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TRANSCRIPT
Department of Veterans Affairs Capital Asset Programs
& American Reinvestment and
Recovery Act (ARRA)
Peter Yakowicz, PE, MHAVISN 23 Capital Asset Mgr.
Department of Veterans Affairs
• Three Major Administrations FY 09 Budget appr.
• Veterans Health Administration $41.645 B• Veterans Benefits Administration $46.435 B• National Cemetery Administration $ 5.405 B
» Total VA FY 2009 Budget Authority $93.666 B
http://www.va.gov/about_va/mission.asp
VA’s Mission, Vision, Core Values and Strategic Goals
• VHA Program Offices
Office of Academic Affiliations
Office of Finance
Office of Health Information
Office of the Medical Inspector
Office of Patient Care Services
Patient Safety (National Center for Patient Safety)
Policy and Planning
Office of Public Health and Environmental Hazards
Office of Quality and Performance
Office of Research & Development
Office of Research Oversight
Vet Centers (Readjustment Counseling)
Veterans Integrated Service Networks (sort of like regional offices)
VISN 23 Facilities
Black Hills Health Care System -- Fort Meade-- Hot Springs
Central Iowa Health Care System -- Des Moines-- Knoxville
Fargo VA Medical Center Iowa City VA Medical Center Minneapolis VA Medical Center Nebraska/Western Iowa Health Care System
-- Omaha-- Lincoln-- Grand Island
Sioux Falls VA Medical Center St. Cloud VA Medical Center
Nebraska-Western Iowa Healthcare System
• Omaha• Grand Island• Lincoln
• North Platte• Norfolk• Holdrege• Shenandoah• Bellevue• O’Neill
Capital Asset Manager Areas of Responsibility
• Major Construction• Minor Construction• Non-Recurring Maintenance• Clinical Specific Improvements• 5-Yr Strategic Capital Plan• Delegated Leases• Enhanced Use Leases• Capital Asset Inventory• Facility Condition Assessments• Environment of Care Surveys• Master Planning• Activations
• Real Property• Capital Leases• Disposals• Energy• Vehicle Fleet Mgt.• Space Driver• SEPS II• Project Tracking• Equipment Site Prep• Reports• Database Mgmnt.• CBOC Build-Outs
– Major Construction– Projects > $10M, Line Item Appropriation
– Clinical Specific Initiatives– Projects >$500 < $5M, Part of Medical Care Appropriation– New SF except for site prep of HT/HC equipment
– Non-Recurring Maintenance – Projects up to $10M, part of Medical Care Appropriation– Building systems upgrades, renovations, new SF to $500K
– Minor Construction (Adds new SF)– Projects >$500 < $10M, “Grouped” Appropriation
Types of Capital Investments
Construction Program DefinitionsNon-Recurring Maintenance
(NRM) Projects
Clinical Specific Improvements (CSI)
Projects Minor Construction Major Construction
Description: -Renovation, repair, maintenance, modernization of existing infrastructure-focuses on correcting Facility Condition deficiencies, meeting applicable codes, and modernizes infrastructure to current standards of care. -Stand alone demolition is considered NRM-Up to $500k for expansion of existing square feet- New surface parking/roads- New utility buildings and structures
-Projects expand square footage-Greater than $500k
for expansion -High-tech/High-cost equipment can be 100% renovation-Projects addressing the following VHA high profile categories: •
Polytrauma•
OIF/OEF•
Mental Health•
High-tech/high cost Medical Equipment Installations•
Long-term care
-Projects expanding the existing facility square footage
-Greater than $500k for expansion of existing square feet-Projects addressing workload gaps, seismic deficiencies, and providing access to care for our veterans.- Parking Structures - Seismic projects can be 100% renovation
Improvements to medical centers to provide state-of- the art healthcare.
