CBOC)
Department: 04 - DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287)
Functional Area: 02 - PATIENT AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 TPG01 Toilet, Patient 60 60 1 0
3 TREE1 Procedure Room, Endoscopy 300 900 1 0
FA Totals: Room Qty: 8 Net Area: 1,350 Gross Area: 2,025
Department: 04 - DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287)
Functional Area: 03 - PREP AND RECOVERY AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 NCWD4 Alcove, Refreshment Center 80 80 1 0
1 NSTA3 Nurse Station 60 60 1 0
1 RCA01 Alcove, Crash Cart 30 30 1 0
9 RROP1 Cubicle, Prep / Recovery 90 810 1 0
1 SRE01 Storage, Equipment 120 120 1 0
2 TPG01 Toilet, Prep / Recovery Patient 60 120 1 0
FA Totals: Room Qty: 15 Net Area: 1,220 Gross Area: 1,830
Department: 04 - DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287)
Functional Area: 04 - SUPPORT AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 JANC1 Housekeeping Aides Closet (HAC) 60 60 1 0
1 LCCL1 Alcove, Clean Linen 120 120 1 0
1 MEDP1 Medication Area 80 80 1 0
1 SRE01 Storage, Equipment 100 100 1 0
1 SRLW1 Alcove, Wheelchair / Stretcher 90 90 1 0
1 SRS04 Storage, Sterile 280 280 1 0
1 USCL4 Storage, Clean Scope 110 110 1 0
FA Totals: Room Qty: 7 Net Area: 840 Gross Area: 1,260
Page 19 of 23FOR OFFICIAL USE ONLY30 Aug 2023 04:16PM ET
NORTHLAND CBOC - 23-08-10 ADDITION OF 3RD OR (POST VIRTUAL ENDO/SURGERY FEEDBACK CHANGES NORTHLAND KANSAS CITY CBOC)
Department: 04 - DIGESTIVE DISEASES - ENDOSCOPY SERVICE (287)
Functional Area: 05 - STAFF AND ADMINISTRATIVE AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 LR001 Locker Room, Staff 30 30 1 0
1 OFA07 Workstation, Administration 56 56 1 0
1 OFA07 Workstation, Nurse Practitioner 56 56 1 0
1 OFA07 Workstation, Physician 56 56 1 0
1 OFA09 Office, Nurse Manager 100 100 1 0
1 RPR01 Copier / Printer Room 120 120 1 0
1 SC202 Soiled Cart Holding Room, Clncl Sprt 80 80 1 0
1 SL001 Lounge, Staff 120 120 1 0
1 TNPG1 Toilet, Staff 60 60 1 0
1 WTG03 Waiting 80 80 1 0
FA Totals: Room Qty: 10 Net Area: 758 Gross Area: 1,137
Dept Totals: Room Qty: 40 Net Area: 4,168 Gross Area: 6,252
Department: 05 - STERILE PROCESSING SERVICE (285)
Functional Area: 01 - DECONTAMINATION AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 CSDE1 Decontamination Work Area 390 390 1 0
1 CSPE1 Alcove, PPE 60 60 1 0
1 CSWT1 Storage Room, Water Treatment and Detergent 60 60 1 0
1 CWSH2 Automated Cart Washer 170 170 1 0
1 CWSH3 Manual Cart Wash 140 140 1 0
1 JANC2 Housekeeping Aides Closet (HAC) 60 60 1 0
FA Totals: Room Qty: 6 Net Area: 880 Gross Area: 1,144
Page 20 of 23FOR OFFICIAL USE ONLY30 Aug 2023 04:16PM ET
NORTHLAND CBOC - 23-08-10 ADDITION OF 3RD OR (POST VIRTUAL ENDO/SURGERY FEEDBACK CHANGES NORTHLAND KANSAS CITY CBOC)
Department: 05 - STERILE PROCESSING SERVICE (285)
Functional Area: 02 - SCOPE PROCESSING AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 CSAR1 Anteroom, Scope Processing 60 60 1 0
1 CSPE1 Alcove, PPE 60 60 1 0
1 CSSD1 Decontamination Room 120 120 1 0
1 CSSP1 Scope Processing Room 180 180 1 0
1 CSST1 Scope Staging Room 60 60 1 0
FA Totals: Room Qty: 5 Net Area: 480 Gross Area: 624
Department: 05 - STERILE PROCESSING SERVICE (285)
