Introba Healthcare Brochure 2023

FORMERLY

Healthcare Engineering Innovative Facilities

introba.com

PHOTO CREDIT: CANADIAN BLOOD SERVICES (CALGARY, CANADA) PHOTO CREDIT: © NORR ARCHITECTURE

Healthcare

Introducing Introba

Designing Living Systems, Transforming Built Environments We are a global network of changemakers creating smart, resilient, and connected Living Systems.

Introba’s leading-edge design and advisory practices apply technology, advanced engineering, and thoughtful creativity to elevate the human experience by creating Living Systems.

We recognize that business-as-usual engineering will not future-proof against the impact on our planet’s resources or ensure human safety and comfort. As a result, critical changes to global infrastructure, material supply chains, and government and corporate policies all play a role in our transformative design and consulting work.

Through our network of strategically integrated practice areas, Introba seeks to remedy inefficiencies, capitalize on shared opportunities, and find practical solutions to create adaptable, efficient, flexible, equitable, cost-effective, and resilient environments today and for future generations.

Global Experience Introba is a global team of planners, engineers, and consultants dedicated to transforming the built environment. With over 1,000 employees in offices across the United States, Canada, the United Kingdom, Serbia, and Australia, Introba is one of the world’s largest building engineering and consulting firms.

Committed to reshaping the world, our problem solvers combine cutting-edge digital solutions with emerging innovations and industry-leading sustainability strategies to transform the built environment. We collaborate with our clients to create living systems that are smart, secure, resilient, and connected – spaces that uplift communities, protect the health of the planet, and adapt to meet the demands of the future.

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Services Engineering Services

Whether designing systems for a major new hospital or renovating an outdated doctor’s office, Introba will respond with sound engineering advice based on the wealth of knowledge within our organization.

From greenfield hospitals to renovations of existing facilities, Introba provide the vision and innovation to solve our clients’ most challenging needs. We create energy-efficient and sustainable environments without compromising comfort, indoor air quality, and required temperature and humidity conditions to ensure the best patient experience.

Our sustainable and energy-efficient designs start from the project’s inception and continue through the construction and final commissioning of all living systems. In addition, having all of these specialized engineers and specialists working together in-house promotes better communication and coordination on our projects.

Since our inception, we have been thought leaders in improving the comfort and health of occupants within the built environment while sustaining and enhancing our natural environment. We are committed to designing environmentally sustainable and socially responsible facilities.

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MECHANICAL

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ELECTRICAL

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PLUMBING

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FIRE PROTECTION

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IMIT

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MEDICAL EQUIPMENT PLANNING

SPECIALIZED SERVICES Commissioning Sustainability Design Analytics Health & Wellness Consulting Medical Equipment Planning

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Expert Advice & Insight

At Introba, we understand that better physical environments create lower stress levels and less fatigue among staff, increasing care delivery effectiveness and improving patient safety and overall healthcare quality.

Introba is rewriting the rules for healthcare buildings and districts around the globe. The delivery of world-class healthcare facilities demands technical excellence and an ability to genuinely respond to the needs and concerns of clients and stakeholders.

Resilience

We have established an award-winning reputation in the design of healthcare facilities, meeting complex design requirements while creating healing environments.

Our engineering teams work to deliver high-performance, cost-effective, sustainable solutions that leave more dollars for healthcare delivery programs due to operational savings.

Resilience is more than just climate change mitigation, it includes designing for adaptation, agility and flexibility. Our deep green ethos which our firm is founded on, ensures that resource efficiency, whether its energy, water, or materials are considered upfront in order to support movement toward a more sustainable future.

Deep Green & Equitable

Our “Now, Next, Future” framework toward post-pandemic design has guided our own practice as well as our clients toward more agile planning around COVID re—entry and future thinking

Within our foundation is where our engineer draw upon an approach to design heating, cooling, ventilation and lighting systems. We prioritize comfort (thermal, visual, lighting, acoustic, ergonomic). We seek to improve health through the delivery of superior air and water quality.

Social equity and community health are the foundation on which we approach each project to create a positive social impact.

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Designing for a post-pandemic world. COVID-19 and increase in wild fires have reminded everyone of the connection between our indoor environment, our planet and our health.

Health & Wellness Our strength in the healthcare sector is based on our ability to explore campus-scale solutions in balance with health and wellness aspects of the built environment. Our early work in design analytics and building optimization provides a baseline for the design and provides our clients with a roadmap for ongoing optimization.

Savings recognized during the operation can then be allocated towards initiatives focusing on the patient’s health experience.

Happiness Satisfaction & Culture are key We believe that our people are our greatest asset and that they combine passion with purpose. They are diverse, ready, willing and able - united by a shared commitment to projects with a positive impact.

