7th Annual Forum on Healthcare Infrastructure Eastern Canada - DS

Maintenance of Certification Attendance at this program entitles certified Canadian College of Health Leaders members (CHE / Fellow) to 5.75 Category II credits towards their maintenance of certification requirement.

DISTINGUISHED CO-CHAIRS

7th Annual Forum on

HEALTHCARE INFRASTRUCTURE

Ian McDermott

Executive Director, Planning and Integration | Research Facilities University Health Network

Patsy Poulin

Eastern Canada

Principal Cumulus Architects Inc

November 8–9, 2022 • One King West, Toronto Practical Insights from Healthcare Infrastructure Leaders Imad El Haddad Senior Vice President, Project Delivery Infrastructure Ontario

Jessica Fullerton Project Coordinator, IPAC Project Lead, Planning and Development The Ottawa Hospital

Highlights for This Year’s Program: CHEVRON-RIGHT Industry Perspectives on How to Manage Construction Budgets, Schedules, and Support Your Project Team in the Current Landscape CHEVRON-RIGHT CSA Roundup: Examining the Implications of New, and Evolving Standards for Healthcare Facilities CHEVRON-RIGHT Spotlight on Indigenous Cultural Safety in Healthcare: How to work with communities to incorporate traditions, values, practices, and health services into the capital planning and design process

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Jeannie Gandham Program Director, IT New St. Paul’s Hospital

Special Keynote on Designing Age-Friendly Hospitals Dr. TJ Ringer Medical Director, Geriatric Emergency Department Initiative, Assistant Professor, Department of Family & Community Medicine University of Toronto Staff Physician, Emergency Medicine University Health Network

CHEVRON-RIGHT Lightning Talks: Get up to speed on major developments in the region and how they are influencing the future of healthcare infrastructure across the country

Media Partner

CHEVRON-RIGHT Co-Design Think Tank: A unique opportunity to engage smaller group conversations aimed at integrating industry perspectives and, reimagining healthcare infrastructure in Canada

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The experiences of the past two years have become a catalyst for change within the healthcare industry. However, the ongoing pandemic and current economic environment are significantly impacting healthcare infrastructure project costs and schedules across Canada, making it increasingly difficult to achieve an on time, on budget delivery.

Now is the time to find solutions to problems posed by the pandemic- induced economy as well as to capitalize on opportunities for innovative infrastructure to serve an evolving healthcare industry.

Attend CI’s 7th Annual Forum on Healthcare Infrastructure, Eastern Canada to connect with industry leaders, and peers to examine how to mitigate external pressures, innovate, and integrate key lessons from this extraordinary time.

The Canadian Institute’s 7th Annual Forum on Healthcare Infrastructure, Eastern Canada will bring together leading stakeholders in capital planning, construction, and facilities management on November 8–9, for a series of forward-thinking, solution-oriented conversations.

Join us in Toronto this Fall, and develop best practices, and practical insights on: Caret-right Procurement and Delivery: Find out how models are shifting across the country and the implications for Canada’s Eastern provinces Caret-right CSA Standards: Gain clarity on the intent behind them, and how to start operationalizing them at your healthcare facility Caret-right Greening Healthcare: Small energy and environmental sustainability focused initiatives that will have a big impact Caret-right Current Innovative Healthcare Projects: Hear the latest on major healthcare infrastructure developments in the region, and takeaway best practices to overcome project obstacles, and innovative approaches for your own project

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Benefit from the collective experience of peers and experts from: » Hospitals and healthcare facilities » Regional health authorities » Provincial governments » Construction services » Law Firms » Consultancies » Architecture Firms » Technology service providers

Introducing the 2023 Advisory Board The Canadian Institute would like to thank its newly established advisory board for bringing its experience and expertise to the development our 2023 program. In consultation with the board we will continue to curate industry-led discussions and networking opportunities, centred on the biggest changes and challenges impacting healthcare infrastructure.

