The scope of services included the development of a comprehensive program plan to expand and enhance Phase 2 of the Community Living Center located on the first floor of Building 500. The project entailed both remodeling and reconfiguring of existing space and construction of new space. This allowed for optimization of clinical service delivery, patient and family-caregiver privacy, and efficiency of infrastructure. The facility expansion consisted of an 18,200 square foot addition to the existing Community Living Center and renovation of approximately 1000 square feet of the existing Community Living Center.
The expansion & upgrades modernized patient spaces as well as added a 4,600 SF courtyard separating Phases 1 and 2 of the CLC, a 6,800 SF Courtyard separating Phase 1 from the existing CLC, and all perimeter landscape/hardscape surrounding both phase 1 and 2. This separated the new buildings from the existing parking lots/roadways and adjacent buildings. Renovation of the existing area also required modifications to the existing site, design of a new HVAC system and controls, and a new electrical and distribution system.
Key project elements included:
- Remodel/ Reconfiguration/ Demolition/ Active HC Facility
- Design Charrette/ Surge Plan/ Earned Value Analysis
- Horizontal Expansion/ Future Vertical Expansion Phases
- Cost Estimates/ Deduct. Alt’s./ LIDAR Survey/ Site Eval.
- Gap Analysis/ Multiple Options/ Phasing/ CPS
- ICRA/ Life Safety/ Fire Protection/ Medical Gases
- Asbestos Survey/ Monitoring/ Seismic Bracing
- As-builts/ Millwork/ SEPS/ Nurse Travel Distances
- LEED Silver Design/ Commissioning/ BAS/ BIM
- Roadway and Parking Modifications/ Exterior Lighting
- IT Infrastructure Upgrades/ Physical Security
- Landscaping/ Courtyard/ SWPPP/ Site Plan
- Signage/ Wayfinding/ Equip. Plans/ Demountable Walls
Triple C provided design services for complete re-cabling within multiple buildings at the NMVAHCS Campus. This project included all materials and labor to replace all telecommunications cable, outlets, and associated equipment for buildings in this project. The scope also included replacement of all fiber optic cabling and provide new conduit, fiber and manholes serving the building’s Telecommunications Rooms (TR) and additional 15% capacity in accordance with the drawings and specifications. All deficiencies were brought up to CERNER and VA cabling standards. Additionally, all cabling was replaced with plenum-rated CAT6A cabling terminated to IEEE 568-A guidelines within the affected buildings.
The project scope included addition of new Computer Room Air-Conditioning split systems with temperature and humidity monitoring station for Building 15 and 50 TRs, as well as the addition of two new electrical circuits in Building 50. All new TRs meets the requirement of the 80 meter limitation per /10NA5G/29APR20, April 29, 2020. Existing cabinets, PDU, CRACs, UPS, and Power, etc. that do not meet the infrastructure standards were assessed and incorporated into the construction documents to be upgraded as well. All follow the OIT standard Basis of Design.
In addition to ensuring adequate capacity for planned growth and maintenance, this project addressed deficiencies as defined by the PSDM (Physical Security Design Manual) 2015 VA Standard.
Key Project Elements:
- Multiple Buildings/ Demolition
- Commissioning/ Quality Control/ Phasing
- Cost Estimating/ Basis for Design
- Addresses Deficiencies/ Condition Assessment
- PSDM/ HVAC/ BAS
- Electrical/ Normal & Emergency Power
- Distribution Panel Upgrades/ FDP/ UPS/ PDU’s
- VA TIL/ BICSI/ ICC
- CERNER Standards/ U-FTP/ WAN Connection
- Abatement/Site Management Testing
- Equipment Training Plans/ Specs
- New Construction TR rooms/ Finishes
- ICRA & Control Implementation Plan
- Construction Period Service
- Construction Sequencing Plan
- Site investigation/ LIDAR Survey
- Fiber Survey/ Redundant Fiber Line
- Noise/ Vibrations/ Acoustics
- Seismic Restraints
- Life Safety/ Fire Safety/ Fire Alarm
- Equipment Training Plans/ Specs
The goal for the space is to provide Veterans diagnosed with PTSD 100% ADA Compliant living accommodations that meets the VA Domiciliary design criteria for the Post-Traumatic Stress Disorder Residential Rehabilitation Program. To address the predicted increase in demand for additional PTSD facilities, and to reflect the goal to improve healthcare for Veterans, the FDR Campus has been identified as a facility for the construction of this in-patient type of living accommodation. Renovation to Building 13, Ward AB accomplishes this and provides a 24 hours per day, 7 days per week, (24/7) structured and supportive care as a part of the rehabilitative treatment regime.