Our annual Corporate Social + Environmental Responsibility (CSER) report documents our journey to becoming a truly sustainable business across five areas: •

Environmental Footprint

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Justice, Equity, Diversity + Inclusion (JEDI)

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Health + Well-being

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Education + Impact

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Safety + Resilience

You’ll find our latest CSER report on our website. The report aims to ensure that we “walk the talk” in alignment with our mission and accelerate our pathway to a more sustainable future.

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Representative Experience

LIONS GATE HOSPITAL REDEVELOPMENT - PAUL MYERS TOWER NORTH VANCOUVER, BC PCL

ETOBICOKE GENERAL HOSPITAL ACUTE CARE PATIENT TOWER, TORONTO, ON HDR ARCHITECTS

PROVIDENCE CARE MENTAL HEALTH HOSPITAL, TORONTO, ON ADAMSON ASSOCIATES ARCHITECTS

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MOUNT SINAI HOSPITAL REDEVELOPMENT TORONTO, ON STANTEC ARCHITECTURE

PEEL MEMORIAL HOSPITAL BRAMPTON, ON DIAMOND SCHMITT ARCHITECTS / CRTKL

JIM PATTISON OUTPATIENT CARE + SURGERY CENTER, SURREY, BC KASIAN ARCHITECTURE

SECHELT HOSPITAL EXPANSION AND AMBULATORY CARE, SECHELT,BC PERKINS & WILL

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Experience The Hospital for Sick Children, Peter Gilgan Centre for Research & Learning The $400M high-rise tower includes 17 floors of lab space with high-tech equipment to aid in their breakthrough research and progressive learning.

L O C AT I O N :

Toronto, ON, Canada C L I E N T:

SickKids Hospital A R C H I T E C T:

Diamond Schmitt Architects C O N S T R U C T I O N VA L U E :

$400 M COMPLETION:

2013 AREA:

750,000 ft² S U S TA I N A B I L I T Y:

LEED Gold SERVICES PROVIDED:

LEED Commissioning Services Energy Modelling Services LEED & Sustainability Consulting

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Different areas of research are reflected in seven “neighborhoods” of science that span two to three floors and are connected by atrium spaces to encourage cross-collaboration.

viability of displacement and variablerefrigerant flow ventilation systems in labs. By using these innovative ventilation systems, energy efficiency was significantly increased.

The tower also houses new learning and teaching facilities for SickKids™ Learning Institute including a 250seat lecture theatre, flexible learning spaces, and display area. Additionally, the facility includes tele-education area, meeting rooms, two new pathways to connect the Research and Learning Tower to SickKids™ McMaster and Atrium buildings.

As part of the process, our team connected on a regular basis with the occupants to establish required policy & procedures to meet the minimum sustainability, energy & water use reduction requirements outlined by the Hospital.

Since research laboratories usually expend large amounts of energy, extensive planning was required to reduce energy consumption.

Computational fluid dynamics (CFD) modelling of lab ventilation systems was performed to demonstrate

A high performance envelope was incorporated into the structural design of the facility in order to reduce the overall size of the mechanical cooling & heating systems. This addresses the energy consumption by passive rather than active means. The building is also designed to connect into the local district steam energy system, further enhancing energy efficiency.

PHOTO CREDIT: DIAMOND SCHMITT ARCHITECTS

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Experience Lions Gate Hospital Redevelopment - Paul Myers Tower

L O C AT I O N :

North Vancouver, BC, Canada C L I E N T: Vancouver Coastal Health,

the Ministry of Health and LGH Foundation A R C H I T E C T: HDR Architecture C O N S T R U C T I O N VA L U E : $250 M C O M P L E T I O N : 2024 (estimate) A R E A : 258,333 Sq.Ft S U S TA I N A B I L I T Y: LEED Gold Target SERVICES PROVIDED:

Mechanical and Electrical

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Building the new Paul Myers Tower (acute care facility) at Lions Gate Hospital (LGH) is about transforming the future of care. The new facility will play an important role in enhancing health care services for people on the North Shore and beyond. The new tower will be technologically advanced, replace aging infrastructure and incorporate innovations that will enable LGH to deliver the highest quality of care possible.

This new state-of-the-art, high-tech facility will serve as a hub for acute care in the VCH Coastal Community of Care, serving the North Shore and the Sea-to-Sky corridor, Sunshine Coast, Powell River, Bella Bella and Bella Coola on the Central Coast and surrounding First Nations.

The patient-centred design will improve the experiences of our patients and their families, acting as a healing environment with quiet spaces, views of nature and other access to daylight. There will be 108 patient beds in 84 single rooms and 12 semi-private double rooms, which will all have their own private en-suite washroom.

The health facility will include eight state-of-the-art operating rooms; the patient-centric perioperative suite will optimize surgical outcomes while reducing recovery times and improving the overall patient experience.

The project is being funded by Vancouver Coastal Health, the Ministry of Health and a $100-million fundraising campaign by LGH Foundation.

