VA Durham: Master Planning

Apogee conducted iterative master planning for the entire Durham VA Healthcare System including the primary campus at 508 Fulton Street, major leases in Greenville and Raleigh, and all other clinics and leases managed and planned for the region.

The Strategic Business Plan and related Strategic Facility Plan provide a vision for growth for the next 10 years.

The effort began with a basis of study that summarized the current conditions, constraints and plans of the campus, and served as a starting point for Master Plan concepts.

From there, Apogee conducted a schematic study to explore the options for new projects that address current conditions and growth needs. Part of this study included existing and new lease opportunities and evaluation of the advantages and disadvantages of the leases and their components.

Apogee developed a Master Plan that outlined systematic and logically sequenced plans for improving the environment of care of all medical and administration functions at the Medical Center and community-based outpatient clinics. This included a Ten-Year Construction Phasing Plan that considered the impact of all in-progress and pending renovations and made recommendations on the realignment of the facility’s existing Strategic Capital Investment Plan. The Plan details planning for the first five years and broader overall objects for a subsequent five-year period.

Apogee worked with the campus planner, senior leadership team, and engineering staff to collect necessary data, analyse the data, and presented recommendations regarding maintenance and projects to support that vision. The project included review of data provided by the VA such as:

  • Baseline year (2017) veteran population, enrollment, utilization, special population, local demographics and CARES data
  • Market and sector (sub-market) boundaries and service needs
  • Drive time access and rural analysis
  • VHA, VISN & Medical Center Mission, Vision Statements & Strategic Plans
  • Current Health Care Planning Model (HCPM) market reports
  • Current Strategic Capital Investment Planning (SCIP) gaps and projects
  • Proposed capital & non-capital solutions
  • Current SCIP Strategic Capital Assessment presentation
  • Capital asset inventory (CAI) including facility condition assessments (FCA) and capital functional survey data
  • Current facility project data (of ongoing work) and associated space implications
  • Current facility goals and strategic plans where available
  • Joint commission statements of condition

Apogee analysed the existing infrastructure to develop a non-recurring maintenance plan. The plan accounts for age, obsolescence, condition of equipment, planned renovations, and all other relevant factors for the creation of a spending plan. Types of data used for assessing the infrastructure include:

  • Maintenance logs
  • Files of completed construction projects
  • Maintenance contracts
  • Field verification of conditions
  • Interviews with engineering staff
  • Review of existing FCA

We incorporated the maintenance data into the Master Planning report and created a detailed replacement plan for all critical infrastructure to include:

  • Cost information for each piece of equipment
  • Equipment cross-referenced by type, age and criticality
  • Updated FCA to include deficiencies found and to include updated cost data
  • Ability to meet VA SPS directives
  • Ability to meet VA EM directives
  • Ability to meet VA physical security directives
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