Attachment 8 - CFM- CBOC Prototype Design.pdf

Final Submittal May 16, 2014 CBOC Prototype Programs for DesignOffi ce of Construction & Facilities Management

Department of Veterans Aff airs

Prototype for Standardized Design and Construction of Community Based Outpatient Clinics

3.1

3.0 Community Based Outpatient Clinic (CBOC)

Prototype Programs for Design Th ese Prototype Programs for Design (PFDs) have been developed as a result of the discussions and input from the multiple VISN kick-off meetings and the focus discussions during the Space Programming Charrette on 17 October 2013 with the core steering group members.

Refer to Section 10 - Supporting Documentation for a detailed record of meeting minutes and decisions made throughout the course of this project.

Refer to the following pages for the One-PACT, Two-PACT and Th ree-PACT CBOC Prototype PFDs.

3.2

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Final Submittal May 16, 2014 CBOC Prototype Programs for DesignOffi ce of Construction & Facilities Management

Prototype for Standardized Design and Construction of Community Based Outpatient Clinics

3.3

Th e One-PACT CBOC Prototype Program for Design (PFD) is provided via the VA-SEPS tool on the following pages. Th e PFD was generated on 8 April 2014.

Th e Building Gross Factor has been reduced from the standard

1.35 to 1.25 to ensure that the Total Building Net Square Feet to Total Building Gross Square Feet does not exceed 1.90 for an Outpatient Clinic as directed by VA guidelines.

In each of the prototype designs the net square feet (NSF) exceed the programs for design. Th is is due primarily to the inclusion of “fl ex” spaces. Inclusion of these spaces in the prototypes provides the fl exibility to accommodate VBA, Veteran Service Organizations, and other functions that do not require full-time equivalent (FTE) personnel and may not be identifi ed at the time a program for design is developed.

3.1 CBOC Prototype: One-PACT

Program for Design VA CBOC PROTOTYPE (One PACT)

Logistics 330 502 Patient Aligned Care Team (PACT) Module #1 6,220 9,454 Audiology and Speech Pathology 125 190 Canteen 390 593 Lobby 680 1,034 Mental Health 455 692 Pathology and Laboratory Medicine 490 745 Pharmacy 100 152 Police and Security 125 190

Sum of Departments 8,915 13,551 Building Gross Factor 1.25

TOTAL BGSF 16,939

Department PFD Net Area PFD Gross Area

In the One-PACT prototype fl ex offi ces account for 255 additional NSF. Th e Two-PACT and Th ree-PACT prototypes have a larger number of fl ex spaces in both administrative and clinical areas. Th ese spaces may be used as noted above and for clinical functions identifi ed in the project-specifi c PFD. In some cases the fl ex spaces are simply portions of the standard structural bay that are not fi lled by prototype’s PFD requirements. Th ese spaces represent a small percentage of the whole and provide added fl exibility to accommodate local requirements, whereas it would not be practical, effi cient, or feasible to eliminate the space by altering the standard structural bay.

3.4

(Publish date for this Project's Criteria: 2/4/2013 9:13:29 AM)

Project originated by: Chris Phillips on 10/10/2013 5:06:13 PM 9442 Capital of Texas Highway North, Arboretum Plaza I, Suite 325

Austin, TX 78759 chris.phillips@theinnovagroup.com

Project Name: VA CBOC (ONE PACT) Project Description: PROTOTYPE

Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT Project ID: Midpoint Year: 2014 VISN: 5 State: DC

(Criteria Version: FY 2013 - Qtr 2 (01-17-2013) - A)

Installation: VA MEDICAL CENTER, WASHINGTON, D.C.

Station ID & Name: 688 - WASHINGTON, DC

Projected Year: 2014

Space Plan last updated by: Chris Phillips on 4/2/2014 3:18:53 PM

Contents List originated by: Chris Phillips on 12/5/2013 10:56:01 AM 9442 Capital of Texas Highway North, Arboretum Plaza I, Suite 325

Austin, TX 78759 chris.phillips@theinnovagroup.com

Contents List last updated by: Chris Phillips on 4/1/2014 5:11:27 PM

Program For Design - April 08, 2014 Project Name: VA CBOC (ONE PACT) Project Description: PROTOTYPE Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT

PFD Purpose: Serve as a starting point for the VA CFM / CBOC Prototype team to identify the space requirements for a typical Small CBOC. Assumptions have been listed at the beginning of each included functional area and require VA CFM validation before moving forward with the design effort.

Small CBOC Population Assumptions:

Primary Care will have 4 Teamlets and can accommodate 4,800 unique users

PROJECT NOTES

Privacy Act - For Official Use Only - This report was created on Tuesday, April 08, 2014 at 2:58:30 PM

Project Description: PROTOTYPE Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -1 LOGISTICS

Functional Area Notes: --- Assumptions:

Space is dependent upon proximity to parent VA and total number of annual outpatient visits.

Space for small prototype has been estimated pending VA CFM validation.

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

1001 0MMRP1 Receiving and Issue area 1 100 Comment: Can be combined into one room

301 0SRHM1 Storage, Bio-hazard Waste 1 30 1001 0SRE01 Storage, Equipment 1 100

Comment: Can be combined into one room

1001 0MMGS1 Storage, Medical and General 1 100 Comment: Can be combined into one room

330FA Totals: Room Qty: Net Area: GrossArea: 5024

Privacy Act - For Official Use Only - This report was created on Tuesday, April 08, 2014 at 2:58:30 PM

Project Description: PROTOTYPE Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -2 PATIENT ALIGNED CARE TEAM (PACT) MODULE

Functional Area Notes: ---- # of Teamlets: 4 Approximate Empanelment: 4,800

Exam Rooms - 8 Women's Health Exam Rooms - 2 Consult Rooms - 4 Tele-Health Rooms - 3 Procedure Rooms - 1 Group Rooms - 2

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

601 0RECP4 FA1: Kiosk, Patient Check-In 2 30 Comment: Two per PACT Module

1201 0RECP1 FA1: Reception 1 120 Comment: Minimum 60 nsf per PACT Module; Additional 60 NSF for each Receptionist FTE position > 1. Accommodates 4 stations

1501 0TLTU1 FA1: Toilet, General 2 75 Comment: Two per PACT Module; accommodates patient assistance and infant changing

601 0WRF01 FA1: Waiting, Family 1 60 Comment: One per PACT Module; design for children's play and activities

3601 0WRC01 FA1: Waiting, PACT Module 1 360 Comment: One per PACT Module. Accommodates 4 standard seats @ 25 NSF, 1 wheelchair accessible seat @ 35 NSF, 1 bariatric seat @ 35 NSF, and circulation;

Additional 90 NSF for each Teamlet > 2 in the PACT Module

301 0CLSC1 FA1: Workstation, Patient Education 1 30 Comment: One per PACT Module

5001 0OFDC2 FA2: Consult Room 4 125 Comment: One per Teamlet, tele-medicine equipped, shared by the following professional services: Social Work, Dietary, Pharmacy, Health Promotion / Disease Prevention, Behavioral Health. These are not personal private office spaces. Increased to 125 sf

1,0001 0EXPA1 FA2: Exam Room, Patient Aligned Care Team

(PACT)

8 125

Comment: 2.5 per Teamlet; deduct Women's Health exam rooms below

2501 0EXW01 FA2: Exam Room, Womens Health 2 125 Comment: Minimum one per Module. Provide additional room if the # of PACT Teamlets > 2 and WVCS Model 1 is authorized.

