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TRICARE Management Activity FY 2013 Military Construction, Defense-Wide ($000)

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TRICARE Management Activity FY 2013 Military Construction, Defense-Wide ($000) TRICARE Management Activity FY 2013 Military Construction, Defense-Wide ($000) New/ Authorization Approp. Current Page State/Installation/Project Request Request Mission No. California Twentynine Palms Medical Clinic Replacement 27,400 27,400 C 143 Colorado Pikes Peak High Altitude Medical Research Center 3,600 3,600 C 147 Illinois Great Lakes Drug Laboratory Replacement 28,700 28,700 C 156 Scott Air Force Base Medical Logistics Warehouse 2,600 2,600 C 160 Maryland Annapolis Health Clinic Replacement 66,500 66,500 C 172 Bethesda (Naval Hospital) Base Installation Accessibility And Appearance Plan 7,000 7,000 C 176 Electrical Capacity and Cooling Towers 35,600 35,600 C 179 Temporary Medical Facilities 26,600 26,600 C 182 Fort Detrick USAMRIID State 1 Inc 7 - 19,000 C 186 Missouri Fort Leonard Wood Dental Clinic 18,100 18,100 C 191 North Carolina Camp Lejeune Medical Clinic Replacement 21,200 21,200 C 195 140 TRICARE Management Activity Military Construction, Defense-Wide FY 2013 Budget Estimates ($000) New/ Authorization Approp. Current Page State/Installation/Project Request Request Mission No. Seymour Johnson Air Force Base Medical Clinic Replacement 53,600 53,600 C 199 New Mexico Cannon Air Force Base Medical/Dental Clinic Replacement 71,023 71,023 C 203 New York Fort Drum Soldier Specialty Care Clinic 17,300 17,300 C 207 South Carolina Shaw Air Force Base Medical Clinic Replacement 57,200 57,200 C 211 Texas Fort Bliss Hospital Replacement Inc 4 - 207,400 C 215 Joint Base San Antonio Ambulatory Care Center Phase 3 Inc 2 - 80,700 C 219 Virginia Naval Station Norfolk Veterinary Facility Replacement 8,500 8,500 C 223 Germany Rhine Ordnance Barracks Medical Center Replacement Inc 2 - 127,000 C 151 Korea Kunsan Air Base Medical/Dental Clinic Addition 13,000 13,000 C 164 Osan Air Base Hospital Addition/Alteration 34,600 34,600 C 168 Total 492,523 926,623 141 1. COMPONENT FY 2013 MILITARY CONSTRUCTION PROGRAM 2. DATE DEF(TMA) Feb 2012 3. INSTALLATION AND LOCATION 4. COMMAND 5. AREA CONSTRUCTION MCB Twenty Nine Palms, COST INDEX Twenty Nine Palms, California Commandant of the Marine Corps 1.24 6. PERSONNEL PERMANENT STUDENTS SUPPORTED STRENGTH: OFFICER ENLIST CIVIL OFFICER ENLIST CIVIL OFFICER ENLIST CIVIL TOTAL A. AS OF 30 SEP 2011 233 917 1,187 10 2,502 1 613 9,383 2,162 17,008 B. END FY 2016 117 575 828 10 2,502 1 774 10,334 330 15,471 7. INVENTORY DATA ($000) A. TOTAL AREA 605,373 Acres B. INVENTORY TOTAL AS OF 30 SEPTEMBER 2011 3,959,678 C. AUTHORIZATION NOT YET IN INVENTORY 0 D. AUTHORIZATION REQUESTED IN THIS PROGRAM 27,400 E. AUTHORIZATION INCLUDED IN FOLLOWING PROGRAM 0 F. PLANNED IN NEXT THREE YEARS 0 G. REMAINING DEFICIENCY 0 H. GRAND TOTAL 3,987,078 8. PROJECTS REQUESTED IN THIS PROGRAM: CATEGORY PROJECT COST DESIGN DESIGN CODE NUMBER PROJECT TITLE SCOPE ($000) START COMPLETE 550 72808 Medical Clinic Replacement 45,381SF 27,400 12 / 2011 03 / 2013 9. FUTURE PROJECTS: CATEGORY COST CODE PROJECT TITLE SCOPE ($000) A. INCLUDED IN THE FOLLOWING PROGRAM (FY 2014): None B. PLANNED NEXT THREE PROGRAM YEARS: (FY 2015-2017) None C. R&M UNFUNDED REQUIREMENT: None 10. MISSION OR MAJOR FUNCTION: To provide housing, training facilities, logistical and administrative support for Fleet Marine Forces units and other organizations or activities designated by Commandant of the Marine Corps. Also provide combined arms training for Fleet Marine Force units, both active and reserve and formal school training for personnel in the field of communications-electronics and conduct other schools and training as directed by the Commandant of the Marine Corps. 11. OUTSTANDING POLLUTION AND SAFETY DEFICIENCIES: A. AIR POLLUTION 0 B. WATER POLLUTION 0 C. OCCUPATIONAL SAFETY AND HEALTH 0 142 1. Component 2. Date FY 2013 MILITARY CONSTRUCTION PROJECT DATA DEF (TMA) Feb 2012 3. Installation and Location/UIC: 4. Project Title: Marine Corps Air Ground Combat Center Medical Clinic Replacement 29 Palms, California 5. Program Element 6. Category Code 7. Project Number 8. Project Cost ($000) 87717HP 550 72808 27,400 9. COST ESTIMATES Item U/M Quantity Unit Cost Cost ($000) PRIMARY FACILITIES 18,425 Medical Clinic Replacement SF 45,381 386 (17,517) Evidence Based Design (EBD) SF -- -- (312) SDD, EPAct05, EISA2007, and Renewable Energy LS -- -- (596) SUPPORTING FACILITIES 5,353 Electric Service LS -- -- (621) Water, Sewer, Gas LS -- -- (628) Paving, Walks, Curbs And Gutters LS -- -- (725) Storm Drainage LS -- -- (518) Site Imp (1,665) Demo (75) LS -- -- (1,740) Information Systems LS -- -- (250) Antiterrorism Measures LS -- -- (333) Other (O&M Manuals, Design During Construction) LS -- -- (538) ESTIMATED CONTRACT COST 23,778 CONTINGENCY PERCENT (5.00%) 1,189 SUBTOTAL 24,967 SUPERVISION, INSPECTION & OVERHEAD (5.70%) 1,423 CATEGORY E EQUIPMENT 1,013 TOTAL REQUEST 27,403 TOTAL REQUEST (ROUNDED) 27,400 INSTALLED EQT-OTHER APPROPRIATIONS (1,200) 10. Description of Proposed Construction: Construct replacement medical clinic with multi-story CMU building on concrete