Mayor R. C. Andrews April 12, 1976

We submitted our 1975 Budget estimate to both GVRHD and BCHP
and received concurrence for this budget from both these
parties (See attached letters) whereby the GVRHD Board passed
the following resolution:

“The Board, upon recommeneation of the Advisory
Committee and subject to the concurrence of
B.C.H.I.S., approves the appropriation of
$525,000 from By-law 32 (1972) funds for the
Gevelopment of sketch plans for the Coquitlam
and District Hospital, to be released upon
satisfactory finalization of the Functional
Program."

It should be borne in mind that we have
percentage of this appropriation. For example, Paul Smith
Associates, Architects, have not submitted any account since
their appointment in the early part of 1975,

expended only a small

Approval was given to the Board to appoint Paul Smith Assoc-
lates as architects for the hospital project. ‘he architects
completed their architectural program in June, 1975, anda

this program was reviewed by both GVRHD and BCHP. Ninety-
five percent of this program was approved prior to December
11, 1975. At the same time, Mr. Alan Xelly proposed that

Mr. Phillip Knight, Project Manager, be appointed to assist
our project. In addition, preliminary studies have been
completed on soil analysis and dietary services.

After 26 months of planning and reviewing,
@ point whereby we have completed our functional and arch-

we have now reached

itectural programs and, in order to proceed any further, we
require your approval and BCHP's concurrence to proceed to
our next phase, namely, sketch drawings.

We propose that approval be given to proceed with sketch
drawings, quantity surveyor and landscape architect for the
following reasons: :

i. Our project has been approved in principle by both GVRHD
and BCH, and endorsed by the three municipalities of Port
Coquitlam, Port Moody, and District of Coquitiam to meet
this community's (District #43) needs for 3 community hospital
and, at the same time, complement our referral hospital (RCH)
as clearly outlined in the GVRHD 'Patterns of Care’ report.

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Mayor R. C. Andrews April 12, 1976

2. In anticipation of the Population growth within District
#43 as described in the GVRD ‘Liveable Region’ report:

YEAR POPULATION
1981 139,300
£986 154,500

3. To proceed within the cencept of regionalization as
advocated and planned by GVRHD and, in an orderly fashion
with other heal_a care facilities, as referred to in the
By-law 32 priorities.

4. Determination of hospital needs has been historically
expressed in terms of ratios per thousand population. This
formula disregards the fact that populations vary, substan-
tially, in terms of age, sex,.income, state of health and
other factors which influence their need for hospital care
and thus the need for beds. :

Since hospital beds are typically operated in groups or
units, namely, medical surgical, pediatric, obstetric, rehab-
ilitation, psychiatric, intensive care, etc., lumping them
all together ignored the possibility that one type of bed
might be needed while other types were in oversupply. In
order to avoid this problem, we have worked closely with
Royal Columbian Hospital and St. Mary's Hospital through a
Joint Hospital Committee to establish a feasible distribution
of specialty beds, rather than total beds/1000 population for
District #40 and #43,

5. We feel that the priorities as set out by GVRHD are the
most reliable and valid because of their objectivity and long-
tem planning. For these reasons, we have followed the gquide-
lines as outlined in the many reports compiled by the Pro-
fessional Practices Sub-Committee (Clinical research arm of
GVRHD).

6. To avoid any stop - go plan for this project, as this

entails ‘time loss! which, in the long-run, is far more
costly than proceeding with a controlled phase basis.

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