401 0PEHW1 FA2: Height/Weight Station 1 40 Comment: One per PACT Module; accommodates wheelchair

Privacy Act - For Official Use Only - This report was created on Tuesday, April 08, 2014 at 2:58:30 PM

Project Description: PROTOTYPE Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -2 PATIENT ALIGNED CARE TEAM (PACT) MODULE

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

601 0TLTU1 FA2: Patient Toilet 1 60 Comment: One per PACT Module

1801 0TRPR1 FA2: Procedure Room, General 1 180 Comment: One per PACT Module. Accommodates general primary care and women's health procedures; can also be used for bariatric exams.

4001 0CLSC4 FA2: Shared Medical Appointment Room 1 400 Comment: One per PACT Module. For group appointments. Accommodates 12 patients, 4 family members / caregivers, and 4 staff members simultaneously

301 0SRSE1 FA2: Storage, Shared Medical Appointments 1 30 751 0TLTB1 FA2: Toilet, General Procedure Room 1 75

Comment: Accommodates bariatric patients

1201 0TLTU1 FA2: Toilet, Women's Health Exam Room 2 60 201 0RCA02 FA3: Alcove, Medication 1 20

Comment: One per PACT Module

201 0RCA01 FA3: Resuscitation Cart Alcove 1 20 1201 0SRE01 FA3: Storage, Medical Equipment 1 120

Comment: Minimum 60 nsf per PACT Module; Additional 60 NSF if the number of Teamlets > 2 in the PACT Module

601 0UCCL1 FA3: Utility Room, Clean 1 60 Comment: One per PACT Module. Criteria do not include a soiled utility room.

1251 0OFA02 FA4: Administrative Office 1 125 Comment: combine with Workroom to make Admin Work Area

1801 0CRA01 FA4: Conference Room 1 180 Comment: One per PACT Module if the number of Teamlets > 2. Use the shared medical appointments room if the number of Teamlets is 1 or 2

3001 0OFA03 FA4: Extended Team Area 5 60 Comment: Combine into Team Work Area. Minimum three per PACT Module. Provide an additional one per each Teamlet in the PACT Module > 2

601 0LR004 FA4: Locker Area, Clinical Staff Personal Property

1 60

Comment: One per PACT Module

2201 0SL001 FA4: Lounge, Clinical Staff 1 220 Comment: Minimum 160 nsf per PACT Module; Additional 60 NSF if the number of Teamlets is > 2

9601 0WRTM1 FA4: Shared Documentation Area 4 240

Privacy Act - For Official Use Only - This report was created on Tuesday, April 08, 2014 at 2:58:30 PM

Project Description: PROTOTYPE Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -2 PATIENT ALIGNED CARE TEAM (PACT) MODULE

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

Comment: Combine to make Team Work Area. One per Teamlet. Accommodates space for one Teamlet (Provider, RN, LPN, Clerk), to include computer workstations and printers

2501 0WRTM2 FA4: Tele-Health Room 2 125 Comment: One per PACT Module. Provides private workspace for two PACT team members. Increased to two rooms @ 125 sf

1251 0WRTM2 FA4: Tele-Retinal Room 1 125 1201 0TLTU1 FA4: Toilet, Clinical Staff 2 60

Comment: Two per PACT Module

1001 0WKTM1 FA4: Workroom 1 100 Comment: combine with Admin Office to make Admin Work Area; One per PACT Module; includes storage space

1251 0WRTM1 FA5: Training Room/Flex 1 125 Comment: One per PACT Module if a PACT Education Program is authorized. Provide an additional 20 NSF per each student FTE position authorized greater than 4.

6,220FA Totals: Room Qty: Net Area: GrossArea: 9,45454

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -3 AUDIOLOGY AND SPEECH PATHOLOGY

Functional Area Notes: Assumptions:

The Small CBOC prototype should contain at least a Hearing Aid Programming/Fitting space for patient care.

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

1251 0HAFR1 Hearing Aid Programming/Fitting 1 125

125FA Totals: Room Qty: Net Area: GrossArea: 1901

Privacy Act - For Official Use Only - This report was created on Tuesday, April 08, 2014 at 2:58:30 PM

Project Description: PROTOTYPE Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -4 CANTEEN

Functional Area Notes: --- Assumptions:

Less than 50,000 projected total annual outpatient visits Less than 100 total FTE clinic positions Canteen estimated 240 sf - VCS Business Model #1 (Option #2)

- Beverage, Snack, and Food Machines

- Limited Seating

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

2401 0FSCD1 Canteen 1 240 Comment: VCS Business Model #1 (Option #2)

1501 0BX001 Vending Machine Area and Seating 1 150

390FA Totals: Room Qty: Net Area: GrossArea: 5932

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -6 LOBBY / COMMON AREAS

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

1101 0COMC1 Communications Room 1 110 401 0JANC1 Janitors Closet 1 40

1501 0LOB02 Vestibule 1 150 1201 0RECP3 Volunteer Alcove 1 120 2001 0WRC01 Waiting Area 1 200

601 0SRLW1 Wheelchair Storage 1 60

680FA Totals: Room Qty: Net Area: GrossArea: 1,0346

Privacy Act - For Official Use Only - This report was created on Tuesday, April 08, 2014 at 2:58:30 PM

Project Description: PROTOTYPE Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -7 MENTAL HEALTH

Functional Area Notes: --- Assumptions:

PACT Includes embedded Mental Health staff 1 Mental Health Provider/Coordinator in addition to embedded 1 Group Therapy Room

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

1251 0OFDC1 Counseling Office, Mental Health 1 125 3001 0OPMH1 Group Therapy Room 1 300

Comment: locate next to PACT Shared Medical Appointments Room

301 0SRS01 Storage Room 1 30

455FA Totals: Room Qty: Net Area: GrossArea: 6923

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -8 PATHOLOGY AND LABORATORY MEDICINE (PLM)

Functional Area Notes: --- Assumptions:

Two phlebotomy stations and Point of Care Testing capability

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

1601 0LBVP1 Blood Specimen Collection Room 2 80 1501 0LBGM1 Laboratory, General, Outpatient Clinic 1 150

Comment: Point of Care Testing

601 0TLTU1 Toilet, Urine Specimen Collection 1 60 Comment: Sink is located outside of this room.

