North Island Hospitals Project Comox Strathcona Regional Hospital - - PowerPoint PPT Presentation

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North Island Hospitals Project

Comox Strathcona Regional Hospital District June 13, 2013

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Agenda

1. Project Objectives, Guiding Principles, Design Guidelines 2. Overview of each hospital design and new features 3. Procurement – PPP (P3 Process) 4. Comox Valley Site Preparation 5. Campbell River Site Preparation 6. Key Issues: Comox Valley and Campbell River

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Project Objectives

• Increase North Vancouver Island acute care capacity to meet the

population’s growing and changing needs

• Enhance safety and quality of care for all patients
• Improve access to services for all North Vancouver Island communities
• Maximize staff and physician recruitment and retention potential

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1. Healing Environment 2. Evidence Based Design 3. LEAN approach 4. Elderly Friendly 5. Patient Friendly 6. Consistency of Design

Guiding Principals: Design

7. Use of Wood 8. Sustainability 9. Efficient Use of Resources

• 10. Alternative Sources of

Energy

• 11. Carbon Neutrality

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Hospital Design and Construction

• Project and Program Design:
• Initial design decisions for RFP made with direct consultation from
• ver 20 user groups (300 people)
• Physicians, nurses, food services, laundry, housekeeping, management
• Future design decisions with proponent to include:
• User Champions and Super Users Meeting
• User groups (physicians, nurses, food services, laundry, housekeeping,

management, public/patient)

• Evidence Based Planning
• Process Flow Mapping

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New Hospital Features

• Standardization:
• Office space, meeting rooms, lounges
• In Patient rooms, Intensive Care rooms, Operating Rooms
• Maternity ‐ Labour – Delivery – Recovery – Post‐Partum

(LDRP’s)

• Space saving:
• Washrooms – no longer staff and gendered (with exception of

bathrooms in staff areas)

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Comox Valley Hospital

• 29,000 m2
• 153 beds
• $334 million
• Comox Strathcona Regional Hospital

District 40% = $133.6 million

• MRI
• University of British Columbia (UBC)

Academic Teaching Space

• 71% growth

Campbell River Hospital

• 22,657 sq m2
• 95 beds
• $266 million
• Comox Strathcona Regional Hospital

District 40% = $106.4 million

• Centre of Excellence in Aboriginal

Maternal Care

• University of British Columbia (UBC)

Academic Teaching Space

• 69% growth

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Comox Valley Hospital Proposed Design

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Campbell River Hospital Rendering

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• 95/153 Acute Care beds
• 72/105 In Patient Units
• 6/8 Intensive Care Units
• 7/9 Telemetry
• 7/9 Labour Delivery Recovery Post-

Partum+ Centre of Excellence

• Aboriginal Maternal Health
• 3/6 Pediatrics
• Psychiatry 11, 4 PICU (CVH)

Campbell River Hospital – Comox Valley Hospital

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• 4/6 OR’s, 12/18 Surgical Daycare, 10/13 PARR
• 5 procedure rooms
• Outpatient clinics
• Chemo 7, MDC 7
• 29/31 ER
• Lab (including autopsy x 2)
• Medical Imaging
• Rehab
• Pharmacy

Campbell River Hospital – Comox Valley Hospital

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Public Private Partnerships (PPP)

• Long term, performance‐based contract between

government and a private partner to deliver infrastructure and facility management services:

• Design, build, finance, maintain into one contract
• Transfers key risks: schedule, cost, lifecycle, design
• Innovation and competition
• Enables VIHA to focus on core business ‐ healthcare

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Project Procurement – PPP Process

Business Case & Design Concept Construction Issue RFQ Issue RFP Negotiate Maintenance

~ 4 years 5 months to 2 years

Design Concept Plan

Contract Term 30 years 2 to 4 months

We are here March 2014

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Project Proponents

Team: Arbutus Healthcare Partners

• Carillion Canada Inc.
• Bird Capital Limited
• Concert Infrastructure Ltd.
• Bird Design‐Build Construction Inc.
• Campbell Construction Ltd.
• Kasian Architecture Interior Design and Planning Ltd.
• NBBJ Architecture

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Project Proponents

Team: Plenary Health

• Plenary Group (Canada) Ltd.
• PCL Constructors Westcoast Inc.
• CEI Architecture Planning Interiors
• Parkin Architects Western Ltd.
• Johnson Controls Inc.

