Embed Size (px)
Citation preview
1
North Island Hospitals Project
Comox Strathcona Regional Hospital District
March 14, 2013
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.
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
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
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
6
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 Maternity Care Aboriginal Women
o University of British Columbia (UBC) Academic Teaching Space
o 69% growth
7
Campbell River Hospital Proposed Design
8
Comox Valley Hospital Proposed Design
8
9
Project Schedule
Finalizing ‘Request for Proposal’ Package 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
10
Project Schedule Financial 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
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
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
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
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
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
16
• 2 Acute Care Community Hospitals – Fully Functional
• 244,000/315,000 sq feet
Campbell River Hospital – Comox Valley Hospital
17
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)
Campbell River Hospital – Comox Valley Hospital
18
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
Campbell River Hospital – Comox Valley Hospital
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
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
21
Ambulatory Care/ Procedures
CR Exist CR NIHP CV Exist CV NIHP
Ambulatory Care
850 1155 394 1155
Procedures 525 525
• Key User group feedback: Capacity
• Amb care:
• Chemo (7)
• Medical daycare (7)
• 22 exam rooms
• 3 procedure,
• 2 group med visit rooms
o Outpatient procedures
• 5 procedure rooms: endoscopy (2), bronchoscopy, cataracts, plastic/ general surgery, colposcopy, urology
• Recovery including post interventional radiology
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)
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
24
Private partner Public sector
Own Land
Own Building
Finance Project
Program Plan
Design Build Maintain
Facility Management Services
Program Delivery
Manage Project
25
Project Procurement – PPP Process
Business
Case &
Design
Concept
Construction
Issue
RFQ
Issue RFP
Negotiate
Maintenance
2 to 4 years
5 months
to 2 years
Design
Concept
Plan
Contract Term
30 years
2 to 4
months
We are here
26
PPP Payment Mechanisms Example
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
28
Community Benefits: Economic Development Contractors - FSJ
29
Community Benefits: Sub-Contractor Work Packages - FSJ 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
16 Interior 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
27 Misc 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
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
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
32
Thank You!!
Questions?