1201 0WRC01 Waiting Area 1 120 Comment: Shared space

490FA Totals: Room Qty: Net Area: GrossArea: 7455

Privacy Act - For Official Use Only - This report was created on Tuesday, April 08, 2014 at 2:58:30 PM

Project Description: PROTOTYPE Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -9 PHARMACY

Functional Area Notes: --- Assumptions:

Include a room for the Automated Drug Dispensing System (ADDS)

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

1001 0PHOD2 Automated Drug Dispensing System (ADDS) 1 100

100FA Totals: Room Qty: Net Area: GrossArea: 1521

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -10 POLICE AND SECURITY

Functional Area Notes: Assumptions:

One space for Police/Security in the Small CBOC Prototype

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

1251 0OFA02 Office, Police/Security 1 125

125FA Totals: Room Qty: Net Area: GrossArea: 1901

8,915Dept Totals: Room Qty: Net Area: GrossArea: 13,55177

8,915Building Totals: Room Qty: Net Area: GrossArea:77 16,939Sum of Dept GrossArea: 13,551

Privacy Act - For Official Use Only - This report was created on Tuesday, April 08, 2014 at 2:58:30 PM

Project Description: PROTOTYPE Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT

Department Area Summary (NSF/GSF)

001 - OUTPATIENT CLINIC (DNTG Factor: 1.52)

SUM OF DEPARTMENTAL TOTALS:

Total GSF

13,551

13,551

001 - OUTPATIENT CLINIC (DNTG Factor: 1.52)

SUM OF DEPARTMENTAL TOTALS:

Total NSF

8,915

8,915

Privacy Act - For Official Use Only - This report was created on Tuesday, April 08, 2014 at 2:58:30 PM

Project Description: PROTOTYPE Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT

Current Building Factor applied to this Project:

Flexibility Walls & PartitionsHalf AreasElectricalMechanical

Building Area Summary and Net To Gross Factor Breakdown

Circulation

10.00 5.00 5.00 5.000.00 0.00

1.25

Current:

Bldg GSF

16,939

Building Net To Gross Ratio and Guidelines Building Net To Gross Ratio (Total Building GSF / Total Building NSF): 1.90

The VA-SEPS Default Building Net to Gross factor is 1.35 . Manually adjust this factor

MAXIMUM BUILDING NET TO GROSS RATIOS BY FACILITY TYPE

VA Outpatient Clinic / Outpatient Clinic Additions:

VA Medical Center:

VA Clinical / Clinical Support Addition (any chapter not indicated below):

VA Nursing Home (106):

VA Domiciliary (312):

VA Mental Health Hospital (110, 202, 260, 261, 272, 300):

90% (1.90 x NSF)

100% (2.0 x NSF)

90% (1.90 x NSF)

70% (1.70 x NSF)

60% (1.60 x NSF)

85% (1.85 x NSF)

The Building Net to Gross factor currently set for this facility is 1.25 on the 'Building NTG Values' tab at the Project level so that the Total Building NSF to Total Building GSF ratio does not exceed the following:

Privacy Act - For Official Use Only - This report was created on Tuesday, April 08, 2014 at 2:58:30 PM

Project Description: PROTOTYPE Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT

(END OF REPORT)

Data was sorted to match the Selection Tree

No filter parameters were set

The following parameters were used in creating this report:

Privacy Act - For Official Use Only - This report was created on Tuesday, April 08, 2014 at 2:58:30 PM

Final Submittal May 16, 2014 CBOC Prototype Programs for DesignOffi ce of Construction & Facilities Management

Prototype for Standardized Design and Construction of Community Based Outpatient Clinics

3.17

3.1.1 CBOC Prototype: One-PACT

Program Space Comparison

Qty Area Total Qty Area Total Difference % Change Notes:

01 - LOGISTICS

MMGS1 - Storage, Medical and General 1 100 100 1 91 91 -9 -9%

MMRP1 - Receiving and Issue area 1 100 100 1 92 92 -9 -9%

SRE01 - Storage, Equipment 1 100 100 1 0 0 -100 -100%

32 SF added to PACT Med. Equip. Storage for this function +

2 Equip. Alcoves in PACT due to size of clinic.

SRHM1 - Storage, Bio-hazard Waste 1 30 30 1 22 22 -8 -27%

02 - PATIENT ALIGNED CARE TEAM

(PACT) MODULE

CLSC1 - FA1: Workstation, Patient

Education 1 30 30 1 30 30 0 0% Located in the Commons

CLSC4 - FA2: Shared Medical Appointment

Room 1 400 400 1 415 415 15 4% Adj. to Group Room with folding partition

CRA01 - FA4: Conference Room 1 180 180 1 270 270 90 50% Utilizing the 125 universal room module

EXPA1 - FA2: Exam Room, Patient Aligned

Care Team (PACT) 1 1 125 125 1 128 128 3 2%

EXPA1 - FA2: Exam Room, Patient Aligned

Care Team (PACT) 2 1 125 125 1 128 128 3 2%

EXPA1 - FA2: Exam Room, Patient Aligned

Care Team (PACT) 3 1 125 125 1 125 125 0 0%

EXPA1 - FA2: Exam Room, Patient Aligned

Care Team (PACT) 4 1 125 125 1 128 128 3 2%

EXPA1 - FA2: Exam Room, Patient Aligned

Care Team (PACT) 5 1 125 125 1 129 129 4 3%

EXPA1 - FA2: Exam Room, Patient Aligned

Care Team (PACT) 6 1 125 125 1 126 126 1 1%

EXPA1 - FA2: Exam Room, Patient Aligned

Care Team (PACT) 7 1 125 125 1 129 129 4 3%

EXPA1 - FA2: Exam Room, Patient Aligned

Care Team (PACT) 8 1 125 125 1 125 125 0 0%

EXW01 - FA2: Exam Room, Womens

Health 1 125 125 1 129 129 4 3%

EXW01 - FA2: Exam Room, Womens

Health 1 125 125 1 132 132 7 6%

LR004 - FA4: Locker Area, Clinical Staff

Personal Property 1 60 60 1 125 125 65 108%

Utilizing the 125 universal room module, includes space for residents lockers if necessary and ABA clearances

OFA02 - FA4: Administrative Office 1 125 125 1 125 125 0 0% Share space with Work Room

OFA03 - FA4: Extended Team Area 1 60 60 1 0 0 -60 -100%

OFA03 - FA4: Extended Team Area 1 60 60 1 0 0 -60 -100%

OFA03 - FA4: Extended Team Area 1 60 60 1 0 0 -60 -100%

OFA03 - FA4: Extended Team Area 1 60 60 1 0 0 -60 -100%

OFA03 - FA4: Extended Team Area 1 60 60 1 0 0 -60 -100%

OFDC2 - FA2: Consult Room 1 1 125 125 1 130 130 5 4%

OFDC2 - FA2: Consult Room 2 1 125 125 1 125 125 0 0%

OFDC2 - FA2: Consult Room 3 1 125 125 1 125 125 0 0%

OFDC2 - FA2: Consult Room 4 1 125 125 1 125 125 0 0%

PEHW1 - FA2: Height/Weight Station 1 40 40 1 50 50 10 25% Alcove as one enters the clinical area