Lower Limit: $25,000 $500,000 $500,000 $10,000,000
Upper Limit: -Up to $10,000,000 for renovation of existing square footage;
-Up to $500k for expansion of existing facility square footage; -No upper limit for pure utility/building system projects
$5,000,000 $10,000,000 No upper limit
• Construction Authority By ProgramFY 2009 Appropriation
Major $ 581.6 M $ 0Minor $ 329.4 M $ 13.2 MNRM $ 1 Billion $ 51.9 MCSI $ 100 Million $ 5.2 M
National VISN 23 Share
Major Project Dollars Awarded Per Average Veteran since FY 2004
VISN
VISNHQ
Total Award
#Veterans
$ Per VeteranV19 Glendale, CO $769,200,000 221,711 $3,469.38V08 Bay Pines, FL $1,695,051,000 678,562 $2,498.01V16 Jackson, MS $1,063,919,000 623,067 $1,707.55V21 Mare Island, C $579,032,000 340,363 $1,701.22V22 Long Beach, $604,060,400 428,286 $1,410.41V10 Cincinnati, OH $197,100,000 278,018 $ 708.95V04 Pittsburgh, PA $295,600,000 435,526 $ 678.72V15 Kansas City, $160,330,000 307,349 $ 521.65V17 Arlington, TX $140,652,000 331,560 $ 424.21V12 Hines, IL $131,000,000 336,554 $ 389.24V02 Albany, NY $77,269,000 211,876 $ 364.69V20 Portland, OR $75,308,220 323,663 $ 232.68V11 Ann Arbor, M $40,400,000 306,947 $ 131.62V23 Minneapolis, M $46,050,000 366,782 $ 125.55V07 Duluth, GA $20,534,000 433,296 $ 47.39V18 Mesa, AZ $13,300,000 313,632 $ 42.41V06 Durham, NC $9,100,000 361,838 $ 25.15
*2009 and 2010 Data includes enrollments for 1qtr 2009 and future projects recorded in 2010
Major Construction Projects• Completed
– Minneapolis SCI/D Center
• On-Going– New CLC at Des Moines
• Planned (2012 Applications Due 3/31/09)– Omaha Space and Technical Deficiency Corrections– Minneapolis Polytrauma Expansion– Sioux Falls Clinical Addition and CLC– Fargo Specialty Care Addition
Minneapolis SCI Center
Des Moines CLC
Facility Condition Assessments
• All Building Systems are graded on a scale of A thru F
• Information is kept in the Capital Asset Inventory Database
• “Corrective Action” Costs are estimates to correct items graded as D or F only
Minor Construction• FY 08 Funded (On-going)
– Sioux Falls Surgery Suite (Design)– Minneapolis Hem/Onc– Multi-Site MRI (DM. MPLS, SF)– Des Moines OP Svcs Consolidation– Des Moines Dental Consolidation– Des Moines Kitchen/VCS Remodel– Iowa City 3rd Research Bldg (Des)– St. Cloud Exp Specialty Care, B1– St. Cloud Exp Primary Care, B1– Des Moines Remodel Dietetics
• FY 09 Funded (Current)
– Fargo Audiology/Eye Clinic (Design)– Fargo Replace ORs (Design)– Sioux Falls Surgery Suite– Iowa City 3rd Research Bldg– Hot Springs Renovate Dom (Des)**
FY 2010 DRAFT PLAN
437-306 Audiology-Eye-Ophthalmology 4,011,000 3,669,627
437-308 Replace operating rooms 6,975,553 6,369,000
437-310 B1 Additional Outpatient Treatment 9,763,484 848,992
437-311 TCU Expand/Remodel 8,604,761 748,240
568-403 Renovate Dom for Patient Privacy 5,087,000 382,000
636-308 SPD to 4th Floor OPC (Omaha) 9,528,474 915,659
636-326 Research Bldg 4th Floor Addition-Research (Omaha) 9,325,246 895,056
636-343 ED Expand/Renovate (Des Moines) 4,633,155 456,000
636-345 3B Expansion/Renovation (Des Moines) 5,295,500 521,000
636-402 400 Car Parking Garage (Iowa City) 9,663,933 9,663,933
