QUESTIONS AND ANSWERSPosted February 2013 NORTH ISLAND HOSPITALS PROJECTWhat is the North Island Hospitals Project?The North Island Hospitals Project (NIHP) involves construction of two new hospitals on northernVancouver Island. A new 153-bed hospital will be built in the Comox Valley and a new 95-bedhospital will be built in Campbell River.What is the North Island Hospitals Project Board?The Project Board is a provincial government body consisting of membership from the Ministry ofHealth, the Ministry of Transportation and Infrastructure, Vancouver Island Health Authority,Comox Strathcona Regional Hospital District and Partnerships BC. The role of the Board was tooversee the development of a business case. The Project Board is also responsible for overseeingthe procurement, design and construction of the North Island Hospitals Project.What does the business case include?The business case primarily involved the development of an indicative (conceptual) design for bothhospitals that included enough detail to accurately determine the required capital investment. Italso recommended that this project should be procured as a public-private partnership (PPP). Thebusiness case will serve as the foundation for the procurement processes.What is an indicative design?An indicative (conceptual) design outlines the potential layout of a building, including all the roomsand requirements identified in the business case. For example, the indicative designs for the newhospitals include drawings that show the potential look of the hospital from the outside (artistrendering), as well as the general layout of patient rooms, laboratories, hospital registration andmore. An indicative design serves several purposes: • Allowing users to visualize what a design could look like; • Providing a basis for estimating costs; and • Serving as a starting point for proponents who will bid on the project to develop their own, detailed competing designs.At what stage is development of the business case and who has been involved?The business case was completed in December 2011. Consultations with physicians and staffbegan in October 2010 when work on the business case got underway. These consultations willcontinue throughout the final design and construction stages of the North Island Hospitals Project.Consultations were initiated with First Nations and Aboriginal Groups in May 2011. Follow-upinformation sharing will take place with Aboriginal representatives to discuss design principles andto seek further input on operational principles and amenities that are relevant for Aboriginal peopleArchived news releases are available at: www.viha.ca/news Page 1 of 6 Excellent care – for everyone, everywhere, every time.
during the design stages of the project. Engagement sessions with community organizations willtake place during the procurement and implementation phases of the project.Can members of the public view the business case?Business cases for major capital projects are not released publicly as they are part of the decisiondocuments prepared for Provincial Cabinet deliberations. Similar to other major projects, a ProjectReport: Achieving Value for Money will be produced by Partnerships BC and is expected to bereleased by mid 2014. The Project Report: Achieving Value for Money will include information onproject objectives, the scope of the project, project benefits and risks associated with the project.Partnerships BC website provides comprehensive reports on all major infrastructure projects in theProvince of BC: www.partnershipsbc.caWhat is the overall budget for the NIHP?Initial and preliminary estimates for this project indicated that the preliminary cost will beapproximately $600 million in total for both hospitals; $334 million for the Comox Valley Hospitaland $266 million for the Campbell River Hospital. The Comox Strathcona Regional Hospital Districtwill be contributing 40% to the overall project, approximately $240 million. Final costs of the overallproject will be determined as part of the procurement phase, concluding with financial close.Why is Partnerships BC involved in the process?Partnerships BC was established by the Province of British Columbia to assist, support and helpmanage large public infrastructure projects through-out the province. They have extensiveexperience with projects like the NIHP.Did the business case recommend a public-private partnership (PPP)?Yes. The Provincial government requires that any project needing more than $50 million inprovincial funding be considered as a public-private partnership to assist in achieving best value fortax dollars. Following consideration by Treasury Board, it was determined the North IslandHospitals Project would be built as a PPP, with the successful proponent responsible for designing,building, financing and maintaining the site for the length of the 30 year contract.What is a PPP?A PPP is a long-term, performance-based contract where government has control and ownershipof the infrastructure (in this case, two hospitals) while transferring parts of the risk associated withdesigning, building, financing, and maintaining major projects to the private sector. The benefits ofPPPs include value for money, increased innovation, cost certainty, and better-managed life cyclecosts.Where will the hospitals be built?The new Campbell River Hospital will be built at the site of the current hospital, located on 2ndAvenue and Birch Street. The new Comox Valley hospital will be located near the intersection ofLerwick and Ryan roads in Courtenay, next to North Island College.Who will be building the new hospitals and what is the timeline?On this project, as with all PPP projects, there is a specific process used to determine the preferredproponent (or consortium) that will design and construct the new hospitals.First, there is a Request for Qualifications (RFQ). In this stage of the NIHP, proponents who wereinterested in building the hospitals had to demonstrate that they had the qualifications andexperience to manage and implement a project of this scope and size. These qualifications andArchived news releases are available at: www.viha.ca/news Page 2 of 6 Excellent care – for everyone, everywhere, every time.
