Fort St. John Hospital and Residential Care Project

Peace River Regional Hospital DistrictSeptember 24, 2009

Committee Member Package

Outline

● Project Overview● Project Objectives● Financing● Proponent● Site Plan● Floor Plans● Work Tasks Past, Present and Future● Committees and Partnerships● Utilization of Existing Facilities● Contact Information

Project Overview

The Fort St. John Hospital and Residential Care project includes:

– A 55-bed acute and ambulatory care hospital;– A 123-bed residential care facility for seniors; and– A support services program that will provide laundry, materiel

services, and food services to the Fort St. John facilities.

The project will be delivered via a Public Private Partnership with ISL

Project Overview

The facilities will be constructed on a new 40-acre site, with land donated by the City of Fort St. John. Site size allows for future expansion of healthcare facilities.

Peace River Regional Hospital District is providing $98.0 million in funding

Fixed Price Contract with ISL

Project Overview

Acute Care Facility 55 acute care beds Endoscopy Suite 2 state of the art operating rooms plus procedure room Ambulatory Clinics including cancer clinics and

haemodialysis Medical and Surgical Inpatient rooms Intensive Care Unit Separate Maternity entrance and ward with single-room

maternity – Labour Delivery Recovery Post-Partum Emergency Department 2-1/2 times larger then existing

Project Overview

Residential Care Facility 123 beds Pods – 12,16, & 20 Beds Palliative, psycho-geriatric and special care units Elder friendly design and features Individual rooms with en-suite bathrooms All rooms – exterior views Convenient access to acute care Community meeting space Shared daily living and dining space

Project Overview

LEED Gold certification

Sustainable sitesWater efficiencyEnergy and atmosphereMaterials and resources Indoor Environmental Quality Innovation and design

Project Objectives

1. Position Northern Health to meet growth in demand for health care services.

2. Provide adequate space to enable client-focused care delivery and outcomes for patients.

3. Improve quality of care provided to patients of the Fort St. John region and enable/facilitate clinical best practices

4. Improve working conditions to improve safety, efficiency, and outcomes for patients, clinicians and staff.

5. Provide a practice and learning environment that will attract and retain quality health care professionals.

6. In order to meet urgent health care need, complete the new hospital in 2011.

7. Provincial objectives include financial criteria, an environmentally friendly and sustainable design, and as high a wood content as is practical where consistent with the health care objectives.

Financing

Total Cost $ 297.9 million

Peace River Regional Hospital District:       $ 98.0 million

Clinical/IT Equipment Cost:                          $ 25.2 million

Off Site Services Estimate                            $ 12.9 million

Proponent - ISL

Building PartnershipsBuilding Partnerships

Presented by: Gareth Hurlbut – General Manager

The role of the ISL Management team

Proponent - ISL

Building PartnershipsBuilding Partnerships

Who are ISL Health?

• The leading infrastructure investment group in the UK sponsoring and making long term investments in P3 projects, they currently have a platform of 47 P3 projects, including 18 hospitals.

• One of the world’s leading groups in the creation, promotion and management of infrastructure, energy and services company.

• Has developed extensive and sound technological capabilities that have been applied to numerous projects worldwide, including 25 public-private partnership (P3) projects.

• Jointly in Canada they have invested in Royal Jubilee Hospital, Victoria BC.

Proponent - ISL

Building PartnershipsBuilding Partnerships

ISL Health Organisation Chart

Project Administrator

To be appointed

Acciona/ Stuart Olsen DCJV

ACML

FM Provider

Project Director

Ron Mcfee

Project Manager

Mike Bebbington

Project Director

Paul Lukkarinen

Operations Manager

To be appointed

Northern Health Authority

Architect

Ron McIntyre

ISL Health

HCP - Project Co,

General Manager - Gareth Hurlbut

Finance Manager – Gina Arezza

Proponent - ISL

Building PartnershipsBuilding Partnerships

Project Management

General ManagerGareth Hurlbut

~ Manages the overall project schedule

~ Works in partnership with Northern Health Authority

~ Provide the ongoing project management services

~ Takes the lead for ISL Health during the construction and operational phases.

Proponent - ISL

Building PartnershipsBuilding Partnerships

Design & ConstructionA joint venture between Acciona (50%) and Stuart Olson (50%).

This combination takes advantage of :~ the size and financial power of Acciona, as well as their

extensive local & international construction experience withhealthcare projects, and;

~ Stuart Olson’s knowledge and success in the local market.

~ Principle designers for Fort St John~ National and international experience

~ FM services for over 30 years in healthcare ~ Responsible for the operation of 22 hospitals ~ Including two of the largest healthcare facilities in Vancouver, Providence Health Care, and Children’s and Women’s Health Centre.

