CBMH_PFD_JBSA_3.xlsx

PFD

MEDCOM

Community Based Medical Home Program For Design (PFD)

AS OF 01NOV2015

See Below for Example. "COMMUNITY BASED" will be replaced by the name that Command has chosen for the clinic, i.e., "SCREAMING EAGLE" MEDICAL HOME

2. Two 42-47 " Queue Flow Monitors, with installation brackets

**note: if multiple receptions areas are needed due to "split space" configuration, additional Q-flow kiosks and monitors may be required 1. One 47" Flat Screen T.V.

**note: if multiple receptions areas are needed due to "split space" configuration, additional Q-flow kiosks and monitors may be required 1. Wall Bracing/Backer Board for the two Queue Flow System Monitors

2. Wall Bracing/Backer Board for the T.V.s

3. Three (3) 42-47" Flat Screen T.V. installation brackets

**note: if multiple receptions areas are needed due to "split space" configuration, additional Q-flow kiosks and monitors may be required 1. One dedicated 110 VAC outlet for patient kiosk desk in remote corner of room located 18" AFF (see furniture and equipment layout for proper placement)

2. Two dedicated 110 VAC outlets for Queue Flow Monitors at 76" to 84" AFF (see line 26 below; depending on ceiling height allowance; see furniture and equipment layout for proper placement)

3. One 110 VAC outlet for TV at 76" to 84" AFF (depending on ceiling height allowance; see furniture and equipment layout for proper placement)

4. A minimum of one additional 110 VAC outlet on all walls 1. One telecommunication outlet box to accommodate four (4) data ports to support the patient kiosk desk (see furniture and equipment layout for proper placement)

2. Telecommunication outlet boxes to accommodate two (2) data ports each mounted at 76" to 84" AFF (depending on ceiling height allowance) in support of the Queue Flow Monitors (see furniture and equipment layout for proper placement)

3. One (1) telecommunication outlet box to support cable TV mounted at 76" to 84" AFF (depending on ceiling height allowance; see furniture and equipment layout for proper placement) 3 3 1. Space serves Clinic, Pharmacy, and Lab

2. There will be a total of three (3) monitors installed in this area. Two (2) for the Queue Flow system and one (1) TV monitor. Lessor will install TV monitor. Government will install the two (2) Queue Flow monitors

3. Addition of a chair rail in the high occupancy/high use areas of the clinic is suggested to cut down on damage caused over time by furniture and/or strollers being pushed against walls

2. Printer/Copier/Fax combination

3. Heavy Duty Paper Shredder

4. Two Computer workstations at reception work counter behind reception window each with a computer and telephone

5. Large Color Printer

2. One 110 VAC recessed outlet for Back-Lit sign at 76" to 84" AFF depending on ceiling height allowance (see furniture and equipment layout for proper placement)

3. Two (2) 110 VAC electrical junction boxes with 90 degree seal tight flex connectors (or as required by code) for connection to modular workstation pigtails/power whips (see furniture and equipment layout for proper placement)

4. One (1) 110 VAC outlet for copier/fax (see furniture and equipment layout for proper placement)

5. One (1) 110 VAC outlet for large color printer (see furniture and equipment layout for proper placement)

6. One (1) dedicated 110 VAC outlet for heavy duty paper shredder (see furniture and equipment layout for proper placement)

7. A minimum of one additional 110 VAC outlet on all walls

8. Wiring for Nurse Call Panel tied to restrooms, pharmacy and behavioral health office (see furniture and equipment layout for proper placement) 1. Two (2) telecommunication outlet boxes to accommodate four (4) data ports each adjacent to electrical outlets at receptionist windows for computer workstations and telephones (see furniture and equipment layout for proper placement)

2. Two (2) telecommunication outlet boxes to accommodate four (4) data ports each adjacent to electrical pigtails supporting the two modular workstations and telephones (see furniture and equipment layout for proper placement; additional ports will be needed if more than two workstations have been identified on the furniture and equipment layout)

3. One (1) telecommunication outlet box to accommodate two (2) data ports in support of large color printer (see furniture and equipment layout for proper placement)

