The document provides information about an upcoming project to build a new Campbell River Hospital in British Columbia. Key details include:
- The new $266 million, 95-bed hospital will be over 22,657 square meters and include a Centre of Excellence in Aboriginal Maternal Health.
- Three proponent teams have been selected for the public-private partnership to design, build, finance and maintain the new facility over 30 years.
- Construction is scheduled to begin in April 2014 following negotiations, with the new hospital opening in late 2017 after commissioning.
- Community engagement efforts include quarterly open houses and meetings with local groups to address issues around landscaping, noise/dust, parking and traffic during construction.
Campbell River Community Information Meeting presentationIsland Health
Representatives from Tandem Health Partners joined the North Island Hospitals Project team at the latest Campbell River community information meeting on the evening of Thursday, December 10, 2015. Here’s a copy of the presentation.
Campbell River Community Information Meeting presentationIsland Health
Representatives from Tandem Health Partners joined the North Island Hospitals Project team at the latest Campbell River community information meeting on the evening of Thursday, December 10, 2015. Here’s a copy of the presentation.
Comox Valley Community Presentation - December 8, 2015Island Health
Representatives from Tandem Health Partners joined the North Island Hospitals Project team at the latest Comox Valley community information meeting on the evening of Tuesday, December 8, 2015. Here’s a copy of the presentation.
Comox Valley Community Presentation - June 2nd, 2015Island Health
Representatives from Tandem Health Partners joined the North Island Hospitals Project team at the latest Comox Valley community information meeting on the evening of Tuesday, June 2, 2015. Here’s a copy of the presentation made by Chief Project Officer Tom Sparrow.
Campbell River Community Information MeetingIsland Health
Representatives from Tandem Health Partners joined the North Island Hospitals Project team at the latest Comox Valley community information meeting on the evening of Thursday June 4, 2015 at the North Island College/Timberline Secondary School Theatre. Here’s a copy of the presentation made by Chief Project Officer Tom Sparrow.
Campbell River Community Information Meeting presentation March 12, 2015Island Health
The North Island Hospitals Project update presentation from the March 12, 2015 Campbell River Community Information Meeting at the North Island College/Timberline Secondary School Theatre.
About the Department of General Services:
The mission of the Department of General Services (DGS) is to elevate the quality of life for the District with superior construction, first-rate maintenance and expert real estate management. By building and maintaining safe and green state-of-the-art facilities which foster economic growth and elevate educational environments, our trusted and skillful employees create modern and vibrant communities across all of the District of Columbia.
###
Follow DGS on Twitter, Facebook, and Visit Our Website!
Follow DGS on Twitter at @DCDGS - Facebook at facebook.com/dcdgs
Visit DGS at dgs.dc.gov
The City of Toronto is in the final stages of detailed design for the new pedestrian / cycling bridge to be constructed over the Metrolinx Union Station Rail Corridor, from Douro Street to the western leg of Western Battery Road.
We invite you to view the latest drawings and information on our recently updated web page:
www.toronto.ca/king-liberty-bridge
March 26th this year saw over 300 healthcare organisations take action to promote sustainability and increase public health awareness and we are fortunate enough to have the support of; Public Health England, Department of Health, Department for Energy and Climate Change and The Prime Minister, David Cameron. Working with these stakeholders we aim to further develop the links between health and sustainability thus improving economical and health outcomes within the UK.
For the 2016 campaign, beginning in September, and to celebrate our 5th year of the campaign we will be promoting 50kg of carbon. This is effectively promoting what the public and health professionals can do to save 50kg of carbon. This could be achieved through; walking to work, cycling, planting a tree etc.
Comox Valley Community Presentation - December 8, 2015Island Health
Representatives from Tandem Health Partners joined the North Island Hospitals Project team at the latest Comox Valley community information meeting on the evening of Tuesday, December 8, 2015. Here’s a copy of the presentation.
