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 10. Alternative Sources of
5. Patient Friendly 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
 8 Proponents
o 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 February - March,
2013
VIHA Site Preparation Work March – November,
Comox Valley Site – Leighton Contracting (2009) 2013
Ltd.
Campbell River Site – Palladian Development
Request for Proposal Phase April – December,
Collaborative Meetings (4) 2013
Identify Preferred Proponent January – March,
Project Agreement Negotiations 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 Delivery
Program Design Build Maintain
Plan
Facility Management
Services
Finance Project
Own Building
Own Land
Public sector Private partner
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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
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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 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
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28. Community Benefits
Preliminary Employment Numbers – Direct Employment
2013 2014 2015 2016 2017 Total
Comox 50 200 250 350 300 1150
Valley
Campbell 30 175 225 325 275 1030
River
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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 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
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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
Photo courtesy of Comox Valley Echo
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
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34. Thank You!!
Questions?
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