Rocky Mountain Regional VA Medical Center Project Update December 6, Aerial Photo December 2017

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Rocky Mountain Regional VA Medical Center Project Update December 6, 2017 Aerial Photo December 2017

Project Scope Completion of the new DVARMC facility complex includes: Twelve buildings connected by an integrated, four-level concourse 1.21 million square foot medical space Two inpatient facilities housing 148 inpatient beds Diagnostic and Treatment Facility totaling 328,457 SF Two new outpatient clinic facilities and one renovated outpatient facility with 327,877 SF Research building totaling 62,927 SF Central energy plant Site work and Utilities 2

Associated Program Scope Utilidor (required to connect the future PTSD RRTP and the Fisher House) Sep-17 Contract Award Oct-17 NTP for Construction Issued Mar-18 Construction Substantially Complete Mar-18 Contract Complete PTSD Residential Rehabilitation Program Minor Project Attempted to contract in FY17 but strong likelihood it would exceed current minor threshold Construction completion anticipated to take 18 months Bioscience Building Lease/Renovation (GRECC, Research, Simulation Lab) 30-Sep-17 Contract Award 01-Oct-17 NTP issued for Design 15-Dec-17 Design Complete and NTP for Construction Issued 01-Nov-17 Contractor Kick-off meeting 11-Oct-18 Contract Complete Clinic Building South (4 th Floor Renovations) via Completion Contract 30-Apr-17 Earliest Opportunity for Execution due to Buckley Clinic move-out extending Disposition of Clermont Site GSA targeted asset review ongoing; initial recommendations received 30-Oct-17 Fisher House Working Draft, Pre-Decisional, Deliberative Document - Internal VA Use Only 3

N Energy Center Pedestrian Bridge Denver Replacement VAMC Turnover Status Update In-patient Building North In-patient Building South Diagnostic & Treatment 6 Dec: Step 3 Scheduled Research PTSD Building Parking Staff North Parking Visitor North Concourse Clinic Building North Clinic Building Center Parking Visitor South Clinic Building South 2 nd Floor Renovations Dec 17 4 th Floor Renovations TBD Key: Turned Over to VAMC Under Construction Not in Contract

Construction Update 98% complete LV/IT Integration continue to be the USACE/VA team focus. Day 2 and Punch List Work being completed in all turned over buildings. Establishing avenues to ensure complete/useable facility on go live day. Working Draft, Pre-Decisional, Deliberative Document - Internal VA Use Only 5

Construction Update Buildings to complete Diagnostic and Treatment (DAT) KT Anticipated Completion December 2017 Clinic Building South (CBS) 2 nd Floor Renovation Anticipated Completion Dec. 2017 Site Turnover KT Anticipated Completion December 2017 Working Draft, Pre-Decisional, Deliberative Document - Internal VA Use Only 6

Construction Progress 7

Construction Progress 8

Construction Progress 9

Construction Progress 10

Construction Progress 11

Construction Progress 12

Construction Progress 13

Construction Progress 14

Construction Progress 15

Construction Progress 16

Construction Progress 17

Construction Progress 18

Construction Progress 19

Activation Staffing Status As of July 2017 As of December 2017 234 56% Total Activation Positions 186 44% Onboarded Vacant 100 of positions remaining are in support of Spinal Cord Injury Emphasis on hiring has been for infrastructure support (Facilities, Environmental Mgmt., Police, Logistics) 20

Procurement Furniture packages awarded for all buildings in FY16. Furniture installation % complete ENC 100% ; RES 100%; CBC/CBN 100%; IBN/IBS 100% Procurement Plan being executed with planned award dates NLT 15-Aug-17. Equipment installation % complete ENC 100% ; RES 100%; CBC/CBN 65%; IBN/IBS <60% Besides Salaries, the majority of the this year s procurement (52%) will be in support of Services Emphasis on completing procurement with emphasis on Low Voltage / IT integration packages 21

Program Execution Top Successes 98% complete On time (Jan 2018 CCD)/On budget Cost savings by executing phased building turnover strategy will allow for Completion contract 25 High Cost/High Tech equipment installs were completed in November Majority of equipment procurement is now complete; emphasis for FY18 is leases/services Activation expenditures on track to meet original cost estimate Completion of majority of Operational Planning on 27 Oct; Move Planning underway (kick-off held 19 Oct) Working Draft, Pre-Decisional, Deliberative Document - Internal VA Use Only 22

Questions? Aerial Photo March 2012 Aerial Photo December 2017

University of Colorado Anschutz Medical Campus Community-Campus Partnership: An Anchor Institution Mission to Improve Well-Being Presentation to CU School of Medicine Faculty Senate October 10, 2017 Robert McGranaghan, MPH, Director Senior Instructor, Department of Family Medicine, CU School of Medicine Department of Community and Behavioral Health, Colorado School of Public Health Funded by: University of Colorado Anschutz Medical Campus, The Denver Foundation, UCHealth, and Children s Hospital Colorado, with In-kind support from the City of Aurora

North Aurora Snapshot Anschutz Medical Campus North ( Original ) Aurora - population ~125,000 in 3 zip codes Youngest in the city Diversity index of 86% 130 languages spoken in the schools Highest unemployment, lowest income and lowest educational attainment.