Ward AB is approximately 17,312 SF and is the second story of a three-story building. The second and third stories will be unoccupied during the project; however, the ground level remains functional. Additionally, risk mitigation strategies were used for separate construction activities occurring simultaneously on the third story of the building.
Spaces included in this design:
- 24 individual patient quarters consisting of bedroom & bathroom
- 13 offices for medical professionals to meet with patients, including a conference space for staff
- 3 ADA compliant group rooms, 1 group room large enough to accommodate all patients and staff together
- 2 nursing stations (designed to be staffed 24/7)
- Recreation space for patients to socialize
- Clinical treatment room, med room, and drug testing bathroom
Key Project Elements:
- Patient-Centered Healthcare
- Domiciliary Facility/ PTSD Treatment/ PRRP
- Design Charrette/ Programming
- Multiple Design & Interior Finish Options
- Phasing/ Active Healthcare Facility
- Cost Estimating/ Deductive Alternates
- Feasibility Report/ As-Builts
- LIDAR Survey/ Site Evaluation
- Exterior Stair Towers/ SHPO
- Hazardous Materials Survey/ACM /Lead Abatement/ 3rd party Inspections & CxA
- Renovation/ Demolition
- ADA/ Life Safety/ Lighting Systems
- Med Gas Infrastructure/ Controls
- LV Comm. Devices & Cables CAT 6A
- CERNER compliant IT Closets
- Signage/ Millwork/ BIM/ 3D Renderings
- Furniture & Equipment Plans
- Modified Fire Suppression Sys. / HVAC
- Commissioning Plans/ Recommissioning
- Seismic Category B/ Seismic H-18-8
- Construction Period Services
The purpose of this project was to provide a designed solution to address deficiencies associated within the built environment of the IT Service Line, located within multiple buildings at the NMVAHCS.
In addition to ensuring adequate capacity for planned growth and maintenance, this project addressed deficiencies as defined by the PSDM (Physical Security Design Manual) 2015 VA Standard. The design included considerations for expanding the size of IT Closet Areas, addressing UPS deficiencies, grounding and bonding conditions within each closet, alarm monitoring, configuration of equipment within the closets such as cable trays/ housings, rack configuration, sizing of sleeves for cabling, removing abandoned cable and addressing physical security needs.
Dedicated supplemental cooling, security, and bonding (grounding) to the other closets within the building were also supplied. The deficiencies vary from building to building, however common deficiencies found in all the buildings included: lack of access control, lack of equipment bonding (grounding) and the absence of a dedicated cooling unit within the space.
Key Project Elements:
- Remodel and New Construction IT Closets
- Structured Cabling/ CAT6
- Phasing/ Construction Sequencing
- Life Safety/ Emergency Lighting/ Grounding
- Fire Protection/ New Fire Alarm System
- PSDM Corrections/ New Security Cameras
- Deficiency Checklist per OIT HVAC/ BAS/ Cooling System
- Removal Legacy Cabling Infrastructure
- Emergency Power/ UPS Deficiencies
- Interior Finishes/ Signage Package/ Specs
- Protect Historic Elements and Features
- LIDAR survey/Site Evaluation/ BIM
- Equipment Plans/ Equipment Racks
A thorough physical security risk assessment and gap analysis was conducted for the Lee County VA Healthcare Center. Classified and unclassified sources were sought for threat intelligence data pertinent to the Lee County VA Healthcare Center. Both qualitative and quantitative tools were utilized to prioritize critical assets and vulnerabilities for this proposed facility. A top 10 critical targets list was developed which involved the patient and staff operations, logistics and utilities.
Top threats assessed include storm damage, assault, equipment reliability, active shooter, IED, various larceny theft and cyber-attack. All processes of this Risk Assessment are in complete compliance with the VA physical security design manual (PSDM), January 2015 release. Based on PSDM section 184.108.40.206, this campus was treated as a fully operational medical center based on criteria of net square footage of usable space, services offered and operational sustainability.
Architectural scope: Included hardening entrances, the mail room, and exterior mechanical louvers. While additional internal screening was explored it was determined by the facility and police stakeholders on site the allowable funding is best served by correcting deficiencies at the exterior of the building. A new Guard House was installed at the Main Entry.
Civil/Landscape: Provided hardening at the perimeter of the site as identified in the drawings. Provided protection of the site utilities to meet PSDM 2015 requirements.
Structural: Provided seismic supports for hardening in accordance with VA PSDM 2015 requirements.
LIFE Safety: Provided appropriate clearances and phasing and entry hardening to maintain existing Life Safety and Fire rating requirements. Provided all required smoke/fire dampers and alarms with new Air Handling Unit to maintain current VA and NFPA standards.
HVAC: Corrected deficiencies with existing louvers.
Electrical: Provided electrical upgrades to support new security cameras, VASS, Guard House, infrastructure site lighting, and architectural modifications.
