Healthcare Infrastructure, Western Canada

Co-Chairs’ Opening Remarks

Eleanor Lee
Chief Project Officer and Executive Director
Provincial Health Services Authority

Keynote

Fireside Chat with Infrastructure B.C. on the Project Pipeline, Trends in Procurement, and Top Priorities for 2022 and Beyond

Jeff Good
Vice President, Healthcare & Social Infrastructure
Infrastructure BC

Join Jeff Good from Infrastructure B.C. for an informative chat on projects, trends, and priorities for 2022 and the future. Topics for discussion will include:

• Exploring the strategic vision for healthcare infrastructure in B.C.
  • Examining what’s in the pipeline
  • How are current government policies being reflected in infrastructure requirements?
• Measuring the impact of the pandemic and current supply chain challenges on processes and project delivery
• Identifying what’s next in procurement
  • Lessons learned from recent projects

Owner’s Roundtable

Pandemic-Induced Supply Chain, Labour, and Communication Challenges: How to Minimize the Impact on Project Schedules and Budgets

Sharat Chandra
Chief Project Officer
Royal Columbian Hospital Redevelopment

Scott McGeachy
Chief Project Officer
Interior Health Authority

Darnell Williams
Senior Director, Phase 3A Capital Development
Mount Sinai Hospital

Moderator:

Mandeep Edmonds
Deputy Chief Project Officer, Redevelopment & Major Projects
Fraser Health Authority

This interactive, solutions-oriented panel discussion will feature project owner perspectives from across Canada on the latest and greatest challenges, and opportunities facing capital project teams in the healthcare industry. Large scale infrastructure investments are being made across the country, but cost inflation, supply chain disruptions, and labour shortages are making it increasingly difficult to deliver projects on time and on budget.

• Exploring pandemic-related challenges and lessons learned
  • How to overcome challenges of working remotely so that all stakeholders are engaged, from clinicians to facilities and maintenance staff
• Tips on how to improve the virtual meeting process
• Leveraging tools to fully capture the look and feel of a building remotely, using 3D simulations
  • Analyzing how the pandemic changed owner perspectives on projects and the leadership best practices that carried them through
• Procurement: How the injection of capital is impacting the market
  • What models are being leveraged for small to larger scale projects—the pros, cons, and forecasting what’s next
• Examining how technology is being leveraged to improve the design and delivery of projects
  • Identifying where is it being integrated to enhance clinician capabilities, drive efficiencies, and enhance the patient experience
  • Determining value for money, when making investments in digital infrastructure
• Analyzing the true impact of supply chain and labour challenges in the region and how project teams are pivoting to keep projects moving forward

Refreshment Break

Hot Topics in Construction and Procurement Law

Critical Contract Considerations to Mitigate Risk and Avoid Disputes in the Delivery of Healthcare Infrastructure Projects

Sonia Sahota
Managing Partner
Civic Legal LLP

Stephanie Streat
Owner
Synthesis Legal

• Exploring good faith in contract performance in the construction context
  • Examining the implications of recent Supreme Court of Canada cases, and what this duty means or does not mean from a practical perspective
• Identifying issues arising in the case law regarding the use of Alliance or IPD contracting, and BIM
  and practical takeaways for your organization
  • Social procurement
• Analyzing COVID-19 implications for stakeholders on healthcare infrastructure projects
  • Understanding the impact of recent case law on which party bears unexpected pandemic related risks from the perspectives of procurement, contract drafting, contract administration and disputes and claims

Lightning Talks

A Rapid-fire Report on Major Capital Healthcare Projects in Western Canada

Claire MacEwing
Senior Clinical Project Manager and Change Management Lead
Providence Health Care

Alyssa Rafferty
Director, Inter-Professional Practice
Provincial Health Services Authority

Westley Davidson
Chief Project Officer
Cowichan District Hospital Replacement Project

This session is designed to provide a quick tour of three distinctive healthcare projects that are either currently underway or recently completed in the region. Each lightning talk will highlight innovative approaches to design, as well as lessons learned in the delivery process, and post occupancy. Presentations will be followed by an interactive Q&A.

