530
Cost Base
531
GENERAL
531.1
Background
The data in this section have been collected and analyzed during three
different phases of the Systems Integration program, each phase having a
somewhat different scope.
531.1.1
In the first phase, four hospitals were analyzed for total construction cost
and for the individual costs of four of the six subsystems finally included
within the scope of the Prototype Design. The hospitals studied were
three VA field stations - Atlanta, Washington and Martinez - and one
community hospital in Watsonville, California. The relevant subsystems
were structure, ceiling, partitions and heating-ventilation-cooling. For the
resulting data, see the Phase 1 Research Study Report, Volume 2,
Section I.C.
531.1.2
In the second phase, two more VA hospitals - Miami and Memphis - were
added, but only the bed care areas of these buildings were analyzed.
This data is presented in the Phase 2 Research Study Report, Volume 3,
Section 350.
531.1.3
In the third phase, two more subsystems were added - plumbing and
electrical subsystems. The analysis was also somewhat more detailed
than in the previous phases. It included a breakdown by functional area
classification for all subsystems in the support areas of the hospital,
except structure, which is broken down by roof, tower floor and base floor.
However, only Memphis and Miami were included in this final study.
Therefore, the detailed cost breakdowns in this section are for those two
hospitals only. A summary of total subsystem costs is given for all six
hospitals.
531.2
SIMILARITIES AND DIFFERENCES
All of the hospitals studied have certain similarities. Each consists of
tower nursing floors superimposed upon larger floors, which contain the
clinical, administrative, and service facilities. The structural concept for
each of the buildings is regular bays of concrete or steel framing.
Services are principally vertical but vary considerably in the degree of
mechanization involved. All are within the southern part of the United
States and not subject to very low temperatures.
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