Comox Valley Community Presentation - June 2nd, 2015Island Health
Representatives from Tandem Health Partners joined the North Island Hospitals Project team at the latest Comox Valley community information meeting on the evening of Tuesday, June 2, 2015. Here’s a copy of the presentation made by Chief Project Officer Tom Sparrow.
Campbell River Community Information MeetingIsland Health
Representatives from Tandem Health Partners joined the North Island Hospitals Project team at the latest Comox Valley community information meeting on the evening of Thursday June 4, 2015 at the North Island College/Timberline Secondary School Theatre. Here’s a copy of the presentation made by Chief Project Officer Tom Sparrow.
Campbell River Community Information Meeting presentation March 12, 2015Island Health
The North Island Hospitals Project update presentation from the March 12, 2015 Campbell River Community Information Meeting at the North Island College/Timberline Secondary School Theatre.
About the Department of General Services:
The mission of the Department of General Services (DGS) is to elevate the quality of life for the District with superior construction, first-rate maintenance and expert real estate management. By building and maintaining safe and green state-of-the-art facilities which foster economic growth and elevate educational environments, our trusted and skillful employees create modern and vibrant communities across all of the District of Columbia.
###
Follow DGS on Twitter, Facebook, and Visit Our Website!
Follow DGS on Twitter at @DCDGS - Facebook at facebook.com/dcdgs
Visit DGS at dgs.dc.gov
The City of Toronto is in the final stages of detailed design for the new pedestrian / cycling bridge to be constructed over the Metrolinx Union Station Rail Corridor, from Douro Street to the western leg of Western Battery Road.
We invite you to view the latest drawings and information on our recently updated web page:
www.toronto.ca/king-liberty-bridge
March 26th this year saw over 300 healthcare organisations take action to promote sustainability and increase public health awareness and we are fortunate enough to have the support of; Public Health England, Department of Health, Department for Energy and Climate Change and The Prime Minister, David Cameron. Working with these stakeholders we aim to further develop the links between health and sustainability thus improving economical and health outcomes within the UK.
For the 2016 campaign, beginning in September, and to celebrate our 5th year of the campaign we will be promoting 50kg of carbon. This is effectively promoting what the public and health professionals can do to save 50kg of carbon. This could be achieved through; walking to work, cycling, planting a tree etc.
On Wednesday, June 24, 2020, Chamber Members came together for updates on regional economic development from
Scott Levitan, RTP President & CEO
Terry Magnuson, UNC Vice Chancellor for Research
Janet Hadar, UNC Hospitals President
Joe Milazzo, Regional Transportation Alliance Executive Director
Penny Rich, Orange County Board of Commissioners Chair
Ann Fitts, Chatham Economic Development Corporation Communications Specialist
Mayor Pam Hemminger, Chapel Hill Mayor
Barbara Foushee, Carrboro Mayor Pro Tem
Willard Sherwood Virtual Community Open House #1 - 01-26-2022Fairfax County
Feasibility studies
Green Acres Community Center:
2015 – 2016
Identified needs to relocate some programs.
Joseph Willard Health Center:
2017 - 2018
Identified need for a replacement of the facility.
Master Plan study:
2018-2019
Campus-type redevelopment on Willard and Sherwood sites.
City and County joint redevelopment potential
Partnership
Integration of current services
Benefits both City and County residents
Accommodate needs identified by the feasibility studies
Improve ingress/egress, site circulation and parking
Bring health, wellness, fitness, childcare and
the arts together on one campus
Willard-Sherwood Health and Community Center Community Open House 01-29-2022Fairfax County
Project Scope
Due Diligence Period
Existing Conditions Assessment
Space Program
Community Engagement
Concept Design
Community Engagement
Traffic and Parking studies
Project Sustainability Goals:
LEED Gold certification
Net Zero energy
All-Electric Building Systems and Equipment
Willard-Sherwood Health and Community Center Community Open House 01-26-2022Fairfax County
Scope
Scoped with City on January 26, 2022
Determine study area and parameters of the TIA
Prepare
Evaluate existing and future conditions for vehicles, pedestrians, bicycles, and public transit
Assess impact of proposed development on surrounding road, pedestrian, and bicycle networks
Identify impacts and present recommended mitigations (if necessary)
Submit
Submit TIA to City staff for review and comment
Address comments and resubmit (if necessary)
Approval
OPDC second revised draft Local Plan consultation - Transport and Old Oak North Alexandra Dobson
OPDC’s second revised draft (Regulation 19) Local Plan was approved for public consultation by the OPDC Board on 12 June 2018.
