B. Agency Specific Requirements.pdf

EXHIBIT A

RLP NO. 36C24525R0070

LEASE NO. 36C24525L0005

AGENCY SPECIFIC REQUIREMENTS

HAGERSTOWN, MD CBOC

Table of Contents

SECTION A: THE PREMISES

A.1 Net Usable Square Feet (NUSF) Requirements

A.2 Standard Conditions and Requirements

SECTION B: TENANT IMPROVEMENT COMPONENTS

B.1 INTERIOR REQUIREMENTS

B.1.1 Telephone & Telecommunications Equipment Room

B.1.2 Automated Data Processing Capability

B.1.3 Sinks

B.1.4 Corridors

B.1.5 Finish Requirements

B.1.6 References and Code Requirements

B.2 SECURITY REQUIREMENTS

B.2.1 Facility Security Level (FSL)

B.2.2 Physical Access Control System (PACS)

B.2.3 Closed Circuit Television (CCTV) System

B.2.4 Security Alarm

B.2.5 Telecommunications Room

B.2.6 Additional Security Measures

SECTION C: EXTERNAL SOURCE REFERENCES

C.1 VA External References

C.2 Other External References

LESSOR__________ GOVERNMENT__________

SECTION A: THE PREMISES

A.1 Net Usable Square Feet (NUSF) Requirements

FUNCTION Total NSF Projected Room Number

Vestibule 140 101

Waiting 1200 102

Reception 350 103

Reception Support 210 103A

PT/OT 510 104

PT/OT Exam Room 120 104A

PT/OT Storage Room 100 104B

MH Group Room 400 105

MH Group Room Storage Room 40 105A

Women’s Toilet 130 106

Men’s Toilet 130 107

Lab 150 108

Lab Toilet 50 108A

Social Workers Office 120 109

Psychologists Office 120 110

PCMHI Office 120 111

Tele-Psychiatry 120 112

Tele-Mental Health 120 113

Tele-CVT 120 114

Tele-Podiatry 120 115

Tele-Retinal 120 116

Scale Alcove 16 117

General Storage 50 118

General Storage 50 119

Scale Alcove 16 120

Men’s Toilet 50 121

Women’s Toilet 50 122

General Storage 50 123

Bio-Med Closet 50 124

Pharmacists Office 120 125

HUD/VASH/HBPC Team Room 195 126

HUD/VASH/HBPC Storage Room 50 126A

OIT Closet 100 127

LEASE NO. 36C24525L0005

Clinic Coordinator's Office 220 128

Hoteling Office 120 129

Hoteling/Intern Office 120 130

Dietician's Office 130 131

Exam Room 1 130 132

Women’s Exam Room 2 130 133

Women’s Exam Room 2 - Toilet 50 133A

Women’s Exam Room 3 130 134

Women’s Exam Room 3 - Toilet 50 134A

Exam Room 4 130 135

Women’s Exam Room 5 130 136

Women’s Exam Room 5 - Toilet 50 136A

Women’s Exam Room 6 130 137

Women’s Exam Room 6 - Toilet 50 137A

PACT Team 1 & 2 700 138

PACT Team 1 & 2 Storage Closet 20 138A

Exam Room 7 130 139

Exam Room 8 130 140

Exam Room 9 130 141

Medication Room 100 142

SPD Storage 100 143

Clean Utility Storage 100 144

Soiled Utility Room 80 145

PACT Team 3 590 146

PACT Team 3 Storage Closet 20 146A

Exam Room 10 130 147

Exam Room 11 130 148

Exam Room 12 130 149

Specialty Care 130 150

Exam Room 13 130 151

Exam Room 14 130 152

Exam Room 15 130 153

Specialty Care 130 154

PACT Team 4 & 5 130 155

PACT Team 4 & 5 Storage Closet 20 155A

Staff Lounge 380 156

Conference Room 440 157

Men’s Toilet 50 158

Locker Room 80 159

Women’s Toilet 50 160

Women’s Toilet 50 161

Audiology 350 162

Eye Clinic 250 163

Eye Clinic Exam/ Office 100 164

Toilet/ Shower Room 90 165

HAC 0 166

Building Management & Utility Support Space 0 167

Total Net Usable Square Footage 11987

A.2 Standard Conditions and Requirements The following standard conditions and requirements shall apply to any space offered for use to the VA:

A. The general layout of the clinic shall incorporate spaces defined in the SEPS Program for Design

(PFD) provided separately, while also adhering to the CBOC Prototype Study and Electronic Health Record Management (EHRM) requirements. The design should integrate as many of the design strategies and principles, module functional layouts and dimensions, finishes, typical equipment layouts, and the separation of patient and staff flows as outlined in the Patient Aligned Care Team (PACT) Space Module Design Guide dated June 2015 (Primary Care). Due to space constraints, the design will result in a 'Hybrid' PACT model.

