Department of Veterans Affairs Outpatient Clinic

Department of Veterans Affairs Outpatient Clinic • Phoenix, AZ

In June 2019, US Federal Properties Co. (USFP) announced it was selected to develop four new U.S. Department of Veterans Affairs (VA) community-based outpatient health clinics — one of which is in Phoenix, Ariz. These new clinics will expand the VA’s network of outpatient sites that serve nine million enrolled Veterans annually and help to accelerate their access to care.

These new clinics embrace the VA’s Patient Alignment Care Team (PACT) delivery model — a patient-driven, proactive, team-based approach to healthcare focused on wellness and prevention. Efficiency is also a driver of clinic design. Unlike a linear design, which has shared corridors and publicly exposed workstations, the VA clinics feature an onstage/offstage approach to exam room layout. This approach separates patients and visitors from staff with dedicated patient corridors leading to exam rooms (onstage) and enclosed staff work zones (offstage). Such a design will improve staff workflow, reduce travel distances, increase collaboration, protect confidentiality and privacy, and reduce patient throughput and wait times.

At 275,157 square feet, the new Phoenix facility will be one of the largest VA outpatient clinics in the U.S., with more than half a million visits per year anticipated. The five-story clinic will include multispecialty and telehealth clinics, an education center, pathology and imaging. A full kitchen and canteen for staff and patients will be on the first floor. The second floor will house one of the largest outpatient mental health clinics in the valley, providing counseling and specialty mental health services, such as biofeedback and transcranial magnetic stimulation (TMS).

Floors three, four and five will feature an innovative planning approach for the PACT module, which will accommodate 72 PACT teams serving approximately 180 exam rooms. Each PACT module will include integrated mental health, women’s health, nutrition and pharmacy consultation. The clinic design also emphasizes technology-based care including remote diagnostics and telehealth to serve patients from their homes or other clinic sites. Electronic self-check-in and mobile check-in are among the technology-centered amenities incorporated into the design.

The VA Phoenix clinic design is inspired by Arizona’s vibrant color palette, striations, elevations and geological formations. The site, located in Phoenix’s Valley Metro light rail Gateway district, includes transit-oriented development (TOD) features with access to public transit, pedestrian connectivity, shading and other features required pursuant to the prevailing City of Phoenix Walkable Urban (WU) Code. The five-story building integrates with the site to capture surrounding mountain views.

Other key design elements of clinic include deep fissures carved into the facades and roof of the building, which align with the rugged terrain. Sun-shading systems are integrated into the facade to efficiently and economically manage heat gain and ensure comfort. Dappled light filters through louvered panels into the cool and sleek interior, which mimic shade trees in an oasis. Linear paths and stairs frame the lobby to guide horizontal and vertical circulation and wayfinding.

In collaboration with USFP — which develops, finances, owns and operates federal government-leased properties — Hoefer Wysocki will lead the architectural and interior design of the new healthcare clinics. The design and construction team includes Jacobsen Construction Company, the general contractor; Bob D. Campbell, structural engineering; Smith & Boucher, mechanical, electrical and plumbing engineering; Protection Engineering Consultants, LLC, facade design and specialty structural engineering; FSC, Inc., fire protection engineering; and Merrick, Green Globe consulting. Construction began in summer 2019 and is scheduled to be complete by late 2021.

4706 Broadway, Suite 240 Kansas City, MO 64112  •  Phone: 816-531-2082  •  Fax: 816-285-9544  •