Sharat Chandra

Interim Vice President, Strategic Capital Investments and Facilities Fraser Health Authority

Dan Levitt CEO Kin Village

Jessica Fullerton

Project Coordinator, IPAC Project Lead, Planning and Development The Ottawa Hospital

Keith Francis

Senior Director, Experience Outcomes Forge Media + Design

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Distinguished Faculty CO-CHAIRS

Ian McDermott

Senior Director, Planning & Integration/ Research Facilities, (FM-PRO) University Health Network

Patsy Poulin

Principal Cumulus Architects Inc

Christine Elliott Counsel Fasken

Keith Francis

Senior Director, Experience Outcomes Forge Media + Design

Senior Vice President and Area Manager, Toronto Ellis Don

Maged Ahmed

Team Lead – Canada OneEQ

Megan Angus

Principal, VP Strategy and Digital Services H.H. Angus & Associates Ltd.

Langdon Baker Principal Smith + Andersen

Mark St. Cyr

Partner Cassels Brock & Blackwell LLP

Bryan Darrell

Director, Infrastructure Management Government of Nova Scotia

Eric Devine

Infection Control Practitioner, Construction Lead University Health Network

Imad El Haddad

Senior Vice President, Project Delivery Infrastructure Ontario

CanadianInstitute.com/HealthcareInfrastructure • 1 877 927 7936

Adjunct Faculty Institute for Health Policy, Management and Evaluation

Susan Neil

Executive Vice President Hanscomb

Jessica Fullerton

Erik Nordgren

Jeannie Gandham

Mark Orge

Project Coordinator, IPAC Project Lead, Planning and Development The Ottawa Hospital Program Director, IT New St. Paul’s Hospital

SPEAKERS

Andrew Anderson

Frances Morton-Chang

Cliff Harvey

Chief Planning Officer Niagara Health

Robert Hofmann

Director, Redevelopment Projects Hamilton Health Sciences Principal, Hofmann PM inc.

Laurie Hogue

CEO Clearpoint Health Network

Sheri Hundseth

Director, Indigenous Relations and Community Engagement Providence Health Care

Pia Kontos, PhD

Senior Scientist, KITE Research Institute, Toronto Rehabilitation Institute University Health Network

John Marshman

Director, Equipment Management & Planning Mackenzie Health Director, Asset and Facilities Management Altus Group

Dr. Anita Rao

Department of Anesthesia Trillium Health Partners

Kirsten Reite Principal KRA

Cathy Renaud

Director, Planning and Programming, Capital Development William Osler Health System

Dr. Tessa Ringer

Medical Director, Geriatric Emergency Department Initiative Assistant Professor, Department of Family & Community Medicine University of Toronto Staff Physician, Emergency Medicine University Health Network

Myles Sergeant

Vice President Capital, Facilities and Business Development Southlake Regional Health Centre

Director of Medically Complex Care, Hamilton Health Science/SPH, Co-Founder PEACH Health Ontario

Chris McQuillan

Barbara Shea

Leila Meema-Coleman

Dr. Carmine Simone

Principal B + H Architects

Project Manager WLMH Redevelopment Project

IPAC Practitioner William Osler Health System Thoracic Surgeon, Department of Surgery, Vice President, Medical Affairs Michael Garron Hospital a C5 Group Company Business Information in a Global Context

DAY ONE Tuesday, November 8, 2022 8:45

Co-Chairs’ Opening Remarks microphone-alt Ian McDermott, Executive Director, Planning and Integration | Research Facilities, University Health Network

Patsy Poulin, Principal, Cumulus Architects Inc. 9:00

LIGHTING TALKS

Rapid Fire Report on 3 Major Healthcare Projects in Eastern Canada

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of systems and processes for infection prevention and control in LTC homes. The National Standard of Canada (NSC) is focused on safe operating, and infection prevention and control in LTC homes. At the end of this session, participants will be able to: • Provide high-level summary of Z8004 • Describe the scope of the Z8004 Standard • Explain the CSA Group standard development process • Summarize the supporting enhanced engagement activities

