1 Application Intent & Overview - Vancouver · Vancouver. The intent of this application is to...

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Figure 1-1: Indicative Illustrative Site Plan

1.1 Application Intent 1.1.1 Introduction

1 Application Intent & Overview

Providence Health Care (PHC) is pleased to submit a rezoning application for the 18.4-acre Station Street site located between Prior and National streets, Station Street and Trillium Park. This document describes all aspects of the proposed master plan development for review by the City of Vancouver.

The intent of this application is to rezone the property from its current I-2 to a CD-1 Zone that will permit the development of a new hospital and integrated health care campus with a variety of health-related support buildings and functions including a residential/commercial building and a suites hotel. The proposed master plan outlined in this application represents an indicative design for the site that responds to the objectives and principles of the New St. Paul’s Hospital and Health Campus Policy Statement approved by Council in June 2017. It also reflects the health care objectives and planning principles of Providence Health Care and incorporates input from key stakeholders and partners.

The indicative master plan developed by IBI Group and a team of consultants has been crafted to set the framework for future development. The size and scope of this significant project could involve a range of procurement methods to achieve full development potential and will take place in several phases over a number of years. In response, all graphics and diagrams are therefore indicative in nature and have been prepared to demonstrate that the desired density, form of development, mobility network, open space plan and sustainability/social policy measures meet the intent of the policies and objectives set forth in the City’s Policy Statement and other policies and regulatory bylaws. Future development permit applications will need to demonstrate conformance with the principles of this master plan and further define the specific parameters of development, to the satisfaction of the City of Vancouver.

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NEW ST. PAUL’S HOSPITAL HEALTH CAMPUS REZONING DOCUMENT

5. Sustainability Measures – This section outlines PHC’s commitment to sustainability and the targets and actions proposed to align future development with the City’s Rezoning Policy for Sustainable Large Developments and Green Buildings Policy.

6. Public Benefits – This section introduces a range of public benefits, including two childcare facilities, which will be formalized through the rezoning process.

7. Phasing and Implementation – A phasing plan outlines the anticipated development and delivery of infrastructure and public benefits. A summary of the proposed site servicing is also provided.

1. Application Overview and Description – The first section outlines the vision PHC has for the new hospital and health campus and provides an overview of the site context, applicable City policies and public engagement activities.

2. Built Form – This section outlines the indicative design for the built environment, including building uses, heights, coverage, setbacks and shadow studies. Individual parcel studies show elements of the indicative design through typical plans, cross sections and 3D visualizations. Proposed rates for parking, loading and bicycle storage are also provided.

3. Open Spaces – The Open Spaces section describes the character of the public and private outdoor realm and illustrates an indicative design for several key spaces, including the Wellness Walk and prominent plazas.

4. Circulation and Mobility – This section introduces the proposed network of new streets, bike lanes and pedestrian routes that will connect the site to the City’s existing transportation system.

1.1 Application Intent 1.1.2 Document Overview

This package of material provides the required information for the City to review and assess the key components of the proposal. Refinements to this material and supplementary information will be developed in consultation with the City throughout the rezoning process. The document is organized into the following sections:


NEW ST. PAUL’S HOSPITAL HEALTH CAMPUS REZONING DOCUMENT 3

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Healthcare Excellence

Healthcare Boulevard & High Street Bold Form

Walk - Stay - Remember

1.1 Application Intent 1.1.3 Master Plan Overview

Design Principles

The design of the New St. Paul’s Hospital Health Campus is guided by four design principles derived from the overall vision of a Healthy Community, existing City policies, the New St. Paul’s Policy Statement and best practices in healthcare and urban design.

Healthcare Excellence

Maximize the operational flow of the components of the New St. Paul’s Hospital: Core Hospital, Ambulatory Care, Research and Academics to ensure that care is delivered in the most effective, efficient manner and design facilitates adaptation and transformation in healthcare delivery.

Walk - Stay - Remember

Weave the St. Paul’s Hospital into the existing neighbourhoods to the north and False Creek to the west by creating a walkable, connected, community-first design that promotes health and wellness and celebrates the history of the site and region.