636-403 Relocate Surgical OP Rooms (Iowa City) 9,939,645 809,062
656-317 Expand/Renovate Wards B49, 1st and 2nd Floors 9,478,780 815,000
656-329 Long Term/Interim Psychology 8,378,700 741,500
St. Cloud Surgery Addition
St. Cloud VA Medical Center
Construction 2009
•Replace Primary Electrical Distribution (Spring 2009)
•Replace Alternate Electrical Feed (Spring 2009)
•Replace Boilers (Underway)
•Replace Secondary Electrical Panels (Underway)
•Wind Turbine (Summer 2009)
NRM Funding History
$20.6M Spent to Date
$45.7M is 6/30 Target
FCA Correction Values per VISN
VISN Corrective Action Totals
1 $892,625,688
2 $379,424,708
3 $542,066,283
4 $447,619,492
5 $167,171,441
6 $422,437,000
7 $435,596,854
8 $571,922,310
9 $210,743,811
10 $425,928,933
11 $239,619,447
12 $671,793,747
15 $491,036,926
16 $365,726,941
17 $108,793,096
18 $197,159,274
19 $176,234,904
20 $573,144,122
21 $395,716,019
22 $715,357,090
23 $316,676,226
Facility GSFReplacement
TotalCorrection
Total
% Correction to
Replace -ment
Black Hills Ft. Meade 825,731 142,210,247 13,323,807 9%
Black Hills Hot Springs 461,159 115,053,919 18,746,646 16%
Des Moines 403,981 98,977,006 14,368,900 15%
Fargo 439,448 133,215,638 21,468,982 16%
Grand island 227,373 67,965,501 7,875,694 12%
Iowa City 579,695 184,028,886 53,384,497 29%
Knoxville 789,393 192,514,692 5,177,743 3%
Lincoln 248,896 81,902,192 9,466,482 12%
Minneapolis 1,729,962 695,497,846 42,478,783 6%
Omaha 591,941 182,584,931 54,204,658 30%
Sioux Falls 456,344 122,062,910 32,404,288 27%
St. Cloud 845,534 222,676,799 43,775,746 20%
VISN 23 Corrective Value information
Facility GSFReplacement
TotalCorrection
Total
% Correction to
Replace -ment
Black Hills Ft. Meade 825,731 142,210,247 13,323,807 9%
Black Hills Hot Springs 461,159 115,053,919 18,746,646 16%
Des Moines 403,981 98,977,006 14,368,900 15%
Fargo 439,448 133,215,638 21,468,982 16%
Grand island 227,373 67,965,501 7,875,694 12%
Iowa City 579,695 184,028,886 53,384,497 29%
Knoxville 789,393 192,514,692 5,177,743 3%
Lincoln 248,896 81,902,192 9,466,482 12%
Minneapolis 1,729,962 695,497,846 42,478,783 6%
Omaha 591,941 182,584,931 54,204,658 30%
Sioux Falls 456,344 122,062,910 32,404,288 27%
St. Cloud 845,534 222,676,799 43,775,746 20%
Nurses Station Patient Room
Isolation Room
Minneapolis Dialysis Renovation
Iowa City Main
Entrance (Old)
Iowa City Main Entrance (Renovated)
St. Cloud CT Scanner
Des Moines MH Annex
Minneapolis New Chiller
St. Cloud Boiler
Replacement
New Boiler Hot Springs
FY 09 Economic Stimulus • Myth – Additional $$ for All Const Programs• FACT – Bill only provides NRM Dollars
• Myth – This is “No Year” Money• FACT -- $$ Must be obligated by 09/2010
• Myth – This is Additional Money to VA• FACT – This is an advance of 2010 NRM $$
• FACT—This money will be tracked to the nth degree and reporting will be required (probably) on a weekly basis
• VHA is getting $1B in NRM Dollars• $200M for Energy, $800M to VISNs• VISN 23 share is $37.4M• Distribution based on blend of
Sustainment and FCA• Each project on stimulus list has its
own unique ACC Code set by Fiscal• Funds must be requested on an
individual case-by-case basis.