B. The Lessor shall provide layouts in the offered space to reflect “best fit” of required spaces within the physical configuration of the offered building. Particular attention should be given to maximizing the separation of patient and staff circulation through the clinic. Exam rooms, consult rooms, team workspace rooms and procedure rooms shall comply with the typical room layouts as shown in the design guide.

C. Mental health space, telehealth exam rooms and all specialty consult/exam rooms be incorporated into the Clinic layout. Submit sample “best fit” drawings indicating how the program space would be laid out in the offered building for approval.

D. The building and the offered space shall be accessible to the handicapped in accordance with the Uniform Federal Accessibility Standards (41 CFR 10119.6, App. A) and any recent accessibility requirements.

SECTION B: TENANT IMPROVEMENT COMPONENTS

B.1 INTERIOR REQUIREMENTS

B.1.1 Telephone & Telecommunications Equipment Room This room shall be designed to accommodate the telecommunications system and it shall be constructed to this standard:

https://www.cfm.va.gov/til/dguide/OITInfrastrucStdTelecomSpaces.pdf

There shall be NO plumbing or any other utilities not serving this room ran through this room.

B.1.2 Automated Data Processing Capability

A. Reference: Infrastructure Standard for Telecommunications Spaces, Version 3.1, https://www.cfm.va.gov/til/dguide/OIT-InfrastrucStdTelecomSpaces.pdf.

B. Horizontal cabling shall be Category 6A (Cat6A) or higher (American National Standards Institute (ANSI)/Technology Industries Association (TIA)-1179 Healthcare Facility Telecommunications Infrastructure).

C. Telecommunications outlets/connectors and the horizontal cross-connects (patch panels) shall be of equal or greater Category to connected horizontal cable.

D. Installation shall be compliant with the BICSI standards (ANSI/NECA/BICSI 568, Standard for Installing Commercial Building Telecommunications Cabling and ANSI/TIA-1179-A Healthcare Facility Telecommunications Infrastructure for new installations).

1. New cable installations additionally shall be compliant with TIA 568.2-D, TIA TSB-184-A, and NFPA-70 Section 725.144 to prevent PoE heat accumulation. Provide certification reports to the COR.

2. Alternatively, new UTP cabling shall carry a UL listed "LP" (Limited Power) rating.

3. Cat6A cable shall be terminated to a CAT6A RJ-45 patch panel in IT closet and CAT6A RJ-

45 jack at wall plate and labeled at both ends.

4. Use a cable analyzer to determine cable length (max cable length 90M/295 linear feet) and certify that cable meets or exceeds TIA-EIA-568-C.2.

5. Cables shall be installed in continuous lengths from origin to destination, no splices with a 1’ service loop.

E. All patch cables shall be Category 6A for copper, OM4 for multi-mode fiber or OS2 level for single mode fiber.

https://www.cfm.va.gov/til/dguide/OITInfrastrucStdTelecomSpaces.pdf https://www.cfm.va.gov/til/dguide/OIT-InfrastrucStdTelecomSpaces.pdf

F. Cable management shall be implemented for all patch cables in accordance with Infrastructure Standard for Telecommunications Spaces, Version 3.0, ensuring proper bend radius, bundling, airflow, support and labeling.

G. 1 GbE connectivity to desktops, and other End User Devices.

H. End-to-End latency from the user desktop to Cerner Data Center of equal to or less than 90ms for Citrix connection.

I. Copper structured cabling shall be certified as meeting or exceeding TIA-EIA-568.1-D (max fixed cable length 90M/295 linear feet) independent of media type.

