hcd13 - session e35 space planning standards … · chapter no. department service 1 210 general...

| SPACE PLANNING STANDARDS FOR FEDERAL HEALTHCARE FACILITIES

S PA C E P L A N N I N G S TA N D A R D S F O R F E D E R A L H E A LT H C A R E FA C I L I T I E S

• RONALD VILLASANTE Director of Federal Healthcare Planning, HDR

• GARY FISCHERSenior Architect, CFM, VA

• HAROLD SHERMANSenior Health Systems Planner, DHA, DoD

• LAURA DiCONTISenior Healthcare Planner, HDR

H C D 1 3 - S E S S I O N E 3 5


FA C I L I T Y D E S I G N

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FA C I L I T Y D E S I G N

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S PA C E P L A N N I N G S TA N D A R D S F O R F E D E R A L H E A LT H C A R E FA C I L I T I E S

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F E D E R A L H E A LT H C A R E FA C I L I T I E S

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VA DoDHospital / Medical Centers 152 65Outpatient Clinics 840 412Dental Clinics --- 414Community Living Centers (CLCs) 133 ---Total SF ~142M ~65MBeneficiaries 8.3M 9.6MStaff 239K 137KAnnual Budget $47B $50BSource: US Medicine 2014 Directory of Federal Medical Treatment Facilities


P L A N N I N G S TA N D A R D S

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| SPACE PLANNING STANDARDS FOR FEDERAL HEALTHCARE FACILITIES 7




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VA S PA C E P L A N N I N G C R I T E R I A C H A P T E R S

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CHAPTER No. DEPARTMENT SERVICE



1 100 Medical/Surgical Inpatient Units Clinical 23 269 Recreation Service Clinical 46 206 Veterans Canteen Service Support

2102 Intensive Care Nursing Units Clinical

24270 Physical Medicine and Rehabilition Service Clinical

47208 Chaplain Service Support

3 104 Spinal Cord Injury / Disorders Center Clinical 25 272 Psychology Service Clinical 48 220 Credit Union Support

4106

Community Living Center (CLC) (formerly Nursing Home Care Unit) Clinical

26275 Magnetic Resonance Imaging (MRI) Clinical

49224 Nutrition and Food Service Support

5110

Mental Health and Behavioral Patient Care Units Clinical

27276 Radiology Service Clinical

50230 Engineering Service Support

6 111 Polytrauma Rehabilitation Center (PRC) Clinical 28 277 Radiation Therapy Service Clinical 51 232 Office of Information and Technology Support7 202 Substance Abuse Clinic Clinical 29 286 Surgical Service Clinical 52 234 Fiscal Service Support8 204 Audiology and Speech Pathology Service Clinical 30 287 Digestive Diseases - Endoscopy Suite Clinical 53 244 Lobby Support9 210 Cardiovascular Laboratories Clinical 31 300 Day Hospital Clinical 54 248 Medical Media Service Support

10 212 Pulmonary Medicine (PM) Clinical 32 308 Prosthetic and Sensory Aids Service Clinical 55 268 Pharmacy Service Support11 222 Dental Service Clinical 33 312 Domiciliary Clinical 56 278 Research and Development Support12 226 Electroencephalography Laboratory Clinical 34 316 Dialysis Center Clinical 57 279 Police Service Support13 233 Eye Clinic Clinical 35 214 Clinical Services Administration Clinical Support 58 280 Service Organizations Support14 238 Medical Center Director's Suite Clinical 36 218 Veterans Assistance Unit Clinical Support 59 282 Social Work Service Support

15240 Pathology and Laboratory Medicine Service Clinical

37246 Health Administration Services Clinical Support

60290 Voluntary Service Support

16252 Nuclear Medicine Service Clinical

38254 Nursing Service Administration Clinical Support

61291

Acquisition and Materiel Management Service - Warehouse Support

17256

Emergency Department and Urgent Care Clinic Clinical

39266 Human Resources Management Clinical Support

62400 Library Service Support

18258

Women Veterans Clinical Service (Models 2 and 3) Clinical

40274 Quarters, On-Call Clinical Support

63402 Educational Facilities Support

19 260 Mental Health Clinic Clinical 41 284Acquisition and Materiel Management Service - Administration Clinical Support 64 420 Childcare Development Center Support

20 261 Day Treatment Center Clinical 42 285 Supply Processing and Distribution Clinical Support