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microphone-alt Bryan Darrell, Director, Infrastructure Management, Government of Nova Scotia Mary Vella, Project Manager, Redevelopment, Hamilton Health Sciences Leila Meema-Coleman, Project Manager, WLMH Redevelopment Project Dr. Carmine Simone, Thoracic Surgeon, Department of Surgery, Vice President, Medical Affairs, Michael Garron Hospital This session will provide a snapshot of three distinctive healthcare projects that are either currently underway or recently reached completion. Each lightning talk will highlight innovative approaches to design, as well as lessons learned during the delivery process, and post occupancy. Presentations will be followed by an interactive Q&A. 9:45

FIRESIDE CHAT

bolt Future of Ontario’s Healthcare System Fire microphone-alt

MODERATOR:

Robert Hofmann, Director, Redevelopment Projects, Hamilton Health Sciences, Principal, Hofmann PM inc.

Christine Elliott, Counsel, Fasken 10:15

Morning Coffee and Networking Break 10:45

REDO-ALT bolt

CSA ROUNDUP

Examining the Implications of New, and Evolving Standards for Healthcare Facilities

microphone-alt Jessica Fullerton, Project Coordinator, IPAC Project Lead, Planning and Development, The Ottawa Hospital

Buvana Balasubramania, Project Manager, Health & Well-being, Canadian Standards Association Canadian Standards Association (CSA Group), launched a project to develop a new National Standard of Canada (NSC) for Long-term care home operations and infection prevention and control (CSA Z8004). The purpose of this standard is to provide guidance for the implementation

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11:30

INDUSTRY ROUNDTABLE

How to Manage Construction Budgets, Schedules, and Support Your Project Team in the Current Landscape

MODERATOR:

microphone-alt Ian McDermott, Executive Director, Planning & Integration/Research Facilities, University Health Network

Susan Neil, Executive Vice President, Hanscomb Andrew Anderson, Senior Vice President and Area Manager, Toronto, Ellis Don Gain practical insights on the strategies being leveraged to help health projects forge ahead at a time of high escalation, labour shortages, and supply chain disruptions. Hear a diverse range of industry perspectives on the current landscape. Learn how to carry out the planning process in this time of uncertainty, and how to pivot during the construction phase.

• Examining how the pandemic changed owner perspectives, and approaches to projects » Glean leadership best practices for navigating uncertainty • Analyzing the true impact of supply chain and labour challenges in the region and how project teams are pivoting to keep projects moving forward » Tips on how to adapt to the ebb and flow of labour • Developing strategies to approach the planning process for a project with current market conditions » Determining how to schedule, and cost projects, especially those with long lead times » Identifying opportunities to streamline processes, and improve communication 12:15

lightbulb bolt

Networking Lunch 1:15

ROUNDTABLE

Co-Design Think Tank: Reimagining Healthcare Infrastructure in Canada

microphone-alt Keith Francis, Senior Director of Experience Outcomes, Forge Media + Design Pia Kontos, PhD, Senior Scientist, KITE Research Institute, Toronto Rehabilitation Institute, University Health Network Frances Morton-Chang, Adjunct Faculty, Institute for Health Policy, Management and Evaluation

twitter: @CI_Conferences linkedin: The Canadian Public Infrastructure Network

“ A unique opportunity to engage smaller group conversations aimed reimagining healthcare infrastructure in Canada. This think tank invites attendees to share and explore perspectives on the pragmatic and experiential considerations from the vantage point of their discipline , as a springboard to inform future healthcare infrastructure decision-making.

Key areas of exploration include: • Opportunities to align science, and design, technology, and policy and what’s hampering progress • Examining the impact of social, economic factors on healthcare in Canada • Global trends, and how they are impacting people and place 2:45

Always engaging and interesting to hear.