J. Lessors shall provide service with a minimum of 10 GbE fiber or better.

B.1.3 Sinks Handwashing sinks will be provided in all exam rooms, consult rooms and other spaces as shown in typical room layouts shown in PACT design guide and CBOC Prototype Study. Provide wall and base cabinets. DIRTT wall or Hermann Miller modular sink cabinets and wall cabinets or an acceptable approved equivalent are required. Sink base counters shall be solid surface.

B.1.4 Corridors

A. Safety and Damage Prevention Features. The Lessor shall provide handrails, corner guards and wall guards in all corridor walls as described in the technical requirements. Handrails shall comply with ADA and guard rails shall be of matching construction and color and mounted at a height to protect walls from damage from carts, wheelchairs, and other wheeled equipment.

B. Dimensions. Corridor dimensions shall follow the PACT Design Guide for minimum clear distances. Corridors shall not be less than 6 foot clear unless otherwise noted.

B.1.5 Finish Requirements All finishes shall be selected and approved by VA prior to purchase and installation by contractor. Finish Abbreviations and minimum standards:

ACT-1 Acoustical Ceiling (Tile) – Section 09-51-00

• 24”x24”

• Minimum .75 NRC, 35 CAC

• Sag resistant

• Inherently Antimicrobial

• Minimum .90 light reflectance

• Basis of Design: USG MARS High-NRC/High-CAC, with Fineline 1/8 DXFF Grid

System

ACT-2 Acoustical Ceiling (Tile) – Section 09-51-00

• 24”x24”

• Minimum .80 NRC, 40 CAC

• Sag resistant

• Inherently Antimicrobial

• Minimum .90 light reflectance

• Basis of Design: USG MARS Healthcare Clean Room Acoustical Panels, with

USG Donn Brand CE 1-1/2” Grid system

CPT-1 Carpet Tile – Section 09-68-13

• 24”x24”

• Made of sustainable/recycled material

• Minimum 28 oz. face weight

• Antimicrobial

• Minimum 15/16 year stain/color safe warranty

• Basis of Design: Mannington-The Hocus Collection, Improbable Gray

CT -1 Ceramic Tile – Section 09-30-13

• 12”x24”

• Basis of Design: Daltile, Industrial Park-Colorbody, Pocelain, Charcoal Gray

IP09, Matte; Grout -#19, Pewter.

CT -2 Ceramic Tile – Section 09-30-13

• 11”x11”, Shape Trapezoid

• Basis of Design: Daltile, Sublimity – Natural Stone, Cirrus Stone, Trapezoid

Mosaic, Honed M018; Grout-#115, Platinum.

GWB Gypsum Wallboard Systems – Section 09.29.00 “Gypsum Board”

• 5/8” Minimum Thickness

• Type as needed per space

IGL-1 Glazing – Section 12-24-00 (Interior Clear)

• ½” Ultra Clear

• Basis of Design: Vitro - StarPhire Interior, Ultra Clear

IGL-2 Glazing – Section 12-24-00 (Interior Etched/Patterned)

• ½” Ultra Clear

• Basis of Design: 3Form – Tapered circle pattern

LVT-1 Resilient Tile Flooring – Section 09-65-19

• 6”x32”, 32 MIL Luxury Vinyl Tile

• Basis of Design: Amtico - Signature Wood Solar Pine, Solar Pine

Basis of Design: 3Form – Tapered circle pattern LVT-2 Resilient Tile Flooring – Section 09-65-19

• 9”x18”, 32 MIL Luxury Vinyl Tile

• Basis of Design: Mannington Commercial - Select Abstract – Celestial

Stardust

PL-1 Manufactured Wood Casework – Section 12-32-00 (Plastic Laminate)

• Basis of Design: Wilsonart – Traceless, Charcoal Velvet

PL-2 Manufactured Wood Casework – Section 12-32-00

• Basis of Design: DIRTT – 3D Laminate, Thermafoil, Umbra Super Matte

RB-1 Resilient Base & Accessories – Section 09-65-13

• 4” Cove, 1/8” Thick

• Preformed corners

• Basis of Design: Johnsonite – 24 Grey Haze

SS-1 Countertops – Section 12-36-00 (Solid Surface)

• 1/2” Thick solid

• Basis of Design: Corian, Designer White

SS-2 Countertops – Section 12-36-00 (Solid Surface)

