A presentation about the North Island Hospitals Project for the Campbell River Chamber of Commerce, March 7, 2013

1. North Island Hospitals Project
Campbell River
Chamber of Commerce
Luncheon
March 7, 2013
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2. Agenda
1. Project Background
2. Guiding Principles – Design Guidelines
3. Project description, schedule and timeline
4. Hospital design and new features
5. Aboriginal and First Nations Engagement
6. Procurement – PPP (P3 Process)
7. Construction
8. Business Opportunities
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3. Project Background
• VIHA has been involved in the planning for replacement and
updating of the acute care facilities in both Campbell River and
Comox Valley since 2003
• The Campbell River and Comox Valley Hospitals are nearly 50 years old:
o
Physical infrastructure is deteriorating
o
Difficult meeting the future needs for patient care
o
Currently preventing staff from providing the best care possible
• May 2009, VIHA announced the replacement of these facilities:
o
153-bed hospital in the Comox Valley
o
95-bed hospital in Campbell River
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4. Campbell River – Aerial Image
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5. Project Objectives
• Increase North Vancouver Island Acute Care capacity to meet the
population’s growing and changing needs and demographics
• Enhance safety and quality of care for all patients
• Improve access to services for all North Vancouver Island
communities
• Maximize staff and physician training, recruitment and retention
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6. Project Guiding Principles
• A Place we want to work and learn
• Evidence Based Design
• Patient centered: for Islanders, First Nations and the
Elderly
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7. Guiding Principals: Design
1. Healing Environment
7. Use of Wood
2. Evidence Based Design
8. Sustainability
3. LEAN approach
9. Efficient Use of Resources
4. Elderly Friendly
5. Patient Friendly
10. Alternative Sources of
Energy
6. Consistency of Design
11. Carbon Neutrality
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8. Project Description
• Campbell River Hospital
o
22,657 sq m2
o
95 beds
o
$266 million
o
o
o
Comox Strathcona Regional Hospital District 40% = $106.4
million
University of British Columbia (UBC) Academic Teaching
Space
69% increase in overall space
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9. Project Schedule
• Competitive Selection Process:
o
Request for Qualifications, June - October, 2012

o
8 Proponents
Request for Proposals, April - November, 2013

3 Proponents
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10. 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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11. 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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12. 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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13. Project Schedule
• VIHA Site Preparation – Campbell River Hospital
o
Request for Proposal, November, 2012 - March, 2013
o
Sunshine Wellness Centre – interior renovations – Jan – May 2013
o
Site preparation activity scheduled to start end of March 2013

Palladian Developments - Nanaimo

Gravel parking lot work to begin – April 2013

Modular Project Management offices on site – Spring 2013

Modular Decanted Healthcare programs on site – Spring 2013

New ambulance entrance – end of 2013
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14. Project Schedule
• Decanted Services planned for modular unit
o
Operating Room Bookings
o
Meeting Rooms
o
Administration
• Enabling all healthcare programs to remain in Sunshine
Wellness Centre and hospital
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15. Project Schedule
• Financial Close – Ground Breaking
o
April, 2014
o
Hospital Design and Construction to start
• Service Commencement – Project Completion
o
April, 2017
• Move in
o
Fall 2017
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16. Hospital Design
• Project and Program Design:
o
Initial design decisions for RFP made with direct consultation from
over 20 user groups (300 people)