PHOTO CREDIT: HDR ARCHITECTURE

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Experience Cambridge Street Project, Massachusetts General Hospital The Massachusetts General Hospital is undergoing a state-of-the-art, multi-year major renovation, expansion and transformation project serving the West End and Beacon Hill neighborhoods.

L O C AT I O N : Boston, MA C L I E N T: Massachusetts General

Hospital

Completed in two phases, the hospital will house 41 departments and 3,561 rooms. A 864-space parking structure connects to the existing campus by bridge and tunnel. Once complete in 2030, the facility will include 482-private single-bed rooms, 26 cardio vascular OR/interventional procedure rooms, 100 infusion bays, 120 exam rooms, and 14 imaging modalities.

A R C H I T E C T: NBBJ Architects C O M P L E T I O N : 2030 A R E A : 1.05 Million Sq.Ft SERVICES PROVIDED:

Medical Equipment Planning

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Totaling over 1,005,000 sf, the hospital features: • Inpatient Care – 500,000 gsf, 456 beds • Procedure – 26 procedure rooms/CVOR/vascular/cath/EP • Perioperative – 169,000 gsf, 78 bays • Imaging – 43,000 gsf, 21 PET/MRI/CT/IR/Rad/Flouro/Treatment • Outpatient Exam – 100,000 gsf, 120 beds • Infusion – 60,000 gsf, 100 rooms for short stay, termeer and adult infusion • Clinical Support – 63,500 gsf including pharmacy, dietary, satellite support services, lab and SPD • Building Amenities – 62,000 gsf including lobby areas, cafe, patient/ staff/family amenities, education center and auditorium • Core Support Services – 45,500 gsf loading dock, materials management and EVS • Mechanical – 120,000 gsf campus service building • Retail – 15,000 gsf retail space • Parking – 475,000 gsf parking areas, 576 bicycle spaces

PHOTO CREDIT: PHOTO DIAMOND CREDIT: SCHMITT NBBJ ARCHITECTS ARCHITECTS

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Experience Surgical Pavilion, Medstar Georgetown University Hospital The new six-story surgical pavilion includes 156 private rooms, helipad with direct access to 31 state-of-the-art operating rooms, and 32 exam rooms in a modernized emergency department.

L O C AT I O N : Washington, D.C. C L I E N T: MedStar Georgetown University Hospital A R C H I T E C T: HKS C O N S T R U C T I O N VA L U E : $567 M C O M P L E T I O N : 2023 A R E A : 447,000 Sq.Ft SERVICES PROVIDED:

Medical Equipment Planning, Procurement, Logistics, IT Consulting (structured cabling system, nurse call and code blue, public address and overhead paging, and television signal distribution)

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Offering the latest in healthcare delivery and advancements in medical technology, MedStar Georgetown University Hospital’s pavilion is one of the largest new healthcare developments in Washington, D.C. in more than ten years. The new medical/surgical pavilion allows MedStar Georgetown University Hospital to expand their health care services to their patients.

After completion of the pavilion, MedStar Georgetown University Hospital’s total number of beds will increase from 415 to 538. The

hospital’s surgical and emergency services are consolidated in the new facility, while kitchen, environmental services, IT, biomedical engineering, security and the morgue continue to operate in the original building.

In addition to providing medical equipment planning services, Introba’s technology team served as the Owner’s IT Consultant. Services include structured cabling system, nurse call and code blue, public address and overhead paging, and television signal distribution.

PHOTO CREDIT: HKS

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Experience Emergency Department / ICU Tower, Cleveland Clinic Florida Designed to provide seamless care across medical specialties, the EDICU connects all floors of the existing hospital facilities to the first two floors of the NICI and the Egil and Pauline Braathen Center.

L O C AT I O N : Weston, FL C L I E N T: Cleveland Clinic Florida A R C H I T E C T: SOM C O N S T R U C T I O N VA L U E : $232 M C O M P L E T I O N : 2019 A R E A : 200,000 Sq.Ft SERVICES PROVIDED:

Medical Equipment Planning, Procurement, Installation Management, LOGISTICS:

Warehouse Deployment

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Significantly expanding the emergency treatment capabilities of the existing campus, the 200,000-sf facility is home to the clinic’s intensive care unit and the emergency and acute care unit. The emergency department houses 46 treatment, fast-track, and resuscitation rooms, and 24 observation rooms. The new bed tower adds 74 beds, with an expansion capacity of up to 26 additional beds.

The EDICU continues the design vocabulary established by the NICI building, while providing tailored, efficient, and comfortable spaces for patients and staff in the clinic’s emergency and intensive care units.

The new tower includes emergency department lobby, waiting area, reception, and 40-room treatment, area as well as a 24-room observation department and administration suite.

Ground level provides an exterior courtyard along the common corridor separating observation and emergency departments. Additional spaces throughout the building consist of 24 intensive care patient rooms, 26 acute care rooms, 10 of which are bone marrow transplant rooms, 24 intensive care patient units, physician suite, support spaces and offices.

