Exhibit B Program for Design_Room Contents.pdf

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263)

Functional Area: 01 - LOBBY / RECEPTION AREA

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type

1 CLSC2 Workstation, Patient Education 30 30 1 2

1 LAC01 Lactation Room 100 100 1 2

1 LOB02 Vestibule 80 80 1 2

1 RCHK2 Kiosk, Patient Check-In 50 50 1 1

1 RCP03 Reception 240 240 1 2

1 SRLW1 Alcove, Wheelchair 60 60 1 2

1 TNPFM Toilet, Unisex Family/Bariactric 120 120 1 2

1 TNPM1 Toilet, Unisex 80 80 1 2

1 WTPC1 Waiting, PACT 1 700 700 1 2

FA Totals: Room Qty: 9 Net Area: 1,460 Gross Area: 2,190

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263)

Functional Area: 02 - PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type

3 EXPA1 Exam Room, Patient Aligned Care Team (PACT) 125 375 1 2

1 EXPA1 Exam Room, Patient Aligned Care Team (PACT) (Women's Health) 125 125 1 2

1 LR001 Locker, Staff Personal Property 60 60 1 2

4 OFA07 Workstation, Extended Team 56 224 1 2

1 OFDC2 Consult Room, Patient Aligned Care Team (PACT) 125 125 1 2

1 PEHW2 Alcove, Height / Weight Accessible Station 40 40 1 2

1 RCA01 Alcove, AED 20 20 1 2

1 SL001 Lounge, Staff 180 180 1 2

2 SRE01 Storage, Medical Equipment (WOW Storage) 13 26 1 2

2 TNPG1 Toilet, Staff 60 120 1 2

1 TPB01 Toilet, General Procedure Room Patient 70 70 1 2

2 TPG01 Toilet, PACT Patient 60 120 1 2

1 TRPR1 Procedure Room, General 180 180 1 2

1 WKTM3 Workroom, Patient Aligned Care Team (PACT) 120 120 1 2

PROGRAM FOR DESIGN

(FINAL VERSION) MADISONVILLE CBOC - (RELOCATE AND EXPANSION)

Page 1 FOR OFFICIAL USE ONLY

Exhibit B

(FINAL VERSION) MADISONVILLE CBOC - (6-14-24) (RELOCATE AND EXPANSION)

Functional Area: 02 - PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type

2 WRTM1 Teamwork Area 240 480 1 2

1 WRTM2 Tele-Health Room 125 125 1 2

1 WRTM3 Tele-Retinal Room 125 125 1 2

FA Totals: Room Qty: 26 Net Area: 2,515 Gross Area: 3,773

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263)

Functional Area: 08 - MENTAL HEALTH CLINIC

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type

1 OFDC1 Consult Room, Mental Health 125 125 1 2

1 OPMH1 Group Therapy Room, Mental Health/Shared Medical Appointment Room 300 300 1 2

1 SRS01 Storage, General/Storage, Shared Medical Appointments 100 100 1 2

FA Totals: Room Qty: 3 Net Area: 525 Gross Area: 788

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263)

Functional Area: 14 - PATHOLOGY AND LABORATORY MEDICINE (PLM) SERVICE

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type

1 LBGM1 Laboratory, General 150 150 1 2

1 LBVP1 Blood Specimen Collection Room 80 80 1 2

1 SRS01 Bulk Storage, Shelving 100 100 1 0

1 TPSP1 Toilet, Specimen Collection 60 60 1 2

FA Totals: Room Qty: 4 Net Area: 390 Gross Area: 585

PROGRAM FOR DESIGN

Page 2FOR OFFICIAL USE ONLY

Functional Area: 15 - PHARMACY SERVICE

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type

1 PHOD4 Automated Drug Dispensing System (Med Room) 60 60 1 2

FA Totals: Room Qty: 1 Net Area: 60 Gross Area: 90

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263)

Functional Area: 16 - CLINIC MANAGEMENT

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type

1 OFA09 Office, Nurse Manager 100 100 1 0

FA Totals: Room Qty: 1 Net Area: 100 Gross Area: 150

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263)

Functional Area: 19 - LOGISTICS SERVICE

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type

1 BSRB1 Receiving and Issue 80 80 1 2

1 SRGC1 Storage, Medical Gas 60 60 1 2

1 SRLG1 Storage Area, Logistics PACT 1 60 60 1 0

1 STEQ1 Storage, Equipment 120 120 1 2

1 STMQ1 Storage, Medical and General 120 120 1 2

1 UTMW1 Biohazard Waste Holding 80 80 1 2

FA Totals: Room Qty: 6 Net Area: 520 Gross Area: 780

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263)

Functional Area: 22 - STAFF SUPPORT AREA

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type

1 CFR01 Conference Room, 6 people 240 240 1 0

1 SRE01 Storage, Equipment 100 100 1 0

Page 3FOR OFFICIAL USE ONLY

Functional Area: 22 - STAFF SUPPORT AREA

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type

FA Totals: Room Qty: 2 Net Area: 340 Gross Area: 510

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263)

Functional Area: 23 - SUPPORT AREA

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type

1 COMC1 Communications Room 120 120 1 2

1 JANC1 Housekeeping Aides Closet - HAC 80 80 1 2

1 UCCL1 Utility Room, Clean 60 60 1 0

1 USCL1 Utility Room, Soiled 80 80 1 2

FA Totals: Room Qty: 4 Net Area: 340 Gross Area: 510

Dept Totals: Room Qty: 56 Net Area: 6,250 Gross Area: 9,375

Building Totals: Room Qty: 56 Net Area: 6,250 Sum of Dept Gross Area: 9,375 Gross Area: 12,656

Page 4FOR OFFICIAL USE ONLY

ROOM SPECIFIC REQUIREMENTS

The Veteran’s Health Administration has determined that the Patient Align Care Team (PACT) concept will be implemented in all future Outpatient VA Clinic leases. Essentially the process is for the patient to arrive and be seen by care givers in a manner where the care givers come to the patient. Functions such as blood draw, nutrition/dietary advice, and pharmaceuticals will now come to the patient rather than the patient going to separate offices. Additionally, care givers will no longer have private areas but sit in communal areas with system furniture.

