1. North Island Hospitals Project
Comox Strathcona Regional Hospital District
March 14, 2013
1

2. Vision of Vancouver Island Health Authority
“Excellent care for everyone, everywhere, every time.”
Vancouver Island Health Authority Purpose
To provide superior healthcare through innovation, teaching
and research, and a commitment to quality and safety –
creating healthier, stronger communities and a better quality
of life for those we touch.
2

3. Guiding Principles
1. A Place we want to work and learn
 We will create an environment where employees, physicians
and volunteers can work collaboratively in promoting health,
wellness,
 a facility that fosters teaching, recruitment and retention
3

4. Guiding Principles
2. Evidence Based Design
 Quality and safety: we will use evidenced based design to
maximize quality and safety for patients and staff, as well as
maximize efficient operations
 Future and needs focused: the facility will be designed to meet
and adapt to the needs of patients, visitors, employees,
volunteers, learners, teachers and researchers now and into the
future
 Similarity: there will be similarity in composition, design and
construction between the two facilities that will result in capital
and operational efficiencies, as well as improved patient, staff and
physician experiences
 Technology: we will use technology to integrate services within
the facilities, between the facilities and throughout northern
Vancouver Island 4

5. Guiding Principles
3. Patient centred: for Islanders, First Nations and the
Elderly
o We will pursue excellence and innovation to deliver safe, quality
health care and improved health outcomes to:
 All residents of northern Vancouver Island, in particular:
 First Nations: we will be sensitive to diversity and the healing
practices of Aboriginal populations
 Elderly populations
5

6. Comox Valley Hospital Campbell River Hospital
o 29,000 m2 • 22,657 sq m2
o 153 beds • 95 beds
o $334 million • $266 million
o Comox Strathcona Regional Hospital • Comox Strathcona Regional Hospital
District 40% = $133.6 million District 40% = $106.4 million
o MRI o Maternity Care Aboriginal Women
o University of British Columbia (UBC) o University of British Columbia (UBC)
Academic Teaching Space Academic Teaching Space
o 71% growth o 69% growth
6

7. Campbell River Hospital Proposed Design
7

8. Comox Valley Hospital Proposed Design
8 8

9. Project Schedule
Finalizing ‘Request for Proposal’ Package March, 2013
VIHA Site Preparation Work March – November,
Comox Valley Site – Leighton Contracting (2009) 2013
Ltd.
Campbell River Site – Palladian Development
Request for Proposal Phase April – December,
Collaborative Meetings (4) 2013
Identify Preferred Proponent January – March,
Project Agreement Negotiations 2014
9

10. 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
10

11. Project Proponents
Team: Plenary Health
• Plenary Group (Canada) Ltd.
• PCL Constructors Westcoast Inc.
• CEI Architecture Planning Interiors
• Parkin Architects Western Ltd.
• Johnson Controls Inc
11 11

12. 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
12 12

13. 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.
13 13

14. 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
14

15. 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
15

16. Campbell River Hospital – Comox Valley Hospital
• 2 Acute Care Community Hospitals – Fully Functional
• 244,000/315,000 sq feet
16

17. Campbell River Hospital – Comox Valley Hospital
o 95/153 acute care beds
o 72/105 IPU
o 6/8 ICU
o 7/9 tele
o 7/9 LDRP+ ab mat CFE program CR
o 3/6 pediatrics
o Psychiatry 11, 4 PICU (CVH)
17

18. Campbell River Hospital – Comox Valley Hospital
o 4/6 OR’s, 12/18 Surgical Daycare, 10/13 PARR
o 5 procedure rooms
o Outpatient clinics
• Chemo 7, MDC 7
o 29/31 ER
o Lab (including autopsy x 2)
o Medical Imaging
o Rehab
o Pharmacy
18

