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North Island Hospitals Project

Campbell RiverChamber of Commerce

LuncheonMarch 7, 2013

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Agenda

1. Project Background

2. Guiding Principles – Design Guidelines

3. Project description, schedule and timeline

4. Hospital design and new features

5. Aboriginal and First Nations Engagement

6. Procurement – PPP (P3 Process)

7. Construction

8. Business Opportunities

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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 Comox Valley Hospitals are nearly 50 years old:

o Physical infrastructure is deteriorating

o Difficult meeting the future needs for patient care

o Currently preventing staff from providing the best care possible

• 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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Campbell River – Aerial Image

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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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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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1. Healing Environment

2. Evidence Based Design

3. LEAN approach

4. Elderly Friendly

5. Patient Friendly

6. Consistency of Design

Guiding Principals: Design

7. Use of Wood

8. Sustainability

9. Efficient Use of Resources

10. Alternative Sources of Energy

11. Carbon Neutrality

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Project Description

• Campbell River Hospitalo 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 69% increase in overall space

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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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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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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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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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Project Schedule

• VIHA Site Preparation – Campbell River Hospitalo Request for Proposal, November, 2012 - March, 2013

o Sunshine Wellness Centre – interior renovations – Jan – May 2013

o Site preparation activity scheduled to start end of March 2013 Palladian Developments - Nanaimo

Gravel parking lot work to begin – April 2013

Modular Project Management offices on site – Spring 2013

Modular Decanted Healthcare programs on site – Spring 2013

New ambulance entrance – end of 2013

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Project Schedule

• Decanted Services planned for modular unito Operating Room Bookings

o Meeting Rooms

o Administration

• Enabling all healthcare programs to remain in Sunshine Wellness Centre and hospital

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Project Schedule

• Financial Close – Ground Breakingo April, 2014

o Hospital Design and Construction to start

• Service Commencement – Project Completiono April, 2017

• Move ino Fall 2017

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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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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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Campbell River Hospital Proposed Design

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Campbell River Hospital Rendering

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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

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New Hospital Features

Current Future Percentage Increase

Operating Rooms 3 4 25%

Inpatient Rooms (CGSM)

2541 5800 228%

Emergency &Ambulatory (CGSM)

1360 3035 223%

Diagnostic and Treatment (CGSM)

2624 3991 152%

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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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Community Involvement• Quarterly open houses and information sessions

• Meetings with:o School district and local school (upcoming)

o Chamber of Commerce

o City Council

o Aboriginal Working Group

• Project newsletters

• Website

• Social media

• Project webcam

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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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Community Benefits: Economic Development Contractors – Example Fort St. John

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Community Benefits: Sub-Contractor Work Packages – Example Fort St. John

Work Package1 Site Services2 Civil Work for Electrical Utilities3 U/G HYDRO, TEL/CABLE4 Tanks5 Masonry6 Supply of Glu-Lams7 Hardboard Paneling & Wood Lattice8 Sprayed Insulation & Fireproofing9 Metal Roofing

10 Membrane Roofing11 Roof Hatches12 Expansion Control13 Windows (Res. Care)14 Loading Dock Equipment 15 SPD equipment

16 Interior and Exterior Steel Stud, Drywall and Ceilings

17 Structural Steel (Res Care)18 Linen chutes 19 Interior Glazing20 Door Frames 21 Overhead Doors22 Architectural Louvers23 Headwalls 24 Resilient & Carpet25 Millwork

26 Painting

27 Misc Specialties-Entrance Mat/Wall Protection/Lockers

28 Lab and Pharmacy Casework29 Wood Doors30 Door Hardware31 Asphalt Paving32 Washroom Accessories33 Light Pole Bases 34 Landscaping 35 Signage36 ResCare Balcony membrane37 Exterior civil works 38 Equipment39 Chiller Tank Waterproofing40 Miscellaneous Metals 41 Shaft waterproofing42 Equipment – Cat 343 Lockers44 White / Tackboards45 Cat 3 46 Cat 4 47 Blinds

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Community Benefits

• Industry Speed Dating Sessions (Spring 2013)o Opportunity for local businesses to meet with the Private

Sector companies to discuss potential contracts and work

o Information will be on the Portal in two weeks

o One session in Campbell River and one in the Comox Valley

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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Aboriginal and First Nations Engagement

• Aboriginal Working Group:o Kwakiutl District Council

o Nuu-chah-nulth Tribal Council

o First Nations Health Authority

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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Project ProcurementPublic 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 Smooth payment starting during operation

o Enables government to focus on core business - healthcare

o Value for Money: $$ dollars and quality

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Private partner Public sector

Own Land

Own Building

Finance Project

ProgramPlan

Design Build MaintainFacility Management Services

Program Delivery

Manage Project

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Project Procurement – PPP Process

Business Case & Design

Concept

Construction

IssueRFQ

Issue RFP Negotiate

Maintenance2 to 4 years

5 months to 2 years

Design

Concept Plan

Contract Term 30 years

2 to 4 months

We are here

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PPP Payment Mechanisms Example

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Project Construction

Parking and Traffic Management:

o During construction, workers and suppliers will not be allowed to park on any street within 1km of the Campbell River Site

o Creation of two temporary gravel parking lots near Yucalta Lodge (140 parking stalls)

o Long-term – new parkade and surface parking

Total of 450 parking spots

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Parking and Traffic Management

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Project Construction

Parking and Traffic Management

• Traffic flow changes to existing lot off 2nd – one way - opposite direction

• Change to ambulance entrance

• Restrictions on left turn (westbound) out of existing parking lot to 2nd.

• More information once contractor is on site

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Construction and Traffic Management

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Thank You!!

Questions?

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