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RVH s Rich History 120 years 1897 1903 1997 1985 2
Expansion Opening 2012 Brought specialized services -- such as cancer care -- and $70 million in advanced technology to North Simcoe Muskoka. 3
Our people Our patients 455,000 Patient visits 15,000 Surgeries 2,500 Employees 800 Volunteers 117,000 Cancer centre visits $325 million annual budget 350 Physicians 83,000 ED visits 2,000 Births 1,350 Students / medical residents 2016-2017 4
Where RVH s patients come from OUTSIDE NORTH SIMCOE MUSKOKA 9% CITY OF BARRIE 50% REST OF NORTH SIMCOE MUSKOKA 41% 2016/17 5
Regional programs Simcoe Muskoka Regional Child & Youth Mental Health Program Simcoe Muskoka Regional Heart Program RVH Regional Renal Program 6
Regional programs Simcoe Muskoka Regional Cancer Program Interventional Radiology Advanced stroke care 7
Why now? Planning is a complex, lengthy process 10 to 20 years Critical capacity challenges occupancy rates of 120%+ Shelled space available in North Campus RVH s 40-acre site fully utilized expansion not possible 2012 expansion addressed only 7 of 19 urgent priorities Significant population growth in South Barrie / Innisfil / Bradford West Gwillimbury 8
Population growth 300,000 250,000 Population of Bradford West Gwillimbury, Innisfil & Barrie will exceed 415,000 by 2041 Barrie 200,000 150,000 100,000 50,000 Bradford West Gwillimbury Innisfil - 2001 2006 2011 2016 2021 2026 2031 2036 2041 Census Population Growth Forecast Based on 2001 to 2016 Census 9
What s happening in Innisfil? In the past 30 years, Innisfil s population has tripled. (18% growth between 2011 2016) Innisfil s population is expected to be 70,000 by 2041 (doesn t include Big Bay Point s Friday Harbour) o A GO train station is planned for the 6 th line Population is younger than rest of Simcoe County 15% of residents are over-65 English is not the first language of 14% of residents RVH provided over 60% of hospital care to Innisfil residents 10
What s happening in Bradford West Gwillimbury? Incorporated in 1991 Current population is 35,000 (75% in past 20 years) 2 nd fastest growing municipality in Ontario (26% growth 2011 2016) Projected population is 50,000 by 2031 Population is younger than rest of Simcoe County - average age is 37 (county average is 43) 28.3% of residents first language was not English or French (Simcoe County = 10%) 11
Population Health Risk Factors Ontario North Simcoe Muskoka Eat 5+ servings of fruits/vegetables a day Are physically active Are overweight Heavy drinker Smoker 12
Population Health Chronic Conditions Ontario North Simcoe Muskoka 45% of North Simcoe Muskoka residents have 1 chronic disease 20% have multiple chronic diseases 13
Future of healthcare The current way we operate is not sustainable for our growing population. Inevitably there will be changes to our approach and how we navigate our healthcare system Technology is a key consideration and RVH plans for an innovative hospital of the future Artificial intelligence 3-D printing Virtual healthcare Wearable monitoring Robotic surgery Microrobotics Genome mapping 14
Planning Considerations Technology advances Teaching & Research Patient & family needs RVH s MY CARE Strategy Safety & Best Practices Population growth & health needs Ontario & regional health priorities 15
Guiding principles for planning Focus on MY CARE Strive for best patient/ family experience Seek broad and genuine engagement Meet population needs Ensure cultural sensitivity Care for the environment Value People Create a healthy workplace Promote recruitment & retention Strengthen partnerships Drive Clinical Excellence Ensure quality and safety Think provincially and regionally Work with partners to ensure seamless care Value for money Accelerate Teaching and Research Make decisions based on evidence Maximize technology hospital of the future 16
Planning Committee Structure RVH Board of Directors Capital Planning Committee (CPC) Includes municipal representation Includes staff, physicians & patient advisor Capital Planning Advisory Committee (CPAC) South Campus Site Selection Committee Includes community members Dozens of working groups from various teams 17
RVH s Planning Process Site Selection Master Program Clinical program & services Master Plan Facility details & costs Costing Final Plan Pre-capital Submission 18
Provincial Capital Planning Process Pre-Capital Submission Stage 1: Proposal* Stage 2: Functional Program Stage 3: Preliminary Design* Stage 4: Working Drawings* Stage 5: Implementation RVH s detailed plan for the future Stage 1 submission includes 1A Master Program (clinical service elements) and 1B Master Plan (facility details) Defines scope of project, including staffing, equipment and space requirements Block and sketch designs for building and site, timelines and costing Preconstruction phase; working drawings and contract documents are developed Approval to award tender; construction begins *REQUIRES GOVERNMENT APPROVAL TO MOVE TO NEXT PHASE 19
