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Facilities Staffing Requirements for the Veterans Health AdministrationResource Planning and Methodology for the Future [Pehme köide]

  • Formaat: Paperback / softback, 136 pages, kõrgus x laius: 279x216 mm
  • Ilmumisaeg: 30-Apr-2020
  • Kirjastus: National Academies Press
  • ISBN-10: 0309492912
  • ISBN-13: 9780309492911
Teised raamatud teemal:
  • Formaat: Paperback / softback, 136 pages, kõrgus x laius: 279x216 mm
  • Ilmumisaeg: 30-Apr-2020
  • Kirjastus: National Academies Press
  • ISBN-10: 0309492912
  • ISBN-13: 9780309492911
Teised raamatud teemal:
The Veterans Health Administration (VHA) is America's largest integrated health care system, providing care at 1,243 health care facilities, including 172 medical centers and 1,063 outpatient sites of care of varying complexity, serving 9 million enrolled Veterans each year. In addition, VHA has opened outpatient clinics and established telemedicine and other services to accommodate a diverse veteran population and continues to cultivate ongoing medical research and innovation. Facilities specific to VHA fulfill clinical, operational, research laboratory, and administrative functions. Each site is designed to serve a geographical location with specific health care needs. VHA's building inventory has sites of different ages, and often there is a mix of building size and age at each site or campus.



At the request of the VHA, this study presents a comprehensive resource planning and staffing methodology guidebook for VHA Facility Management Programs by reviewing the tasks of VHA building facilities staff and recommending actions for the VHA to meet the mission goals of delivering patient care, research, and effective operations.

Table of Contents



Front Matter Summary 1 The Need for a Staffing Methodology for the Veterans Health Administration 2 Facilities Management Departments 3 Models Applied to Staffing 4 VHA Facilities Management (Engineering) Staffing Methodology 5 Design, Implementation, and Sustainability of the VHA Facilities Management (Engineering) Staffing Model References Appendix A: Committee Meeting and Workshop Agendas Appendix B: Committee Biographical Information Appendix C: Nature of Veterans Health Administration Facilities Management (Engineering) Tasks and Staffing
Acronyms xvii
Summary 1(10)
1 The Need For A Staffing Methodology For The Veterans Health Administration
11(7)
Study Origin
12(1)
Charge to the Committee
12(1)
Committee Approach
12(3)
Interim Report
15(2)
Rationale for Modeling
17(1)
Report Structure and Summary
17(1)
2 Facilities Management Departments
18(12)
Introduction
18(1)
Capital Projects
19(3)
Planning and Programming
19(1)
Project Management and Delivery
20(2)
Operations and Maintenance
22(2)
Engineering Administration
24(3)
Other FM Functions
27(1)
Additional Considerations and
27(2)
Federal Facilities Considerations
27(1)
Medical and Health-Care Facilities
28(1)
Summary
29(1)
3 Models Applied To Staffing
30(18)
Models
30(8)
Desirable Model Characteristics
33(4)
Critical Characteristics of Input Data
37(1)
Models Applied to Staffing
38(7)
Context
38(1)
Model Complexity
38(1)
Staffing Model Inputs
39(2)
Staffing Model Outputs
41(1)
Risk, Benchmarks, and a Caution About Metrics
42(1)
Modeling Techniques
42(3)
Summary
45(3)
4 Vha Facilities Management (Engineering) Staffing Methodology
48(19)
Linking VHA Facilities Management (Engineering) Staffing with Target Levels of Performance
49(5)
Defining Target Performance Levels for VHA Facilities Management (Engineering)
49(2)
Defining Key Performance Indicators that Reflect Target Levels of VHA Facilities Management (Engineering) Performance
51(2)
Analyzing Links Between VHA Facilities Management (Engineering) Staffing and Performance
53(1)
Staffing Methodology
54(7)
Facilities Management (Engineering) Functions Included in the Staffing Methodology
54(1)
Levels at Which the Staffing Methodology Should Be Built and Applied
54(1)
Establishing Baseline Facility Management (Engineering) Staffing Requirements
55(1)
Incorporating Infrastructure Complexity Parameters into a Baseline Staffing Model
56(1)
Parameters That Could Be Considered in the VHA Engineering Staffing Model
57(3)
Number of Infrastucture Complexity Parameters to Include in the VHA Facilities Managmeent (Engineering) Staffing Model
60(1)
Notional Application of the VHA Facilities Management (Engineering) Staffing Methadology
61(4)
Estimating the Number of Facilities Management (Engineering) FTEs Needed at the VAMC Level
61(4)
Estimating a Staffing Budget Request at the VAMC Level
65(1)
Summary
65(2)
5 Design, Implementation, And Sustainability Of The Vha Facilities Management (Engineering) Staffing Model
67(16)
Introduction
67(1)
Key Staff Element Roles
67(3)
Sponsorship and Oversight
67(1)
Leadership Champion
68(1)
Permanent Chief Engineer Facility Advisory Council
68(1)
Subject-Matter Expert Task Force
68(2)
Design Process and Timeline
70(4)
Overview
70(1)
Phase 1 Design of "Initial Model" (12 Months)
71(2)
Phase 2 Coordinated Verification of Initial Model (6 Months)
73(1)
Phase 3 Coordinated Working Model Independent Entity Verification (12 Months) and Validation
73(1)
Implementation Process and Sustainment Cycle
74(1)
Organizational Support and Leadership Commitment
74(1)
Synchronizing Implementation and Sustainment with the Budget Cycle
74(1)
Resources
75(2)
VHA Facilities Management (Engineering) Staff Investment
75(2)
Annual Review
77(1)
VHA Leadership and Key Staff
77(2)
Change Management
78(1)
VHA Key Staff
78(1)
Human Resource Support
79(1)
Labor Relations---Union Considerations
79(1)
Areas for Further Study
79(2)
Infrastructure Investment
79(1)
Data Collection, Accuracy, and Analytics
80(1)
Staffing Approaches
80(1)
Integration in Strategic and Interdisciplinary Planning
81(1)
Leveraging Big Data, Machine Learning, and Artificial Intelligence
81(1)
Summary
81(2)
References 83(4)
Appendixes
A Committee Meeting and Workshop Agendas 87(15)
B Committee Biographical Information 102(3)
C Nature of Veterans Health Administration Facilities Management (Engineering) Tasks and Staffing 105