Functional Area: 03 - PREPARATION AND ASSEMBLY AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 CSIA1 Clean Workroom, Instrument Set Assembly 475 475 1 0
1 SRSP1 Storage, Sterile Processing Supplies 60 60 1 0
FA Totals: Room Qty: 2 Net Area: 535 Gross Area: 696
Department: 05 - STERILE PROCESSING SERVICE (285)
Functional Area: 04 - STERILIZATION AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 CHC01 Unloading / Cooling Area 120 120 1 0
1 CHC01 Cart Return Area 120 120 1 1
1 CSLT1 Sterilization Area, Low Temp 30 30 1 0
1 CSSS1 Sterilization Area, Steam 140 140 1 0
FA Totals: Room Qty: 4 Net Area: 410 Gross Area: 533
Page 21 of 23FOR OFFICIAL USE ONLY30 Aug 2023 04:16PM ET
NORTHLAND CBOC - 23-08-10 ADDITION OF 3RD OR (POST VIRTUAL ENDO/SURGERY FEEDBACK CHANGES NORTHLAND KANSAS CITY CBOC)
Department: 05 - STERILE PROCESSING SERVICE (285)
Functional Area: 05 - RECEIVING, STORAGE AND DISPATCH AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 CHC01 Dispatch Area 120 120 1 1
1 CSCQ1 Case Cart Assembly Area 10 10 1 0
1 JANC2 Housekeeping Aides Closet (HAC) 60 60 1 0
1 OFA07 Workstation, Case Cart Dispatch 56 56 1 0
1 SRS01 Vendor Drop-off / Pick-up Area 120 120 1 0
1 SRS05 Storage, Sterile Durables (Sterile Instruments) 120 120 1 0
FA Totals: Room Qty: 6 Net Area: 486 Gross Area: 632
Department: 05 - STERILE PROCESSING SERVICE (285)
Functional Area: 06 - STAFF AND ADMINISTRATIVE AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 CFR01 Training Room, Staff 240 240 1 1
1 LR002 Locker / Changing Room, Female 120 120 1 0
1 LR002 Locker / Changing Room, Male 120 120 1 0
1 OFA07 Workstation, Clerical 56 56 1 0
1 OFA09 Office, Sterile Processing Service (SPS) Assistant Chief 100 100 1 0
1 OFA09 Office, Sterile Processing Service (SPS) Chief 100 100 1 0
1 RPR01 Copier / Office Supply Room 120 120 1 0
1 SL001 Lounge, Staff 120 120 1 0
1 TNPG1 Toilet, Staff 60 60 1 0
1 TSSU1 Toilet / Shower, Female 80 80 1 0
1 TSSU1 Toilet / Shower, Male 80 80 1 0
FA Totals: Room Qty: 11 Net Area: 1,196 Gross Area: 1,555
Dept Totals: Room Qty: 34 Net Area: 3,987 Gross Area: 5,183
Page 22 of 23FOR OFFICIAL USE ONLY30 Aug 2023 04:16PM ET
NORTHLAND CBOC - 23-08-10 ADDITION OF 3RD OR (POST VIRTUAL ENDO/SURGERY FEEDBACK CHANGES NORTHLAND KANSAS CITY CBOC)
Department: 06 - ENVIRONMENTAL MANAGEMENT SERVICE (EMS) ADMINISTRATION (406)
Functional Area: 01 - STAFF AND ADMINISTRATIVE AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 SS204 EM Svcs Supervisor Office, Stff Sprt 100 100 1 0
1 SS218 EM Svcs Administration Support Workstation, Stff Sprt 56 56 1 0
FA Totals: Room Qty: 2 Net Area: 156 Gross Area: 187
Department: 06 - ENVIRONMENTAL MANAGEMENT SERVICE (EMS) ADMINISTRATION (406)
Functional Area: 02 - SUPPORT AREA
Qty Room Code Room Name Unit Area Net Area Const Phase Const Type
1 SC474 Trash Collection Room, EMS 200 200 1 0
3 SC476 Supplies / Large Equipment Storage Room, EMS 200 600 1 0
FA Totals: Room Qty: 4 Net Area: 800 Gross Area: 960
Dept Totals: Room Qty: 6 Net Area: 956 Gross Area: 1,147
Building Totals: Room Qty: 465 Net Area: 67,015 Sum of Dept Gross Area: 101,997 Gross Area: 129,537
Page 23 of 23FOR OFFICIAL USE ONLY30 Aug 2023 04:16PM ET
File details come from the government source that posted it. Updated .