Facilities Staffing Requirements for the Veterans Health Administration–Resource Planning and Methodology for the Future (2020) / Chapter Skim
Currently Skimming:
Appendix C: Nature of Veterans Health Administration Facilities Management (Engineering) Tasks and Staffing
Appendix C: Nature of Veterans Health Administration Facilities Management (Engineering) Tasks and Staffing
Pages 105-116
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 105... ...
function is currently organized to meet these challenges to consider staffing models that can ensure sufficient staffing to allow the Facilities Management (Engineering) function to fulfill the needs of patients and staff throughout VHA in a safe and compliant manner.
|
From page 106... ...
The Facility Complexity Model is a VHA method to develop and define clinical complexity at each medical center. The VHA Facility Complexity Model brings together many variables affecting clinical complexity that are potentially pertinent to a staffing model and develops one single variable, the Clinical Complexity Index.
|
From page 107... ...
This diversity of buildings includes operating rooms, outpatient facilities, spinal cord injuries centers, research facilities, domiciliary or other long-term skilled nursing facilities, and orthopedic treatment areas. These buildings also have differing needs for utilities and contain different equipment, both building services, and biomedical systems (Broskey, 2018; NASEM, 2019e)
|
From page 108... ...
The database contains building-specific information such as when it was built, renovations, number of floors, and facility condition assessments, and it has gross and departmental square foot information. The CAI data form the basis for much of the service and infrastructure gaps used in the Strategic Capital Investment Planning (SCIP)
|
From page 109... ...
Project Tracking Report The Project Tracking Report database tracks the status of projects from the initial design phase through construction completion and activation. Specific items that represent performance include actual cost versus budget and actual time versus initial approved time.
|
From page 110... ...
Thus, we have to examine what functions/tasks come under the domain of Facilities Engineering before we can proceed to consider staffing models and ultimately provide a road map to develop a valid model for Facilities Engineering. This section provides a listing of the main tasks of Facilities Engineering within the three core categories introduced in Chapter 2.
|
From page 111... ...
Parameters such as building square footage may remain relatively stable over time, but parameters such as the size of the veteran population served, the age and gender characteristics of the veteran population, or the types of services provided at a given facility may change dramatically. Some of these changes may dramatically impact VHA Facilities Management (Engineering)
|
From page 112... ...
This changing demographic of scale and lethality of conflicts, plus the growing percentage of female veterans, has changed the medical needs of the veteran population (i.e., more mental health requirements, more OB-GYN 4See https://www.va.gov/vetdataby 2037, specifically, the National Center for Veterans Analysis and Statistics, VA Veteran Population Projection Model 2016. 5See https://www.va.gov/vetdataby 2037.
|
From page 113... ...
will likely grow -- but possibly only if there is no concomitant decrease in the provision of other clinical services at the same location. Veteran Choice Program and the MISSION Act With the declining and changing veteran population, and the general shift away from the densely populated Northeast for the more sparsely populated areas of the United States, timely access to the available VHA facilities has become challenging for more veterans.
|
From page 114... ...
Advances in Facility Management Technology The committee heard about technology, such as the Internet of Things, in which equipment or systems can self-diagnose when they are in need of maintenance and initiate a work order in a centralized work order tracking system, or allowing the equipment/system to be monitored from a remote location. Both capabilities may reduce workload for Facilities Management (Engineering)
|
From page 115... ...
, Federal Emergency Management Agency, Department of Defense, and Department of Veterans Affairs. The overall purpose of NDMS is to establish a single national medical response capability for assisting state and local authorities in dealing with the medical and public health effects of major peacetime disasters; and providing support to the military medical system in caring for casualties resulting from overseas armed conflicts.8 Facilities Management (Engineering)
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.