Health Care Support Services

 

Health Care

 

ASR’s health care subject matter experts (SMEs) and experienced professionals (administration, project management, safety, security, construction oversight / management, IT, cybersecurity, procurement, IO&T, budget and financial planning, data analysts, compliance auditors) are available to provide a diverse range of support services for the health care industry, especially for the Military Health System. We focus on the customer’s objectives / imperatives and work towards collaborative solutions which maximize synergies and deliver value in a cost effective manner.

Service Offerings

ASR’s diverse range of service offerings for the health care industry include support services for:

  • Accounting,
  • Capital investment planning / analysis for healthcare assets including medical and non-medical facilities
  • Construction management & oversight,
  • Construction Quality Assurance (QA) / Quality Control (QC) / Quality Assessment and Improvement (QAI),
  • Cost analysis
  • Data collection and analysis ((space utilization, capacity analysis, performance metrics, work load, wait times)
  • Development / review of patient care service metrics like thru put, wait times and treatment cost efficiency,
  • Development and deployment of sustainability strategy,
  • Evaluation of health care trends / issues,
  • Evidence Based Design (EBD)
  • Facility commissioning according to/ as per applicable U.S. building codes and standards, DoD and Army Regulations, JCAHO, NFPA, OSHA, ASHRAE, ADA, HIPAA,  LEED, and other medical standards,
  • Facility planning, design reviews, project work plans / documentation
  • Health care facility / laboratory  requirement development and analysis,
  • Health care facility staffing – patient administration, engineers, HVAC specialists, architects, interior decorators, administrative staff, IT experts, lab. technicians, biomedical equipment technicians (BMET), medical records technicians, network specialists, cyber security, financial analysts, procurement experts, costing / accounting professionals,
  • Initial outfitting & transition  (IO&T) planning,
  • Medical facilities life cycle management,
  • Owner representation,
  • Primary versus specialty care requirements based upon population analysis,
  • Project planning,
  • Reliability centered maintenance programs,
  • Review and benefit analysis for a new or replacement medical / health care facility,
  • Review of Engineering Change Proposals (ECPs) to check for completeness of technical or operational information, maintainability, and impact on project Design Intent and Total Building Commissioning ,
  • Site assessment, accessibility, infrastructure assessment
  • Space & technical criteria development & review,
  • Sustainment cost analysis,
  • Workload analysis.

ASR has extensive experience working with Government agencies on securing Federal properties to current standards of physical security, sustainability, emergency preparedness and response and continuity of operations based upon risk/threat assessment criteria. Our security and safety SMEs have undergone training and have training certifications from federal agencies such as Naval Education and Training Command, DTIC, FEMA, DISA, and DSS. They are very well versed in Unified Facilities Criteria (UFC) 4-010-01 DoD Minimum Antiterrorism Standards for Buildings, FEMA-426/BIPS-06 and other applicable standards / guidelines.

ASR has a network of Subject Matter Experts (SMEs) with experience in biosafety level (BSL) 2,3, and 4 laboratories (BMSL) – principles and practices of biosafety and risk assessment, operations and maintenance protocols.

Our Architecture and Design SMEs are conversant with Evidence Based Design (EBD), Building Information Modeling (BIM) and USGBC – LEED. ASR believes that effective and efficient integration of BIM processes into architecture-engineering-construction-facilities management maximizes lifecycle building performance. They focus on sustainable design and green building elements in compliance / conformance with LEED criteria and Space and Equipment Planning (SEP) System.

ASR’s IO&T (Initial Outfitting & Transition) services include project management, planning for relocation / transition of operations and outfitting, interior design services, installation, testing and training and close-out. We have extensive knowledge of trouble shooting / root cause analysis of equipment reliability  and failures derived from our experience of over 27 years of worldwide inspection and audit of equipment / systems / assemblies / modules / components / machines / structures for a diverse range of commercial and Government customers.   We leverage this experience to support our customers for equipment repair and maintenance.

Our planners and financial / budget experts use innovative approaches and processes to balance the space planning criteria, and medical requirements to minimize the footprint growth at the least cost. Rather than a blind application of the space planning criteria, ASR planners use statistics and data related to the market, beneficiary population, contingency operations and the requirements for service delivery, assisted by ASR’s Business Objects and Excel experts who have extensive experience in using specialized tools and SW for data extraction and analysis. They are experienced with Military Health System Facility Portfolio Management, DD Form 1391, and Program Objective Memorandum (POM) builds to identify resources required to support the program.

ASR believes that effective communication with the stake holders is key to the success of a health care construction project. Our on-site construction / project managers work with the subcontractors and vendors to help build a team approach and involve, to the extent practicable / applicable the subcontractors and vendors in the planning, scheduling and coordination processes. They develop the Project Book and the execution plan for the construction projects. They manage budgets, perform / coordinate QA/QC activities, interact with different Government agencies / end users, provide constructability management advice and support, resolve construction issues, coordinate O&M training / manuals and warranties and keeping track of inventory records.  Our on-site team acts as the owner’s eyes and ears.

Safety: ASR’s construction management / oversight teams give highest priority to safety. As an ISO 9001:2008 certified company, we lay great emphasis on continual improvement, root cause analysis, risk identification / mitigation and corrective / preventive action. Our safety experts focus on preventing occurrence of accidents, and managing their impact by carrying out Activity Hazard Analyses (AHA) and preparing Accident Prevention Plans. Our teams comply with EPA, OSHA requirements and National Fire Protection Association (NFPA) Standards. ASR has procedures in place for review of incidents (safety, emergency) and processes to ensure that lessons learned are effectively used to prevent reoccurrence.

