Toronto Western Hospital

New Patient and Surgical Tower

University Health Network’s (UHN) new $1 billion, 15-storey patient care and surgical tower will be built on Toronto Western Hospital’s (TWH) campus in downtown Toronto and enhance UHN’s capabilities caring for complex neurological and orthopedic cases. 

We’re excited to be part of this important and transformative healthcare project for UHN. HH Angus, in partnership with DIALOG, is providing mechanical and electrical engineering and ICAT/IMIT design services for the new tower.

The new facility will be over 380,000 ft2 in size over 15-storeys and include 11 clinical program floors, 82 beds, and 20 operating rooms of which three will be hybrid ORs with cutting-edge imaging capabilities.

The new tower will feature many of the latest healthcare technological advancements. We have supported UHN in developing a Digital Strategy for this facility and, have incorporated technologies such as real-time locating systems for patient journey tracking, advanced audio-visual systems for information sharing, and surgical suite technologies to improve flow, communication and educational opportunities.

Among the electrical systems features, emergency generators sized for full backup and a central UPS will improve the resilience of this critical facility.

SERVICES
Mechanical Engineering | Electrical Engineering | ICAT/IMIT Consulting


PROJECT FEATURES
Size: 380,000 ft2 | Budget: $1 billion | 15-storeys | Downtown urban setting | 11 clinical program floors, 82 beds and 20 operating rooms


LOCATION 
Toronto, Ontario


KEY SCOPE ELEMENTS
Targeting 32% energy reduction | Wastewater energy transfer (WET) system for heating, cooling, steam and domestic hot water


Sustainable Engineering

Building on our decarbonization and sustainability experience for healthcare clients across the country, TWH’s new tower strives to be Net Zero, targeting an overall 32% reduction in energy consumption from the OBC SB-10 (2017) reference model through a variety of initiatives, including integrating with UHN’s wastewater energy transfer system for heating, cooling, steam and domestic hot water. The mechanical design also includes energy recovery wheels on the ventilation system and considerations for predicted future climate conditions.   

Proud Partnership

HH Angus is proud to continue collaborating with UHN – ranked number one on the 2023 list of Canada’s Top 40 Research Hospitals – a relationship that spans several decades working on many of their key facilities. Recent collaborations include a major upgrade at TWH’s Power House, which significantly improved the reliability of critical mechanical and electrical infrastructure in order to maintain the integrity of OR services, and the Rapid Assessment Centre Expansion at the Toronto General Hospital.

University Health Network 

Toronto Western Hospital Critical Infrastructure Reliability Project

Toronto Western Hospital (TWH), part of the University Health Network, initiated a project to enhance the reliability of its critical mechanical and electrical (M&E) infrastructure. With aging equipment dating back to 1954, TWH partnered with HH Angus to undertake a comprehensive upgrade project aimed at ensuring the continuous operation of high-risk medical services.

As the prime consultant, HH Angus was responsible for assessing the condition of existing mechanical and electrical systems. Following the assessment, upgrades were made to the facility, including replacing emergency generators, and establishing a new electrical room serving the ORs and the broader hospital campus. Subconsultants, including architectural, civil, environmental, and cost consultants, played crucial roles throughout the project.

To determine suitable locations for generators, extensive investigations were conducted, including structure analysis, examination of building codes, and assessment of environmental impacts. This collaborative effort led to the approval of a new penthouse above the East Wing for generator placement. The final engineering package involved locating the emergency generators at grade in a new fenced area, alongside the supply and installation of two new 1100W emergency generators and upgrades to the electrical network and distribution systems within the powerhouse.

HH Angus leveraged reality capture workflows, utilizing photogrammetry and a Matterport Pro2 camera, to produce a digital 3D model of the powerhouse and infrastructure. Through the efforts of our BIM team, 3D scans were taken of mechanical and electrical spaces, including complex piping and ductwork, to generate point clouds for reference in Revit. These models accurately depict existing systems, including central steam, chilled water, and emergency power systems serving the hospital's ORs and surrounding campus.

Additionally, the project has been recognized for excellence, with the generator exhaust stack winning in the category of Steel Works – Sculptures – Outdoor Pavilions at the Canadian Institute of Steel Construction's Awards for Excellence. https://hhangus.com/award-for-excellence/

The Toronto Western Hospital Critical Infrastructure Reliability project exemplifies HH Angus's commitment to delivering reliable solutions for healthcare facilities.


 

SERVICES
Mechanical Engineering | Electrical Engineering | Reality Capture


PROJECT FEATURES
3D modeling of powerhouse |
Scans of mechanical and electrical (M&E) spaces using Matterport Pro2 Camera | Point clouds of complex spaces using ReCap Pro Status: Completed


LOCATION 
Eastern Canada


KEY SCOPE ELEMENTS
Upgraded mechanical and electrical systems | Installed emergency generators | Ensured environmental compliance | Modernized the powerhouse infrastructure.


University Health Network 

Toronto General Hospital Rapid Assessment Centre (RAC) Expansion

HH Angus was engaged to provide mechanical and electrical engineering, IMIT consulting, and lighting consulting services for this 20,000 ft2 phased renovation at Toronto General Hospital. The space now includes a Rapid Assessment Centre, Diagnostic Test Centre, and Admitting and Pre-Admission Clinics.

The emergency department (ED) was designed to serve ~ 20,000 patients annually but was receiving more than 55,000 patients To better manage these volumes, a dedicated Rapid Assessment Centre (RAC) was added so that ED staff can triage lower acuity patients to the new "fast track" area, enabling primary emergency areas to care for more complex patients.