Lunch Break

Case Study

The Competitive Alliance Model in Action: Key Takeaways from the Cowichan District Hospital Replacement Project

Westley Davidson
Chief Project Officer
Cowichan District Hospital Replacement Project

Jeff Good
Vice President, Healthcare & Social Infrastructure
Infrastructure BC

Special Focus on Sustainability

How to Engage Stakeholders and Promote a Sustainability Mindset throughout the Project Lifecycle

Sonja Janousek
Environmental Sustainability Manager, Energy and Environmental Sustainability Team
Vancouver Coastal Health

Ghazal Ebrahimi
Energy & Carbon Emissions Manager Energy & Environmental Sustainably Team
Provincial Health Services Authority

Refreshment Break

Steps Healthcare Facilities Are Taking to Cut Emissions, Reduce Operating Costs and Adapt to Climate Change

Kori Jones
Energy and Emission Manager, Energy & Environmental Sustainability
Vancouver Coastal Health

Ryan Galloway
Thermal Energy Manager, Energy & Environmental Sustainability
Provincial Health Services Authority

Bjorn Richt
Energy Consultant, Energy & Climate Change
Vancouver Island Health Authority

Belinda Chen
Leader, Office of Virtual Health
Provincial Health Services Authority

• How to apply a climate change lens to infrastructure renewal project planning
• Optimizing heat recovery and energy efficiency with a thermal gradient header
• Examining how to retrofit a heat recovery system into an existing hospital – substantially cutting emissions and costs

Newfoundland’s Corner Brook Hospital: A Case Study in Optimizing Energy Performance through a Geothermal System

Shaun Blore
District Building Systems Manager
PCL Constructors Canada Inc.

Peter Kastelic
Senior Associate
Smith + Andersen

Mike DeWeerd
Engineering Manager
Geosource Energy

The Corner Brook Acute Care Hospital, currently under construction in Newfoundland and Labrador presents an exciting, and fairly unique case study in sustainability for the healthcare sector. The 600,000 square-foot P3 hospital will have the largest geothermal heating and cooling system in a Canadian healthcare building.

With Corner Brook as a backdrop, this session will explore:

• How to develop and deliver an innovative building systems strategy of this size and scope
• The environmental benefits of a geothermal system
• How this project could influence low carbon hospital design and construction in the country moving forward

Whole of Life Considerations: Leading Asset Management Practices in DBFM and non DBFM Hospitals

Ashley Richardson
Managing Consultant, Asset and Facilities Management
Altus Group

• Design and construction phase – building asset management into construction procurement
• Operability and maintainability in the design methodology
• Robust commissioning processes
• Detailed handover phase
• Keeping an eye on whole of life cost during design development
• Operational phase
• DBFM – lessons learned from operational oversight
• Non DBFM – how to combat deferred maintenance
• Getting the most out of tools (CMMS, BAS, energy dashboards), processes and the team
• Indicators – FCI, service level agreements etc.
• Asset management as a “C Suite” function

Conference Adjourns

Co-Chairs’ Opening Remarks

Eleanor Lee
Chief Project Officer and Executive Director
Provincial Health Services Authority

Keynote

Enhancing Clinical Workflows and Patient-Centred Care through Early Implementation of Innovative Technology

Jeannie Gandham
Program Director, IT
New St. Paul’s Hospital Redevelopment

Stephanie Hood
Program Manager
New St. Paul's Hospital

The New St. Paul’s Hospital and Health Campus (opening 2027) strives to be the most digitally advanced campus in British Columbia with innovative technologies to support clinical care for the community.

In this keynote address learn how the St. Paul’s IT project team has designed, and is now implementing a robust strategy to drive operational efficiencies, and improve the patient experience through:

• Early implementation opportunity IT initiatives
  • Clinical Operations Centre
  • Outpatient Digital Experience
  • Connected Patient Room
• Developing standardized processes, and purpose-built space
• Creating opportunities for data-drive decision making
• Fostering a collaboration between clinical and industry specialists to transform patient care for the most marginalized populations

How to Create Culturally Safe Healthcare Facilities through Indigenous Partnerships

Dustin Hall
Director, Facilities Management
First Nations Heath Authority

• Finding practical ways to engage and partner with First Nations, Metis, and Inuit peoples on major healthcare infrastructure projects
• Identifying opportunities to build a health system to honours the Indigenous traditional health and wellness practices, values, and practices into the design:  smudging rooms, healing gardens
• How to construct these spaces in consultation with indigenous partners
• Identifying community specific health service priorities
•  Ensuring culturally safe care is provided and accounting for them in building specifications
• Exploring examples of impactful project elements created with indigenous community partners

Break

Re-thinking Long-Term Residential Care: Assessing Models of Care and Applying Lessons Learned from the Pandemic to Infrastructure Decision

Heather Cook
Director, Long-term Care and Assisted Living, Seniors Services Branch
Ministry of Health, Province of BC

Dan Levitt
CEO
Kin Village

Isobel Mackenzie
Seniors Advocate
Province of British Columbia

Christine Weber Craik
Senior Associate, Senior Interior Designer
Kasian.