experiences were reviewed, and in October 2012, three qualified proponents were invited to moveonto the second stage, the Request for Proposals (RFP).In the RFP stage, proponents are provided with documents that outline the functional requirementsof the new hospitals, including patient rooms, washrooms, laboratories, registration, parking,clinical equipment and more. From this, the proponents will develop their design and constructionproposals and submit them back to VIHA. The three proponents will have approximately 6-8months to complete their proposals. We anticipate that their proposals will be returned for review infall 2013.Once they have submitted their proposals, they are evaluated and a preferred proponent ischosen. The preferred proponent will be required to design, build, finance and maintain thehospitals over the term of the agreement. The preferred proponent will be announced in December2013, with construction to begin in spring 2014. It is anticipated that the hospitals will be completedand ready for move in by the fall of 2017.Will local companies and individuals be involved in building the new hospitals in Courtenayand Campbell River?We are encouraging local hire and local business participation. We will be holding Business-to-Business meetings in the spring of 2013. These meetings will allow local companies (hotels,caterers, contractors, other suppliers and trades people) the opportunity to meet with theproponents to highlight their qualifications and/or services.Site Preparation: Who will be preparing each site and when will this work begin?The companies who will be preparing the hospital sites at this point in time are different than thosecompanies who will be designing and building the hospitals. VIHA is responsible for managing sitepreparation through the tendering and awarding of the work to companies. This means thatinterested companies have to submit a bid outlining how much it would cost them to prepare eachsite. These bids are evaluated and the job is awarded to a successful company.Comox Valley Site PreparationIn the Comox Valley, this work is expected to begin in February 2013, continuing through June2013. Site preparation work includes tree removal, the creation of landscaped buffer zones alongthe hospital and North Island College, and the installation of an 8ft fence around thehospital/school perimeter.Campbell RiverIn Campbell River, the company that will prepare the site has not yet been chosen. The tender forthis work closes on February 7, 2013. Site preparation work is expected to begin in spring of2013.The site work will continue through fall 2013.What services will be provided at each hospital?The services currently available at Campbell River and St. Joseph’s will remain availablerecognizing that there may be some modifications arising from technological advances, efficienciesin service delivery and innovation in healthcare delivery. Innovation and advances in technology,including medical innovation allow us to deliver better services with less space and make betteruse of existing space. It also reduces the need to duplicate services in both facilities. Spaceutilization is a high priority for this project and VIHA is working closely with the partners on theproject to ensure space is used in the most efficient and effective way. These facilities will provideopportunity to introduce new specialized services to North Vancouver Island, for example, fixedArchived news releases are available at: www.viha.ca/news Page 3 of 6 Excellent care – for everyone, everywhere, every time.
MRI at the new Comox Valley Hospital. They will also improve VIHA’s ability to recruit and retainphysician and other health care professionals.What about Mental Health and Addictions Services?The original long-term plan was to shift the majority of the mental health and addiction services(MHAS) inpatient beds from the Comox Valley to the new Campbell River Hospital. Followingconsultation with physicians at both Campbell River and St. Joseph’s hospitals, it was determinedit would not be practical to move these beds. Representatives from VIHA, St. Joseph’s GeneralHospital and the Chief of Staff for Campbell River Hospital met with the Comox StrathconaRegional Hospital Board Directors at a public meeting held on November 8th, 2012 to discuss theMHAS beds. The CSRHD board voted in favour of keeping the MHAS inpatient beds at the newComox Valley Hospital. Following the CSRHD Board approval, the VIHA Board of Directors alsoapproved this recommendation.How were bed numbers determined?The bed numbers for North Island Hospitals are based on future population projections, healthneeds of the population and anticipated changes in how we deliver services. This is a standardmethodology approved by the Ministry of Health when forecasting the need for acute care beds.This type of forecasting methodology is consistently applied across the Province for all healthcapital planning projects.The BC Government’s Treasury Board, the Project Board, the VIHA Executive and Board haveapproved the NIHP Business Case for this project based on this bed calculationWill there be trauma services?There will be trauma bays in the emergency departments at each hospital site. Higher level traumaservices in the emergency department will be designed to address the type and level of patientcare required. For example, there may be specific bays for casting, eye care, and other levels ofemergency care that will be closely linked with medical imaging (x-rays) and other emergencyrelated services.What about the 40 to 50 new community care beds that were promised by VIHA?VIHA remains committed to opening up to 40-50 new community care beds in Campbell River priorto the opening of the new hospital. Six of these beds have already been purchased. Based onVIHA’s planning, we are looking to provide a range of bed types, including: residential care,moderate dementia housing, reactivation and end of life beds. These community beds are integralto the success of the NIHP, but are a separate project. The NIHP focuses on the replacement ofthe acute care facilities in both communities.What kind of management/administration will there be?The model will be one hospital with two sites. There will be on-site management at each site.VIHA Staff: Will I be working at both sites?While the majority of staff will work at one of the two sites, there may be some staff that choose towork at both sites and some programs may have staff that work out of both sites.What will be the process for transferring staff from St. Josephs to VIHA?VIHA and St. Joseph’s management have begun to meet with the unions representing the currentstaff at each site. The goal of these meetings is to develop plans for integrating St. Joseph’s staffinto VIHA, as well as identify how staff will be transferred into the new buildings. This process willbe completed at least a year in advance of the opening of the new buildings.Archived news releases are available at: www.viha.ca/news Page 4 of 6 Excellent care – for everyone, everywhere, every time.
