osler june 2014 lunch n' learn town hall

ETOBICOKE GENERAL HOSPITAL

A N N F O R DV P D E V E L O P M E N T A N D I N F O R M AT I O N T E C H N O L O G Y

W E D N E S D AY, J U N E 1 8

OUR VISIONPAT I E N T- I N S P I R E D H E A LT H C A R E W I T H O U T B O U N D A R I E S

EXPANSION AND RENOVATION

THE WHOLE STORY

20+

Projects

Regular maintenanceUpgradesRenovationsExpansion &

redevelopment

THE WHOLE STORY

THOUGHTFUL APPROACH

• Coordinated approach• Minimize disruptions• Maintain/improve flow• Focus on patient/staff safety• Regular communications

• Improve existing facilities• New space for care

delivery• Support new models of

care • More modern facilities• Maintain safe, clean

environment• Access to new technology

HOW

WHY

EXAMPLE: PATIENT WASHROOMS - CONSIDERATIONS

Patient Washrooms

Condition Assessment –

scope of repairs?

Health & Safety?

Facilities Resources?

External Contractors?

Project Management?

Funding Source?

Access – patient flow implications?

Infection Control?

Procurement?

Abatement?

PATIENT WASHROOMS: STRATEGIC APPROACH

Condi

tion

A

sses

smen

t of

All

Tow

er

Wash

room

s

Mit

igate

U

rge

nt

H&

S

Issu

es

Tria

ge

Bath

room

s by

Pri

ori

ty

Base

d o

n

Condi

tion

Defin

e

Sco

pe

IPA

C

&

Abat

em

en

t R

equi

rem

ents

.

Dete

rm

ine

Acc

es

s/Pa

tie

nt

Flow

Im

pli

cati

ons

Dete

rm

ine

Exe

cuti

on

by

Faci

litie

s Sta

ff/

Exte

rnal

Contr

act

or

s

Dete

rm

ine

Fundi

ng

Sourc

e

Inte

rnal

Reso

urc

e

Pla

nn

ing

(PM

/E&

M)

Coor

din

at

e

acc

es

s w

ith

oth

er

pro

ject

s

Pro

cure

me

nt

Exe

cuti

on

MULTI-PRONGED APPROACH

1. Fix and upgrade existing space

2. Renovate 3. Expand and redevelop

OVERLAPPING TIMELINES

PROJECT MILESTONES

Q1 Q2 Q3 Q4

ASB Expression of Interest

New Wing – Technical Specs New Wing RFQ

Patient Washroom Upgrades: 4th Floor

PSOS Submission

Cooling & Heating Plant

Patient Washrooms Upgrades: Tower L5 - 10

Scope Project for Washrooms(4th Floor & Tower L5 – 10)

ED Bathroom Renovation

Nurse Call - RFP

Upgrade Wiring - RFP

Nurse Call Renovation*

Upgrade Wiring*

Stairs Renovations

M. H. Outpatient

Wall Repairs

User Groups on PSOS – Clinical Output Specs

New Generator

Interior Lighting

City Review of Parking Proposal Parking RFP

Staff Parking Lighting * = Inside Patient Rooms

* = Project Planning* = Project Implementation* = Project Ground-breaking

Q1 Q2 Q3 Q4

ASB RFP in Market

Parking (Hydo Lands Expansion)

Q1

ASB

New Wing

Interior Lighting

Staff Parking Lighting

2014/15 2015/16 2016/17

Legend:

*

FOCUS FOR NEXT 12 TO 24 MONTHS

PatientUnits

• New Nurse Call System• improve wiring• asbestos abatement

• Washroom upgrades • General maintenance• Wall protection• New lighting

FOCUS FOR NEXT 12 TO 24 MONTHS

BuildingSystems

• New heating plant• New cooling plan• New generators • Wiring upgrades• IT Infrastructure

FOCUS FOR NEXT 12 TO 24 MONTHS

BetterSpace

• MHA ambulatory clinic• Access stairs• New Washroom in ED• Upgrading parking• New lighting in staff

parking lot• Fixing the walls• General maintenance

• painting

Beyond the next 24 months

• Early Works (preparation work)

• New Wing

• Ancillary Services Building

• MOHLTC Submission on Steps 2 &3 (DI/Surgical Services and Inpatient Tower)

• Coordination of all components of the Project

RENOVATION AND EXPANSION

OBJECTIVES: PATIENT AND FAMILY FOCUSED

• Patient Inspired Care• Patient/provider Connections• Outdoor space a natural

extension of indoor space• Family spaces• Clear Accessibility and

Wayfinding• Interior/exterior areas of

respite• Acoustic environment

OBJECTIVES: POSITIVE WORK ENVIRONMENT

• Planning efficiency, travel distances, visual connections, departmental adjacencies

• Security and Safety• Diversity of Staff• Intimate connection between staff• Access to light and connection to the

outdoors• Ergonomic design

STRONG COMMUNITY CONNECTION

• Connect with outdoors – ravine• Improve community accessibility• More gardens• Change the face of EGH

PROPOSED SITE CONFIGURATION

1Ancillary Services Building

New Wing1

Redeveloped Surgical Services & Diagnostic Imaging

23Inpatient tower

renovations

The ‘new’ EGH

NEW WING

• Emergency Department/Satellite DI

• Critical Care (ICU/CCU)• Women’s and Children’s

(Labour & Delivery, Special Care Nursery)

• Cardiac, Respiratory & Neuro Diagnostics

• Ambulatory Procedures• Medical Day Care• New Main

Lobby/Registration• Expanded parking/New

entrance

NEW ANCILLARY SERVICES BUILDING

• About 200,000 square feet• General medical use– Physician offices– Hospital clinics including satellite DI – Dialysis services– Humber College Health Services programs– Retail space

• Front of hospital with linkages to main lobby

PROJECT MILESTONES

Q1 Q2 Q3 Q4

ASB Expression of Interest

New Wing – Technical Specs New Wing RFQ

Patient Washroom Upgrades: 4th Floor

PSOS Submission

Cooling & Heating Plant

Patient Washrooms Upgrades: Tower L5 - 10

Scope Project for Washrooms(4th Floor & Tower L5 – 10)

ED Bathroom Renovation

Nurse Call - RFP

Upgrade Wiring - RFP

Nurse Call Renovation*

Upgrade Wiring*

Stairs Renovations

M. H. Outpatient

Wall Repairs

User Groups on PSOS – Clinical Output Specs

New Generator

Interior Lighting

City Review of Parking Proposal Parking RFP

Staff Parking Lighting * = Inside Patient Rooms

* = Project Planning* = Project Implementation* = Project Ground-breaking

Q1 Q2 Q3 Q4

ASB RFP in Market

Parking (Hydo Lands Expansion)

Q1

ASB

New Wing

Interior Lighting

Staff Parking Lighting

2014/15 2015/16 2016/17

Legend:

*

INFRASTRUCTURE INVESTMENTS AT EGH TO PRESENT

Planning Grants

Early Works Grants

Other Ministry Grants

(non- redevelopment)

Total Grants

Budget Approved Received Spent

25.5 19.0 19.0 4.1

22.1 21.3 6.2 7.8

17.4 15.3 7.6 6.8

65.0 55.6 32.8 18.7(in Millions)

QUESTIONS AND NEXT STEPS

Questions can be sent to town.halls@williamosler.hs.ca

OUR VISIONPAT I E N T- I N S P I R E D H E A LT H C A R E W I T H O U T B O U N D A R I E S