596-335 Construct New Radiation Oncology Building - Industry Day PPT.pdf

August 30, 2017

VA

Lexington Construct New Radiation Oncology Building

Industry Day

August 26, 2026

VA Team:

• Donny Marsh, Division Chief – PCAC

• Richelle Gray, CO – PCAC

• Kara Evert, CS – PCAC

• Tyler Messner, COR – LVAHCS Engineering

• Leah Payne, Projects Supervisor – LVAHCS Engineering

• Jeremy Turner – Elekta

• Jacob Dillon – Elekta

Introductions

Goals of Industry Day

Present the VA’s requirements for this unique project to gauge interest from the local and national contactor pool and to determine the best procurement strategy and methodology for this project.

• Project Overview - Tyler Messner

• Linac Requirements - Jeremy Turner / Jacob Dillon

• Site Walk

• Procurement Strategy - Richelle Gray

• Q&A

• Closing Remarks - Kara Evert

• Networking

*We will try to wrap up around 12 PM, but if it looks like this will not be feasible, an hour lunch break will be included around 11:30 AM.

Today’s Agenda

Project Overview Tyler Messner, Healthcare Engineer

Project Background: Currently the Lexington VA Healthcare System (LVAHCS) has not and does not currently offer any Radiation Oncology therapies as a method to treat Veterans with cancer and relies solely on care in the community to provide this treatment. Radiation therapy is commonly given in combination with surgery and/or chemotherapy when treating cancer. The Lexington VA already has established ability in house to perform most functions associated with cancer care and bringing Radiation Therapy to the Lexington system will provide multiple benefits:

1. Cost: The Lexington VA spends an excess of $13M each year on care in the community for radiation treatments & bundled medical oncology care alone. Construction of this facility will reduce operating costs for the same number of cancer treatments on our veteran population.

2. Care Navigation: Veterans requiring radiation therapy treatments need enormous amounts of care navigation and coordination due to the complex nature of cancer care and frequency of treatments. This can be extremely difficult when referral to care in the community occurs when it comes to sending medical records back and forth, notification of urgent / emergent needs and providing warm handoffs.

3. Multi-Disciplinary Meetings: Radiation Oncology functions closely with a variety of cancer services. By all these disciplines being under one roof and system, this allows for treatment coordination to plan and monitor overall patient treatments.

Project Scope: 14,000 SF of new construction located on the Franklin R. Sousley Campus. Project will include two (2) Linear Accelerators, one (1) CT Simulator, four (4) exam rooms, one (1) procedure room and necessary office / support spaces. Project will include all necessary site utilities, full building generator backup and parking lot for staff and patients.

Treatment Space: Represented by the blue outline on the floor plan on the right. This area includes two (2) Linear Accelerators and one (1) CT Simulator.

Clinic Space: Represented by red outline. Includes four (4) exam rooms, one (1) procedure room and other clinic specific space.

Administrative Space: Represented by orange outline.

Includes offices, conference room and other administrative space required for staff.

Mechanical and Support: No outline provided. This includes waiting, mechanical room, electrical room, telecommunication room and other required support spaces for building functionality.

Treatment Machines Elekta Unity

Elekta EVO Siemens Somatom

Elekta Unity – MR Linac. First in the state of Kentucky and first in the nation for the Veterans Affairs.

Elekta EVO – CT LINAC. EVO is the newest iteration of LINACs and has replaced the Elekta Versa.

Siemens Somatom – CT Simulator that will be procured and installed for this project.

Clinical & Administrative Space

Procedure Room

Nurses Station Reception

Conference Room

Building Utility / System Requirements

Full Building Generator – Building has been designed per VA Design Manual requirements to include a full building diesel generator with 96-hours of fuel storage required. Generator is a 500kW with weatherproof and level 2 sound enclosure to be included.

Air Handler Epidemic Mode – Building has been designed per the VA HVAC Design Manual which requires the building air handler to convert to “Epidemic Mode.” This conversion eliminates all return air and air handler is served by 100% outside air and will exhaust all air.

Basis of Design for the AHU was a Daikin Vision Air Handler CAH043GDHM.

Elekta Unity Wall Plug – The Elekta Unity due to its size cannot be brought into the LINAC vault through the doorway. An exterior entrance through the concrete vault wall is required and will be infilled after the installation is complete. General contractor will be required to coordinate with Elekta when building their schedule and account for proper notification to ensure delivery occurs when necessary for both parties.

Linac Requirements Jeremy Turner – Elekta

Jacob Dillon – Elekta

Site Walk

Procurement Strategy Richelle Gray, Contracting Officer

• Deductive alternates

• Procurement method - tradeoffs vs. LPTA

• Evaluation factors

Procurement Strategy

Q&A

Closing Remarks Kara Evert, Contract Specialist

• Minor - target ceiling of $17M

• Next steps for the VA

–Sources sought notice - market research –Presol notice - procurement method / set-aside –Solicitation

Closing Remarks

Networking Prime

Subcontractor

Other