Oshawa Clinic Group
The Oshawa Clinic Group is developing a new healthcare facility in response to the need for a large integrated medical office building to support the growing population of Durham Region.
HH Angus is providing M&E consulting services for this 120,000 ft2 clinic. The building is 4-storeys plus a basement fitout. When complete, the building will include primary care physicians’ offices and exam rooms, an urgent care walk-in clinic, and a range of specialist clinicians, including an audiology and hearing aid clinic, a chest pain clinic, chiropractors, dentists, diagnostic imaging, medical supply sales, a retail pharmacy with a compounding area, physiotherapy clinic, and a sleep study clinic with nine beds.
Additional patient services include:
- eye wear sales
- home respiratory equipment sales and services
- phlebotomy and medical test laboratories
- sterilization area, and
- traditional Chinese medicine clinic.
Mechanical Engineering | Electrical Engineering
Size: 120,000 ft2 | Status: Completion late 2023
KEY SCOPE ELEMENTS
Purpose-built clinic | 4 storeys plus basement fitout | Primary care physician offices, urgent care walk-clinic | multiple specialized labs and clinics
The project is a purpose-built building in Whitby Ontario.
Renderings courtesy of Lett Architects Inc.
Waypoint Centre for Mental Health Care
Waypoint Chigamik Community Health Hub
The Waypoint Chigamik Mental Health Centre is part of a redevelopment project replacing two older facilities that had been in use in the region since the 1800s.
Project challenges included the requirement that the entire building be completely designed in one stage, rather than proceeding with design packages, as well as delays in funding during the design process which resulted in a requirement for both a base building package and a fit-out package.
To accomplish this, HH Angus coordinated two tender packages and two building permit submissions. Some detailed specifications in each package were interchangeable for the mechanical and electrical tender process. Working with phased schedules ensured that equipment start-up was fully coordinated between the tender packages.
The project faced additional challenges to providing an energy efficient HVAC system due to compliance with CSA Z317.2 and budget restrictions, as well as a small mechanical service space. In order to overcome these challenges, extensive coordination was required throughout the project across all disciplines.
Mechanical Engineering | Electrical Engineering | Lighting Design | ICAT Commissioning
Size: 40,000 ft2 | DBFM | Fully ducted HVAC system designed to comply with CSA Z317.2 | Status: Completed 2020
KEY SCOPE ELEMENTS
Building has full back up power with generator sized to accommodate the entire load of the building on loss of utility power conditions
Several engineering designs were reviewed by the project team to ensure compliance with the owner’s goals and restrictions, while achieving an efficient design.
The two-storey 40,000 ft2 mental health care facility has amenities for indigenous smudging ceremonies, physiotherapy, conferences, a community kitchen, gathering rooms, and a youth programming space.
Renderings courtesy of Lett Architects Inc.
Sunnybrook Health Sciences Centre
Garry Hurvitz Brain Sciences Centre
“The Garry Hurvitz Brain Sciences Centre will revolutionize the future of brain health like never before. It will be a global hub of innovation that will accelerate the discovery of the next generation of treatments, prevention and possible cures to the world’s most debilitating brain conditions.”*
HH Angus is providing mechanical and Electrical engineering for this 118,285 ft2, three-storey above-grade structure. The building will be constructed within a dense urban campus between existing building wings and will be connected to the main hospital circulation spine, with flexibility provided to accommodate future expansion.
Our project scope includes:
- Expansions to existing infrastructure, including a new 1600 ton centrifugal 4160 volt Chiller;
- A major modification to the Emergency Power System to provide emergency power to at least one chiller and the chilled water distribution system;
- New steam service and high voltage electrical services to the new building from the existing power plant
- A significant Information Technology service and distribution system, including fibre cable connections to the hospital’s existing Core Distribution Rooms, new network hub room components, including network switches and all on-floor cable/outlet systems
- Significant expansions to the existing Building Automation System, central electrical metering system, fire alarm system, security system, CCTV system, nurse call system and Code White systems.
The new building includes:
- Mechanical and electrical services in the basement designed to provide for the current construction, as well as a possible future four-storey addition
- Adult In-Patient Mental Health Unit and PICU Unit on the ground floor, both with access to outdoor courtyards
- Child & Youth Mental Health Unit
- Circadian Study Unit on 1st Floor
- Neuromodulation Treatment Unit, Enhanced Examination, Teaching and Research units on the 2nd Floor
The Sunnybrook M&E services tunnel is a complicated space. Because this is a new building on an existing site and represents a major expansion to the campus, connections to existing buildings with multiple M&E ties are required.
Among the interesting challenges of this project was obtaining the required mechanical and electrical services spaces. The larger they became, the more they impacted the functional programming and the project budget. Compromises were made regarding ceiling heights, and collaboration with facilities management staff helped in obtaining the space required.
As well, the main entrance “glass box” presented some unique mechanical design challenges. Ventilating a two-storey structure with no exposed services required innovative engineering, including ventilating from below.
In designing the building systems for this project, our team devoted special attention to providing a living space that offers an excellent therapeutic environment for the brain-injured patient while, at the same time, ensuring the safety of both patients and staff; in particular, preventing any opportunity for self-harm by patients.
Within HH Angus’ lighting scope, LED linear fixtures set the stage for modern lighting aesthetics used throughout the new, state-of-the-art centre, including corridors, inpatient bedrooms, the main triple height lobby, and the exterior soffits. The efficient LED non-glare, dimmable lighting will be connected to a centralized lighting control system. The provided lighting management software enables facility managers to monitor, maintain and control the entire networked lighting control system, including schedules and energy usage.
