chatham-kent health alliance facility renewal and capital infrastructure needs tri board meeting...
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![Page 1: Chatham-Kent Health Alliance Facility Renewal and Capital Infrastructure Needs Tri Board Meeting October 26, 2010](https://reader036.vdocument.in/reader036/viewer/2022062417/5518af4c550346991f8b4e4f/html5/thumbnails/1.jpg)
Chatham-Kent Health Alliance
Facility Renewal and Capital Infrastructure NeedsTri Board Meeting October 26, 2010
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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.
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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Sydenham and Public General buildings are outdated and do not meet code in many areas, (i.e. building, medical gas, fire codes, etc.)
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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
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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
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham Campus
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham Campus
Roofing
Cost Estimate $1,000,000 Multi-Year project will be complete 2010-
2011 $ not included in total request
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusRoof Replacement Plan
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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
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusExterior Window
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusInterior Window
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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
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusHeat Loss from Building Envelope
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusHeat Loss from Building Envelope
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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
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusExterior Balcony
![Page 17: Chatham-Kent Health Alliance Facility Renewal and Capital Infrastructure Needs Tri Board Meeting October 26, 2010](https://reader036.vdocument.in/reader036/viewer/2022062417/5518af4c550346991f8b4e4f/html5/thumbnails/17.jpg)
Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusExterior Balcony
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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
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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
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Facility Renewal and Capital Infrastructure Needs October 2010 – Sydenham CampusElevator Mechanical Room
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusElevator Control Panels
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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
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Facility Renewal and Capital Infrastructure Needs October 2010 – Sydenham CampusOperating Room Air Handler
Manual controlled, No humidification – original unit
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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
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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
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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)
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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
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusPlumbing Stack – Deteriorated Sewer Piping
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusDeteriorated/ Cracked Piping
all located in brick pipe chase
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusDiscovery of Sewer Piping Installation, after leak investigation
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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
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Facility Renewal and Capital Infrastructure Needs
October 2010 – Sydenham CampusHot Water Supply Line Corrosion
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Facility Renewal and Capital Infrastructure Needs
October 2010 – Sydenham CampusHot Water Supply Line Corrosion
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Facility Renewal and Capital Infrastructure Needs
October 2010 – Sydenham CampusDiscovered During Recent Repair - Laundry
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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
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusSteam and Hot Water Boilers
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusDeteriorated Boiler Tubing
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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
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusOperating Room Chiller
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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.
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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
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Sydenham CampusOld Electrical Panels
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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
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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
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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
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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)
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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
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Facility Renewal and Capital Infrastructure Needs October 2010 – Sydenham CampusPatient Washroom & Outside Sink
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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
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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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Facility Renewal and Capital Infrastructural NeedsOctober 2010 – Sydenham Campus
We require an investment of approximately $27,000,000- $30,000,000 to maintain this facility in an acceptable state
Costs are construction related costs only. Relocation, moves, temporary set ups etc. needs to be factored into to overall project
Additional Engineering study required if direction is to proceed with only sections of the building upgraded as systems are interconnected
Recommendation – dedicated resources to maintain facility while proceeding to fast track cost of a new facility
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Public General Campus
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Public General Campus
Roofing
Cost Estimate $ 500,000 Multi year roofing plan in place HIRF investment planned for 2010
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Public General Campus
Ventilation system upgrade Cost Estimate $ 4,000,000 End of life Does not meet code Current ceiling heights do not allow for
proper replacement to meet code Add: Asbestos abatement Electrical system upgrade Structural changes (walls and ceiling)
