Island Health | Infrastructure BC
Cowichan District Hospital Replacement
Three times the size of the existing facility, the new Cowichan District Hospital on Vancouver Island will reflect BC’s new model for integrated healthcare by placing patients, families and communities at the centre of care decisions throughout the continuum of care. The goal is to reduce wait times, improve care and outcomes, and provide better value for healthcare expenditures.
HH Angus is part of the design team under The EllisDon Healthcare Infrastructure Consortium, and is providing mechanical and electrical consulting engineering to the 607,000+ ft2 project. The new facility, with an estimated budget of $1.44 Billion, will have 204 private or semi-private beds to support best practices for infection prevention and control, with the capacity for increased beds as population growth warrants. The emergency department will be three times the size of the current ER and is expected to accommodate 42,000 visits by 2035. Additional services include mental health facilities featuring a 20-bed inpatient unit and dedicated ICU, culturally safe services and spaces, 7 operating rooms, increased CT scanning capacity, and built-in MRI facilities.
Island Health specified a low energy, low carbon design solution. HH Angus, working with the rest of the design team, devised a number of innovative solutions and the project is now aiming to be Canada’s first CaGBC Net Zero Carbon hospital and first fully electric hospital. As well, the project is targeting LEED Gold certification.
This is the first Alliance Project Delivery for HH Angus, with many differences from a conventional project delivery model. It is a far more collaborative process, where the owner, contractor and design team act as one entity. Both the quality of the submitted design and the ability of the team to work together were key factors in the proponent evaluation.
Mechanical Engineering | Electrical Engineering
Alliance project delivery model | Status: Construction completion estimated for end of 2026, and opening for patients in 2027 | 607,000+ ft2 | 204 private or semi-private beds | Mental health services with a 20-bed inpatient psychiatry unit | Culturally safe spaces and services
The unceded traditional territory of Cowichan Tribes, North Cowichan, British Columbia
KEY SCOPE ELEMENTS
Targeting to be the first fully electric hospital in BC | Targeting LEED Gold | New hospital will be 30% more energy efficient and 60% more water efficient than the current hospital, with a 75% reduction in greenhouse gas emissions
Royal Inland Hospital
New Patient Care Tower
Royal Inland Hospital is a tertiary level acute care hospital serving a catchment area of approximately 220,000 residents in the city of Kamloops and throughout the Thompson, Cariboo and Shuswap regions of British Columbia.
The 290,625 ft2 new Phil & Jennie Gaglardi Patient Care Tower (PCT) is a nine-storey building that includes a surgical floor, 13 operating suites, patient floors for mental health and medical/surgical beds, a neurosciences and trauma unit, perinatal centre, labour and delivery rooms, and neonatal intensive care unit. There are also two underground parking levels, administrative and clinical spaces on three lower floors, an intermediate mechanical floor, and 3 inpatient levels topped by a penthouse containing the heating, cooling, and emergency power plant.
Phase 2, currently underway, consists of a number of renovations within the existing facility, including a completely renovated Emergency Department. Phase 1, which opened in July 2022, targeted LEED Gold certification. HH Angus provided mechanical and electrical design services for the PCT, which was constructed adjacent to the existing hospital under a P3 contract.
Designed with direct input from local healthcare workers, the PCT streamlines access to hospital services through a single main entrance. A new post-anaesthetic recovery room in the adjacent existing facility’s renovated space will be constructed in Phase 2. Other clinical spaces include a substance use inpatient unit, a child and adolescent mental health crisis intervention program, maternal and child services, and respiratory therapy services. Non-clinical spaces include reception, patient registration, a rooftop helipad, underground parkade, retail space and a new home for the Royal Inland Hospital Foundation.
Mechanical design includes energy-efficient heating and cooling systems with a variety of heat recovery features. The project has an ambitious energy use target and HVAC systems were designed with this benchmark in mind. HH Angus was able to solve a problem the Hospital was having with the existing distributed hot water boilers by upsizing the new plant to serve the majority of the hospital campus. The ventilation design includes redundant capability and outbreak control, and exhaust air heat recovery, as well as providing for future flexibility.
The Health Authority expressed an interest in the ability to conduct smudging ceremonies in any patient room without having to make significant modifications to the current ventilation design and infrastructure included in the project. HH Angus found a means for using the ventilation system as originally designed and applying a unique operational sequence to minimize capital cost changes while providing the ability to undertake smudging activities in any of the patient rooms on the Medical/Surgical and Mental Health Adaptive inpatient units.