Community-Campus Partnership: Background & Rationale In 2012, CU Chancellor commissioned a team to create a framework for a community health partnership with local neighborhoods. Our campus will flourish only if we become a good neighbor in the service of our neighbors health. Jerry Wartgow, Chancellor, 2012

Establishing the Community-Campus Partnership 2012: 100+ Key informant interviews perceptions of the campus and the community 2012-13: Initial Advisory Group Meetings is this a good idea? Yes! 2013: Planning Committee formed to develop vision statement, principles, goals, programs; Signature Program identified: Jobs on the Campus for local residents ( Hire Local )

Establishing the Community-Campus Partnership Summer/Fall 2013: Funding obtained from CU Chancellor & Medical School Dean and The Denver Foundation; Planning Committee becomes the CCP Coalition. Fall 2014: Learning journey to Cleveland s Greater University Circle Initiative - genesis for developing an anchor institution mission. Fall/Winter 2014-15: Resident Leader Council (RLC) formed and conducts Connections Campaign 236 interviews with local residents to identify concerns, priorities and hopes for the future.

Results of RLC Connection Campaign: 236 One-to-one interviews concerns in the community: October 2014-January 2015 100 90 80 70 60 50 40 30 20 10 0

Community-Campus Partnership: Community Engagement Resident Leader Council Monthly Networking Breakfasts & Dinners

Community-Campus Partnership: Communication & Evaluation 2015: Launched interactive website: Com-Cam.org Publishing and distributing bi-monthly e- newsletter and Weekly Update emails Building a Constant Contact listserve (1700+ and growing) Developing a tracking and evaluation database

Establishing the Hire Local Program Rationale Great need and great potential exist right next door to the campus. Greater diversity in employees results in more dynamic, innovative and productive business. increasing diversity and inclusion in our workforce will improve understanding, communicating and connecting with our clientele (patients, families, students). Shorter work commutes = greater job satisfaction and commitment, less job turnover.

Establishing the Hire Local Program Focus Group Recommendations to address barriers: Establish better communication between campus and the surrounding community. Establish a go to place and person to learn about jobs on the campus. Spread the word (about jobs) in a local way. Add human dimension to application process. Offer training to build skills. Job fairs. Offer volunteer/mentorship to build skills/experience. Affordable childcare.

Establishing the Hire Local Program ) Key informant interviews with HR leaders and their staff. Convening of inaugural Employers Summit, June 2015. Agreement among all campus employers to meet regularly to develop and sustain a coordinated Hire Local effort. Funding for initial pilot, 2015.

Hire Local Goals: 1. Establish an accessible, reliable and trusted Job Hub. 2. Develop an equitable, intentional and inclusive recruitment strategy. 2. Hire more people from the surrounding neighborhoods. 2. Support residents who gain employment to stay in jobs, advance and thrive in their careers.

Establishing the Hire Local Program The Community-Campus Partnership s Role: Aligns training programs with community colleges. Finds resources for job readiness wrap around support. Outreach to the local community. Works closely with employers. Identifies needed changes in hiring practices. Enhances the reputation of campus employers. Supports strong inclusive practices in our systems.

Hire Local Accomplishments Healthcare Bridge Pilot Program (with Community College of Aurora) Adult Basic Education grant from the Colorado Department of Education. Other Partners UCHealth, Children s Hospital Colorado, Arapahoe/Douglas Works! Workforce Center. 10-week course prepares students for entry level jobs in Patient Services. 80 students over 7 cohorts completed the program (97% completion rate) with 47 hires; average wage ~$15/hr 98% retention rate after 18 months. 2015-17 Healthcare Bridge Graduation Sterile Tech Processing Student Tour

Developing job pathways for refugees and immigrants (particularly for CU jobs). Hire Local Accomplishments (continued) Adding more campus jobs to our job family Opened a Job Hub in April, 2017

Hire Local Job Hub Located in CCP community offices @ Hoffman Municipal Services Bldg, 1298 Peoria St. Community and targeted Information Sessions held throughout each month to promote Hub services and gather sign-ups for appointments Job pathways: Patient Services, Food and Nutrition Services, Environmental Services, CNA, MA, Animal Care I, Standardized Patient for clinical education, Vet Tech l, Sterile Processing Technician (Dental School), Administrative Assistant Intake assessments, job readiness training sessions and one-to-one job application assistance Case-by-case assistance for those with higher skills (especially immigrants and refugees) Follow-up with Hiring Manager through application and interview phase (CCP staff) Regular check-ins post-hire (CCP staff) ***156 clients in pipeline since opening 16 hires (University of Colorado Hospital) 6 hires in CU***

Learn Local Goals Goals: Increase Aurora students in health sciences career pipeline programs on the campus. Increase service learning opportunities in the surrounding community. Increase participation in volunteer activities in the surrounding community. Change faculty promotion policies to incentivize and reward increased participation in community engaged scholarship.

Learn Local Activities Lunch and Learns career exploration discussions with Aurora students Health Career Days at Aurora schools Campus visits by Aurora students: campus hospitals; Wellness Center; Cancer Center; Cardiovascular Center; research labs; cadaver lab; Pharmacy School Hosting high school student interns Homeless & Immigrant and Refugee outreach Community Engagement Forum and Training Workshops on campus Community on the Campus and Campus in the Community Days Connecting faculty, students and staff to volunteer opportunities in Aurora

Conclusions Value of establishing an anchor institution mission: - The CCP serves as an important convener and bridge. - Building inclusivity. - Improving economic well-being. - Striving to improve diversity and inclusion within campus worksites. - Enriching teaching, learning, clinical experiences and research. The way to improve community health is through building community wealth (Lilly Marks, VP for Health Affairs, CU Anschutz Medical Campus)

Community-Campus Partnership Working together for healthy and vibrant communities! Robert J. McGranaghan, MPH, Director Community-Campus Partnership University of Colorado Anschutz Medical Campus Robert.McGranaghan@ucdenver.edu