Physicians, nurses, food services, laundry, housekeeping, management
o Future design decisions with proponent to include:
 User groups (physicians, nurses, food services, laundry, housekeeping,
management)
 Evidence Based planning
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17. Hospital Design
• Evidence Based Design:
o
o
Great Design = better patient outcomes and cost savings
Single patient rooms with bathrooms and carefully positioned
hand wash stations help to reduce hospital infections
o
Higher staff satisfaction and retention
o
Desired Outcome = Greatest Benefits for the Best Value
o
Patients – Clinical and Non-Clinical Staff – Families
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18. Campbell River Hospital Proposed Design
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19. Campbell River Hospital Rendering
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20. New Hospital Features
• Emergency Department – 3 times bigger!
• Centre of Excellence in Aboriginal Maternal Health
• New and/or Enhanced dedicated space for:
o
Orthopedic clinic
o
Ambulatory procedure care space
o
Cardio-pulmonary diagnostic services
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21. New Hospital Features
Current
Future
Percentage
Increase
Operating Rooms
3
4
25%
Inpatient Rooms
2541
5800
228%
Emergency &
Ambulatory (CGSM)
1360
3035
223%
Diagnostic and
Treatment (CGSM)
2624
3991
152%
(CGSM)
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22. New Hospital Features
• Standardization:
o
Office space, meeting rooms, lounges
o
In Patient rooms, Intensive Care rooms, Operating Rooms
o
Maternity - Labour – Delivery – Recovery – Post-Partum
(LDRP’s)
• Space saving:
o
Washrooms – no longer staff and gendered (with exception of
bathrooms in staff areas)
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23. Community Involvement
• Quarterly open houses and information sessions
• Meetings with:
o
School district and local school (upcoming)
o
Chamber of Commerce
o
City Council
o
Aboriginal Working Group
•
Project newsletters
•
Website
•
Social media
•
Project webcam
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24. 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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25. Community Benefits: Economic
Development Contractors – Example
Fort St. John
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26. Community Benefits: Sub-Contractor Work Packages – Example
Fort St. John
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Work Package
Site Services
Civil Work for Electrical Utilities
U/G HYDRO, TEL/CABLE
Tanks
Masonry
Supply of Glu-Lams
Hardboard Paneling & Wood Lattice
Sprayed Insulation & Fireproofing
Metal Roofing
Membrane Roofing
Roof Hatches
Expansion Control
Windows (Res. Care)
Loading Dock Equipment
SPD equipment
Interior and Exterior Steel Stud, Drywall and
Ceilings
Structural Steel (Res Care)
Linen chutes
Interior Glazing
Door Frames
Overhead Doors
Architectural Louvers
Headwalls
Resilient & Carpet
Millwork
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Painting
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Misc Specialties-Entrance Mat/Wall Protection/Lockers
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Lab and Pharmacy Casework
Wood Doors
Door Hardware
Asphalt Paving
Washroom Accessories
Light Pole Bases
Landscaping
Signage
ResCare Balcony membrane
Exterior civil works
Equipment
Chiller Tank Waterproofing
Miscellaneous Metals
Shaft waterproofing
Equipment – Cat 3
Lockers
White / Tackboards
Cat 3
Cat 4
Blinds
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27. Community Benefits
• Industry Speed Dating Sessions (Spring 2013)
o
Opportunity for local businesses to meet with the Private
Sector companies to discuss potential contracts and work
o
Information will be on the Portal in two weeks
o
One session in Campbell River and one in the Comox Valley
o
Working in partnership:

Campbell River Chamber of Commerce

Comox Valley Chamber of Commerce

Vancouver Island Construction Association

Vancouver Island Economic Alliance
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29. Aboriginal and First Nations Engagement
• Aboriginal Working Group:
o
Kwakiutl District Council
o
Nuu-chah-nulth Tribal Council
o
First Nations Health Authority
o
K'ómoks First Nation
o
Wachiay Friendship Centre
o
VIHA Aboriginal Employment
o
North Island Métis Nation
o
MIKISW Métis Association
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30. Project Procurement
Public Private Partnerships (PPP)
● Long term, performance-based contract between government and
a private partner to deliver infrastructure and facility management
services:
o
Design, build, finance, maintain into one contract
o
Transfers key risks: schedule, cost, lifecycle, design
o
Innovation and competition
o
Smooth payment starting during operation
o
Enables government to focus on core business - healthcare
o
Value for Money: $$ dollars and quality
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31. Manage Project
Program
Plan
Program Delivery
Design
Build
Maintain
Facility Management
Services
Finance Project
Own Building
Own Land
Public sector
Private partner
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32. Project Procurement – PPP Process
Concept
Plan
2 to 4
months
We are here
Business
Case &
Design
Concept
5 months
to 2 years
Issue
RFQ
Issue RFP
Negotiate
Design
Construction
2 to 4 years
Maintenance
Contract Term
30 years
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33. PPP Payment Mechanisms Example
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34. Project Construction
Parking and Traffic Management:
o
During construction, workers and suppliers will not be allowed
to park on any street within 1km of the Campbell River Site
o
Creation of two temporary gravel parking lots near Yucalta
Lodge (140 parking stalls)
o
Long-term – new parkade and surface parking

Total of 450 parking spots
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35. Parking and Traffic Management
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36. Project Construction
Parking and Traffic Management
• Traffic flow changes to existing lot off 2nd – one way - opposite
direction
• Change to ambulance entrance
• Restrictions on left turn (westbound) out of existing parking lot to
2nd.
• More information once contractor is on site
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37. Construction and Traffic Management
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38. Thank You!!
Questions?
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