• 1/2” Thick solid

• Basis of Design: Corian, Gray Onyx

WD-1 Wood Cladding Ceiling System

• 8” deep, 1-1/2” wide profile

• Faux wood veneer finish

• Basis of Design: Hunter Douglas, Metal Ceilings – Baffles, Tavola (Straight)

WP-1 Wall & Door Protection – Section 10-26-00 (Rigid Vinyl Sheet)

• 3’-0” High x 8’-0 long sheets

• 0.80” Thick

• Top Cap

• Inside corner

• Vertical divider bar

• Basis of Design: Inpro, Palladium Rigid Vinyl Sheet, Castle 0256

WP-2 Wall & Door Protection – Section 10-26-00 (Handrail & Crash Guard)

• Basis of Design: Inpro – Series 3110, Color Sharkskin 0350

WP-3 Wall & Door Protection – Section 10-26-00 (Corner Guard)

• At all corridor locations

• Basis of Design: Inpro, Stainless Steel Corner Guard - 52SS, Stainless Steel

WV-1 Wood Veneer – Section 08-14-00 (Interior Wood Doors)

• 5 Flitches per door leaf of equal size

• Select White Birch

• Basis of Design: VT Industries, Architectural Wood Doors – Riverstone R118

WSF-1 Welded Seam Sheet Flooring - Section 09-65-16 (Resilient Sheet Flooring)

• Basis of Design: Mannington Commercial, Paradigm II – Streamline Purpose

PD216

Faucet Plumbing Fixtures – Section 22-40-00 (All locations unless specified below)

• Basis of Design: Kohler, Electronic Faucet – K-13474

Faucet Plumbing Fixtures – Section 22-40-00 (Staff Breakroom)

• Basis of Design: Kohler, Electronic Faucet – K-22972

Flush- Valve

Plumbing Fixtures – Section 22-40-00

• Basis of Design: Sloan, Royal 111 ESS-1.28-OR-HW

Water Closet

Plumbing Fixtures – Section 22-40-00

• Basis of Design: Kohler, Kingston Ultra – K-84325

Pre-Fab Shower Stall

Plumbing Fixtures – Section 22-40-00

• Basis of Design: Aquatic – Accessible Showers, 6030BFSC

Electric Water Cooler

Plumbing Fixtures – Section 22-40-00

• Basis of Design: Elkay, Model EZSTL8WSLK

Light Fixture

Interior Lighting – Section 26-51-00

• 2x2 LED

• Basis of Design: Columbia Lighting, Model LCAT22

Light Fixture

Interior Lighting – Section 26-51-00

• Vanity Lights

• At all bathroom sink locations

• Basis of Design: Lumini, Clareo Wall, Vertical Linear Sconce, Black 490

Lumens

Light Fixture

Interior Lighting – Section 26-51-00

• Exit Light

• Ceiling Mounted

• Basis of Design: Lithonia Lighting, LRP

• All adhesives’ sealants, and compound products employed on this project (including, but not limited to, adhesives for carpet, carpet tile, plastic laminate, wall coverings, adhesives for wood, or sealants) shall be those with the lowest possible VOC content below 20 grams per liter and which meet the requirements of the manufacturer of the products adhered or involved and shall be antimicrobial with no hazardous vapors and contain no carcinogenic materials. The Lessor shall use adhesives and sealants with no formaldehyde or heavy metals. Acceptable products will be Green Seal approved or VA approved equivalent.

• All paints and coatings will be a green chemical product. Acceptable products will be Green Seal approved or VA approved equivalent.

http://www.greenseal.org/FindGreenSealProductsAndServices.aspx

B.1.6 References and Code Requirements A. The Lessor shall design and construct the building and site work in accordance with this solicitation, all applicable Federal regulations, local Building and Zoning Codes and ordinances, and applicable http://www.greenseal.org/FindGreenSealProductsAndServices.aspx utility company requirements. The term "local building and zoning codes and ordinances," or similar text, shall be understood to mean the current codes and regulations as approved and administered by Authorities Having Jurisdiction (AHJ) at the project location at the time of permitting. Where there is a conflict between the various codes or standards, the most stringent shall apply.