Ross & Baruzzini is currently completing the 5th floor shell space converting it into an acute care floor, this project will be completed first quarter 2023.

PHOTO CREDIT: SOM

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Experience Climate Resilience Guidelines for BC Health Facility Planning and Design Health facilities developed today experience climatic conditions that are drastically different than those of the past, including ongoing strains (e.g. steadily warming temperatures) and acute shocks (e.g. flash flooding events) that challenge health service delivery.

L O C AT I O N : British Columbia, Canada C L I E N T: Regional Health Authority C O M P L E T I O N : 2020 SERVICES PROVIDED:

Planning, Policy

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To help navigate these challenges, the Provincial Health Authorities developed Resilience Guidelines for Health Facility Planning and Design (Climate Resilience Guidelines), in collaboration with the provincial and federal agencies, local governments, and industry partners.

This joint initiative enables health authorities and professional services partners to address knowledge gaps, build capacity and advance good practice in reducing climate risks and integrating climate resilience at the health facility level. Additionally, it also provides a portfolio of recommended design options and implementation pathways to guide strategic investments in health facility resilience from business plan phase to end of useful life.

Introba served as a co-chair and facilitator of the industry Task Force to develop resilience options and pathways. Our team was also involved in drafting the final Climate Resilience Guidelines.

Cowichan District Hospital Replacement Project Climate Change Resiliency Risk Assessment Introba was contracted by Island Health to provide climate resilience advising for the Cowichan District Hospital Replacement Project.

L O C AT I O N : British Columbia, Canada C L I E N T: Island Health C O M P L E T I O N : 2021 SERVICES PROVIDED:

Planning, Policy

Introba worked closely with the owner, design team, and key hospital stakeholders to establish Climate Resilient Design Objectives, tailored design strategies, and implementation targets to inform the procurement phase for this Alliance Development process.

Introba’s resilience scope involved completing an independent review of climate impact and resilience measures identified by the design team through indicative design. Work includes completing a high-level Climate Hazard Exposure Screen, developing a climate change parameters table, preliminary risk assessment and defining resilience criteria and measures to inform future phases of design. The risk assessment framework also aligns with the ISO 31000 standard and will provide foundational information to support a PIEVC assessment during future design phases.

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Experience Queen Charlotte Hospital Introba provided mechanical consulting engineering services and energy modeling to this $50 million LEED Gold replacement project for an existing acute care hospital. The new 4,200 sq m replacement facility will includes emergency, imaging, health clinic, inpatient, food services, pharmacy and morgue departments.

L O C AT I O N :

North Vancouver, BC, Canada C L I E N T: Northern Health Authority A R C H I T E C T: KRA Architects C O N S T R U C T I O N VA L U E : $50 M C O M P L E T I O N : 2016 A R E A : 45,208 Sq.Meter S U S TA I N A B I L I T Y: LEED Gold SERVICES PROVIDED:

Mechanical and Energy Modeling

Healthcare

The new replacement hospital features eight acute care beds, plus one labour, delivery and recovery suite. The redevelopment provides a modern environment for the delivery of public and mental health and addictions programs, and home and community care services.

A newly reconfigured hospital layout benefits the delivery of local physician and emergency services, which

includes designated state-of-the-art program space for the delivery of diagnostic imaging, laboratory and pharmacy services. This project also included a new Home and Community care house with eight residential care beds for clients with complex needs.

The new building required Leadership in Energy and Environmental Design (LEED) Gold certification, and will maximize the use of wood consistent with the Province’s Wood First Act.

PHOTO CREDIT: KRA ARCHITECTS

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Experience Sechelt Hospital & Sechelt Hospital Expansion and Ambulatory Care Introba has a long standing relationship with Sechelt hospital and have been providing our engineering services within multiple projects over the course of 15 years.

L O C AT I O N : Sechelt, BC C L I E N T: Vancouver Coastal Health A R C H I T E C T: Perkins + Will C O N S T R U C T I O N VA L U E :

$31 million (main) / $3.5 Million (Ambulatory Care) C O M P L E T I O N : 2018 S U S TA I N A B I L I T Y: LEED Gold SERVICES PROVIDED:

Mechanical, Electrical and IMIT

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Phase 1 was a detailed enabling, and early works project. Phase 2 was the $26 million addition project new facility, which included intensive care, ICU and inpatient units, triage, MRI and imagining services, plus support spaces. The new building is designed to operate 48% below ASHRAE 90.1, and the project was LEED NC Gold certified. Phase 3 was a $5.3 million project conducted in 2017 and completed in April 2018 and involved the expansion and renovation of two floors in the existing building. The

area was reconfigured to provide hemodialysis and chemotherapy departments, examination rooms, and a new pharmacy and clean room facility. Introba also provided electrical and IMIT consulting services.