Director, Capex Project Advisory

» Analysis of ventilation best practices for different healthcare settings within a hospital GENDERLESS

Determining how many pressurized spaces are needed in your facility

» Identifying scientifically validated technology that can support IPAC at facilities and determining when and where to incorporate different tools • How to set healthcare facilities up for IPAC success » How to effectively integrate IPAC into planning and design decisions • Identifying infection control risk factors » What are reasonable design specifications for healthcare

Networking and Refreshment Break

» Key spatial considerations: Patient separation, and implications for clinical staff

3:00

3:45

Integrating IPAC from the Get-Go: Perspectives on How to Plan, Design and Build Healthcare Projects with Infection Control in Mind

From P3 to IPD: How to Mitigate Healthcare Project Risks, and Contract Disputes

MODERATOR:

microphone-alt Mark St. Cyr, Partner, Cassels Brock & Blackwell LLP

microphone-alt Jessica Fullerton, Project Coordinator, IPAC Project Lead, Planning and Development, The Ottawa Hospital

Eric Devine, Infection Control Practitioner, Construction Lead, University Health Network Barb Shea, IPAC Practitioner, William Osler Health Centre • Determining what enhancements and retrofits should be made to existing healthcare facilities, including hospitals and LTC homes

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• Examining P3 to IPD project risks and how to mitigate them • Analyzing COVID-19 implications for stakeholders on healthcare infrastructure projects • Understanding the impact of recent case law on which party bears unexpected pandemic related risks from the perspectives 4:15

Day One Concludes

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CanadianInstitute.com/HealthcareInfrastructure • 1 877 927 7936

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DAY TWO Wednesday, November 9, 2022 8:30

10:15

Co-Chairs’ Opening Remarks microphone-alt Ian McDermott, Executive Director, Planning and Integration | Research Facilities, University Health Network

Patsy Poulin, Principal, Cumulus Architects Inc.

Morning Coffee and Networking Break

10:45

Future-Proofing Hospitals: How to Develop a Scalable Digital Infrastructure Strategy for Current and Future Healthcare Needs microphone-alt

MODERATOR:

Langdon Baker, Principal, Smith + Andersen

8:45

Forecasting the Future of Procurement in Ontario: Analysis of What’s Working, What’s Not and Opportunities to Create Better Outcomes for Hospital Projects MODERATOR:

microphone-alt Cliff Harvey, Chief Planning Officer, Niagara Health Imad El Haddad, SVP, Project Delivery, Infrastructure Ontario

Jeannie Gandham, Program Director, IT, New St. Paul’s Hospital Megan Angus, Principal, VP Strategy, and Digital Services, H.H. Angus & Associates Ltd. • How to develop a digital roadmap with standardized processes, that achieves purpose-built space » Gain insights on the development of CSA standards and guidance on where to start, when evaluating and integrating technology • How to foster collaboration between clinical and industry specialists to transform patient care based on current, and anticipated health needs

John Marshman, Vice President Capital, Facilities and Business Development, Southlake Regional Health Centre

• Identifying opportunities for data-driven decision making

Chris McQuillan, Principal, B + H Architects

11:45

This forward-thinking, solution-oriented panel will examine opportunities to improve the procurement process in Ontario, track trends in how projects are being delivered across the country and, provide insights on how the province’s approach could evolve.

9:30

CASE STUDY ON ALTERNATIVE PROCUREMENT MODELS

Cog bolt Whole of life Considerations: Leading Asset Management Practices in DBFM and non DBFM Hospitals microphone-alt Mark Orge, Director, Asset and Facilities Management, Altus Group • Examining components of successful handover • Critical facility life considerations • How to design for operability and maintainability • Practical insights on P3 (DBFM) practices and how to utilize them in non DBFM • Maintenance management best practices

» Where clinical staff can be supported in day-to-day operations by digital tools?

Integrating Indigenous Perspectives in Planning and Design to Create Culturally Safe Healthcare Infrastructure microphone-alt Sheri Hundseth, Director, Indigenous Relations and Community Engagement, Providence Health Care

• Discovering how to engage, and partner with First Nations, Metis, and Inuit peoples on major healthcare infrastructure projects » Examining practical steps towards integrating indigenous perspectives throughout the lifecycle of a healthcare project • Identifying opportunities to build a health system that honours the Indigenous traditional health and wellness practices, values, and practices into the design: smudging rooms, healing gardens » How to construct these spaces in consultation with indigenous partners • Recognizing community specific health service priorities » Ensuring culturally safe care is provided and accounting for them in building specifications • Exploring examples of impactful project elements created with indigenous community partners 12:30

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Networking Lunch

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“ microphone-alt bolt

1:30

Great insight into MOH, infrastructure projects and current wisdom.