VISN
Option 2
60% Sustainment / 40% FCA
1 52,183,299
2 32,203,576
3 66,701,115
4 48,285,776
5 21,272,116
6 34,644,205
7 34,977,003
8 43,784,677
9 28,204,167
10 30,952,921
11 34,463,322
12 58,229,124
15 38,379,325
16 41,550,437
17 23,870,304
18 19,972,448
19 18,125,738
20 44,888,962
21 38,426,799
22 51,448,892
23 37,435,793
Sum 800,000,000
FY 09 Stimulus (ARRA)
VISN 23 ARRA Distribution by Facility
Facility Targeted Amount Plan AmountFargo $ 2,523,172 $ 3,266,230S. Falls $ 2,238,660 $ 2,768,657BHHCS $ 4,428,654 $ 4,735,000Mpls $ 9,194,230 $ 9,425,000NWI $ 5,484,343 $ 7,500,000Cent Iowa $ 5,327,113 $ 5,705,201Iowa City $ 3,365,478 $ 4,140,000St. Cloud $ 4,874,140 $ 5,260,000VISN TOT $ 37,435,793 $ 42,800,088
About 40% of Plan Amount ($16.3 M) will go towards FCA corrections
The Nebraska Impact
Omaha 68501 Lancaster Repair/Replace Roofs Buildings 12, 24 and 45 $ 300,000
Omaha 68501 Lancaster Repair/Upgrade Main Fire Alarm Panel $ 500,000
Omaha 68501 Lancaster Repair/Update Condensate Pipes and Pumps $ 125,000
Omaha 68501 Lancaster Replace/Update Water Softeners for Boilers and Domestic Water Systems $ 150,000
Omaha 68105 Douglas Remodel Operating Room/Post Anesthesia Care Unit $ 2,520,000
Omaha 68105 Douglas Renovate Radiology for Position Electron Transformation (PET) CT Install $ 1,920,000
Omaha 68105 Douglas Renovate for New Coolers and Freezers $ 225,000
Omaha 68105 Douglas Repair/Replace Steam Condensate Lines, Tanks and Pumps $ 300,000
Omaha 68803 Hall Replace Air Handlers for Laboratory Space $ 500,000
Omaha 68803 Hall Replace Electrical Distribution System $ 750,000
Omaha 68803 Hall Replace/Upgrade Domestic Hot Water Heaters $ 210,000
$ 7,500,000
•It created chaos for a few weeks. Rules changed hourly on what could or could not be submitted.
•It advances FY 2010 funding by $1B, leaving only $400M for all VISNs for both NRM and CSI projects.
•People were not allowed to make changes or updates to lists once they were submitted.
•VACO was making changes to the list without telling us—mostly in project titles.
•Contracting rules have tightened with requirement for maximum competition in bidding process.
•An 80/20 rule put into effect for FY 09 is being applied to the ARRA list even though it is a supplemental appropriation
•Delays in finalizing list, approval, contracting rules, establishing funding, the 80/20 rule, etc. are all slowing us down in trying to stimulate the economy!
Impact of the ARRA FundingThe Bad
The Good
• We are able to address some needed projects a little more quickly than usual
• Facilities were required to take a rational approach to developing a two-year program for facility improvements.
• Contracting and engineering staff had to collaboratively lay out obligation plans over an 18-month period.
• Engineers and contracting staff can “re-group” and catch their breath in FY 2010
• The competitve process does usually yield better cost controls.
• The system of accountability being established is good standard practice.
• I’m better educated in counties and congressional districts!!!
• Some questions still unanswered regarding deadlines, etc.
• Accountability is a good thing, but it means more time counting beans and less time doing projects.
• Requesting funding for every obligation (even changes) no matter how small will be laborious.
• A lot of people will be watching the shenanigans.• Some of the cost estimating done in preparing
the projects were better “educated guesses” than others, but we will be held to the estimates.
The Ugly (?)