Physicians and the new St. Paul’s

Join us to transform health care.

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REDEVELOPMENT NEWS

Green lit! The new St. Paul’s gets approval to move forward, expected to open in 2026.  News release>

What’s next for physicians?  See Dr. Jeff Pike’s update to Medical Staff, March 4, 2019> 

Canvas for innovative care:  Dr. Jeff Pike – Feb. 15, 2019.  Read here >

Physicians: Ask questions or request to be involved in planning here

The new St. Paul’s: An opportunity like no other.

From hospital care to primary and community care, the new St. Paul’s Hospital and health campus will be the most innovative approach to the delivery of integrated care in B.C. and Canada. 

Physicians have active role to play in planning how we will work and care for our patients at the new campus, and to advance ideas that transform how health care services are delivered. To date, physicians have been involved in thousands of hours of planning to:

  • Contribute expertise and experience about patient care and the populations we serve.
  • Build on our culture of innovation with tools, ideas and solutions.
  • Bring forward small and big ideas in the areas of transformation, integration and innovation.

But our work is far from done. We still need more physician voices, ideas and leaders to join us. There are many opportunities for you to be a part of it. Read below to find out how.

Physicians and the new St. Paul's

WHAT IS HAPPENING?

What is SPH redevelopment?
  • Redevelopment is the business case and process for developing the physical structure of the new St. Paul’s hospital and health campus.
What is transformation and innovation?
  • Our brand-new campus is not just about buildings. It is an opportunity to make the experience of care more understandable and effective for our patients and ourselves in the future.
  • Transforming care means revisiting everything we do with innovative solutions: from how patients access our services, to how we work in procedural, outpatient and inpatient spaces, to the way we interact with learners.
What is integration?
  • The hospital campus will be integrated with team-based primary care services, community services and support programs. Having primary care at our site will increase patient access to unscheduled visits (instead of the ER) and to a primary care provider for ongoing support.
  • We will work in different ways with our new neighbours from different parts of the system.
  • Acute, primary and community care providers need to shift together to make real, system-wide change, and the new Paul’s will be a catalyst for that shift.
What is the big picture for integration across the system?
  • An integrated system of care aims to help people stay healthy, manage their chronic illnesses and address episodes of minor acute illnesses outside of the hospital, while providing high-quality critical and acute careservices when they are very sick.
  • Work is already underway across BC to shift patients’ reliance on acute care by strengthening primary and community care services. In new primary care networks in our communities, patients will have better access to responsive, preventative primary care, which in turn will help to prevent unnecessary hospital visits, and take pressures off acute care.
  • Integration will be enabled by technological innovation that ranges from new communications and patient records systems to virtual care.
What is the big picture for key populations?
  • We are also looking at how transformation, innovation and integration can provide new ways of supporting growing numbers patients who need better solutions, especially in the following key populations:
    • frail elderly with multiple health issues
    • patients with chronic and complex health needs
    • people who need help for mental health issues and substance use
    • people requiring surgery and cancer care
  • We provide provincial services in many disciplines, and we aim to partner widely with rural and remote primary care services make access to specialized services seamless.
  • We see these kinds of patients every day as part of our urban services. At the same time, we provide provincial services (heart transplants, cochlear implants, etc.). Together, these perspectives uniquely position us to lead solutions in these areas of need

WHAT WILL THE FUTURE LOOK LIKE?

What will the future look like for patient care?
  • Integration creates a cross-discipline, team-based approach to care. It puts patients at the centre. All providers that contribute to their care (from acute to primary care) come together around them, and are connected to each other.
  • Patients and families get high quality, seamless care from the time they access acute services until they return home.
  • Patients will have options for unscheduled visits instead of the ER, and continuous support arranged in the community, primary care and at home after they leave the hospital. Their information will be shared among their providers, and when appropriate, they will be able connect with their doctor through a virtual care visit.
What will the future look like for physicians?
  • It will be easier to do your job with more support from people, new services, and technology, and better connections and communication across the hospital and system.
  • You can find out how your patients are doing and get updates about their status with a care plan that is shared among providers.
  • You will know that your patients are getting the best care, where and when they need it.
What will transformation look like?

