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Chatham-Kent Health Alliance

Chatham-Kent Health Alliance. Facility Renewal and Capital Infrastructure Needs Tri Board Meeting October 26, 2010. Facility Renewal and Capital Infrastructure Needs October 2010.

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Chatham-Kent Health Alliance

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  1. Chatham-Kent Health Alliance Facility Renewal and Capital Infrastructure Needs Tri Board Meeting October 26, 2010

  2. Facility Renewal and Capital Infrastructure NeedsOctober 2010 • Chatham-Kent Health Alliance is a partnership of 3 hospital corporations: Public General ( PGH), St. Joseph’s Hospital ( SJH) and Sydenham District Hospital (SDH). • Request to review current state and capital needs for facility upgrades • PGH – dates back to 1954 • SDH – dates back to 1955 • Both facilities have reached a critical point in their life expectancy and are in need of major investment to maintain patient and staff safety.

  3. Facility Renewal and Capital Infrastructure NeedsOctober 2010 • !magine redevelopment project is 10 plus years away • Inadequate resources available over the years to support infrastructure upgrades • Sydenham and Public General buildings are outdated and do not meet code in many areas, (i.e. building, medical gas, fire codes, etc.)

  4. Facility Renewal and Capital Infrastructure NeedsOctober 2010 • Costs are estimates • Many upgrades cannot be done in isolation of one another • Any changes to current systems will require all code upgrades • Significant capital facility upgrades will require Ministry approval • Cannot bring certain systems up to code given building structure limitations • Does not include capital needs for the SJC or offsite properties, i.e. 47 Emma, MHA, adjacent houses. • Multi-year coordinated plan and dedicated annual resources required to proceed with any upgrades

  5. Facility Renewal and Capital Infrastructure NeedsOctober 2010 • References used: • Cohos Evamy Facility Audit Report July 2009 • Honeywell Energy and Facility Renewal Report 2009 • Emergency Department Hay Study 2009 (LHIN study) • Asbestos Audits – Advanced Environmental Corporation 2007 • Stantec Facility Audit Report SDC 2005 • Applied Building Sciences LTD Facility Audits – 2002 & 2004 PGC and SDC • Additional Inspections, i.e. Medical Gas, Fire Marshall, HIROC, Roofing Inspections, etc. • External Contractors and CKHA Engineering Staff

  6. Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham Campus

  7. Roofing Cost Estimate $1,000,000 Multi-Year project will be complete 2010-2011 $ not included in total request Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham Campus

  8. Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusRoof Replacement Plan

  9. Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham Campus Windows • Cost Estimate $ 1,500,000 • Connected to envelope deterioration project • Add: Building Envelope • Asbestos Abatement

  10. Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusExterior Window

  11. Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusInterior Window

  12. Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham Campus Building Envelope • Cost Estimate $ 1,500,000 + • Connected to Window deterioration project • Add: Window Replacement • Asbestos Abatement

  13. Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusHeat Loss from Building Envelope

  14. Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusHeat Loss from Building Envelope

  15. Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham Campus Balconies • Cost Estimate $330,000 • Deterioration to the point of unsafe • Do not meet code • Currently locked for safety, no access • Add: Building Envelope repair if balconies need to be removed

  16. Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusExterior Balcony

  17. Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusExterior Balcony

  18. Facility Renewal and Capital Infrastructure Needs October 2010 – Sydenham Campus Fire System Upgrade • Cost estimate $ 1,000,000 • Does not meet code • Currently equipped with smoke and heat detectors • Must bring up to code when doing any renovation (only 2 sprinklers at present time) • Add: Structural changes (Ceiling heights) • Asbestos abatement • Electrical upgrade

  19. Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham Campus Elevators Upgrade • Cost Estimate $ 250,000 • Interior Upgrades 2010 – floors, walls, lighting • Control Systems need complete upgrade • Only one elevator accommodates a stretcher • Add: Electrical system upgrade • Asbestos abatement

  20. Facility Renewal and Capital Infrastructure Needs October 2010 – Sydenham CampusElevator Mechanical Room

  21. Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusElevator Control Panels

  22. Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham Campus Ventilation System Upgrade • Cost Estimate $5,000,000 - $7,000,000 • End of life, does not meet code • Current ceiling heights do not allow for proper replacement to meet code • Add: Structural Changes (ceiling heights) • Electrical upgrade • Fire system upgrade • Medical gas system upgrade • Asbestos abatement

  23. Facility Renewal and Capital Infrastructure Needs October 2010 – Sydenham CampusOperating Room Air Handler • Manual controlled, No humidification – original unit

  24. Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusGeneral Air Supply – East Wing • Dampers are not working, over 15 years ago 35% of coils were removed do to coils were leaking (frozen), no humidification • Never reinstalled

  25. Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham Campus Medical gas system upgrade • Cost Estimate $ 500,000 • System does not meet code, any changes to the system will require the entire system be brought up to code • Add: Structural changes (walls and ceilings) • Asbestos abatement