![Page 55: Chatham-Kent Health Alliance Facility Renewal and Capital Infrastructure Needs Tri Board Meeting October 26, 2010](https://reader036.vdocument.in/reader036/viewer/2022062417/5518af4c550346991f8b4e4f/html5/thumbnails/55.jpg)
Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Public General CampusObsolete Air Handling Unit
PG.A43 Induction unit, Perimeter heating and cooling Dampers not working (manual controlled)
![Page 56: Chatham-Kent Health Alliance Facility Renewal and Capital Infrastructure Needs Tri Board Meeting October 26, 2010](https://reader036.vdocument.in/reader036/viewer/2022062417/5518af4c550346991f8b4e4f/html5/thumbnails/56.jpg)
Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Public General CampusObsolete Air Handling Unit
PG.A45 Part of Maternity SE/SW
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Public General Campus
Fire system and wiring upgrade Cost Estimate $ 295,000 Some PGC is already done from previous
renovations Other does not meet code, must bring
system up to code when doing any renovations
Add: Structural changes (ceiling heights) Asbestos abatement
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Public General Campus
Building Envelope
Cost Estimate $ 1,500,000 Moisture penetration from outside walls Repairs were done on South and South East
walls
Add: Asbestos Abatement
![Page 59: Chatham-Kent Health Alliance Facility Renewal and Capital Infrastructure Needs Tri Board Meeting October 26, 2010](https://reader036.vdocument.in/reader036/viewer/2022062417/5518af4c550346991f8b4e4f/html5/thumbnails/59.jpg)
Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Public General CampusExterior Pillar
![Page 60: Chatham-Kent Health Alliance Facility Renewal and Capital Infrastructure Needs Tri Board Meeting October 26, 2010](https://reader036.vdocument.in/reader036/viewer/2022062417/5518af4c550346991f8b4e4f/html5/thumbnails/60.jpg)
Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Public General CampusExterior Concrete Wall
![Page 61: Chatham-Kent Health Alliance Facility Renewal and Capital Infrastructure Needs Tri Board Meeting October 26, 2010](https://reader036.vdocument.in/reader036/viewer/2022062417/5518af4c550346991f8b4e4f/html5/thumbnails/61.jpg)
Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Public General Campus
Medical gas systems upgrade Cost Estimate $ 500,000 Some upgrades were done with previous
renovations 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 required system shutdown for changes
![Page 62: Chatham-Kent Health Alliance Facility Renewal and Capital Infrastructure Needs Tri Board Meeting October 26, 2010](https://reader036.vdocument.in/reader036/viewer/2022062417/5518af4c550346991f8b4e4f/html5/thumbnails/62.jpg)
Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Public General Campus
Elevator upgrades Cost Estimate $ 1,000,000 2 Elevators on the West wing 3 Elevators in the Centre 1 Elevator in centre is completely
shutdown
Add: Electrical system upgrade
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Public General CampusCenter Elevator Mechanical Room
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Public General CampusWest Elevator Mechanical Room
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Public General Campus
Asbestos Abatement Cost Estimate $ 2,000,000 Must be factored in to any and all
changes to PGC Some areas amount and content is
undetermined due to triple ceilings
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Public General CampusWest Mechanical Room – Interior Asbestos Walls
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Public General Campus
Structural/Building reinforcement upgrades
Cost Estimate $ 2,000,000 Any building expansion or changes, the
existing foundations will need to be under pinned and enlarged to accommodate the additional loads
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Public General Campus
Electrical system upgrade
Cost Estimate $150,000 Replacements of obsolete panels Some areas were upgraded under
previous renovations
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Public General CampusElectrical Panels
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Public General CampusElectrical Panels
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Public General Campus
Sanitary and storm sewer piping
Cost Estimate $ 3,000,000 Current underground piping is deteriorated All underground piping repair need extensive
construction to access (few have been done)
Add: Asbestos abatement Structural changes (walls and ceilings)
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Public General CampusStarting of Corrosion – Sewer Piping PGC
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Public General Campus
Sinks and toilet fixtures
Cost Estimate $ 125,000 Infection controls issue as identified
(overflow drains do not meet code)
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Public General Campus
Heating system upgrade (radiant heat)
Cost Estimate $ 250,000 End of life
Add: Asbestos abatement
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Public General CampusObsolete Terminal Induction Units - Patient Rooms – Original System 1969
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Public General Campus
Installation of additional Negative pressure room
Cost Estimate $ 100,000 Infection control and safety risk for patient and
staff Add: Structural changes (walls and ceiling) Electrical upgrade Medical air system upgrade sprinkler system upgrade Ventilation system upgrade Asbestos abatement
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Public General Campus
Medicine A/B, Patient room and washrooms accessibility
Cost Estimate $ 300,000 Small, limited accessibility, patient and staff
safety Changes needed to get patient beds into
rooms Identified as safety issue at Executive
Leadership Council Safety inspection
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Public General Campus
Accessibility Accessibility for Ontarians with Disabilities
Act, 2005 (AODA) Unable to determine cost at this point Current building does not meet code under
Accessibility legislation
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Public General Campus
We require an investment of approximately $16,000,000 to maintain this facility in an acceptable state
Costs are construction related costs only. Relocation, moves, temporary set ups etc. needs to be factored into to overall project
Additional Engineering study required if direction is to proceed with only sections of the building upgraded as systems are interconnected
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Public General Campus
Recommendation: Dedicated capital resources
needed annually for next 5-10 years to maintain building to acceptable levels
Continue to proceed with Master Program/ Master Planning costing out complete renewal replacement
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Facility Renewal and Capital Infrastructure NeedsOctober 2010 – Public General Campus
Next Steps Priority list – safety issues and required capital Site visit with Engineers from Cohos Evamy
October 28, 2010. Additional assessment and recommendations of capital projects as it relates to future development
Clear vision of Sydenham site Contingency plans Dedicated capital
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Facility Renewal and Capital Infrastructure NeedsOctober2010 – Sydenham Campus and Public General Campus
This report was prepared by: Beth Hall Director, Support Services
Harrie Bos Manager, Engineering Services