Department of Health and Human Services - IHS Health Care Facilities Construction Recovery Plan
The Recovery Act funds will complete the replacement of two Indian Health Service (IHS) healthcare facilities with more technologically advanced state-of-the-art facilities. The specified $227 million for IHS Health Care Facilities Construction will complete the replacement of the hospital and staff quarters at Eagle Butte, South Dakota, and complete the replacement of the hospital facility at Nome, Alaska.
• Expand service capacity by increasing access to modern health care services at state-of-the-art medical facilities for surrounding American Indian and Alaska Native communities.
• Complete the replacement facilities at Nome, Alaska, and at Eagle Butte, South Dakota. Design and initial site work for both of these projects are complete.
• Provide economic stimulus through the creation of jobs.
The measures have been revised to enrich the performance metrics for Recovery targets. In some instances, targets will not be available until additional baseline data has been collected.
Percent of Recovery Act facility construction funds expended.
|Frequency : Quarterly|
|Direction : Increasing|
|Type : Output|
|Explanation : The tangible outputs produced by the facility construction projects are two state-of-the-art health care facilities located at Nome, Alaska and Eagle Butte, South Dakota. The new facilities replace older facilities and will expand capacity to serve the current patient population. Construction of complex facilities occurs in phases and contractor payment is tied to completion of each phase. Thus, the percentage of funds expended is closely tied to construction progress. The percent of Recovery Act funds expended will be reported quarterly. The percentage indicator is the cumulative funds expended to-date (numerator) divided by the total project funding (denominator). The completion goal for these complex construction projects is 4th quarter of 2012.|
|Unit : percentage|
FTEs created and retained with Recovery Act funds by the construction projects
|Frequency : Quarterly|
|Direction : Increasing|
|Type : Outcome|
|Explanation : Hospital construction projects create many new jobs. The prime contractors will report quarterly on the number of jobs (FTE) created. In addition to the economic stimulus created during construction, these two projects create many permanent benefits to American Indian and Alaska Native people who live in remote areas with no other sources of health care. The new facilities will serve more patients, provide a wider range of modern health care services, and, over the long run, improve health status in the American Indian and Alaska Native communities. |
|Unit : number|
Schedule and Milestones
Projects will be completed by December 2012.
|Eagle Butte Title-I contract for Phase-II remaining facility construction w/Recovery Act funding – Negotiate, execute, and complete all construction.
|Eagle Butte Title-I contract for Quarters Design Build Contract – Negotiate, execute, complete all design and construction
|Nome facility Construction Start and Complete
Projects and Activities
• Nome facility Request for Proposal for construction including site work, steel framing and roofing, building shell, mechanical systems, electrical systems, and appurtenances.
• Norton Sound Health Corporation P.L. 93-638 Title-V Agreement for architect/engineer construction contract administration, equipment, and furnishings.
• Nome Purchase Order for Commissioning.
• Nome Purchase Order for Off-Site Utilities with Nome Joint Utility System.
• Eagle Butte start Phase I construction with non-Recovery Act funding for site work and foundation.
• Eagle Butte P.L. 93-638 Title-I contract for facility construction including steel framing and roofing, building shell, mechanical systems, electrical systems, and appurtenances.
• Eagle Butte Title-I contract for Design Build Quarters construction .
• Eagle Butte Title-I contract for commissioning.
All Recovery Act programs will be assessed for risk and to ensure that appropriate internal controls are in place throughout the entire funding cycle. These assessments will be done consistent with the statutory requirements of the Federal Manager’s Financial Integrity Act and the Improper Payments Information Act, as well as OMB’s circular A-123 “Management’s Responsibility for Internal Control.”
• The Unified Financial Management System (UFMS) will record all Recovery Act funds and expenditures and allow program and project managers to monitor financial activity.
• Provision of the Department of Health and Human Services (HHS) Facilities Project Approval Agreements amendments if cost, scope, or schedule increase by 10% or more.
• IHS will incorporate implementation of Recovery Act into its fiscal year 2009 Management Control Plan, which is the agency’s management control system for ensuring compliance with the Federal Managers’ Financial Integrity Act.
• Monitor recipient progress reports at least quarterly or more frequently if required to correct risks.
