Comox Valley Regional District - North Island Hospitals...
Transcript of Comox Valley Regional District - North Island Hospitals...
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North Island Hospitals Project
Comox Strathcona Regional Hospital District
June 13, 2013
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Agenda
1. Project Objectives, Guiding Principles, Design Guidelines
2. Overview of each hospital design and new features
3. Procurement – PPP (P3 Process)
4. Comox Valley Site Preparation
5. Campbell River Site Preparation
6. Key Issues: Comox Valley and Campbell River
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Project Objectives
• Increase North Vancouver Island acute care capacity to meet the population’s growing and changing needs
• Enhance safety and quality of care for all patients
• Improve access to services for all North Vancouver Island communities
• Maximize staff and physician recruitment and retention potential
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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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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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Comox Valley Hospital
o 29,000 m2
o 153 beds
o $334 million
o Comox Strathcona Regional Hospital District 40% = $133.6 million
o MRI
o University of British Columbia (UBC) Academic Teaching Space
o 71% growth
Campbell River Hospital
• 22,657 sq m2
• 95 beds• $266 million• Comox Strathcona Regional Hospital
District 40% = $106.4 million
o Centre of Excellence in Aboriginal Maternal Care
o University of British Columbia (UBC) Academic Teaching Space
o 69% growth
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Comox Valley Hospital Proposed Design
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Campbell River Hospital Rendering
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• 95/153 Acute Care beds• 72/105 In Patient Units• 6/8 Intensive Care Units• 7/9 Telemetry• 7/9 Labour Delivery Recovery Post-
Partum+ Centre of Excellence• Aboriginal Maternal Health
• 3/6 Pediatrics• Psychiatry 11, 4 PICU (CVH)
Campbell River Hospital – Comox Valley Hospital
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• 4/6 OR’s, 12/18 Surgical Daycare, 10/13 PARR• 5 procedure rooms• Outpatient clinics• Chemo 7, MDC 7• 29/31 ER• Lab (including autopsy x 2)• Medical Imaging• Rehab• Pharmacy
Campbell River Hospital – 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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Project Procurement – PPP Process
Business Case & Design
Concept
Construction
IssueRFQ
Issue RFP Negotiate
Maintenance~ 4 years
5 months to 2 years
Design
Concept Plan
Contract Term 30 years
2 to 4 months
We are here
March 2014
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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 WorkComox 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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• Began site preparation for both sites• March to July 1, 2013:
o 24 public presentation/meetings with community
• Site ceremony in Campbell River• Two rounds of collaborative meetings (May in CV and June in
CR)
• User group meetings• Community Information Sessions
Six Month Review: What we’ve done
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Six Month Look Ahead: What is going to happen?• Finalize VIHA site preparation – Campbell River and Comox• 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• Technical Evaluations – October – November, 2013• Financial Evaluations – November – December, 2013
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Comox Valley Site Preparation
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Comox Valley Site Preparation: Schedule and Update
• Site preparation activity began end of 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
Comox Valley 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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• 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 Queneesho Working with soccer groups and city to ensure usage
• Baseball diamonds will be removed at the end of June after ball season ends
• School District has decided not to place them on Queneesh property
What We’ve Heard: Soccer Field and Baseball Diamonds
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What We’ve Heard: CV – Heliport
• Concerns on the impact of the new heliport • Governed by MOT• Indicative Design did demonstrate reasonable flight paths for impacts of residential• final impacts will not be known until MOT approval of final helipad • community information sessions will scheduled to inform residents
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Campbell River Site Preparation
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Campbell River Site Preparation: Schedule and Update
• Sunshine Wellness Centre – interior renovations – Jan – May 2013o To make way for new ambulance entrance
o Demolition of south end by July 2013
• Site preparation activity began March 2013o Work on gravel parking lot north of Yucalta Lodge to begin – April 2013
Two temporary gravel parking lots with 140 public parking stalls
o Modular Project Management offices on site – June 2013
o Modular Decanted Healthcare programs on site – Spring 2013
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Campbell River Site Preparation: Modular Prep and Installation
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Campbell River Site Preparation: Parking and Traffic Management
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• Traffic flow changes to existing lot off 2nd – one way ‐ opposite direction – end of September 2013
• Change to ambulance entrance – end of September 2013
• Restrictions on left turn (westbound) out of existing parking lot to 2nd.
• We will provide notification well in advance of any changes
Campbell River Site Preparation: Parking and Traffic Management
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Site Preparation: Changes to Traffic Flow and Ambulance Entrance
Yucalta Lodge
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Key Issues: Comox Valley and Campbell River
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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 both School Advisory Committees (Cedar and Queneesh)
• WorkSafe BC practices and regulations in place
• 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 hospitals are 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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Comox Valley
• 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
Campbell River
o 408 total parking spots, an increase from the current number of 225 spots
o 265 stalls for physicians and staff
o 143 stalls for patients and visitors, including at minimum 24 stalls for disabled ( the number of disabled parking is mandated by the bylaws)
What We’ve Heard: Parking and Traffic Management
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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 Chambers of Commerce
o City Councils
o Aboriginal Working Group
o Service clubs
o Construction association, and others
o Sunshine Wellness Staff Staff BBQ to salvage plants and say good‐bye to garden
• 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
• 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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