  26. Facility Renewal and Capital Infrastructure Needs October 2010 – Sydenham Campus Asbestos Abatement • Cost estimate $ 2,000,000 • Must be factored in to any and all changes to SDC • Add: Structural changes (walls and ceilings)

  27. Facility Renewal and Capital Infrastructure Needs October 2010 – Sydenham Campus Sanitary and Storm drain piping • Cost Estimate $ 3,000,000 • Does not meet code (Asbestos piping) • Current piping is all cracked • Requires major demolition to access prior to any potential repair • Add: Structural changes (walls and ceilings) • Asbestos abatement

  28. Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusPlumbing Stack – Deteriorated Sewer Piping

  29. Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusDeteriorated/ Cracked Piping • all located in brick pipe chase

  30. Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusDiscovery of Sewer Piping Installation, after leak investigation

  31. Facility Renewal and Capital Infrastructure Needs October 2010 – Sydenham Campus Waterlines • Cost Estimate $ 2,000,000 • Does not meet code (galvanized piping) • Current piping is corroding • Risers are located in brick pipe chases • Add: Structural changes (walls and ceilings) • Asbestos abatement

  32. Facility Renewal and Capital Infrastructure Needs October 2010 – Sydenham CampusHot Water Supply Line Corrosion

  33. Facility Renewal and Capital Infrastructure Needs October 2010 – Sydenham CampusHot Water Supply Line Corrosion

  34. Facility Renewal and Capital Infrastructure Needs October 2010 – Sydenham CampusDiscovered During Recent Repair - Laundry

  35. Facility Renewal and Capital Infrastructure Needs October 2010 – Sydenham Campus Boilers - Replacement • Cost Estimate $ 200,000 • End of life • RFP issues September 2010 for replacement of one boiler • Add: Electrical upgrade • Asbestos abatement

  36. Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusSteam and Hot Water Boilers

  37. Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusDeteriorated Boiler Tubing

  38. Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham Campus Chiller Replacement • Cost Estimate $ 275,000 • End of life • Supplies only the OR • Add: Electrical upgrade • Asbestos abatement

  39. Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusOperating Room Chiller

  40. Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham Campus Heating system upgrade (Radiant heating) • Cost Estimate $ 210,000 • End of life • Add: Structural changes (walls and ceilings) • Asbestos abatement • There is an in-floor heating system on the first floor in part of the emergency, ambulatory care department and both side of the hallway in the West wing. • Source of leak cannot be located as system is buried in concrete. This system is shut down and not in use.

  41. Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham Campus Electrical system upgrade • Cost Estimate $ 1,000,000 • System is obsolete • Does not meet code • Switched are no longer manufactured • Add: Structural changes (ceilings and walls) • Asbestos abatement

  42. Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusOld Electrical Panels

  43. Facility Renewal and Capital Infrastructure Needs October 2010 – Sydenham Campus OR Upgrades • Cost Estimate $ 1,000,000 • Does not meet current code and standards • Consideration should be given to closing this section if continues to function as regular OR • Add: Electrical upgrade • Medical air systems upgrade • Ventilation system upgrade • Structural changes (walls and ceiling) • Asbestos abatement

  44. Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham Campus Installation of negative pressure rooms • Cost Estimate $ 500,000 • Currently no negative pressure room • Safety risk for airborne illness • Current patients transferred to Chatham • Add: Electrical system upgrade • Medical air system upgrade • Plumbing system upgrade • Ventilation system upgrade • Structural changes (walls and ceiling) • Asbestos abatement

  45. Facility Renewal and Capital Infrastructure Needs October 2010 – Sydenham Campus Removal of Sewer tank • Cost Estimate $ 40,000 – $ 50,000 • Current Emergency Department partly build on a sewer holding tank • 2010-2011 Capital plan – drain and connect to municipal line

  46. Facility Renewal and Capital Infrastructure Needs October 2010 – Sydenham Campus Structural/Building reinforcements upgrade • Cost Estimate $ 2,000,000 • Any changes in use or modification to the floor layout of the 1967 structure will require reinforcement of the structural system below the affected area. • (Cohos pg. B-3)

  47. Facility Renewal and Capital Infrastructure Needs October 2010 – Sydenham Campus Renovation to patient rooms • Cost Estimate $ 4,000,000 • Current rooms do not meet code • Washrooms are small and inaccessible • Do not meet Infection Control standards – sinks are located outside of washroom • Add: Plumbing upgrade • Electrical system upgrade • Ventilation system upgrade • Medical air system upgrade • Structural changes (walls and ceiling) • Asbestos abatement

  48. Facility Renewal and Capital Infrastructure Needs October 2010 – Sydenham CampusPatient Washroom & Outside Sink

  49. Facility Renewal and Capital Infrastructure Needs October 2010 – Sydenham Campus ED Renovations • Cost Estimate $ 500,000 • Emergency Department LHIN Hay study - physical plant is inadequate by current standards

  50. Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham Campus Accessibility • Accessibility for Ontarians with Disabilities Act, 2005 (AODA) • Unable to determine cost at this point • Add: Structural changes (walls and ceilings)

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