21262 Ambulatory Care (Hospital Based) Clinical

43406

Environmental Management Service - Administration Clinical Support

22 265 Outpatient Clinics (CBOC, SOPC) Clinical 44 408Environmental Management Service - Laundry and Linen Operation Clinical Support

45 410Environmental Management Service - Lockers, Lounges, Toilets, and Showers Clinical Support

VA SPACE PLANNING CRITERIA CHAPTERS (PG 18-9)


VA P G 1 8 - 9 : S PA C E P L A N N I N G C R I T E R I A

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Insert from 9.xlsx

VA P G 1 8 - 5 : E Q U I P M E N T G U I D E L I S T

JSN NAME QTY ACQ / INS DESCRIPTION SPECA6046 Artw ork, Decorative, With Frame AR VV This JSN is to be used for determining and defining location of decorative artw ork.A5210 Bracket, Television, Wall Mounted, w /Adjust Arm 1 CC Wall mounted television bracket w ith adjustable arm. Consists of platform movable arm

w ith full 120 degree sw ivel. Designed for holding w all mounted television units in patient rooms.

orA5215 Bracket, Television, Ceiling Mounted 1 CC Ceiling mounted television bracket. The bracket shall be a yoke style mount w ith a load

capacity of 300 pounds w ith adjustments of 0-15 degree tilt and 360 degree sw ivel. Width and height shall be capable of accommodating various size monitors.

A5220 Bracket, Television, Wall Backing 1 CC Wall mounted television bracket backing w hich provides additional support and strength for the installation of the television bracket. Option available for interior or exterior plate and sized for 12” 16” or 24” stud spacing.

F0305 Chair, Waiting Room, Single AR VV Single seat w aiting room chair w ith foam padded seat and back. Upholstered w ith either w oven fabric textile or vinyl. Arms and f loor glides included.

F0740 Table, Occasional, Lamp AR VV Occasional lamp table (end table) approximately 20" high X 27" w ide X 27" deep w ith choice of f inishes (w ood, oak veneer, or high pressure laminate).

F2000 Basket, Wastepaper, Round, Metal 1 VV Round w astepaper basket, approximately 18" high X 16" diameter. This metal unit is used to collect and temporarily store small quantities of paper refuse in patient rooms, administrative areas and nursing stations.

F2300 Rack, Magazine, Wall Mounted 1 VV Wall mounted magazine rack w ith nine (9) magazine holding compartments.

110 MENTAL HEALTH AND BEHAVIORAL PATIENT CARE UNITS

A. PATIENT CARE UNIT: RECEPTION AREAS

1. WAITING (WROC1)

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VA P G 1 8 - 1 2 : D E S I G N G U I D E

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1 210 General Administration Clinical 21 440 Surgery (Inpatient and Ambulatory) Clinical2 301 Primary Care - Family Medicine Clinical 22 460 Psychiatric Units Clinical3 303 Pediatrics Clinical 23 530 Pathology Clinical

4 310Audiology / Hearing Conservation / Speech Pathology / Ear Nose and Throat (ENT) Clinical 24 540 Radiology and Nuclear Medicine Clinical

5311 General and Specialty Surgical Clinics

Clinical 25220 Medical and Patient Libraries and Resource

Centers Clinical Support

6312 Orthopedics/Podiatry/Chiropractic/Sports

Medicine Clinical 26230 Education and Planning

Clinical Support7 313 Ophthalmology/Optometry Clinic Clinical 27 250 Medical Administration Clinical Support8 314 Urology Clinical 28 450 Central Sterile Clinical Support9 315 Specialty Medical Clinics Clinical 29 550 Pharmacy Clinical Support

10 316 Cardiology / Pulmonary Services Clinical 30 110 General General11 318 Mental Health (Behavioral Health) Clinical 31 120 Occupancy Rates General12 319 Preventive Medicine Clinical 32 130 Net to Gross Conversion Ratios General13 320 Dental Clinic Clinical 33 140 Medical Mobilization Requirements General14 350 Emergency and Ambulance Services Clinical 34 240 Information Management Support15 360 Women's Health Clinical 35 510 Food Service Support16 380 Occupational Therapy Clinic Clinical 36 520 Logistics Support17 390 Physical Therapy Clinical 37 560 Veterinary Support18 410 Nursing Units Clinical 38 570 Chapel Support19 420 Labor and Delivery / Obstetric Unit Clinical 39 620 Common Areas Support20 430 Nursery Clinical

