8th Annual Forum on Healthcare Infrastructure Eastern Canada - WEB

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Attendance at this program entitles certified Canadian College of Health Leaders members (CHE / FCCHL) to 6.25 Category II credits toward their maintenance of certification requirement.

November 7–8, 2023 | One King West, Toronto

8th Annual Forum on

HEALTHCARE INFRASTRUCTURE Eastern Canada

Join us for Forward-thinking, Solution Focused Conversations on Healthcare Facility Design and Delivery

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Special Remarks from:

Distinguished Co-Chairs Cathy Renaud RN, BScN, MHM, CHE Director, Planning and Programming, Capital Development William Osler Health System

Darnell Williams Director, Planning and Design Trillium Health Partners

Imad El Haddad, M.Arch, MBA Senior Vice President, Project Delivery, Healthcare Portfolio, Hospitals Infrastructure Ontario

Featured sessions: ç Ontario’s Infrastructure Outlook: A Coffee & Q&A with IO and key government decision makers on the pipeline, procurement, and risk mitigation measures for current market conditions ç Population and Social Determinant Forecasting: Learn how methodologies are being developed and used for health informed capital planning at a local and regional level ç Case Study on the NHS Net-Zero Standard: Develop decarbonization strategies using UK’s innovative, and comprehensive framework for healthcare facilities as a guide

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ç Establishing Standards for Private Medical and Surgical Centres in Ontario REGISTER NOW

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Hospitals, long term care, and community care facilities are under immense pressure to adapt to evolving infrastructure standards and patient expectations following the COVID-19 pandemic.

To address this, investments are being made across the region in new, large-scale facilities, redevelopment projects, and retrofits that will consider current and future needs, while also incorporating lessons learned from this tumultuous period, in preparation for the next.

To stand the test of time, these projects will need to navigate an increasingly complex planning and design process that considers everything from environmental sustainability measures and the integration of digital infrastructure to best practices in infection control.

To achieve an on time, on budget delivery—project teams will need to develop strategies to work through unpredictable market conditions characterized by supply chain disruptions and escalating material costs.

This fall, obtain the tools and develop the techniques that will help accelerate the delivery of futureready healthcare facilities, at CI’s 8th Annual Forum on Healthcare Infrastructure, Eastern Canada.

Hear from the industry leaders, government decision makers, and innovative thinkers who will help your team achieve efficiencies, design for wellbeing, and prepare for the future of healthcare.

Join your peers in capital planning and hospital construction in Toronto on November 7–8, 2024, to: ç DEVISE strategies to manage project costs and schedules amid market uncertainty ç LEARN about innovative approaches and cutting-edge technology being leveraged by design, construction, and clinical teams to achieve efficiencies ç NETWORK with the leaders in capital planning, construction, and facilities management ç APPLY lessons learned from distinctive healthcare projects across Eastern Canada ç GAIN insights on climate- related risks and sustainability best practices for healthcare facilities

2 | LINKEDIN Healthcare: Legal, Regulatory, and Compliance Experts

WHO YOU WILL MEET Senior Leaders: y Presidents y VPs y C-suite executives y Directors y Policy Advisors and Analysts y Engineers y Architects y Consultants

From: y Hospitals and healthcare facilities y Regional health authorities y Provincial governments y Construction services y Law Firms y Consultancies y Architecture Firms y Technology service providers

NETWORK & BENCHMARK WITH: ą Hamilton Health Sciences ą Trillium Health Partners ą William Osler Health System ą The Ottawa Hospital ą Unity Health Toronto ą University Health Network

Distinguished Faculty Conference Co-Chairs Cathy Renaud RN, BScN, MHM, CHE Director, Planning and Programming, Capital Development William Osler Health System Darnell Williams Director, Planning and Design Trillium Health Partners

Speaker Faculty Maria Aquino, RN, MHI Applications Specialist Inpatient Procedure Orders, Electronic Patient Record Unity Health Toronto Langdon Baker Principal Smith + Andersen Stasia Bogdan Director Planning & Redevelopment, Providence, St. Joseph’s Unity Health Toronto Christine Chadwick Managing Director Archus Shelley Darling Chief, Operational Readiness Michael Garron Hospital

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Peter Duckworth-Pilkington, B.E.S., B.Arch.

