North Island Hospitals Project Comox Strathcona Regional Hospital District June 13, 2013 1
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 2
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 3 3
Guiding Principals: Design 1. Healing Environment 7. Use of Wood 2. Evidence Based Design 8. Sustainability 3. LEAN approach 9. Efficient Use of Resources 4. Elderly Friendly 10. Alternative Sources of Energy 5. Patient Friendly 11. Carbon Neutrality 6. Consistency of Design 4
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 5
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) 6
Comox Valley Hospital Campbell River Hospital • 29,000 m 2 22,657 sq m 2 o • 153 beds 95 beds o • $334 million $266 million o • Comox Strathcona Regional Hospital Comox Strathcona Regional Hospital o District 40% = $133.6 million District 40% = $106.4 million MRI Centre of Excellence in Aboriginal o o Maternal Care University of British Columbia (UBC) o Academic Teaching Space University of British Columbia (UBC) o Academic Teaching Space 71% growth o 69% growth o 7
Comox Valley Hospital Proposed Design 8 8
Campbell River Hospital Rendering 9
Campbell River Hospital – Comox Valley Hospital • 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) 10
Campbell River Hospital – Comox Valley Hospital • 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 11
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 12
Project Procurement – PPP Process Concept Plan We are here Business 2 to 4 Case & months Design Concept March 2014 Issue Issue RFP Negotiate RFQ 5 months to 2 years Design Construction Maintenance ~ 4 years Contract Term 30 years 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 14 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. 15 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. 16 16
Project Schedule ‘Request for Proposal’ Package Finalized April, 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, 2013 Collaborative Meetings (4) Identify Preferred Proponent January – March, 2014 Project Agreement Negotiations 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 18
Six Month Review: What we’ve done • 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 19
Six Month Look Ahead: What is going to happen? • Finalize VIHA site preparation – Campbell River and Comox • Collaborative meetings with three proponents • User Groups: Process Flow Mapping o Present State – Future State o LEAN Process Redesign o User Group Team Building o • Public meetings • Technical Evaluations – October – November, 2013 • Financial Evaluations – November – December, 2013 20 20
Comox Valley Site Preparation 21
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 • 22 22
Comox Valley 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 23
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: One route between the hospital site and NIC o One route between the hospital site and Queneesh o • Walkway and pedestrian routes on hospital grounds will be built to ensure accessibility for: Individuals with mobility challenges, visually impaired and baby strollers o 24
v What We’ve Heard: Landscaping and Walkway 25
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 1 st through September 2013, the soccer field will be accessible • only from Lerwick Rd. • October 1 there will be accessibility from Queneesh Working with soccer groups and city to ensure usage o 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 26
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 27
Campbell River Site Preparation 28
Campbell River Site Preparation: Schedule and Update • Sunshine Wellness Centre – interior renovations – Jan – May 2013 To make way for new ambulance entrance o Demolition of south end by July 2013 o • Site preparation activity began March 2013 Work on gravel parking lot north of Yucalta Lodge to begin – April 2013 o Two temporary gravel parking lots with 140 public parking stalls Modular Project Management offices on site – June 2013 o Modular Decanted Healthcare programs on site – Spring 2013 o 29 29
Campbell River Site Preparation: Modular Prep and Installation 30 30
Campbell River Site Preparation: Parking and Traffic Management 31
Campbell River Site Preparation: Parking and Traffic Management • 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 2 nd . • We will provide notification well in advance of any changes 32
Site Preparation: Changes to Traffic Flow and Ambulance Entrance Yucalta Lodge 33
Key Issues: Comox Valley and Campbell River 34
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