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North Island Hospitals Project

           Campbell River
         Community Meeting
          February 21, 2013




                              1
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




                                                        2                 2
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
5. Patient Friendly              Energy
6. Consistency of Design     11. Carbon Neutrality




                                                             3
Project Description
• Campbell River Hospital
   o   22,657 sq m2
   o   95 beds
   o   $266 million
   o   Comox Strathcona Regional Hospital District 40% = $106.4 million
   o   University of British Columbia (UBC) Academic Teaching Space
   o   69% increase in overall space




                                                       4                  4
Campbell River Hospital Proposed Design




                                          5
Campbell River Hospital Rendering




                                    6
Campbell River – Aerial Image




                                7
Project Schedule
 • Competitive Selection Process:
    o   Request for Qualifications, June - October, 2012
    o   Request for Proposals, March - October, 2013
 • VIHA Site Preparation – Campbell River Hospital
    o   Request for Proposal, November, 2012 - March, 2013
    o   Sunshine Wellness Centre – interior renovations – Jan – May 2013
    o   Site preparation activity scheduled to start end of March 2013
            Gravel parking lot work to begin – April 2013
            Modular Project Management offices on site – Spring 2013
            Modular Decanted Healthcare programs on site – Spring 2013
            New ambulance entrance – end of 2013

                                                             8             8
Project Schedule
 • Decanted Services planned for modular unit
     o   Operating Room Bookings
     o   Meeting Rooms
     o   Administration
 • Enabling all healthcare programs to remain in Sunshine
   Wellness Centre and hospital




                                                9           9
Project Schedule
 • Financial Close – Ground Breaking
    o   March, 2014
    o   Hospital Design and Construction to start
 • Service Commencement – Project Completion
    o   March, 2017
 • Move in
    o   Fall 2017




                                                    10   10
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 groups (physicians, nurses, food services, laundry, housekeeping,
         management)
        Evidence Based planning




                                                                                  11
Hospital Design and Construction

 • 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



                                                                  12
New Hospital Features
• Emergency Department – 3 times bigger!
• Centre of Excellence in Aboriginal Maternal Health
• New and/or Enhanced dedicated space for:
    o   Orthopedic clinic
    o   Ambulatory procedure care space
    o   Cardio-pulmonary diagnostic services




                                                       13
New Hospital Features

                      Current   Future   Percentage
                                          Increase
 Operating Rooms        3         4         25%
  Inpatient Rooms      2541     5800       228%
        (CGSM)


   Emergency &         1360     3035       223%
  Ambulatory (CGSM)
  Diagnostic and       2624     3991       152%
  Treatment (CGSM)



                                                  14
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)




                                                                 15
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



                                                                     16
Manage Project


                                                     Program Delivery
Program           Design         Build   Maintain
Plan
                                                     Facility Management
                                                     Services

Finance Project

Own Building

Own Land




                      Public sector      Private partner




                                                                           17
PPP Myths & Facts
Myth – PPP’s are the same as privatization
    Fact – Government remains actively involved and owns the
    building(s)
Myth – PPP’s cost more (government can borrow money cheaper)
    Fact – PPP’s can reduce lifecycle cost, improve quality
Myth – Private sector profits come at the expense of services
    Fact – In all procurement, the private sector makes a profit
Myth – Private bankruptcy leaves us on the hook
    Fact – No performance, no pay – government can step in
Myth – The profit motive means cutbacks on safety and service
    Fact – Government performance standards are legally binding


                                                                   18
What We’ve Heard: Community Issues
• Parking and Traffic Management:
  o   During construction, workers and suppliers will not be allowed
      to park on any street within 1km of the Campbell River Site
  o   Creation of two temporary gravel parking lots near Yucalta
      Lodge (140 parking stalls)
  o   Long-term – new parkade and surface parking
         Total of 450 parking spots




                                                                   19
Parking and Traffic Management




                                 20
Campbell River Long Term Parking




                                   21
Parking and Traffic Management
• Traffic flow changes to existing lot off 2nd – one way -
  opposite direction
• Change to ambulance entrance
• Restrictions on left turn (westbound) out of existing parking
  lot to 2nd.
• More information once contractor is on site




                                                                  22
Traffic Flow Changes and Ambulance Entrance




                                              23
What We’ve Heard: Landscaping
• Disturbed/reclaimed areas to be hydro seeded with native
  groundcover
• Edible/medicinal plants to be placed on site
• Outdoor seating areas on site:
    o   Two outdoor gardens with seating in hospital courtyard
    o   Spiritual garden with water features, traditional plants and
        herbs




                                                                       24
What We’ve Heard: Community Issues
• Noise and Dust Management:
  o   During construction
  o   Dust control
  o   Once the hospital is in place, carefully designed building ventilation
      systems will be used to minimize noise and exhaust
  o   Noise lessening strategies from Royal Jubilee Project will be applied to
      areas such as refuse, recycling, loading, and service areas
  o   Noise reduction materials will be provided on parking structure walls
      within 200 metres from residential developments



                                                                               25
What We’ve Heard: Community Issues
• Community involvement:
   o   Quarterly open houses and information sessions
   o   Meetings with:
          School district and local schools (upcoming)
          Chamber of Commerce
          City Council
          Aboriginal Working Group
   o Project newsletters
   o Website
   o Social media


                                                          26   26
Design Competition
• Use of design guidelines
   o   Community and city staff involvement
   o   Enshrined in long term contract with private partner
   o   Aboriginal Cultural Design reference

• Competitive selection process
   o   Proponent teams meet with city staff, user groups (clinicians and
       non-clinicians) and community organizations
   o   Influence site master plan and design



                                                         27                27
Community Benefits
• Hospital designed to address current and future healthcare needs
• Local employment opportunities
• Stimulate local economy
    o   Approximately 800 direct jobs and 700 indirect jobs
• Business to Business Meetings (Spring 2013)
    o   Opportunity for local businesses to meet with the Private Sector
        companies to discuss potential contracts and work.