Healthcare Boulevard & High Street

Create a vibrant, pedestrian oriented healthcare street and a strong front door to the New St. Paul’s Hospital that is reflective of the PHC corporate culture and presence in the community.

Bold Form

Introduce a distinctive architectural identity for the campus that accommodates current and future program elements, frames the public realm and sensitively transitions towards adjacent neighbourhood edges.




Master Plan Description

The primary focus of the proposed development is a new hospital to replace the aging St. Paul’s facility at Burrard Street. The plan anticipates that this facility will be located between New Arterial Street and National Avenue, New High Street and New Local Street.

Supporting the hospital will be a variety of research, office, hotel, and workforce housing buildings. A professional office building and a research building are located on the Health Campus parcel and are connected to the Hospital by way of overhead walkways and underground parking and service areas. On the parcel to the west side of the New High Street there will be several commercial office buildings that may be attractive to organizations such as research and healthcare related fields, among other potential business types. Also on the west side of the New High Street an extended stay hotel suited to visiting family and friends of hospital patients or visiting workers and researchers is envisioned. A small parcel on the north side of the New Arterial Street will be developed for workforce housing intended for staff of the hospital, visiting researchers or other health care associated employees.

Figure 1-2: St. Paul’s Hospital Health Campus Indicative Design - View from Southeast

These buildings are set amidst a new network of streets and public open spaces organized in such a fashion as to improve the connectivity of all transportation and mobility in the neighbourhood and increase the diversity of its open space experiences. Buildings frame and activate new streets, which are punctuated by a series of south and west-facing facing plazas and small parks, which are in turn connected by way of generous sidewalks and walkway loops.

Taken together, the proposed master plan for the Station Street site supports a new way of providing health care that is fully integrated with its surrounding neighbourhood.

Alignment with Policy Statement

Tables on pages 8 and 9 summarize the ways in which the master plan addresses the guiding principles of the Policy Statement.



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Figure 1-3: Character Sketch of Main Plaza (St. Paul’s Plaza)




Figure 1-4: Character Sketch of New High Street




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1.1 Application Intent

Policy Statement Principles Master Plan Response

Celebrate local history and the original shorelineLandscape design celebrates First Nations, the historic shoreline, and legacy of St. Paul’s

Interpretive pavement, signage, land form and public art interspersed throughout the site.

Create healthy open spaces and enhance the urban forest

Native, urban tolerant plants to provide biodiversity

St. Paul’s Plaza provides a large, meaningful outdoor space for staff, patients, visitors and wider community

Smaller protected areas for passive enjoyment interspersed throughout

Clusters of trees with interconnected root systems to promote tree health

Create a Wellness LinkWellness Walk provides a safe and pleasant environment for people of all ages and abilities.

Stimulate social connection, physical activity, self-ef�cacy, mind-body connection and mental health.


Rezoning Policy for Sustainable Large Developments The New St. Paul’s Hospital Site will meet or exceed all elements of the City’s Rezoning Policy for Sustainable Large Developments.

Regenerative approach and visible green elements The site, landscape and building designs re�ect a commitment to health and wellness.

Renewable energy Pursue new approaches for energy ef�ciency and explore opportunities to connect to the future Neighbourhood District Energy system

Disaster preparedness The new hospital will be a post disaster facility and will be designed to support the PHC intent to provide continuous healthcare services

Climate resilienceThe New St. Paul’s Hospital Site will be constructed above the �ood control level of 4.6m to mitigate the impact of sea-level rise, increased rainfall, higher temperatures and severe storm events.

Figure 1-5: Open Spaces and Public Places

Figure 1-6: Sustainability

1.1.3 Master Plan Overview



1.1 Application Intent

Figure 1-7: Community Building and Site Planning

Figure 1-8: Mobility and Connections


Integrate the Health Campus

New road network (New Arterial Street, New High Street, New Local Street and National Avenue), with enhanced pedestrian and cycling facilities, will better connect the site to adjacent neighbourhoods and mobility networks.