Key Project Elements:
- Physical Security Risk Assessment
- Gap Analysis
- Phasing per CPM
- Infection Control Risk Assessment
- Hazardous Material Abatement
- Seismic Bracing/High Seismic Zone
- Cost Estimates/Deductive Alternates
The Montrose Community Living Center (CLC) consists of one single story CLC Resident House that includes components of a CLC Neighborhood Center. The design provides 25,000±SF of usable space for 28 Veteran Residents (14 residents per wing). The client received the following features and benefits as part of the comprehensive architecture, engineering, and interior design of the CLC:
- Connection from CLC to main hospital via sidewalks and covered walkways, giving residents easy access to treatment facilities.
- Triple C followed the guidelines in the VA Small House Model for Residential-centered Living, assuring the client that proven design elements were employed to provide comfort and accessible living for residents.
- Residents have easy and comfortable access to shared “Neighborhood” community group spaces in the home that allow for resident interaction and socialization, along with climate controlled accessible connections.
- The site design is very aesthetic, including parking areas, entries, way-finding signage, landscaping, and accessibly trails and walkways for residents to enjoy outdoor activities as weather permits.
- Fully accessible utility support space has been provided in the basement level for all plumbing support and a penthouse has been included which houses the air handling units.
- All utility, physical security and IT infrastructures are adequately sized for potential future requirements and include all necessary excavation for new underground utility, security, and IT services.
- LIDAR survey and site evaluation was key in providing the most accurate data for the design team and for assuring scheduled activities were achieved accurately.
- Design and construction coordination with other active projects at the VA Medical Center was ongoing through the life of the design phase.
- Project is programmed for LEED Silver.
Triple C performed a thorough charrette process which enabled the client to choose between three site and building options. Triple C also provided virtual reality sessions to enable the VA client to visualize each option to aid in the decision process.
- Economizes on staffing and circulation
- Fully utilizes community spaces that would have been under utilized if the neighborhood center was a separate structure
- Delivers natural daylight through the use of clerestory windows
- Offers efficient use of infrastructure
- Provides a residential feel
- Includes home like room entrances to provide the resident a sense of ownership
- Grants outside ground level access to patios and walking paths
The Master Planning project developed an integrated facility design for VA Central California Health Care System (VACCHCS) identifying existing problems, future demands, and establishing strategic programs to address deficiencies. The work included two distinctive phases: (1) data collection, function, capacity and site analysis; and (2) comprehensive planning and phasing. Triple C developed reports to identify deficiencies, developed facility resource requirements and developed/finalized a Master Plan Option Presentation, all while keeping in mind and understanding the facility’s potential and its limitations.
- Seismic & Traffic Study
- Facility Healthcare Planning Data Collection
- Facility Data Collection & Site Analysis
- Priorities & Precepts Discussion
- Master Planning & Option Development
- Master Plan Refinement & Final Documentation
Located in the basement of the existing Outpatient Clinic Building, the remodel of the 12,283 S.F. Emergency Department to utilize existing space available and maximize the number of Observation Beds. An orderly and professional development plan with associated site and cost estimates was provided.
The additional observation beds Development Plan also considered and addressed the following:
- Entire Emergency Department and Mechanical Room site
- Installation of temporary smoke tight construction partition between construction area and adjoining areas
- Demolition of existing Police services, Observation Treatment rooms, locker room, Observation Treatment rooms, Head Nurse room, Chief of ER & SPD
- Addition of 8 new patient observation beds and one storage/observation overflow space
- Addition of new nurse station, trash cart closet, linen closet
- Addition of back office corridor, with restricted access to trash cart closet, linen closet and storage
- Design identified sustainability goals
- Corrected deficiencies found in OPC HVAC System Summary Reports
- New equipment, additions and relocation of existing equipment
The $1.1M SimLEARN/ Resuscitation Education Initiative (REdi) project included a comprehensive simulation testing methodology on an active site, with a fast-track schedule, and incorporated: 1. a pre-assessment; 2. simulation testing; and 3. mitigation support and guidance of continuous improvement.
The results of this testing showed there were no call boxes or call buttons in parking lots, common areas, and patient care areas. Triple C developed a design that included the required equipment at appropriate locations and the utility infrastructure (electrical service and telecommunication services) to enable the construction and activation of call boxes or call buttons on the Albuquerque, New Mexico campus. All utility and grounds/landscaping services were completed for the safe and convenient installation of the approved equipment.
The project designs approximately 13,700 GSF of VA Primary Care space and implements the Patient Aligned Care Team (PACT) model. The project is the first of a planned multi-structure complex and requires consideration for future vertical and/or horizontal expansions. The buildings primary utilization is to Expand Primary Care for Implementation of the PACT model.