Healthcare Infrastructure, Eastern Canada

Registration Opens – Coffee and Refreshments

Co-Chairs’ Opening Remarks

Cathy Renaud, RN, BScN, MHM, CHE
Director, Planning and Programming, Capital Development
William Osler Health System

Darnell Williams
Director, Planning and Design
Trillium Health Partners

Coffee & Conversation

Industry Outlook for Healthcare Infrastructure in Ontario: Pipeline, Priorities, and Projections for the Year Ahead

Imad El Haddad, M.Arch, MBA
Senior Vice President, Project Delivery, Healthcare Portfolio, Hospitals
Infrastructure Ontario

Bruce Gray
Executive Vice President, Project Delivery
Infrastructure Ontario

James Stewart
Director, Health Capital Investment Branch
Ontario Ministry of Health

David Ho
Chief Procurement Officer and EVP Program Strategy & Management
Infrastructure Ontario

Moderator:

Ian McDermott
Executive Director, Redevelopment and Chief Planning Officer
University Health Network

Grab your morning coffee and settle in for a special interactive conversation with Infrastructure Ontario, and industry partners.

This session will start off with an interview style Q&A aimed at providing a clearer view of the trends shaping healthcare infrastructure in Ontario—from the pipeline, and current project pressures to projections for 2024. Afterwards we’ll dig a little deeper with your questions on process, procurement, and the future landscape for healthcare builds.

• Identifying how IO likes to work with project teams
• Streamlining communications and preparing for meetings for efficient submission review process
• Exploring what measures are being taken to adapt to current market conditions
• Assessing where there are opportunities to pivot or scale back
• Determining if billion-dollar healthcare projects are sustainable moving forward
• Tracking trends in material cost, labour shortages and the impact on project delivery
• Developing strategies to mitigate the impact schedule, and cost projects, especially those with long lead times

Contracting Trends in Today’s Healthcare Infrastructure Market

Annik Forristal
Partner
McMillan LLP

Owners and contractors are facing uncertainty in the market and it’s impacting timelines and budgets. This presentation will consider the key principles for project success and how project contracts are changing in response to this market uncertainty. The discussion will focus on how to use your contracts to ensure all parties are positioned to effectively navigate the bumps that inevitable arise on the road to project completion including:

• Trends in Project Delivery Methods
• Changes to Payment Terms, including Price Escalation Clauses
• Contract Risk Allocation Terms, including Delay and Force Majeure Clauses

Morning Coffee Break

Spotlight on Ontario’s First Progressive DBFM: Early Takeaways and Lessons Learned from the Trillium Health Team

Darnell Williams
Director, Planning and Design
Trillium Health Partners

The Peter Giligan Mississauga Hospital project is being delivered using Ontario’s first progressive public-private partnership (P3). The model is intended to foster a collaborative approach to the development of project requirements, design, pricing, schedule, and risk management. Join project leads from THP, as they share:

• An overview of plans for one of largest most advanced hospitals in Canada
• Examining the ins and outs of the DBFM model
• Identifying what type of projects align well with this model
• Reflections on early lessons learned from working through this process with project partners
• Identifying key challenges that have come up and strategies implemented to work through them

Lightning Talks

The Express Tour of 3 Healthcare Projects in Eastern Canada

Peel Memorial:

Thevaki Ganesharajah
Senior Project Manager
Capital Development, William Osler Health System

This session will provide a snapshot of three distinctive healthcare projects that are either currently underway or recently reached completion. Each lightning talk will cover scope and timelines, and innovative design elements, as well as lessons learned during the delivery process, and post occupancy. Presentations will be followed by Q&A.

Lunch Break

Exploring Intersections of Health and Wellness Research and Applied Practice

Natalia Olszewska MD, Ph.D.
Co-Founder
Impronta

Tye Farrow
Senior Partner
Farrow Partners Architects

Pia Kontos, Ph.D.
Senior Scientist
KITE Research Institute, Toronto, Rehabilitation Institute – University Health Network
Professor
Dalla Lana School of Public Health & RSI

Laurie Kilgour-Walsh
Interim Head of Wellness and Learning
Art Gallery of Hamilton

Moderator:

Keith Francis
Associate Senior Director of Experience Outcomes
Forge Media + Design

From health and wellbeing, architecture, psychology, sociology, anthropology or critical disabilities, the contributions of Neuroscience to healthcare and its infrastructures have become the thruline method used to uncouple, translate, and answer the critical question of WHY? and HOW? as it relates to our understanding of the complexities of human themes, service support and the design of the built environment.

