A new hospital for Oakville (PDF file)

A New Hospital for Oakville
Case Study: relocation & replacement of hospital
Organization: Halton Healthcare
The new Oakville Trafalgar Memorial Hospital
• One of the largest infrastructure
projects in Ontario
• 50-acre greenfield build
• 1.6M sq. ft. acute care community
hospital
• Opening Day Bed Capacity = 457
• Total Bed Capacity = 607
• $2.7 billion nominal DBFM
• Substantial Completion: July 31, 2015
• Opening Day: December 13, 2015
Project Funding & Financing
Financing for the new Hospital will follow the provincial
government’s Alternative Financing and Procurement Model (AFP).
Under this model of financing, the private sector is responsible for
the design, construction, financing and maintenance of the project.
• AFP is an innovative way of financing and procuring large public
infrastructure projects. It leverages private sector resources and
expertise for large, complex public infrastructure projects.
• AFP provides the opportunity to transfer project risks to the
private sector, which commits to delivering projects on time and
on budget.
• AFP approach brings in private-sector expertise, ingenuity and
rigor to the process of managing and renewing Ontario’s public
infrastructure, but preserves public ownership of core public
assets such as hospitals.
Project Contract
In June 2011, Hospital Infrastructure Partners (HIP) was selected
as the preferred proponent to design, build, finance and
maintain our new hospital. HIP Partners include:
• Developer: Carillion Canada Inc., EllisDon Corporation,
Fengate Capital Management Limited
• Design: Parkin Architects in joint venture with Adamson
Associates Architects
• Construction and Facilities Management: Carillion Canada
Inc., EllisDon Corporation
• Financial Advisor: Fengate Capital Management Limited,
Scotia Capital
Project Contract
Components of HIP contract:
• 30-year annual payments with
maintenance, repair and renewal
• Total contract cost after 30-years is
approximately $2 billion
• Equivalent to approximately $2.7
billion [current (2011) dollars]
• Payments to HIP are performancebased and protected with financial
penalties
Project Contract
Components of contract cost:
• Complete design plans for the
new hospital
• Building costs – the bricks and
mortar
• Project financing costs
• A 30-year maintenance
agreement
– Includes the repair and
renewal of the hospital
Construction
• The main building excavation was the equivalent of 700
standard swimming pools or 6,500 truckloads of earth
• More than 73,000 cubic metres of concrete were poured
into the structure – enough to build a walkway from
downtown Oakville to Pearson International Airport
• 500,000 liter diesel fuel tanks for the emergency generators
• 110 different trade suppliers and subcontractors from as far
away as Germany
• At the peak of construction 1,200 workers on site each day
Building the Digital Hospital
Patient Monitoring/
Telemetry
TELECOM
CLOSET
Hospital
Information
System
DATA CENTER
Phone System
TELECOM ROOM
Security System
SECURITY
OFFICE
Legacy Hospital Design
All Systems on Separate Networks Homerun to Different Locations
All Systems Speak a Different Language
Patient Wandering
CENTRAL
STATION
Building
Automation
System
BOILER ROOM
Infant Abduction
CENTRAL
STATION
Nurse Call
CENTRAL
STATION
Patient
Entertainment
TELECOM ROOM
Intelligent Hospital Design
All Systems on a Single, High Availability Network (Wired and Wireless)
All Systems are IP- based (Internet Protocol) and can intercommunicate
DATA CENTER
Benefits for our Community
• Family-centred patient care
• Physical space for expanded programs including diagnostics,
operating rooms, acute care beds and clinics, etc.
• Teaching agreement with McMaster University
• New services - including a cancer clinic
• Retention and recruitment of medical staff who want to work
in a cutting-edge community hospital
• Flexibility that will permit adaptations over time as new
thinking and best practices emerge
• A rigorously well-maintained and up-to-date facility through
the 30-year building maintenance agreement
11
Hatch Donates photovoltaic solar array power
system
• Power generated and sold through the state-of- the-art
rooftop solar array will help fund the Hospital Foundation
through the Ontario Power Authority’s Feed In-Tariff (FIT)
program.
• The contract will provide the Hospital Foundation with
revenue of $5million dollars over a 20-year period.
“Hatch has had a long relationship with Oakville and is proud
to provide the new Hospital with an environmentally-friendly
and sustainable source of power and revenue,” said Rob
Lydan, Hatch’s Global Director of Solar Power. “We are a
significant employer in Oakville and the GTA, and many of
our employees live here.”
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Opening December 13, 2015