4. One (1) telecommunication outlet box to accommodate two (2) data ports in support of the Printer/Copier/Fax Combination (see furniture and equipment layout for proper placement)

2. Central Conference Table (Herman Miller)

3. Printer/Copier

2. Sufficient 110 VAC electrical junction boxes with 90 degree seal tight flex connectors for connection to ten (10) modular workstation pigtails/power whip. These should be located on opposite ends/sides of the room (see furniture and equipment layout for proper placement)

3. Two (2) dedicated 110 VAC outlets printer and copier (see furniture and equipment layout for proper placement)

4. A minimum of one additional 110 VAC outlet on all walls 1. One (1) telecommunication outlet box at 74" to 84" AFF (depending on ceiling height allowance) to support cable T.V. (see furniture and equipment layout for proper placement)

2. Sufficient telecommunication outlet junction boxes with 90 degree seal tight flex connectors for connection to ten (10) modular workstation pigtails/data whips provide with two (2) inch conduit in & out. These should be located on opposite ends/sides of the room (see furniture and equipment layout for proper placement)

3. One (1) telecommunication outlet box for two data ports each in support of printer/copier (see furniture and equipment layout for proper placement)

2. Examination Table, powered, hi-lo

3. Light on Mobile Stand (Exam, Mobile, Spotlight)

4. Patient Scale 0-300lb

5. Otoscope/Ophthalmoscope

6. Two (2) Herman Miller Wall Mount rails on each wall opposite the Compass sink on each side of exam table

7. Sharps waste disposal unit 1. Lessor to provide electrical and plumbing connections for the Compass sink unit; mixing valves are to be provided by the plumber for all Compass sink units

2. Soap Dispenser

3. Hand Sanitizer Dispenser

4. Paper Towel Dispenser (in Compass Unit)

5. Waste Disposal Unit

6. Glove Dispenser (on Compass Unit) 1. Privacy curtain and curtain track (around entrance door swing)

2. Double SS Garment Hook on inside of door

3. mixing valves and tailpieces are to be provided by the plumber for all Compass sink units Four total duplex outlets per exam room.

1. Two (2) dedicated 110 VAC outlets each exam room. One will be on wall with Compass sink and one will be on side wall for computer station. (Specs and stub out information for Compass sink installation is available for elevation; see furniture and equipment layout for proper placement)

2. Each exam room has the exam table at a 45 degree placement to a room corner. Exam table will require outlet as do the rail hanging devices. Rails are installed by the furniture team. Thus, we need to insure the two outlets, on either side of the head of the exam table should be located about 36-40 inches from the corner, under the location of the rails (18 inches AFF; see furniture and equipment layout for proper placement) 1. Two (2) telecommunication outlet boxes to accommodate two (2) data ports each in each exam room. These will be adjacent to electrical for Compass sink and computer station (see furniture and equipment layout for proper placement) 2 36 1. The CON/OPS for the clinic is two practice teams. Each practice team will have a group practice room, 6 to 8 exam rooms, a pediatric screening room (or alcove) and a Nurse Case Manager/Access to Care room

2. If space permits, one additional exam room may be included and should be in a location to serve both practice teams

3. See Comment for Hallways below for full explanation of use of paint colors and accent walls

4. Exam Room Privacy Curtains should meet MTF Housekeeping specs

5. Privacy curtain located around door swing clear of light fixtures.

6. Mixing valves are to be provided by the plumber for all Compass sink units

7. tailpieces/drains are to be provided by the plumber for all Compass sink units

8. Rigid, flex connections and electrical coverplates to are to be provided by the electrician for all Compass sink units

2. Printer/Copier/Fax combination/room

2. Wiring for Nurse Call/Duress switch (see furniture and equipment layout for proper placement)

2. The Modular workstation will be located near the entrance door to the room

2. Examination Table, non-powered, hi-lo

3. Sharps waste disposal unit 1. Lessor to provide electrical and plumbing connections for the Compass sink unit; mixing valves and tailpieces are to be provided by the plumber for all Compass sink units