The project included designing and installing all electrical systems, including distribution, lighting control, high-performance lighting, communication, fire alarm, intrusion alarm access control, CCTV systems, and specialized equipment.

PHOTO CREDIT: PERKINS + WILL

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Experience Children’s and Women’s Clinical Support Building, Vancouver The new Clinical Support Building was constructed as part of the three phase redevelopment at BC Children and Women’s Healthcare Centre.

L O C AT I O N : Vancouver, BC, Canada C L I E N T: Bird Construction A R C H I T E C T: Kasian Architecture C O N S T R U C T I O N VA L U E : $11.3M C O M P L E T I O N : 2015 A R E A : 53,561 Sq.Ft S U S TA I N A B I L I T Y: LEED Gold SERVICES PROVIDED:

Mechanical

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The building houses multiple clinical programs, services, and administrative offices and is directly adjoined to the Child and Family Research Institute.

Introba provided complete mechanical services for this $11.3 million DesignBuild project. This 53,561 sq ft twostory healthcare building with two levels of underground parking was constructed per British Columbia’s Wood First Initiative and built to LEED Gold standards. The project involved the relocation of the existing hospital

steam mains and incorporation into the new building parkade structure.

The building incorporated an efficient VRF system with heat recovery units.

Various local wood materials were introduced to this building, including pre-manufactured cedar panels, tongue and groove cedar siding, a heavy timber frame, and wood structural systems.

PHOTO CREDIT: BIRD CONSTRUCTION

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Experience Centre for Addiction & Mental Health (CAMH) Phase 1C Development The new buildings will feature a new emergency department devoted exclusively to mental health, new enhanced therapeutic recovery and healing environments.

L O C AT I O N : Toronto, ON, Canada C L I E N T: PCL Constructors A R C H I T E C T: Stantec P R O J E C T S I Z E : 340,000 sf (Building B1), 282,000 (Building D1) C O N S T R U C T I O N VA L U E : $685 M C O M P L E T I O N : 2020 S U S TA I N A B I L I T Y:

LEED Gold TGS Tier 3 Design SERVICES PROVIDED:

Commissioning Services

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Introba were retained to provide Whole Building Commissioning services for the CAMH Phase 1C Redevelopment. The project comprised of the construction of two new state of the art buildings to the CAMH Queen Street Campus, the Crisis & Critical Care Building and the McCain Complex Care & Recovery Building.

The new buildings will feature a new emergency department devoted exclusively to mental health, new enhanced therapeutic recovery and healing environments inside and outside the buildings, a discovery and

learning centre for staff with a mental health library, a 290-seat auditorium, conference rooms, a clinical pharmacy, and ambulatory services.

This project is LEED Gold certified and includes features such as design of public spaces with abundant access to natural light and the outdoors and therapeutic and engaging art installations to promote client engagement and recovery. Additionally, there have been green space and park improvements throughout the CAMH campus and restoration of the heritage wall around the facility.

PHOTO CREDIT: BIRD CONSTRUCTION

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Experience Providence Care Mental Health Hospital Providence Care Hospital includes 270 private inpatient rooms, as well as modern therapy and clinic spaces for inpatients and outpatients.

L O C AT I O N : Toronto, ON, Canada C L I E N T: Providence Care Hospital A R C H I T E C T: Adamson Associates C O N S T R U C T I O N VA L U E : $800 M C O M P L E T I O N : 2017 S U S TA I N A B I L I T Y:

LEED Silver SERVICES PROVIDED:

Commissioning Services Compliance Consulting

Healthcare

Providence Care Hospital is among the first hospitals in North America to fully integrate long-term mental health care with physical rehabilitation and complex care programs in the same facility. The hospital was designed to LEED silver certification and includes 270 private inpatient rooms, as well as modern therapy and clinic spaces for inpatients and outpatients.

The new Providence Care Hospital will benefit from the therapeutic effects of daylight, fresh air and views. Interior courtyards allow for natural light in

corridor and office spaces, as well as patient and client areas, providing staff with improved work environments.

The design of the new hospital is welcoming, providing a home-like, patient-centred environment that allows individuals to meet friends and families in comfortable spaces throughout the building. On the upper level, dedicated space for education, learning and research supports Providence Care’s role as an academic hospital, and its partnerships with Queen’s University and other postsecondary institutions.

PHOTO CREDIT: ADAMSRTTON ASSOCIATES ARCHITECTS

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Experience Peel Memorial Hospital Key features include the use of an integrated energy metering system to track building performance, over 30% reduction in potable water consumption through the use of low-flow fixtures and reduction in process water demand by rejecting heat to the geothermal field in lieu of cooling tower.