• Identify deviations from planned schedule or performance.
• IHS gives feedback and corrective measures to contractors as necessary to mitigate risks.
Cost and Performance Plan
IHS will be open and transparent in all of its contracting competitions and regulations that involve spending of Recovery Act funding consistent with statutory and OMB guidance.
IHS will also ensure that recipient reporting required by Section 1512 of the Recovery Act and OMB guidance is made available to the public on Recovery.gov by October 10, 2009. IHS will inform recipients of their reporting obligation through standard terms and conditions, grant announcements, contract solicitations, and other program guidance. IHS will provide technical assistance to grantees and contractors and fully utilize Project Officers to ensure compliance with reporting requirements.
- Post Recovery Act reports on Recovery.Gov and supplemental information on HHS.Gov/Recovery
- Post reports enabling the public to see how much Recovery Act funding has been awarded and to whom.
- Recipients submit Recovery Act reports to a web-based central data portal which routes raw reports to a central national data repository and to the IHS.
- IHS submits consolidated reports assembled from raw individual recipient reports, e.g., overview of progress of multiple vendors working on a single project.
- Types of data available to the public:
- Recovery Act financial data for IHS
- Recovery Act implementation plans
- Recovery Act award data
- Recovery Act program and project level status reports - individually by recipient and collectively synthesized as appropriate.
- No agency contact or oral communications with registered lobbyists regarding particular Recovery Act projects are allowed.
- Post any written agency communications with lobbyists to Recovery.Gov
- All tribal and commercial contracts will include applicable reporting requirements for use of Recovery Act funds.
To ensure that managers are held to high standards of accountability in achieving program goals under the Recovery Act, IHS will build on and strengthen existing processes. Senior IHS Office of Environmental Health and Engineering program officials will meet regularly with senior Department officials to ensure that projects are meeting their program goals, assessing and mitigating risks, ensuring transparency, and incorporating corrective actions. The personnel performance appraisal system will also incorporate Recovery Act program stewardship responsibilities for program and business function managers.
- Incorporate Recovery Act implementation into IHS fiscal year 2009 Management Control Plan
- Track quantifiable outcomes and outputs for funded projects
- Track Recovery Act projects & funds in Unified Financial Management System
- Track Construction Projects for:
- Construction schedule, scope, costs, disbursements
- Facilities performance measures
- Incorporate Recovery Act implementation in:
- Director’s Performance Plan and cascade to responsible Recovery Act managers
- Health Facility Construction Projects comply with rigorous national planning, design, and selection criteria in advance of selection for construction
- Health Facility Construction Projects comply with:
- National design standards for health care facilities
- worker health and safety standards and coverage standards
- right-of-way and tribal permissions
- documented scope, budget, and schedule in Facility Project Approval Agreement (HHS Form 300)
- Projects comply with procurement standards and quality assurance
- Track and report use of funds for administration
Energy Efficiency Spending Plans
• Design for both projects was initiated prior to the requirement to meet the Guiding Principles for High Performance and Sustainable Buildings in EO 13423. However, the IHS design criteria for both replacement facilities include many energy efficiency features; and the Tribes have incorporated sustainable design features into the projects. In an effort to meet the requirements of EPAct of 2005 and some of the requirements of EO 13423 it was decided to incorporate a geothermal heat pump system into the new facility. Also the EISA stormwater migration will be addressed.
• The Nome facility was designed to meet current energy efficiency criteria. The facility is expected to receive Leadership in Energy and Environmental Design (LEED) certification, which is a prestigious energy savings and sustainability certification issued by the U.S. Green Building Council. The Nome facility is expected to be the first major health care facility in the IHS to obtain LEED certification.
• The Eagle Butte facility will meet many of the current energy efficiency criteria, including utilizing a renewable energy ground source heat pump system for heating and cooling, which will meet ASHRAE 90.1 (2004) and the facility is targeted to be 30% more efficient. The Sustainable Buildings Checklist will be utilized to document all energy and sustainability features of the design at the completion of construction.
• The Eagle Butte facility was targeted to meet current pre site development storm water runoff condition regulations.
Program Plan Award Types
No Data Available