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Indian Health Service The Federal Health Program for American Indians and Alaska Natives

Division of Facilities Planning Construction (DFPC)
Questions or Comments. Please contact the  


Mr. Raymond Cooke, P.E.
Phone: 301-443-7315

  • Overall Program Management and General Office Administration
  • Budget
  • Personnel
  • All IHS Areas in the absence of Program Managers
  • Healthcare Systems Planning Process (HSP)
  • M&M Projects
  • Dental Facilities Program.
CAPT John Longstaff, P.E., CDT
General Engineer
Phone: 301-443-1068

CAPT James Ludington, P.E.
General Engineer
Phone: 301-443-1642

  • Alaska
  • Billings
  • Small Ambulatory Program
CAPT Peter Nachod, P.E.
General Engineer
Phone: 301-443-4205

CAPT Steve Raynor, P.E.
General Engineer
Phone: 301-443-1415

  • Bemidji
  • Phoenix
  • Portland
  • Healthcare Facilities Budget
  • Vudex

Post-Occupancy Evaluations

The Indian Health Service conducts Post Occupancy Evaluations (POE) of recently completed health care facilities to gain knowledge for improvement of the planning and design process for new health care facilities as well as to encourage overall improvement in the health delivery process by providing the best health care facilities possible. The major purposes of a POE include:
  1. To avoid repetitious design or construction deficiencies.
  2. To document noteworthy construction features or practices for inclusion in future projects.
  3. To evaluate the entire plan-design-construction-operation process. After the evaluation, feedback will be provided to those offices which were responsible for the planning, designing, constructing and operating processes.
  4. To save future construction and operating costs by contributing to an efficient facilities design and construction program.
  5. To evaluate staffing patterns and determining the adequacy of the space provided compared to the approved Program of Requirements.
  6. To verify that the functional requirements of the Program of Requirements are met, and that they are met at reasonable costs. The operating program and technical survey team jointly evaluate this item.
Generally a POE is conducted after the initial construction and start-up defects are corrected and the facility is in full operation, 2 to 4 years after initial occupancy. This time period also allows the staff an opportunity to become familiar with the facility and to implement procedures for utilizing their department spaces.

For additional information, Please contact Peter Nachod, Manager of the Post-Occupancy Evaluations Program.

Joint Venture Construction Program (JVCP)

*** Note *** The 2010 Three-Year Joint Venture cycle is currently underway -- Applications for this round are not being accepted at this time. The date of the start of the next application round has not yet been determined, but is anticipated to occur sometime in late 2013. Check back for details.

Section 818(e) of the Indian Health Care Improvement Act, Public Law (P.L.) 94-437, as amended by languages in the fiscal year (FY) 2001 appropriation, P.L. 106-291, and the FY 2002 appropriation, P.L. 107-63, authorizes the Indian Health Service (IHS) Joint Venture Construction Program (JVCP) for establishing projects where American Indian and Alaska Natives tribes can acquire a tribally owned outpatient health care facility, in exchange for the IHS providing the initial equipment, then operating and maintaining the health care facility for a minimum of 20 years.

The tribe must have the administrative and financial capabilities necessary to complete the acquisition in a timely manner. The tribe must expend tribal, private, or other available non-IHS funds for the acquisition. The tribe is to lease the tribally owned health care facility to the IHS for a minimum of 20 years under a no-cost Government lease.

In exchange, the IHS is to provide the initial equipment, then the supplies and staffing for the operation and maintenance of the health care facility for the lease period (unless agreements are made otherwise.)

A tribe, who has entered into an agreement with the IHS under this program, who breaches or terminates without cause such agreement, will be liable to the U.S. Government for the amount paid by the Government. Recent Joint Venture Construction Program Awards:

FY 2011:
Chickasaw Nation Tishomingo Oklahoma Health Center in Tishomingo Oklahoma
Kenaitze Health Center in Kenai Alaska
Mississippi Choctaw Health Care Center in Pearl River, MS

FY 2010:
Copper River Native Association of Glennallen, AK
Tanana Chiefs Conference of Fairbanks, AK
Southcentral Foundation Health Center in Wasilla, AK
Chickasaw Ardmore Health Center in Ardmore OK

IHS Health Systems Planning Process (HSP)

Health Systems Planning Process (HSP) The Health Systems Planning Process (HSP) is a computer database program developed for the IHS specifically to aid in the design of health facilities. Based upon the expertise of experienced IHS personnel, and the historical record of previously constructed health centers and hospitals, a statistical model was created utilizing population numbers and demographics to determine certain criteria, such as the appropriate numbers of exam rooms, dental chairs, size of pharmacy, labor & delivery, etc to be allocated to provide care for a specific population. It then determines a proposed size for such a facility with department-by-department breakdowns.

IHS Healthcare Facilities Construction Priority System (HFCPS)

The objective of the HFCPS is to identify and prioritize those locations requiring space in order to house the programs to provide health and related services. The HFCPS is not intended to identify or prioritize the need for staffing and other resources, although these resources are often added to the IHS recurring base funding when a facility is constructed under some construction programs.

The HFCPS methodology does two things: it identifies the total need for construction of IHS and Tribal healthcare facilities, and it provides a process for prioritizing that need for each of the authorized facilities construction programs. To accomplish both of these tasks, the HFCPS Methodology incorporates two related processes that
  • First, permit IHS to develop a ranked, categorized listing of all healthcare facilities needs using limited resources; and
  • Second, permit IHS to use the categories and rankings to focus resources on identifying specific facilities construction projects for more intensive evaluation and possible selection for funding and prioritization under one of the authorized healthcare facilities construction programs.
Background Section 301 of the Indian Health Care Improvement Act (IHCIA), Public Law (P.L) 94-437 directs IHS to provide to Congress a list of the 10 highest priority inpatient and the 10 highest priority outpatient facilities construction projects. In order to comply with this directive, IHS established the HFCPS in 1991.
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