Proponent - ISL

Building PartnershipsBuilding Partnerships

The main priorities for the Management Team

~ To focus on effective working relationships

• ~ A comprehensive overview of the project contract

• ~ Ensure that all ISL Health parties work to a shared understanding of projectmilestones

• ~ Ensure effective FM performance management

• ~ An “honest broker”

• ~ Flexible management for changing phases

~ Contribute experience and “lessons learnt” wherever appropriate insupport of best practice

Proponent - ISL

Building PartnershipsBuilding Partnerships

Quantity Surveyor – Variations Banks/Lenders/FinanceEquipment Specialist Funder - Technical AdvisorHealth and Safety Adviser Legal AdvisorEnvironmental Specialist Insurance AdvisorPlanning Supervisor Independent Certifier

NHA

Joint Services Partnership

ISL Health

HCP General Manager

HCP Finance Manager

ACML

How ISL Health team relates to their Project Partners

ISL Health Project Board (Innisfree &

Acciona Concessions)

HCPSpecialist Support

Hard FM adviceAsset management

Market testing

Acciona Stuart Olsen

Proponent - ISL

Building PartnershipsBuilding Partnerships

Liaison with the Client

• ~ Regular communication

• ~ Management of formal meetings

• ~ Prompt decisions about the day to day operation of the project on behalf ofinvestors

• ~ Facilitate formal and informal joint NHA/Service Provider communications

• ~ Promote culture of joint walk rounds and ownership of interface issues

• ~ Support NHA in press and PR initiatives

Proponent - ISL

Building PartnershipsBuilding Partnerships

Construction

• ~ Independent and experienced single point of contact for NHA andcontractor

• ~ Ensure that technical construction requirements are translatedmeaningfully for NHA and Service Provider

• ~ Ensure that interfaces between Construction, FM Provider and NHA areeffectively managed

• ~ Ensure ISL Health observe Health and Safety and environmentalrequirements

• ~ Liaise with Independent Certifier, banks’ representatives and insurersabout progress with the Construction programme

• ~ Ensure effective handover of O and M manuals from Construction toPlant Services Provider and smooth transition from the Construction tooperational phase

Proponent - ISL

Building PartnershipsBuilding Partnerships

Services co-ordination• ~ Robust services mobilisation plan in agreement with NHA

• ~ Priority to establishing a network of communication routes

• ~ Effective collaboration between Service Providers

• ~ NHA receives a seamless service

• ~ Service Provider pro-actively contributes

• ~ Proactive monitoring of service performance

• ~ Periodic use of technical specialists

Proponent - ISL

Building PartnershipsBuilding Partnerships

Other responsibilities of the ISL Health Management Team

~ Management of invoicing and payment process

~ Production of reports for NHA, investors and project sponsors asstipulated in the Project Agreement

~ Management of Changes to the contract

~ Asset and lifecycle management

New Site

Site Plan

Aerial View

Aerial View - Entrance

Main Entrance

Lobby Interior

Hospital Drawings – Level 0

Hospital Drawings – Level 1

Hospital Drawings – Level 2

Residential Care Drawings – Level 0

Residential Care Drawings – Level 0

Residential Care Drawings – Level 1

Bed Summary – Acute Care - Hospital

Bed SummaryUnit Current Functional Program

Maternity 12 11ICU 3 4Med/Surg 29 40

Total 44 55Treatment Space Summary

Unit Current Functional ProgramEmergency Dept. 9 22Ambulatory 6 15Visiting Specialist/General Clinics - 3

Cancer Clinic & IV Therapies - 4

Renal Dialysis 6 7DEC/CDM - 1

OR 6 12Operating Room 2 2

Endo Suite 1 1Procedure Room (full size) - 1

PARR 3 8

DI 6 11Total 27 60

Work Accomplished To-Date

Task Date

Business Case Approved Jan 2008

RFQ issued May 2008

RFQ close July 2008

RFP issued Oct 2008

Land rezoned Nov 2008

3 rounds of bilateral meetings Oct – Dec 2008

Responded to hundreds of proponent questions Oct – Jan

RFP close Feb 16, 2009

Work Accomplished To-Date

Task Date

Evaluation of Proposals Feb. & March 2009

Announce Preferred Proponent Mar 31, 2009

Execute Early Works Agreement Apr 2009

Early Works Apr 2009

Financial Close July 2009

Start of Construction July 2009

Future Activities

Task Date

Ongoing NH design reviews Fall 2009 - 2011

Bulk Excavation, 1st Slab Pour, Foundations Summer, Fall 2009

Foundation Work, Slab on Grade, Structural Steel Erection, Windows, Roofing, Residential Care Buildings

2010

Interior Work, Equipment Installation, Residential Care Buildings

2011

Commissioning, Completion of Construction 2012

Patient Move-in Summer 2012

Committees and Partnerships

Fort St. John Community Committee Fort St. John Neighborhood Committee Fort St. John Municipal Committee

Peace River Regional Hospital District City of Fort St. John UBC/UNBC – Medical Program Treaty 8 Association Fort St. John Hospital Foundation Save Our Northern Seniors – S.O.N.S.

New Site – August 4, 2009

Existing Facilities Utilization Plans

North Peace Care Centre Existing Fort St. John Hospital Northern Health Board

Larry Tokarchuk

Next Steps

Continued Communication and Interaction– Community– Organizations– First Nations

Multi-Tiered Communication– Community(s)– Internal– External

Welcome your thoughts and ideas

Contact Information

Gareth Hurlbut

General Manager

Fort St. John Hospital and Residential Care Project

Health Care Projects (Canada) Ltd.

Fort St. John Hospital and Residential Care Project Management Office

Suite 330, 9900 – 100th Avenue

Fort St. John, BC V1J 5S7

Phone: (778) 668-6327

E-mail   hurlbut@hcpcanada.com

Contact Information

Tom Sparrow, PMP MBA MSc (Candidate)

Project Director

Fort St. John Hospital and Residential Care Project

Capital Planning

Northern Health

Fort St. John Hospital and Residential Care Project Management Office

Suite 330, 9900 – 100th Avenue

Fort St. John, BC V1J 5S7

Phone: (250) 262-5390

Fax:     (250) 785-0648

Cell:     (250) 617-8588

Personal Cell: (250) 613-2721

E-mail   tom.sparrow@northernhealth.ca