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Business Requirement Session Veterans Integrated Service Network (VISN) 10/ Network 10 Contract Office (NCO) December 9-11, 2014

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Page 1: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Business Requirement SessionVeterans Integrated Service Network (VISN) 10/

Network 10 Contract Office (NCO)

December 9-11, 2014

Page 2: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Overview• Who We Are• VISN 10 Sites • Contracting• Construction/Leasing Projections• Logistics• Resource Information• Summary• Q & A

Page 3: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Who We Are

Page 4: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Who We Are• Terry Spitzmiller -- Director of Contracting, Network Contracting

Office (NCO) 10**

• Ron Stertzbach -- VISN 10 Capital Asset Manager**

• Jodi Cokl -- VISN 10 Chief Logistics Officer**

• Pak Sa Dewhurst -- Small Business Liaison, NCO 10**

• Tom Moore -- Division Chief, NCO 10 Contracting

• William Precht – Acquisition Liaison, Surveillance and Utilization

Page 5: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

VISN 10

Page 6: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert
Page 7: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert
Page 8: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Chillicothe VAMC

Cincinnati VAMC

Dayton VAMC

Columbus VAACC

Cleveland VAMC

Page 9: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Contracting

Page 10: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

FY11 - FY14 Obligations & Actions• FY11

• Contract Obligations: $396,065,618• Contract Actions: 14,864

• FY12• Contract Obligations: $360,418,836• Contract Actions: 11,526

• FY13• Contract Obligations: $335,149,289• Contract Actions: 13,505

• FY14• Contract Obligations: $318,972,856• Contract Actions: 14,756

Page 11: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

• Service Disabled Veteran Owned Small Business (SDVOSB) -- 10% / 21.27%

• Veteran Owned Small Business (VOSB) -- 12% / 26.40%

• 8(a) & Small Disadvantaged Business (SDB) comb -- 5% / 9.19%

• Woman Owned Small Business (WOSB) -- 5% / 3.93%

• Historically Underutilized Business Zone (HUBZone) -- 3% / 0.23%

• Small Business -- 35% / 43.96%

Socioeconomic Goals VA & VISN 10

Page 12: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

• Construction • Health Care

Resources• Medical Services• Architect &

Engineering (A&E)• Facilities

Maintenance• Services• Pharmaceuticals

• Information Technology Products and Services

• Commodities • Leases – Building &

Equipment• Research and

Development• Sharing Agreements

WHAT WE PROCURE

Page 13: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

• Agency Inventories• Other Agency’s excess inventory• Federal Prison Industries (FPI)• Ability One• GSA• Mandatory Federal Supply Schedules

– Solution for Enterprise Wide Procurement (SEWP) (IT purchases)

– Prime Vendors

VA Ordering Hierarchy

Page 14: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

• Non-mandatory Federal Supply Schedules• Commercial Sources (Open Market)

– Service-Disabled Veteran-Owned Small Business– Veteran-Owned Small Business– 8(a) (Certified by SBA)– HubZone (Certified by SBA)– Woman-Owned– Minority-Owned– Small business with no special socioeconomic

category– Large business

Page 15: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Construction / Leasing Projections

Page 16: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Requirements Forecast 2015-2017 (Minor)Scope Estimated Size Anticipated

Need DateBuild Addition for Supply Processing and Distribution (Chillicothe)

$7M - $10M FY15

Renovate Mental Health Ward (Chillicothe) $7M - $10M FY16/17

Build Laboratory/Prosthetics Addition (Chillicothe)

$7M - $10M FY16/17

Relocate Specialty Clinics (Chillicothe)

$7M - $10M FY17-Future

Relocate Surgery, Endoscopy, and Cardio Pulmonary (Chillicothe)

$7M - $10M FY17-Future

Page 17: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Requirements Forecast 2015-2017 (Minor)Scope Estimated Size Anticipated

Need DateConstruct Inpatient Bed Tower to Correct Patient Privacy, Floors 4 & 5(Cincinnati)

$7M - $10M FY15

Relocate Community Living Center(Cincinnati)