Mechanical Engineering | Electrical Engineering | Plumbing | Lighting Design | Audio-Visual Design | Communications Design | Condition Assessment | Feasibility Study
Size: 118,285 ft2 | Status: Ongoing | Adult In-Patient Mental Health Unit | PICU Unit | Child and Youth Mental Health Unit | Circadian Study Unit | Neuromodulation Treatment Unit | Complex M&E services tunnel
KEY SCOPE ELEMENTS
Expansion to existing infrastructure | Major modification to Emergency Power System | New steam service and high voltage electrical services | Significant IT service and distribution system | Expansion to numerous systems, including BAS, electrical metering, fire alarm, security, CCTV, nurse call and Code White
The main entrance “glass box” presented some interesting mechanical design challenges. Ventilating a two-storey structure with no exposed services required innovative engineering, including ventilating from below.
HH Angus’ many years of working on the Sunnybrook campus and our familiarity with this particular space aided significantly in designing the connections to the existing services.
St. Joseph’s Health CentreMental Health Emergency Services Unit
We consulted with hospital clinical staff, the architect and best practices documentation in the field of Mental Health design in order to provide tamper-proof and anti-ligature versions of M&E devices and services in all patient rooms.
Our project scope was the complete redevelopment of the existing Mental Health Emergency Services Unit. This involved upgrading and modernizing the unit in order to support eight patient rooms, (the previous unit had only three patient rooms).
New, energy-efficient LED lighting fixtures, complete with dimming controls, replaced the old, inefficient fluorescent lighting fixtures. Remote patient room controls, located at the Nurses’ Station, allow clinical staff to control the electrical receptacle in each patient’s room, the smart glass on the room’s door/window, as well as the room’s lighting fixture, including remote-controlled dimming. A modern real-time locating system was also provided; it includes patient tracking, staff duress and patient wandering functionality. Note: This project was honoured with a 2020 Toronto IES Illumination Section Award
More than 30 IP-based security cameras were installed, including two cameras in each patient room. These are viewable from computers at the Nurses’ Station.
One of the challenges of the project was that the hospital did not have a viable existing IT room to house all the new voice/data infrastructure. As a result, we had to design a new IT room on the floor below the renovation area to support the new unit and future Emergency Department redevelopment. This was done during construction; therefore, the design and coordination were fast-tracked and subsequently completed successfully.
Also, remote patient room controls were not well defined throughout the design process. During construction, we had to quickly coordinate with several vendors, each with a proprietary system, in order to provide a solution that the contractor could execute.
Mechanical Engineering | Electrical Engineering | Communications and Security Design | Lighting Design
Status: Completed 2019 | Winner: 2020 Toronto IES Illumination Section Award | Energy-efficient LED lighting | Remote room controls | Real-time locating service | 30 IP-based cameras | New IT room
KEY SCOPE ELEMENTS
Tamper-proof and anti-ligature M&E services | Design of remote room controls to provide enhanced staff safety and minimizing disturbance to patients | Fast-track design of IT room was required during construction stage
Remotely located controls
This approach provides increased staff security and convenience, and minimizes disturbance to patients.
A new security and communications design allows safe observation of patient activities from a secure staff area.
Niagara Health SystemICAT Strategy
“Angus Connect’s approach to developing the ICAT Design Program for the new South Niagara Hospital was both forward-looking and grounded in reality, giving us a solid foundation as we move into Stage 3 of our redevelopment project. We really appreciated their fresh perspective on emerging technology, and in-depth knowledge of the opportunities and risks inherent in these types of projects.”Sime Pavlovic, CIO, Niagara Health
Niagara Health (NH) operates five hospitals and community care facilities in the Niagara Region, serving a diverse population of nearly half a million people and the second highest percentage of seniors aged 65+ in Ontario. The new South Niagara Hospital is expected to consolidate three of the existing sites into a state-of-the-art facility located south of Niagara Falls.
Angus Connect was engaged to help NH achieve their ICAT vision by translating the future state vision into a forward-looking and feasible ICAT design program which could be easily translated into Project Specific Output Specifications (PSOS) as part of Stage 3. Niagara Health was able to capitalize on a unique opportunity, having recently constructed the new St. Catharines Site hospital (2013) which incorporated many current ICAT solutions at the time – the lessons learned from this redevelopment project were addressed as part of the ICAT design program, along with governance and change management recommendations.
In order to complete this work, we participated in the development of the ICAT vision and principles, then developed evaluation criteria and prioritization of ICAT solutions. Our team took a novel approach to stakeholder engagement, categorizing technology options as bronze, silver or gold in order to indicate various levels of implementation and to stimulate productive discussion regarding the functional requirements and use cases for clinical, business and building systems. The output from these sessions was summarized into solution profiles which detailed system requirements, key outcomes & performance indicators, governance, change management strategies, potential risks and challenges (along with mitigation measures), and proposed scope to support Stage 3 documentation.
Finally the ICAT solutions were mapped onto an eight-year implementation plan which addressed both pre-construction and post-construction activities, in addition to those in scope for the redevelopment project. Our team also generated a comprehensive budget cost estimate which included evaluation of potential funding sources based on our previous experience working on Infrastructure Ontario and MoHLTC-funded projects.
ICAT Strategy | Planning, Design and Compliance (PDC)
Status: Completed 2020 | Multi-site hospital system which competes with US hospitals due to its proximity to the border | Unique opportunity to incorporate into the design program lessons learned from recent construction of St. Catharines Site hospital
Niagara Region, Ontario
KEY SCOPE ELEMENTS
Angus Connect successfully delivered a detailed ICAT Design Report in less than three months, including a roadmap, equipment planning and budget cost estimates | Angus Connect presented its findings from the ICAT design at the Niagara Health Innovation Conference in February 2020