Prince Edward County Memorial Hospital New Hospital Planning Brad - - PowerPoint PPT Presentation

Prince Edward County Memorial Hospital New Hospital Planning

Brad Harrington, Vice President & CFO November 18, 2016

• .

Existing Hospital\New Hospital!

• 5 Stages:
• Approvals at each stage are by MOHLTC (HCIB)/SELHIN and are

considered in respect to: – Alignment to MOHLTC/SELHIN guiding principles and priorities. – Consistency with community needs and service need projections.

How do we get approval for a New Hospital?

• MoHLTC evaluates capital projects with primary consideration

to the proposals alignment to health care system and regional

• priorities. Within this context, the proposal must also

demonstrate:

• Operational efficiency
• Accessibility
• Safety
• Infection Prevention
• Sustainability

What is the MoHLTC Capital Priorities?

• In 2010, the MOHLTC developed guiding principles for rural

health care planning:

• Community Engagement
• Flexible Local Planning and Delivery
• Culturally and Linguistically Responsive
• Value-Overall efficiency and cost effectiveness of

regionalized care

• Integration with community
• Innovation
• Connected and coordinated with LHIN, provincial initiatives

and organizations

• Evidence-based; Sustainable – maintain and improve access

MOHLTC – RURAL AND NORTHERN HEALTH CARE FRAMEWORK

• Three Key Priorities:
• Developing a regional system of integrated health care

across the care continuum, from primary care and public health through to community, acute and long-term care

• Improving the patient experience with a focus on the

transition points in care

• Focusing on the unique health care needs of Aboriginal and

Francophone populations

What are our SE LHIN Priorities?

• 1. Family care providers

who:  Provide system navigation and equitable access to services  Help keep people healthy through health promotion and maintenance

• 2. Local access to:

 24 hour emergency services  Inpatient beds  Basic diagnostic services  Home and community care services A sustainable, local system of care that can create healthy communities and is: Patient-centered High quality Timely

• 3. Efficient access to

specialist services

• With adequate

transportation options

• 4. Effective coordination of

services and communication between providers

Community Engagement

My local health care system should provide:

• What is a Pre-Capital Submission?

– The Pre-Capital submission is essentially a 15-page template that poses a number of questions we answer to paint a picture of PECM role as a health care provider in the local health system.

• What is a Master Program?

– A Master Program outlines the type and extent of health care services that QHC intends to

• deliver. In other words, the Master Program reflects a health care facility's present and future

service role within the community. It outlines current and projected future programs and services, workload, staffing and departmental space requirements by site.

• What is a Functional Program?

– A functional program, typically developed by a functional programmer consultant, is a pre- design document describing the functional requirements of a building or renovation in sufficient detail to initiate schematic design.

How do we get a hospital approved? Key Terms:

QHC Hospital System – Master Program

Primary Care Hospitals Regional Secondary Hospital

Each with “Protected” Core Services:

• Emergency Room (24 hour)
• Acute Inpatient beds

Supported by:

• Appropriate basic diagnostics for ER

and inpatients

• Ambulatory clinics appropriate for

hospital-based delivery and based on local need Core Primary Care Services:

• Emergency Room (24 hour)
• Acute Inpatient beds
• Appropriate basic diagnostics and clinics

Regional Services:

• Obstetrics/Pediatrics
• ICU
• Surgery
• Internal Medicine
• Oncology Clinic
• Mental Health – inpatient/outpatient
• Inpatient Rehab and Rehab Day
• Children’s Treatment Centre
• Supported by advanced diagnostics:
• MRI
• CT
• Cardiopulmonary - Bone mineral density
• Nuclear medicine
• Lab
• Interventional radiology

QHC Belleville General Hospital QHC Prince Edward County Memorial Hospital QHC North Hastings Hospital QHC Trenton Memorial Hospital

QHC Prince Edward County Memorial Hospital: Today & Tomorrow

• Emergency room (24 hour)
• Acute inpatient beds
• General, acute care for elderly
• Basic diagnostics:
• X-ray, ultrasound
• Point-of-care lab
• Ambulatory clinics (e.g., mental

health services) Efficient access to BGH specialist services Low risk regional endoscopy services

