This presentation is from a meeting in the Comox Valley about the North Island Hospitals Project.

1. North Island Hospitals Project
Comox Valley Hospital
Community Meeting
June 11, 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. 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
3
3

4. Comox Valley Hospital Proposed Design
4
4

5. Comox Valley Site Area
5

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
• 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)
7

8. 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
• 6 Pediatrics
• Psychiatry 11, 4 PICU
8

9. Comox Valley Hospital
•
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
9

10. 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
10

11. Manage Project
Program
Plan
Program Delivery
Design
Build
Maintain
Facility Management
Services
Finance Project
Own Building
Own Land
Public sector
Private partner
11

12. Project Procurement – PPP Process
Concept
Plan
2 to 4
months
We are here
Business
Case &
Design
Concept
5 months
to 2 years
Issue
RFQ
Issue RFP
Negotiate
Design
Construction
2 to 4 years
Maintenance
Contract Term
30 years
12

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
13
13

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.
14
14

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.
15
15

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
16

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
17

18. 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
18
18

19. 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
19
19

20. Site Preparation: Schedule and Update
• 2-4 foot berm being established in • Over 1000 trees being planted in
selected areas of the buffer zone
buffer zones between NIC,
hospital and Queneesh
• Coniferous, deciduous trees,
Garry Oaks, shrubs and other
plants
20

21. 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
o
•
One route between the hospital site and NIC
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
21

22. v
What We’ve Heard: Landscaping and Walkway
22

23. What We’ve Heard: Landscaping and Walkway
July – October 2013
23

24. What We’ve Heard: Soccer Field and Baseball Diamonds
• 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
24

25. 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
25

26. 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
26

27. 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 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
27

28. What We’ve Heard: Parking and Traffic Management
•
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
28

29. What We’ve Heard: Transportation and Traffic
• Stepped right turn facility
29

30. What We’ve Heard: Transportation and Traffic
• Pedestrian friendly
30

31. What We’ve Heard: Community Engagement
• Quarterly open houses and information sessions
• Meetings with:
o
o
Chamber of Commerce
o
City Council
o
Aboriginal Working Group
o
Service clubs
o
•
School District and local Queneesh Elementary School
Construction association, and others
Project newsletters, Website, Social Media
31
31

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
32

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
33

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
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
34

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
35

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
36

37. Thank You!!
Questions?
37
37