The guidance for how facilities are to be created and how they will function can be found at the below internet location. It should be noted that not all functions identified in the PACT Guidance will be used for this specific lease.

https://www.cfm.va.gov/til/dGuide.asp https://www.cfm.va.gov/til/Prototypes.asp#CBOC

Unless annotated below, room finishes, equipment, furniture, door hardware and wall mounted items for each Room Code can be found at the following internet location:

http://www.cfm.va.gov/til/room/RoomFinishes.pdf

The following paragraphs identify the room/area specific requirements:

1. General Building (Contractor Provided):

- Physical Access Control System (PACS) Sole Source Vendor - Siemens

- Occupancy sensors shall be ceiling mounted in exam and procedure rooms

- The building must have a sprinkler system, piping shall not be PVC

- Bariatric door into waiting area, bariatric restroom, patient corridors, weight scale area, procedure room, lactation room, group conference room, laboratory, laboratory blood draw, laboratory specimen restroom, and designated consult rooms and exam rooms.

- Mailbox at front entry

- Analog phone lines for building systems (Burglar and Fire Alarm Panels) with back-up system (such as cellular or wifi)

2. Outpatient Clinic Vestibule:

A. Vestibule

Room Code: LOB02 Total Programmed SF: 80 Number of Spaces: 1 Room Associations: (NONE) Contractor Provided Unique Equipment:

- Independent environmental heating and cooling unit VHA Provided Equipment:

- Wall mounted rules of behavior and patient privacy

- Wall mounted portraits of the President of the United States and the Secretary of Veteran Affairs

- Floor mounted United States flag Comments:

- The doors shall not allow wind from going directly into the outpatient https://www.cfm.va.gov/til/dGuide.asp https://www.cfm.va.gov/til/Prototypes.asp#CBOC http://www.cfm.va.gov/til/room/RoomFinishes.pdf clinic when open; a 90 degree turn in patient flow is required.

B. Wheelchair Alcove

Room Code: SRLW1 Total Programmed SF: 60 Number of Spaces: 1 Room Associations:

- Wheelchair storage should be adjacent to vestibule VHA Provided Equipment:

- Wheelchairs Comments: (NONE)

3. Primary Care Outpatient Clinic Waiting Areas:

A. Main Patient Waiting Area

Room Code: WTPC2 Total Programmed SF: 700 Number of Spaces: 1 Contractor Provided Equipment:

- Power and data outlets (per wall)

- Television wall mount

- Power/data at wall mounted tv VHA Provided Equipment:

- Wall mounted television

- Waiting room furniture (chairs and end tables)

- Sanitation Stand (sanitizer, tissue, and masks)

- Wall mounted clock

- Wall mounted coat hooks x4

- Trash bin Comments:

- Power, data and cable television drop required in this area.

B. Patient Education Area

Room Code: CLSC2 Total Programmed SF: 30 Number of Spaces: 1 Room Associations:

- Collocated with the main patient waiting area Contractor Provided Unique Equipment:

- Power and data outlets (per wall) VHA Provided Equipment:

- Furniture (system furniture workstation and chair)

- Computer and monitor

- Printer

- Phone

- Trash bin Comments:

- This area is for patients that take the opportunity to search the web for medical education. The area should be set up as a private area to prevent other individuals from looking over a patient’s shoulder during research of the internet.

C. AED Alcove

Room Code: RCA01 Total Programmed SF: 20 Number of Spaces: 1 Room Associations:

- Collocated with main patient waiting area Contractor Provided Unique Equipment: (None) VHA Provided Equipment:

- Portable defibrillator/monitor/recorder

- Defibrillator/monitor/recorder cabinet Comments: (None)

4. Reception Area:

A. Reception

Room Code: RCP03 Total Programmed SF: 240 Number of Spaces: 1 Room Associations:

- Collocated with the main patient waiting area

- Within eyesight of the kiosks to aid

- Within eyesight of the patient drop-off and loading area at entry

- Collocated with patient out-processing after completion of appointments Contractor Provided Unique Equipment:

- Power, data and phone outlets for each reception point

- Additional data drops for copier and printers

- One additional analog phone outlet for emergencies

- Solid surface reception counters

- The transaction windows must be lockable VHA Provided Equipment:

- Furniture (chairs, undercounter pencil/filing cabinets and filing cabinet)

- Computers and monitors

- Phones

- Wall mounted clock with second hand

- LexMark printer/copier

- Phones Comments:

- Each reception point supports a PACT Team

- Total SF programmed includes patient check-out

- The out-processing area should be located to ensure that patients departing the clinical space will pass by the out-processing counter. The out-processing area needs to be located so that the reception clerks have a visible line of sight of departing patients to allow for manning of the counter.