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Project Proponents

Team: Tandem Health Partners

• Balfour Beatty Capital – Canada Ltd.
• Gracorp Capital Advisors Ltd.
• Connor Clark & Lunn GVest Traditional Infrastructure LP
• Graham Design Builders LP
• Farmer Construction Ltd.
• Stantec Inc.
• Honeywell International Inc.

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Project Schedule

‘Request for Proposal’ Package Finalized April, 2013 VIHA Site Preparation Work Comox Valley Site – Leighton Contracting (2009) Ltd. Campbell River Site – Palladian Development March – November, 2013 Request for Proposal Phase Collaborative Meetings (4) April – December, 2013 Identify Preferred Proponent Project Agreement Negotiations January – March, 2014

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Project Schedule

Financial Close Ground Breaking Ceremony March, 2014 Design and Construction of New Facilities April, 2014 – March, 2017 Service Commencement – Project Completion March, 2017 Commissioning and Transition Period April – September, 2017 Move-In Late Fall, 2017

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• Began site preparation for both sites
• March to July 1, 2013:
• 24 public presentation/meetings with community
• Site ceremony in Campbell River
• Two rounds of collaborative meetings (May in CV and June in

CR)

• User group meetings
• Community Information Sessions

Six Month Review: What we’ve done

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Six Month Look Ahead: What is going to happen?

• Finalize VIHA site preparation – Campbell River and Comox
• Collaborative meetings with three proponents
• User Groups:
• Process Flow Mapping
• Present State – Future State
• LEAN Process Redesign
• User Group Team Building
• Public meetings
• Technical Evaluations – October – November, 2013
• Financial Evaluations – November – December, 2013

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Comox Valley Site Preparation

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Comox Valley Site Preparation: Schedule and Update

• Site preparation activity began end of March 2013
• Tree removal complete, site hydro seeded
• All work to be completed by October 2013

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• 2‐4 foot berm being established in

selected areas of the buffer zone

• Over 1000 trees being planted in

buffer zones between NIC, hospital and Queneesh

• Coniferous, deciduous trees,

Garry Oaks, shrubs and other plants

Comox Valley Site Preparation: Schedule and Update

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What We’ve Heard: Landscaping and Walkway

• The existing paved walkway to Lerwick will be closed as of July 1, 2013
• A new walkway is being created around the hospital site to Lerwick and

Ryan roads– open as of July 1, 2013

• As of October 1, 2013 you can access Lerwick from two landscaped

walkways:

• One route between the hospital site and NIC
• One route between the hospital site and Queneesh
• Walkway and pedestrian routes on hospital grounds will be built to ensure

accessibility for:

• Individuals with mobility challenges, visually impaired and baby strollers

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What We’ve Heard: Landscaping and Walkway

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• Fencing around the one soccer field to be installed end of June
• Soccer fields on Queneesh property stay the same
• Soccer field on hospital property remains open until early 2014
• From July 1st through September 2013, the soccer field will be accessible
• nly from Lerwick Rd.
• October 1 there will be accessibility from Queneesh
• Working with soccer groups and city to ensure usage
• Baseball diamonds will be removed at the end of June after ball season ends
• School District has decided not to place them on Queneesh property

What We’ve Heard: Soccer Field and Baseball Diamonds

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What We’ve Heard: CV – Heliport

• Concerns on the impact of

the new heliport

• Governed by MOT
• Indicative Design did

demonstrate reasonable flight paths for impacts of residential

• final impacts will not be

known until MOT approval of final helipad

• community information

sessions will scheduled to inform residents

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Campbell River Site Preparation

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Campbell River Site Preparation: Schedule and Update

