US Military Healthcare

Ron Pruzinsky
Specialized initial outfitting and transition (IOT) services underpin US military healthcare facility success.

US healthcare provision is undergoing rapid transformation, and military medicine is no exception. As in the civilian sector, military healthcare costs have increased faster than inflation and ageing infrastructure has created additional cost pressures.

In 2013, the Defense Health Agency (DHA) was established by the Secretary of Defense. The DHA is responsible for driving greater integration of clinical and business processes across the Military Health System, implementing shared services, enabling rapid adoption of proven practices, and improving the coordination of care across time and treatment venues.

Against this regulatory background of reform and greater efficiency, construction and modernization of military healthcare facilities are a priority.

Against this regulatory background of reform and greater efficiency, construction and modernization of military healthcare facilities are a priority. These facilities are among the most technically and logistically complex building types, with dense mechanical, electrical and IT systems and stringent performance requirements. Cost-effectiveness remains key and facilities must be able to adapt, improve and grow. With limited capital resources, it's vital to plan and prepare facilities to accommodate change.

This creates an unprecedented need for facilities construction and renovation support. Faithful+Gould has provided specialized technical services, including programme and project management, construction management, masterplanning, contract support, initial outfitting and transition (IOT) services, and facility support services to the federal government for more than 60 years.

Our IOT capability guides military healthcare providers in occupying and operating in a new or renovated facility. Since 2009, our IOT team has led projects ranging from a 35,000 sq ft clinic to a 1.2 million sq ft hospital. Our constructive expertise is informed by a range of regulatory methodologies, including US Army Medical Design Criteria, The Joint Commission (TJC) Accreditation Standards, and the Facilities Guidelines Institute, as outlined by the American Society for Healthcare Engineering (ASHE). Our differentiator is the volume of projects we lead and our ability to self-perform 80 percent of these contracts.

Faithful+Gould is part of BTF Solutions (BTFS), a joint venture with Balfour Resource Group. BTFS is currently working on four projects in three timezones over two continents totalling more than $110 million in contract value.

Faithful+Gould is part of BTF Solutions (BTFS), a joint venture with Balfour Resource Group. BTFS is currently working on four projects in three timezones over two continents totalling more than $110 million in contract value. We are leading IOT efforts at the US Army Medical Research Institute of Infectious Diseases (USAMRIID), a replacement laboratory at Fort Detrick, Maryland. This $43 million IOT contract involves nearly one million sq ft of new laboratory space with multiple research, conference, training, and administrative areas.

BTFS will transition essential personnel and critical functions including Biological Safety Level (BSL-2,3E,4) facilities, as well as aerobiology activities within containment laboratories. Special attention will focus on Functional Operations Systems Test (FOST) Commissioning, Center for Disease Control (CDC) certifications and activities associated with the use of Biological Select Agents and Toxins (BSAT).

The USAMRIID project is a complex, one-of-a kind undertaking requiring extensive capabilities in research laboratory operations. The project is further complicated by a fire that occurred in August 2013 at the construction site, causing damage in the future BSL-4 laboratory. We are drawing on our experience in major facility outfitting, medical logistics and healthcare supply chain for the military, commercial and international medical providers, as well as assisting in the recovery solutions following the fire.

BTFS will transition essential personnel and critical functions including Biological Safety Level (BSL-2,3E,4) facilities, as well as aerobiology activities within containment laboratories.

BTFS has also been awarded an $11.5 million service contract at Keller Army Community Hospital at the US Military Academy, West Point, New York. This IOT contract moves personnel and equipment into the hospital's new 52,000-sq ft addition. The new facility will improve the quality of care for families and soldiers by providing updated space for optometry, primary care, paediatrics, dermatology, physical therapy, orthopaedics, and administration.

In May 2014 BTFS was awarded a $42 million task order contract at Fort Irwin's Weed Army Community Hospital (WACH) to support the relocation of existing facilities to the new 217,000 sq ft LEED Platinum hospital, which is currently under construction. Combined, they will be capable of servicing 11,500 beneficiaries and 64,000 annual outpatient visits.

We are also performing full IOT services in support of a multi phased renovation of the US Army's Camp Zama's health and dental clinic in Japan and we have completed outfitting of the Consolidated Health and Dental Clinic at Fort Lee, VA.

These contracts were awarded through the United States Army Corps of Engineers (USACE) in Huntsville and include full project management services, with medical and non-medical equipment planning, furniture and equipment purchasing, transition planning and relocation, installation, testing, training, warehousing, and final turnover and close-out.

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