Campaign Priority 1 - A new BC Children's Hospital
Why do we need a new hospital?
- The new hospital will facilitate a transformation in the delivery of pediatric care. Much has changed in the three decades since the current hospital opened: new treatments, technologies and a change in the types of patients we see have moved us beyond the limits of what the existing facility will permit, meaning that only the building is holding us back.
- Today's technology permits faster diagnoses and less invasive treatments, but the current hospital cannot house the equipment we need. As well, due to a lack of isolation rooms, infectious diseases pose a potential threat that we can't adequately address. Construction of a new hospital will ensure our children receive the best critical care available now, and well into the future.
- When the existing hospital opened in 1982 it was already too small. It continues to operate well beyond its intended capacity.
- The existing hospital cannot adequately meet the needs of patients with chronic and complex conditions that were rarely seen when the hospital was built.
- Children with illnesses that would once have claimed their lives are now surviving into adulthood. For these children, survival is not without lasting challenges. Children's hospitals now expect that in the near future as many as 75 per cent of their beds will be occupied by children with chronic and complex conditions.
- BC Children's Hospital is an internationally renowned leader in pediatric care and research and needs to expand and improve its facilities if it is to continue to attract leading pediatric specialists from across the globe and provide the best possible care.
- Medicine today is family-focused - yet BC Children's Hospital can't accommodate families. Parents, whose involvement in care helps children heal faster, are unable to stay comfortably at their child's bedside. Across North America, new children's hospitals are family-centred and conducive to healing.
What is being done to ensure the patient experience will be better in the new hospital?
Three planning priorities are being used to inform the design of our new hospital:
1. Patient- and Family-Centred Care: Rooms and other in-hospital facilities will be designed to accommodate families and with the patients' needs considered first. For example, all inpatient rooms will be single rooms with bathrooms. The room will be divided into three zones: the caregiver zone, the patient zone and the family zone.
2. Evidence-Based Design: Design is being based on international research and documented experience collected as evidence from care facilities around the world. This commitment to evidence-based design will ensure design decisions will lead to improvements in care, patient experience, safety and efficiency.
3. imPROVE Planning: Based on the LEAN management system, principles and tools are being used to map out the patient care process to remove waste, and continuously improve and maximize what is valued by patients and families.
What is the estimated cost of the new hospital?
The total construction cost is $683 million.
- $150 million - Committed by BC Children's Hospital Foundation's Campaign for BC Children
- $533 million - Committed by the government
When will construction begin on the new hospital and when will it be complete?
The new hospital will be built on the current Oak Street campus in Vancouver and site preparation is underway. Construction is scheduled to begin in December 2014, with completion expected in 2018.
Phase 1: Renovation and Relocation
Provide three new Neonatal Intensive Care beds (complete)
Construction of new Clinical Support Building (complete)
Relocation of 126 programs and services to renovated space in the Ambulatory Care Building and to the Shaughnessy building, the new Clinical Support Building and to leased off-site office space
Construction of the Djavad Mowafaghian Child Care Centre
Creation of additional space for the UBC Faculty of Medicine
Construction of Ronald McDonald House
Phase 2: Acute Care Centre (the new BC Children’s Hospital)
Design and construction of a new Acute Care Centre including:
Demolition of Shaughnessy’s A and L wings and Medical Education Research Unit
Emergency, Medical Imaging, Special and General Procedures Suites, Pediatric Intensive Care, Neonatal Intensive Care, Oncology Outpatient and Dialysis Unit, Medical Surgical Inpatient Units and High Risk Birthing
Landscaping, adjustments to surface parking and access routes, pedestrian pathways and construction of a new atrium
New underground parking
Phase 3: Renovation, Relocation and Expansion
Relocation of Sunny Hill Health Centre for Children to the hospital site
Renovation of the existing 1982 building and expansion of the BC Women’s Hospital & Health Centre Single Room Maternity Care
Campaign Priority 2 - Improved Access to Specialized Care
What is Child Health BC?
Child Health BC was established in 2005 by BC Children's Hospital to improve access to child and youth health services for all BC communities, to enable children to see specialists in or close to their home communities, to support the development and promotion of standards of care in BC, and to support the work of regional hospitals and health-care professionals as they treat children and adolescents.
Who is leading this initiative?