B. Kiosk, Patient Check-in

Room Code: RCHK2 Total Programmed SF: 50 Number of Spaces: 1 Room Associations:

- Collocated with the main patient waiting area

- Within eyesight of the reception to aid Contractor Provided Unique Equipment:

- Power and data VHA Provided Equipment:

- Kiosk Comments: (None)

C. Lactation Room

Room Code: LAC01 Total Programmed SF: 100 Number of Spaces: 1 Room Associations:

- Collocated with the main patient waiting area Contractor Provided Unique Equipment:

- Power and data outlets (per wall)

- Wall mounted mirror

- Wall mounted infant changing station

- Double garment hook

- Sinks built into solid surface and cabinets VHA Provided Equipment:

- Furniture (easy chair, side table and lamp)

- Electronic hand sanitizer dispenser (alcohol based)

- Electronic liquid antimicrobial soap dispenser

- Paper towel dispenser

- Refrigerator

- Trash bin with foot operating lid

- Dimmable lights

5. Restrooms:

A. Public Restrooms – Unisex/Family/Bariatric

Room Code: TNPFM Total Programmed SF: 120 Number of Spaces: 1 Unisex/Family/Bariatric Restroom Room Associations:

- Must allow for public access

- Must be ADA accessible

- Associated with the main patient waiting area Contractor Provided Unique Equipment:

- Power outlet

- Grab bars

- Mirror

- Sink

- Toilet

- Ceiling mounted privacy/stall partition

- Infant changing station

- Sanitary napkin dispenser (non- coin operated)

- Sanitary napkin bin

- Double garment hook VHA Provided Equipment:

- Electronic hand sanitizer dispenser (alcohol based)

- Electronic liquid antimicrobial soap dispenser

- Electric paper towel dispenser

- Trash bin with foot operating lid Comments:

- Trash cans will not be built-in

B. Public Restrooms – Unisex

Room Code: TNPM1 Total Programmed SF: 80 Number of Spaces: 1 Unisex Restroom Room Associations:

- Must allow for public access

- Must be ADA accessible

- Associated with the main patient waiting area Contractor Provided Unique Equipment:

- Power outlet

- Grab bars

- Mirror

- Sink

- Toilet

- Ceiling mounted privacy/stall partition

- Infant changing station

- Sanitary napkin dispenser (non- coin operated)

- Sanitary napkin bin

- Double garment hook VHA Provided Equipment:

- Electronic hand sanitizer dispenser (alcohol based)

- Electronic liquid antimicrobial soap dispenser

- Electric paper towel dispenser

- Trash bin with foot operating lid

- Trash cans will not be built-in

C. Patient Restrooms (Clinical Space)

Room Code: TPG01 Total Programmed SF: 120 Number of Spaces: 2 Total SF Each Area: 60 Room Associations:

- Located in the clinical space along the corridors used by patients

- Must be ADA accessible Contractor Provided Unique Equipment:

- Power outlet

- Grab bars

- Mirror

- Sink

- Toilet

- Infant changing station

- Sanitary napkin dispenser (non- coin operated)

- Sanitary napkin bin

- Double garment hook

- Patient emergency pull cord with anti-ligature pull cord VHA Provided Equipment:

- Electronic hand sanitizer dispenser (alcohol based)

- Electronic liquid antimicrobial soap dispenser

- Electric paper towel dispenser

- Trash bin with foot operating lid Comments:

- The patient emergency pull cord will activate an audible and visual alarm in the provider team area as well as a dome light in the hallway outside the restroom.

- Trash cans will not be built-in to the infrastructure

D. Patient Restrooms (Lab/Samples)

Room Code: TPSP1 Total Programmed SF: 60 Number of Spaces: 1 Room Associations:

- Abuts the lab space and allows for samples taken in the restroom to be passed into the lab securely and privately.

- Must be ADA accessible

- Plumbing must be able to be shut off with utility key Contractor Provided Unique Equipment:

- Power outlet

- Grab bars

- Mirror

- Sink

- Toilet

- Infant changing station

- Sanitary napkin dispenser (non- coin operated)

- Sanitary napkin bin

- Double garment hook

- Patient emergency pull cord with anti-ligature pull cord VHA Provided Equipment:

- Electronic hand sanitizer dispenser (alcohol based)

- Electronic liquid antimicrobial soap dispenser

- Electric paper towel dispenser

- Trash bin with foot operating lid

- The patient emergency pull cord will activate an audible and visual alarm in the lab area as well as a dome light in the hallway outside the restroom.

- Trash cans will not be built-in

E. Procedure Room Restroom

Room Code: TPB01 Total Programmed SF: 70 Number of Spaces: 1 Room Associations:

- Abuts the procedure room and access to the restroom is only through the Procedure Room.

- Must be ADA accessible Contractor Provided Unique Equipment:

- Power outlet

- Grab bars

- Mirror

- Sink

- Toilet

- Sanitary napkin dispenser (non- coin operated)

- Sanitary napkin bin

- Double garment hook

- Patient emergency pull cord with anti-ligature pull cord VHA Provided Equipment:

- Electronic hand sanitizer dispenser (alcohol based)

- Electronic liquid antimicrobial soap dispenser

- Electric paper towel dispenser

- Trash bin with foot operating lid Comments:

- The patient emergency pull cord will activate an audible and visual alarm in the provider team area as well as a dome light in the hallway outside the restroom.

- Trash cans will not be built-in

F. Staff Restrooms

Room Code: TNPG1 Total Programmed SF: 120 Number of Spaces: 2 Total SF Each Area: 60 Room Associations:

- Located in the clinical space along the corridors used by patients

- Must be ADA accessible Contractor Provided Unique Equipment:

- Power outlet

- Grab bars

- Mirror

- Sink

- Toilet

- Sanitary napkin dispenser (non- coin operated)

- Sanitary napkin bin

- Double garment hook VHA Provided Equipment:

- Electronic hand sanitizer dispenser (alcohol based)

- Electronic liquid antimicrobial soap dispenser

- Electric paper towel dispenser

- Trash bin with foot operating lid

- Trash cans will not be built-in.

