Centralized Services & Social Distancing COVID Design-Build

The purpose of this design-build project is to: Design and construct a central check-in and ancillary service area for Primary Care (4D, 4E, 4F) Clinics at the Minneapolis VAHCS. There is approximately 4,500 SF of the 4th floor area (4B/4C) for an expanded centralized service for all three PACT Primary Care Clinics. The centralized service area for the three clinics will allow for efficiency and flexibility in staff requirements for patient check-in, intake, taking of vitals, blood draw and check-out and better serve patients in direction and wayfinding, wait time for appointments, convenience of appointment and for follow-up treatment and future appointments. The current facility blood draw is landlocked within the hospital basement and is frequently full right from when they open at 6 a.m. Blood Draw s waiting room capacity was reduced from approximately 40 to 20 by the COVID epidemic and immediate rooming and other strategies to accommodate patient load have been ineffective in providing safe social distancing of our patients. We are unable to expand this area without negatively impacting adjacent services. Decentralizing blood draw services would allow for Primary Care patients to have their blood drawn on the 4th floor immediately adjacent to where their appointment will be held. This will achieve success on COVID impact items such as: reduction in patients in the current blood draw waiting room and reduction of patient movement through the facility. They will no longer have to go to the basement for blood draw before going to the 4th floor for their appointment. They can report directly to the 4th floor. This project will add a pneumatic tube to the facility system to efficiently move lab specimens for processing. The creation of a centralized service area will allow the facility to effectively create a triage point for loading each individual waiting room. Daily, upon opening, each clinic will room patients as fast as possible and then allow a specified number of patients into the waiting rooms for the next round of appointments. The central service will help control patient flow and can assist with various tasks that have become delayed within the clinic. These items include intake interviews, taking of vitals, provider questions, re-scheduling appointments, and other items. This support area will achieve COVID impact items such as: detailed control of patient flow, close monitoring of waiting room capacity, separation of patient check-in, and other items. This space should include a combination of reception area, exam/consult rooms, offices, blood draw, public restrooms (if existing is displaced during design), and staff locker rooms (if existing is displaced during design). Design and construct social distancing elements in public waiting rooms throughout the facility. a. The areas of work for this portion of the project are: 1P Mental Health (1000 SF) install social distancing elements. 1R Outpatient Pharmacy (560 SF) install social distancing elements. 2V Surgery Center (1400 SF) install social distancing elements. 2E Eye Clinic (550 SF) install social distancing elements. 2F Specialty Care (1750 SF) install social distancing elements. 3R Pain Center (790 SF) install social distancing elements. 3V GI/Hem Onc (1100 SF) install social distancing elements. 4D Super Clinic (1100 SF) install social distancing elements. This Clinic needs to have the social distancing barriers added to the reception desk; refer to notes in 4E below as well as Attachments regarding Preliminary Layout. 4E Super Clinic (2000 SF) install social distancing elements. There are additional barriers installed at the reception desk; these dividing barriers are to be basis of design for additional work to be performed in Super Clinics 4D and 4F. 4F Super Clinic (2400 SF) install social distancing elements. Additionally, the main reception desk requires the installation of millwork barriers that the facility has already purchased and has in storage onsite. b. This portion of the project will help isolate and minimize potential spread if illness from patients in waiting rooms to each other. The project will modify some of the most recently renovated waiting rooms to provide smaller seating "pods" rather than large open areas. This will be primarily done by using similar elements of millwork, translucent acrylic panels, and clearstory glass. Each area will be designed with items that match the existing clinic finishes.

Division 02 -	Existing Conditions, Subsurface Investigation.
Division 03 -	Concrete, Concrete Forming, Cast-in-Place Concrete, Precast Concrete.
Division 04 -	Masonry, Unit Masonry.
Division 05 -	Metals, Structural Metal Framing, Metal Joists, Metal Support Assemblies, Healthcare Metal Supports.
Division 06 -	Wood, Plastics, and Composites, Rough Carpentry, Finish Carpentry.
Division 07 -	Thermal and Moisture Protection, Dampproofing and Waterproofing, Thermal Protection, Weather Barriers.
Division 08 -	Openings, Doors and Frames, Specialty Doors and Frames, Entrances, Storefronts, and Curtain Walls, Windows, Louvers and Vents.
Division 09 -	Finishes, Plaster and Gypsum Board, Tiling, Acoustical Ceilings, Flooring, Resilient Flooring, Painting.
Division 10 -	Specialties, Compartments and Cubicles, Toilet Compartments, Partitions, Service Walls, Patient Bed Service Walls, Wall and Door Protection, Toilet, Bath, and Laundry Accessories, Fire Protection Specialties, Fire Protection Cabinets, Fire Extinguishers, Storage Assemblies, Protective Covers.
Division 11 -	Equipment, Mercantile and Service Equipment, Vending Equipment, Foodservice Equipment, Ice Machines, Cleaning and Disposal Equipment, Healthcare Equipment, Medical Sterilizing Equipment, Examination and Treatment Equipment, Patient Care Equipment, Operating Room Equipment, Solid Waste Handling Equipment.
Division 12 -	Furnishings, Window Blinds, Casework, Furniture, Seating, Institutional Furniture, Healthcare Furniture.
Division 13 -	Special Construction, Radiation Protection.
Division 14 -	Conveying Equipment.
Division 21 -	Fire Suppression, Fire-Suppression Sprinkler Systems, Fire-Extinguishing Systems.
Division 22 -	Plumbing, Instrumentation and Control for Plumbing, Plumbing Piping, Plumbing Equipment, Healthcare Plumbing Fixtures, Drinking Fountains and Water Coolers, Gas and Vacuum Systems for Laboratory and Healthcare Facilities, Compressed-Air Systems for Laboratory and Healthcare Facilities, Vacuum Systems for Laboratory and Healthcare Facilities, Gas Systems for Laboratory and Healthcare Facilities, Chemical-Waste Systems for Laboratory and Healthcare Facilities, Processed Water Systems for Laboratory and Healthcare Facilities.
Division 23 -	Heating, Ventilating, and Air Conditioning (HVAC), Instrumentation and Control for HVAC, HVAC Piping and Pumps, HVAC Air Distribution.
Division 25 -	Integrated Automation.
Division 26 -	Electrical, Instrumentation and Control for Electrical Systems, Substations, Interior Lighting, Emergency Lighting, Exit Signs, Special Purpose Lighting, Healthcare Lighting, Exterior Lighting.
Division 27 -	Communications, Structured Cabling, Data Communications, Voice Communications, Audio-Video Communications, Distributed Audio-Video Communications Systems, Paging Systems, Public Address Systems, Intercommunications and Program Systems, Healthcare Intercommunications and Program Systems, Healthcare Communications and Monitoring Systems.
Division 28 -	Electronic Safety and Security, Electronic Access Control and Intrusion Detection, Electronic Surveillance, Fire Detection and Alarm, Radiation Detection and Alarm.
Division 31 -	Earthwork, Site Clearing, Grading, Soil Treatment.
Division 32 -	Exterior Improvements, Bases, Ballasts, and Paving, Flexible Paving, Rigid Paving, Curbs, Gutters, Sidewalks, and Driveways, Paving Specialties, Parking Bumpers, Pavement Markings, Fences and Gates, Planting Irrigation, Planting.
Division 33 -	Utilities, Water Utilities, Sanitary Sewerage Utilities, Storm Drainage Utilities.