L O C AT I O N : Brampton, ON C L I E N T: William Osler Health System A R C H I T E C T: Diamond Schmitt

Architects/RTKL Associates C O N S T R U C T I O N VA L U E : $490 M C O M P L E T I O N : 2016 A R E A : 591,000 ft 2 S U S TA I N A B I L I T Y: LEED Silver SERVICES PROVIDED:

Commissioning Services

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The new Peel Memorial Centre provides ambulatory care to serve the diverse community of Brampton. A state-of-the-art, LEED® Silver facility delivers care through an inter-professional innovative partnership model. It comprises urgent and emergent care departments, day surgery, dialysis, diagnostic services, mental health and addiction services, seniors’ wellness and family health services are available.

The overall orientation of the building in an East-West alignment supports Peel Memorial Centre’s sustainable design strategy as the orientation maximizes daylight and sun penetration into interior portions of the building. Numerous courtyards of varying scale and material treatment have been designed as intimate, reflective spaces for use by patients and visitors. A broad outdoor dining terrace near the entrance to the centre evokes the experience of urban sidewalks and street cafés.

Below the south parking lot a large geothermal field is able to provide approximately 85 per cent of the buildings heating and cooling loads. This field incorporates over 100 boreholes which extend approximately 600 feet below the surface.

Key features included: • 15% use of new materials from recycled origins • 20% use of regionally sourced new materials • 42% energy cost savings compared to the Model National Energy Code for Buildings • Use of low-emitting materials (i.e. adhesives, sealants, paints, coatings, flooring, composite wood materials, systems furniture and seating) • Use of an integrated energy metering system tracks building performance • Reduction in potable water consumption by over 30% through low flow fixtures • Reductions in process water demand by rejecting heat to the geothermal field in lieu of cooling tower • More than 90% efficient modulating and condensing boilers and domestic water heaters • Use of sensors to control lights throughout the building.

PHOTO CREDIT: DIAMOND SCHMITT ARCHITECTS

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Experience Ron Joyce Children’s Health Centre Ron Joyce Children’s Health Centre houses Canada’s largest prosthetics and orthotics assessment, and fitting facilities for children and adults. The facility also accommodates a range of pediatric, rehabilitation, medical, and mental health services.

L O C AT I O N : Hamilton, ON C L I E N T: PCL Constructors A R C H I T E C T: Stantec/ Perkins & Will / Montgomery Sisam Architects C O N S T R U C T I O N VA L U E : $90 M C O M P L E T I O N : 2016 A R E A : 180,000 ft 2 S U S TA I N A B I L I T Y: LEED Gold SERVICES PROVIDED:

Commissioning Services Envelope/Enclosures Consulting

The Ron Joyce Children’s Health Centre comprises a new children’s treatment center, which is part of Hamilton Health Sciences’ McMaster Children’s Hospital. The new facility was constructed across from the Regional Rehabilitation Center in downtown Hamilton. A fully accessible facility, it includes an outdoor wheeling track, a therapeutic playground and physiotherapy space.

The new site brought together a number of programs that were previously located at Hamilton Health Sciences’ Chedoke site, including: Autism Spectrum Disorder Service, Child and Youth Mental Health Program, Developmental Pediatrics and Rehabilitation Program, Prosthetics and Orthotics Service.

The new center also provides space to accommodate the delivery of patient and family-focused services and individualized programming.

Healthcare

Key features include: • Installation of low-flow fixtures to achieve a water use reduction of 36% • 86% of construction and demolition waste was diverted from landfill • Building envelope designed to increase thermal resistance • Building’s HVAC systems do not use CFC-based refrigerants • Project offers sufficient space for storing and collection of recyclables • Indoor air quality management plan includes use of low-emitting materials • white roof membrane reflects heat, rather than absorbing it.

PHOTO CREDIT: RICHARD JOHNSON

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Experience Etobicoke General Hospital Acute Care Patient Tower The project adds approximately 250,000 square feet in a fourstory wing to meet the needs of its growing community.

L O C AT I O N : Toronto, ON C L I E N T: William Osler Health System A R C H I T E C T: HDR Architects C O N S T R U C T I O N VA L U E : $400 M C O M P L E T I O N : 2018 A R E A : 250,000 ft² S U S TA I N A B I L I T Y: LEED Silver SERVICES PROVIDED:

Commissioning Services Compliance Consulting

Healthcare

Having served the local northern Etobicoke community for more than 42 years, Etobicoke General Hospital required redevelopment in order to continue to fulfill its role as a critical component of the Osler Health system. The $140 million P3 project adds approximately 250,000 square feet in a four-story wing to meet the needs of its growing community.

In addition to larger patient rooms with natural lighting, the new wing included a larger state-of-the-art emergency department, an intensive care unit and critical care unit nearly four times larger than the original space, a maternal newborn unit with

birthing suites and specialized nursery, cardiorespiratory and neurodiagnostic services, and an ambulatory procedures unit. The project focused on sustainable design and construction LEED Silver certification.

Introba served as an Independent Commissioning Authority for the New Patient Tower and Ancillary Service Building (ASB). The ASB is a building of approximately 175,000 to 226,000 square feet including the penthouse.

