comox valley chamber of commerce presentation

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North Island Hospitals Project

Comox Valley Chamber of Commerce

April 18, 2013

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Agenda

1. Project Background

2. Project Objectives, Guiding Principles, Design Guidelines

3. Project description, schedule and timeline

4. Hospital design and new features

5. Procurement – PPP (P3 Process)

6. Community Benefits

7. Community, Aboriginal and First Nations Engagement

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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 St. Joseph’s Hospitals are getting tired;

o 70 CR; 50 - 100 St. Joseph’s:

o Physical infrastructure is deteriorating

o Difficult meeting the future needs for patient care

• 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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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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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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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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• 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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Campbell River Hospital• 22,657 sq m2

• 95 beds

• $266 million

• Comox Strathcona Regional Hospital District 40%

o $106.4 million

• COE - Aboriginal Maternal Health

• University of British Columbia (UBC) Academic Teaching Space

• 69% growth

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Campbell River Hospital Proposed Design

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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 ScheduleFinalizing ‘Request for Proposal’ Package February - March,

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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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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• 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+ Aboriginal Maternal Health

• 6 pediatrics

• Psychiatry 11, 4 PICU

Comox Valley Hospital

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

o 5 procedure rooms

o Outpatient clinics

• Chemo 7, Medical Daycare 7

o 31 Emergency

o Lab (including autopsy)

o Medical Imaging

o Rehab

o Pharmacy

Comox Valley Hospital

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• Acute Care Community Hospital – Fully Functional

• 244,000/ sq feet

• 95 acute care beds

• 72 In Patient Units

• 6 Intensive Care Units

• 7 telemetry

• 7 LDRP+ Aboriginal Maternal Healthcare program

• 3 pediatrics units

Campbell River Hospital

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• 4 OR’s, 12 Surgical Daycare, 10 PARR

• 5 procedure rooms

• Outpatient clinics

• Chemo 7, Medical Daycare 7

• 29 Emergency

• Lab (including autopsy)

• Medical Imaging

• Rehab

• Pharmacy

Campbell River Hospital

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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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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 - one contract

o Transfers key risks: schedule, cost, lifecycle, design

o Innovation and competition

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 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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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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Community Benefits

• Industry Speed Dating Sessions

o May 27, 2013 – Campbell River May 28, 2013 - Courtenay

o Opportunity for local businesses to meet with the Private Sector companies to discuss potential contracts and work

o Information is on portal (http://cr.majorprojects.ca/)

o Registration begins May 13, 2013 on portal

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

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

1 Site Services

2 Civil Work for Electrical Utilities

3 U/G HYDRO, TEL/CABLE

4 Tanks

5 Masonry

6 Supply of Glu-Lams

7 Hardboard Paneling & Wood Lattice

8 Sprayed Insulation & Fireproofing

9 Metal Roofing

10 Membrane Roofing

11 Roof Hatches

12 Expansion Control

13 Windows (Res. Care)

14 Loading Dock Equipment

15 SPD equipment

16Interior and Exterior Steel Stud, Drywall and

Ceilings

17 Structural Steel (Res Care)

18 Linen chutes

19 Interior Glazing

20 Door Frames

21 Overhead Doors

22 Architectural Louvers

23 Headwalls

24 Resilient & Carpet

25 Millwork

26 Painting

27Misc Specialties-Entrance Mat/Wall

Protection/Lockers

28 Lab and Pharmacy Casework

29 Wood Doors

30 Door Hardware

31 Asphalt Paving

32 Washroom Accessories

33 Light Pole Bases

34 Landscaping

35 Signage

36 ResCare Balcony membrane

37 Exterior civil works

38 Equipment

39 Chiller Tank Waterproofing

40 Miscellaneous Metals

41 Shaft waterproofing

42 Equipment – Cat 3

43 Lockers

44 White / Tackboards

45 Cat 3

46 Cat 4

47 Blinds

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Community Engagement

• Quarterly open houses and information sessions

• Meetings with:

o School district and local school

o Neighbourhood

o Chamber of Commerce - Portal

o City Council

o Aboriginal Working Group

• Project newsletters

• Website

• Social media

• Project webcam (http://www.viha.ca/about_viha/building_for_health/nihp_cam1.htm)

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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 We 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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Thank You!!

Questions?