ASR has a track record of providing exceptional health care support services to DoD including Walter Reed National Military Medical Center, Bethesda, MD, United States Navy Bureau of Medicine (BUMED), etc.  The following is a partial list of our assignments at Military Treatment Facilities (MTF), hospitals, clinics, and dental facilities:

Construction Project Management:  Oversee medical center construction projects.  Plan, direct, and carry out coordination activities concerned with the construction and maintenance of structures, facilities, and systems for MTF. Participate in the conceptual development of construction projects and oversee its organization, scheduling, and implementation. Carry out scheduling and budgeting activities and prepare reports.  Negotiate revisions, changes and additions to contractual agreements with architects, consultants, clients, suppliers, subcontractors and interact with Government agencies on project and construction- related issues. Evaluate construction methods and determine cost-effectiveness of plans. Review necessary permits and licenses for compliance with regulations, codes, and customer requirements. Develop and implement quality control programs. Carry out comprehensive review of pre-final contract drawings and specifications with respect to constructability and compatibility with actual field conditions for  design-bid-build and design-build projects

Facilities Planning and Estimation: Review / assist the MTF in  preparation of facility planning actions for the facilities. Determine the design requirements for projects. Coordinate and review project design plans and specifications for technical accuracy and current as-built conditions. Prepare detailed cost estimates for use in determining project scope or Engineering Change Proposals (ECPs). Prepare detailed breakdown of work required, itemizing costs of material, labor and equipment. Review supplier submittals on materials and equipment to ensure that contract requirements are met. Prepare work packages for maintenance, alteration, equipment installation and repair. Prepare statements of work scope, cost estimates, job plans, material requirements, trade skills and manpower estimates. Carry out fiscal planning, programming, budgeting, analysis, program execution and appraisal. Utilize the Defense Medical Logistics Supply System (DMLSS) Facilities Management Module for project, budget and work management.  Review compliance with the requirements / standards / guidelines of the Joint Commission on the Accreditation of Healthcare Organization (JCAHO), National Fire Protection Association (NFPA), Basic Facility Requirements (BFR), and Guidelines for Design and Construction of Healthcare Facilities.

Technical Engineering Support: Determine scope of work and prepare plans, designs and specifications. Perform technical reviews of drawings, proposals and other documentation for engineering projects and prepare cost estimates. Obtain necessary / applicable clearances for work including approvals for utility outages, digging permits, fire prevention, safety, environmental clearances, sanitation, etc., from concerned agencies / officials.  Investigate, analyze and resolve problems pertaining to the design, construction, maintenance, and repair of MTFs, equipment, and subsystems. Monitor maintenance, inspections, testing, and reporting of hospital architectural systems such as fire walls, fire doors, fire protection testing and maintenance and follow up on Joint Commission related inspections.  Review engineering designs for flaws / possible improvements.

Program Analysis and Support: Review plans, designs and equipment procurement documentation. Conduct planning efforts for Military Construction (MILCON), Base Realignment and Closure Construction (BRACCON), Special Project and O&M funded medical and dental construction projects. Manage and coordinate Master Plans, Facility Deficiency Tabulations, Facility and Space Utilization Studies (FUS), Basic Facility Requirements, Programs for Design (PFD), Project Books, functional analyses, Health Care Requirements Analyses (HCRA), and required Economic Analyses (EA). Ensure accurate portrayal of project size, cost, scope and description as submitted in the DD Form 1391. Develop documentation in support of specific projects for adherence to current DoD and Congressional guidance. Ensure that the health care facility’s plan is consistent with MHS policies, guidelines and criteria required to meet goals set by the MHS Strategic Plan for health care facilities. Develop and submit proposals to the Tri-Service Capital Investment Decision Model (CIDM) for MILCON programming consideration through OASD (HA) TMA/PPMD and competition for MILCON funding. Consult with medical and dental facility staff and clinicians to develop staffing models, facility utilization and functional reviews, project scope, and cost estimates. Analyze data and develop recommendations to assist facility users in developing and justifying specific MILCON, BRACCON, and Special Project plans.  Apply DoD space and equipment planning criteria and automated planning tools to analyze and validate overall project equipment budgets, specific MTF/DTF operational concepts (CONOPS), required logistical support, and the required space and equipment program for design of MILCON and BRACCON projects. Provide The Joint Commission (TJC) Environment of Care (EC) assistance to MTFs in the AOR through standard and code interpretation/dissemination.

Biomedical Equipment Repair and Maintenance: Carry out repair, preventive maintenance, perform design modifications and rebuild equipment to meet special needs. Provide technical advice for purchase of new medical equipment, design of new equipment and modification of systems to meet special needs. Provide training and orientation on usage of equipment.

Health Care IT and Analysis: Collect, analyze and present data and business practices necessary to measure, monitor and improve performance of the medical facility to include access, cost, enrollment and staffing, population health and satisfaction.

Medical records administration, analysis: Provide medical records and administrative support. Prepare third party claims. Carry out front desk / reception  / customer service activities including making and following up on patient appointments. Comply with the provisions of the Health Insurance Portability and Accountability Act (HIPAA) and all other Patient Information Privacy Acts. Data entry / retrieval from systems such as ESSENTRIS, AHLTA, CHCS, DEERS, TPOCS.

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