Public plazas and pocket parks provide spaces for community engagement, social interaction, public art and relaxation.

Enhance neighbourhood commercial activity Active commercial uses focused along the New High Street add retail capacity and support its role as the site’s ‘high’ street for the health campus.

Provide community amenitiesCommunity amenities include large and small open spaces, child care facilities, health community spaces and public art are provided and interspersed throughout the site.

Benefit the local community

Relocation of St. Paul’s hospital provides a state of the art hospital facility, research activities and a wide variety of healthcare services and programs that will bene�t the entire province, in addition to bringing services and supports closer to some of St. Paul’s most vulnerable patient populations in the Downtown Eastside.

Development of the health campus will bring employment opportunities, economic growth and an improved public realm.

Transition in scale and formHeights along the north, east and west transition down to respect the scale of adjacent neighbourhoods and minimize shadow impacts.

All building heights respond to City’s View Protection Guideline (View Cone 22 & View Cone 3.2.4a)


Connect the city fabricNew road network (New Arterial Street, New High Street, New Local Street and National Avenue) with enhanced pedestrian and cycling facilities improves connection to nearby neighbourhoods.

Mobility for all ages and abilities Wide, comfortable sidewalks and protected cycle paths connect the site with the surrounding neighbourhoods, destinations and amenities.

Plan for emergency vehicles and helicoptersDedicated access, staging and parking for emergency vehicles directly from the New Arterial Street.

Helicopter access will align with Transport Canada regulations to determine the safest and most ef�cient �ight paths to the hospital.

Improve transit connectionsThe new road network integrates with TransLink’s existing bus and SkyTrain network to encourage the use sustainable modes of transportation to and from the site. New bus routes expected on the New Hight Street and the New Arterial Street.

1.1.3 Master Plan Overview



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Potential Uses:

Cultural and Recreational Uses

Fitness Centre

Park

Playground

Dwelling Uses

Multiple dwelling

Residential Rental Accommodation

Secured Market Rental Housing

Institutional Uses

Ambulance station

Child daycare facility

Adult daycare facility

Hospital

Public authority use

Social Services Centre

Office Uses

Health Care office

General office

Financial institution

Building Heights:

Health Campus: max height of 60 metres, with a transition down to the north and east

West: maximum height of 62 metres, with a transition down to the north and west

North: maximum height of 20m, with a transition down to the north

South: 35 metres

Site Coverage:

None

Retail Uses

Grocery or Drug Store

Liquor Store

Retail Store

Neighourhood Grocery

Public Bike Share

Small Scale Pharmacy

Medical marijuana

Service Uses

Beauty and Wellness Centre

Hotel

Laboratory

Laundromat or Dry Cleaning Establishment,

Neighbourhood Public House

Restaurant

School - Arts or Self-Improvement

School - Business

School - Vocational or Trade

The zoning regulations for the future CD-1 Zone for the site will permit all aspects of the indicative design outlined in this master plan and allows for a range of potential uses. This proposed list of zoning parameters will be advanced through the rezoning process.

Parcel Area:

Health Campus Parcel: 39,610 sq.m.

West Parcel: 8,150 sq.m.

North Parcel: 2,190 sq.m.

South Parcel: 1,330 sq.m.

GFA by Parcel:

Health Campus: 231,200 sq.m.

West: 64,500 sq.m.

North: 7,600 sq.m.

South: 6,700 sq.m.

FSR Exclusions:

Rooftop mechanical space

Underground building area (non accommodation)

Balconies and other unenclosed spaces (up to 12% of residential floor area)

1.1 Application Intent 1.1.4 Proposed CD-1 Zoning Components



Compassionate Care is in our DNA

For over 120 years, St. Paul’s Hospital has been providing compassionate care to people who need it most, focusing on the urgent and complex health needs of the community.

An Essential Provincial Resource

St. Paul’s serves 174,000 unique patients who account for over 500,000 visits annually. As an acute care hospital, it provides non-specialized health care programs and services to the local population (Vancouver/Lower Mainland) and specialized programs and services to the entire province.

