Montreal University Hospital Center (CHUM)

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Opportunity The Centre hospitalier de l’Université de Montréal (CHUM) was founded in 1996 when three of the oldest hospitals in North America merged. The world-class university hospital provides ultra-specialized care in 36 medical disciplines and treats approximately 520,000 outpatients, 24,000 inpatients and 65,000 patients requiring emergency care each year. In addition to providing general and specialized medical care to over three million residents of Québec, CHUM is also an important referral centre for numerous advanced medical sectors and many health care institutions regularly depend on its resources. Other hospital centres forward cases they consider too complex or specialized including cardiology, transplants, lung cancer treatment, addiction treatment and major burn treatment In 2000 a modernization program was launched to bring all CHUM activities to one location. The first step involved constructing the new Centre de recherché du CHU. The project was completed using a P3 in 2013. The second step involves the phased construction of a new CHUM hospital complex which will serve as the anchor and driving force of an entirely new health care district: the Quartier de la Santé de Montréal (QSM). Challenges Three factors made financing the project a challenge: the size of the project (largest bond financing in Canada at the time of financial close); the length of construction (nine years, the longest in Canada at the time of financial close and more than double the length of the average P3); and the complex nature of the project (phased construction). Innovations A special feature was introduced to the RFP process where proponents were invited to propose optimizations to the design requirements that would keep or enhance performance without affecting clinical programs. This brought major improvement and innovative solutions to the proposals. The way the winning consortium developed their design proposal to provide 85 per cent of all clinical services during Phase 1 (as opposed to 55 per cent as originally anticipated by CHUM) unlocked the optimal financing solution. Results The overall project includes six buildings connected to each other at different levels above ground or through underground tunnels. The Main Hospital Building, constructed during Phase 1, has two 20-storey towers and include 772 single rooms; 39 operating rooms with technical supports such as radiation oncology, nuclear medicine and clinical laboratory; an emergency department; sterilization centre; radiology; radiotherapy; intensive care medical and surgical beds; and commercial space and other services. The Outpatient Centre South, constructed during Phase 1, is a 20-storey building with 30 outpatient clinics and a thermal power plant. The Outpatient Centre North, constructed during Phase 2, is attached to the Outpatient Centre South and have space for more outpatient clinics. A Logistics Building (Phase 1), Office Tower and 500 seat teaching Amphitheatre (both Phase 2) was also constructed. The facility achieved Leadership in Energy and Environmental Design (LEED) Silver certification The overall layout was designed to ensure the safety and well-being of patients with separate circulation routes for the public and for patients and minimization of travel distances between departments and services. At the peak of construction more than 1,200 workers will be on site daily, the majority from Québec. Approximately 95 per cent of construction subcontracts were awarded to Québec companies. Learn more at: Case Studies

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