B. The Public Buildings Amendment Act of 1988, Public Law (Pub. L.) 100-678 requires Federal agencies to follow national recognized "model" building codes. The Federal Participation in the Development and Use of Voluntary Standards, Office of Management and Budget (OMB) Circular A-119, requires all executive agencies to rely on voluntary standards, both domestic and international, whenever feasible, and to participate in voluntary standard bodies. As a Federal agency, VA is required to comply with Executive Orders. VA has adopted the following codes and standards as a minimum for all projects performed in the modernization, alteration, addition, or improvement of its real property and the construction of new structures. Applicable requirements have been incorporated in this Solicitation for Offers. For all codes and standards cited the latest update shall be used or the latest update as applicable to the local permitting jurisdiction of the project :

• Air Conditioning Contractors of America Manual N for Commercial Load Calculations.

• AIA/FGI (American Institute of Architects/Facility Guidelines Institute):Guidelines for Design and Construction of Healthcare Facilities

• ANSI/ASHRAE Standard 62.1 – Ventilation for Acceptable Indoor Air Quality (subject to revision)

• ANSI/ASHRAE Standard 90.1 – Energy Standard for Buildings except Low-Rise Residential

Buildings (Use ASHRAE Standard 90.1 –for computing energy benchmark. (subject to revision ANSI/ASHRAE Standard 15 – Safety Standard for Refrigeration Systems (subject to revision) shall be used for all minimum energy efficiency standards.

• ANSI/ASHRAE Standard 170 – Ventilation of Healthcare Facilities

• Architectural Barriers Act Accessibility Standards (ABAAS, 36 CFR Part1191)

• ASHRAE Handbook of Fundamentals

• ASHRAE Handbook of Refrigeration

• ASHRAE Handbook of Applications

• ASHRAE Handbook of Systems and Equipment

• ASME Boiler and Pressure Vessel Code

• ASME Code for Pressure Piping CODES / STANDARDS EDITION

• ASPE Data Book, Volume 1: Fundamentals of Plumbing Engineering

• ASPE Data Book, Volume 2: Plumbing Systems

• ASPE Data Book, Volume 3: Special Plumbing Systems

• Building Code Requirements for Reinforced Concrete, American Concrete Institute and

Commentary (ACI 318)

• Illuminating Engineering Society (IES), The Lighting Handbook

• International Building Code (IBC), with the exception of Chapter 10, unless locally adopted

• International Energy Conservation Code (IECC)

• International Fuel Gas Code (IFGC)

• International Mechanical Code

• International Plumbing Code (IPC)

• Manual of Steel Construction, Load and Resistance Factor Design

• Specifications for Structural Steel Buildings, American Institute of Steel Construction (AISC)

• NFPA 101 – Life Safety Code

• All Remaining NFPA National Fire Codes with the exception of NFPA 5000 and NFPA 900

• Current as published in May

• National Standard Plumbing Code (NSPC)

• Occupational Safety & Health Administration (OSHA) Standards (Healthcare)

• Safety Code for Elevators and Escalators, American Society of Mechanical Engineers (ASME)

A 17.1

• Safety Standard for Refrigeration Systems – ASHRAE Standard 15

• SMACNA – HVAC Duct Construction Standards: Metal & Flexible

• SMACNA – HVAC Air Duct Leakage Test Manual

• VA Barrier Free Design Guide, PG-18-13

• VA Physical Security Design Manual – Life-Safety Protected

• VA Seismic Design Requirements, H-18-8

• VHA National CAD Standard Application Guide

CODES / STANDARDS EDITION

C. NFPA 101 primarily addresses life safety and fire protection features, while the IBC addresses a wide range of considerations, including, but not limited to, structural strength, seismic stability, sanitation, adequate light and ventilation, and energy conservation. VA buildings must meet the requirements of NFPA 101, and documents referenced by NFPA 101 in order to comply with the accreditation requirements of the Joint Commission. Therefore, designs shall comply with the requirements of NFPA 101 and documents referenced therein. Design features not addressed by NFPA 101, or documents referenced therein shall comply with the requirements of the IBC.

D. Should a conflict exist between VA requirements and VA-adopted nationally recognized codes and standards, the conflict shall be brought to the attention of VA. The resolution of the conflict shall be made by the authority having jurisdiction for VA to ensure system-wide

B.2 SECURITY REQUIREMENTS

Physical security requirements for the clinic shall comply with the guidance outlined in the Request for Proposal (RFP). The Lessor is responsible for implementing security measures that effectively deter unauthorized access to the government-leased space during non-duty hours and prevent loitering and disruptive behavior both in and around the space during duty hours. A Suite Security Alarm System and monitoring shall be provided by the Lessor through the annual rent.

