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North Island Hospitals Project

Comox Valley Hospital

Community Meeting

June 11, 2013

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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

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• 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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Comox Valley Hospital

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Comox Valley Hospital Proposed Design

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Comox Valley Site Area

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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

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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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• 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

• 6 Pediatrics

• Psychiatry 11, 4 PICU

Comox Valley Hospital

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• 6 OR’s, 18 Surgical Daycare, 13 PARR

• 5 Procedure rooms

• Outpatient clinics

o Chemo 7, Medical Daycare 7

• 31 Emergency

• Lab (including autopsy)

• Medical Imaging

• Rehab

• Pharmacy

Comox Valley Hospital

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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

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Private partner Public sector

Own Land

Own Building

Finance Project

ProgramPlan

Design Build Maintain

Facility Management Services

Program Delivery

Manage Project

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Project Procurement – PPP Process

Business

Case &

Design

Concept

Construction

Issue

RFQ

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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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‘Request for Proposal’ Package Finalized April, 2013

VIHA Site Preparation Work

Comox Valley Site – Leighton Contracting (2009)

Ltd.Campbell River Site – Palladian Development

March – November,

2013

Request for Proposal Phase

Collaborative Meetings (4)

April – December,

2013

Identify Preferred Proponent

Project Agreement Negotiations

January – March,

2014

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Project ScheduleFinancial Close

Ground Breaking Ceremony

March, 2014

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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Six Month Look Ahead: What is going to happen?• Finalize VIHA site preparation – Comox Valley 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 29 and 30, 2013 (location TBD)

• Technical Evaluations – October – November, 2013

• Financial Evaluations – November – December, 2013

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Site Preparation: Schedule and Update

• Site preparation activity began March 2013

• Tree removal complete, site hydro seeded

• All work to be completed by October 2013

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• 2-4 foot berm being established in selected areas of the buffer zone

• Over 1000 trees being planted in buffer zones between NIC, hospital and Queneesh

• Coniferous, deciduous trees, Garry Oaks, shrubs and other plants

Site Preparation: Schedule and Update

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What We’ve Heard: Landscaping and Walkway

• The existing paved walkway to Lerwick will be closed as of July 1, 2013

• A new walkway is being created around the hospital site to Lerwick and Ryan roads– open as of July 1, 2013

• As of October 1, 2013 you can access Lerwick from two landscaped walkways:

o One route between the hospital site and NIC

o One route between the hospital site and Queneesh

• Walkway and pedestrian routes on hospital grounds will be built to ensure accessibility for:

o Individuals with mobility challenges, visually impaired and baby strollers

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What We’ve Heard: Landscaping and Walkway

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What We’ve Heard: Landscaping and Walkway

July – October 2013

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• Fencing around the one soccer field to be installed end of June

• Soccer fields on Queneesh property stay the same

• Soccer field on hospital property remains open until early 2014

• From July 1st through September 2013, the soccer field will be accessible only from Lerwick Rd.

• October 1 there will be accessibility from Queneesh

o Working with soccer groups and city to ensure usage

• Baseball diamonds will be removed at the end of June after ball season ends

What We’ve Heard: Soccer Field and Baseball Diamonds

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What We’ve Heard: Fencing and Site Safety

• An 8ft construction fence will be in place for the entire period of time that there is work on the site

• An Emergency Management Contact List has been created in conjunction with School Advisory Committee

• WorkSafe BC

• Occupational Health & Safety

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What We’ve Heard: Noise and Dust Management

• During construction dust control practices will be utilized

• 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 of residential developments

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• During construction, workers and suppliers will not be allowed to park on any street within 1km of the site

• Currently, SJGH has 438 stalls on site, but those accommodate both acute care and residential care, staff and visitors

• New CV hospital will have 655 parking stalls including:

o 425 for physicians and staff

o 230 for patients and visitors including at least 24 stalls for disabled persons

What We’ve Heard: Parking and Traffic Management

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• In addition, the Project Agreement calls for:

o 50 motorcycle

o 50 secured bicycle

o 30 unsecured bicycle

o 2 Handy Dart bus stops

o 10 main door drop-off spaces

o 2 taxi stands

o 2 ambulance parking

o 3 Emergency drop-off

What We’ve Heard: Parking and Traffic Management

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• Stepped right turn facility

What We’ve Heard: Transportation and Traffic

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What We’ve Heard: Transportation and Traffic

• Pedestrian friendly

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What We’ve Heard: Community Engagement

• Quarterly open houses and information sessions

• Meetings with:

o School District and local Queneesh Elementary School

o Chamber of Commerce

o City Council

o Aboriginal Working Group

o Service clubs

o Construction association, and others

• Project newsletters, Website, Social Media

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• 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

What We’ve Heard: Community Engagement

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• Industry Speed Dating:

o Feedback from proponents overwhelmingly positive – excited about the capacity and level of service of local businesses

What We’ve Heard: Community Engagement

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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 We Wai Kai Nation

o Wei 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

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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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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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Thank You!!

Questions?

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