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Hospitals

MONOGRAPH

2013 Edition

Centre hospitalier de l’Université de Montréal (CHUM). Canada.Rey Juan Carlos Hospital. Móstoles. Madrid. Spain.

PPP Hospitals

Design, Construction and Equipment

Construction and Equipment

Construction

Renovation and Extension

Certifications

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Doctor Negrín General Hospital. Las Palmas de Gran Canaria. Spain.

OHL is one of the largest construction and concession groups in the world. With over 100 years of experience, the group is present in nearly 30 countries—spanning five continents.

OHL Group is a pioneer in healthcare construction. Since 1930,

OHL Group has executed more than 150 new construction hospi-tals—representing over six million square meters in construction more than 60,000 beds to-date. In addition, OHL Group has added 200 hospital renovation and expansion projects and nearly 100 health centers to its resume.

As part of OHL Group’s international expansion strategy, the com-

pany has constructed similar healthcare projects in countries around the world, including Spain, Portugal, Iraq, Costa Rica, U.S.A., Mexico, Argentina, Ecuador, Uruguay, Venezuela, Chile, Qatar, and Canada.

From inception, OHL Group’s approach to healthcare construction

has been carried out successfully without interruption, incorporating the latest trends and developments in technology and medical care for its clients.

Pairing its experience in healthcare construction and global fi-

nance structuring for infrastructure concessions, OHL Group has been able to construct some of the largest hospitals in the world, including the Sidra Medical and Research Center in Doha, Qatar – a design, construction, and equipment delivery method – and the Uni-versity Hospital Center in Montreal, Province of Quebec, Canada – a Public Private Partnership (PPP) project.

OHL Group’s excellence in hospital construction projects has led

the firm to set up a Quality Management System in accordance with the UNE-EN ISO 9001 and an Environment Management System in accordance with the UNE-EN ISO 14001—both granted by the Span-ish Association for Standardization and Certification (AENOR). These certifications have an international scope through the International Certification Network (IQNet).

Hospitals

Introduction

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Burgos University Hospital. Spain.

PPPHospitals

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PPPHospitals

Concession contract period:

30 years

Hospitalization capacity:

744 beds

Services: Day hospital Out patients clinic Accident and EmergencySurgery (24 operating rooms) Obstetrics BuildingImaging Diagnostics (24 wards) Radiation Therapy (5 wards)

Concession contract period:

30 years

Hospitalization capacity:

148 up to 296 beds

Services: Day hospital (Oncology, Hemodialysis)Accident and EmergencySurgery Building (9 operating rooms) RadiographyTraining classrooms, library, meeting room

BURGOS UNIVERSITY HOSPITAL. SPAIN

Client: Castilla y León Regional Health Authority Completion Date: 2011 Budget: €370.6 million

PPP-developed hospital complex totaling 264,403 m² of which 181,004m² was built for hospital use.

SOUTH-EAST GENERAL HOSPITAL . MADRID. SPAIN

Client: Madrid Area Health Service Completion Date: 2007 Budget: €71.6 million

PPP-developed hospital totaling 52,583 m² of which 37,262 m² was built for hospital use. Contract included design, construction, and equipment.

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PPPHospitals

CENTRE HOSPITALIER DE L’UNIVERSITÉ DE MONTRÉAL (CHUM). CANADA

Client: Centre hospitalier de l’Université de Montréal Completion Date Phase I: 2016 Completion Date Phase II: 2020 Budget: €1,461.9 million

PPP-developed hospital complex totaling 332,656 m², in the center of Montreal, with a capacity for 770 hospital admissions. Contract includes design and construction. Built using the Fast Track system in adverse climatic conditions, with winter temperatures that could reach -40 ºC, the CHUM hospital is located in a strategic area in the heart of the la Santé district.

