A presentation to the Comox Valley Chamber of Commerce about the North Island Hospitals Project. April 18, 2013

1. North Island Hospitals Project
Comox Valley Chamber of Commerce
April 18, 2013
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2. Agenda
1. Project Background
2. Project Objectives, Guiding Principles, Design Guidelines
3. Project description, schedule and timeline
4. Hospital design and new features
5. Procurement – PPP (P3 Process)
6. Community Benefits
7. Community, Aboriginal and First Nations Engagement
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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 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
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4. 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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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. 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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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
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8. Comox Valley Hospital Proposed Design
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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
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10. Campbell River Hospital Proposed Design
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11. 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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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
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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
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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.
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15. Project Schedule
Finalizing ‘Request for Proposal’ Package
VIHA Site Preparation Work
Comox Valley Site – Leighton Contracting (2009)
Ltd.
Campbell River Site – Palladian Development
Request for Proposal Phase
Collaborative Meetings (4)
Identify Preferred Proponent
Project Agreement Negotiations
February - March,
2013
March – November,
2013
April – December,
2013
January – March,
2014
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16. Project Schedule
Financial Close
March, 2014
Ground Breaking Ceremony
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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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
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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
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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
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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
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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
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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
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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)
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24. 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 - 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
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25. 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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26. 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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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
o
•
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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28. 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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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
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30. Community Benefits: Economic
Development Contractors –
example Fort St.John
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31. Community Benefits: Sub-Contractor Work Packages – example Fort St.
John
Work Package
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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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Misc Specialties-Entrance Mat/Wall
Protection/Lockers
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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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)
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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
o
We Wai Kum First Nation
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K'ómoks First Nation
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Wachiay Friendship Centre
o
VIHA Aboriginal Employment
o
North Island Métis Nation
o
MIKISW Métis Association
Photo courtesy of Comox Valley Echo
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34. Thank You!!
Questions?
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