Our team worked in conjunction with the client and other consultants to perform a pre-tender constructability review. This review included potential approaches to minimize disruption outside areas of construction, identify potential installation challenges, and complete pre-demolition of the first phase of work to identify any unknown site conditions in advance of construction.

Due to the age of the existing space, there was a high probability of building systems and equipment being beyond their service life, and a certainty that codes and standards relevant to the design of the new space had changed. To address this and mitigate any risks, HH Angus performed a pre-design review to identify any specific potential issues with the new space and recommend steps to further address the unknowns.

Scanning and 3D captures were performed regularly throughout construction, using Matterport Pro 2 and a Theta V 360 Camera. This provided the client with regular site progress updates and, in future, will allow for dimensionally accurate references for locating MEP services behind walls and ceilings. It also allowed for a more focused presence on-site, as construction progress was made available remotely to a range of project stakeholders amid COVID-19 pandemic restrictions.

The existing ventilation systems presented a significant gap for the project, as their capacity to support the new functions of the space was unknown. To address this, HH Angus investigated and presented several options for review, taking into consideration the client’s budget, schedule, and planned upgrades for existing infrastructure.

 

SERVICES
Mechanical Engineering | Electrical Engineering | IMIT Consultant | Lighting Consultant


PROJECT FEATURES
Accelerated project schedule | Status: Completed 2022


LOCATION 
Toronto, Ontario


KEY SCOPE ELEMENTS
Phased renovation | Pre-tender constructability review and pre-design review | Scanning and 3D captures to document site progress and provide dimensionally accurate site references for future access


 

Accelerated schedule 

The project schedule was aggressive, requiring close and efficient collaboration between HH Angus, the client, and all other consultants. All construction documents and constructability reviews were completed in 12 weeks.

Queen Elizabeth II Health Sciences Centre 

Bayers Lake Community Outpatient Centre 

The Outpatient Centre is part of the $2-billion redevelopment of the QEII Health Sciences Centre. The EllisDon Infrastructure Healthcare consortium led the P3 project.

The Bayers Lake Community Outpatient Centre in Halifax was built as Nova Scotia’s first public-private partnership (P3) healthcare project and is its largest healthcare project to date.

The Centre provides a range of patient services that do not require a hospital setting, including initial visits with specialists, post-surgery and post-treatment follow-up, blood collection, eye care clinic, physio and occupational therapy, diabetes and orthopedic assessments, rehabilitation services, 17 examination rooms, 24 dialysis stations, and diagnostic imaging (x-rays and ultrasounds). The Centre expects 28,000 clinic visits, and 30,000 x-ray and blood collection visits every year.

 HH Angus provided mechanical consulting engineering to the project, which was completed on time and on budget. Kim Spencer, Director of HH Angus’ Healthcare Division, commented that “we were very pleased to be able to support this new facility with HH Angus’ deep experience in the P3 delivery model, and proven track record of thoughtful healthcare design.” HH Angus acted as the prime mechanical consultant, in affiliation with Dillon Consulting, a local sub-consultant. Our mechanical scope of work included HVAC design, with support from Dillon on plumbing and fire protection. 

 

SERVICES
Mechanical Engineering


PROJECT FEATURES
P3 | 134,000 ft2 | 15-acre site  | Part of a $2 billion redevelopment | Completed November 2023


LOCATION 
Eastern Canada


KEY SCOPE ELEMENTS
Prime mechanical consultant | HVAC | Fire protection | Plumbing


Niagara Health System | Infrastructure Ontario 

New South Niagara Hospital

New South Niagara Hospital is targeting LEED Silver certification and is being designed to be Canada’s first WELL-certified healthcare facility. The project was recently nominated for two CCPPP awards for excellence in public-private partnerships.

HH Angus is part of the design team under EllisDon Infrastructure Healthcare, the proponent to design, build, finance and maintain the new South Niagara Health Hospital project. The EllisDon Infrastructure Healthcare team includes:

  • Leads: EllisDon Capital Inc. & Plenary Americas LP
  • Design Team: Parkin Architects Ltd. & Adamson Associates Architects
  • Construction Team: EllisDon Corporation
  • Financial Advisor: EllisDon Capital Inc.

HH Angus is providing consulting services for mechanical engineering and conveyance systems (automated guided vehicles, autonomous mobile robots, and vertical transportation) as part of the design team.

The new facility will be a full acute care hospital with 24/7 Emergency Department, diagnostic, therapeutic, and surgical services. The latter will include medical, surgical, and intensive care inpatient beds. Also included will be ambulatory services; post-acute Complex Continuing Care (CCC) Inpatient services; and Centres of Excellence specializing in stroke, complex care, geriatric/psychogeriatrics, and wellness in aging.

The new hospital will integrate technology that supports innovation in and delivery of high-quality healthcare and will be designed to achieve LEED Silver certification. The design will also work toward being the first WELL™-certified healthcare facility in Canada.

SERVICES
Mechanical Engineering | Conveyance Systems Consulting (AGVs, AMRs and Vertical Transportation)


PROJECT FEATURES
Completion: Estimated for 2028 | Full acute care hospital | Targeting LEED Silver and WELL Certifications


LOCATION 
Eastern Canada


KEY SCOPE ELEMENTS
~1.2 million ft2 | 469 beds, 8 ORs, 42 hemodialysis stations, 2 MRIs | AGV, AMR and VT planning and design | Mechanical engineering