                                                        28                 28
Thank You!!

Questions?



              29   29

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Campbell River Community Presentation Feb 21, 2013

  • 1. North Island Hospitals Project Campbell River Community Meeting February 21, 2013 1
  • 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 2 2
  • 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 5. Patient Friendly Energy 6. Consistency of Design 11. Carbon Neutrality 3
  • 4. Project Description • Campbell River Hospital o 22,657 sq m2 o 95 beds o $266 million o Comox Strathcona Regional Hospital District 40% = $106.4 million o University of British Columbia (UBC) Academic Teaching Space o 69% increase in overall space 4 4
  • 5. Campbell River Hospital Proposed Design 5
  • 7. Campbell River – Aerial Image 7
  • 8. Project Schedule • Competitive Selection Process: o Request for Qualifications, June - October, 2012 o Request for Proposals, March - October, 2013 • VIHA Site Preparation – Campbell River Hospital o Request for Proposal, November, 2012 - March, 2013 o Sunshine Wellness Centre – interior renovations – Jan – May 2013 o Site preparation activity scheduled to start end of March 2013  Gravel parking lot work to begin – April 2013  Modular Project Management offices on site – Spring 2013  Modular Decanted Healthcare programs on site – Spring 2013  New ambulance entrance – end of 2013 8 8
  • 9. Project Schedule • Decanted Services planned for modular unit o Operating Room Bookings o Meeting Rooms o Administration • Enabling all healthcare programs to remain in Sunshine Wellness Centre and hospital 9 9
  • 10. Project Schedule • Financial Close – Ground Breaking o March, 2014 o Hospital Design and Construction to start • Service Commencement – Project Completion o March, 2017 • Move in o Fall 2017 10 10
  • 11. 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 groups (physicians, nurses, food services, laundry, housekeeping, management)  Evidence Based planning 11
  • 12. Hospital Design and Construction • 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 12
  • 13. New Hospital Features • Emergency Department – 3 times bigger! • Centre of Excellence in Aboriginal Maternal Health • New and/or Enhanced dedicated space for: o Orthopedic clinic o Ambulatory procedure care space o Cardio-pulmonary diagnostic services 13
  • 14. New Hospital Features Current Future Percentage Increase Operating Rooms 3 4 25% Inpatient Rooms 2541 5800 228% (CGSM) Emergency & 1360 3035 223% Ambulatory (CGSM) Diagnostic and 2624 3991 152% Treatment (CGSM) 14
  • 15. 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) 15
  • 16. 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 16
  • 17. Manage Project Program Delivery Program Design Build Maintain Plan Facility Management Services Finance Project Own Building Own Land Public sector Private partner 17
  • 18. PPP Myths & Facts Myth – PPP’s are the same as privatization Fact – Government remains actively involved and owns the building(s) Myth – PPP’s cost more (government can borrow money cheaper) Fact – PPP’s can reduce lifecycle cost, improve quality Myth – Private sector profits come at the expense of services Fact – In all procurement, the private sector makes a profit Myth – Private bankruptcy leaves us on the hook Fact – No performance, no pay – government can step in Myth – The profit motive means cutbacks on safety and service Fact – Government performance standards are legally binding 18
  • 19. What We’ve Heard: Community Issues • Parking and Traffic Management: o During construction, workers and suppliers will not be allowed to park on any street within 1km of the Campbell River Site o Creation of two temporary gravel parking lots near Yucalta Lodge (140 parking stalls) o Long-term – new parkade and surface parking  Total of 450 parking spots 19
  • 20. Parking and Traffic Management 20
  • 21. Campbell River Long Term Parking 21
  • 22. Parking and Traffic Management • Traffic flow changes to existing lot off 2nd – one way - opposite direction • Change to ambulance entrance • Restrictions on left turn (westbound) out of existing parking lot to 2nd. • More information once contractor is on site 22
  • 23. Traffic Flow Changes and Ambulance Entrance 23
  • 24. What We’ve Heard: Landscaping • Disturbed/reclaimed areas to be hydro seeded with native groundcover • Edible/medicinal plants to be placed on site • Outdoor seating areas on site: o Two outdoor gardens with seating in hospital courtyard o Spiritual garden with water features, traditional plants and herbs 24
  • 25. What We’ve Heard: Community Issues • Noise and Dust Management: o During construction o Dust control o Once the hospital is in place, carefully designed building ventilation systems will be used to minimize noise and exhaust o Noise lessening strategies from Royal Jubilee Project will be applied to areas such as refuse, recycling, loading, and service areas o Noise reduction materials will be provided on parking structure walls within 200 metres from residential developments 25
  • 26. What We’ve Heard: Community Issues • Community involvement: o Quarterly open houses and information sessions o Meetings with:  School district and local schools (upcoming)  Chamber of Commerce  City Council  Aboriginal Working Group o Project newsletters o Website o Social media 26 26
  • 27. Design Competition • Use of design guidelines o Community and city staff involvement o Enshrined in long term contract with private partner o Aboriginal Cultural Design reference • Competitive selection process o Proponent teams meet with city staff, user groups (clinicians and non-clinicians) and community organizations o Influence site master plan and design 27 27
  • 28. Community Benefits • Hospital designed to address current and future healthcare needs • Local employment opportunities • Stimulate local economy o Approximately 800 direct jobs and 700 indirect jobs • Business to Business Meetings (Spring 2013) o Opportunity for local businesses to meet with the Private Sector companies to discuss potential contracts and work. 28 28