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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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