Join a diverse panel of applied practitioners, pioneers, and advocates for an extended roundtable discussion that will touch on:

• Designing spaces to promote health, wellness and productivity
• Identifying the contributions of arts and culture in promoting inclusive and accessible spaces, and the reciprocal nature of health and architecture
• Biophilic designs: Assessing the efficacy of a sensory dementia garden

Afternoon Networking & Refreshment Break

Evidencing the Importance of a Population and Social Determinants of Health Informed approach to Hospital Capital Planning

Jana Fear, MLIS
Office of Capital Managemen
London Health Sciences Centre

Andrea McInerney
Executive Director, Office of Capital Management
London Health Sciences Centre

Situated in London, the fastest growing city in the province, and 3rd fastest growing city in Canada, LHSC is the single acute care hospital for the local community. LHSC currently serves a total population of more than a million in Southwestern Ontario for specialty acute care.

Like many Academic Health Science Centres around the world, LHSC is playing an increased role in population health and equity. This session will focus on SDH risk informed methodologies currently being used at LHSC for volume forecasting:

• Defining social determinants of health (SDH) and why it matters within the context of master/capital planning
• The importance of a Population and Social Determinants of Health (SDH) informed approach to forecasting volumes within capital planning
• Examining SDH risk informed methodologies and how they are essential to ensuring equity deserving populations are meaningfully acknowledged with respect to future hospital capacity and infrastructure planning
• Analyses and mapping of SDH risk groups that evidence the greater concentration of need

Addressing Gaps in the Continuum of Care

Transforming Infrastructure to Meet the Complex Medical Needs of Vulnerable Populations in the Community

Patsy Poulin
Principal
Cumulus Architects Inc.

Larissa Smit
Director of Innovation & Strategy
Safehaven

Gaps exist in the continuum of care for individuals with disabilities and complex medical conditions. Family members provide care where they can but are often left looking to an overstretched Long Term Care system to help.

Savehaven, an organization that provides day programming, respite and residential care for children, youth and adults is working with Cumulus Architects to reimagine the physical space in a way that will help fill the gaps that exist.

In this session explore how the redevelopment of Safehaven’s Bloor Street site will:

• Address current gaps in the continuum of care
• Leverage community synergies to create a state-of-the-art hub
• Reimagine residential, and transition care spaces in a way that will enable respite and day program expansion

Networking Reception Sponsored by

Registration Opens and Continental Breakfast Served

Co-Chairs’ Opening Remarks

Cathy Renaud, RN, BScN, MHM, CHE
Director, Planning and Programming, Capital Development
William Osler Health System

Darnell Williams
Director, Planning and Design
Trillium Health Partners

Embedding Indigenous Knowledge, Traditional Healing Practices and Cultural Safety & Humility into Healthcare Planning and Project Delivery

Andrew Koscielniak, R. Kin, MA
Director, N’doo’owe Binesi, Indigenous Health
St. Joseph’s Hospital

• Building a health system that honours traditional health and holistic wellness practices of Indigenous Peoples
• Developing a framework to guide the organization and improve the healthcare experience for Indigenous clients
• Integrating practices into the built environment—through sacred spaces, healing gardens, art installations
• Creating culturally safe environments and healthcare services and initiatives that respond to the unmet needs of Indigenous clients

Clinical Perspectives on Operational Readiness Planning: A Roadmap to Reducing Risks and Preparing for Opening Day

Moderator:

Jeannie Gandham
Associate Director
New St. Paul’s Hospital

In this session, our panelists will provide insights on:

• Determining optimal timing to commence activation planning of the healthcare facility
• How early is too early to start planning?
• Conducting current and future state analysis
• Leveraging VR and other technologies to assist with staff readiness to take over the facility
• Developing strategies to engage stakeholders during operational readiness planning
• Designing effective clinical workflows
• Establishing clear objectives for opening day
• Applying best practices for the handover to clinical staff
• Identifying strengths of governance, and opportunities to evolve current models

Morning Coffee and Networking Break

Special Focus on Digital Enablement

Interpreting the CSA Digital Infrastructure Standard for Healthcare Facilities

Christine Chadwick
Managing Director
Archus

Mathieu LeBreton, RN, BScN, MScHQ
Senior Project Manager
Digital Experience Lead | FFE & ICAT Planning
New Campus Development
The Ottawa Hospital

The integration of digital infrastructure is an increasingly important, and complex consideration for both new and existing healthcare facilities. It can be difficult to know where to start in such a rapidly evolving technological landscape and how to identify the best approach for your organization.