2. Surgical Procedure Light Mount. Lessor to provide support structure, wires and light base to support and install the Government provided light. This is preferred to be a ceiling mount but in some instances ceiling height may require wall mounting. (see cut sheets)

3. Glove dispenser (in Compass Unit)

4. Hand sanitizer dispenser

5. Liquid hand soap dispenser

6. Paper Towel dispenser (in Compass Unit)

7. Otoscope/Ophthalmoscope, Wall Mounted 1. Privacy curtain and curtain track (around entrance door swing)

2. Double SS Garment Hook on inside of door

2. Treatment room door should be 4 foot wide without glass.

3. Mixing valves are to be provided by the plumber for all Compass sink units

4. tailpieces/drains are to be provided by the plumber for all Compass sink units

5. Rigid, flex connections and electrical coverplates to are to be provided by the electrician for all Compass sink units

2. Two (2) Phlebotomy/Blood Draw Chairs

3. Modular workstation with computer, printer, and telephone

4. Two Sharps waste disposal units (high volume clinics; one per phleb chair) 1. Paper towel dispenser

2. Glove dispenser

3. Hand sanitizer dispenser

4. Liquid hand soap dispenser 1. Single Basin Stainless Steel sink/casework (upper and lower)

2. Ceiling mounted curtain tracks with privacy curtains around each of the two Phlebotomy/Blood Draw stations

2. One (1) telecommunication outlet box to accommodate two data drops for room temperature monitoring equipment (see furniture and equipment layout for proper placement)

3. One (1) additional telecommunication outlet box that accommodates two (2) data ports (data/voice) adjacent to electrical outlet across from workstation (see furniture and equipment layout for proper placement)

4. Add duplex data port next to each electrical outlet 3 3 Standard Key Lock 1. Area for Phlebotomy/Blood Draw chairs should be located opposite from where the modular furniture/desk will be installed

2. Verify TSMP monitoring system type and set-up with MTF

2. Refrigerator, laboratory, 24 CF

3. 2 Modular workstation each with computer, printer, and telephone

4. Heavy Duty Paper Shredder

5. One (1) Bar Code Scanner

6. Stand alone printer

7. Sharps waste disposal unit 1. Two paper towel dispensers

2. Glove dispenser

3. Two hand sanitizer dispensers

4. Two liquid hand soap dispensers 1. One Single Basin Stainless Steel sink, hands free operation with casework (upper and lower) to be utilized for specimen analysis and disposal

2. One double basin stainless steel sink/casework (upper and lower) and flexible eye wash station

3. Double stainless steel hook on back of door 1. Two (2) 110 VAC electrical junction box with 90 degree seal tight flex connector (or as required by code) for connection of modular lab workstation. These should be located on opposite walls (see furniture and equipment layout for proper placement)

2. Sixteen (16) 110 VAC outlets along power trace located across the back of the modular lab workstation for connection of lab equipment (see furniture and equipment layout for proper placement; see modular furniture description for specific discussion on rail system data/electric installation for modular furniture)

3. Provide dedicated quad 110 VAC outlets for each refrigerator/freezer unit. These should be located away from the modular furniture/laboratory workstation area (see furniture and equipment layout for proper placement)

4. One dedicated 110 VAC outlet to support the heavy paper shredder (see furniture and equipment layout for proper placement)

5. A minimum of one additional 110 VAC outlet on all walls 1. Two (2) telecommunication outlet boxes with 90 degree seal tight flex connector (Min. 2 inch Conduit or as required by code) for connection of 16 pieces of lab equipment on modular lab workstation; these should be located on opposite walls and/or for workbench/island locations (see furniture and equipment layout for proper placement)

2. Provide a telecommunication outlet box to accommodate two drops for each of the two refrigerator/freezer units (see furniture and equipment layout for proper placement)

3. One (1) telecommunication outlet box to accommodate two data drops for room temperature monitoring equipment (see furniture and equipment layout for proper placement) 19 19 Standard Key Lock 1. Should be accessible to waiting room to minimize waiting chair requirement

