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North Island Hospitals Project
Campbell River
Community Meeting
June 3, 2013

1
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
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
Campbell River Hospital Rendering

4
Campbell River Site Area

5
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
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
New Hospital Features
Current

Future

Percentage
Increase

Operating Rooms

3

4

25%

Inpatient Rooms

2541

5800

228%

Emergency &
Ambulatory (CGSM)

1360

3035

223%

Diagnostic and
Treatment (CGSM)

2624

3991

152%

(CGSM)

8
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
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
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

11
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
Manage Project

Program
Plan

Program Delivery
Design

Build

Maintain
Facility Management
Services

Finance Project
Own Building
Own Land

Public sector

Private partner

13
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
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
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
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
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
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
Site Preparation: Modular Preparation and Installation

20

20
Site Preparation: Modular Preparation and Installation

21

21
Site Preparation: Parking and Traffic Management

22
Site Preparation: Temporary Parking Lot Development

23

23
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
Site Preparation: Changes to Traffic Flow and Ambulance Entrance

25
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
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
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
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
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
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
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
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
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
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
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
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
Thank You!!

Questions?

38

38

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Campbell River Community Meeting June 3, 2013

  • 1. North Island Hospitals Project Campbell River Community Meeting June 3, 2013 1
  • 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
  • 8. New Hospital Features Current Future Percentage Increase Operating Rooms 3 4 25% Inpatient Rooms 2541 5800 228% Emergency & Ambulatory (CGSM) 1360 3035 223% Diagnostic and Treatment (CGSM) 2624 3991 152% (CGSM) 8
  • 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
  • 11. 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 11
  • 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
  • 13. Manage Project Program Plan Program Delivery Design Build Maintain Facility Management Services Finance Project Own Building Own Land Public sector Private partner 13
  • 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
  • 20. Site Preparation: Modular Preparation and Installation 20 20
  • 21. Site Preparation: Modular Preparation and Installation 21 21
  • 22. Site Preparation: Parking and Traffic Management 22
  • 23. Site Preparation: Temporary Parking Lot Development 23 23
  • 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
  • 25. Site Preparation: Changes to Traffic Flow and Ambulance Entrance 25
  • 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