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Section 106 Consultation MeetingVeterans Integrated Service Network 10
(VISN 10)
Louis Stokes Cleveland VA Medical Center
Jack Hetrick, FACHE
Network Director
Ronald Stertzbach, P.E.
Capital Asset Manager
August 9, 2011
Agenda
1. Department of Veterans Affairs (DVA) Organization
2. VISN 10 at a Glance
3. VA Appropriations
4. VISN 10 Operating & Capital Funding
2
Veterans Health Administration
VISN 10 at a Glance
VAMC: 4 VAACC:1 CBOC: 31 Owned Buildings: 212 Historic Buildings 105 Owned Land: 708 acres FY 2011 Funding
Allocation: $1.7 billion
4
VISN 10 at a Glance
FY10 VISN VetPop, Enrollment, Market Share and Patients
VeteranPopulation (Projected)
Enrollees(Actual)
Enrollment Based Market Share
(Enrollees to VetPop)
Patients(Actual)
836,357 305,513 36% 199,308
5
VISN 10 at a Glance (Cont.)
Total Space (2011)
Owned (GSF)
Leased (NUSF)
443,391 NUSF
5,752,376 GSF
6
DVA Fiscal Year 2011 Appropriations
7
VISN 10 Fiscal Year 2011 Funding Allocations
8
VISN 10 Fiscal Year 2011 Capital Budget
9
VA Construction Programs
Major Construction Project Cost > $10M for improvements to
medical centers and/or new construction
No upper limit
CARES Tower – $ 102 Million dollars to relocate 233 patient beds from Brecksville to Wade Park and to create a Comprehensive Rehab Center
Authorization / Appropriation (2 separate, required actions by Congress)
Fund is “No Year” (available until expended; exception: specific statutory language, eg. hurricane supplemental)
The VISNs submit major projects during Strategic Capital Investment Planning process (SCIP)
VA Central Office prioritizes and selects projects based on criteria such as safety & security, VA’s major planning initiatives, increasing access, etc.
Minor Construction Project cost < $10M and must construct
at least $500K in new building space (exception: Seismic can be 100% renovation)
Project Examples: Radiology Phase 1 & 2
Lab / Warehouse Phase 1 & 2
Parking Garage Expansion
Ambulatory Care Addition Phase 1 $ 2
PALMS project (out for bid)
Surgery Addition (out for bid)
Emergency Room Addition
The VISNs submit minor projects during Strategic Capital Investment Planning process (SCIP)
VA Central Office prioritizes and selects projects based on criteria such as safety & security, VA’s major planning initiatives, increasing access, etc.
10
VA Construction Programs (Cont.)
Non-Recurring Maintenance (NRM) Total Project Cost Limits:
Cannot exceed $500,000 in new building space
Cannot exceed $10M for renovations
No upper limit for project total on pure utility/building system projects or pure demolition
Recent NRM Projects: Canteen Renovations
Chapel Renovations
Renovate Connecting Corridor
The VISNs submit NRM projects during Strategic Capital Investment Planning process (SCIP)
VA Central Office prioritizes and selects projects based on criteria such as safety & security, VA’s major planning initiatives, increasing access, etc.
High Profile Clinical Improvements (HPCI)
Projects that address specific clinical initiatives and add at least $500,000 in new building space
Exception: High Cost Equipment Site Prep can be 100% renovation, but project total must be > $500K
Recent HPCI Construction Projects:Palliative Care
Renovations
Maximum project total cost is $5M
The VISNs submit minor projects during Strategic Capital Investment Planning process (SCIP)
VA Central Office prioritizes and selects projects based on criteria.
11
Planned Capital Projects
12
Facility Condition Assessment (FCA) D’s & F’s
•FY 2010 FCA Correction Costs Chillicothe- $112 million
Cincinnati- $ 34 million
Cleveland- $105 million
Dayton- $ 55 million
Columbus- $ 0 million
VISN 10 Total- $306 million
13
Questions
14