Doing what it takes to transform care
As innovative visionaries, we are boldly imagining and planning a new hospital and health campus from the ground up.
The redeveloped St. Paul’s will continue to be a full-service hospital, providing acute, inpatient, outpatient and specialized care services. It will integrate with primary care services, such as clinics and family doctors, as well as community health services and support programs to ensure patients receive the highest-quality care at home, in the community or in the hospital.
But the redevelopment is also a once-in-a-lifetime opportunity to transform the delivery of care to better serve patients when they are sickest and need specialized care.
In 2016, the St. Paul’s Redevelopment Project team led considerable clinical planning and technical work (which included the completion of a clinical service plan and a functional program), developed a master site plan and engaged in comprehensive internal and external stakeholder consultation.
“Significant planning for the new St. Paul’s is underway and continuing to evolve as the project moves forward,” said Paul Landry, Senior Vice President, Providence Redevelopment and Chief Project Officer, St. Paul’s Redevelopment Project. “Over the last year, Providence Health Care has been undertaking the complex and difficult work to plan for the redevelopment of St. Paul’s and reimagine how the health-care system could better support patients in Vancouver and across British Columbia.”
As indicative design and more detailed planning moves forward, the redevelopment team is applying leading design principles and state-of-the-art building layouts to support a patient-centred, healing environment that will result in better health outcomes and experiences.
The goal is for physicians/medical staff, nurses, researchers and educators to have access to advanced technology and equipment that integrates and better supports patient care, while also facilitating research and learning. At the new St. Paul’s, Providence’s world-class physicians/medical staff and researchers will work side-by-side, enabling them to rapidly bring medical breakthroughs to patients at the bedside and in the community.
By relocating to Station Street in Vancouver, we will also have a greater ability to provide patients with high-quality, culturally sensitive care, particularly within Providence’s key areas of emphasis.
“This is our chance to make a major step forward around the needs of our patients, together,” said Dr. Jeff Pike, Physician Director, Clinical Planning, Providence Redevelopment. “St. Paul’s has always had exceptionally close ties to the people who make up our community. We remain committed to meeting the health care needs of all British Columbians, whether they live in the West End, the Downtown Eastside, Haida Gwaii or Fort St. John. The new St. Paul’s will provide all British Columbians with world-class health services in a way that puts equal emphasis on supporting patients and care providers, in their homes and in their communities, as well as providing complex care on the health campus.”
As an organization with a proud tradition of providing compassionate care for over 120 years, we will do what it takes to ensure we can continue to provide our patients with exceptional care for decades to come.
Submission of plans to the Ministry of Health
Providence reached a major milestone with the submission of plans for the new St. Paul’s to the Ministry of Health in early 2017.
The submission included a summary of the project’s rationale, vision and scope; clinical, functional and campus redevelopment plans; a preliminary cost estimate and project schedule. Planning is still ongoing and progressing. Our goal is to develop a new hospital and health campus that is truly transformational and that work takes time to do it right.
Listening for improved understanding
To better understand the needs of our patients, their families and the community, Providence proactively engaged and sought feedback from key stakeholders to help us develop plans for the new St. Paul’s. We worked hand-in-hand with VCH to gather community and patient feedback.
In 2016, the redevelopment team held eight community forums, conducted an online survey and met with dozens of community stakeholders on the redevelopment project. Participants in the meetings, forums and survey included direct service provider organizations, community advocates, special interest groups, front-line care providers, Indigenous individuals and organizations, business owners, elected officials and local residents, including from Vancouver’s West End/Downtown and Downtown Eastside/Strathcona/False Creek communities.
Engaging with frontline care providers, researchers, support staff and our partner organizations, is an important part of our planning and dozens of meetings were held with internal stakeholders last year to ensure that their expertise and advice are considered in every aspect our planning from start to finish.
Planning in partnership with the City of Vancouver
The City of Vancouver is a key planning partner as we look ahead to future considerations on the Station Street site.
Since January 2016, Providence has been working closely with the City to align the project’s vision and critical requirements as an integrated care, research and teaching facility with the city’s planning objectives (community, social, economic, transportation, emergency management, healthy city and sustainability plans and policies).
The City is responsible for developing a policy statement to guide land use, sustainability, transportation, density, building types and heights, amenities, phases of development and other site-specific considerations on the Station Street site.
Significant technical work and engagement has occurred and two out of three phases were completed in 2016. The City of Vancouver council is anticipated to review and approve the policy statement in the spring.
RESIDENTIAL REDEVELOPMENT WILL PROVIDE WORLD-LEADING CARE ENVIRONMENTS FOR SENIORS
PHC’s Residential Redevelopment Project envisions changing residential care from an institutionalized medical model of care to a social model where first and foremost we create a home and community that our residents would want to live in.
The key part of the project is planning for modern, new homes on PHC’s St. Vincent’s: Heather site at 33rd Avenue and Heather Street in Vancouver, providing an opportunity to design and build something innovative and substantive from the ground up — a mini-community on the campus with diverse amenities and services.
The past year saw the residential redevelopment planning team completing the Clinical Services Plan, Functional Plan, Concept Plan and a business case for the project.
The strongest incentive for redevelopment of our homes is the age of our buildings and the need to create single rooms for all residents.
In addition to completing a clinical services plan, functional plan and a business case, the past year saw focused engagement and planning activities to ensure the best future home environments and care delivery solutions were looked at. The project planning team had great success by utilizing the “Residential Care for Me” planning initiative of the elder care program to engage with residents, families and staff from all five of our residential care homes to inform the vision for the future. The feedback to the planning team had been to look at designing home-like environments for residents (e.g., single or double rooms with private bathrooms), with the ability for plenty of social interaction, being able to be outdoors, feeling like they live in a place that’s connected to — and invites in — the surrounding neighbourhoods. The planning team has also looked at potentially including such amenities as a restaurant, hair salon, grocery store, child care or theatre, among others.
The planning team also completed a field study of 19 residential care homes in five European countries.
“We saw a lot of innovation, inspiring us to continue our planning for a monumental shift in how we can deliver residential care in Canada,” says Jo-Ann Tait, program director, Elder Care and Palliative Services, and residential redevelopment project sponsor. Jo-Ann undertook the study with Robena Sirett, residential redevelopment clinical planning lead.
“We saw the types of seniors and residents the Europeans are focusing on — people with significant medical complexity and people with moderate to severe dementia,” says Jo-Ann. “And we learned how the roles of staff, the types of care models and services provided, the architectural designs, the uses of technology, and how the participation of family and communities come together to provide innovative home settings for seniors and care that lasts to the end of their life journeys. It was eye opening.”