6. Laboratory:

A. Blood Specimen Collection Area

Room Code: LBVP1 Total Programmed SF: 80 Number of Spaces: 1 Room Associations:

- Collocated with laboratory

- In close proximity to the lab restroom

- As far away as possible from the staff break room Contractor Provided Unique Equipment:

- Power/data/phone outlets (per wall)

- Lockable built-in casework (horizontal surface will be solid surface and the vertical surfaces plastic laminate)

- Upper cabinet be installed flush with the ceiling or shall have a sloped top

- Sink built into solid surface

- Patient coat hooks (x2)

- Privacy curtain rails VHA Provided Equipment:

- Furniture (blood specimen collection chair and stool)

- Wall mounted Phlebotomy storage system

- Wall mounted bracket and computer workstation

- Printer

- Label Printer

- Wall mounted phone

- Wall mounted wall clock with second hand

- Rolling storage cabinet/cart

- Privacy curtain

- Sharps disposal bracket

- Electronic hand sanitizer dispenser (alcohol based)

- Electronic liquid antimicrobial soap dispenser

- Paper towel dispenser

- Glove box holder (holds 4 boxes of different sized gloves (small, medium, large, ex-large)

- Bio-hazard bin with foot operating lid

- Trash bin with foot operating lid Comments:

- Patients coming for “Lab only” appointments should have minimal requirement to transit the other clinical areas of the outpatient clinic.

B. General Laboratory

Room Code: LBGM1 Total Programmed SF: 150 Number of Spaces: 1 Room Associations:

- Collocated with blood specimen collection areas

- Abut the lab restroom

- As far away as possible from the staff break room Contractor Provided Unique Equipment:

- Power/data/phone outlets (per wall)

- Countertop quad power outlets and data outlets

- Lockable built-in casework (horizontal surface will be solid surface and the vertical surfaces plastic laminate)

- Upper cabinet be installed flush with the ceiling or shall have a sloped top

- Two sink built into solid surface

- Patient coat hooks (x2)

- Emergency eye wash station (independent of sink water supply)

- Pass-through window with the lab restroom.

VHA Provided Equipment:

- Medical Refrigerator

- Centrifuges

- Furniture (high seated swivel chair, shelving medical equipment)

- Computers and Monitors

- Label Printers

- Printer

- Wall mounted phone

- Wall mounted wall clock with second hand

- Wall mounted white board

- Sharps disposal bracket

- Electronic hand sanitizer dispenser (alcohol based)

- Electronic liquid antimicrobial soap dispenser

- Paper towel dispenser

- Glove box holder (holds 4 boxes of different sized gloves (small, medium, large, ex-large)

- Bio-hazard bin with foot operating lid

- Trash bin with foot operating lid Comments:

- Patients coming for “Lab only” appointments should have minimal requirement to transit the other clinical areas of the outpatient clinic.

C. Laboratory Bulk Storage

Room Code: SRS01 Total Programmed SF: 100 Number of Spaces: 1 Room Associations:

- Collocated with laboratory areas

- Collocated with receiving and issue area

- As far away as possible from the staff break room Contractor Provided Unique Equipment:

- Power/Data (per wall) VHA Provided Equipment:

- Shelving medical equipment Comments: (None)

7. Exam Rooms:

A. General Exam Rooms

Room Code: EXPA1 Total Programmed SF: 500 Number of Spaces: 4 Total SF each area: 125 Room Associations:

- Next to provider team area Contractor Provided Unique Equipment:

- Power/data/phone outlets (per wall)

- Lockable built-in casework (horizontal surface will be solid surface and the vertical surfaces plastic laminate)

- Upper cabinet be installed flush with the ceiling or shall have a sloped top

- Sink built into solid surface

- Patient coat hooks (x2)

- Privacy curtain rails

- Two entry ways (one swing, one sliding) VHA Provided Equipment:

- Furniture (exam stool, visitor chairs, and exam chair/table)

- Clinical scopes (otoscope, ophthalmoscope, blood pressure cuff, exam light, etc.)

- Mobile vitals machine

- Wall mounted bracket and computer workstation

- Printer

- Wall mounted phone

- Wall mounted wall clock with second hand

- Wall mounted white board

- Pamphlet rack

- Bulletin wood framed billboard

- Rolling storage cabinet/cart

- Privacy curtain

- Sharps disposal bracket

- Electronic hand sanitizer dispenser (alcohol based)

- Electronic liquid antimicrobial soap dispenser

- Paper towel dispenser

- Glove box holder (holds 4 boxes of different sized gloves (small, medium, large, ex-large)

- Bio-hazard bin with foot operating lid

- Trash bin with foot operating lid

Comments:

- Two entryways will provide separate entrances patients and clinical staff.

- Need to ensure the foot of the exam table is not positioned towards either entryway.

B. Telehealth Room

Room Code: WRTM2 Total Programmed SF: 125 Number of Spaces: 1 Room Associations:

- Next to provider team area Contractor Provided Unique Equipment:

- Power/data/phone outlets (per wall)

- Power/data/coax cable at wall mounted tv

- Data at wall mounted phone

- Lockable built-in casework (horizontal surface will be solid surface and the vertical surfaces plastic laminate)

- Upper cabinet be installed flush with the ceiling or shall have a sloped top

- Sink built into solid surface

- Patient coat hooks (x2)

- Privacy curtain rails

- Bracket for wall mounted television VHA Provided Equipment:

- Furniture (exam stool, visitor chairs, and exam chair/table)

- Clinical scopes (otoscope, ophthalmoscope, blood pressure cuff, exam light, etc.)