The public consultation on the second revised draft Local Plan and supporting studies runs from 14 June until midnight on 30 July 2018.
This presentation was from one of OPDC's consultation events during the consultation period to give you the opportunity to speak to OPDC officers and find out more about the amendments to the revised draft Local Plan.
OPDC second revised draft Local Plan consultation - Town Centre Uses & Social...Alexandra Dobson
OPDC’s second revised draft (Regulation 19) Local Plan was approved for public consultation by the OPDC Board on 12 June 2018.
The public consultation on the second revised draft Local Plan and supporting studies runs from 14 June until midnight on 30 July 2018.
This presentation was from one of OPDC's consultation events during the consultation period to give you the opportunity to speak to OPDC officers and find out more about the amendments to the revised draft Local Plan.
OPDC second revised draft Local Plan consultation - Park Royal and EmploymentAlexandra Dobson
OPDC’s second revised draft (Regulation 19) Local Plan was approved for public consultation by the OPDC Board on 12 June 2018.
The public consultation on the second revised draft Local Plan and supporting studies runs from 14 June until midnight on 30 July 2018.
This presentation was from one of OPDC's consultation events during the consultation period to give you the opportunity to speak to OPDC officers and find out more about the amendments to the revised draft Local Plan.
Commissioning Integrated models of care
Kent LTC Year of Care Commissioning Early Implementer Site
Alison Davis, Integration Programme Health and Social Care, Working on behalf of Kent County Council and South Kent Coast and Thanet CCG's
Franconia Gov. Center and Kingstowne Reg. Library Land Use Meeting Sept 21, 2020Fairfax County
This project will locate in one facility: Franconia Police Station, District Supervisor's Office, Kingstowne Regional Library, Active Adult Center and a child care center.
Comox Valley community information meeting Nov. 24, 2016Island Health
Here's the Power Point presentation from Island Health's November 24, 2016 Comox Valley community information meeting at North Island College's Stan Hagen Theatre
Campbell River Community Meeting Nov. 17, 2016Island Health
Here's the Power Point presentation from the November 17, 2016 Island Health community information meeting at Campbell River's Maritime Heritage Centre
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
2. Agenda
1. Project description, schedule and timelines
2. Hospital design and new features
3. Project Objectives, Guiding Principles, Design Guidelines
4. Procurement – PPP (P3 Process)
5. Community Issues: What we’ve heard
6. Community Benefits and Engagement
2
3. Project Description
• Campbell River Hospital
o
22,657 sq m2
o
95 beds
o
$266 million
o
Comox Strathcona Regional Hospital District 40% = $106.4 million
o
University of British Columbia (UBC) Academic Teaching Space
o
Centre of Excellence in Aboriginal Maternal Health
o
69% increase in overall space
3
3
6. Hospital Design and Construction
• 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 Champions and Super Users Meeting
User groups (physicians, nurses, food services, laundry, housekeeping,
management, public/patient)
Evidence Based Planning
Process Flow Mapping
6
7. 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
7
9. 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)
9
10. 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
•
3 pediatrics units
•
COE - Aboriginal Maternal Healthcare program
10
12. 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
Enables VIHA to focus on core business - healthcare
12
14. 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
14
14
15. Project Proponents
Team: Plenary Health
• Plenary Group (Canada) Ltd.
• PCL Constructors Westcoast Inc.
• CEI Architecture Planning Interiors
• Parkin Architects Western Ltd.
• Johnson Controls Inc
15
15
16. 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.