RCA01 - FA3: Resuscitation Cart Alcove 1 20 20 1 28 28 8 40% Alcove off PACT + Extended Team Work Area

RCA02 - FA3: Alcove, Medication 1 20 20 1 29 29 9 45% Alcove off PACT + Extended Team Work Area

RCA02 - FA3: Alcove, Equipment 0 0 0 1 29 29 -29 N/A Alcove off PACT + Extended Team Work Area

RCA02 - FA3: Alcove, Equipment 0 0 0 1 28 28 -28 N/A Alcove off PACT + Extended Team Work Area

Programmed Actual

Included in the PACT + Extended Team Work Area. Refer to

WRTM1 - FA4: Shared Documentation Area

One PACT CBOC

3.18

Qty Area Total Qty Area Total Difference % Change Notes:

RECP1 - FA1: Reception 1 120 120 1 167 167 47 39%

Enlarged per discussions to include 3 reception stations plus

1 private station off the Commons

RECP4 - FA1: Kiosk, Patient Check-In 1 30 30 1 30 30 0 0% Located in the Commons

RECP4 - FA1: Kiosk, Patient Check-In 1 30 30 1 30 30 0 0% Located in the Commons

SL001 - FA4: Lounge, Clinical Staff 1 220 220 1 254 254 34 15%

SRE01 - FA3: Storage, Medical Equipment 1 120 120 1 152 152 32 27% Includes 32 SF of Logistics Med. Equip Storage

SRSE1 - FA2: Storage, Shared Medical

Appointments 1 30 30 1 41 41 11 37%

TLTB1 - FA2: Toilet, General Procedure

Room 1 75 75 1 72 72 -3 -4% Directly off the procedure room

TLTU1 - FA1: Toilet, General 1 75 75 1 75 75 0 0%

TLTU1 - FA1: Toilet, General 1 75 75 1 75 75 0 0%

TLTU1 - FA2: Patient Toilet 1 60 60 1 60 60 0 0%, Room 1 60 60 1 57 57 -3 -5% Directly off Women's Health Exam

TLTU1 - FA2: Toilet, Women's Health Exam

Room 1 60 60 1 57 57 -3 -5% Directly off Women's Health Exam

TLTU1 - FA4: Toilet, Clinical Staff 1 60 60 1 68 68 8 13%

Width to maintain required fixture clearanes and clinical module depth

TLTU1 - FA4: Toilet, Clinical Staff 1 60 60 1 60 60 0 0%

TRPR1 - FA2: Procedure Room, General 1 180 180 1 180 180 0 0%

UCCL1 - FA3: Utility Room, Clean 1 60 60 1 75 75 15 25%

Larger to maintain required width and work with clinical module

WKTM1 - FA4: Workroom 1 100 100 1 97 97 -3 -3% Share space with Administrative Office

WRC01 - FA1: Waiting, PACT Module 1 360 360 1 360 360 0 0% Located in the Commons

WRF01 - FA1: Waiting, Family 1 60 60 1 60 60 0 0% Located in the Commons

WRTM1 - FA4: Shared Documentation

Area 1 240 240 1 251 251 11 4%

WRTM1 - FA4: Shared Documentation

Area 1 240 240 1 251 251 11 4%

WRTM1 - FA4: Shared Documentation

Area 1 240 240 1 251 251 11 4%

WRTM1 - FA4: Shared Documentation

Area 1 240 240 1 251 251 11 4%

WRTM1 - FA5: Training Room/Flex 1 125 125 1 126 126 1 1%

WRTM2 - FA4: Tele-Health Room 1 125 125 1 125 125 0 0%

WRTM2 - FA4: Tele-Health Room 1 125 125 1 125 125 0 0%

WRTM2 - FA4: Tele-Retinal Room 1 125 125 1 125 125 0 0%

03 - AUDIOLOGY AND SPEECH

PATHOLOGY

HAFR1 - Hearing Aid Programming/Fitting 1 125 125 1 125 125 0 0%

04 - CANTEEN

BX001 - Vending Machine Area and

Seating 1 150 150 1 150 150 0 0% Located in the Commons

FSCD1 - Canteen 1 240 240 1 240 240 0 0% Located in the Commons

06 - LOBBY / COMMON AREAS

COMC1 - Communications Room 1 110 110 1 125 125 15 14% Working with the 125 SF module

JANC1 - Janitors Closet 1 40 40 1 69 69 29 73%

Larger to maintain required width and work with clinical module

LOB02 - Vestibule 1 150 150 1 187 187 37 25%

Larger to allow for off set automatic doors to minimize air exchange between the facility and outside.

RECP3 - Volunteer Alcove 1 120 120 1 120 120 0 0% Located in the Commons

SRLW1 - Wheelchair Storage 1 60 60 1 52 52 -8 -13% Reduced - utilizing stacking wheelchairs

WRC01 - Waiting Area 1 200 200 1 200 200 0 0% Located in the Commons

One PACT CBOC

Included in the PACT + Extended Team Work Area. Includes space for 4 or 5 OFA03 - FA4: Extended Team Area

Programmed Actual

Final Submittal May 16, 2014 CBOC Prototype Programs for DesignOffi ce of Construction & Facilities Management

Prototype for Standardized Design and Construction of Community Based Outpatient Clinics

3.19

Qty Area Total Qty Area Total Difference % Change Notes:

07 - MENTAL HEALTH

OFDC1 - Counseling Office, Mental Health 1 125 125 1 125 125 0 0%

OPMH1 - Group Therapy Room 1 300 300 1 303 303 3 1%

SRS01 - Storage Room 1 30 30 1 20 20 -10 -33% Additional storage in Shared Medical Appt. Storage

08 - PATHOLOGY AND LABORATORY

MEDICINE (PLM)

LBGM1 - Laboratory, General, Outpatient

Clinic 1 150 150 1 145 145 -5 -3%

LBVP1 - Blood Specimen Collection Room 1 80 80 1 81 81 1 1%

LBVP1 - Blood Specimen Collection Room 1 80 80 1 81 81 1 1%

TLTU1 - Toilet, Urine Specimen Collection 1 60 60 1 64 64 4 7% Enlarged to accommodate ABA clearances as designed

WRC01 - Waiting Area 1 120 120 1 120 120 0 0% Located in Commons

09 - PHARMACY

PHOD2 - Automated Drug Dispensing

System (ADDS) 1 100 100 1 100 100 0 0%

10 - POLICE AND SECURITY

OFA02 - Office, Police/Security 1 125 125 1 104 104 -21 -17% Reduced to work with vestibule component depth

Totals 8,915 9,002 -28 0%

Additional Flex Rooms not in PFD

Flex Office #1 0 125 0 1 130 130 130 N/A

Flex Office #2 0 125 0 1 125 125 125 N/A

Totals 250 0 255 255 N/A

Total Programed NSF with Additional

Flex Rooms

Totals 9,165 9,257 33 0%

One PACT CBOC

3.20

Final Submittal May 16, 2014 CBOC Prototype Programs for DesignOffi ce of Construction & Facilities Management

Prototype for Standardized Design and Construction of Community Based Outpatient Clinics

3.21

Th e Two-PACT CBOC Prototype Program for Design (PFD) is provided via the VA-SEPS tool on the following pages. Th e PFD was generated on 8 April 2014.