- Mobile vitals machine

- Printer

- Wall mounted phone

- Wall mounted wall clock with second hand

- Wall mounted white board

- Pamphlet rack

- Bulletin wood framed billboard

- Rolling storage cabinet/cart

- Privacy curtain

- Sharps disposal bracket

- Electronic hand sanitizer dispenser (alcohol based)

- Electronic liquid antimicrobial soap dispenser

- Paper towel dispenser

- Glove box holder (holds 4 boxes of different sized gloves (small, medium, large, ex-large)

- Bio-hazard bin with foot operating lid

- Trash bin with foot operating lid

- Telemedicine station, mobile cart

- Two entryways will provide separate entrances patients and clinical staff.

C. Procedure Room/Bariatric Exam Room

Room Code: TRPR1 Total Programmed SF: 180 Number of Spaces: 1 Room Associations:

- Next to provider team area Contractor Provided Unique Equipment:

- Power/data/phone outlets (per wall)

- Data at wall mounted phone

- Lockable built-in casework (horizontal surface will be solid surface and the vertical surfaces plastic laminate)

- Upper cabinet be installed flush with the ceiling or shall have a sloped top

- Sink built into solid surface

- Patient coat hooks (x2)

- Privacy curtain rails

- Bariatric Patient Lift – Guldmann 770

- Two entry ways (one swing, one sliding)

- Procedure exam light must not be in conflict with ceiling lift VHA Provided Equipment:

- Furniture (stool, rolling medical supply cart, visitor chairs, bariatric exam chair/table, mayo stand, IV stand, electrocardiograph, sphygmomanometer, linen hamper)

- Clinical scopes (otoscope, ophthalmoscope, blood pressure cuff, exam light, etc.)

- Mobile vitals machine

- Wall mounted bracket and computer workstation

- Printer

- Wall mounted phone

- Wall mounted wall clock with second hand

- Wall mounted white board

- Pamphlet rack

- Bulletin wood framed billboard

- Rolling storage cabinet/cart

- Privacy curtain

- Sharps disposal bracket

- Electronic hand sanitizer dispenser (alcohol based)

- Electronic liquid antimicrobial soap dispenser

- Paper towel dispenser

- Glove box holder (holds 4 boxes of different sized gloves (small, medium, large, ex-large)

- Bio-hazard bin with foot operating lid

- Trash bin with foot operating lid

- Med Gas will be provided by cylinder Comments:

- Room to be used as a bariatric exam room as required

- Provide separate entrances for the patient and the providers/clinical staff

- Need to ensure the foot of the exam table is not positioned towards either entry way.

D. Tele-Retinal Exam Room

Room Code: WRTM3 Total Programmed SF: 125 Number of Spaces: 1 Room Associations: Next to provider team area Contractor Provided Unique Equipment:

- Power/data/phone outlets (per wall)

- Power/data/coax cable at wall mounted tv

- Data at wall mounted phone

- Lockable built-in casework (horizontal surface will be solid surface and the vertical surfaces plastic laminate)

- Upper cabinet be installed flush with the ceiling or shall have a sloped top

- Sink built into solid surface

- Patient coat hooks (x2)

- Privacy curtain rails

- Bracket for wall mounted television VHA Provided Equipment:

- Furniture (exam stool, visitor chairs, and exam chair/table)

- Clinical equipment (otoscope, ophthalmoscope, blood pressure cuff, Sphygmomanometer, etc.)

- Mobile vitals machine

- Printer

- Wall mounted phone

- Wall mounted wall clock with second hand

- Wall mounted white board

- Pamphlet rack

- Bulletin wood framed billboard

- Rolling storage cabinet/cart

- Privacy curtain

- Sharps disposal bracket

- Electronic hand sanitizer dispenser (alcohol based)

- Electronic liquid antimicrobial soap dispenser

- Paper towel dispenser

- Glove box holder (holds 4 boxes of different sized gloves (small, medium, large, ex-large)

- Bio-hazard bin with foot operating lid

- Trash bin with foot operating lid

- Tele-retinal equipment Comments:

- Room shall not have motion sensors light switches.

- Light Switch and Lights shall be dimmable to include no light to full room light.

E. Alcove, Height/Weight Accessible Station

Room Code: PEHW2 Total Programmed SF: 40 Number of Spaces: 1 Room Associations:

- Located along the path to exam rooms and consulting rooms Contractor Provided Unique Equipment:

- Power/data/phone outlets (per wall) VHA Provided Equipment:

- Medical scale able to weigh patients in wheelchairs.

Comments: (NONE)

8. Consult Rooms:

A. General Consulting Room

Room Code: OFDC2 Total Programmed SF: 125 Number of Spaces: 1 Room Associations:

- Near provider team area Contractor Provided Unique Equipment:

- Power/data/phone outlets (per wall)

- Power/data/coax cable at wall mounted tv

- Lockable built-in casework (horizontal surface will be solid surface and the vertical surfaces plastic laminate)

- Upper cabinet be installed flush with the ceiling or shall have a sloped top

- Sink built into solid surface

- Patient coat hooks (x2)

- Two entry ways (one swing, one sliding) VHA Provided Equipment:

- Furniture (Desk, Office Chair, Side Chair with Arms, Bariatric Chair with Arms, and bookshelf)

- Computer Workstation

- Phone

- Printer

- Wall Mounted Clock with second hand

- Wall mounted white board

- Pamphlet rack

- Bulletin wood framed billboard

- Electronic hand sanitizer dispenser (alcohol based)

- Electronic liquid antimicrobial soap dispenser

- Paper towel dispenser

- Glove box holder (holds 4 boxes of different sized gloves (small, medium, large, ex-large)

- TV and mounting bracket

- Trash bin with foot operating lid Comments:

-Two entry ways for provider safety with furniture being placed to where provider path of exit is clear of patient.

