Statement of
Lawrence A. Biro
Director, VA Rocky Mountain Healthcare Network
Veterans Health Administration
Department of Veterans Affairs
June 24, 2004
Mr. Chairman and Members of the Subcommittee:
Thank you for this opportunity to appear before you to present my views
on the potential sharing agreement with DoD on the Fitzsimons campus. I
am Lawrence A. Biro, Director for the VA Rocky Mountain Healthcare
Network, Veterans Integrated Service Network (VISN) 19. VISN 19 serves
an area covering the state of Utah, most of Montana, Wyoming and
Colorado, and portions of Idaho, Kansas, Nevada, Nebraska, and North
Dakota. This network provides healthcare for approximately 140,000
veterans at six medical centers and 32 Community Based Outpatient
Clinics (CBOC).
In his May 2004 CARES Decision document, Secretary Principi made the
following decision concerning the building of a new healthcare facility
in Denver. I quote from the Decision document:
“VA will build a replacement VA medical center through a sharing
agreement with DoD on the Fitzsimmons [sic] campus with some shared
facilities with the University of Colorado.”
The Federal facility at Fitzsimons is a Joint Venture concept based in
part on the VA/Air Force work in Las Vegas, Nevada and Albuquerque, New
Mexico. As planned, this facility will be a Federal tower housing the
medical services of Denver VAMC and the medical services of Buckley Air
Force Base. The Air Force will occupy approximately seven percent of the
building for clinical and administrative purposes.
The new facility will expand the capability of the Denver VA Medical
Center by significantly increasing the amount of space available for
clinical services. Among services being considered, a new spinal cord
injury center will be a part of this new facility, and other expanded
clinical services, such as a 20-bed sub-acute care unit. In addition, a
new 60 bed VA Nursing Home Care Unit will be located on the Fitzsimons
campus.
This relocation is also intended to maximize efficiencies within the
Federal tower by working closely to share some facilities with the
University of Colorado Hospital. To obtain these efficiencies the new
Federal tower must be located as near as possible to the existing and
planned facilities of the University of Colorado Hospital. To that end,
the University of Colorado Hospital has reserved a plot of land in close
proximity of the existing and planned structures of the medical center.
This move to the Fitzsimons Campus makes complete sense. The University
of Colorado Health Sciences Center and the University of Colorado
Hospital (UCH) are totally committed to this site. Their outpatient
complex is now complete and in operation. There is extensive research
space that is near completion. The close proximity in conjunction with
this well-established and long-standing affiliation will allow the use
of university expertise for hyper acute and highly specialized care.
Acquisition of this property could occur through a long-term lease with
the University of Colorado. VA’s General Counsel has advised us that VA
currently lacks authority to enter into long-term leases that would give
the Department sufficient interest in the land to allow VA to build a
facility here, which we estimate may cost $328 million. For a project of
this magnitude, I believe that authority for a lease of much greater
duration would be needed to ensure the government has sufficient
interest in the land.
If we cannot obtain a long-term lease, we will be forced to look for
land that the government can purchase outright on or close to
Fitzsimons. Although the new facility would continue to be a joint
Federal health care tower between VA and the Department of Defense, our
opportunities to gain greater efficiencies through sharing arrangements
with the University of Colorado might be more limited. Therefore we are
grateful to the Committee for introducing legislation that contains a
provision that would assist us in relocating to the Fitzsimons Campus of
the University of Colorado.
Mr. Chairman, this concludes my statement. I would now be happy to
answer any questions you and other Members of the Subcommittee might
have.
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