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NIHP Comox Valley Chamber of Commerce Apr 18 2013
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  • 1. North Island Hospitals Project Comox Valley Chamber of Commerce April 18, 2013 1
  • 2. Agenda1. Project Background2. Project Objectives, Guiding Principles, Design Guidelines3. Project description, schedule and timeline4. Hospital design and new features5. Procurement – PPP (P3 Process)6. Community Benefits7. Community, Aboriginal and First Nations Engagement 2
  • 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 St. Joseph’s Hospitals are getting tired; o 70 CR; 50 - 100 St. Joseph’s: o Physical infrastructure is deteriorating o Difficult meeting the future needs for patient care• May 2009, VIHA announced the replacement of these facilities: o 153-bed hospital in the Comox Valley o 95-bed hospital in Campbell River 3
  • 4. Project Guiding Principles• A Place we want to work and learn• Evidence Based Design• Patient centered: for Islanders, First Nations and the Elderly 4
  • 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 5 5
  • 6. Guiding Principals: Design1. Healing Environment 7. Use of Wood2. Evidence Based Design 8. Sustainability3. LEAN approach 9. Efficient Use of Resources4. Elderly Friendly 10. Alternative Sources of5. Patient Friendly Energy6. Consistency of Design 11. Carbon Neutrality 6
  • 7. Comox Valley Hospital• 29,000 m2• 153 beds• $334 million• Comox Strathcona Regional Hospital District 40% o $133.6 million• MRI• University of British Columbia (UBC) Academic Teaching Space• 71% growth 7 7
  • 8. Comox Valley Hospital Proposed Design 8 8
  • 9. Campbell River Hospital• 22,657 sq m2• 95 beds• $266 million• Comox Strathcona Regional Hospital District 40% o $106.4 million• COE - Aboriginal Maternal Health• University of British Columbia (UBC) Academic Teaching Space• 69% growth 9
  • 10. Campbell River Hospital Proposed Design 10
  • 11. Project Schedule • Competitive Selection Process: o Request for Qualifications, June - October, 2012  8 Proponents o Request for Proposals, April - November, 2013  3 Proponents 11 11
  • 12. 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 12 12
  • 13. Project Proponents Team: Plenary Health • Plenary Group (Canada) Ltd. • PCL Constructors Westcoast Inc. • CEI Architecture Planning Interiors • Parkin Architects Western Ltd. • Johnson Controls Inc 13 13
  • 14. 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. 14 14
  • 15. Project ScheduleFinalizing ‘Request for Proposal’ Package February - March, 2013VIHA Site Preparation Work March – November,Comox Valley Site – Leighton Contracting (2009) 2013Ltd.Campbell River Site – Palladian DevelopmentRequest for Proposal Phase April – December,Collaborative Meetings (4) 2013Identify Preferred Proponent January – March,Project Agreement Negotiations 2014 15
  • 16. Project ScheduleFinancial Close March, 2014Ground Breaking CeremonyDesign and Construction of New Facilities April, 2014 – March, 2017Service Commencement – Project Completion March, 2017Commissioning and Transition Period April – September, 2017Move-In Late Fall, 2017 16
  • 17. 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 17
  • 18. Hospital Design • Evidence Based Design: o Great Design = better patient outcomes and cost savings o 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 18
  • 19. Comox Valley Hospital • Acute Care Community Hospitals – Fully Functional • 315,000 sq feet • 153 acute care beds • 105 In Patient Units • 8 Intensive Care Units • 9 telemetry • 9 LDRP+ Aboriginal Maternal Health • 6 pediatrics • Psychiatry 11, 4 PICU 19
  • 20. Comox Valley Hospital o 6 OR’s, 18 Surgical Daycare, 13 PARR o 5 procedure rooms o Outpatient clinics • Chemo 7, Medical Daycare 7 o 31 Emergency o Lab (including autopsy) o Medical Imaging o Rehab o Pharmacy 20
  • 21. Campbell River Hospital • Acute Care Community Hospital – Fully Functional • 244,000/ sq feet • 95 acute care beds • 72 In Patient Units • 6 Intensive Care Units • 7 telemetry • 7 LDRP+ Aboriginal Maternal Healthcare program • 3 pediatrics units 21