- Power, data and cable television drop required in this area.

B. Mental Health Consult Room

Room Code: OFDC1 Total Programmed SF: 125 Number of Spaces: 1 Room Associations:

- Near provider team area Contractor Provided Unique Equipment:

- Power/data/phone outlets (per wall)

- Power/data/coax cable at wall mounted tv

- Lockable built-in casework (horizontal surface will be solid surface and the vertical surfaces plastic laminate)

- Upper cabinet be installed flush with the ceiling or shall have a sloped top

- Sink built into solid surface

- Patient coat hooks (x2)

- Two entry ways (one swing, one sliding) VHA Provided Equipment:

- Furniture (Desk, Office Chair, Side Chair with Arms, Bariatric Chair with Arms, and bookshelf)

- Computer Workstation

- Phone

- Printer

- Wall Mounted Clock with second hand

- Wall mounted white board

- Pamphlet rack

- Bulletin wood framed billboard

- Electronic hand sanitizer dispenser (alcohol based)

- Electronic liquid antimicrobial soap dispenser

- Paper towel dispenser

- Glove box holder (holds 4 boxes of different sized gloves (small, medium, large, ex-large)

- TV and mounting bracket

- Trash bin with foot operating lid Comments:

-Two entry ways for provider safety with furniture being placed to where provider path of exit is clear of patient.

- Power, data and cable television drop required in this area.

9. Group Rooms:

A. Group Therapy Room, Mental Health

Room Code: OPMH1 Total Programmed SF: 300 Number of Spaces: 1 Room Associations:

- Within clinical area off of patient corridor.

Contractor Provided Unique Equipment:

- Power/data/phone outlets (per wall)

- Power/data/coax cable at wall mounted tv

- Tele-video and mounting bracket

- Tele-conferencing phone

- Large wall mounted white board VHA Provided Equipment:

- Furniture (nesting/stackable chairs, nesting tables, and workstation)

- Large wall mounted television and bracket

- Tele-conferencing system

- Computer

- Phone

- Wall Mounted Clocks with second hand

- Multi-media storage cabinet

- Trash bin with foot operating lid Comments:

- Tele-video capability

- Furniture needs to be stackable and easy to move.

10. Clinical Administrative Area:

A. Office Space – Nurse Manager

Room Code: OFA09 Total Programmed SF: 100 Number of Spaces: 1 Room Associations:

- Locate near front of patient flow, centrally located between reception and clinical administration space

- Office for primary care clinic manager Contractor Provided Unique Equipment:

- Power/Data/Phone Outlets (per wall)

- Coat hooks x 2 VHA Provided Equipment:

- Furniture (desk, office chair, guest chairs, and filing cabinet)

- Computer and Monitors

- Phone

- Wall Mounted Clock with second hand

- Trash bin with foot operating lid

- Large Wall Mounted White Board Comments:

- In the event of duress requirement, the provider should be able to exit the space without crossing in front of or by the patient.

B. Conference Space

Room Code: CFR01 Total Programmed SF: 240 Number of Spaces: 1 Room Associations:

- Centrally located within Leased space Contractor Provided Unique Equipment:

- Power/data/phone outlets (per wall)

- Power/data/coax cable at wall mounted tv

- Tele-video and mounting bracket

- Tele-conferencing phone

- Large wall mounted white board VHA Provided Equipment:

- Furniture (nesting/stackable chairs, nesting tables, and workstation)

- Large wall mounted television and bracket

- Tele-conferencing system

- Computer

- Phone

- Wall Mounted Clocks with second hand

- Multi-media storage cabinet

- Trash bin with foot operating lid Comments:

- Tele-video capability

- Conference room is shared by all outpatient services and should be designed to where the room is centrally located.

C. Conference Room Storage/Pantry

Room Code: SRE01 Total Programmed SF: 100 Number of Spaces: 1 Room Associations:

- located near conference room Contractor Provided Unique Equipment:

- Power/data/phone outlets (per wall) VHA Provided Equipment:

- Shelving Comments: (None)

D. Teamwork Area

Room Code: WRTM1 Total Programmed SF: 480 Number of Spaces: 2 Total SF each area: 240 Room Associations:

- Centrally located within outpatient clinic suite. PACT design model.

Contractor Provided Unique Equipment:

- Conduit under floor - with floor plates for electrical and data distribution to each workstation

- Power/data/phone at each workstation

- Power/data/phone outlets (per wall)

- Acoustical wall sound dampening materials VHA Provided Equipment:

- Furniture (systems furniture cubicles, office chairs, filing cabinet, storage cabinets)

- Wall Mounted clocks with second hand

- Computers

- Phones

- Printer/copier

- Wall mounted white board

- Bulletin wood framed billboard

- Electronic hand sanitizer dispenser (alcohol based)

- Trash bin with foot operating lid Comments:

- The following are the designations of those functions that will make up the open administrative area.

-- PACT provider teams (provider, registered nurse, licensed practical nurse, telehealth staff, and program support assistant)

- The power and data outlets shall be incorporated into the floor

- Area must have direct natural light

- Sound baffles as part of design is a must in this area.

E. Workstations, Extended Team

Room Code: OFA07 Total Programmed SF: 224 Number of Spaces: 4 Total SF each area: 56 Room Associations:

- Centrally Located within Outpatient Clinic Suite. PACT Design Model.

Contractor Provided Unique Equipment:

- Raised flooring or conduit under floor - with floor plate for Electrical and Data distribution to each workstation

- Power/Data/Phone

- Acoustical wall sound dampening materials VHA Provided Equipment:

- Furniture (systems furniture cubicles, and office chairs)

- Wall Mounted clocks with second hand

- computer

- Phone

- Trash bin with foot operating lid Comments:

-- PACT extended teams (dietician, social worker, pharmacist, HBPC, and whole health)

- The power and data outlets shall be incorporated into the floor

- Area must have direct natural light

- Sound baffles as part of design is a must in this area.

