Moving from SickCare to Wellness Care Innovations in Urban ...

Moving from SickCare to Wellness Care

Innovations in Urban Health Facility Development

CCHF Conference Presentation June 2, 2016

INNOVATIVE TECHNOLOGY AND DESIGN FOR IMPROVING CARE

The Evolution of Health Facilities Planning and Development in the Past 50 Years

Facility Design: • Pre 1970’s - Need for individual facility replacement: Space Planning and Design • 1970’s to 1980’s - Need for an overall strategy of expansion and replacement on a

hospital site: Master Planning

Form Follows Function/”Efficiency and Patient First”: • 1980’s-1990’s - Clinical operating and space requirements: Functional Programming • Early 2000’s - Operating efficiencies and optimal patient outcomes: Best Practices,

Evidence Based Design, LEAN

Health System Sustainability Development: Projects/”Big Picture Sustainability and Wellness” • 2010’s - Need for Universal Health System sustainability and affordability: Integrated

Health Campus (Primary Care, Residential Care, Ambulatory Care, and Acute Care), Campus of Care, Research and Technology Innovations

• Currently - Concept of Wellness, Prevention, Healthy Individuals and Healthy Communities: Comprehensive Multi Use Precincts and Developments with Health and Non Health Market Components actively being planned throughout the Lower Mainland

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Health System Sustainability Development: Project Examples

Research and Technology Start Up as Anchor with Acute: • Surrey Memorial Hospital Precinct, Surrey • Royal Columbian Hospital Economic Health Cluster, New Westminster • Vancouver General Hospital Pacific Health Exchange, Vancouver

Non Acute Health Uses as Anchor with or without Acute (Residential Care, Community Health Centers, Rehab, Ambulatory Care, etc.): • Pearson Dogwood, Vancouver • Eagle Ridge Hospital, Coquitlam • Queens Park, New Westminster

Many Sites with the Lower Mainland have been Master Planned with this approach: • Maximize care • Sustain the health system • Create a healthy community • Leverage capital for reinvestment into health

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Facility Development: Concept Of Wellness

• Base development decisions on principles of health promotion, prevention and, treatment;

• Incorporate the “Determinants of Health” into project;

• Promote wellness by integrating a range of market and non-market housing, health services and residential care into a complete community;

• Provide access to housing, health care, public services, amenities, recreational and cultural activities;

• Design and build the development to sustainability and evidence Based Design Principles.

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Concept of Wellness Projects: Pearson Dogwood

Key Elements: • Canada Line Station

• Community Health Hub – YMCA, Community Health Centre, Therapeutic Pool

• 150 bed Residential Care Home (Dogwood replacement)

• Distributed independent living for Peoples with Disabilities

• Open space

• District energy & storm water management

• Non-market housing

• Market housing

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Concept of Wellness Projects:

Pearson Dogwood

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Key Elements: • Regional Hospital

• Health Research and Education (SFU)

• Community Health Hub – CHC/YMCA

• Office and Commercial Space

• Seniors Housing

• Market Housing

Concept of Wellness Projects: Surrey Memorial Hospital Precinct

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Key Elements: • Community Hospital

• Community Health Center

• Commercial Space

• Retail Space

• Seniors Housing

• Market Housing

Concept of Wellness Projects: Eagle Ridge Hospital

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Lot C

Lot D

Lot E

Lot X


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Concept of Wellness Projects: From Idea to Reality

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Strategic Objectives:

1. Client centric strategy and approach;

2. Focus on near term wins;

3. Real client opportunities and projects to be explored within a 5 year time frame;

4. Promote projects with high probability of proceeding to business case and execution;

5. Outline opportunity, risks, timing, and financial implications –capital and operating.

Concept of Wellness Projects: From Idea to Reality – Where to Start

High Level Step by Step Approach:

• Inventory of all available Lands and Underperforming Assets for Re-development

• Health Care Initiatives

• Prioritize

• High Level Analysis – Pro-forma

• Re-Prioritize

• Sell

• Re-Prioritize

• Implementation

Concept of Wellness Projects: From Idea to Reality – Where to Start

Inventory:

• Un-used lands around Hospital sites as per HLMP

• Low Density Properties – Low Rise Residential Care

• Vacant Pieces of Land

• Consolidation Opportunities

Health Care Initiatives:

• Clinical Strategy – Ability to enhance or Satisfy Clinical Services and Patient care Requirement


High Level Analysis:

• Opportunity – Time Sensitivity and Impact on HA RE Portfolio

• Market Sounding

• Real Estate Market in the Region

• High Level Pro-Forma

• City Restrictions

• Zoning – Rezoning Chance

Re-Prioritize


“Sell” your Ideas:

• Relationship Building:

• MoH

• Municipalities

• Real Estate Developers

• Board of Directors

• Health Authority Executives

• Community Group

• Special Interest Groups

• Philanthropy

• Partnerships:

• BC Housing

• Municipalities

• YMCA

• Service Providers

• Hospital Foundations


Re-Prioritize

Implementation • Briefing Note – Project Concept

• Project Charter – Risk Analysis

• Business Case

• Urban Planning

• Policy – OCP (Official Community Plan)

• Building Design

• Rezoning Application

• RFP Process

• Land Sale / Redevelopment


Moving from SickCare to Wellness Care Innovations in Urban ...

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