foundation to deliver primary care, physical therapy, sports medicine, behavioral and deployment health, and ancillary and diagnostic imaging services. Construction will be structural steel framing, concrete piles, reinforced masonry walls, and standing seam metal roof. Supporting facilities will include utilities, site improvements, parking, access roads, signage, and environmental protection measures. Existing clinic and site structures will be demolished. Project will be designed in accordance with criteria prescribed in Unified Facilities Criteria UFC 4-510-01, DoD Minimum Antiterrorism Standards for Buildings UFC 4-010-01, barrier-free design in accordance with DoD, "ABA (Architectural Barriers Act) Accessibility Standard" and DEPSECDEF Memorandum "Access for People with Disabilities” dated 10/31/2008, Evidence Based Design principles, MHS World Class Checklist Requirements (version 2.0, 2011), Executive Order 13514, DoD Strategic Sustainability Performance Plan (SSPP), and the Energy Policy Act of 2005 (EAPct05), and other applicable codes and regulations. Project will be designed to LEED 3.0 Silver Certified rating standard. Operation and Maintenance Manuals, Commissioning, and Interior Design Package will be provided. Air Conditioning: 105 tons. 11. REQ: 45,381 SF ADQT: NONE SUBSTD: 5,430 SF PROJECT: Construct a replacement primary care medical clinic. (CURRENT MISSION). DD FORM 1390, JUL 1999 143 1. Component 2. Date FY 2013 MILITARY CONSTRUCTION PROJECT DATA DEF (TMA) Feb 2012 3. Installation and Location/UIC: 4. Project Title: Marine Corps Air Ground Combat Center Medical Clinic Replacement 29 Palms, California 5. Program Element 6. Category Code 7. Project Number 8. Project Cost ($000) 87717HP 550 72808 27,400 REQUIREMENT: The medical clinic at the Marine Corps Air-Ground Combat Center (MCAGCC) serves the premier Marine installation for combined arms combat training. Replacement of the existing facility is required to implement the Marine medical homeport concept of care and support integration of garrison care into a modern healthcare setting to ensure all Marines on the installation have access to high quality continuity of primary and ensure optimal troop readiness. The replacement clinic will eliminate the current physically obsolete and undersized Building 1552 to deliver a central location for primary care and eliminate use of garrison aide stations in Marine administrative facilities to deliver healthcare. The replacement clinic is further required to deliver behavioral health, physical therapy, and deployment health services in the integrated model of care called for by Marine Medical home. CURRENT SITUATION: The existing undersized medical clinic delivers less than 18% of required clinical spaces and must be augmented by small and inadequate non-medical garrison aide stations. The aide stations are contained within Marine administrative spaces and do not deliver appropriate configuration, medical functionality, sanitation, and equipage which prevents effective and efficient continuity of care for personnel assigned to the installation. The existing clinic cannot operate under Medical Homeport team health care methods due to the complete lack of adequate workspace to deliver healthcare which limits staff efficiency, and effectively reduces patient access to high quality primary care services. The shortfalls are contributors to reduced troop readiness and wellness. IMPACT IF NOT PROVIDED: Failure to deliver a modern active-duty medical clinic will prevent implementation of Marine Corps Medical Homeport and the integration of primary care to a centralized clinical facility capable of delivering world class primary care. The urgent need to integrate behavioral health and physical therapy resources into the clinical setting is not possible without the construction of the added clinical workplaces. Failure to provide added clinical workplaces will force continued utilization of inadequate administrative spaces to deliver primary care and prevent integration of the critical behavioral health and physical therapy services into the overall environment of care available to the Marines. This detrimental situation would negatively impact patient quality of care and potentially impact overall force readiness. JOINT USE CERTIFICATION: The Director, Portfolio Planning Management Office has reviewed this project for joint use potential. Joint use construction is recommended. 12. Supplemental Data: A. Design Data (Estimated): (1) Status: (a) Design Start Date DEC 2011 (b) Percent of Design Completed as of 1 JAN 2012 5% (c) Expected 35% Design Date JUL 2012 (d) 100% Design Completion Date MAR 2013 (e) Parametric Design (Yes or No) Y Parametric estimates have been used to develop project costs. (f) Type of Design Contract: 1. Design Build (YES/NO) N 2. Design, Bid-Build (YES/NO) Y DD FORM 1391C, JUL 1999 144 1. Component 2. Date FY 2013 MILITARY CONSTRUCTION PROJECT DATA DEF (TMA) Feb 2012 3. Installation and Location/UIC: 4. Project Title: Marine Corps Air Ground Combat Center Medical Clinic Replacement 29 Palms, California 5. Program Element 6. Category Code 7. Project Number 8. Project Cost ($000) 87717HP 550 72808 27,400 3.
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