$7M - $10M FY16/17

Replace Animal Research Facility (Cincinnati)

$7M - $10M FY16/17

Construct Patient Parking Garage (Cincinnati)

$7M - $10M FY16/17

Construct Research Addition (Cincinnati)

$7M - $10M FY17-Future

Page 18: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Requirements Forecast 2015-2017 (Minor)Scope Estimated Size Anticipated

Need DateEmergency Department and Specialty Care Clinic Addition(Cleveland)

$7M - $10M FY15

Construct VHA/VBA Compensation and Pension Addition (Cleveland)

$7M - $10M FY15

Construct Parking Garage(Columbus) $7M - $10M FY15

Page 19: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Requirements Forecast 2015-2017Scope Estimated Size Anticipated

Need Date

Replace Exterior Campus Signage (Chillicothe) $500K - $1M FY15

Inspect and Repair Sanitary Sewer (Chillicothe) $300K - $600K FY15

Replace Work Therapy Greenhouse (Chillicothe)

$500K - $1M FY16

Correct Safety Issues for Acute Mental Health Ward, B35CD (Chillicothe) $500K - $1M FY16

Replace Outdated HVAC Equipment (Chillicothe)

$7M - $10M FY16

Replace Roof, Building 20 (Chillicothe) $300K - $600K FY17

Page 20: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Requirements Forecast 2015-2017Scope Estimated Size Anticipated

Need Date

Replace Roof, Building 8 (Chillicothe) $100K - $300K FY17

Replace Roof and Repair Structure (Chillicothe) $300K - $600K FY17

Sanitary Sewer Repair (Chillicothe) $300K - $600K FY17

Repave Roland Ave and Taft Circle (Chillicothe) $300K - $600K FY17

Page 21: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Requirements Forecast 2015-2017Scope Estimated Size Anticipated

Need Date

Calibrate and Install Additional Utility Meters (Cincinnati)

$100K - $500K FY15

Improve Auditorium for Incident Command Center Operations (Cincinnati)

$100K - $500K FY16

Relocate Dental and Hemodialysis (Cincinnati) $4M - $6M FY16

Correct Electrical Facility Condition Assessment Deficiencies (Cincinnati)

$2M - $4M FY16

Correct IT Facility Assessment Deficiencies (Cincinnati)

$100K - $500K FY16

Abate Asbestos (Cincinnati) $100K - $500K FY16

Page 22: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Requirements Forecast 2015-2017Scope Estimated Size Anticipated

Need Date

Improve Water Efficiency and Legionella Mitigation (Cincinnati)

$500K - $1M FY16

Correct Inpatient Mental Health Deficiencies (Cincinnati)

$500K - $1M FY16

Site Improvements (Cincinnati) $500K - $1M FY16

Install LED Lights (Cincinnati) $500K - $1M FY16

Certify Sustainable Buildings (Cincinnati) $500K - $1M FY16

Upgrade Fire Radio System (Cincinnati) $100K - $500K FY17

Page 23: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Requirements Forecast 2015-2017Scope Estimated Size Anticipated

Need Date

Upgrade Fire Alarm, FTD (Cincinnati) $500K - $1M FY17

Correct Structural Issues on Trailers (Cincinnati)

$100K - $500K FY17

Page 24: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Requirements Forecast 2015-2017Scope Estimated Size Anticipated

Need Date

Provide Emergency Power to Critical HVAC Units (Cleveland)

$500K - $1M FY15

Renovate Ambulatory Care Medical Specialty Clinics (Cleveland)

$1M - $5M FY15

Convert Pneumatic VAV Boxes to DDC (Cleveland)

$500K - $1M FY15

SCI Outpatient Clinic Addition (Cleveland) $1M - $5M FY15

Improve Potable Water System to Prevent Legionella (Cleveland)

$1M - $5M FY16

Enhance Medical, Specialty Care, and Admin Services (Cleveland)

$1M - $5M FY16

Page 25: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Requirements Forecast 2015-2017Scope Estimated Size Anticipated