B.2.1 Facility Security Level (FSL)

A. Refer to the Facility Security Level (FSL) requirements exhibit included in the lease.

B. Provide a level of security that reasonably deters unauthorized entry during regular and non-duty hours. The Government considers a security alarm system that incorporates motion sensors, door alarm contacts, and glass breakage sensors to be reasonable. Overall security shall also include deterring loitering or disruptive acts in and around the space during duty hours.

Additionally, wired “Panic/Duress” pull stations should be located at critical staff locations, with a minimum of two (2) located at the front desk/reception area, and connected to the central alarm monitoring station.

C. If the VA leased space is part of a multi-tenant building, the tenant shall have security within the tenant space, separate from that of the general building security.

B.2.2 Physical Access Control System (PACS) A. Physical Access Control (PACS) card reader capability for employee access. The system must be certified to work with VA-issued PIV cards and must also be FICAM “Ready” compliant. PACS system equipment and software must be Hirsch/Identiv brand. PACS system equipment and software must be installed by Hirsch-certified technicians who are authorized to install and program the complete system. All installation of equipment and software must abide by Hirsch technical specifications.

B. PIV card enrollment stations will be located in two places: the first in the clinic coordinator's office and the second in the BioMed closet.

C. PIV card reader locations will be provided by the VA on the floorplan drawings.

D. All PACS control panels for door card readers and server equipment will be located in the BioMed closet.

E. The Lessor shall establish and maintain a preventive maintenance program for all installed security systems, including the coverage of any recurring licenses and/or fees, for the duration of the lease.

F. The VA will maintain all administrative and system user rights to the PACS system.

G. System testing and acceptance shall be conducted by the Government prior to occupancy.

B.2.3 Closed Circuit Television (CCTV) System

A. The Lessor shall design, install, and maintain a system as described in this section, utilizing a video management system (VMS) integrated with the PACS. The use of Hirsch/Identiv “Velocity Vision Video Management System” Software (VMS) is required, with integration with the Physical Access Control (PACS) software.

B. The main CCTV server/PC workstation with a 24-inch monitor shall be located in the BioMed closet.

C. The Lessor shall provide two live view monitoring stations with the system software for security monitoring: one located at the main reception/check-in desk and one in the clinic coordinator’s office.

D. The CCTV system shall support the entry control system, with video recording capabilities for a minimum of 90 days.

E. The CCTV system shall provide unobstructed coverage of designated pedestrian entrances and exits, as well as full parking lot coverage, in accordance with the VA concept plan for interior and exterior camera locations. VA will provide concept plan for specific camera locations.

F. CCTV system testing and acceptance shall be conducted by the Government prior to occupancy.

G. The VA will maintain all administrative and system user rights to the CCTV system.

B.2.4 Security Alarm

A. The Lessor shall provide a security system that alarms upon illegal entry in the leased space and prevents unauthorized entry 24 hours per day, 7 days per week, with alarms that sound locally at the site and at a remote monitoring location.

B. Alarm sensors are required on all exterior doors and operable windows.

C. Motion detectors shall be provided in the waiting rooms and the corridors. Updates for codes or names are included in the lease and shall be coordinated with the LCO or authorized representative.

D. The Lessor shall install a keypad to disarm the building located at the main employee entrance door.

E. The security system will be completely tested at least once per month by the Lessor, with a copy of the testing report sent to the VA.

B.2.5 Telecommunications Room

A. Access to the Telecommunications Room will be restricted to include only those persons specifically authorized by VA OIT, not including facility Lessors or shared with any other tenant.

B. Access controls to the space shall include a VA cored lock, valid access card, and PIN number as a secondary personal authentication. Scramble Pad-type PIN readers are recommended.

C. Automatic locking upon entry and exit.

D. Deadlock pin and door handle will lock upon closing.

E. An intrusion detection alarm system which detects entry into the room and will broadcast a local alarm of sufficient volume to deter an illegal entrant.

F. Motion sensor lights utilizing energy-efficient motion sensors will activate lights in the immediate area upon an employee's entry into the IT support space.

G. Sufficient lighting shall be provided to allow safe passage through the space and to permit identification via security camera.