Th e Building Gross Factor has been reduced from the standard

1.35 to 1.25 to ensure that the Total Building Net Square Feet to Total Building Gross Square Feet does not exceed 1.90 for an Outpatient Clinic as directed by VA guidelines.

In each of the prototype designs the net square feet (NSF) exceed the programs for design. Th is is due primarily to the inclusion of “fl ex” spaces. Inclusion of these spaces in the prototypes provides the fl exibility to accommodate VBA, Veteran Service Organizations, and other functions that do not require full-time equivalent (FTE) personnel and may not be identifi ed at the time a program for design is developed.

3.2 CBOC Prototype: Two-PACT

Program for Design

VA CBOC PROTOTYPE (Two PACT)

Logistics 870 1,322 Patient Aligned Care Team (PACT) Module #1 6,220 9,454 Patient Aligned Care Team (PACT) Module #2 6,095 9,264 Audiology and Speech Pathology 1,585 2,409 Canteen 925 1,406 Home-Based Primary Care 480 730 Clinic Management 250 380 Engineering 200 304 Eye Clinic 1,910 2,903 Lobby 1,530 2,326 Mental Health 2,830 4,302 Pathology and Laboratory Medicine 860 1,307 Pharmacy 1,145 1,740 Physical Medicine and Rehabilitation 1,210 1,839 Police and Security 345 524 Prosthetics and Sensory Aids 415 631 Radiology 770 1,170 Ancillary Diagnostic Services 1,550 2,356 Business Services 360 547

Sum of Departments 29,550 44,916 Building Gross Factor 1.25

TOTAL BGSF 56,145

Department PFD Net Area PFD Gross Area

In the One-PACT prototype fl ex offi ces account for 255 additional NSF. Th e Two-PACT and Th ree-PACT prototypes have a larger number of fl ex spaces in both administrative and clinical areas. Th ese spaces may be used as noted above and for clinical functions identifi ed in the project-specifi c PFD. In some cases the fl ex spaces are simply portions of the standard structural bay that are not fi lled by prototype’s PFD requirements. Th ese spaces represent a small percentage of the whole and provide added fl exibility to accommodate local requirements, whereas it would not be practical, effi cient, 3.22

Project originated by: Chris Phillips on 10/10/2013 5:10:43 PM 9442 Capital of Texas Highway North, Arboretum Plaza I, Suite 325

Austin, TX 78759 chris.phillips@theinnovagroup.com

Project Name: VA CBOC (TWO PACT) Project Description: PROTOTYPE

Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT Project ID: Midpoint Year: 2014 VISN: 5 State: DC

(Criteria Version: FY 2013 - Qtr 2 (01-17-2013) - A)

Installation: VA MEDICAL CENTER, WASHINGTON, D.C.

Station ID & Name: 688 - WASHINGTON, DC

Projected Year: 2014

Space Plan last updated by: Chris Phillips on 4/8/2014 2:50:26 PM

Contents List originated by: Chris Phillips on 12/5/2013 11:02:20 AM 9442 Capital of Texas Highway North, Arboretum Plaza I, Suite 325

Austin, TX 78759

Contents List last updated by: Chris Phillips on 4/2/2014 12:00:45 PM

Project Name: VA CBOC (TWO PACT) Project Description: PROTOTYPE Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT

PFD Purpose: Serve as a starting point for the VA CFM / CBOC Prototype team to identify the space requirements for a typical Medium CBOC. Assumptions have been listed at the beginning of each included functional area and require VA CFM validation before moving forward with the design effort.

Medium CBOC Population Assumptions:

Primary Care will have 8 Teamlets and can accommodate 9,600 unique users Specialty Care can accommodate 19,200 unique users in the specialties included for the medium CBOC

PROJECT NOTES

Privacy Act - For Official Use Only - This report was created on Tuesday, April 08, 2014 at 3:00:57 PM

Project Description: PROTOTYPE Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -1 LOGISTICS

Functional Area Notes: --- Assumptions:

Space is dependent upon proximity to parent VA and total number of annual outpatient visits.

Space for medium prototype has been estimated pending VA CFM validation.

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

1001 0OFA02 Office, Supervisor, Supply Management Section

1 100

1001 0MMRP1 Receiving and Issue area 1 100 1301 0DOCK1 Receiving and Shipping Dock 1 130

601 0SRHM1 Storage, Bio-hazard Waste 1 60 1001 0SRE01 Storage, Equipment 1 100 3001 0MMGS1 Storage, Medical and General 1 300

801 0SRGC1 Storage, Medical Gas 1 80

870FA Totals: Room Qty: Net Area: GrossArea: 1,3227

Privacy Act - For Official Use Only - This report was created on Tuesday, April 08, 2014 at 3:00:57 PM

Project Description: PROTOTYPE Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -2 PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

Functional Area Notes: ---- # of Teamlets: 4 Approximate Empanelment: 4,800

Exam Rooms - 8 Women's Health Exam Rooms - 2 Consult Rooms - 4 Tele-Health Rooms - 3 Procedure Rooms - 1 Group Rooms - 2

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

601 0RECP4 FA1: Kiosk, Patient Check-In 2 30 Comment: Two per PACT Module

1201 0RECP1 FA1: Reception 1 120 Comment: Minimum 60 nsf per PACT Module; Additional 60 NSF for each Receptionist FTE position > 1. Can be combined with adjacent PACT

1501 0TLTU1 FA1: Toilet, General 2 75 Comment: Two per PACT Module; accommodates patient assistance and infant changing; Can be combined with adjacent PACT

601 0WRF01 FA1: Waiting, Family 1 60 Comment: One per PACT Module; design for children's play and activities

3601 0WRC01 FA1: Waiting, PACT Module 1 360 Comment: One per PACT Module. Accommodates 4 standard seats @ 25 NSF, 1 wheelchair accessible seat @ 35 NSF, 1 bariatric seat @ 35 NSF, and circulation;

Additional 90 NSF for each Teamlet > 2 in the PACT Module

301 0CLSC1 FA1: Workstation, Patient Education 1 30 Comment: One per PACT Module

5001 0OFDC2 FA2: Consult Room 4 125 Comment: One per Teamlet, tele-medicine equipped, shared by the following professional services: Social Work, Dietary, Pharmacy, Health Promotion / Disease Prevention, Behavioral Health. These are not personal private office spaces. Increased to 125 sf

1,0001 0EXPA1 FA2: Exam Room, Patient Aligned Care Team

(PACT)

8 125

Comment: 2.5 per Teamlet; deduct Women's Health exam rooms below

2501 0EXW01 FA2: Exam Room, Womens Health 2 125 Comment: Minimum one per Module. Provide additional room if the # of PACT Teamlets > 2 and WVCS Model 1 is authorized.