Need Date

Replace Main Street Floor Tile (Cleveland) $100K - $500K FY17

Provide Smoking Shelter (Cleveland) $100K - $500K FY17

Replace Stair Treads (Cleveland) $100K - $500K FY17

Repair Penthouse Fascia (Cleveland) $100K - $500K FY17

Upgrade Fire Alarm (Cleveland) $100K - $500K FY17

Construct CARES Drop Off Canopy (Cleveland) $100K - $500K FY17

Page 26: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Requirements Forecast 2015-2017Scope Estimated Size Anticipated

Need Date

Modify Entrance and Correct Sprinkler Coverage (Columbus)

$1M - $5M FY15

Replace Existing Nurse Call System (Columbus)

$100K - $500K FY15

Correct VA Security Compliance Deficiencies (Columbus)

$100K - $500K FY15

Install Active Harmonic Filters on Substations (Columbus)

$500K - $1M FY15

Correct HVAC Deficiencies (Columbus) $100K - $500K FY15

Correct Electrical Deficiencies (Columbus) $100K - $500K FY16

Page 27: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Requirements Forecast 2015-2017Scope Estimated Size Anticipated

Need Date

Add Valet Parking Lot (Columbus) $100K - $500K FY17

Increase Size of Smoking Shelter (Columbus) $100K - $500K FY17

Install Loading Dock (Columbus) $100K - $500K FY17

Install Water Monitoring System (Columbus) $500K - $1M FY17

Change Site Lighting to LED (Columbus) $100K - $500K FY17

Expand Specimen Collection Area (Columbus) $100K - $500K FY17

Page 28: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Requirements Forecast 2015-2017Scope Estimated Size Anticipated

Need Date

Upgrade B-310 Electrical Branch Circuit Risers (Dayton)

$500K -$1M FY15

Renovate Operating Rooms (Dayton) $7M - $10M FY16

Improve Fire Station (Dayton) $100K - $500K FY16

Improve Security Backbone (Dayton) $500K - $1M FY16

Replace Sprinkler Heads (Dayton) $500K - $1M FY16

Stabilize Building for National Historic Archives (Dayton)

$500K - $1M FY16

Page 29: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Requirements Forecast 2015-2017Scope Estimated Size Anticipated

Need Date

Improve Water Distribution System (Dayton) $5M-$7M FY16

Expand Energy Conservation Measures (Dayton)

$500K - $1M FY16

Replace Roof Building 115 (Dayton) $100K-$500K FY16

Improve Roads and Sidewalks (Dayton) $500K - $1M FY16

Relocate Prosthetics and Podiatry Clinic (Dayton) $7M - $10M FY17

Page 30: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Vision for 2017Scope Estimated Size Anticipated

Need Date

Minor Projects $40M FY17

NRM Projects $15M FY17

Page 31: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Leases

31

Page 32: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Requirements Forecast 2015-2017Scope Estimated Size Anticipated

Need Date

Florence CBOC (Cincinnati) 13,500 NUSF FY15

Georgetown CBOC (Cincinnati) 6,000 NUSF FY15

Mental Health Clinic (Cincinnati) 21,000 NUSF FY15/16

Bellevue CBOC (Cincinnati) 9,500 NUSF FY16/17

Mental Health Clinic (Cincinnati) 21,000 NUSF FY15/16

Relocate and Expand EICU (Cincinnati) 6,600 NUSF FY15/16

Page 33: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Requirements Forecast 2015-2017Scope Estimated Size Anticipated

Need Date

Painesville CBOC (Cleveland) 17,500 NUSF FY15

Lorain CBOC (Cleveland) 20,000 NUSF FY16

Youngstown CBOC (Cleveland) 30,000 NUSF FY16/17

Sandusky CBOC (Cleveland) 10,700 NUSF FY17-Future

Page 34: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Requirements Forecast 2015-2017Scope Estimated Size Anticipated

Need Date

Grove City CBOC (Columbus) 15,000 NUSF FY15

Admin Space (Columbus) 10,000 NUSF FY15

Mental Health Clinic (Columbus) 10,000 NUSF FY15

Page 35: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Requirements Forecast 2015-2017Scope Estimated Size Anticipated