Moderator:

Miranda Cary
Regional Practice Lead, Research and Knowledge Translation in Long Term Care
Island Health

• Connecting ongoing  research to offer evidence-based design and service recommendations
• Determining the best model for LTC infrastructure post pandemic
• Examining benefits and advantages of  the small house concept versus traditional LTC care models
• How to meet infection control standards while maintaining a hospitable environment that doesn’t lead to social isolation
• Identifying opportunities to maximize budgets
• Exploring how design elements and the natural environment can improve the resident experience

There’s No Such Thing as Small Projects, Just Small Budgets: How to Approach Smaller Scale Healthcare Capital & Facilities’ Projects

Katy Fairley
Principal
Fairley Strategies

Dave Neufeld
Senior Project Manager, Facilities Design & Construction
Island Health

Shifting resources, budget and schedule constraints, and the need to maintain current operations are all significant obstacles to critical healthcare projects that matter… no matter their size.
In this session, examine past projects and takeaway an understanding of:

• How challenging these “small” projects are
• Their unique considerations
• Tools and techniques to deliver success, from understanding risks to prioritization and enlisting the right expertise

Networking Luncheon

Breakout Discussions

Endemic Think Tank for Healthcare Infrastructure: Key Takeaways for Project Design, Delivery, and Facilities Management

Sandra Dunford
Infection Control Consultant
Island Health

Scott Fraser-Dauphinee
Senior Director, Capital Projects
Provincial Health Services Authority

The pandemic necessitated creative thinking and a quick response across the healthcare sector. Two years later, there is a wealth of information to be shared about how facilities pivoted during this period and the implications for the future of healthcare infrastructure.  This session will include smaller group discussions aimed at sharing lessons learned and exploring where to go from here.

• Determining what enhancements and retrofits should be made to existing healthcare facilities, including hospitals and LTC homes
• Assessing ventilation and determining how many pressurized spaces are needed in your facility
• Planning and designing a building to deal with infectious diseases
• Identifying infection control risk factors
• What are reasonable design specifications for healthcare facilities from an infection control perspective– as we emerge from the pandemic?
• Assessing the long-term cost of some of the infrastructure decisions made during the pandemic
• Examining the implications of engineered solutions versus design solutions on budgets, operations, and overall functionality of the facility
• Should some measure be phased out?
• Rethinking patient and staff traffic flows

Refreshment Break

Virtual Care: Connecting the Dots Between Operations, Infrastructure, and the Community for Improved Health Outcomes

Imrana Jeoffrey
Vice President, Ambulatory Care, Quality and Informatics, Chief Information Officer, Chief Privacy Officer
Hawkesbury & District General Hospital

Reece Bearnes
Executive Director, Clinical Operations
The Ottawa Hospital

Dr. Heather Clark
Medical Director of Ambulatory Care and General Internist
The Ottawa Hospital

Dr. Sunil Varghese

Queensway Carleton Hospital

• Assessing system and patient readiness for virtual care adoption
• Understanding the opportunities to improve outpatient and staff experiences through technology
• Developing an integration and management plan for new technological systems
• Conducting cost analysis for new and evolving IT systems
• Examining how the pandemic expedited implementation of critical IT infrastructure for virtual care
• Developing strategies for redesigning clinical care
• Key considerations for ensuring patient visits remain safe and effective
• Gain insights how digital tools will influence spatial planning, construction, and workflows
• Examining examples of how digital infrastructure is being leveraged to expand the reach of health services to different patient populations and communities

Demystifying the Digital Twin: Exploring Opportunities to Leverage Technology and Real-Time Data to Drive Value and Empower Decision-Making at Healthcare Facilities

Tony Gill
Global Director
IBI Group

• Defining the term digital twin
• Exploring how digital twins could drive value, and empower decision-making for improved clinical outcomes and facilities management
• Examining what IT and infrastructure investments are required and current implementation challenges
• Forecasting the future of technological advancements, and assessing what it will take to achieve a fully operational digital twin
• Real-life examples of how this technology is being leveraged in other industries

Conference Concludes