The CSA has released a first draft of a new standard published for public review that will provide a framework for the adoption technologies.

Points of discussion include:

• Developing your healthcare facility’s vision and technology strategy
• Navigating procurement processes
• Implementing scalable IT solutions

Testing and Operationalizing Technology: Strategies for Smoothing Out the Transition to a New Healthcare Facility

Langdon Baker
Principal
Smith + Andersen

Shelley Darling
Chief, Operational Readiness
Michael Garron Hospital

Building off our previous session—presenters will provide case study examples of recent technology implementation projects at healthcare facilities in Eastern Canada.

Key points to be covered:

• Working within project and budget constraints
• Preparing staff to use new digital tools through training and change management best practices
• Tips on technology testing and ensuring systems are ready for opening day

Lunch Break

Navigating IPAC Standards and the Productive Tensions that Arise During Planning and Construction

Jessica Fullerton
Regional Infection Control Healthcare Facility Design Program Manager
The Ottawa Hospital

Marianne Lee, P.Eng., ing., LEED AP
Principal
H.H. Angus & Associates Limited Consulting Engineers

Peter Duckworth-Pilkington, B.E.S., B.Arch.
Architect OAA, LEED AP
HDR Inc

Moderator:

Cathy Renaud, RN, BScN, MHM, CHE
Director, Planning and Programming, Capital Development
William Osler Health System

Healthcare facility planning involves many, sometimes competing or conflicting considerations ranging from environmental and sustainability measures to infection control and patient safety. This session will examine the decision-making process behind some of the tough decisions and how a holistic perspective for all parties helps pave the way to solutions.

Enabling Action on Climate Change

A Case Study from the NHS Net Carbon Standard

Rebecca Stubbs
Senior Consultant, Infrastructure Advisory, Climate Change and Sustainability
Mott MacDonald

The climate emergence is a health emergency. As embodied carbon of materials and construction processes typically accounts for upwards of 70% of whole lifecycle carbon emissions from a hospital, acting on embodied carbon emissions never seemed more pertinent. In this session examine how the UK is tackling the challenge by influencing maturity of the market by generating data and creating a framework of measurement and moving towards true net-zero healthcare facilities across their lifecycle.

• Exploring how NHS NZC Building Standard developed an innovative framework for healthcare facilities.
• ‘Tiering’ building elements to set different requirements that respond to industry maturity and data availability.
• Analyzing examples of the impacts of the net zero standard on projects.
• Assessing different trade-offs with other industry priorities – such as pre-manufactured value, adaptability, and sustainable material choices.
• Bringing this together with other regulation and standards in Canada.

Afternoon Networking and Refreshment Break

Establishing Standards for Private Medical and Surgical Centres in Ontario

Stasia Bogdan
Director Planning & Redevelopment, Providence, St. Joseph’s
Unity Health Toronto

Kirsten Reite
Principal
KRA

Private healthcare in Canada has been available for many years in the form of elective and cosmetic surgery however due to demand, driven in part by COVID 19 and the associated wait times, private, non-hospital medical and surgical centres are fast becoming a partner in our public system. The passage of Ontario’s health reform bill earlier this year shows a deepening commitment to this partnership by allowing more private clinics to offer select publicly funded procedures. It’s a critical time to explore standards for these clinics to ensure patient safety. This discussion will focus on:

• Non-Hospital ambulatory care model specifically concerning design impacts of CSA, accreditation, and building systems impacts compared to hospital facilities
• Applying standards and contemplated revisions to the current edition of the CSA standard, which will further inform future builds for a more robust model of standardization and public safety

Examining the Benefits of Managing MES Projects In-House: Key Takeaways from the HHS Journey to Replace its Diagnostic Equipment Fleet

George Pankiw
Director Capital Development
Hamilton Health Sciences

Diego Gomez
MES Project Manager
Hamilton Health Sciences

• Examining the details of the equipment replacement plan and HHS progress on projects to date
• Assessing the benefits of managing these projects in-house instead of using ‘turnkey’ type construction contracts
• Identifying key challenges for the MES projects
• Developing strategies to stay on schedule and mitigate risks

Conference Concludes