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

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DVA Fiscal Year 2011 Appropriations

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VISN 10 Fiscal Year 2011 Funding Allocations

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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.

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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.

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Planned Capital Projects

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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

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