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Presentation Title

Presenter’s Name and Title Date of Presentation

• 2013: Agreement of PECM and PEFHT to proceed with co-

located physical facility model, i.e., hospital and FHT on same site but in separate buildings

• Precap Submitted (January 2015)
• Stage 1 Part A Completed (May 2016)
• Corporate Master Program Submitted (October 2016)
• Waiting on MOHLTC approval of the Pre-Capital submission

before proceeding to complete the Stage 1 Part B (Master Plan)

Where are we with the Approval?

• The Corporate Master Program/ and Pre-Capital submissions

identify redevelopment of PECM as the #1 QHC redevelopment priority.

• Services will include:

– 24/7 Emergency Department – Diagnostics Imaging and Cardio-diagnostic Services – In-Patient Beds – Ambulatory Services (Medical Day, Minor Surgery, Urology, Endo) – Laboratory Services – Dialysis Services

Is this a Priority for QHC?

• The Due Diligence work to determine where the hospital will

be sited is Stage 1 Part B.

• This has not yet been completed!
• Multiple Options exist: McFarland Land; Existing Hospital

Property

• The Hospital will be sited based on the due diligence work that

will be completed and that will inform everyone what is in the best interests of the community long term.

Where will the hospital be built?

The new PECMH would continue to have an important role in health care delivery in PEC by providing acute hospital care, 24 hour emergency services, diagnostic services and efficient access to the other QHC hospitals in Belleville and Trenton and to other tertiary hospitals in Kingston for treatment of more severe conditions.

Future Role: Prince Edward County Memorial Hospital

QHC Prince Edward County Memorial Hospital: Evolving to a Integrated Future Vision

A range of integrated health care services “wrapped around the patient”… …co-located in a new health care campus

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• Project cost estimates are prepared and submitted for Ministry

review at each stage of the development of the project.

• Cost estimates are prepared by independent certified cost

consultants and are expected to be accurate within +/- 5%.

• Cost estimates are prepared in current $ and allowances are

carried for changes in scope and inflation to the anticipated time of tender.

• Following the tender, a final estimate of cost is prepared

using the tendered cost of the work.

• Planning estimates based on previous submission suggest

the costs could be roughly $75M-$80M

How much will a new Hospital Cost?

• Ministry funding amounts are determined according to a cost

share formula which provides;

• 90% of the hard cost of construction, not including land or

facilities for revenue generation (parking, gift shop etc.).

• Changes during construction are only funded where these

are a result of unknowable site conditions of regulatory changes after tendering.

• 100% of consultant fees, with upset limits derived as a % of

construction costs.

• 90% for ancillary costs directly related to construction, such

as soil testing and air quality testing.

• 100% of minor non depreciable equipment, with an upset

limit of 2% of construction.

How is a New Hospital Funded?

The community is required to provide all funds beyond the share provided by the Ministry. The local share includes:

• 10% of hard construction costs, including construction related

ancillaries.

• 100% of land acquisition costs.
• 100% of most changes.
• 100% of depreciable equipment.
• Any funded ancillary costs which are in excess of defined upset

limits.

• The requirement will be roughly $14-$18M

We need your HELP!!

The Municipality does not have a formal role or responsibilities to the project. As the elected representatives of the residents, council may provide significant assistance:

• Provide leadership support to the Foundation to promote

and assist fundraising with the general population.

• Provide a commitment for a direct funding contribution
• Engage with local politicians and provincial bureaucrats to

promote awareness and demonstrate public support for the project.

Does the Municipality have a Role?

• Depends who you talk too….
• Typically 10-12 Years
• What’s really possible….

How long is this going to take?

• MOHLTC approval of Pre-Capital submission (anticipated in

early 2017)

• Completion of the Stage 1 Part B – Master Plan

– Assessment of the current site – Investigation of other siting options (Greenfield Development) – Recommendation, cost estimate – Local Share Plan – Submission anticipated in mid 2017

• Future work for Stages 2 through 5

Next Steps