Sector: Healthcare
Michael Garron Hospital
Patient Care Centre ICAT Strategy and Implementation
HH Angus is on the Compliance team for the new eight-storey Ken and Marilyn Thomson Patient Care Centre project at Michael Garron Hospital (MGH), a large community hospital in Toronto’s East York area. The project includes a three-storey connection, as well as demolition and renovations to the existing hospital.
The Redevelopment will add approximately 550,000 ft2, including a new 8-storey tower to house inpatient and mental health beds, ambulatory clinics and a new underground parkade to support the site. It also includes approximately 100,000 ft2 of renovation within the existing facility, including a Cardiac Catheterization Suite and administrative areas. The project is targeting LEED® Silver.
Our Angus Connect Division assisted in developing a long-term IT strategic vision for the Hospital, including directions, gap analysis, strategic recommendations and Information Technology (IT) solution options to support the hospital moving forward. The strategic plan needed to carefully balance resources with urgency, and to align the vision with the
redevelopment project.
Feedback and findings from stakeholder consultations were key inputs into the strategic recommendations. Angus Connect facilitated a Visioning Session with senior leadership to define a future state vision and evaluation criteria, and consulted with over 100 additional stakeholders over a two-month period in order to refine the Vision Statement, Guiding Principles and Key Strategic Themes; the output from these sessions was presented back to the clinical steering committee for validation. Angus Connect identified fifteen key recommendations based on the common challenges and opportunities raised during stakeholder consultations, leading to forty distinct ICAT solutions which were mapped out over the 5, 10, and 15 year timeframes according to their dependencies, impact and alignment with the vision.
With buildings dating back to 1927, one of the key challenges was integrating technology solutions across a campus with incredibly diverse infrastructure and systems. Our team provided an outline of enabling works projects required to support the transition to more modern systems, while considering the clinical and operational impact – this analysis led to a more holistic approach to planning, more accurate costing and better risk mitigation.
Since that work, Angus Connect was engaged in the Compliance role for the Hospital for Stages 3, 4 and 5, assisted with implementing the ICAT strategy, and also prepared the PSOS (project specific output specifications) for ICAT systems and integration requirements for the integration matrix and interoperability use case definition.
SERVICES
Planning, Design and Compliance (PDC), ICAT Strategy
PROJECT FEATURES
Size: 550,000 ft2 | Status: Completion 2023
LOCATION
Toronto, Ontario
PROJECT FEATURES
Integration of new and existing M&E and IT infrastructure | Developing long term IT strategic vision towards EMRAM 7 | Prepared PSOS for ICAT systems and integration requirements | ICAT Strategy and 15 year roadmap that considered advanced
technologies and their impact on patient care | First significant use of ICAT in the Day in the Life scenarios | Produced over 150 use cases for technology workflows and interoperability
Designing for Safety
The Hospital aims to achieve EMRAM level 7, the highest level in becoming a paperless and digital facility. It also looks to identify automation opportunities to become a smarter hospital.
— Images courtesy of Michael Garron Hospital
Michael Garron Hospital
Ken and Marilyn Thomson Patient Care Centre
Michael Garron Hospital’s new 8-storey Patient Care Centre will include inpatient and mental health beds, ambulatory clinics and an underground parkade. The project also encompasses ~100,000 ft2 of renovations within the existing hospital.
Much of the existing infrastructure at Michael Garron Hospital (MGH) has reached the end of its lifecycle, with some buildings dating to the 1920s. HH Angus was engaged as part of the Planning Design and Compliance Team (PDC) for the new Patient Care Centre, responsible for generating performance-based documents to facilitate design of the new facility.
The project specific output specifications development process included options for expanding central plant systems (heating and cooling), augmenting and unifying the campus emergency power system, replacing aged electrical substations, phasing, design standards, and technical guidelines. Incorporating operations, life cycle and maintainability requirements were of the utmost importance for this project, as responsibility for the ongoing facilities operation and maintenance will rest with MGH.
Enabling projects
To prepare the site for construction, several physical elements were relocated and/or demolished. HH Angus worked with MGH to provide mechanical and electrical engineering for the “Enabling Projects”.
These included relocation of bulk oxygen and bulk nitrous oxide, relocation of bulk chemical storage, demolition of E-Wing and F-podium, and decommissioning a major service tunnel. This work involved complex sequential construction phasing and shutdowns to maintain operation of the Hospital.
HH Angus’ ICAT group, Angus Connect, assisted MGH with development of a long-term strategic vision, directions, gap analysis, strategic recommendations and IT solution options for information technology (IT) to support the hospital moving forward. The team built upon this strategy document to develop the design specifications as part of the compliance role.
The new Patient Care Centre is Phase 1 of an ongoing redevelopment, and is targeting LEED Silver.
Image courtesy of Michael Garron Hospital.
SERVICES
PDC - Mechanical Compliance Engineering | Electrical Compliance Engineering | Vertical Transportation Design Compliance | IMIT Compliance
PROJECT FEATURES
Size: 550,000 ft2 | Status: Completion 2023
LOCATION
Toronto, Ontario
KEY SCOPE ELEMENTS
Integration of new and existing M&E and IT infrastructure | Developing long term IT strategic vision towards EMRAM 7 | Prepared PSOS for ICAT systems and integration requirements | Targeting LEED® Silver
Infrastructure Ontario & St. Michael’s Hospital
Peter Gilgan Patient Care Tower
The new tower will allow patient care to move out of the aging and inadequate Bond and Shuter Wings, for clinical programs and services to be right-sized to meet current standards, and a portion of costly leased administrative space to be repatriated.