401 0PEHW1 FA2: Height/Weight Station 1 40 Comment: One per PACT Module; accommodates wheelchair

Privacy Act - For Official Use Only - This report was created on Tuesday, April 08, 2014 at 3:00:57 PM

Project Description: PROTOTYPE Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -2 PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

601 0TLTU1 FA2: Patient Toilet 1 60 Comment: One per PACT Module

1801 0TRPR1 FA2: Procedure Room, General 1 180 Comment: One per PACT Module. Accommodates general primary care and women's health procedures; can also be used for bariatric exams.

4001 0CLSC4 FA2: Shared Medical Appointment Room 1 400 Comment: One per PACT Module. For group appointments. Accommodates 12 patients, 4 family members / caregivers, and 4 staff members simultaneously

301 0SRSE1 FA2: Storage, Shared Medical Appointments 1 30 751 0TLTB1 FA2: Toilet, General Procedure Room 1 75

Comment: Accommodates bariatric patients

1201 0TLTU1 FA2: Toilet, Women's Health Exam Room 2 60 201 0RCA02 FA3: Alcove, Medication 1 20

Comment: One per PACT Module

201 0RCA01 FA3: Resuscitation Cart Alcove 1 20 1201 0SRE01 FA3: Storage, Medical Equipment 1 120

Comment: Minimum 60 nsf per PACT Module; Additional 60 NSF if the number of Teamlets > 2 in the PACT Module

601 0UCCL1 FA3: Utility Room, Clean 1 60 Comment: One per PACT Module. Criteria do not include a soiled utility room.

1251 0OFA02 FA4: Administrative Office 1 125 Comment: Can be combined with adjacent PACT

1801 0CRA01 FA4: Conference Room 1 180 Comment: One per PACT Module if the number of Teamlets > 2. Use the shared medical appointments room if the number of Teamlets is 1 or 2

3001 0OFA03 FA4: Extended Team Area 5 60 Comment: Combine into Team Work Area. Minimum three per PACT Module. Provide an additional one per each Teamlet in the PACT Module > 2

601 0LR004 FA4: Locker Area, Clinical Staff Personal Property

1 60

Comment: One per PACT Module

2201 0SL001 FA4: Lounge, Clinical Staff 1 220 Comment: Minimum 160 nsf per PACT Module; Additional 60 NSF if the number of Teamlets is > 2

9601 0WRTM1 FA4: Shared Documentation Area 4 240

Privacy Act - For Official Use Only - This report was created on Tuesday, April 08, 2014 at 3:00:57 PM

Project Description: PROTOTYPE Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -2 PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

Comment: Combine to make Team Work Area. One per Teamlet. Accommodates space for one Teamlet (Provider, RN, LPN, Clerk), to include computer workstations and printers

2501 0WRTM2 FA4: Tele-Health Room 2 125 Comment: One per PACT Module. Provides private workspace for two PACT team members. Increased to two rooms @ 125 sf

1251 0WRTM2 FA4: Tele-Retinal Room 1 125 1201 0TLTU1 FA4: Toilet, Clinical Staff 2 60

Comment: Two per PACT Module; Can be combined with adjacent PACT

1001 0WKTM1 FA4: Workroom 1 100 Comment: One per PACT Module; includes storage space; Can be combined with adjacent PACT

1251 0WRTM1 FA5: Training Room/Flex 1 125 Comment: One per PACT Module if a PACT Education Program is authorized. Provide an additional 20 NSF per each student FTE position authorized greater than 4.

6,220FA Totals: Room Qty: Net Area: GrossArea: 9,45454

Privacy Act - For Official Use Only - This report was created on Tuesday, April 08, 2014 at 3:00:57 PM

Project Description: PROTOTYPE Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -3 PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

Functional Area Notes: ---- # of Teamlets: 4 Approximate Empanelment: 4,800

Exam Rooms - 8 Women's Health Exam Rooms - 2 Consult Rooms - 4 Tele-Health Rooms - 2 Procedure Rooms - 1 Group Rooms - 2

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

601 0RECP4 FA1: Kiosk, Patient Check-In 2 30 Comment: Two per PACT Module

1201 0RECP1 FA1: Reception 1 120 Comment: Minimum 60 nsf per PACT Module; Additional 60 NSF for each Receptionist FTE position > 1. Can be combined with adjacent PACT

1501 0TLTU1 FA1: Toilet, General 2 75 Comment: Two per PACT Module; accommodates patient assistance and infant changing; Can be combined with adjacent PACT

601 0WRF01 FA1: Waiting, Family 1 60 Comment: One per PACT Module; design for children's play and activities

3601 0WRC01 FA1: Waiting, PACT Module 1 360 Comment: One per PACT Module. Accommodates 4 standard seats @ 25 NSF, 1 wheelchair accessible seat @ 35 NSF, 1 bariatric seat @ 35 NSF, and circulation;

Additional 90 NSF for each Teamlet > 2 in the PACT Module

301 0CLSC1 FA1: Workstation, Patient Education 1 30 Comment: One per PACT Module

5001 0OFDC2 FA2: Consult Room 4 125 Comment: One per Teamlet, tele-medicine equipped, shared by the following professional services: Social Work, Dietary, Pharmacy, Health Promotion / Disease Prevention, Behavioral Health. These are not personal private office spaces. Increased to 125 sf

1,0001 0EXPA1 FA2: Exam Room, Patient Aligned Care Team

(PACT)

8 125

Comment: 2.5 per Teamlet; deduct Women's Health exam rooms below

2501 0EXW01 FA2: Exam Room, Womens Health 2 125 Comment: Minimum one per Module. Provide additional room if the # of PACT Teamlets > 2 and WVCS Model 1 is authorized.

401 0PEHW1 FA2: Height/Weight Station 1 40 Comment: One per PACT Module; accommodates wheelchair

Privacy Act - For Official Use Only - This report was created on Tuesday, April 08, 2014 at 3:00:57 PM

Project Description: PROTOTYPE Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -3 PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

601 0TLTU1 FA2: Patient Toilet 1 60 Comment: One per PACT Module

1801 0TRPR1 FA2: Procedure Room, General 1 180 Comment: One per PACT Module. Accommodates general primary care and women's health procedures; can also be used for bariatric exams.

