Facilities Staffing Requirements for the Veterans Health Administration–Resource Planning and Methodology for the Future (2020) / Chapter Skim
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The Federal Property Management Reform Act of 2016 requires federal agencies to perform workforce projections to assess the property-related requirements of the federal workforce. Apart from this obvious mandate, a staffing model enables quantitative planning of VHA Facilities Management (Engineering)
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Maintenance can also include regular sustainment and restoration projects -- such as air handling replacements, an overhaul of patient areas, or comprehensive relamping -- for which planning and oversight may be different than larger capital projects. Since staffing models already exist for the safety program and biomedical engineering, these are not included here except as they impact the other functions such as engineering administration (NASEM, 2019d)
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, both of which apply to maintenance systems with their inherent mix of deterministic and stochastic modeling approaches for determining staffing requirements. In addition, several entities within the VA have staffing models developed or currently being developed; these include Interior Design Staffing, Nursing, Occupational Safety and Health, Logistics, and OPES.
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First, it examined task lists for the three main functions of O&M; capital projects project management, and project delivery; and engineering administration. The methodology provides a workload-based foundation for establishing and justifying VHA Facilities Management (Engineering)
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While the committee believes that it is necessary to develop a VHA Facilities Management (Engineering) Staffing Model based on a shared understanding of the desired level of performance for different functions, it could not find evidence that such performance levels have been defined across all VAMCs, beyond those that define requirements for specific systems or processes, or perhaps the implied goal of "achieving or surpassing Joint Commission standards." A recent Government Accountability Office report reached a similar conclusion: To provide quality care for the nation's veterans, medical centers must be clean, safe, and functional.
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RECOMMENDATION 4.4: The Veterans Health Administration (VHA) should substantiate baseline, VHA Facilities Management (Engineering)
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staffing levels are too low. RECOMMENDATION 5.4: The Veterans Health Administration subject-matter expert task force should document areas of data quality gaps, enhancements, or suggested corrections; observations for potential Facilities Management (Engineering)
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should form a standing body of experienced chief engineers to meet on a routine basis, potentially quarterly, to share insights and help shape the overall VHA Facilities Management (Engineering) mission in order to continually best support VHA strategic initiatives.
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VHA is on the right track to aggressively seek a new and appropriate facility workforce model. This report represents the guidebook requested in the statement of task.
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