Vice President, Corporate Services & CFO, Lake of the Woods District Hospital

SPECIAL AFTERNOON KEYNOTE

How Design, and Deliver an Age-Friendly Healthcare Experience at Hospitals

microphone-alt Dr. Tessa Ringer, Medical Director, Geriatric Emergency Department Initiative, Assistant Professor, Department of Family & Community Medicine, University of Toronto Staff Physician, Emergency Medicine, University Health Network

This special keynote will explore how to improve hospital care for older adults through the built environment. University Health Network will offer a closer look at its first geriatric emergency room.

Points of discussion include: • • • •

Examining the need for Geriatric specific programs and spaces Identifying key program elements that improve Geriatric care and outcomes Exploring design elements that improve the experience for the patient and caregivers Overview of UHN’s project highlights and timelines

2:00

Private in a Public World: Examining Key Design Considerations for Non-Hospital Surgery Centres microphone-alt Kirsten Reite, Principal, KRA Laurie Hogue, CEO, Clearpoint Health Network Private healthcare in Canada has been available for many years in the form of elective and cosmetic surgery. However due to demand, primarily driven by COVID-19 and the associated wait times, it’s growing. This will be an engaging and provocative session reviewing an emerging care delivery model in the Canadian health care system. Key points of discussion will include: • The role of these facilities in overall healthcare ecosystem and its ability to improve access to • Design impacts of these Non-Hospital facilities specifically concerning CSA, accreditation and building systems impacts compared to hospital facilities 2:45

Afternoon Networking and Refreshment Break 3:00

globe boltSeedling How to Combat Employee Burnout through the Built

Environment: Exploring Opportunities to Optimize Hospital Workflows, and Design for Well-Being

MODERATOR:

microphone-alt John Marshman, Vice President Capital, Facilities and Business Development, Southlake Regional Health Centre

Cathy Renaud, Director, Planning and Programming, Capital Development, William Osler Health System REGISTER NOW

Celeste Alvaro, Principal, Methologica

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Dan Levitt, CEO, Kin Village • Finding opportunities to eliminate duplicate activities for improved efficiency, and reduces staff burden » Assessing whether technological tools are a hindrance or a help in different scenarios • Respite space: how to design, and construct spaces that go beyond the typical break room, to foster mental and physical well-being • Identifying how to design spaces, with both patients and clinical staff in mind, for ease of workflow, and optimal care 4:00

GREENING THE HEALTHCARE SYSTEM

Identifying the Low Hanging Fruit at Your Healthcare Facility: Practical Steps Aimed at Greening the Supply Chain, Facility Energy Systems microphone-alt Myles Sergeant, Director of Medically Complex Care, Hamilton Health Science/SPH Dr. Anita Rao, Department of Anesthesia, Trillium Health Partners Health and the environment are inextricably linked making climate resiliency and sustainability of the utmost importance when designing, delivering, and operating healthcare facilities. This session will provide a clearer view of the impact healthcare is having on the environment and practical measures.

• Sustainability roadmap for leadership: How to score your hospital on sustainability • Th Peach Tree: Examining low to higher cost green initiatives and the ROI for health facilities and the environment » How to start greening the supply chain through the 4 Rs • Energy considerations for building operations 4:30

Design and Implementation Strategies for Architecturally Significant Equipment in Healthcare Projects microphone-alt Erik Nordgren, Director, Equipment Management and Planning, Mackenzie Health Maged Ahmed, Team Lead, OneEQ Consulting Inc. • Defining Architecturally Significant Equipment (ASE) • Examining key considerations for ASE design and implementation • Analyzing ASE planning pitfalls and how to avoid them using practical examples 5:15

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