Hamilton Health Sciences Centre (HHSC)

Greenhouse Gas Reduction and Resilience Action Plan

HHSC asked HH Angus to develop a strategic and comprehensive GHG Reduction and Resilience Action Plan to guide HHSC in meeting provincial and federal greenhouse gas reduction targets for 2030 and, eventually, "Net Zero" by 2050.

The scope of the work HH Angus provided covered the following HHSC sites (totaling approximately 3,200,000 ft2):

McMaster Children’s Hospital
Juravinski Hospital and Cancer Centre
Hamilton General Hospital
West Lincoln Memorial Hospital
St. Peter’s Hospital
Ron Joyce Children Health Centre
David Braley Research Building

HH Angus developed a Strategic GHG Reduction and Resilience Action Plan (GRRAP) for HHSC to support their goal of achieving carbon neutrality by 2050. This plan included establishing a GHG inventory for Scopes 1 and 2, in addition to forecasting future emissions. (Scope 1 emissions include direct emissions from on-site combustion, and have consistently represented the majority of total emissions. Scope 2 emissions are associated with purchased electricity, steam and/or chilled water.)

GHG reduction targets were set in alignment with leading international frameworks such as the SDGs (sustainable development goals), SBTi (science-based targets initiative), and UNGC (UN Global Compact).

Some key considerations in developing the GRRAP included:

Aging infrastructure and deferred maintenance
Emissions from natural gas combustion
Carbon tax financial risk
Integration of redevelopment with decarbonization
Uncertainty in future district energy and waste heat
Embedding Equity, Diversity and Inclusion and sustainability culture

HH Angus completed an analysis of existing energy and sustainability plans, policies, and facility assessments to identify key opportunities for GHG reduction, while adhering to GHG Protocol standards. The newly created GRRAP document outlined the necessary steps, measures, infrastructure requirements, and financial scenarios needed to meet or exceed the proposed GHG reduction targets.

The implementation plan focused on energy conservation, electrification, renewable energy generation, and zero-carbon building solutions. Additionally, HH Angus provided HHSC with a GHG Manager tool to facilitate ongoing scenario modeling.

SERVICES
Prime Consultant | Advisory Services | Mechanical Engineering | Electrical Engineering

PROJECT FEATURES
7 sites totalling 3,200,000 ft2 | Completed 2025

LOCATION
Hamilton, Ontario

KEY SCOPE ELEMENTS
Mechanical consulting, including ASHRAE Level II energy audit; evaluation for energy conservation measure, review and evaluate maintenance records, capital redevelopment plan | Electrical consulting, including utility analysis, site capacity evaluation | Feasibility study

Infrastructure Ontario

MECP-MLITSD Science Facility Complex

The new complex will bring together existing operations into a single, modern, science and laboratory facility that will strengthen capacity to deliver on critical mandates of protecting the environment, public health, and safety.

The new Science Facility Complex will permanently replace Ontario's Ministry of the Environment, Conservation and Parks’ (MECP) facility at 125 Resources Road and Ministry of Labour, Immigration, Training and Skills Development’s (MLITSD) temporary facility at 6295 Northam Drive (formerly at 81A Resources Road).

HH Angus’ Science and Technology team is providing compliance (PDC) engineering services for this Design-Build-Finance-Maintain (DBFM) infrastructure project that will protect public health and the environment through advanced monitoring of radiological materials, environmental contaminants, and live viruses. The new facility will have purpose-built, flexible design to allow for adaptable laboratories, science workshop spaces, and offices to support both current operations and future growth.

SERVICES
Mechanical Compliance Engineering | Electrical Compliance Engineering | ICAT Compliance Engineering

PROJECT FEATURES
P3-DBFM | Targeting LEED Silver certification | Flexible and adaptable laboratory and office spaces | Status: Ongoing

LOCATION
Oakville, Ontario

Michael Garron Hospital

Patient Care Centre ICAT Strategy

HH Angus was engaged as part of the Compliance team for the new eight-storey Patient Care Centre at Michael Garron Hospital (MGH), formerly Toronto East General.

The project also included a three-storey connection, as well as demolition and renovations to the existing hospital. MGH is a large community hospital serving the diverse Toronto community of East York. Many of the buildings are old, some dating from 1927.