St. Paul’s is home to many world-class medical and surgical programs, some of which are unique in B.C., including heart and lung services, HIV/AIDS, mental health, addiction services, urban health, emergency, critical care, kidney care, elder care and numerous surgical specialties.

Global Leader in Health Care Excellence and Innovation

As one of two adult academic health sciences organization in B.C. (affiliated with UBC and other post-secondary institutes), St. Paul’s is a renowned acute care hospital recognized provincially, nationally and internationally for its work, including its several Centres of Excellence and affiliated research programs. By integrating evidence-based research, teaching and care, St. Paul’s leads advancements in health care that improve the lives of British Columbians and sets the standard for best practices around the world.

Figure 1-9: St. Paul’s 6 Key Populations of Emphasis

1.2 Vision: Healthy Community1.2.1 About St. Paul’s

St. Paul’s 6 Key Populations of Emphasis

We bring our values to life through intentional focus and integrated care, teaching and research to improve patient outcomes and the overall health of our communities.

CARDIOPULMONARY

Risks & Illnesses(Heart & Lung)

RENAL

Risks & Illnesses(Kidney)

SENIORS

Specialized Needs in Aging

HIV / AIDS

Risks & Illnesses

MENTAL HEALTH

Risks & Illnesses

URBAN HEALTH

(Complex Medical & Social Needs)

Addiction & Hepatitis



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Reimagining St. Paul’s with Patients at the Heart of Care

The vision for the new St. Paul’s Hospital and Health Campus is to lead in the delivery of B.C.’s new model for health care by providing our patients with the highest-quality integrated, compassionate and patient and family-centred care by the appropriate provider, where and when they need it most.

Integrated Hospital, Primary and Community Care

The new St. Paul’s will continue to be an academic health sciences organization – a globally renowned care, research and teaching hospital complete with acute, emergency and critical care programs and services to treat people when they are the sickest and need specialized care.

The new hospital will also be connected and integrated with a number of primary care, community health services and support programs, on the Station Street campus, and in the broader community in partnership with Vancouver Coastal Health Authority and other providers to meet continuing needs of patients from throughout B.C. and the local communities.

Research and teaching will be integrated throughout the campus: PHC’s world-class care providers and researchers will work side-by-side, bringing medical breakthroughs to patients at the bedside and in the community.

Other health services on the campus

• Chronic disease management services• Mental health and addiction care, beds

and programs• On-site seniors services and transitional

care beds• Ambulatory services and outpatient clinics• End-of-life care• Community outreach programs

1.2.2 Transforming the Future of Health Care

1.2 Vision: Healthy Community



Through the policy planning process, Providence developed the following 6 priorities to guide the development of the new St. Paul’s:

1.2.3 Providence Health Care’s Priorities & Objectives

• Implement an “integrated health campus model” to more effectively provide focused patient-centred care and maximize system efficiency

• Design the hospital to enable the most cost-effective care and improved outcomes for acutely ill patients

• In partnership with Vancouver Coastal Health Authority and other providers, facilitate the shift of non-acute care away from the hospital by connecting and integrating with primary and community health services and support programs in the broader community

• Develop value-added partnerships with health industry leaders in research and innovation

• Re-design care models, programs and physical settings to achieve reduced wait times and better clinical outcomes

• Enhance the focus on patient safety and experience in designing the campus, facilities, access points and transitions

• High percentage of single-patient rooms to minimize infections and maximize privacy

• Continue to serve as one of two adult academic health science centres in B.C. providing globally renowned care, research and teaching

• Continue providing provincial and highly specialized programs and complex surgical services

• Integrate new technologies and design state-of-the-art care delivery spaces

• Enable Providence to continue to recruit and retain the best and brightest care providers and researchers from around the globe

• Fully integrate evidence-based research into all aspects of the campus to enable care providers and researchers to work side-by-side to bring medical breakthroughs “from bench to person”

• Partner to provide a range of integrated health care programs and services across the continuum that are culturally and spiritually sensitive to different patient needs and perspectives and enable connections into the community