Construction consists of two main phases to minimize impact on urban services and hospital operations. An important part of the construction project includes the restoration of historic buildings in Montreal, such as the bell tower of Saint-Sauveur church and the facade of the Garth house, which have been withdrawn from their former use by the client and a become part of the new CHUM complex—acting as a link between the city’s past and future.

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Architect: Cannon Design

Concession contract:

39 years

Hospitalization capacity:

772 beds

Services: 26 hospitalization unitsOutpatients clinic Diagnostic and treatment services39 operating roomsRadiology Department Nuclear medicineIntegrated Oncology Department Ophthalmology Department

Awards

The CHUM hospital has received significant award recognitions, including the 2011 Bond Deal of the Year Award from Project Finance International (PFI) magazine for its financing system and the 2012 Gold Prize for the project finance of this facility, awarded on an annual basis by the Canadian Council for Public Private Partnerships (CCPPP).

PPPHospitals

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Design, Constructionand Equipment

SIDRA MEDICAL AND RESEARCH CENTRE. DOHA. QATAR

Client: Qatar Foundation Completion Date: December 2013 Budget: €1,841.5 million

The Sidra Medical and Research Center includes design, construction, and equipment for a complex totaling 378,000 m² in surface are.

This project consists of several buildings, including a 10-story, 207,076 m² hospital with 384 beds, a 9-story, 51,962 m² outpatient clinic, a 7-story, 84,000 m² parking garage with 950 parking spaces connected by a bridge to hospital proper, an underground car parking lot with direct access to the hospital and clinic, a 25,000 m² services and office building, and landscaped surroundings of 150,000 m² with fountains, gardens, paths, sculptures, historical buildings, etc.

The Sidra Medical and Research Center is a digitalized center equipped with the most sophisticated information systems to support its clinical, research, and business processes. The hospital and research center possess the most advanced technologies, including robotic surgery systems, automated transportation systems, computerized surgery units, intra-operatory magnetic resonance, clinical information processing systems, genomic labs, etc.

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Design, Construction and Equipment

Hospitalization capacity:

384 beds

Services: 12 operating rooms3 operating theaters equipped with MRI6 obstetrics operating rooms20,000 m² research labs 275-seat lecture hall4,500 m² internal gardens for convalescence

Particular aspects of this project’s implementation

This project was developed to incorporate modern management technologies with the Fast Track system using a collaborative management design space on the internet. The medical equipment design was conducted using shared digital environments. The delivery of the buildings for this complex was carried out using digital models implemented through a network of portable electronic tablets, assuring quality control and management of the commissioning process. All documentation for project maintenance and services was managed online through external servers accessible in real-time with contributions from stakeholders, subcontractors, and suppliers.

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Constructionand Equipment

LA REINA MILITARY HOSPITAL. CHILE

Client: Chilean Military Health Service Completion Date: 2008 Budget: €117.4 million

This hospital included clinical equipment, office fixtures and fittings, and other industrial equipment and facilities.

Due to its location of the high-risk seismic region, the 86,350 m² hospital was equipped with a special state-of-the-art, high-technology protection system.

DOCTOR NEGRÍN GENERAL HOSPITAL. LAS PALMAS DE GRAN CANARIA. SPAIN

Client: Canary Islands Health Service Completion Date: 1999 Budget: €92.1 million

A 193,382 m² Hospital with turnkey project development including construction and equipment.

Hospitalization capacity:

330 beds

Services: Imaging diagnostics OncologyRadiology10 operating rooms2 minor surgery operating theaters 2 obstetrics operating theaters

Hospitalization capacity:

801 beds

Services: 20 operating roomsSterilization Equipment Radiography diagnosisRadiotherapy LaboratoriesDialysis Rehabilitation Obstetrics Building

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Construction

VILLAROBLEDO HOSPITAL. CASTILLA LA MANCHA. SPAIN

Client: Castilla - La Mancha Health Service Completion Date: 2005 Budget: €36.5 million

This hospital consisted of 30,116 m² of new construction.

