1

Original contractual date

Current planning and contractual dates**

June 2015

June 2015

Dec 2015

Jan 2016

Feb 2016

June 2015

DEC 2016

Sept 2016

**Goal: See first patient by December 2016**

DEC 2016

9 months to activate

3 months to activate

Draft – September 2015

CEP InpatientPt. Garage

Transitional Living

Outpatient

D&T Site

Concourse

CEP

Pt. Garage

Inpatient

Concourse

D&T SiteOutpatient

Phased Turnover Timeline ChangesPhased Turnover Timeline Changes

Jan 2016

May 2016

Apr 2016

Transitional Living

**SLVHCS, CFM & CMHP are actively discussing the possibility of a phased turnover of the D&T building

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1/16CEP,

Inpatient,& Patient Garage

First obligation

date (approx) Total

Furniture 10/15/15 $1.1M $6.0M $10.0M

$4.0M

$ 21.1M

Equipment 10/23/15 $12.5M $17.5M $27.5M $50.5M

$108.0M

FTEE 10/1/15 $4.2M $6.3M $5.9M $6.3M $22.7M

Contracts 11/15/15 $17.1M$3.0M

$4.4M

$2.7M

$27.2M

Other 10/1/15

$3.8M $2.5M $0.7M $0.1M $7.1M

Total $38.7M $35.3M $48.5M $63.6M $186.1M

5/16Outpatient

6-9/16D&T

(phased turnover)4/16

Transitional Living

FY16 Q1 FY16 Q2 FY16 Q3 FY16 Q4

Building Turnover

Dates

Dollars are estimates to be finalized by bids to procurement packages9/8/15

Replacement Medical Center FY16 BudgetReplacement Medical Center FY16 Budget

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Principles of activation of new medical centerPrinciples of activation of new medical center

• No interruption of current clinical services while transitioning to a new hospital in a way that is seamless to Veterans

• Employees will be familiar with standard operating procedures and physical

layout of new environment

• Assure effective and reliable service for medical operations through interventions such as simulation prior to opening

• Compliance with all relevant VHA Directives (e.g. Facility Infrastructure Requirements to Perform Standard, Intermediate or Complex Surgical Procedures 2010-018, 2010) related to clinical programs

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4

Proposed timeline for early activationProposed timeline for early activation

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Phase 1 (starting by end of 2016)

• Current non-procedural SLVHCS clinical services (e.g., outpatient clinics,

diagnostic imaging, prosthetics, phlebotomy, pharmacy, sleep laboratory, C&P

program).

Phase 2 (mid-2017)

• Ambulatory procedures unit and other procedures (e.g., endoscopy) not

expected to require inpatient admission.

• Phased-in activation of inpatient mental health, then Emergency Department,

acute care (medicine/surgery) and critical care simultaneously, followed by

inpatient rehab, hospice, and palliative care. It is estimated to take approximately

three months to activate limited beds across all types of units. Number of beds

per unit will be phased as well, e.g. 12 ICU beds (6 medical and 6 surgical) and

24 acute care med/surg beds.

• Phased-in activation of inpatient admissions of Veterans limited to lower severity

of illness scores for both acute care and critical care using conventional scoring

tools whenever available.

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Proposed timeline for early activationProposed timeline for early activation

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Phase 3 (late 2017)• Expansion in number and complexity of ambulatory procedures that may

potentially require inpatient admission.

• Opening of hybrid operating rooms to allow intermediate and then high complexity surgery.

• Programs such as interventional radiology, cardiac electrophysiology and catheterization laboratories.

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January 2016 – November 2016

 October 2016

PM&R admin.

Prosthetics admin.

November 2016

Primary Care admin.

Mental Health admin.

C&P

Dermatology admin.

Medicine admin.

Social Work admin.

