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TECHNIQUES FOR COST AND QUALITY CONTROL: INITIATIVES AT THE DEPARTMENT OF VETERANS
Pages 144-149

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From page 144...
... We have some very tiny buildings, like a commitment shelter in Michigan at the VA cemetery outside Battle Creek, and enormous facilities, like the new VAMC in Houston. Our facilities include a recent $25 million clinical addition to the Westside VAMC in Chicago, nursing homes, and even vehicles that serve as mobile clinics in rural areas and which helped the VA serve Hurricane Andrew victims in 144
From page 145...
... Our design guides prepared in this spirit include one on the hospital's surgical suite. Me Surgical Service Design Guide was largely based on computer-aided design (CAD)
From page 146...
... You may choose to do things differently in your new or renovated space, but at least you, working from this knowledge base, know why you need to do it differently. The guide provides a relatively solid base, with reference to the latest technology and professional experience, compared to more arbitrarily chosen plans.
From page 147...
... We began to look systematically at change orders across projects and established a nonadversarial reporting system to analyze the change orders' rationales. We decided that the best analytical approach was to tie any problem occasioning a change order to a specific reason and also to specification section.
From page 148...
... These are specifically subtitled "Avoid Errors, Omissions, and Costly Liability." These documents are prepared by discipline (architecture, electrical engineering, etc.) and by project phase, with separate AE quality alerts for schematics, design development, arid construction documents.
From page 149...
... Conclusion We correct our speciDc~ions Ed other guidchnes Ed Saudis as soon as me discover dangerous or recurring problem We also bloc received universal Prado far our design aleds, Ed AL qualm please Ed bee recently received ~ Vice Preside~ia1 Homer Awed far these emus. ~ Dew step will be Tempting to qu~ti~ S-iD8S As far looking dog the row ~ long-te~ dhechons: I can only quote Yogi Berg: 11I can predict =-in" but He ~mre.


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