• Design buildings and indoor/outdoor spaces that promote and support health and well-being of patients, visitors and staff

• Design for growth, flexibility and adaptability to meet future health care, research, teaching and operational needs

• Ensure robust facilities and operations to respond to “shocks” (i.e. catastrophic events such as earthquakes) and “stressors” (i.e. increased demands on health system due to an aging population)

• Design patient treatment spaces to meet leading infection control and safety standards, maximize patient privacy, enable health care providers to deliver safer care, and improve health outcomes

• Ensure the project fits the funding envelope and generates funding through leveraged land assets and partnerships with St. Paul’s Hospital Foundation and others

• Ensure redevelopment planning and the future campus maximize economic benefits and the opportunities for attracting new partnerships and investment into B.C.

• Incorporate new technology and leading practice building layout, to support operational efficiency, cost savings and better patient health outcomes


Partnering to Transform the Future of Health Care for BC

Providing Patient- and Family-Centred Care

Driving Health Care Excellence & Innovation

Supporting Whole Health & Wellness

Designing Safe, Sustainable & Flexible Solutions

Ensuring Financial Viability & Operational Efficiency



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The new St. Paul’s will continue to have a patient and family-centred philosophy of care. The range of integrated programs and services across the campus will streamline access to care, so that patients can move seamlessly from one level of care to another as their health requires. For example, traditional silos of care will be dismantled in exchange for pathways that better support our patients though illness and back to health.

Triage systems will be in place to determine which patients truly require hospital care and which require primary, community or other specialist care or supports. In other words, the new St. Paul’s will aim to connect patients to the care they need – at home, in the community, in the hospital or elsewhere on the campus.

Physical design considerations that will support a smooth patient journey and positive experience while receiving treatment include:

• Patient-centred care that prioritizes the patient (and family/support network) experience and supports operational efficiencies by design

• Environmental design that supports a relaxing and restorative environment for patients and staff (e.g. access to open space, natural light and views)

• Private rooms support the quality of the patient experience (privacy and comfort) and operational objectives for infection control, safety and security

1.2.4 Patient Experience as a Priority


• Simplified wayfinding improves operational flows, reduces anxiety and improves efficiency

• Interactive and learning spaces provide opportunities for communication of key information for patients and staff

• Places that support wellness and rejuvenation such as cafés, shops, green spaces

• Sacred places to reflect, celebrate, mourn, pray and hold ceremonies

To ensure the new St. Paul’s takes into account the patient perspective, patient representatives are involved in all of our planning streams for the project, including considerations for physical design of the campus.



Clinical Plan and Physical Program

Providence Health Care is continuing to work closely with physicians, researchers, staff and care providers; community and patient groups throughout the province; as well as the BC Ministry of Health, Provincial Health Services Authority, Vancouver Coastal Health Authority (VCH), Fraser Health, the St. Paul’s Hospital Foundation and the City of Vancouver on planning for the new St. Paul’s.

The clinical plan – completed as part of the early stages of hospital planning – helps to determine how Providence Health Care and other health partners deliver patient-centred care through the new St. Paul’s Hospital and Health Campus and in partnership with lower mainland primary and community care networks. Clinical planning involves identifying current care being delivered by the current hospital to our patients, what their future health needs will be, which new clinical programs and services should be established at the new St. Paul’s, and how best to integrate new solutions into the broader community and primary care networks.

1.2.5 Clinical Planning & Physical Programming for the New St. Paul’s

A key emphasis of the St. Paul’s redevelopment is to ensure patients receive the right care in the right setting by the appropriate provider. The new St. Paul’s Hospital and Health Campus will include a core hospital to ensure continued excellence in acute care, but will also have vital adjacent services that will help direct patients to important community-based primary care and support programs on the campus.

Translating the clinical plan into the physical program of the hospital involves the careful consideration of location, size, relationship to adjacent spaces and project phasing. Physical programming for the New St. Paul’s will continue to evolve and be refined over time based on input from key internal stakeholders and in consideration of future stages/detailed hospital and health campus design.




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