F. Patient Aligned Care Team (PACT) Workroom

Room Code: WKTM3 Total Programmed SF: 120 Number of Spaces: 1 Room Associations:

- Located near the outpatient clinic suite. PACT design model.

Contractor Provided Unique Equipment:

- Power/data/phone outlets (per wall) VHA Provided Equipment:

- Furniture (systems furniture cubicles, and office chairs)

- Wall Mounted clocks with second hand

- computer

- Phone

- Trash bin with foot operating lid Comments: (None)

G. Medical Equipment Storage (Closet for Mobile Computers - WOW)

Room Code: SRE01 Total Programmed SF: 26 Number of Spaces: 2 Total SF each area: 13 Room Associations:

- Located near the outpatient clinic suite. PACT design model.

Contractor Provided Unique Equipment:

- Power/data VHA Provided Equipment:

- WOW carts Comments:

- Storage locations for WOW carts

11. Multi-Purpose Rooms:

A. Break Room/Lounge

Room Code: SL001 Total Programmed SF: 180 Number of Spaces: 1 Room Associations:

- Located near the open clinical administrative areas

- Near staff locker rooms

- Near, but not abutting the staff restrooms Contractor Provided Unique Equipment:

- Power/data/phone outlets (per wall)

- Power/data/coax cable at wall mounted tv

- Data at wall mounted phone

- Built-in casework (horizontal surface will be solid surface and the vertical surfaces plastic laminate)

- Water supply and drain for ice machine VHA Provided Equipment:

- Wall mounted phone

- Wall mounted wall clock with second hand

- Wall mounted white board

- Microwave

- Refrigerator

- Ice maker

- Coffee maker

- Furniture (stackable/nesting chairs and tables)

- Large bulletin board (glass cased) for official office publications

- Electronic hand sanitizer dispenser (alcohol based)

- Electronic liquid antimicrobial soap dispenser

- Paper towel dispenser

- Large wall mounted television and bracket Comments:

- Staff lounge is shared by all outpatient services and should be designed to where the room is centrally located and accessible.

- Preferred location is “back of house”

- Power, data and cable television drop required in this area.

B. Staff Locker Area

Room Code: LR001 Total Programmed SF: 60 Number of Spaces: 1 Room Associations:

- Located near the open clinical administrative areas

- Near the staff lounge.

Contractor Provided Unique Equipment:

- 2 person side by side lockers (72”x15”x18”)

- Power outlets (per wall)

- Garment hooks VHA Provided Equipment:

- Wall mounted wall clock with second hand Comments: Preferred location is “back of house”

12. Automated Drug Dispensing System (Med Room)

Room Code: PHOD4 Total Programmed SF: 60 Number of Spaces: 1 Room Associations:

- Centrally located within outpatient clinic suite. PACT design model.

Located along the path to exam rooms and consulting rooms Contractor Provided Unique Equipment:

- Power/data/phone outlets (per wall)

- Lockable built-in casework (horizontal surface will be solid surface and the vertical surfaces plastic laminate)

- Upper cabinet be installed flush with the ceiling or shall have a sloped top

- Sink built into solid surface

- PIV access

VHA Provided Equipment:

- Medical grade refrigerator

- Pyxis machine

- TempTrack

- Wall mounted wall clock with second hand

- Sharps disposal bracket

- Electronic hand sanitizer dispenser (alcohol based)

- Electronic liquid antimicrobial soap dispenser

- Paper towel dispenser

- Glove box holder (holds 4 boxes of different sized gloves (small, medium, large, ex-large)

- Drug Disposal Box Comments: (NONE)

13. Storage Areas:

A. Medical and General Storage

Room Code: STMQ1 Total Programmed SF: 120 Number of Spaces: 1 Room Associations:

- Near teamwork area.

Contractor Provided Unique Equipment:

- Power/data/phone outlets (per wall) VHA Provided Equipment:

- Shelving Comments: Preferred placement “back of house”

B. Equipment Storage

Room Code: STEQ1 Total Programmed SF: 120 Number of Spaces: 1 Room Associations: (NONE) Contractor Provided Unique Equipment:

- Quad Power/data outlets (per wall) VHA Provided Equipment:

- Shelving Comments:

- Used for Storage of equipment, etc.

- Preferred placement “back of house”

C. Clean Utility Room

Room Code: UCCL1 Total Programmed SF: 60 Number of Spaces: 1 Room Associations:

-Preferred placement “back of house” -Next to soiled utility room -Close proximity to exam rooms Contractor Provided Unique Equipment:

- Power outlets (per wall) VHA Provided Equipment:

- Shelving Comments: None

D. Logistics Storage Area

Room Code: SRLG1 Total Programmed SF: 60 Number of Spaces: 1 Room Associations:

- Close proximity to exam rooms

- Preferred placement “back of house”

- Next to soiled storage Contractor Provided Unique Equipment:

- Quad Power/Data Outlets (per wall)

- Data at wall mounted phone VHA Provided Equipment:

- Pyxis/Par System

- Wall mounted phone Comments: Space is required have humidity and temperature controlled and monitored independently of other spaces.