Here are just two examples (of several):

  • A comprehensive system of integrated care for mental health and substance use patients. A supportive, inter-professional team is activated from the moment a client arrives at the ER in crisis. Patients get non-stigmatizing care in a purpose-built, safe and effective mental health space; access to a stabilization unit if they need it; and transition to a multi-specialist outpatient clinic for short stays and ongoing support.
  • A Centre for Healthy Aging outpatient centre for medically complex and frail elderly patients and their caregivers. Among other things, it provides an alternative to the ER for unscheduled medical visits, along with assessments that ensure the elderly are well supported to remain functionally independent as long as possible.

TIMELINE

Where are we at in the process?
  • The new St. Paul’s is scheduled to open in approx. 2026.
  • The business plan was submitted to government and approved to proceed on Feb. 15, 2019. It includes:
    • Clinical scope – proposed numbers of beds, ORs, ER and outpatient spaces etc.
    • Clinical specifications about how we will provide services in the future.
    • Functional programming: major ways we intend for our services to shift and integrate across the system and across populations.
    • Indicative design: schematics, design of rooms, etc.
  • Through spring 2019, we will work to refine the clinical specifications.
    • This will further shape how we intend to work in the space and what we expect the space to do.
    • This phase will also create essential instructions for future design teams (builders, engineers) to inform requests for qualifications (RFQs) and proposals (RFPs).
    • We need physicians to be deeply involved in this phase. See below for how to get in touch.

HOW CAN PHYSICIANS TAKE PART?

WHY should physicians get involved?
  • So you can do your job more easily and in a more fulfilling way – whether it is to provide direct care or a supportive service.
  • And you can contribute to our collective effort to create a better health care system overall.   
WHEN should physicians get involved?
  • The new campus will open in about seven years, but now is the time to get involved and influence ongoing plans.
WHAT has been the role of physicians so far?
  • To date, individual doctors, groups of physicians, and department heads have all contributed in many ways to provide important perspectives and proposed solutions through a multitude of discussions, meetings and formal processes.
  • We continue to discuss everything from clinical space needs and patient flow, to big picture changes, and scalable solutions across the hospital.
WHAT is current priority (2019) for physician involvement?

Through spring and summer 2019, we need physicians to be involved in refining our clinical specifications. This part of the process will further shape how we intend to work in the space and what we expect the space to do.

  • We want to hear about your experiences in your area of practice, approaches from other hospitals or organizations, or new and innovative ideas about:
  • tangible flow of patients, families, visitors, providers
  • tangible flow of information, medication, equipment and supplies
  • tangible ways to improve quality
  • options for ER patients
  • solutions for elderly patients, or mental health and substance use care
  • better systems such as surgical design and care, cancer care
  • integrating across areas of patient contact such as medical and surgical care
  • …and many other areas of discussion
HOW can you get involved now?

 3 MAIN WAYS:


1. JOIN DISCUSSIONS AND MEETINGS.
Physician involvement is designed to be flexible, to allow physicians to join the conversation as your time permits. You can contribute in formal and informal ways through:

  • Department meetings
  • One-on-one discussions
  • Small groups
  • Dinner meetings
  • Champions for your area of interest
  • Leadership roles

Submit your contact information and area of interest here We can have a discussion and let you know about upcoming opportunities.

 

2. SUBMIT A PROJECT FOR FUNDING. (via Facility Engagement)

 

3. ATTEND MSA MEETINGS AND OTHER PHYSICIAN EVENTS to hear about opportunities and updates.  

 

Is there funding for physician involvement?
  • Yes. We respect your contributions and time. Sessional payments are available to recognize the time you may need to take time away from your clinical work or personal time to contribute to this important work.

PHC PHYSICIANS: JOIN US IN OUR WORK TO TRANSFORM OUR FUTURE.

Get in touch here