June 2006
Introduction
Purpose
The Facilities or Engineering Officers at the Medical Centers have gained valuable insights into
operating; maintaining and modifying hospitals built using the VAHBS. Field surveys and inter-
views were conducted in August 2005 for the purpose of gathering and recording feedback on
the long-term benefits or deficiencies of the VAHBS.
Field surveys were conducted at the three example Medical Centers. The main buildings at
these Medical Centers have been in operation from about 11 to 18 years. In that time the build-
ings have undergone varying amounts of modification/remodeling.
Data Sheet
These sheets provide a one-page summary of key information for building, service module, and
service zone (interstitial) strategies used at the Medical Centers surveyed.
Session Notes
The interview notes include relevant comments and observations regarding construction, opera-
tion, maintenance, and modification of building shell and service systems. Where applicable,
comments regarding remodel or new construction at the Medical Center were solicited. Obser-
vations or recommendations for improving or implementing the VAHBS were recorded.
Analysis
In this section the integration of services and systems in the existing facilities is compared with
the prototype design proposed by the Red Book in 1972-77. Service Module strategies are
compared for the areas of structural bay, service bay, and service distribution and integration in
the service zone and its subzones and channels.
SUPPLEMENT TO RESEARCH STUDY REPORT
VA HOSPITAL BUILDING SYSTEM
APPENDIX A-1
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