2. Provide any additional sinks as required by State & Local requirements

3. A minimum of 16 electrical/data drops are needed for the Laboratory to support various lab equipment as follows: Chemistry (2drops); Urinalysis (1 drop); Hematology (1 drop); 2 PC and Phones (4 drops); one label printer (1 drop); one network printer to transfer info to main lab (1 drop); 1 refrigerator (1 drop for sensaphone); 1 refrigerator/freezer (1 drop for sensaphone); room temperature monitoring equipment (1 drop); fax machine (1 drop)

4. Provide separate HVAC thermostatic control for Laboratory located in the room to maintain specified Temp & humidity requirements for equipment

5. Verify TSMP monitoring system type and set-up with MTF

2. China sink

3. Stainless steel 1 1/4" diameter toilet accessible grab bar

4. Nurse call/duress pull string and circuit wired to Reception/Admin nurse call panel

5. Stainless steel paper towel dispenser

6. Wall mounted stainless steel toilet tissue dispenser, 2 roll capacity

2. Automated patient queue system (Q-Flow)

3. Class 5 narcotics storage safe, 980 lbs approximate weight

4. Heavy duty paper shredder

5. Combination printer/copier/fax

6. Two mobile pedestal filing cabinets

7. Pharmacy picking station

8. Two wall mounted 48" wide shelf units

9. Five wall mounted 30" wide shelf units

10. Freestanding flammable materials storage cabinet

11. Compact refrigerator/freezer w/locks

12. Pharmacy scale & tablet counter

13. L-shaped freestanding 72"x 48" modular workstation, with 2 computers, 2 telephones and 2 printer

14. One computer at each pharmacy window (up to four windows)

15. One stand alone printer for each set of two pharmacy windows

16. One Bar Code Scanner per pharmacy window

17. Flow Master 360 Water Filtration System

18. Sharps waste disposal unit 1. Electrical connection of robotic prescription dispensing system

2. Electrical connection of refrigerator freezer

3. Electrical connection to modular workstation(s)

4. Electrical connection for water filtration system

5. Paper towel dispenser

6. Glove dispenser

7. Hand sanitizer dispenser

8. Liquid hand soap dispenser 1. Nurse Call/Duress switch and circuit wired back to Nurse Call Panel located in the reception area

2. Single Basin Stainless Steel sink/casework (upper and lower) with eyewash

3. Motorized pharmacy (w/backup manual control) doors or curtains at each pharmacy window, with stainless steel shutters and locking device at bottom

4. Solid Surface pharmacy counter tops at pharmacy dispensing windows (See Construction Specifications, Paragraph G(6) for specific details and requirements) 1. One (1) 110 VAC electrical junction box with 90 degree seal tight flex connectors (or as required by code) for connection to modular furniture workstation pigtails/power whips (see furniture and equipment layout for proper placement)

2. Two (2) 110 VAC Quad outlets along wall with modular furniture for task lighting (see furniture and equipment layout for proper placement)

3. Power pole with four (4) 110 VAC receptacles on a minimum of one dedicated 110v, 60Hz amp circuit for Robotics Equipment. Power Pole is to be located in the center of the room. Type of Robotic equipment is clinic specific, specs avail (see furniture and equipment layout for proper placement)

4. One (1) 110 VAC quad outlet at each dispensing window for robotics (see furniture and equipment layout for proper placement)

5. Three (3) additional 110 VAC outlet for up to three label printers (on wall collocated with Robotics computers; see furniture and equipment layout for proper placement)

6. One dedicated 110 VAC outlet to support heavy paper shredder (see furniture and equipment layout for proper placement)

7. One dedicated 110 VAC outlet under the sink for the water purification system (see furniture and equipment layout for proper placement)

8. (Up to Four (4)--one per window) Nurse Call/duress button and circuit (low voltage) wired back to Nurse Call Panel in reception area (see furniture and equipment layout for proper placement)

9. A minimum of one (1) additional 110 VAC outlet on all walls 1. Telecommunication outlet boxes at each pharmacy window to accommodate four (4) data ports each (see furniture and equipment layout for proper placement)

2. Telecommunication outlet box to accommodate two drops for Pharmacy Label Printers (see furniture and equipment layout for proper placement)