16
16
17. 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
Request for Proposal Phase
March – November,
2013
Collaborative Meetings (4)
Identify Preferred Proponent
Project Agreement Negotiations
April – December,
2013
January – March,
2014
17
18. 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
18
19. Site Preparation: Schedule and Update
• Sunshine Wellness Centre – interior renovations – Jan – May 2013
o
o
•
To make way for new ambulance entrance
Demolition of south end by July 2013
Site preparation activity began March 2013
o
Work on gravel parking lot north of Yucalta Lodge to begin – April 2013
Two temporary gravel parking lots with 140 public parking stalls
o
Modular Project Management offices on site – June 2013
o
Modular Decanted Healthcare programs on site – Spring 2013
19
19
24. Site Preparation: Parking and Traffic Management
• 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
24
26. Six Month Look Ahead: What is going to happen?
• Finalize VIHA site preparation – Campbell River Hospital
• Collaborative meetings with three proponents
• User Groups:
o
Process Flow Mapping
o
Present State – Future State
o
LEAN Process Redesign
o
User Group Team Building
• Public meetings: October 28, 2013 (location TBD)
• Technical Evaluations – October – November, 2013
• Financial Evaluations – November – December, 2013
26
26
27. What We’ve Heard: Landscaping
• Disturbed/reclaimed areas to be hydro seeded with native
groundcover
• Edible/medicinal plants to be placed on site
• Outdoor seating areas on site:
o
o
Two outdoor gardens with seating in hospital courtyard
Spiritual garden with water features, traditional plants and
herbs
27
28. What We’ve Heard: Noise and Dust Management
• During construction dust control measures will be in place
• Once the hospital is 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 from residential developments
28
29. What We’ve Heard: Parking and Traffic Management
• During construction, workers and suppliers will not be allowed
to park on any street within 1km of the Campbell River Site
• Long-term – new parkade and surface parking:
o
408 total parking spots, an increase from the current number of 250 spots
o
265 stalls for physicians and staff
o
143 stalls for patients and visitors, including at minimum 24 stalls for
disabled ( the number of disabled parking is mandated by the bylaws)
• Within the 408 total stalls there must also be the following
provided
o
40 stalls adjacent to Emergency Department
o
70 adjacent to Ambulatory Care
29
30. What We’ve Heard: Parking and Traffic Management
• In addition to the 408 parking stalls:
o
o
o
o
2 Handy Dart bus transit tops on site, 4 main door drop off space,
and 1 taxi stands
2 dedicated stalls for ambulances, and 1 dedicated to Police
adjacent to ED ( of course the Ambulance also has the Ambulance
bay)
2 Emergency drop off spaces
30 motorcycle stalls and any additional motorcycle parking stalls as
may be required by the City
o
50 Secured long term bicycle parking for employees
o
30 Short term bicycle parking for the public
30
31. What We’ve Heard: Community Engagement
• Quarterly open houses and information sessions
• Meetings with:
o
School district and local Cedar Elementary School
Donation of a large planter for the school to have a small garden
o
Chamber of Commerce
o
City Council
o
Aboriginal Working Group
31
31
32. What We’ve Heard: Community Engagement
• Meetings with:
o
o
Sunshine Wellness Staff
Staff BBQ to salvage plants and say good-bye to garden
Rotary groups, construction association, inter-agency committee and
others
•
Project newsletters – Issue 5 – June, 2013
•
Website
•
Social Media
32
32
33. What We’ve Heard: Community Engagement
• Industry Speed Dating:
o
May 27, 2013 – Campbell River
o
May 28, 2013 – Comox Valley
o
140 businesses attended in both communities, with over 225
people:
64 local Campbell River businesses attended
75 local Comox Valley businesses attended
33
34. What We’ve Heard: Community Engagement
• Industry Speed Dating:
o
Feedback from proponents overwhelmingly positive – excited about the
capacity and level of service of local businesses
34
35. 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
o
K'ómoks First Nation
o
Wachiay Friendship Centre
o
VIHA Aboriginal Employment
o
North Island Métis Nation
o
MIKISW Métis Association
Photo courtesy of Comox Valley Echo
35
36. 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
36
37. 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
37