The ASB houses physician offices and clinics, Osler ambulatory services, health sciences educational and simulation space.

PHOTO CREDIT: HDR

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Experience Grandview Children’s Centre The vision for the new Grandview Children’s Centre is to support the seamless and coordinated provision of family-centred care for children and youth with physical, communication and developmental needs and their families in the Durham Region

L O C AT I O N : Ajax, ON C L I E N T: Amico, Sacyr Construction A R C H I T E C T: Parkin Architects C O N S T R U C T I O N VA L U E : $84 M C O M P L E T I O N : 2024 A R E A : 107,000 ft² S U S TA I N A B I L I T Y:

LEED, Net Zero Carbon Passive House SERVICES PROVIDED:

Commissioning Sustainability Medical Equipment Planning

Healthcare

The new Grandview Children’s Centre will be a community based pediatric facility supporting an integrated mix of rehabilitation, medical and clinical services, as well as education and research activities. The vision is to support the coordinated provision of family-centered care for children and youth with physical, communication and developmental needs and their families. Once complete, Grandview Children’s Centre will consolidate its existing main site in Oshawa and multiple satellite locations into the new purpose-built facility located in Ajax.

The new headquarters will be a centre of excellence in pediatric care, and will include: Centre-Wide Therapy Services - occupational therapy, physiotherapy, speech-language pathology, recreation therapy, audiology, infant hearing, blind low vision, social work; Ontario Autism Programs; Preschool Outreach Programs; School-Based Rehabilitation; Developmental Pediatric Medical Services; Family/caregiver resources and support; And Campbell Children’s School.

PHOTO CREDIT: PARKIN ARCHITECTS

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Experience Mount Sinai Hospital Redevelopment The Phase 3A redevelopment of Mount Sinai Hospital is part of a multi-year redevelopment project to transform the hospital’s facilities and grow its clinical and research programs.

L O C AT I O N : Toronto, ON C L I E N T: Mount Sinai Hospital A R C H I T E C T: Stantec Architects C O N S T R U C T I O N VA L U E : $485 M C O M P L E T I O N : 2016 A R E A : 300,000 ft² S U S TA I N A B I L I T Y: LEED Silver SERVICES PROVIDED:

Commissioning Services Compliance Consulting

The 600 University Avenue building at Mount Sinai Hospital is an acute care hospital facility that was originally constructed in the 1970s.

The Phase 3 redevelopment of Mount Sinai involved the renovation of approximately 300,000 square feet of the existing facility, and included various program areas such as Perioperative Services, the Emergency Department, Critical Care (ICU), Medical Device Processing, Ambulatory Care, Materials Management, Health Records and one Medical/Surgical InPatient unit.

Additionally, there was significant infrastructure work to be done in order

Healthcare

to meet the current CSA standards regarding redundant air handling capacity required for specific clinical areas. The project was completed in five stages due to the complexity of working within an operating hospital while maintaining full operations, and took approximately five years to complete. As part of the staging work, there was 60,000 square feet of additional space to be relocated or decanted, spread across approximately two dozen different program areas that do not directly form part of the core project work.

Photo Credit: Gerald Allain

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Experience Adult Mental Health & Addiction Facility NAMHAF involves the construction of a new 240,000sf, 6-storey mental health & addictions facility in St. John’s, Newfoundland. It will be connected to the existing HSC campus.

L O C AT I O N : St. John’s, NL C L I E N T: Government of Newfoundland and Labrador and the Eastern Regional Health Authority A R C H I T E C T: B+H Architects C O N S T R U C T I O N VA L U E : $330 M C O M P L E T I O N : 2024 A R E A : 240,000 ft² S U S TA I N A B I L I T Y:

LEED Silver SERVICES PROVIDED:

Total Building Commissioning

The New Adult Mental Health & Addictions Facility (NAMHAF) will be an addition to the existing Health Sciences Centre (HSC) campus. It is a project comprises the development, design, and construction of a 240,000sf, 100+ bed hospital, as well as a 60-bed hostel and a 350,000sf parking garage to serve the site. The facility is intended to replace the existing Waterfront Hospital, which opened in 1854 and is at the end of its service life. The new building is to be incorporated into, and compatible with the existing hospital site, including integration of the fire alarm, communications, and networking systems.

Introba will act as an independent entity on behalf of the project team to implement a detailed commissioning process that is consistent with the requirements laid out in the LEED v4 Reference Guide.

Healthcare

This will include commissioning of the building enclosure, mechanical, electrical and ICAT systems in the building for both the NAMHAF facility and the parking garage.

Introba understands that healthcare projects inherently involve critical and sensitive components. Facilities such as NAMHAF are complex with many interacting systems including laboratories, ICT and FF&E systems in addition to vital MEP systems.