It is known that some services will be transferred to the consortium (preferred proponent) that willbe building and operating the new hospitals. At this time these services will only include facilitiesmanagement related services, such as HVAC (heating, ventilation and air conditioning) orresponsibilities related to general building maintenance. Affected staff will be identified early in theprocess and in negotiation with the unions representing these staff, options and alternatives will bedeveloped. The new facilities will have an increased number of beds so it is anticipated that allclinical staff wanting to be transferred to the new buildings will be accommodated. In fact, theremay be a need to recruit some new staff.When will we know the process for transfer?Projected opening date of the new sites is fall 2017. We will work diligently to give as much noticeas possible to each of the communities.How do we ensure that acute care needs continue to be addressed, developed andsupported while the new hospitals are being built?It will be business as usual at the current Campbell River and St. Joseph’s hospital sites. Plansand requests for service enhancements and space allocations will continue to be considered as iscurrently done now, throughout the new hospitals construction period. As well, regularmaintenance and repairs will continue.How do we support physicians and staff in planning and transition to the new hospital whileassuring adequate resources to provide quality care at St. Joseph’s and Campbell RiverHospital?There are funds in the project budget to ensure that staff can be backfilled to work on thedevelopment of the new facilities, without impacting staffing and patient care.How will physicians and staff be involved in the design of the new facilities? How much hasalready been decided?To date, over 20 user groups (300 people) made up of clinical and non-clinical staff have beenextensively involved in the creation of RFP documents that will be given to the three proponents toguide the development of their proposals. Clinical and non-clinical staff will also be consultedduring the RFP process as proponents develop their proposals. In addition, there will be numerousopportunities for clinical and non-clinical staff to provide input during the design and constructionphase with regard to clinical flow, room and department design, clinical equipment purchases andoverall functionality of both facilities, as well as their importance in relation to the North Islandhealthcare service delivery model.Comox ValleyWill Pastoral Care be valued and supported in the new hospital?Pastoral care will continue at the new Comox Valley Hospital. VIHA’s Spiritual Health program hasa positive relationship with pastoral care at St. Joseph’s Hospital and the two groups meetregularly regarding pastoral care practice. For more information on the VIHA Spiritual Careprogram visit http://www.viha.ca/spiritual_care/What does this mean for plans for a Hospice/Palliative Unit to be located on the SJGH site?St. Joseph’s and the Hospice Society will continue with their partnership for the development of aHospice/Palliative Unit on the St. Joseph’s site.Archived news releases are available at: www.viha.ca/news Page 5 of 6 Excellent care – for everyone, everywhere, every time.
What will happen at the The Views?The 125 complex care beds in The Views will not transfer to the new hospital. The current plan isfor The Views to remain at the St. Joseph’s site and will be discussed as a part of the new role forSt Joseph’s.Will residents of The Views have to move?As part of any plan to renovate The Views, all efforts will be made to minimize disruptions for theresidents. The details regarding how residents might be impacted would be part of a formal planand communicated at that time.What will happen to the SJGH Foundation?The St. Joseph General Hospital Foundation performs a valuable role in raising funds to supportcapital projects and the purchase of equipment for SJGH and for the Views. The SJGH Foundationhas been considering how they may continue to play a role in this important work with the move toa new hospital. VIHA and the St. Joseph’s Foundation will be meeting to discuss this topic.What happens to the SJGH Foundation’s assets – will they stay in the community?The position of the Foundation has always been to honor the requests of the donors and thisprinciple would apply to the Foundation’s assets.The SJGH Foundation serves both the acute care and The Views. How will this work withthe new hospital?The Foundation has been considering their role in supporting both The Views and the hospital.Given the transfer of acute care services to the new North Island Hospital, the Foundation will beconsidering the best way to continue with this acute care support.The SJGH Foundation has raised funds for specific projects, for example, Palliative andHospice Care. What will happen to these funds?It is always the goal of the Foundation to honor the request of donors giving to specific projects. Inthis example designated funds for Palliative and Hospice Care would be used to support thisspecific program.What will be the process to explore a new role for St. Joseph’s?There are many exciting possibilities for a new role for St. Joseph’s. Discussions will start with theVIHA Board of Directors and the Diocese of Victoria. Further discussions and planning will involvestaff, physicians, members of the community, and other agencies. -30-Archived news releases are available at: www.viha.ca/news Page 6 of 6 Excellent care – for everyone, everywhere, every time.