Moving from SickCare to Wellness Care Innovations in Urban ...
Transcript of Moving from SickCare to Wellness Care Innovations in Urban ...
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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
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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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Facility Development: Concept Of Wellness
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Facility Development: Concept Of Wellness
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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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Concept of Wellness Projects: Surrey Memorial Hospital Precinct
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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
Concept of Wellness Projects: Eagle Ridge Hospital
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Concept of Wellness Projects: Eagle Ridge Hospital
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Concept of Wellness Projects: From Idea to Reality
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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
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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
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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
Concept of Wellness Projects: From Idea to Reality
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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
Concept of Wellness Projects: From Idea to Reality
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“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
Concept of Wellness Projects: From Idea to Reality
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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
Concept of Wellness Projects: From Idea to Reality
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