Commissioning is a vital component in ensuring that interactions between systems are working correctly, and that all the building systems are running, without fault, at project completion.

Fundamental to this process will be ensuring the NAMHAF operations staff are empowered to effectively maintain the new systems.

South Niagara Hospital Pursuit Phase The vision for the Project is to design a new kind of healthcare that puts the focus on patient health and well-being.

L O C AT I O N : Niagara Falls, ON C L I E N T: Niagara Health &

Infrastructure Ontario A R C H I T E C T: IBI Architects C O N S T R U C T I O N VA L U E : $1 B C O M P L E T I O N : 2027 A R E A : 1,200,000 ft² S U S TA I N A B I L I T Y:

LEED Gold Targeting WELL Gold SERVICES PROVIDED:

Commissioning Health & Wellness Consulting Medical Equipment Planning

The Project will embody a campus environment that fosters a community of connected care, advance the boundaries of healing, and transforms patient experience in healthcare.

The new Hospital will be an acute care facility that will consolidate services from 4 existing hospitals in the region; Greater Niagara General, Port Colborne, Douglas Memorial and Niagara Falls Kidney Care. The new 1.2 million square foot world class facility will be design and built to meet LEED gold certification at a minimum and will be targeting WELL for healthcare.

South Niagara Hospital will be consistent with the Ministry of Health’s high standards for patient and family-

centred care, incorporating principles of senior-friendly design, accessibility and infection prevention and control.

The hospital will include the following functional spaces; A centre of excellence, specializing in stroke, complex care, geriatric/ psychogeriatrics and wellness in aging; An emergency department; A critical care program; 469 inpatient beds for critical care, surgical, medicine and complex continuing care; Mental health & addictions program; Kidney care and dialysis; Teaching & learning spaces; And Ambulatory and day procedure programs and services.

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Experience Jim Pattison Outpatient Care + Surgery Center Located at the Green Timbers site near Surrey Memorial Hospital in British Columbia, the new 188,347 sq. ft. Jim Pattison Outpatient Care and Surgery Center was developed by BC Healthcare Solutions as a P3 project for Fraser Health Authority.

L O C AT I O N : Surrey, BC C L I E N T: Bouygues-Bird Joint Venture A R C H I T E C T: Kasian Architecture C O N S T R U C T I O N VA L U E : $140 M C O M P L E T I O N : 2011 A R E A : 190,000 ft² S U S TA I N A B I L I T Y: LEED Silver SERVICES PROVIDED:

Mechanical Engineering Energy Modeling LEED Consulting

Healthcare

Located at the Green Timbers site near Surrey Memorial Hospital in British Columbia, the new 188,347 sq. ft. Jim Pattison Outpatient Care and Surgery Center was developed by BC Healthcare Solutions as a P3 project for Fraser Health Authority.

Care and Surgery Centre aids the growing community of Surrey which by the year 2020 is expected to reach almost 600,000 residents. In addition to meeting patient needs, the facility improves operating efficiencies and the working environment for its staff.

Fraser Health provides a full range of scheduled outpatient services which included day surgery, diagnostic imaging and medical clinics and a primary healthcare clinic to deliver better family practice services.

Introba was retained to provide mechanical engineering, energy modeling and LEED consulting services for this project. The mechanical systems were designed to provide a comfortable environment for the occupants, while minimizing energy consumption. The system utilizes heat recovery heat pumps and high efficiency condensing boiler.

This state-of-the-art facility provides the most effective care using the latest technology and equipment. Certified LEED NC Gold, it is designed to offer a healing environment inspired by nature. The Jim Pattison Outpatient

PHOTO CREDIT: KASIAN ARCHITECTURE

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Healthcare Leadership

Our experienced Healthcare leads across the globe are committed to delivering sustainable, practical, adaptable, and modern facilities for the community.

Our team recognise spaces must be designed with the physical and technological infrastructure to accommodate emerging technologies and changing building uses. Services must be provided in a logical and accessible way that is easily accessed for upgrade or easily relocated.

Healthcare

Bruno Vahedi Vancouver, BC

Gordon McDonald Vancouver, BC

Senior Principal Business Development

Principal, Director of Engineering Mechanical Engineering BC

Chris Piche Toronto,ON

Ayoub Baniasadipour Toronto, ON

Vice President, Commercial Sector USA and Alternative Project Delivery - Canada East

Principal Medical Equipment

Jad McDonald Vancouver, BC

Dan Gagne Vancouver, BC

JR Simmons Kirkland, WA

Matt Parkes Calgary, AB

Principal Electrical Engineering

Associate Technology

Principal IMIT / Technology

Associate Principal Mechanical Engineering

David Green Edmonton, AB

Rachel Lieberman Toronto, ON

Colin van Besouw Calgary, AB

Shayne Knox Victoria, BC

Senior Principal Building Performance

Vice President, Project Delivery

Associate Electrical Engineering

Principal

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