- Data and power required for Pyxis/Par dispensing units

E. Med Gas Storage

Room Code: SRGC1 Total Programmed SF: 60 Number of Spaces: 1 Room Associations:

Close proximity to exam rooms Close to clean supply storage Contractor Provided Unique Equipment: Power Outlets (Per Wall)

- Data/Phone quad

- PIV/key pad access VHA Provided Equipment:

- Oxygen cylinders

- Cylinder racks (full and empty)

- Oxygen cylinder wheeled hand truck Comments: (NONE)

F. Soiled Utility Room

Room Code: USCL1 Total Programmed SF: 80 Number of Spaces: 1 Room Associations:

- Close proximity to exam rooms

- Next to rear staff entrance

- Next to clean supplies storage Contractor Provided Unique Equipment:

- Stainless Countertop with integrated sink

- Power outlets (per wall) VHA Provided Equipment:

- Electronic liquid antimicrobial soap dispenser

- Paper towel dispenser

- Glove box holder (holds 4 boxes of different sized gloves (small, medium, large, ex-large)- Linen Hamper

- 44 gal trash can Comments: (NONE)

G. Bio-Hazard Waste Holding

Room Code: UTMW1 Total Programmed SF: 80 Number of Spaces: 1 Room Associations:

- Close proximity to exam rooms

- Next to rear staff entrance

- Next to clean supplies storage Contractor Provided Unique Equipment:

- Power outlets (Per Wall) VHA Provided Equipment:

- 44 gal trash can

- Electronic hand sanitizer dispenser (alcohol based)

- Glove box holder (holds 4 boxes of different sized gloves (small, medium, large, ex-large) Comments: (NONE)

H. Mental Health Storage

Room Code: SRS01 Total Programmed SF: 100 Number of Spaces: 1 Room Associations:

Close proximity to exam rooms and group therapy room Close to other storage rooms Contractor Provided Unique Equipment:

- Power outlets (Per Wall) VHA Provided Equipment:

- Shelving Comments: (NONE)

14. Utility Rooms:

A. Fire Alarm/Fire Suppression Pump Room

Room Code: COM03 Total Programmed SF: See Comments Number of Spaces: 1 Room Associations:

- Close to an entrance to allow for authority having jurisdiction easy access.

- DO NOT collocate with other utility closets

- Preferred location is “back of house” Contractor Provided Equipment:

- Power/data/phone outlets (per wall) VHA Provided Equipment: (NONE) Comments:

- Design of the space must follow VA Design Guides found in the VA Technical Information Library, www.cfm.va.gov/TIL

- Programmed space if VA is sole user of the building, otherwise, this space is not included in the lease space program http://www.cfm.va.gov/TIL

B. Mechanical Room

Room Code: MECH1 Total Programmed SF: See Comments Number of Spaces: 1 Room Associations:

- preferred location is “back of house”

- DO NOT collocate with other utility closets Contractor Provided Equipment:

- Power outlets (per wall) VHA Provided Equipment: (NONE) Comments:

- Design of the space must follow VA Design Guides found in the VA Technical Information Library, www.cfm.va.gov/TIL

- Programmed space if VA is sole user of the building, otherwise, this space is not included in the lease space program

C. Receiving and Issue

Room Code: BSRB1 Total Programmed SF: 80 Number of Spaces: 1 Room Associations:

- Preferred location is “back of house”

- Near lab

- Exterior door with PIV Access

- Interior door Contractor Provided Equipment:

- Power outlets (per wall)

- PIV access VHA Provided Equipment:

- Shelving

- Medical refrigerator/freezer

- TempTrack

- Trash bin with foot operating lid Comments:

15. Housekeeping Closets:

A. Housekeeping Aides Closet

Room Code: JANC1 Total Programmed SF: 80 Number of Spaces: 1 Room Associations: (NONE) Contractor Provided Unique Equipment:

- Floor mounted mop sink

- Mop hanger bar

- Shelving for liquid and cleaning supplies

- Preferred location is “back of house” Contractor Provided Equipment:

- Power outlets (per wall) VHA Provided Equipment:

- Janitor’s cart

- Paper towel dispenser

- Electronic hand sanitizer dispenser (alcohol based) http://www.cfm.va.gov/TIL

- Mop bucket with wringer

- Shelving

- Mop/broom Comments:

- Program space is if VA is Sole User of the building, otherwise, this space is not included in the lease space program

16. Telecommunication Room/Data:

A. Data Closet

Room Code: COMC1 Total Programmed SF: 120 Number of Spaces: 1 Room Associations:

- DO NOT collocate with any other function

- Near rear entrance of building to allow access without going through the clinical spaces.

Contractor Provided Unique Equipment:

- UPS battery pack

- Power/data/phone outlets (per wall)

- PIV access

- Aluminum relay rack mounted to the floor

- Horizonal base unit cable management, ladder rack in data closet and throughout building

- Patch Panel, RJ-45, Cat 6A,48 Port, 568B

- Power supply, uninterruptable, rack mounted 7 Kw

- Dedicated AC mini split unit

- Blocking/backboards for wall mounted equipment VHA Provided Equipment:

- Telephone system hardware

- VA data switch/server

- Rack mounted fiberoptic cabinet

- LAN switch power supply

- Wireless network Comments:

- The DMARC is preferred to be located in the Data Closet only if the entire building is leased by the VA, otherwise it must be located in a separate space with the owner provided connectivity.

- Please ensure all EHRM TR requirements are met.

- Square Footage reflects SF requirement for EHRM.

- Please ensure all requirements of the VA Lease CBOC Design Narrative are met.

- Please ensure all Infrastructure Standard for Telecommunications Space Version 4 are met.

17. Conceptual Plan:

A. PACT Guidance

The below conceptual plan is the standard layout for a PACT Outpatient Clinic. Based on specific VA Marion Health Care System needs, the rooms/areas identified in this document do not match the conceptual plan specifically e.g., plan shows less number of exam rooms, etc. For bidding purposes, use the conceptual plan as a guideline while the specific requirements by room will be used in the final costs.