3. Up to six (6) telecommunication outlet boxes with drops for Pharmacy Dispensing Robotics and workstations (see furniture and equipment layout for proper placement)

4. One (1) telecommunication outlet box with drop for DMLSS Printer (see furniture and equipment layout for proper placement)

5. One (1) telecommunication outlet box/drop for DMLSS PC (see furniture and equipment layout for proper placement)

6. One (1) telecommunication outlet box for two drops (voice/data) for Fax Machine in back of the modular workstation (see furniture and equipment layout for proper placement)

7. One (1) telecommunication outlet box to accommodate two drops for each part of the refrigerator/freezer unit (see furniture and equipment layout for proper placement)

8. One (1) telecommunication outlet box to accommodate two data drops for room temperature monitoring equipment (see furniture and equipment layout for proper placement)

9. One (1) additional telecommunication outlet box to accommodate two drops adjacent to each outlet on all walls 22 22 1. 1.75" solid wood door with security hinges on the inside of the room

2. Locks will be high security Group 2 changeable combination Keyless Lock Exterior Door Hardware or equivalent (Alternate, Yale In-Touch)

3. Exterior windows on all first floor locations will have mesh/steel bars with opening not exceeding 32 sq in; glass will be 1/2" laminate

4. Metal roll-down doors (Model: Rolladen) required at each dispensing windows (to include drive through windows). These doors should be electrically operated with an electric eye beam or limit switch for safety purposes. The doors must lock at bottom when touching counter or by a metal locking rod.

5. All perimeter walls will go from floor to superstructure

6. Exterior window/tube system for drive-up refills; the drive-up window requires a roll down curtain 1. Should be accessible to waiting room to minimize waiting area chair requirement

2. There should be (at least) two pharmacy windows located between reception/waiting area and pharmacy area. These windows should be a minimum of 60 inches wide and at least one should have a counter height of 42 inches and one must meet ADA standards

3. There should be a minimum of 24 inches distance between pharmacy windows for placement of Government provided shelves

4. Provide separate HVAC thermostatic control for Pharmacy located in the room to maintain specified temp & humidity requirements for medications & equipment

5. Government provided/Lessor installed water filtration system to be installed under base cabinet with sink (Flow Master 360)

6. Floor Load capacity for Government furnished narcotics safe is 980 lbs

7. Duress button should be located under each dispensing window shelf and at the drive through window (if included in specific clinic build) for easy access by Pharmacy Tech

2. Mobile 29"W X 20"D general supply locker

2. Mobile 29"W X 20"D medical surgical equipment supply locker

2. Glove dispenser

3. Hand sanitizer dispenser

2. 20 cf refrigerator freezer with ice maker

3. Microwave oven

4. Three burner coffee brewer

5. Video teleconferencing system 1. One 42-47" Flat Screen T. V.

2. Stainless steel paper towel dispenser

3. Wall mounted posture mirror

4. Hand sanitizer dispenser

5. Liquid hand soap dispenser 1. Double stainless steel sink with garbage disposer with upper and lower cabinets; upper cabinet should provide space for microwave oven insertion

2. Wall Bracing/Backer Board and bracket for T.V.

3. One 42-47" Flat Screen T.V. installation bracket

4. Water line for icemaker hook-up on refrigerator

5. Room divider/partition 1. One 110 VAC outlet for TV high on wall, approximately 76" to 84"AFF (depending on ceiling height allowance; see furniture and equipment layout for proper placement)

2. Sufficient 110 VAC outlets in cabinet area for Government furnished appliances, including dedicated 110 VAC outlet for microwave (see furniture and equipment layout for proper placement)

2. Cable management, horizontal base unit

3. LAN rack rear hinged cover

4. Patch panel, 110 block/RJ-45, Cat 5E, 48 port, 568A

5. Power supply, uninterruptable, rack mounted

6. Local Area Network (LAN) switch

7. Management processor module for LAN switch

2. Two (2), 30 amp L5-30R twist-lock plugs centrally located in room on the plywood wall

3. A minimum of one additional 110 VAC outlet on all walls

4. NOTE: There should be a minimum of six (6) dedicated outlets in the Communication Room. Four (4) will be normal receptacles; Two (2) will be for Twist locks for UPS system.