• Sunshine Wellness Centre – interior renovations – Jan – May 2013
• To make way for new ambulance entrance
• Demolition of south end by July 2013
• Site preparation activity began March 2013
• Work on gravel parking lot north of Yucalta Lodge to begin – April 2013
• Two temporary gravel parking lots with 140 public parking stalls
• Modular Project Management offices on site – June 2013
• Modular Decanted Healthcare programs on site – Spring 2013

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Campbell River Site Preparation: Modular Prep and Installation

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Campbell River Site Preparation: Parking and Traffic Management

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• Traffic flow changes to existing lot off 2nd – one way ‐ opposite

direction – end of September 2013

• Change to ambulance entrance – end of September 2013
• Restrictions on left turn (westbound) out of existing parking lot to

2nd.

• We will provide notification well in advance of any changes

Campbell River Site Preparation: Parking and Traffic Management

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Site Preparation: Changes to Traffic Flow and Ambulance Entrance

Yucalta Lodge

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Key Issues: Comox Valley and Campbell River

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What We’ve Heard: Fencing and Site Safety

• An 8ft construction fence will be in place for the entire period of

time that there is work on the site

• An Emergency Management Contact List has been created in

conjunction with both School Advisory Committees (Cedar and Queneesh)

• WorkSafe BC practices and regulations in place
• Occupational Health & Safety

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What We’ve Heard: Noise and Dust Management

• During construction dust control practices will be utilized
• Once the hospitals are in place, carefully designed building

ventilation systems will be used to minimize noise and exhaust

• Noise lessening strategies from Royal Jubilee Project will be

applied to areas such as refuse, recycling, loading, and service areas

• Noise reduction materials will be provided on parking structure

walls within 200 metres of residential developments

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Comox Valley

• Currently, SJGH has 438 stalls on

site, but those accommodate both acute care and residential care, staff and visitors

• New CV hospital will have 655

parking stalls including:

• 425 for physicians and staff
• 230 for patients and visitors

including at least 24 stalls for disabled persons

Campbell River

• 408 total parking spots, an

increase from the current number of 225 spots

• 265 stalls for physicians and

staff

• 143 stalls for patients and

visitors, including at minimum 24 stalls for disabled ( the number of disabled parking is mandated by the bylaws)

What We’ve Heard: Parking and Traffic Management

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What We’ve Heard: Community Engagement

• Quarterly open houses and information sessions
• Meetings with:
• School District and local Queneesh Elementary School
• Chambers of Commerce
• City Councils
• Aboriginal Working Group
• Service clubs
• Construction association, and others
• Sunshine Wellness Staff
• Staff BBQ to salvage plants and say good‐bye to garden
• Project newsletters, Website, Social Media

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• Industry Speed Dating:
• May 27, 2013 – Campbell River
• May 28, 2013 – Comox Valley
• 140 businesses attended in both communities, with over 225 people:
• 64 local Campbell River businesses attended
• 75 local Comox Valley businesses attended
• Feedback from proponents overwhelmingly positive – excited about the capacity

and level of service of local businesses

What We’ve Heard: Community Engagement

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Aboriginal and First Nations Engagement

• Aboriginal Working Group:
• Kwakiutl District Council
• Nuu‐chah‐nulth Tribal Council
• First Nations Health Authority
• We Wai Kai Nation
• Wei Wai Kum First Nation
• K'ómoks First Nation
• Wachiay Friendship Centre
• VIHA Aboriginal Employment
• North Island Métis Nation
• MIKISW Métis Association

Photo courtesy of Comox Valley Echo

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Community Benefits

• Employment – direct and indirect
• Majority of construction hired locally
• Construction services and material procured locally
• BC Cancer Agency for the North
• 90% of trades came from North
• Majority of local companies hired as part of construction team
• Royal Jubilee Patient Care Centre:
• At the peak of construction, approximately 725 people were employed on the

project

• The majority of them from Greater Victoria

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Community Benefits

Preliminary Employment Numbers – Direct Employment 2013 2014 2015 2016 2017 Total Comox Valley 50 200 250 350 300 1150 Campbell River 30 175 225 325 275 1030

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Thank You!!

Questions?

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