DoD Space Planning Criteria Chapters

D o D S PA C E P L A N N I N G C R I T E R I A C H A P T E R S

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D o D D H A S PA C E P L A N N I N G C R I T E R I A C H A P T E R

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D o D U F C 4 - 5 1 0 - 0 1

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| SPACE PLANNING STANDARDS FOR FEDERAL HEALTHCARE FACILITIESSlie # 14

D o D M I L S T D 1 6 9 1 A p p e n d i x A

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P R O G R A M F O R D E S I G N ( P F D ) P R O J E C T R O O M C O N T E N T S ( P R C )

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VA W O R K F L O W P R O C E S S

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D o D W O R K F L O W P R O C E S S

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R E S E A R C H : P O L I C I E S & D I R E C T I V E S

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R E S E A R C H : B E H AV I O R A L H E A LT H E X P E R T I S E

» Sheppard Pratt Health System» VA Pittsburgh Healthcare System» Western and Eastern State

Hospitals» The Oaks Hospital at New

Hanover Regional Medical Center» Lasting Hope Recovery Center» W.G. Hefner VA Mental Health

Master Facility Plan and Design» St. Mary’s Hospital- Mayo Clinic» State of California Prison

Receivership Project» National VA Mental Health Space

Planning Criteria and Design Guide

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R E S E A R C H : I N D U S T RY T R E N D S & B E S T P R A C T I C E S

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» Healthcare / Clinical Planners» Subject Matter Experts» The Center for Health Design » Planetree and Greenhouse » The Advisory Board» SG2» Teaming with Manufacturers» Design Guide for the Built Environment

of Behavioral Health Facilities by NAPHS

» FGI Guidelines» VA Design Guides: Mental Health

Facilities


R E S E A R C H : B E H AV I O R A L H E A LT H D E S I G N T R E N D S

» Private Patient Bedrooms and Bathrooms

» Updated Treatment Milieus» Mall Treatment and Neighborhood

Concept» On-Stage and Off-Stage Design» Access to Nature

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R E S E A R C H : E V I D E N C E B A S E D D E S I G N P R I N C I P L E S

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R E S E A R C H : W O R L D C L A S S FA C I L I T I E S

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P R O C E S S : S P E C I A LT Y L E A D E R S M E E T I N G S

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P R O C E S S : F U N C T I O N A N D O P E R AT I O N S

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S P C D R I V E R S

PROGRAM DATA REQUIRED (Input Data Questions)• Mission Drivers

» Is a Residency Program authorized? (M)

» Is a multi-purpose office for the Substance Abuse patient care unit authorized? (M)

• Workload Drivers» How many Mental Health and Behavioral Patient Care Unit patient

beds are projected? (W)

» How many Mental Health and Behavioral Patient Care Unit bariatric patient beds per patient care unit are projected? (W)

• Staffing Drivers» How many Physician / Consult FTE positions are authorized? (S)

» How many Psychologist FTE positions are authorized? (S)

• Miscellaneous Statements» How many FTEs will work on peak shift? (Misc)

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Room Code (per DoD’s UFC-4-510-01)Five alpha-numeric identifier

AMB01 Ambulance Shelter

BRIT1 Bedroom, Isolation, NegativeBRUN1 Bedroom, Universal, Inpatient

EXRG1 Exam Room

JANC1 Janitor Closet

LMHI4 Laboratory, Hematology, LargeLR002 Locker Room, Changing

NMGS1 Nuclear Medicine, General Scanning

OFA04 Office, PrivateOFA05 Office, SharedOFA03 Office Administrative Cubicle

SRS01 Storage Room, Shelving

TULT1 Toilet, Unisex

Joint Schedule Number (JSN)(per DoD’s Mil Std 1691)One alpha character + four alphanumeric characters

A ArchitecturalC Fixed CaseworkD Dental Equipment / CaseworkE Modular CaseworkF Furniture and FurnishingsK Food Service EquipmentL Laboratory EquipmentM MiscellaneousP Plumbing FixturesR RefrigerationS Sterilizers and Associated EquipmentT Shop Equipment/ToolsU User Specific ItemsV VeterinaryX X-Ray Equipment and Accessories

