✕

美国退伍军人事务部奥马哈门诊护理中心成为第一个将私人资金用于建设的机构项目，同时还使用可用的VA拨款资金。随后交付该项目的公私合作伙伴关系也是该机构的第一家。

Completed on budget and more than four months ahead of schedule, the resulting facility now provides critical health care services for Omaha’s 40,000 previously underserved veterans.

In 2016, Congress appropriated $56 million for a new hospital in Omaha. But, due to cost overruns at other VA projects, that sum wasn’t nearly enough to deliver the hospital that had been designed to replace Omaha’s 1940s-era VA Medical Center.

内布拉斯加州的两党政客，包括当时的美国政客，而不是搁置该项目。代表布拉德·阿什福德（Brad Ashford）（D），美国代表唐·培根（R）和参议员黛布·菲舍尔（R）提出了一项新法律 - 社区帮助通过所需的财产和改进（CHIP IN）2016年的《退伍军人法》（CHIP IN），这允许当时的VA秘书戴维·舒尔金（David Shulkin）授权社区团体为VA设施的成本做出贡献。以前，与军事相关的机构只能接受以私人团体支付和建造的项目形式的捐款，例如布鲁克陆军医疗中心的无畏中心，然后赠予联邦政府。18luck官网

奥马哈VA门诊护理中心的特征旨在治愈身心。一对一咨询和门诊医疗服务的空间。包括彩色缎带墙的整个自然照明策略旨在反映丝带退伍军人赢得了勇气。
照片由Leo A. Daly Inc.和McCarthy Building Cos Inc.提供。
*Click on the images for greater detail

The late Walter Scott Jr., former CEO of Kiewit, and the philanthropic group he co-founded, Heritage Services, quickly joined forces with Tetrad Property Group and created the Veterans Ambulatory Center Development Corp., which raised $30 million for the project. Designer Leo A Daly and construction manager McCarthy Building Cos. came on board the P3 soon after. The now $86-million budget made viable an alternative option: an Ambulatory Care Center, which would also free up space in an existing hospital next door. P3 delivery also fit into Shulkin’s mission to modernize the VA.

Two McCarthy team members— senior VP and Omaha business leader Ryan Sawall and project manager Kris Montgomery—had worked on a previous VA project in New Orleans using traditional delivery methods, Sawall says. “So, when we started this, we said, ‘We can do this better. We can do this more efficiently.’ We started with that mantra.”

Leo A Daly的设计要求在前两层设有157,000平方英尺的三层楼，设有七个初级保健诊所。一楼设有VA的第一家女诊所，以及由骨科，心脏病学和其他专业共享的专业护理诊所。放射学和新的门诊手术中心占据了二楼。一楼的连接器可直接进入现有医院，该医院仍然为奥马哈兽医的住院和医疗服务提供服务。

“What we were able to do is infuse the private sector’s ability—the speed-to-market of private construction—that allows you to get through the questioning and the back-and-forth and getting the blessing from the VA, at every phase throughout the design,” says Jonathan Fliege, director of design in Leo A Daly’s Omaha office. “That was all streamlined and honestly, that’s been the beauty of the P3 helping get this project done in a timely manner and at a budget that’s in line with a private-sector one.”

According to Montgomery and Sawall, McCarthy used subsurface utility mapping, employed the project’s building information model to inform construction and used a design-assist subcontracting method instead of hard bids as several strategies that helped the team accelerate the schedule.

使用3D型号还允许对设计文档的无缝更新，避免潜在的时间表和成本影响。麦卡锡（McCarthy）和戴利（Daly）的结构团队通过指定单个63英尺长的连续柱，而不是更复杂的策略来简化设计期间的钢勃起过程。随着奥马哈寒冷冬天的勃起工作，狮子座（Leo）戴利（Daly）要求采用螺栓固定的连接选项，以消除了焊接的需求，但保留了建筑物的设计。

该中心链接到现有的12层医院进行住院护理。建筑物之间的新美化环境兼作室外会议，地形锻炼和咨询空间。
照片由Leo A. Daly Inc.和McCarthy Building Cos Inc.提供。
*单击图像以获取更多详细信息

A Dignified Design

The project’s design objectives were ambitious. Two large curtainwall features enable a whole-building natural lighting strategy that provides a healthy space for both veterans and the workers that serve their needs. The “flag wall,” a glass curtainwall on the outpatient center’s northern facade, rises 50 ft and spans 235 ft across and resembles an American flag rippling in the wind. The curtainwall system features 12-in.-deep mullions with 1/8-in.-thick extrusions to meet federal blast load requirements and match with the underlying steel superstructure.

The second daylighting element features a colored “ribbon wall” along the western facade that resembles the ribbons soldiers, sailors, airmen and marines receive for valor in combat.

螺栓连接帮助麦卡锡迅速建立了钢结构。彩色层压玻璃使色带壁成为可能。
照片由McCarthy Building cos。和Leo A Daly Inc.提供。
*Click on the images for greater detail

弗莱格说，与其选择昂贵的玻璃，而不是选择VA项目的规定之一，实际上帮助设计团队有效地交付了缎带墙。18luck官网

他说：“由于最初来自俄克拉荷马城炸弹爆炸的安全参数，需要将玻璃覆盖在联邦建筑物上。”

Since all of the glass would need to be a sandwich of two panes of glass and a laminate layer between, Fliege thought, “these laminates, this inner layer—they also make those in colors. Instead of having colored glass with a clear laminate, what if we just actually used clear glass but we had a colored laminate?”

Leo A Daly’s design of the Omaha VA Ambulatory Care Center allows natural light to filter into all outpatient treatment and counseling/meeting spaces through the project’s flag wall and ribbon wall. The landscaping doubles as counseling and exercise space.
照片由McCarthy Building cos。和Leo A Daly Inc.提供。
*Click on the images for greater detail

彩色层压板的成本仅比常规层压板增长一分钱，比有色玻璃便宜得多。

石灰石墙沿着一楼连续延伸，在设施的主要楼梯对面，代表退伍军人的职责和牺牲。

弗里格说：“石灰石确实是一个想法，旨在代表来自爱荷华州和内布拉斯加州的经历并参与这些冲突。”“人们带回了他们的经历。这里仍然是一个农业场所，因此将其绑架回地球隐喻也很重要。随着时间的流逝，石灰石被放下，以表明时间的流逝。”

Even with the planning and P3 execution, some factors were outside of the team’s control. The project endured materials shortages during 2020. Even though construction continued throughout the pandemic in Nebraska, a cold winter and wet spring caused schedule havoc.

萨维尔说：“我们的日程安排没有内置43天的天气影响。”“我们使用了许多精益原则，在我们的团队内部努力，试图将关键的道路提升。”

Designers added a cost-effective element by changing the color of the laminated film between two layers of glazing.
照片由McCarthy Building cos。和Leo A Daly Inc.提供。
*Click on the images for greater detail

尽管由于天气原因，但该项目的成本在原始概念预算估算的18luck.cub1％以内，但由于天气原因缺少了43天的施工。

9月30日，拜登总统签署了五年的《 VETS法案》中的五年法律法案。复制奥马哈弗吉尼亚州门诊中心成功的计划已经在进行中。

“There is one plan in Oklahoma,” Sawall says. “Our design partner was hired for that. They’re excited to be participating and we’ve been asked to provide some feedback and so has our client, Heritage.”

2021年8月，沃尔特·斯科特（Walter Scott Jr.他的职业生涯。