What is Master Programming? Reflects RVH s present and future healthcare role: Volume projections 5, 10, 20 years out Program and service needs Workload, staffing and departmental space requirements Service alignments Service delivery changes and integration opportunities 20
What is Master Planning? High-level design view of how RVH can be developed to meet future needs: - Assess current site - Identify future expansion options - Identify limitations - Predict stages of development for current facility - Costing for north and south campus 21
South Campus Site Selection Define search area Seeks broad consultation Develop mandatory & desirable criteria Develop weighting & scoring of criteria Evaluate sites Recommend more than 1 preferred site to Board of Directors 22
Preliminary Site Search area West of Lake Simcoe East of Highway 400 South of Kempenfelt Bay South to the 14 th line of Innisfil (just south of Highway 89) 23
Preliminary Site Search Within a 15-minute drive to the nearest hospital 24
Donated Land in Innisfil Innisfil Gifted Property 50 acres at Yonge St. & 6 th line 25
Mandatory criteria Site selection icon Location Site Size Legal Conditions Land Claims Air Transportation Natural Features Cultural Heritage Search area is focused west of Lake Simcoe; east of Highway 400; south of Kempenfelt Bay (encompassing the Barrie annexed lands), and north of the 14 th line of Innisfil (just south of Highway 89) Minimum of 45 acres No prohibitive legislation, easements or other legal limitations No registered Indigenous land claims No limitations for helicopter access and landing pad No designated natural heritage features No cultural heritage or archaeological features The Site Selection Committee, which includes two community representatives, will execute a very transparent, fair and consultative process for selecting a site. Based on very clear, detailed and weighted mandatory and desirable criteria, along with broad community engagement, the @TeamRVH Team RVH committee will recommend a minimum of two preferred sites to the Capital Planning Committee. www.rvh.on.ca 26
Desirable criteria Site selection icon Planning Alignment Site Conditions Accessibility Community Connection Site availability Compatible with provincial, county and municipal policies, zoning and regulations Site is developable Potential for future expansion Site is serviceable Aesthetics of site Located on a major arterial road (now or in the future) Ease of access Visibility to the site Accessible to current or planned public transit Proximity to other transportation modes Proximity to existing or future amenities, population centres, supportive uses (e.g. medical clinics), emergency services (ambulance, police, fire) Donated or purchased land? 27
Graduated model for South Campus Innisfil Rizzardo Health & Wellness Centre (5,000 sq. ft. leased space for RVH outpatient services ) Ambulatory Health Centre Inpatient units (Not dependent on a full Emergency Department) Over next 10 years 10 years 10 to 20 years Full Acute Care Hospital (ER, Critical Care, OR, Lab, Pharmacy, Imaging) 20+ years 28
First steps to meet the health needs Innisfil s Rizzardo Health & Wellness Centre 29
Rizzardo Health & Wellness Centre RVH will lease 5,000 square feet to provide a variety of outpatient services, including: Cardiac diagnostics such as stress tests, ECG and ECHO Adult medical clinics, including COPD, asthma, diabetes chiropody and geriatric services Child and youth treatment clinics for well-baby followup, asthma, autism, speech and hearing Cancer pre-treatment consultations 30
Economic impact of health centres In addition to vital health services, health centres provide jobs and spin-off impacts RVH is one of the largest employers in Simcoe County, generating payroll of almost $200 million a year Health centres attract new residents, businesses and investment 31
Your voice is key to our success 32
Guiding principles for engagement Team RVH, patients, the public and our partners will have a voice Broad and inclusive Transparent, respectful, genuine Address what matters most to stakeholders Use a wide variety of engagement tools Go where the people are Communication is frequent and accessible 33
Stakeholder Engagement Inform Find Define Validate Report Back Feb - May June - Aug Sept - Dec Form our vision Share our thinking Share our plan 34
Your Voice Matters Ways to engage: Website Social media Newsletter updates Listening sessions Roving Street Team Bedside surveys Media updates World Café sessions Clinical workshops Support service summit Departmental focus groups On-line surveys 35
Website check for updates www.rvh.on.ca 36
Join the conversation Visit RVH online rvh.on.ca Sign up for our newsletter Invite RVH to speak Ask a question or comment 37
Join the conversation 38