4001 0CLSC4 FA2: Shared Medical Appointment Room 1 400 Comment: One per PACT Module. For group appointments. Accommodates 12 patients, 4 family members / caregivers, and 4 staff members simultaneously

301 0SRSE1 FA2: Storage, Shared Medical Appointments 1 30 751 0TLTB1 FA2: Toilet, General Procedure Room 1 75

Comment: Accommodates bariatric patients

1201 0TLTU1 FA2: Toilet, Women's Health Exam Room 2 60 201 0RCA02 FA3: Alcove, Medication 1 20

Comment: One per PACT Module

201 0RCA01 FA3: Resuscitation Cart Alcove 1 20 1201 0SRE01 FA3: Storage, Medical Equipment 1 120

Comment: Minimum 60 nsf per PACT Module; Additional 60 NSF if the number of Teamlets > 2 in the PACT Module

601 0UCCL1 FA3: Utility Room, Clean 1 60 Comment: One per PACT Module. Criteria do not include a soiled utility room.

1251 0OFA02 FA4: Administrative Office 1 125 Comment: Can be combined with adjacent PACT

1801 0CRA01 FA4: Conference Room 1 180 Comment: One per PACT Module if the number of Teamlets > 2. Use the shared medical appointments room if the number of Teamlets is 1 or 2

3001 0OFA03 FA4: Extended Team Area 5 60 Comment: Combine into Team Work Area. Minimum three per PACT Module. Provide an additional one per each Teamlet in the PACT Module > 2

601 0LR004 FA4: Locker Area, Clinical Staff Personal Property

1 60

Comment: One per PACT Module

2201 0SL001 FA4: Lounge, Clinical Staff 1 220 Comment: Minimum 160 nsf per PACT Module; Additional 60 NSF if the number of Teamlets is > 2

9601 0WRTM1 FA4: Shared Documentation Area 4 240

Privacy Act - For Official Use Only - This report was created on Tuesday, April 08, 2014 at 3:00:57 PM

Project Description: PROTOTYPE Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -3 PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

Comment: Combine to make Team Work Area. One per Teamlet. Accommodates space for one Teamlet (Provider, RN, LPN, Clerk), to include computer workstations and printers

2501 0WRTM2 FA4: Tele-Health Room 2 125 Comment: One per PACT Module. Provides private workspace for two PACT team members. Increased to two rooms @ 125 sf

1201 0TLTU1 FA4: Toilet, Clinical Staff 2 60 Comment: Two per PACT Module; Can be combined with adjacent PACT

1001 0WKTM1 FA4: Workroom 1 100 Comment: One per PACT Module; includes storage space; Can be combined with adjacent PACT

1251 0WRTM1 FA5: Training Room/Flex 1 125 Comment: One per PACT Module if a PACT Education Program is authorized. Provide an additional 20 NSF per each student FTE position authorized greater than 4.

6,095FA Totals: Room Qty: Net Area: GrossArea: 9,26453

Privacy Act - For Official Use Only - This report was created on Tuesday, April 08, 2014 at 3:00:57 PM

Project Description: PROTOTYPE Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -4 AUDIOLOGY AND SPEECH PATHOLOGY

Functional Area Notes: --- Assumptions:

2 Audiologists and 1 Tech Vestibulography and Electrophysiology are excluded

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

2501 0EXOS1 AUD: Exam/Consult 2 125 2401 0OPMH1 AUD: Group Therapy Room 1 240

Comment: does not need to be dedicated; can use Group Room or Shared Medical Appointment space if located closely

601 0TLTU1 AUD: Patient Toilet 1 60 5201 0PEHS4 AUD: Suite, Audiometric Exam 2 260

501 0SRSE1 Equipment Area 1 50 1251 0HAFR1 Hearing Aid Programming/Fitting 1 125 1401 0RECP1 Office, Reception / Control Clerk 1 140

Comment: Can be combined with adjacent services

2001 0WRC01 Waiting Area 1 200 Comment: Can be combined with other waiting space

1,585FA Totals: Room Qty: Net Area: GrossArea: 2,40910

Privacy Act - For Official Use Only - This report was created on Tuesday, April 08, 2014 at 3:00:57 PM

Project Description: PROTOTYPE Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -5 CANTEEN

Functional Area Notes: --- Assumptions:

Less than 50,000 projected total annual outpatient visits Less than 100 total FTE clinic positions Canteen estimated 775 sf - VCS Business Model #2 (Option #1)

- Shop

- Customer Area

- Office/Storage

- Seating Area

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

7751 0FSCD1 Canteen 1 775 Comment: VCS Business Model #2 (Option #1); storage component could be located by dock

1501 0BX001 Vending Machine Area and Seating 1 150

925FA Totals: Room Qty: Net Area: GrossArea: 1,4062

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -6 HOME-BASED PRIMARY CARE

Functional Area Notes: --- Assumptions:

1 Team Room 1 Storage Room

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

1201 0SRE01 Storage Room 1 120 3601 0SL002 Team Room, Home-Based Primary Care 1 360

Comment: Accommodates 6

480FA Totals: Room Qty: Net Area: GrossArea: 7302

Privacy Act - For Official Use Only - This report was created on Tuesday, April 08, 2014 at 3:00:57 PM

Project Description: PROTOTYPE Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -7 CLINIC MANAGEMENT

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

1251 0OFA02 Office, CMO 1 125 1251 0OFA02 Office, Nurse Manager 1 125

250FA Totals: Room Qty: Net Area: GrossArea: 3802

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -8 ENGINEERING

Functional Area Notes: --- Assumptions:

In-house biomed repair area required

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

2001 0BMER1 Biomedical Engineering Repair Shop 1 200

200FA Totals: Room Qty: Net Area: GrossArea: 3041

Privacy Act - For Official Use Only - This report was created on Tuesday, April 08, 2014 at 3:00:57 PM

Project Description: PROTOTYPE Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -9 EYE CLINIC

Functional Area Notes: --- Assumptions:

2 Eye Care Providers 2 Eye Techs Possibly 1 trainee

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

1801 0EYOT2 Exam / Training Room, Low Vision 1 180 Comment: also for Blind Rehabilitation Counselor (VIST or BROS)

6251 0EYOT2 Exam / Treatment Room 5 125 Comment: 2.5 per provider

1251 0EYFD1 Fitting and Dispensing Room 1 125 Comment: Could be a Spectacle Shop

1801 0EYVS1 Photography/Imaging Room 1 180 Comment: increased from 150 sf to 180 sf

1251 0EYVS1 Pre-Testing Room 1 125 1801 0WRTM1 Team Room 1 180

Comment: 2 providers

1251 0EYVF1 Visual Fields Room 1 125 3101 0WRC01 Waiting Area 1 310

Comment: 1 @ 310sf ; 100 sf minimum plus 55sf for each exam/treatment room greater than one; Shared space

601 0WRC01 Waiting Area (Dilation) 1 60

1,910FA Totals: Room Qty: Net Area: GrossArea: 2,90313

Privacy Act - For Official Use Only - This report was created on Tuesday, April 08, 2014 at 3:00:57 PM

Project Description: PROTOTYPE Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -10 LOBBY / COMMON AREAS