CIUDAD REAL HOSPITAL. CASTILLA LA MANCHA. SPAIN

Client: Castilla - La Mancha Health Service Completion Date: 2005 Budget: €120.7 million

This hospital consisted of 135,584 m² of new construction.

Hospitalization capacity:

132 beds

Services: 4 operating rooms Imaging Diagnostics RadiologyDay Hospital Accident and Emergency LaboratoriesHemodialysis Services

Hospitalization capacity:

800 beds

Services: 6 operating roomsConsulting rooms and psychiatric in-patients wardOncology WardRadiologyRehabilitation New-born maternity ward

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Construction

Rey Juan Carlos Hospital, Móstoles. Madrid. Spain.

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REY JUAN CARLOS HOSPITAL. MÓSTOLES. MADRID. SPAINClient: Capio Residenciales Completion Date: 2012 Budget: €104.7 million

Total construction area: 94,138 m².

The design favored natural light with large inner courtyards providing light into the hospital.

BIOMEDICAL RESEARCH CENTRE. NAVARRA. SPAIN

Client: Navarre Health Service Completion Date: 2011 Budget: €17.3 million

Total construction area: 12,147 m².

The Biomedical Research Centre (CIB) includes the following:

- Animal Experimentation Facility with a twin experimental operating theater and 7 laboratories.- 14 research laboratories- General Storage Facility for the hospital- Personnel area- Department of Administration

Construction

Hospitalization capacity:

302 beds

Services: Surgery Building (12 operating rooms and 48 Stabilization/Resuscitation stations)Obstetrics Building (6 delivery rooms and 3 Stabilization/Resuscitation stations)Imaging diagnostics (13 rooms) Radiotherapy (3 rooms)

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MAR MENOR HOSPITAL. SAN JAVIER. MURCIA. SPAIN

Client: Giscarmsa Completion Date: 2010 Budget: €82.8 million

Hospital totaling 61,352 m² of new construction.

Hospitalization capacity:

330 beds

Services: Day hospital Out patients clinic Accident and EmergencySurgery Building (11 operating room) Obstetrics buildingImaging diagnostics (16 rooms)

Construction

ALCORCÓN HOSPITAL. MADRID. SPAIN

Client: Madrid Health Service Completion Date: 1997 Budget: €79.8 million

Hospital totaling 118,508 m² of new construction.

Hospitalization capacity:

576 beds

Services: Surgery Building Radiology Diagnostics LaboratoriesDay Hospital: surgery, endoscopy, onco-hematology, nephrology and hemodialysis

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Construction

Biomedical Research Centre. Navarra. Spain.

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Renovation and extension

VALDECILLA HOSPITAL. SANTANDER. ESPAÑAClient: Cantabria Regional Health Service Completion Date: 2012 Budget: €144.3 million

This hospital expansion included the construction of a new 110,000 m² building designed to incorporate the existing building and sub-divide them into two differentiated wings.

The East Wing, to be used as a Day Hospital, was structured around two transversal patios, and the West Wing, which houses the outpatient services, was arranged around a longitudinal patio to enhance patient accessibility and pedestrian flow. It connected directly with the service areas of the main hospital.

SANTA CRISTINA HOSPITAL. MADRID. SPAIN Client: Madrid Health Service Completion Date: 2007 Budget: €54.7 million

This project involved a 212 bed inpatient facility renovation and a 17,581 m² expansion of a new outpatient services building providing rehabilitation, radiology, laboratories, testing and three operating theaters for day surgery.

The construction of the connecting gallery and the renovation of the existing building has allowed its original elements to be maintained—declaring it a public interest monument by the city.

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MIAMI CHILDREN’S HOSPITAL. FLORIDA. USA

Client: Miami Children’s Hospital Completion Date: 2014 Budget: €112.6 million

The renovation and expansion work on the Miami Children’s Hospital and its grounds includes 38,900 m² of interior work with improvements to the laboratory and new heliport. It also involves the renovation and expansion of the Accident and Emergency Unit, Outpatient Building, Orthodontics Department, storage facility for gases used in medical procedures, Endoscopy Center, and the restoration of the Catheter Laboratory.

