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Quw’utsun Valley Hospital

Guiding the healing journey

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Project

Quw’utsun Valley Hospital

Year

Ongoing

Project Background

A culturally grounded, accessible, and future-focused wayfinding strategy for the new Quw’utsun Valley Hospital.

Quw’utsun Valley Hospital (QVH), formerly Cowichan District Hospital, represents a transformative investment in local health services. Developed in close collaboration with Cowichan Tribes and Indigenous communities, the facility will deliver culturally safe, integrated care within a fully electric, net-zero-ready environment. Spanning 607,601 square feet, the new hospital introduces new challenges in scale, circulation and navigation. Cygnus responded with a wayfinding system that supports Island Health’s updated regional signage standards while addressing the site’s unique operational and cultural context. The outcome is a strategic, user-centred solution that simplifies navigation, reflects Cowichan identity and supports the hospital’s long-term growth as a vital community facility.

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A new framework

Island Health embarked on a region-wide signage overhaul to unify wayfinding across its facilities. Building on previous work at Nanaimo Regional General Hospital and early planning for QVH, Cygnus was engaged to replace outdated guidelines with a scalable, intuitive and inclusive standard. The new framework prioritizes clear information hierarchy, consistent typography, modular construction and accessibility for all users, including tactile, braille and high-contrast design. These standards now inform new developments across the region.


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Indigenous engagement

Engagement with First Nations, Métis and Indigenous communities was integral to the project’s success. Cygnus worked with Indigenous Advisors, who collaborated closely with the Indigenous Advisory Council to gather insight and direction. The Cowichan Tribes were the primary community engaged, ensuring the wayfinding system and signage reflect spaces that are functional, culturally sensitive and welcoming to all.

Cultural integration

To simplify navigation across the hospital’s large, multi-level layout, Cygnus developed a clear zoning system grounded in Cowichan identity. Hul’q’umi’num’ names appear throughout zones and destination signage, paired with pictograms inspired by local cultural symbols such as Star, Earth and River. Created in close consultation with the Indigenous community, the system aligns with the hospital’s architectural and interior design, balancing accessibility and clarity with cultural storytelling.



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Naturally inspired

Because real wood cannot be used in clinical environments, Di-Noc wood-look finishes were selected as a safe and durable alternative. The material brings warmth and familiarity drawn from the Cowichan Valley’s natural landscape, while meeting infection control standards and withstanding the region’s coastal climate. Cygnus translated these practical requirements into a design solution that balances cultural resonance with patient comfort and long-term performance.


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