S02 Attachment Thirty One 31 VHA HB 1101 11 VISN 8 Guidelines on Emergency Generator Power Systems.pdf

Final: April 2019

VISN 8 GUIDELINES ON EMERGENCY GENERATOR POWER SYSTEMS

FOR OFF-SITE CARE FACILITIES

A. Standard for Onsite Generators (Health Care Centers (HCC), Multi-Specialty CBOC’s, and

Primary Care CBOC’s >25K Net Usable Square Feet (NUSF):

Health Care Center (HCC). A HCC is a VA-owned, VA-leased, contract, or shared clinic operated at least 5 days per week that provides primary care, mental health care, on site specialty services, and performs ambulatory surgery and/or invasive procedures which may require moderate sedation or general anesthesia.

Multi-Specialty CBOC. A multi-specialty CBOC is a VA-owned, VA-leased, mobile, contract, or shared clinic that offers both primary and mental health care and two or more specialty services physically on site. Access to additional specialty services may be offered by referral or telehealth. These clinics may offer support services, such as pharmacy, laboratory, and x-ray. The clinic may be operational from 1 to 7 days per week.

Primary Care CBOC (>25K NUSF). Primary care CBOCs are VA-owned, VA-leased, mobile, contract, or shared clinics that offer both medical (physically on site) and mental health care (either physically on site or by telehealth) and may offer support services such as pharmacy, laboratory, and x-ray. The clinic may be operational 1 to 7 days per week. Access to specialty care is not provided on site, but may be available through referral or telehealth.

1. Have installed, emergency generator capability to provide 100% full power (normal and emergency) with on-site fuel storage capacity to provide power for at least 96 hours (4 days). [Medical Centers are encouraged to plan for longer durations as needed based on geography (i.e. Puerto Rico) or experience with refueling delays]

2. Have in place a contract or MOA for priority fuel delivery to the clinic.

3. If the hard termination date of a current lease contract is less than two years from the date of publishing the VISN 8 standard, apply the standard to the new upcoming lease contract.

4. If the hard termination date of a current lease contract is greater than two years from the date of publishing the VISN 8 standard, the contract is to be amended to meet the standard, if the lessor agrees to amend the lease contract.

5. When determined not feasible for a permanently installed emergency generator system Standard B shall apply.

Attachment Thirty one (31)-VISN 8 Guidelines on Emergency Generator Power Systems for Off-site Care Facilities 36C24821R0092 A==

Final: April 2019

B. STANDARD for Quick-Connect Generator Capability (Primary Care CBOC’s <25K NUSF):

Primary Care CBOC (<25K NUSF). Primary care CBOCs are VA-owned, VA-leased, mobile, contract, or shared clinics that offer both medical (physically on site) and mental health care (either physically on site or by telehealth) and may offer support services such as pharmacy, laboratory, and x-ray. The clinic may be operational 1 to 7 days per week. Access to specialty care is not provided on site, but may be available through referral or telehealth.

1. If VA is the only occupant of the leased building, the following applies:

a. Provide “Quick-Connect” capability for connecting a mobile emergency generator capability to provide 100% full power (normal and emergency).

b. Have in place a contract or MOA for priority fuel delivery to the clinic.

2. If VA shares the building space with other tenants, the following applies:

a. Determine if the Lessor is willing to agree to an amended lease contract to provide “Quick-Connect” capability.

1) If yes, the proceed with B.1 noted above.

2) If no, submit a request for exemption.

C. EXEMPTIONS:

Should the facility either determine the above guideline cannot be met, is determined infeasible, or preference is to exceed the above standards, notification from the Medical Center Director must be provided to the Network Director and VISN Emergency Manager with an explanation and justification for the determination.