A5110 Grab Bar, 1-1/4" Dia., SS, 2 Wall, ShowerF0245 Chair, Executive, Rotary, High backX8750 Accelerator, Linear, 5-22 MeV, Dual

S P C : R O O M C O D E S & J O I N T S C H E D U L E N U M B E R S

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S P C : T E S T F I T S & R O O M M O C K U P S

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S P C : T E S T F I T S & R O O M M O C K U P S

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S P C : T E M P L AT E S / G U I D E P L AT E S

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S P C : T E M P L AT E S / G U I D E P L AT E S

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S P C S TA N D A R D S : C H A P T E R

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S P C S TA N D A R D S : C H A P T E R

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S P C S TA N D A R D S : F U N C T I O N A L A R E A S

Typical Space Criteria Functional Areas for Clinical Chapters

1. Reception Area2. Patient Area3. Support Area4. Staff and Administrative Area5. Education Area

Typical Space Criteria Functional Areas for Clinical Support and Clinical Services Chapters

1. Reception Area2. Typical 13. Typical 24. … 5. Staff and Administrative Area6. Support Area

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A. Patient Care Unit: Reception Areas

1. Waiting (WRC01) ............................................................. 100 NSF (11.2 9.3 NSM)Provide one per each patient care unit if Waiting is authorized for each one in Concept of Operations.

Waiting should be connected to the patient entrance corridor and be under visual control of the Nurse Station.

2. Interview Room (OFDC2) ...................................................... 120 NSF (11.2 NSM)Provide two per each patient care unit.

Interview Rooms may be also used as Visitation Rooms.

3. Toilet, Public (TLTU1) ............................................................... 50 NSF (4.7 NSM)Provide one for male and one for female for each patient care unit.

B. Patient Care Unit: Patient Areas

1. Patient Room, One-Bed (BRNP1) ........................................ 125 NSF (11.7 NSM)Provide one for fifty percent of the patient beds projected for each patient care unit.

2. Patient Room, Two-Bed (BRNP2) ....................................... 230 NSF (21.4 NSM)Provide one for twenty-five percent of the patient beds projected for each patient care unit (for a total occupancy of 50% of the total patient beds projected for each patient care unit).

3. Bathroom, Patient (TLTP3) ....................................................... 65 NSF (6.0 NSM)Provide one for each One-Bed and Two-Bed Patient Room.

S P C S TA N D A R D S : R O O M C R I T E R I A S TAT E M E N T S

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Patient Room, One-Bed (BRNP1)………………………125 NSF (11.7 NSM)Provide one for fifty percent of the patient beds projected for each patient care unit.

S P C S TA N D A R D S : S E P S

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RV

S P C S TA N D A R D S : R O O M C O N T E N T S

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S P C S TA N D A R D S : R O O M C O N T E N T S

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S P C S TA N D A R D S : D E S I G N G U I D E S

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S P C S TA N D A R D S : D E S I G N G U I D E S

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S P A C E C R I T E R I A : A N Y F A C I L I T Y, A N Y P L A C E , A N Y T I M E

S P A C E P R O G R A M : O N E F A C I L I T Y, O N E P L A C E , O N E T I M E

S PA C E P L A N N I N G C R I T E R I A

» Space Planning Criteria is a Set of Interrelated Propositions, Connected Via Mathematical and Logical Formulations in order to Generate a Space Program for Design (PFD).

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S PA C E A N D E Q U I P M E N T P L A N N I N G S Y S T E M ( S E P S )

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T H E F E D E R A L G O V E R N M E N T A N D T H E P R I VAT E S E C TO R AT W O R K

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Department of Veterans AffairsOffice of Construction and Facility Management (CFM)Specialty Advisors (system-wide)

Department of DefenseDefense Health Affairs (DHA) Army, Navy, Air Force RepresentativesSpecialty Advisors (system-wide)

HDR, Inc.Cannon Design CT & AssociatesCulinary AdvisorsCurtis Consulting Inc.Ernest Bland & AssociatesGLHN Architects & EngineersHOK

KAL Architects

Junk Architects / MRI PlanningLammers & AssociatesMartha Robbins & AssociatesNK Bandhari Architects & EngineersPaul Finch ArchitectsRAD – PlanningRLF Architects & Engineers

Consultants


Q & A

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hcd13 - session e35 space planning standards … · chapter no. department service 1 210 general...

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