  • 22. Campbell River Hospital • 4 OR’s, 12 Surgical Daycare, 10 PARR • 5 procedure rooms • Outpatient clinics • Chemo 7, Medical Daycare 7 • 29 Emergency • Lab (including autopsy) • Medical Imaging • Rehab • Pharmacy 22
  • 23. 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) 23
  • 24. Project ProcurementPublic 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 - one contract o Transfers key risks: schedule, cost, lifecycle, design o Innovation and competition o Enables government to focus on core business - healthcare o Value for Money: $$ dollars and quality 24
  • 25. Manage Project Program DeliveryProgram Design Build MaintainPlan Facility Management ServicesFinance ProjectOwn BuildingOwn Land Public sector Private partner 25
  • 26. Concept Project Procurement – PPP Process Plan We are here Business 2 to 4 Case &months Design Concept Issue Issue RFP Negotiate 5 months RFQ to 2 years Design Construction 2 to 4 years Maintenance Contract Term 30 years 26
  • 27. Community Benefits• Employment – direct and indirect• Majority of construction hired locally• Construction services and material procured locally• BC Cancer Agency for the North o 90% of trades came from North o 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 27
  • 28. Community Benefits Preliminary Employment Numbers – Direct Employment 2013 2014 2015 2016 2017 TotalComox 50 200 250 350 300 1150ValleyCampbell 30 175 225 325 275 1030River 28
  • 29. Community Benefits• Industry Speed Dating Sessions o May 27, 2013 – Campbell River May 28, 2013 - Courtenay o Opportunity for local businesses to meet with the Private Sector companies to discuss potential contracts and work o Information is on portal (http://cr.majorprojects.ca/) o Registration begins May 13, 2013 on portal o Working in partnership:  Campbell River Chamber of Commerce  Comox Valley Chamber of Commerce  Vancouver Island Construction Association  Vancouver Island Economic Alliance 29
  • 30. Community Benefits: EconomicDevelopment Contractors –example Fort St.John 30
  • 31. Community Benefits: Sub-Contractor Work Packages – example Fort St.John Work Package 26 Painting 1 Site Services Misc Specialties-Entrance Mat/Wall 2 Civil Work for Electrical Utilities 27 3 U/G HYDRO, TEL/CABLE Protection/Lockers 4 Tanks 28 Lab and Pharmacy Casework 5 Masonry 29 Wood Doors 6 Supply of Glu-Lams 30 Door Hardware 7 Hardboard Paneling & Wood Lattice 31 Asphalt Paving 8 Sprayed Insulation & Fireproofing 9 Metal Roofing 32 Washroom Accessories 10 Membrane Roofing 33 Light Pole Bases 11 Roof Hatches 34 Landscaping 12 Expansion Control 35 Signage 13 Windows (Res. Care) 36 ResCare Balcony membrane 14 Loading Dock Equipment 37 Exterior civil works 15 SPD equipment Interior and Exterior Steel Stud, Drywall and 38 Equipment 16 39 Chiller Tank Waterproofing Ceilings 17 Structural Steel (Res Care) 40 Miscellaneous Metals 18 Linen chutes 41 Shaft waterproofing 19 Interior Glazing 42 Equipment – Cat 3 20 Door Frames 21 Overhead Doors 43 Lockers 22 Architectural Louvers 44 White / Tackboards 23 Headwalls 45 Cat 3 24 Resilient & Carpet 46 Cat 4 25 Millwork 47 Blinds 31
  • 32. Community Engagement• Quarterly open houses and information sessions• Meetings with: o School district and local school o Neighbourhood o Chamber of Commerce - Portal o City Council o Aboriginal Working Group• Project newsletters• Website• Social media• Project webcam (http://www.viha.ca/about_viha/building_for_health/nihp_cam1.htm) 32 32
  • 33. Aboriginal and First Nations Engagement• Aboriginal Working Group: o Kwakiutl District Council o Nuu-chah-nulth Tribal Council o First Nations Health Authority o We Wai Kai Nation Photo courtesy of Comox Valley Echo o We Wai Kum First Nation o Kómoks First Nation o Wachiay Friendship Centre o VIHA Aboriginal Employment o North Island Métis Nation o MIKISW Métis Association 33
  • 34. Thank You!!Questions? 34