A central focus of the design team was to work with the commissioning team to ensure proper operation of the new facility. The design team is now helping monitor ongoing operations to recover and reuse as much waste heat as possible. This effort concentrates on the heat recovery chiller plant operation to meet as much of the building’s heating load as possible using waste heat. This contributes to minimizing the production of GHGs from heating energy sources and, in turn, improves decarbonization for the new facility. New electrical services include a 25 KV service from BC Hydro serving a new outdoor substation powering the existing campus and PCT. New redundant 25kV to 600V FR3 transformers feeding the new tower were provided in the new main electrical room. Three new 2MVA diesel generators provide emergency power backup to the new patient care tower and the rest of the existing campus if utility power is lost. 600V distribution on both utility and generator power are provided with high resistance grounding to increase resiliency and reliability in the event of a single ground fault. Numerous low voltage systems were provided including fire alarm, lighting control system complete with daylight harvesting, circadian rhythm tunable lighting in the Neo-natal ICU, and electrical metering.
Mechanical Engineering | Electrical Engineering
Size: 290,625 ft2 | Status: Ongoing
Kamloops, British Columbia
KEY SCOPE ELEMENTS
Ongoing technical infrastructure upgrades | Installed heat exchangers to link the cooling plant to the Deep Lake cooling system | LEED Gold
The rooftop helipad is served by a number of mechanical and electrical systems to help keep the pad surface clear of snow and ice and to provide appropriate safety lighting to meet all requirements. Fire protection and life safety systems, such as foam suppression, were carefully coordinated and designed to ensure full coverage and containment in the event of a discharge.
Integration with the existing hospital systems was a significant challenge and required numerous connections to the adjacent facility. Requiring multiple site visits, it was determined the two facilities could be successfully integrated by enclosing an outdoor courtyard between them, transforming it into a four-season space that will benefit patients, staff and visitors. On the electrical side, backfeeding the existing facility with new 600V HRG generator backup required careful analysis of existing distribution to ensure compatibility for all existing equipment to the new 3 wire distribution on emergency power. A detailed sequence of operations for black start sequence and retransfer of automatic transfer switches to normal was developed and commissioned to ensure proper operation for different failure scenarios.
Lower Mainland Facilities Management
Lions Gate Hospital Power Plant
The new underground power plant at Lions Gate Hospital is a key piece of infrastructure to enable construction of a new acute care facility in North Vancouver.
The existing steam-only power plant at Lions Gate Hospital did not meet seismic requirements and was quite dated. HH Angus replaced the existing plant with a new buried installation that includes boilers, medical gas, plumbing and electrical equipment, as well as the routing of services through an existing tunnel system.
The new design for the underground plant is a hybrid of hot water and steam boilers; this design will help to reduce both energy use and greenhouse gas emissions. It’s an innovative design that recovers heat from the power plant via a heat pump system and rejects heat back into the reheat systems. An architectural feature boiler stack was included in the design.
The RFP originally required relocation of the bulk O2 system; however, following a number of design iterations, the result was the provision of an Oxygen Concentrator system instead.
Implementation of the Fraser Health Authority’s BIM standards was also required for the project. This is the first time these standards were applied at HH Angus, and the work helped to develop a baseline for future Fraser Health projects.
Among the challenges of the project:
– With limited knowledge of the existing site, it was necessary to obtain all background information within a short timeframe through access to existing drawings (dating back to 1960s) and performing multiple site reviews.
– To provide the best solution, HH Angus explored multiple options, above and beyond the requirements of the original RFP and, although the timeline for completion of design and implemention of new BIM standards was aggressive, all deliverables were met on time.
Mechanical Engineering | Electrical Engineering | IMIT Consulting | Lighting Design
Status: Completed 2020
North Vancouver, British Columbia
KEY SCOPE ELEMENTS
Power Plant to facilitate construction of new acute care facility | Architectural feature stack | 3D Matterport modeling | Oxygen concentrator system | Implementation of Fraser Health BIM Standards
3D Reality Capture
Our 3D Matterport scanner proved to be invaluable for site reviews, allowing the design team in Toronto to reference the minutely-detailed 3D scan produced by our in-house team and equipment.
Oshawa Clinic Group
West Whitby Medical Clinic
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.
The project was featured in Canadian Healthcare Technology in July 2021.
Mechanical Engineering | Electrical Engineering
Size: 120,000 ft2 | Status: Completion 2024
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.
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.
Renderings courtesy of HDR.