Vernon Jubilee Hospital Space Planning Update 2012/2013Final September 2013

B+H Architects200 - 1132 Alberni StreetVancouver, BC, Canada, V6E 1A5t. 604 685 9913 f. 604 685 0694

Cornerstone Planning Group 204 – 1551 Johnston Streer, Vancouver, BC V6H 3R9 T (604) 687-5896 F (604) 684-6201

in association with

EXECUTIVE SUMMARYB+H ARCHITECTS • VERNON JUBILEE HOSPITAL SPACE PLANNING UPDATE 2012/2013

Executive Summary

Project Overview

The Vernon Jubilee Hospital Space Planning Update (SPU) was initiated in October 2012 following completion and occupancy of the Vernon Jubilee Hospital Polson Tower. As a result of the move of several departments to the Polson Tower, opportunities became available to re-purpose vacated space. This study examines those opportunities and pro-vides recommendations for a Five Year Plan for implementation of expansion/relocation projects addressing high priority facility needs for: Psychiatry; Diagnotic Imaging; Biomedical Engineering; Health Records; and Laundry Services.

Scope of Work

Originally conceived as an update of the 2006 VJH Master Plan, the SPU focuses on the latent space needs of those programs and services not included in the Polson program. Those programs and services left behind in existing facili-ties (i.e. not housed in the new Polson Tower) are the subject of this study. The scope of work also includes a campus redevelopment strategy as the framework for short-term redevelopment scenarios addressing the most pressing facility needs.

Planning Objectives

The objective of the SPU is to match vacant unassigned space opportunities with high priority program needs. The exercise of re-purposing unassigned space is also aligned with a long-term strategy to ensure the most efficient and cost-effective approach to completion of the redevelopment master plan.

Project Methodology

The study program was completed over the course of a twelve-week period from October 1st to December 21st, 2012. The methodology utilized forecasts of space demand / shortfall plus on-site observations to identify high priority program components for expansion or relocation. Concurrently, a suite of graphically-based analytical tools was used to identify highest and best use options for each unassigned (vacant) building space. To provide context, a conceptual campus zoning plan identifies potential new build sites for programs and services not accommodated in the Polson Tower. High priority program needs were then matched to the appropriate expansion / relocation opportunities to generate alternative short-term renovation and hybrid renovation / new build redevelopment scenarios. As the Psychiatry department and an MRI were identified as high priorities on the site a further feasibility study was completed during the spring of 2013 that identified 3 alternative strategies for the upgrade / replacement of the Psychiatry Unit and the addition of an MRI adjacent and near to current DI space. The options are consistent with an overall campus development strategy that contemplates the eventual replacement of pre-Polson Tower buildings with new construction. However, the completion of the campus redevelopment project is most likely a long-term future con-sideration and the need to replace existing inpatient psychiatric beds and provide MRI services are urgent short term needs.

Existing Space Utilization

With the completion of the Polson Tower, vacated space now exists in the Jubilee Buildings. Site-wide floor plans have been updated to reflect as-built conditions as they existed at October 2012 and include projects in advanced stages of planning, committed and / or underway as of September 2012 (ref. 2.2 Current Projects). Departmental areas have been calculated and are expressed as component gross square metres (CGSM) for planning purposes.

EXECUTIVE SUMMARY B+H ARCHITECTS • VERNON JUBILEE HOSPITAL SPACE PLANNING UPDATE 2012/2013

Facility Planning Issues Issues identified in meetings with project stakeholders and through site observations included: functional issues (e.g. overcrowding); environmental issues (deep floor plates with little or no access to daylight), adjacency issues (impacting operational flows between departments and services); and /constructability issues (relating to renovation work impact-ing a fully functioning acute care setting). The major issue confronting space planning efforts in the short term horizon will be the requirement to demolish exist-ing occupied space to create a suitably sized site area for a new building site on a campus that is severely challenged in terms of buildable site area.

Campus Redevelopment Strategy

The 2006 VJH Master Plan contemplated the complete redevelopment of the existing main campus through a succes-sion of phases that ultimately replaces all pre-Polson Tower structures with new buildings. The design of the Polson Tower does not, however, conform to the Master Plan circulation framework plan, necessitating a rethink of how the original objectives can now be met.

A new redevelopment strategy - one that represents a significant departure from the 2006 Master Plan - is anchored by a second tower twinning the Polson Tower. A parcel located in the centre north of the main campus has been identified as the next major development site (Bldg. B).

The proposed relocation of the Psychiatry department and addition of an MRI are in and adjacent to the currently vacant former Outpatient Department (OPD) space. Psychiatry and an MRI are high priorities for the site. The vacant former OPD department provides an opportunity for a Psychiatry Department that can better meet the needs of staff and patients and is located on the exterior of the building which is required for construction and installation of an MRI machine. It is also located near the current DI department.