HH Angus is part of the Compliance Team for this new 17-storey Patient Care Tower. The Tower will provide an additional ~250,000 ft2 on the Hospital’s main campus in Toronto, with an additional ~150,000 ft2 of renovation distributed throughout the existing building.
The project includes five new operating rooms; enlarged, state-of-the art facilities for orthopedic surgery, coronary care and respirology (including the cystic fibrosis program); an expanded emergency department; and the demolition and new construction of the Shuter Wing.
Addressing the major renovations to the existing building and integrating new infrastructure with existing systems were key challenges for the team. To address these issues, HH Angus provided detailed background information and on-site investigation to mitigate the risks to the Hospital. This challenge extended to the IT systems, where the team was asked to integrate the existing IT infrastructure into the new building. Extensive work was undertaken to bring the Hospital’s aging IT infrastructure up to current standards, and to provide future flexibility. HH Angus designed a solution that would properly integrate and communicate with both the new and existing systems.
SERVICES
Mechanical Compliance Engineering | Electrical Compliance Engineering
PROJECT FEATURES
Size: 250,000 ft2 new space, 150,000 ft2 of renovations | Status: Ongoing
LOCATION
Toronto, Ontario
KEY SCOPE ELEMENTS
17 storey patient care tower | 250000 ft2 new space | 150,000 ft2 of renovations | Integration of new and existing M&E, IT infrastructure | Upgrade outdated pneumatic controls to current DDC technology
A four-decade relationship
St. Mike’s has been a valued client for over 40 years – our lengthy experience with the site has resulted in HH Angus holding a great deal of institutional knowledge about the hospital’s infrastructure.
Let there be light
The Tower’s atrium, which features 11 storeys of natural light, will feature retail space, a patient information centre, and the admitting department.
Images courtesy of Cicada Design
Southlake Regional Health Centre
Redevelopment
Southlake Regional Health Centre serves a catchment area of over one million people. It has more than 400 patient beds, and receives 113,000+ visits annually to the ER Department, and 530,000 out-patient visits.
The Southlake Redevelopment project included a 190,000 ft2 addition in the form of a six-storey tower plus mechanical penthouse, as well as extensive renovations to the existing facility. The tower structure has a mix of occupancies, with critical care spaces located on several floors.
Providing department-specific air handling units was not possible within the constraints of the building design. The solution to the air handling design was to provide four large 100% outdoor air units with high efficiency total enthalpy heat wheels that serve all floors. The result was an arrangement that allows for both initial and future flexibility.
Construction of the tower structure preceded the renovations, which were phased to permit relocation of departments to the new wing. Careful planning of the mechanical and electrical systems was required to integrate the new addition into the existing facility and to implement renovation phasing. HH Angus worked diligently on this with the Architect, Hospital and Contractor to ensure each phase of construction was fully serviced with minimal disruption to the User Groups.
HH Angus’ Vertical Transportation Group was responsible for the design of four elevators within the expansion of the Central Wing.
SERVICES
Mechanical Engineering | Electrical Engineering
PROJECT FEATURES
Size: 190,000 ft2 | Status: Completed 2007
LOCATION
Newmarket, Ontario
KEY SCOPE ELEMENTS
Designed 4 large 100% outdoor air units with high-efficiency total enthalpy heat wheels | Integrated new and old mechanical and electrical systems | 4 elevators designed for the Central wing
Trusted relationship
HH Angus has continued to work with Southlake Regional Health Centre on ongoing upgrades and infrastructure renewal.
Thunder Bay Regional Health Sciences Centre
Cogeneration Plant
The Thunder Bay Regional Health Sciences Centre required a new outdoor enclosed cogeneration machine to be integrated into the existing mechanical and electrical hospital systems to displace utility electricity and boiler production.
As prime consultant, some of the challenges we overcame on this project included: meeting the delivery deadline under a very tight schedule once the project was approved to proceed; working under the confines of space constraints; noise suppression requirements associated with working in an operating healthcare facility; and integration and use of low temperature water from cogeneration.
To address these challenges, HH Angus pre-tendered the equipment, which allowed for unit production while mechanical and electrical design continued. To address the issue of noise infiltration to the hospital, the unit noise suppression was specified to very strict levels, and these were successfully met.
Although low temperature heat is normally unused in this process and is displaced to the atmosphere, our design incorporated low temperature heat along with high temperature waste heat for use in the dearator make-up. This feature adds a level of long-term efficiency to the installation.
SERVICES
Prime Consultant | Mechanical Engineering | Electrical Engineering | Civil Engineering | Structural Engineering
PROJECT FEATURES
Size: 1.5 MW | Status: Completed 2015
LOCATION
Thunder Bay, Ontario
KEY SCOPE ELEMENTS
Integration of new outdoor cogeneration plant into existing hospital M&E systems | Aggressive delivery schedule | Mitigation of noise and space constraints
Meeting deadlines
Despite a very tight schedule, the project was completed on time and within budget.