Medical Staff & the New St. Paul’s Hospital

Join us to transform health care.



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The new St. Paul’s Hospital: 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 had an active role 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 need  physician voices, ideas and leaders to join us. There are many opportunities for you to be a part of it.

Physicians and the new St. Paul's


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 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.



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