The National Institutes of Health (NIH) is the primary agency of the United States government responsible for biomedical and public health research. Founded in the late 1870s, NIH has produced extraordinary advances in the treatment of common and rare diseases and leads the world in biomedical research. It is a critical national resource that plays an important role in supporting national security. The 310-acre Bethesda campus supports some 20,000 employees and contractors, and it contains more than 12 million square feet of facilities divided amongst nearly 100 buildings, including the largest dedicated research hospital in the world. The Bethesda campus supports some of the most sophisticated and groundbreaking biomedical research in the world. However, while some new state-of-the-art buildings have been constructed in recent years, essential maintenance for many facilities and the campus overall has been consistently deferred for many years. The deteriorating condition of NIH's built environment is now putting its ability to fulfill its mission at substantial risk. Managing the NIH Bethesda Campus's Capital Assets for Success in a Highly Competitive Global Biomedical Research Environment identifies the facilities in greatest need of repair on the Bethesda campus and evaluates cost estimates to determine what investment is needed for the NIH to successfully accomplish its mission going forward.

Contents

• The National Academies of SCIENCES • ENGINEERING • MEDICINE
• COMMITTEE ON ASSESSING THE CAPITAL NEEDS OF THE NATIONAL INSTITUTES OF HEALTH
• BOARD ON INFRASTRUCTURE AND THE CONSTRUCTED ENVIRONMENT
• Preface
• Acknowledgment of Reviewers
• Summary
  • INTRODUCTION
  • NIH BETHESDA CAMPUS: FACILITIES AND ACTIVITIES
  • CURRENT CONDITIONS
  • CURRENT CAPITAL ASSET MANAGEMENT AT NIH
  • NIH APPROACH TO MANAGING ITS BETHESDA CAMPUS BUILDINGS AND FACILITIES
  • FUTURE NIH APPROACH TO PLANNING
  • THE EVOLVING GLOBAL BIOMEDICAL RESEARCH ENVIRONMENT: IMPLICATIONS FOR NIH AND ITS CAPITAL ASSETS
  • CONCLUSION
• 1. Introduction
  • ORIGIN OF STUDY
  • CHARGE TO THE COMMITTEE
  • COMMITTEE'S APPROACH TO THE STATEMENT OF TASK
  • STRUCTURE OF THIS REPORT
• 2. Global and National Biomedical Research Environment
  • BIOMEDICAL RESEARCH ENVIRONMENT AND KEY EMERGENT TRENDS
  • THE RESEARCH-BUILT ENVIRONMENT AND KEY EMERGENT TRENDS
  • SUMMARY
• 3. NIH Bethesda Campus: Facilities and Activities
  • OVERVIEW OF MISSION (INTRAMURAL, EXTRAMURAL)
  • NIH, NATIONAL SECURITY, AND THE BETHESDA CAMPUS
  • VALUE AND ACCOMPLISHMENTS OF NIH INTRAMURAL PROGRAM
• 4. Current Condition
  • INFRASTRUCTURE IN SUPPORT OF SCIENTIFIC ACTIVITIES AT NIH-BC
  • SPACE UTILIZATION AT NIH-BC
  • CURRENT CONDITIONS OF IRP FACILITIES AT NIH-BC
  • FINDINGS AND RECOMMENDATIONS
• 5. Current Capital Asset Management at NIH
  • DETERMINING THE VALUE OF FACILITIES ON THE BETHESDA CAMPUS
  • PROCESS BY WHICH PROJECTS ARE PLANNED AND EVALUATED
  • PLANNING ENVIRONMENT
  • ASSESSING THE NEED FOR RENOVATION, REPLACEMENT, OR ADAPTIVE REUSE
  • FINDINGS AND RECOMMENDATIONS
  • ANNEX 5.A: PREVENTATIVE MAINTENANCE MEASURES AND LIFE CYCLE COST ANALYSIS
• 6. NIH Current Approach to Strategic Planning for the Bethesda Campus Buildings and Facilities
  • CONTEXT
  • MANAGING INVESTMENT
  • FINDINGS AND RECOMMENDATIONS
• 7. The Future of Capital Planning for the NIH Bethesda Campus
  • INTEGRATING STRATEGIC RESEARCH PROGRAM AND STRATEGIC CAPITAL FACILITIES PLANS
  • CAPITAL ASSET PORTFOLIO PERFORMANCE-BASED CAPITAL PLANNING DECISION MAKING
  • FINDINGS AND RECOMMENDATIONS
• 8. The Evolving Global Biomedical Research Environment and Its Implications for NIH Capital Assets
  • BACKGROUND AND CONTEXT
  • ORGANIZATIONAL STRUCTURE AND FUNDING
  • MULTIDISCIPLINARY TEAM SCIENCE
  • DATA DRIVEN SCIENCE
  • CONCLUSION
• 9. Recommendations
  • NECESSARY SHORT-TERM ACTIONS
  • REVISE EXPENDITURE PLANNING PROCESSES AND PRACTICES
  • IMPROVE CAPITAL PLANNING TOOLS AND METHODS
  • TREAT THE CAMPUS AND ITS ACTIVITIES AS AN INTERRELATED AND INTEGRATED SYSTEM
  • SOLICIT INPUT FROM EXPERTS EXTERNAL TO NIH
  • REVISE GOVERNANCE
• References
• A. Statement of Task
• B. Committee Biographical Information
• C. Committee Activities
• D. Data on NIH Clinical Center
• E. NIH Facilities: Cores
• F. Facilities on Bethesda Campus
• G. NIH Facilities: Space Utilization
• H. Review of NIH Corporate Strategic Planning Process
• I. Capital Asset Portfolio Performance-Based Capital Planning Decision Making
• J. Glossary
• K. Acronyms

Suggested citation:

National Academies of Sciences, Engineering, and Medicine. 2019. Managing the NIH Bethesda Campus Capital Assets for Success in a Highly Competitive Global Biomedical Research Environment. Washington, DC: The National Academies Press. doi: https://doi.org/10.17226/25483.

Digital Object Identifier: https://doi.org/10.17226/25483

Front cover: Aerial photograph of the NIH Clinical Center, 2014. Courtesy of the Office of NIH History and the Stetten Museum. Back cover: Aerial photograph of the NIH Bethesda Campus. Courtesy of the National Institutes of Health.

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