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  • St Boniface Hospital. Main Floor Master Plan.

St Boniface Hospital

Emergency Department Master Plan

409 Tache Ave, Winnipeg, Manitoba

Phase One of a multi-phased, full scale redevelopment of the Emergency Department at the St. Boniface Hospital. The redevelopment Master Plan and subsequent work is a significant component of the overall restructuring of Emergency Department care in Manitoba, and will better position St. Boniface Hospital to be one of the three healthcare facilities in Winnipeg that will provide emergency care.

Phase One will focus on the redevelopment of the Ambulatory Care Clinic, expanding capacity of the Emergency Department by 464 sq.m. (5,000 sq.ft.) and renovating approximately 1,300 sq.m. (14,000 sq.ft.) of the existing Emergency Department. The overall redevelopment strategy had to ensure that Phase One is consistent with the overall plan (magnitude of overall Emergency Department Redevelopment plan ~ 5,759 sq.m. [62,000 sq.ft.]).

ft3 implemented a four-step Master Plan process and utilized the expertise of emergency healthcare consultant, Huddy HealthCare:

1. ED Models / Best Practice / Evidence Based Design / Lean: Analytics of the existing ED and current patient data, benchmarking the current operations and facilities, and defining best practice lean patient flow and supportive architectural components. Huddy HealthCare analyzed the current environment (patient data and demographics) with its evidence-based ED Benchmarking Tool that rated the ED on over 250 items in 12 categories. Then the team worked with staff to apply lean principals in a documented “future workflow” plan to shape all future programming and planning.

2. Site Opportunities and Constraints: A review of any previous Master Plan, site / facility studies and analysis of the existing building and systems to define constraints and opportunities. Patient vehicular access, ambulance access points, police access / parking, ability to lock down site in a disaster event, public transportation access points, public / staff parking capacities, delivery truck access / docks, and overall circulation and patient entry points to the ED were reviewed. Overall site capacities were also analyzed for future facility and / or parking expansions including defining the best phasing and economical expansion solution(s).

3. ED Master Plan Phasing and Implementation: Reviewed ED implications based upon a clear understanding of mission, strategic plans, operational targets, and fiscal responsibility needed for emergency services, teaching, and a safe environment for current and future needs. Proprietary programs / dashboards to define future capacity needs based on the mission, strategy and operational targets. Then, based on capital outlay parameters, a phased ED Master Plan was created for a financially feasible implementation plan that would also maintain 24-hour operations over the course of the construction.

4. Phase One Renovations and Implementation: A “release valve” for the current ED pressures and a roadmap for facilities, operations, capacities and overall utilization was created. Recommendations included a comprehensive plan on how new operations, supported by reconfigured architecture, will deliver expanded capacity through reduced “time to provider” and overall reduced “length of stay” times.

The Master Plan was completed in 2017 and the project is in construction in 2019.