Rev. 9/11/2015

 March 2016

Full warehouse operations

 

 

April 2016

Facilities – shops

May 2016

HAS

Fiscal

Chaplain

 January 2016

Police

Facilities

Logistics – limited warehouse operations

Environmental Management Service

 

Phasing Plan of Support ServicesBased on current planning and contractual dates

Phasing Plan of Support ServicesBased on current planning and contractual dates

Note: SLVHCS, CFM & CMHP are actively discussing the possibility of a phased turnover of the D&T building, which would positively impact services planned for May 2017 and after.

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December 2016 – February 2018 Initial Service Activation

 August 2017 

IP Med/Surg/ ICU & Discharge Lounge

IP Dialysis

Pulmonary & GI Proc.

Surgery – Standard Complexity

Emergency

September 2017

IP – Rehab, Hospice, Palliative Care & Respite

 October2017

Hybrid OR

Interventional Radiology/EP Lab

Interventional Cardiology &Pain Clinic

   Surgery – Intermediate complexity

  

February 2018 

Surgery - high complexity

  

          

Rev. 9/11/2015

 January 2017

Clinics Primary Care Women’s Infusion Pulmonary Surgery Cardio, GI General Med Neurology Oncology-------------------------

February 2017

PERC

 

 

May 2017

Radiology Gen Radiology CT/MRI/US Nuclear Med PET CTPath & Lab Core Labs Ext Clinic Labs Micro & ChemSPS-------------------------

June 2017

Nutrition – Food Production IP Pharmacy

July 2017

IP MH

On Call

IP SWS

Path & Lab Histo/ Cyto Blood Bank Morgue Autopsy

 December 2016

Check-In

OP Phlebotomy

OP Pharmacy

Prosthetics

Sleep Lab Clinics Mental Health PM&R Eye C&P ENT Derm Audiology Speech Dental

 

Phasing Plan of Clinical Services for Patient CareBased on current planning and contractual dates

Phasing Plan of Clinical Services for Patient CareBased on current planning and contractual dates

**Goal: See first patient by December 2016**

Note: SLVHCS, CFM & CMHP are actively discussing the possibility of a phased turnover of the D&T building, which would positively impact services planned for May 2017 and after.

Phase 1 Phase 2 Phase 3

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8

CY 2015

12/16First patient

seen

9/16D&T,

concourse,employee

garage& site turned over,begin

activation

4/16Transitional

Living building

turned over,begin

activation

5/16Outpatient building

turned over, begin

activation

1/16CEP, Inpatient

bldg. and patientparking garage

turned over, begin activation

CY 2016Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

29new

FTEE

40 new

FTEE

35new

FTEE

21 new

FTEE

7 new

FTEE

22new

FTEE

1new

FTEE

26 new

FTEE

1new

FTEE

50new

FTEE

25new

FTEE

41new

FTEE

59new

FTEE

120new

FTEE

EOY FY16 Total Projected Activation FTEE = 625.875

EOY FY15 Approved Activation FTEE = 368.875

Activation FTEE ProjectionBased on current planning and contractual dates

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Renderings

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TrainingTraining

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Chartered Integrated Project Team specifically focusing on training for the new medical center. - Involves

collaboration with subject matter experts, including National Simulation Center.

- Under development are:

- Overall campus orientation

- Service and unit specific training including equipment, flow, processes

- Identification and development of specific mock training scenarios for each unit

- Use of one inpatient unit as a simulation unit specifically for team training

In Fy15 we added new training and developmental programs:

- Hudson Thomas Project (GS1-5, WG equivalent)

- Buddy Program for new employees

- Three-phase Supervisor Institute

- Revised new employee orientation and service level

orientation based on feedback from new employees

 

In Fy16 we are developing new training programs:

- MSAs

- AOs

- internships for administrative and technical positions,

including engineering and health care management.

 

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For concerns and questions please contact at any time 24/7:

Fernando Rivera, FACHE, Interim Network Director, VISN 16

Email: Fernando.Rivera@va.gov

Cell Phone: 202-834-7893