19. Maternity Pediatrics
CR NIHP CV NIHP
Sq metres 956 1243
beds 7 LDRP, 3 peds 9 LDRP, 6 peds
• Evidence and best practice:
internationally renowned LRDP
design in Nanaimo
• Innovation: Centre for
Excellence in Maternity Care for
Aboriginal women in CR
19

20. Emergency
CR Exist CR NIHP CV Exist CV NIHP
Sq metres 390 1286 657 1346
Beds 28 pt spaces 31 patient
spaces
• Key User group feedback:
o Flexible design to support single and multiple mds
• Key adjacency-
o Directly connected to medical imaging
• Evidence- Nanaimo - streaming and
emergent zones
• 2 trauma bays, 2 secure rooms (1CV),
6 recliner chairs, 16 bays, ENT, gyne, quiet room
20

21. Ambulatory Care/
Procedures
CR Exist CR NIHP CV Exist CV NIHP
Ambulatory 850 1155 394 1155
Care
Procedures 525 525
• Key User group feedback: o Outpatient procedures
Capacity • 5 procedure rooms:
• Amb care: endoscopy (2),
• Chemo (7) bronchoscopy, cataracts,
plastic/ general surgery,
• Medical daycare (7)
colposcopy, urology
• 22 exam rooms
• Recovery including post
• 3 procedure, interventional radiology
• 2 group med visit
rooms
21

22. 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)
22

23. Project Procurement
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 Smooth payment starting during operation
o Enables government to focus on core business - healthcare
o Value for Money: $$ dollars and quality
23

24. Manage Project
Program Delivery
Program Design Build Maintain
Plan
Facility Management
Services
Finance Project
Own Building
Own Land
Public sector Private partner
24

25. Concept Project Procurement – PPP Process
Plan
We are here
Business
2 to 4 Case &
months Design
Concept
Issue Issue RFP Negotiate
5 months RFQ
to 2 years
Design
Construction
2 to 4 years Maintenance
Contract Term
30 years
25

26. PPP Payment Mechanisms Example
26

27. 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
27

28. Community Benefits: Economic
Development Contractors - FSJ
28

29. Community Benefits: Sub-Contractor Work Packages - FSJ
Work Package 26 Painting
1 Site Services Misc Specialties-Entrance Mat/Wall
2 Civil Work for Electrical Utilities 27
Protection/Lockers
3 U/G HYDRO, TEL/CABLE
4 Tanks
28 Lab and Pharmacy Casework
5 Masonry 29 Wood Doors
6 Supply of Glu-Lams 30 Door Hardware
7 Hardboard Paneling & Wood Lattice 31 Asphalt Paving
8 Sprayed Insulation & Fireproofing 32 Washroom Accessories
9 Metal Roofing
10 Membrane Roofing
33 Light Pole Bases
11 Roof Hatches 34 Landscaping
12 Expansion Control 35 Signage
13 Windows (Res. Care) 36 ResCare Balcony membrane
14 Loading Dock Equipment 37 Exterior civil works
15 SPD equipment
Interior and Exterior Steel Stud, Drywall
38 Equipment
16 39 Chiller Tank Waterproofing
and Ceilings
17 Structural Steel (Res Care) 40 Miscellaneous Metals
18 Linen chutes 41 Shaft waterproofing
19 Interior Glazing 42 Equipment – Cat 3
20 Door Frames
21 Overhead Doors
43 Lockers
22 Architectural Louvers 44 White / Tackboards
23 Headwalls 45 Cat 3
24 Resilient & Carpet 46 Cat 4
25 Millwork 47 Blinds
29

30. 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
30

31. Community Engagement
• Public Engagement is key!
o Quarterly community meetings
o School district and local schools (School Advisory Committees)
o Chamber of Commerce (Campbell River and Comox Valley)
o City Council
o Comox Strathcona Regional Hospital District
o Associations/Groups:
 Vancouver Island Construction Association
 Vancouver Island Economic Alliance
 Building Links
o Website, Newsletters, Social Media
31

32. Thank You!!
Questions?
32