In the fulfillment of the long term redevelopment plan with Building B, Psychiatry and the MRI department as proposed, will need to be temporarily relocated during construction.

Polson Tower

Future Building B New Inpatient Tower (Med/Rehab Beds, DI, Psychiatry)

Existing Jubilee Building

B

EXECUTIVE SUMMARYB+H ARCHITECTS • VERNON JUBILEE HOSPITAL SPACE PLANNING UPDATE 2012/2013

Five Year Plan

Three different scenarios - all focusing on short-term needs in the context of a long range development strategy – match identified needs with space opportunities to provide the best value-for-money proposition balancing functional-ity with cost. Two options involve renovation of existing space with a third option featuring a new build component.

1) Minimal to Moderate Intervention/Renovation is a ‘low fidelity’ strategy featuring minimal-to-moderate renovation work, utilizing vacant unassigned space and shell space as the primary resource for addressing short-term space needs. Vacant space on the Basement Level and Level 1 is re-purposed to relieve overcrowding in Biomedical Engineering and Laundry Services and to provide urgently needed space for Psychiatry and an MRI for Diagnostic Imaging. Appendix E provides several options for the feasability of re-purposing the OPD for Psychiatry with the addition of MRI space adjacent.

2) Minimal Intervention addresses similar high priority programs and services as the Minimal to Moderate Intervention/Renovation option with the high-priority Psychiatry Unit replacement proposed on the east end of Level 7 Polson as part of the implementation of the Inpatient Expansion Project.

3) Blended Renovation / New Build also contemplates the implementation of the Inpatient Beds Expansion project and accommodates a broad range of scenarios for completion of the campus redevelopment master plan. A key feature is the proposal for a construction of a new Annex Building to house programs and services that do not require a direct connection to the acute care hospital and provides built-in swing space for future phases of campus renewal and redevelopment. In this option, a new purpose-built Psychiatry Unit could be an anchor tenant of the Annex Bldg. A significant recent investment in the Polson Tower reduces the likelyhood of a new building on the site for up to twenty years in the future making the proposal for renovation of the OPD and accommodation of the new MRI space slotted for a future tower a reasonable investment for these urgent requirements.

Short Term Deployment of Unassigned SpaceOpportunities for immediate deployment of vacant unassigned space that are not dependent on other moves and that do not compromise long term space planning strategies include the following:

Bsmnt. Level: • Decongest Laundry sorting / storage / marshaling by relocating these functions to the former MDR area. • Utilize former Pharmacy area (subsequent to relocation to Jubilee L1) as an assembly space for larger (40+ people) meetings.

Level 2: • Consider temporary use of decommissioned space on L2 North including the former OR suite for office and / or light storage uses

Level 5: • Polson Level 5 shell space for the UBCFM Regional Medical School Facility

Mid Term Deployment of Unassigned SpaceOn the assumption that funding for major capital to complete the redevelopment of the VJH renewal initiative will likely not be forthcoming within the foreseeable future, it is worth considering significant investment in renovations for select high priority projects for the mid (10 yr. to 15 yr.) term. Adaptive re-use of the former OPD space for Psychiatry is one such candidate (ref. to Appendix E).

Conclusions & Recommendations

On site observations of existing facility condition, functionality and spatial adequacy (as confirmed through the Master Program review and update) has identified priority needs in several program component areas. The three options presented in this report address these high priority facility needs by means of: re-purposing unassigned vacant space; selective utilization of available shell space; and opportunities for new construction.

While Options 1 and 2 – the minimal to moderate intervention options – rely almost entirely on the utilization of existing building stock as compared to Option 3 (the hybrid option), it is important to note that the approaches are not mutu-ally exclusive and it is possible to blend elements of both.

Ultimately, the selection of a preferred approach / option should be driven by: • capability to immediately address the broadest range of short term needs • overall timeframe required to reach completion of the total campus rebuild (post Polson) • time / cost involved in multiple moves (as a consequence of various decant / renovate / construct strategies); and functionality of adaptive re-use of existing space for new uses

INTRODUCTION B+H ARCHITECTS • VERNON JUBILEE HOSPITAL SPACE PLANNING UPDATE 2012/2013

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With regard to the immediate need to re-house Psychiatry to correct significant functional deficiencies, a re-purposing of the former outpatient department (OPD) space to Psychiatry uses may present the best short term solution. The feasibility of this option - detailed in Appendix E - assumes no captial funding for the completion of the campus re-development project will be forthcoming within the next 15 to 20years.