The Providence Health Campus at Station Street
PHC has acquired 18.5 acres of land in the east False Creek Flats area of Vancouver to enable the renewal of St. Paul’s Hospital. PHC refers to the site on Station Street as the Providence Health Campus.
PHC’s renewal vision for the site is to develop a health campus that includes a new world-class, state-of-the-art St. Paul’s Hospital and research facilities, along with other potential solutions for the delivery of care for the Lower Mainland and the Province of BC.
With 18.5 and acres of available land, it is an ideal opportunity to completely redesign acute and ambulatory care, offering future generations the best health solutions for the region and the province.
The campus can enable a sustainable step change in the way acute health care is delivered in BC, accelerating current trends in health care towards short-stay and ambulatory care, and adopting new approaches to care through a comprehensive process redesign – increasing efficiency and effectiveness and linking services to create better patient flow and efficient care.
The campus will deliver:
• A new patient care model, focused on increased shift to outpatient and same day/short stay medical and surgical services, improved efficiency, patient safety and outcomes.
• Strengthened clinical teaching and research capabilities, consistent with medical school expansion plans and interdisciplinary
• Optimal use of facility and human resources.
• The opportunity to leverage and enhance medical research applications.
• A catalyst for health research and growth in the biotechnology sector into the future
• A safe, efficient, affordable, adaptable and sustainable environment. The Campus will attract and retain health care professionals and replace inappropriate physical infrastructure to meet current and future demand and changes in health care, and to support the future health care direction for British Columbia.
Benefits of Renewing at Providence Health Campus
The St. Paul’s Hospital renewal at the Providence Health Campus will benefit patients through:
• 146,000 more ambulatory visits per year
• 33,000 more medical imaging tests
• 20,000 more ER visits
It will immediately improve health care using the latest technology and facility designs to decrease wait times, improve patient flows and access, improve overall care and safety -- especially in the areas of infection control, earthquake preparedness and emergency care.
The new hospital will be 26 per cent cheaper to build at the Providence Health Campus site than a complete renovation at the current Burrard Street site.
A new hospital will also be faster to build at the Providence Health Campus site: taking five years for construction as opposed to 15 years’ construction for a rebuild at the current Burrard Street site.
In addition, a new hospital at Providence Health Campus will result in 12 per cent annual operational and efficiency savings.
Because the Station Street campus site has more space (18.5 acres compared to the current Burrard St. site’s 6.5 acres), it will be able to meet the 30 per cent additional space required to meet the health-care demands for 2020 and beyond; and it will have flexibility to expand for future growth
requirements. (All these advantages are not present for a rebuild option at the current Burrard St. site.)
Continued Presence in the West End
Although St. Paul's Hospital is a provincial resource – receiving almost 40 per cent of its inpatients from outside Vancouver – PHC knows it is important to continue the hospital's historic and important presence in the West End of downtown Vancouver.
PHC’s vision is to maintain services for the West End community within the West End. While retaining some heritage component of its buildings, the site could be reconfigured and redesigned to include an urgent care centre, seniors’ care and services, seniors’ housing, social housing, HIV/AIDS specialty
services, and ongoing primary health care for West End residents.
Architects: Busby and Will
Cost: $1.2 billion
Model of Care
Following both LEED and Green Guide for Health Care guidelines, The Legacy Project will be an innovative health care facility designed to exceed human health and environmental expectations.
Busby Perkins+Will, in collaboration with Farrow Partnership Architects Inc., was retained in 2006 to design the new Providence Legacy Hospital located on False Creek Flats in downtown Vancouver. The initial task involved a thorough and on going urban design analysis of the site and surrounding context. This analysis required an understanding of community services and infrastructure.
As such, photographic and digital site surveys and context were prepared to be used as the basis of scheme design. Character studies of the surrounding context achieved an understanding of architectural character, materiality, landscape features, and public realm amenities.
In conjuction with PHC Legacy project, the design team members have produced pre-design concepts, initial clinical planning, masterplanning, massing options and development strategies for the hospital redevelopment, ensuring the design remains focused on sustainability and effective patient care. This redesign will allow the efficient incoporation of the most current technology, facilities and patient flow-processes as well as provide BC with a superior teaching facility. Targeting a minimum of LEED Gold certification, the new hospital will incorporate green strategies which will include convenient transit connections, maximum use of natural light, low energy consumption and natural ventilation systems that will enhance the hospital's ability to control airborne infectious diseases.
The model of care for the campus would be based upon the provision of an integrated academic and research campus providing specialized and unique services, including tertiary and quaternary care, linking research, teaching and clinical care programs.
Within the new campus, re-engineered processes will optimize patient flows, facilitate earlier discharge, and patient and staff safety, delivering more rapid translation of research into patient focused treatments.
New designs will ensure integration and efficiency improvements and will facilitate the use of new technologies and new equipment. Updated operating rooms will also contribute to improved patient wait times and outcomes.
The campus will be developed on the basis of “Lean Flow Analysis,” a widely used design tool that is intended to optimize operating efficiencies in complex processes, including for example:
• The development of a Patient Intake Centre to consolidate many patient flows around admission processes and to act as a gate for clearing patients prior to providing more complex services;
• Consolidation of patient flows into and out of therapeutic/invasive services requiring anesthesia, and associated consolidation of staff to allow more efficient staffing flows;
• 100% acuity flexible single patient bedrooms. The review of a broad spectrum of evidence based design research demonstrates extensive support for single patient rooms.
• An acute academic/research campus focused upon the provision of emergency services, inpatient services and specialty services.
• Therapeutic/invasive services, outpatient clinics and clinical support services. For analytical purposes, this approach has been presented as a
single “Centre for Ambulatory and Surgical Treatment” (CAST), and will involve multiple linked facilities.