In addition to work carried out to-date, plans include construction of a new, 6-story, 16,700 m² inpatient hospital block.

The renovation and expansion of the Miami Children’s Hospital will include an increased capacity of 296 beds.

SOUTH MIAMI HOSPITAL. FLORIDA. USA

Client: Baptist Health South Florida Completion Date: 2010 Budget: €80.9 million

Renovation and expansion work for South Miami Hospital and its grounds included a total of 26,245 m², encompassing the intensive care unit for newborns, prenatal clinic, and delivery rooms among other areas.

In addition, management services were provided for the 7,400 m² clinical expansion which included a new emergency ward and surgery unit with fifteen operating theaters. The existing surgery area was renovated to incorporate new auxiliary services such as post-operatory recovery and central sterilization.

After the renovation and expansion work to South Miami Hospital and its grounds, hospitalization capacity increased to 285 beds.

Renovation and extension

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Renovation and extension

DR. HÉCTOR QUINTANA MATERNITY AND CHILDREN’S HOSPITAL. JUJUY PROVINCE. ARGENTINA.Client: Provincial Government of Jujuy Completion Date: 2012 (Phase I completed) Budget: €23.1 million

20,000 m² of new construction, subjected to strict anti-seismic regulations. The hospital includes medical equipment and IT systems for management and statistical data processing.

INTERNATIONAL CLINICAL RESEARCH AND INVESTIGATION CENTRE. BRNO. CZECH REPUBLIC. Client: Saint Ana’s University Hospital, Brno Completion Date: 2012 (Phase I completed ) Budget: €48.6 million

Two buildings were constructed during the first stage of this research center: building C1, which houses the Neurology Clinic and the Science and Research Clinic, and building B1, which houses the First Internal Cardiovascular Clinic and Science and Research Clinic. Total project construction consisted of 24,000 m² with over 180 beds.

The center will include top-level scientific laboratories, such as the Ultra-precise Measurements Laboratory and the Cardiovascular and Brain Operations Laboratory, which will be equipped with advanced display methods and high quality technologies for stereotactic navigation.

Hospitalization capacity:

300 beds

Services: Operating theatersX-ray rooms Consulting rooms Maternity Intensive Therapy KitchenCanteen Baby Feeding Room Sterilization Morgue

Miami Children’s Hospital. (Miami, Florida, USA).

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University of Miami Clinical Research Building LEED Certified. (Miami, Florida, USA).Certifications

LIST OF LEED CERTIFIED HOSPITALS

Project: Certification Level

Clinical Research Building LEED CERTIFIED

Cox Neuroscience & Health Annex LEED SILVER

South Miami Hospital Clinical Expansion LEED SILVER

Baptist Medical Plaza at Davie LEED SILVER

Miami Children’s Hospital Bed Tower LEED SILVER

Baptist Medical Plaza at 55 Merrick LEED CERTIFIED

Baptist Medical Plaza at Westfork LEED CERTIFIED

Baptist Medical Plaza at Brickell LEED SILVER

OHL is strongly committed to sustainability and is a member of the U.S. Green Building Council (USGBC) which plays a leading role in sustainable building and construction. Worth highlighting are the LEED (Leadership in Energy and Environmental Design) certifications granted to most all of our hospital projects.

LEED certification is the standard for sustainable initiatives in design, construction, and high-performance operation of buildings.

We equip each of our buildings with the necessary means to measure and monitor their environmental impact.

In order to achieve this, OHL employs personnel who are LEED certified and qualified to provide consulting and advice for green projects.

Miami Children’s Hospital. (Miami, Florida, USA).

www.ohl.es

Biomedical Investigation and Research Centre. Navarra. Spain.