B.2.6 Additional Security Measures A. The main patient entry foyer doors should have the capability to be remotely locked down in case of an emergency, such as an active threat scenario, with a lockdown button located at the main reception/check-in desk area for employee usage during such events.

B. Security bollards should be installed in the parking lot directly in front of the main lobby entrance to prevent vehicles from crashing into the lobby waiting area.

C. The main lobby reception/check-in desk area should be enclosed with protective, shatter-resistant glass to prevent over-the-counter attempts by disorderly individuals.

SECTION C: EXTERNAL SOURCE REFERENCES

C.1 VA External References

Reference Source Purpose Technical Information Library (TIL) http://www.cfm.va.gov/til/ Contains various design guides and criteria for VA facilities, including the SEPS Program for Design Design, Architectural, Electrical, HVAC, Plumbing, Site, Interior Design, and Structural elements.

Patient Aligned Care Team (PACT) Space Module Design Guide https://www.cfm.va.gov/til/dGuide/ dgPACT.pdf

Provides design standards and spatial requirements for Patient Aligned Care Teams (PACT) in VA facilities, aiming to enhance patient-centered care and improve workflow efficiency.

VA Master Construction Specifications (MCS) and Standard Details (SD) http://www.cfm.va.gov/til/space.asp

The VA Master Construction Specifications (MCS) are standard guidelines for the design and construction of U.S. Department of Veterans Affairs facilities, while the Standard Details (SD) provide accompanying standardized drawings to ensure consistency and quality in construction projects.

VA CBOC Prototype Study BUILDING PROTOTYPES - Office of Construction & Facilities Management

Provides standardization for the design and construction of Community Based Outpatient Clinics.

VA Telecommunications Data Center & Infrastructure Engineering Design Standards

Telecommunications Data Center and Infrastructure Engineering Design Standards - Office of Construction & Facilities Management

Office of Construction and Facility Management’s design standards for OIT and EHRM requirements.

http://www.cfm.va.gov/til/ https://www.cfm.va.gov/til/dGuide/dgPACT.pdf https://www.cfm.va.gov/til/dGuide/dgPACT.pdf http://www.cfm.va.gov/til/space.asp https://www.cfm.va.gov/til/Prototypes.asp#CBOC https://www.cfm.va.gov/til/Prototypes.asp#CBOC https://www.cfm.va.gov/til/Prototypes.asp#CBOC https://www.cfm.va.gov/til/telecom.asp https://www.cfm.va.gov/til/telecom.asp https://www.cfm.va.gov/til/telecom.asp https://www.cfm.va.gov/til/telecom.asp https://www.cfm.va.gov/til/telecom.asp

C.2 Other External References

Reference Source Purpose ADA Guidelines https://www.ada.gov/ Provides information on the

Americans with Disabilities Act (ADA) regulations, including accessible parking requirements.

American Society of Heating, Refrigeration and Air Conditioning Engineers (ASHRAE) https://www.ashrae.org/ Sets standards for telecommunications infrastructure, including cabling and installation practices.

Department of Energy (DOE) https://www.energy.gov/ Offers guidelines on energy conservation and efficiency, including building performance standards.

Energy Star https://www.energystar.gov/ Provides guidelines and certifications for energy-efficient products and practices, including energy performance for buildings.

GSA (General Services Administration) https://www.greenseal.org/ Certifies cleaning products and paper products that meet environmental and health standards.

GSA Environmental Management Integrated Pest Management Technique Guide https://www.gsa.gov/ Provides guidelines for pest control using Integrated Pest Management techniques.

Green Seal Certification https://www.greenseal.org/ Certifies cleaning products and paper products that meet environmental and health standards.

International Code Council (ICC) https://www.iccsafe.org/ Develops codes and standards for fire safety, including requirements for fire protection systems.

National Fire Protection Association (NFPA) https://www.nfpa.org/ Provides safety and health regulations for various workplaces, including healthcare facilities.

Occupational Safety and Health Administration (OSHA) https://www.osha.gov/ Provides safety and health regulations for various workplaces, including healthcare facilities.

https://www.ada.gov/ https://www.ashrae.org/ https://www.energy.gov/ https://www.energystar.gov/ https://www.greenseal.org/ https://www.gsa.gov/ https://www.greenseal.org/ https://www.iccsafe.org/ https://www.nfpa.org/ https://www.osha.gov/