Angus Connect assisted in developing a long term IT strategic vision for the Hospital, including directions, gap analysis, strategic recommendations and Information Technology (IT) solution options for IT to support the hospital moving forward. The Hospital aimed to achieve EMRAM level 7, the highest level in becoming a paperless and digital facility. It also looked to identify automation opportunities to become a smarter hospital. Angus Connect fulfilled the Compliance role for the Hospital, preparing the PSOS for ICAT systems and integration requirements in integration matrix and interoperability use case definition.

The new Patient Care Centre redevelopment was the first phase in the master plan for the site, addressing the highest priorities – namely, consolidated facilities for outpatient services, replacement of inpatient beds in older wings, and several related non-clinical areas. The Redevelopment adds approximately 550,000 ft2, including a new tower to house inpatient and mental health beds, ambulatory clinics and a new underground parkade. It also included approximately 100,000 ft2 of renovation within the existing facility, including a Cardiac Catheterization Suite and administrative areas. The project has been certified LEED v4 BD+C Silver.

As the Angus Connect team developed the technical output specifications, they reviewed options for phasing and system integration. Design standards and technical guidelines, incorporation of operations, life cycle and maintainability requirements are of the utmost importance for this project, as the facilities’ operation and maintenance became the responsibility of the Hospital upon completion of construction.

SERVICES
Compliance Engineer for ICAT Design

PROJECT FEATURES
8-storey patient care centre | 3-storey connection to existing hospital | Completion 2023

LOCATION
Toronto, Ontario

Image Courtesy of Michael Garron Hospital

Interior Health

BC Cancer Centre

The new BC Cancer Centre is described as the single largest capital investment into the expansion of cancer care in the Kamloops region.

Interior Health, in partnership with BC Cancer, is building a new cancer centre at the Westlands site of the Royal Inland Hospital in Kamloops, BC. The new facility includes design and construction of a 5-storey outpatient radiation oncology clinic. Featuring three linear accelerators for radiation therapy, a CT simulator, a diagnostic MRI, ambulatory care space, a 470-stall parkade and an interfaith sacred space for patients and families, the new Cancer Centre will respond to increased demand for cancer services on the main campus, and facilitate 16,500 treatments annually while significantly reducing long-distance travel for many patients.

HH Angus is providing mechanical and electrical engineering, ICAT design and vertical transportation consulting services for this project which is led by EllisDon Corporation.

The Kamloops Cancer Centre is scheduled for completion in 2028.

Image Credit - Interior Health

SERVICES
Mechanical Engineering | Electrical Engineering | ICAT/IMIT Design | Vertical Transportation Consulting

PROJECT FEATURES
5-storey outpatient radiation oncology clinic | Design-Build delivery model | 470-stall parkade | Interfaith sacred space | Completion 2028

LOCATION
Kamloops, British Columbia

Sunnybrook Health Sciences Centre

Space Optimization Study Using AWS QuickSight

Sunnybrook Health Sciences Centre, a leading healthcare provider in Toronto, was seeking to address challenges in medical space utilization. With a diverse array of clinical services and bookable exam rooms, Sunnybrook faced challenges understanding a perceived shortage of space. Yet, intermittent observations suggested that many exam rooms were frequently empty.

M6 – Multipurpose Clinical Space | Yuval & Lori Barzakay Brain Health Clinic Study

To gain a clearer understanding of space utilization and identify potential inefficiencies, Sunnybrook partnered with HH Angus, leveraging our expertise in digital solutions and innovative engineering. The goal was to implement a robust monitoring system to capture accurate data on room usage, enabling informed decisions on resource allocation.

This project reflects Sunnybrook’s commitment to operational efficiency, ensuring that resources are optimally allocated to improve patient care and support staff needs.

SERVICES
Prime Consultant | Advisory Services

PROJECT FEATURES
Digital monitoring system to inform clinical resource allocation | Enhanced operational efficiency | Patient privacy | Scalable design | Predictive analytics

LOCATION
Toronto, Ontario

KEY SCOPE ELEMENTS
Space utilization measurement and analysis | Data acquisition through sensor deployment | Security and connectivity | Data aggregation and storage | Visualization and insights

Solving Space Utilization Challenges

Sunnybrook’s medical staff expressed concerns about limited space availability, particularly for bookable exam rooms. However, casual observations indicated that some rooms appeared to remain empty. Sunnybrook needed a reliable solution to measure actual room usage accurately while addressing two significant concerns:

Privacy: Ensuring patient privacy was paramount, particularly in sensitive clinical settings.

