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South Niagara Hospital Visioning Report

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South Niagara Hospital Visioning Report South Niagara Hospital Visioning Report September, 2019 CREDITS This Visioning Report was issued September 2019, commissioned and directed by Niagara Health, and prepared by DIALOG. An acknowledgment of the invaluable participation of numerous groups and individuals is included at the end of this Visioning Report. SOUTH NIAGARA HOSPITAL FOREWARD In November 2018, Niagara Health initiated the process. A brief summary of engagement activities Visioning Report for the new South Niagara provides an overview of discussion and key Hospital. This Visioning Report lays the foundation emerging themes for the project. for the physical development of this new hospital and provides direction to additional studies and Part B is where a real synthesis of ideas and guideline documents. concepts takes place. Chapter 4 of this section present the Project Vision; structured through the A thoughtfully crafted vision with the support five domains of the CWF, several design themes are and inclusion of a broad spectrum of stakeholders articulated. Informed by feedback from stakeholder positions Niagara Health as a continued leader on CWF metrics, Chapter 5 presents ‘made in in health care while creating synergies with the Niagara’ design metric. Strategic Plan and other previously completed studies. Part C provides direction on implementation and includes a recommendation on further studies The Visioning Report is structured in three parts: under the various design themes. Part A - Understand and Analyze; In conclusion, the present Visioning Report is part Part B- Synthesis: Design Program; and of a ongoing understanding of the Project Plan Part C - Make: Next Steps and for South Niagara Hospital. The Design Vision Implementation. statement included in this Visioning Report will assist in articulating a overall Project Vision for Part A of the Visioning Report outlines the the hospital, work done under the ICAT Design project and hospital background, as well as will be a important keystone in the final Project relevant municipal policies. Further, it provides Vision. The Design Themes identified under the an introduction to the Community Wellbeing Visioning Report are foundational and will continue Framework (CWF), its relevance applicability for to inform additional work (identified as Design Extraordinary Care Extraordinary Teams Extraordinary Future Extraordinary Innovation healthcareWe provide the highest level of quality and outlines an approachWe count on our extraordinary teams to through Opportunities)By investing in our hospital – and through associated DesignWe will collaborate and try new ways to Reports. care by advancing a culture of safety and deliver extraordinary caring and we are people, equipment and technology – and deliver the best care to our patients and which the CWFservice excellence would be used in theproud to work with the absolute visioning best working strategically in our community, we their families where needed will create the future our patients deserve Project Plan Guiding Principles/Approach (Governance, Organization, Design, Service, Communication) Design Themes Design Opportunities Design Reports Design Program 1. Community Health and • …………………………………. Wellness • …………………………………. Clinical Servicing Campus Master Plan Report Planning Report 2. Focus on Patient, Family • …………………………………. • …………………………………. HQ1: Process Facility Design and Staff Experience Environmental Facility Planning (Environment, Site, Design Opportunities Improvement Building, Infrastructure, Equipment) Report 3. Excellence in Senior • …………………………………. ‐ Research, Evidence Report Health and Wellness • …………………………………. ‐ Lessons Learnt, Best Practice HQ2: ICAT Workplace ‐ Innovation 4. Accessible, Safe and • …………………………………. ‐ Performance Metrics Report Strategy Report • …………………………………. ‐ Design Scope, Clinical Inclusive Guidelines ICAT Design ‐ Implementation Plan HQ3: Patient Design Wayfinding Technology Planning (Information, • …………………………………. Experience Clinical Service Planning Communication, Automation) 5. Environmental Strategy (Functional Program) Leadership • …………………………………. Report Community • …………………………………. Wellbeing 6. Efficient and Innovative • …………………………………. Design Metrics VISIONING REPORT - iii TABLE OF CONTENTS FOREWORD ..................................................................................................... III PART A: UNDERSTAND AND ANALYZE ..........................................................1 1.0// UNDERSTANDING....................................................................................2 1.1 Hospital Background.........................................................................2 1.1.1 Niagara Health System ................................................................................2 1.1.2 Imagining a Healthier Niagara Strategic Plan 2016-2026 .............2 1.2 Project Background ...........................................................................4 1.2.1 South Niagara Hospital ...............................................................................4 1.2.2 MoHLTC Stage 1 Proposal and Stage 2 Functional Program .........4 1.2.3 Clinical Servicing Plan (2015) ....................................................................4 1.2.4 South Niagara Visioning .............................................................................4 1.3 Informing Design – The Community Wellbeing Framework and Research Background .......................................................................5 1.3.1 Wellbeing for the Healthcare Sector ......................................................6 1.3.2 South Niagara Visioning and The Community Wellbeing Framework .......................................................................................................7 2.0 // ANALYSIS .................................................................................................8 2.1 The Study Site – Existing Conditions ...............................................8 2.1.1 Site Location and Context ........................................................................8 2.1.2 Site Access .......................................................................................................9 2.2 Policy Context ................................................................................. 10 2.2.1 Niagara Regional Official Plan ...............................................................10 2.2.2 City of Niagara Official Plan ...................................................................10 2.2.3 Grand Niagara Secondary Plan .............................................................12 3.0// ENGAGEMENT PROCESS ...................................................................... 14 3.1 Stage 1 Engagement Summary ..................................................... 15 3.2 Stage 2 Engagement Summary ..................................................... 16 3.3 Stage 3 Engagement Summary ..................................................... 17 iv - SOUTH NIAGARA HOSPITAL PART B: SYNTHESIS. DESIGN PROGRAM .................................................... 19 4.0// DESIGN VISION STATEMENT AND DESIGN THEMES ........................ 20 4.1 Design Vision Statement ................................................................ 21 4.2 Design Themes ............................................................................... 22 5.0// COMMUNITY WELLBEING FRAMEWORK ........................................... 28 5.1 Overview ........................................................................................ 28 5.2 Design Metrics For South Niagara Hospital ................................. 29 PART C: MAKE. NEXT STEPS & IMPLEMENTATION .................................... 43 6.0// FUTURE DIRECTION AND IMPLEMENTATION STRATEGY ................ 44 6.1 Next Steps ....................................................................................... 44 6.2 Implementation Recommendations ............................................ 44 ACKNOWLEDGMENTS ................................................................................. 53 VISIONING REPORT - v vi - SOUTH NIAGARA HOSPITAL PART A: UNDERSTAND AND ANALYZE VISIONING REPORT - 1 1.0// UNDERSTANDING 1.1 HOSPITAL BACKGROUND 1.1.1 Niagara Health System 1.1.2 Imagining a Healthier Niagara Strategic Niagara Health (NH) is a regional healthcare Plan 2016-2026 provider with multiple sites and a growing network In 2014, NH embarked on a path to identify a of community-based services that provides strategic direction for its future. Adopted in healthcare services to more than 450,000 residents 2016, the Niagara Strategic Plan identifies the across 12 Regional Municipalities of Niagara. purpose, vision, values and areas of focus for Formed with the amalgamation of eight hospitals Niagara Health System for the next ten year. in the year 2000, and subsequent direction by the Arrived with the assistance of a robust community Province in 2004, NH is the sole provider of acute engagement effort with about a hundred sessions inpatient care for most of Niagara and is spread and numerous interactions with internal and over five sites. The NH sites of Douglas Memorial, external stakeholders, the Strategic Plan identifies Greater Niagara General, Port Colborne, Welland, ‘A Healthier Niagara’ as its overarching mission and the newly built St. Catherine site, together statement. The Strategic Plan identifies four areas employs 4,800 employees, 600 physicians, and of focus, which are illustrated by: 850 volunteers. NH services are spread across these sites and, through
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