Child Health BC is led by executive director Dr. Maureen O'Donnell and its steering committee, which includes representatives of the five regional health authorities and the Provincial Health Services Authority.
What are Child Health BC's top priorities?
- Building pediatric care capacity in regions around the province;
- Facilitating the development of a single provincial service plan for child and youth health services;
- Developing and implementing standards of care for childhood diseases and conditions in BC;
- Supporting visits from BC Children's Hospital caregivers to communities across BC;
- Growing subspecialty clinics that have already been established with support from Child Health BC and possibly constructing new ones as needs arise.
What are some of Child Health BC's successes to date?
Child Health BC contributed $3.75 million toward five capital projects and two years of bridge operational funding to support the expansion and/or construction of pediatric clinics across the province. The five capital projects are:
- The Child Health Centre in Richmond (opened in November 2007);
- A Telehealth facility at the NONA Child Development Centre in Vernon (opened in November 2008);
- An audiology suite in Prince Rupert (opened in January 2009);
- A pediatric ambulatory care facility in Nanaimo (opened in April 2009);
- A pediatric ambulatory care facility in Prince George (opened in December 2009).
These pediatric clinics have served thousands of children and their families. Not only do they allow children to receive care closer to their home communities, they also ensure children have more timely access to care and help to reduce a significant number of visits to BC Children's Hospital.
Over 1,000 health professionals and care providers in BC have participated in Child Health BC's best practice workshops to date. These health professionals come from every corner of BC and represent the province's six health authorities. Since 2006, post-mortem reports on Child Health BC's 23 workshops (and the standards created at them) have been downloaded 107,740 times from its website. These reports capture the learnings from each workshop and spread knowledge beyond workshop participants to a wider audience.
Child Health BC supports multiple regional clinics involving specialists in the areas of endocrinology, rheumatology, neurology, respirology and gastroenterology to eight BC communities.
How are children and families benefiting from Child Health BC?
Children and families are beneifting from:
- Specialist visits to their communities;
- Establishment of pediatric speciality clinics in or close to their communities;
- Pediatric skills training of medical staff in their communities;
- Implementation of care standards for specific diseases and conditions.
How does Child Health BC impact children and families in the north?
- BC Children's Hospital staff visits to northern communities;
- Child Health BC training for caregivers in the north;
- Establishment of specialty clinics in the north, i.e. in Prince George and Prince Rupert.
How does Child Health BC impact children and families on Vancouver Island?
- BC Children's Hospital staff visits to Vancouver Island communities;
- Child Health BC training for caregivers on Vancouver Island;
- Presence of BC Children's Hospital cardiologist in Victoria - also serving central and northern Vancouver Island via Nanaimo;
- Establishment of specialty clinics at Nanaimo Regional general Hospital. Between April 2009 and March 2011, approximately 1,200 families made over 3,000 visits to these clinics.
How does Child Health BC impact children and families in the Okanagan?
- BC Children's Hospital staff visits to Okanagan communities;
- Child Health BC training for caregivers in the Okanagan;
- Establishment of specialty clinics in the Okanagan, i.e. Vernon Telehealth facility.
Campaign Priority 3 - Child Development & Rehabilitation Services
Relocating Sunny Hill Health Centre for Children
Children treated at Sunny Hill Health Centre for Children typically have injuries or conditions that affect their development. These include brain injuries from infancy or an accident, hearing loss, autism, cerebral palsy, paralysis and fetal alcohol syndrome.
Unfortunately, the challenges faced by these children and their families are compounded by an aging facility and its location - Sunny Hill is a half-hour drive from Children's Hospital. This geographic separation creates additional challenges for families who must transport children, many of whom are unable to walk, back and forth between sites. Researchers and caregivers must also frequently travel back and forth, wasting precious time that could otherwise be spent with patients or in the lab conducting research.
The solution lies in constructing new child development and rehabilitation facilities on the Children's Hospital campus, eliminating unnecessary travel for the thousands of children from dozens of BC communities who require specialized treatment at Sunny Hill and BC Children's.
Families won't need to travel between sites for care, easing their financial burden and reducing the time spent during medical trips. Caregivers will be able to treat children more effectively, improving the quality of care for kids. New facilities with the most advanced technology and treatments will permit staff to better meet the communication, mobility and other needs of children with rehabilitation or developmental challenges, ultimately enhancing their quality of life.