Need Date

Lima CBOC (Dayton) 8,300 NUSF FY15

Page 36: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Logistics

Page 37: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Clinical Supply - Logistics• Manage Supplies for Inpatient and Outpatient

Care within the facility• Med/Surg Prime Vendor Contract

• Cardinal Health – Large Business• Distributes all VA mandatory contract items• Distributes some FSS contract items

(opportunity)• SDVOSB FSS or standardized items bought

outside MSPV• Open market bought outside MSPV

Page 38: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Clinical Supply - Other• Prosthetics Supply – Durable Goods shipped to or

distributed to Patient for use at home• Working to transition some under MSPV• Multiple Standardized Contracts• Open Market and FSS Procurements

• Pharmacy Supply – Disposable supplies shipped to or distributed to Patient for use at home• Some ordered under MSPV and stored in Opt

Pharm for distribution to patients at home• Many shipped directly from Consolidated Mail Out

Pharmacy (CMOP)

Page 39: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Clinical Supply Opportunities

$0 $2,000,000 $4,000,000 $6,000,000 $8,000,000 $10,000,000

CHILLICOTHE

CINCINNATI

CLEVELAND‐WADE PARK

COLUMBUS

DAYTON

$550,578

$3,709,768

$6,224,194

$617,112

$2,476,769

$770,594

$4,671,398

$8,207,512

$912,852

$2,698,050

$220,016

$961,631

$1,983,318

$295,741

$221,281NonMSPVClinicalSpendFY14

TotalClinicalSpendFY14

MSPVSpendFY14

Page 40: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Non-Clinical Supply and Equipment• GSA FSSI BPAs (must be a FSSI BPA holder)

• Engineering and Environmental Supplies• Office Supplies and Toner Cartridges

• Office equipment and furniture for Construction areas

• Multifunction secure copier/printing devices

Page 41: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

FY15 Initiatives• VISN 10 Initiatives

– Pre-etched Surgical and Dental Instrumentation– POU Inventory Management Systems

• Central Region Initiatives– Bulk Oxygen –Questions may be addressed to

Ken Eshom or Brian O’Boyle– Custom Procedure Packs – Questions may be

addressed to Kim Hurt or Nicole Kutsi

Page 42: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Resource Information

Page 43: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

• Systems for Award Management: www.sam.gov• The Center for Veterans Enterprise Web Portal: www.vetbiz.gov• Federal Business Opportunities: www.fbo.gov or

www.fedbizopps.gov• Office of Small and Disadvantaged Business Utilization and

VA’s Forecast of Contracting Opportunities: www.va.gov/osdbu/index.asp

• U.S. Small Business Administration: www.sba.gov• Acquisition Central: www.acquisition.gov• VA Forecast of Contracting Opportunities(FCO):

www.vendorportal.ecms.va.gov/eVP/fco/FCO.aspx• North American Industry Classification System (NAICS):

www.census.gov/naics

Resource Information

Page 44: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

How You Can Help• We need help with finding certified Woman-Owned or HUBZone

Small businesses that are also Service-Disabled Veteran-Owned or Veteran-Owned Small Businesses

• For SVDOSB or VOSB – You must have solid business plans and be a verified small business • We still receive way too many protests which wastes time,

taxpayer dollars and causes extra work for all• Trying to “cheat” the system puts the whole program in jeopardy

and risks your chances to ever participate again• I have put my people on alert to report any suspicious

activity and report it to the OIG and/or VETBIZ• Once verified – stay current – expires every 2 years

Page 45: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Summary

Page 46: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Summary

• VISN 10 Sites • Contracting• Construction/ Leasing

Projections• Logistics• Resource Information

Page 47: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert
Page 48: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert

Thank You

Page 49: Business Requirement Session Veterans Integrated Service ... · Units (Cleveland) $500K -$1M FY15 Renovate Ambulatory Care Medical Specialty Clinics (Cleveland) $1M -$5M FY15 Convert