Accurate Detection: Existing solutions struggled to detect minimal motion, such as during procedures like blood transfusions, where patients may remain largely still.

HH Angus was engaged to design and implement a solution capable of addressing these challenges while delivering actionable insights.

Solution | Smart Sensors and AWS Integration

Our Digital Services team developed an innovative solution leveraging cutting-edge sensors and AWS services:

Sensor Deployment:

- mmWave Sensors: Initial deployment involved mmWave sensors capable of detecting micro-motions, such as breathing, to confirm room occupancy. These sensors were equipped with cellular SIM cards to operate independently of Sunnybrook’s network.
- 3D Stereoptic Sensors: To further expand the data gathered from the various clinics, the move to 3D-stereoptic sensors was used to provide not just occupancy status of exam rooms, but also the near real-time occupancy count data. Enhancing scalability, these sensors could monitor multiple rooms simultaneously, offering greater hardware efficiency.

Security and Connectivity:

- mmWave sensors utilized mTLS (mutual Transport Layer Security) for secure data transmission.
- Custom authorization for 3D-stereoptic sensors was implemented using AWS Lambda.

Data Aggregation and Storage:

- Data was streamed via Amazon Data Firehose and AWS IoT Core, stored in AWS S3, and processed through AWS Lambda.
- A centralized S3 data lake provided a secure, scalable repository for all processed data.

Visualization and Insights:

- Data queries were conducted using AWS Athena, while AWS QuickSight offered intuitive 2D dashboards for near-real-time analysis with minimal latency.

This comprehensive approach ensured seamless integration, robust data security, and actionable insights for Sunnybrook.

Outcome | Actionable Insights and Future Expansion

The solution provided Sunnybrook with detailed, data-driven insights into space utilization:

Initial Findings: The installation was completed in December 2024, and data collection began in January 2025. Analysis of the 11 monitored exam rooms in Sunnybrook’s M-Wing, conducted from January to March 2025, revealed a surprising utilization rate of only 33%. This insight challenged initial staff assumptions and highlighted opportunities for more efficient space planning.

Future Outlook: New medical clinics, which opened in January 2025, will contribute additional data to further refine Sunnybrook’s understanding of space usage and inform future expansion strategies.

Through this project, Sunnybrook is well-positioned to optimize its clinical spaces, ensuring that resources are allocated effectively to enhance both staff workflows and patient care delivery.

Key Outcomes Summary

Accurate Space Utilization Data: Revealed underutilization of monitored exam rooms, providing actionable insights.

Efficient Resource Allocation: Enabled informed decisions about space planning and allocation.

Scalability: Designed for expansion, with sensors deployed to additional clinics.

Improved Patient Care: Enhanced operational efficiency supports better patient care delivery.

Predictive Analytics: Tool for staff to forecast resourcing needs based on the day of the week using historical trends

Privacy Assurance: Leveraged secure sensor technologies to maintain patient confidentiality.

AWS Services Used

AWS S3 (Simple Storage Service): Acted as the central repository for storing and
retrieving large datasets, facilitating data analysis and accessibility.

AWS IoT Core: Enabled secure, scalable connectivity for IoT devices, allowing for efficient data collection and integration into the cloud.

AWS Athena: Offered an interactive query service to analyze data in Amazon S3 using SQL, simplifying the extraction of actionable insights from complex datasets.

AWS QuickSight: Provided visualization tools and dashboards for business intelligence, enabling Manulife to derive and act upon insights from their data effectively.AWS Lambda: Supported serverless computing, automating data processing and transformation tasks without the need for server management.

Amazon Data Firehose: Streamlined the capture, transformation, and loading of streaming data, ensuring efficient data flow from IoT devices to storage and analysis tools.

AWS IoT Events: Monitored sensor data for specific conditions, facilitating real-time alerting and response mechanisms to optimize building operations.

AWS Step Functions: Orchestrated complex data processing workflows, coordinating the various components of the ETL pipeline for streamlined operation and maintenance.