Veteran's Health Administration, VISN -19 by enk60739

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									   Veteran’s Health
Administration, VISN -19


 Department of Veterans Affairs



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VISN-19




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ECHCS




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Cheyenne VAMC




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Sheridan VAMC




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Montana Health Care System




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Salt Lake City VAMC




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Grand Junction VAMC




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How do we develop projects?
 Master Plans (5 -10 year cycles)
   Funded by VSSC or Central Office
 Five year plans
   Funded locally or from VISN level
 Annual Work Plan Evaluations
   VISN and Station Engineer level




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Work Load determination
 Annual Work Plan Evaluation (AWE)
 Space Plan Calculator
   Excel Spreadsheet based
   Performed annually based upon patient “uniques”
 Patient “Uniques”
   Excel Spreadsheet based
   Performed annually –VSSC driven
 Facility Condition Assessment (FCA)
   Outside AE contract
   Performed every 3 years

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What is an FCA?
 VA’s Technical Report Card.
 Developed by CFM’s Consulting Support Service.
 Based on Industry Standards.
 An independent A/E team tours each VAMC.
 Each bldg system gets a short description, an
 estimated remaining useful life, and a grade from
 “A” to “F”.
 Not project specific

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FCA -Industry Standards
Several Private Sector Assessment Systems studied at
outset.
VA FCA system based on best/most logical private
model at the time (VFA).
Consistency, Simplicity and Independence were the
FCA process design goals.
Useful lifespans based on American Society of
Healthcare Engineers and ASHRAE standards.
3 year update cycle based on BOMA standards.

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Motivation

 FCA is a Fundamental Capital Asset Management Tool
    Infrastructure prioritization
    Budgetary justification
    Local facility management
 Federal Real Property Council annual reporting
 requirement under Executive Order 13327
    FCA provides the VA response for Key Performance
    Measure # 2 = Condition Index



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Extent
 FCA covers VHA assets.
 FCA applies to OWNED Assets only.
 FCA covers technical issues only. It does
 not include space or functional deficiencies.
 Does not address project specifics
   Station Engineer Staffs and AE’s must
   incorporate into specific projects

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Evolution

1997 – First FCA’s in VISN 6.
2002 - All 21 VISNs (major buildings) completed.
2002 to 2005 - all FCAs updated based on VAMC
input….Seven VISNs per year….majority of
buildings assessed.
2005 to 2008 - all FCAs being updated based on A/E
team visits….Seven VISNs per year….all buildings
included.
2007 - Walter Reed windfall generates sea change
response from the field.
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FCA Responsibilities

VA CFM is the responsible party for FCA.
VAMCs own the day-in-day-out knowledge of their
infrastructure condition.
FCA Consultants add a broad knowledge of VA and
industry standards as well as a consistent and
independent perspective.
VISNs and VACO provide oversight.
CFM monitors for process compliance, consistent
performance as well as providing database
management.                                   16
FCA Correction Costs
Any bldg system graded “D” or “F” is given an
estimated Correction Cost (CC).
Estimates also provided for Replacement Costs
(RC).
Correction Costs are rolled-up and compared to
Replacement Costs to form a measurable ratio.
FCA Correction Costs are not the same as Project
Costs because timing and procurement method are
not predictable.

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FCA Backlog
The 2005 fully comprehensive FCA backlog
stands at over $9 billion.
This includes all FCA, Seismic, Physical
Security and other special study costs.
This total does not exclude costs for deficiencies
that have already been funded or deficiencies that
relate to assets slated for disposal. If those
deductions are applied the total falls to about
$7.6 billion.
2008 Pending will show significant FCA
increase
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Which data is reported?

All VA owned buildings are assessed for VHA.
Site (underground utilities, roads, parking lots,
etc.) information is also reported.
Special studies (Hurricane, Seismic, etc.) are
folded into the FCA reporting.
Energy studies are not currently included.




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How do we insure Consistency?

 Limit the number of FCA A/E contractors. We
 now have a cadre of 4 experienced firms.
 Use same A/E team members to the greatest extent
 possible.
 VACO review of FCA updates for adherence to
 process rules.



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How do we insure Accuracy?

Utilize standard formats for buildings & sites.
Consulting Support Service maintains standard grading
guidelines, definitions & procedures.
FCA A/E contractor training before & during initial VAMC
assessment.
VAMC engineer training & coordination.
VAMC review of FCA update for technical accuracy.
Care is taken to keep FCA assessors separate from the project
development process to insure an independent and unbiased
assessment.
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How does Mgmt get Accurate FCA
Information?
FCA designed to be understandable by all.
Short simple descriptions.
Cost Ratios that compare Correction Costs to
Replacement Costs for easy comparison.
Report Options are built into the FCA Database.
“Top Ten” recommendations from FCA A/E team to
each VAMC.
OAEM makes regular use of FCA Data in Reporting
to Upper Management.
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Recent FCA Process Improvements


 FCA process is continuously improved based on
 internal studies & input from VHA clients and
 A/E team contractors.
 System for incorporating “Pending” updates from
 VAMCs recently implemented.
 “Red-Green” pre-assessment recently initiated to
 provide more up-front info from VAMCs to A/E
 teams.


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Potential FCA Improvements

 Consideration should be given to a prioritization
 method within FCA.
 Currently all buildings in FCA are created equal,
 when in fact many are of a low or moderate
 importance. Many have no place in our planning
 and will not require correction.
 It would be helpful to be able to report to Congress
 with added focus on those items that have a high
 priority.
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VISN-19 FCA Status
Station          2005 FCA   2008 FCA   Change
Denver (ECHCS) $23.3M       $45.0M     93%
Cheyenne         $12.8M     $19.6M     53%
Sheridan         $21.2M     $35.1M     60%
Montana HCS      $62.6M     $69.6M     11%
- Miles City     $3.2M      $5.6M      75%
Salt Lake City   $36.7M     $85.7M     234%
Grand Junction   $21.0M     $36.9M     57%
Totals           $180.8M    $297.5M    65%




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VISN-19
 Projects programmed over a 5 year budget cycle
 Based upon projected budgets from CFM
 Additions such as Walter Reed Windfall and Stimulus
 projects pull projects forward, versus “new injects”
 Constant review at VISN level to ensure funds are
 distributed evenly and fairly over the VISN as a whole
 Major projects such as the Fitzsimmons project are
 funded separately by VACO and Congress
 What the future holds?


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VISN-19 Contracting Information


       http://www.osdbu.va.gov/cgi-
 bin/WebObjects/FcoPublic.woa/23/wo/m0400
              0tR600oz600h/0.3




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VISN-19



      Questions?


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