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

3301 0COMC1 Communications Room 3 110 1001 0LAC01 Employee Wellness 1 100 2001 0TLTF2 Female Toilet, Multiple 1 200

401 0JANC1 Janitors Closet 1 40 2001 0TLTM2 Male Toilet, Multiple 1 200 1501 0LOB02 Vestibule 1 150 1201 0RECP3 Volunteer Alcove 1 120 3001 0WRC01 Waiting Area 1 300

901 0SRLW1 Wheelchair Storage 1 90

1,530FA Totals: Room Qty: Net Area: GrossArea: 2,32611

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -11 MENTAL HEALTH

Functional Area Notes: --- Assumptions:

8 Mental Health Providers/Coordinators 2 Group Therapy Rooms

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

1251 0OPMH3 Biofeedback / Neuropsych 1 125 1,0001 0OFDC1 Counseling Office, Mental Health 8 125

6001 0OPMH1 Group Therapy Room 2 300 1201 0SRS01 Storage Room 1 120 4801 0WRTM1 Team Room, Mental Health 1 480

601 0TLTU1 Toilet, Patient 1 60 4451 0WRC01 Waiting Area 1 445

Comment: 1 @ 445sf ; 60 sf minimum plus 55sf for each exam/treatment room greater than one; Shared space

2,830FA Totals: Room Qty: Net Area: GrossArea: 4,30215

Privacy Act - For Official Use Only - This report was created on Tuesday, April 08, 2014 at 3:00:57 PM

Project Description: PROTOTYPE Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -12 PATHOLOGY AND LABORATORY MEDICINE (PLM)

Functional Area Notes: --- Assumptions:

4 Phlebotomy stations 1 Specimen collection toilet Point of Care Testing capability Small Shipping and Receiving area

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

3201 0LBVP1 Blood Specimen Collection Room 4 80 1501 0LBGM1 Laboratory, General, Outpatient Clinic 1 150

Comment: Point of Care Testing

1001 0LBSS1 Shipping & Receiving, Minimal 1 100 501 0SRS01 Storage, Bulk 1 50 601 0TLTU1 Toilet, Unisex 1 60 601 0TLTU1 Toilet, Urine Specimen Collection 1 60

1201 0WRC01 Waiting Area 1 120 Comment: 1 @ 120sf ; 120 sf minimum plus 55sf for each increment of blood specimen collections greater than 150; Shared space

860FA Totals: Room Qty: Net Area: GrossArea: 1,30710

Privacy Act - For Official Use Only - This report was created on Tuesday, April 08, 2014 at 3:00:57 PM

Project Description: PROTOTYPE Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -13 PHARMACY

Functional Area Notes: --- Assumptions:

Basic Pharmacy Service from VA Space Planning Criteria Windows: 2 Drop-Off ; 1 Dispensing

- Filling + Assembly

- Storage

- Consult Room

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

1351 0PHOD2 Dispensing 1 135 Comment: window for dispensing medication to patients

951 0PHBS1 Drug Receiving 1 95 1601 0PHOD1 Filling and Assembly 1 160 1201 0OFA02 Office, Pharmacist / Consultation Room 1 120 1601 0OFA03 Prescription Receiving 2 80

Comment: window for receiving prescription from patients and consults

401 0SRR01 Refrigeration 1 40 1501 0PHOD2 Storage, Active 1 150

751 0SRCS1 Storage, Medical Supplies 1 75 601 0TLTU1 Toilet, Staff 1 60

1501 0WRC01 Waiting Area 1 150

1,145FA Totals: Room Qty: Net Area: GrossArea: 1,74011

Privacy Act - For Official Use Only - This report was created on Tuesday, April 08, 2014 at 3:00:57 PM

Project Description: PROTOTYPE Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -14 PHYSICAL MEDICINE AND REHABILITATION (PMR)

Functional Area Notes: --- Assumptions:

1 FTE Physical Therapist Less than 2500 clinic stops

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

351 0DR001 Dressing Room 1 35 1251 0OFA02 Office 1 125 2001 0SRE01 Storage, Equipment 1 200

Comment: can be combined with Prosthetics Storage

601 0TLTU1 Toilet, Patient 1 60 6901 0PTEA1 Treatment Exercise Area 1 690

Comment: includes a private treatment space

1001 0WRC01 Waiting Area 1 100 Comment: Shared space

1,210FA Totals: Room Qty: Net Area: GrossArea: 1,8396

Privacy Act - For Official Use Only - This report was created on Tuesday, April 08, 2014 at 3:00:57 PM

Project Description: PROTOTYPE Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -15 POLICE AND SECURITY

Functional Area Notes: --- Assumptions:

1 Holding Room 1 Ops Room Safe for armory

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

601 0XXYYC Holding Room 1 60 1251 0LR001 Locker Room 1 125 1201 0XXYYC Operations Room 1 120

401 0SSS01 Secure Storage, Safe 1 40 Comment: Armory

345FA Totals: Room Qty: Net Area: GrossArea: 5244

Privacy Act - For Official Use Only - This report was created on Tuesday, April 08, 2014 at 3:00:57 PM

Project Description: PROTOTYPE Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -16 PROSTHETICS AND SENSORY AIDS

Functional Area Notes: --- Assumptions:

Basic Prosthetic and Sensory Aid Service based on the VA Space Planning Criteria

- Storage

- Mailing Room

- Prosthetics Clerk Office

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

1251 0OFA02 Office, Dispensing Prosthetic Clerk 1 125 801 0SRCS1 Pros. Appl. Sto.: Mailing Room 1 80

Comment: Can be combined with Storage Room

1501 0SRCS1 Pros. Appl. Sto.: Storage Room 1 150 Comment: Can be combined with Mailing Room

601 0RECP1 Reception and Waiting Area 1 60 Comment: Can be combined with other waiting space

415FA Totals: Room Qty: Net Area: GrossArea: 6314

Privacy Act - For Official Use Only - This report was created on Tuesday, April 08, 2014 at 3:00:57 PM

Project Description: PROTOTYPE Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENT

DEPARTMENT: -1 OUTPATIENT CLINIC

FUNCTIONAL AREA: -17 RADIOLOGY

Functional Area Notes: --- Assumptions:

Radiology Basic Service 1 FTE Rad Tech No Fluoro Capability

Room Code

Const Phase Room Name Qty Unit Area Net Area

Const Type

1001 0DR001 Dressing Room 2 50 3001 0XDR01 General Purpose Radiology Room 1 300 1251 0XVC01 Multi-Purpose/Viewing 1 125

Comment: includes tele-radiology

1251 0OFDR1 Office, Staff Radiologist/Tech 1 125 1201 0WRC01 Waiting Area 1 120

Comment: can be combined with other waiting space

770FA Totals: Room Qty: Net Area: GrossArea: 1,1706

Privacy Act - For Official Use Only - This report was created on Tuesday, April 08, 2014 at 3:00:57…