5. Must have access to a facility electrical ground in Communications Room 1. Phone Punch down board on painted plywood (Two 4 x 8 sheets of plywood mounted and painted--see column K, same wall 2 sheets total required) 1. Lockable: 1.75" solid wood door with security hinges on the inside of the room.

2. Locks will be high security Group 2 changeable combination Keyless Lock Exterior Door Hardware or equivalent (Alternate, Yale In-Touch)

3. All walls must extend to the building superstructure for security reasons 1. Door must swing outward from room unless on Fire Egress corridor or Fire code violation

2. Comm Room will have stand alone, lessor furnished HVAC unit to maintain space in accordance with specifications listed below

3. Per TIA standards for telecommunication rooms, 18-24 degrees Celsius (64-75 degrees Fahrenheit) 24 hours a day--7 days a week (24/7); this is to support UPS and IDS

4. Relative Humidity must be between 33%-55% measured at 1.5 meters (5 ft) above floor height

5. Floor is stained concrete w/color to compliment wall color, fire retardant, static resistant paint

6. Communications grounding bus will be tied back to the building ground bus bar in Electrical Closet

7. Comm Room should be centrally located within clinic design because the longest CAT-6 run can't exceed 300 feet for optimal connectivity/functioning

2. Porcelain sink

3. Stainless steel 1 1/4" diameter grab bar

4. Stainless Steel paper towel dispenser

5. Wall Mounted stainless steel toilet tissue dispenser (2 roll capacity)

6. Stainless Steel wall mounted sanitary Napkin Disposal

7. Baby-Changing Stations for both Male and Female toilets adjacent to waiting/ reception area

8. Nurse Call button/pull string wired back to nurse call panel in Reception area. 1. Low Voltage Wiring for Nurse Call button/pull string Single Patient Toilets, Privacy Locksets 1. Fixtures may be combined, but must serve waiting and both patient practice areas

2. If there are separate Male/Female single or gang toilets adjacent to the waiting/reception area, the Male toilet should include a urinal(s)

3. See Finish Schedule Notes (No. 5) below for specifics on wall covering in toilet

2. Porcelain sink

3. Stainless steel 1 1/4" diameter toilet accessible grab bar

4. Nurse call/duress pull string and circuit wired to Reception/Admin nurse call panel

5. Stainless steel paper towel dispenser

6. Wall mounted stainless steel toilet tissue dispenser, 2 roll capacity

2. The facility must comply with all Federal, State and local construction standards, building codes, applicable laws, the National Electrical Code (NEC) and the National Fire Protection Association (NFPA)

2. One additional 110 VAC outlet on all walls (see furniture and equipment layout for proper placement)

3. Ten (10) quad Flush floor mounted 110 VAC outlets, (see PT equipment layout for proper placement). 1. Curtains and rails for each PT treatment area.

2. Island separating the exercise area and the matt area for the appropriate number of PTA workstations, one sink, one ice machine, and one hydrocollator.

3. Water/Drinking fountains to be located in this area for patient use.

2. Printer/Copier/Fax combination/room

3. Heavy Duty Paper Shredder/room 1. Hand Sanitizer Dispenser 1. One (1) 110 VAC electrical junction box with 90 degree seal tight flex connector (or as required by code) for connection of the modular workstation pigtails/power whips (see furniture and equipment layout for proper placement)

2. A minimum of one additional 110 VAC outlet on all walls

2. A minimum of one additional 110 VAC outlet on all walls

2. Privacy curtain located across expanse of opening to outter area/hallway.

2. Porcelain sink

3. Stainless steel 1 1/4" diameter grab bar

4. Stainless Steel paper towel dispenser

5. Wall Mounted stainless steel toilet tissue dispenser (2 roll capacity)

6. Stainless Steel wall mounted sanitary Napkin Disposal

7. Nurse Call button/pull string wired back to nurse call panel in Reception area. Recommended Specifications Available

8. One ADA compliant shower stall with bench

2. Low Voltage Wiring for Nurse Call button/pull string