Architect OAA, LEED AP HDR Inc Tye Farrow Senior Partner Farrow Partners Architects Jana Fear, MLIS Office of Capital Management London Health Sciences Centre Keith Francis Associate + Senior Director of Experience Outcomes Forge Media + Design Annik Forristal Partner McMillan LLP Jessica Fullerton Regional Infection Control Healthcare Facility Design Program Manager The Ottawa Hospital Jeannie Gandham Associate Director, IT Program New St. Paul’s Hospital Project Thevaki Ganesharajah Senior Project Manager, Capital Development William Osler Health System Diego Gomez MES Project Manager Hamilton Health Sciences Robert Hofmann Director, Redevelopment Projects Hamilton Health Sciences Principal Hofmann PM inc.

CanadianInstitute.com/HealthcareInfrastructure • 1 877 927 7936

Imad El Haddad, M.Arch, MBA Senior Vice President, Project Delivery, Healthcare Portfolio, Hospitals Infrastructure Ontario

Ian McDermott Executive Director, Redevelopment and Chief Planning Officer University Health Network

David Ho Chief Procurement Officer and EVP Program Strategy & Management Infrastructure Ontario

Andrea McInerney Executive Director, Office of Capital Management London Health Sciences Centre

Laurie Kilgour-Walsh Interim Head of Wellness and Learning Art Gallery of Hamilton

Natalia Olszewska MD Co-Founder Impronta

Pia Kontos, Ph.D., Senior Scientist, KITE Research Institute, Toronto Rehabilitation Institute – University Health Network Professor Dalla Lana School of Public Health & RSI Andrew Koscielniak, R. Kin, MA Director, Indigenous Health, N’doo’owe Binesi St. Joseph’s Hospital Mathieu LeBreton, RN, BScN, MScHQ Senior Project Manager Digital Experience Lead | FFE & ICAT Planning New Campus Development The Ottawa Hospital Marianne Lee, P.Eng., ing., LEED AP Principal H.H. Angus

George Pankiw Director Capital Development Hamilton Health Sciences Patsy Poulin Principal Cumulus Architects Kirsten Reite Principal KRA Larissa Smit Director of Innovation & Strategy Safehaven James Stewart Director, Health Capital Investment Branch Ontario Ministry of Health Rebecca Stubbs Senior Consultant, Infrastructure Advisory, Climate Change and Sustainability Mott MacDonald Soraya Visram, RN BScN MHI Senior Consultant – Healthcare & Clinical Workflow Specialist Arup a C5 Group Company Business Information in a Global Context

Very good discussions and a chance to connect with peers.

DAY 1 | Tuesday, November 7, 2023 7:45

ANDREW BLAIR, SINAI HEALTH

Registration Opens and Continental Breakfast Served

8:45

Co-Chairs’ Opening Remarks Microphone-alt Cathy Renaud RN, BScN, MHM, CHE, Director, Planning and Programming, Capital Development, William Osler Health System Darnell Williams, Director, Planning and Design, Trillium Health Partners 9:00

Coffee & Conversation

Industry Outlook for Healthcare Infrastructure in Ontario: Pipeline, Priorities, and Projections for the Year Ahead Microphone-alt Imad El Haddad, M.Arch, MBA, Senior Vice President, Project Delivery, Healthcare Portfolio, Hospitals, Infrastructure Ontario James Stewart, Director, Health Capital Investment Branch, Ontario Ministry of Health David Ho, Chief Procurement Officer and EVP Program Strategy & Management, Infrastructure Ontario Moderator: Ian McDermott, Executive Director, Redevelopment and Chief Planning Officer, University Health Network Grab your morning coffee and settle in for a special interactive conversation with Infrastructure Ontario, and industry partners.

This session will start off with an interview style Q&A aimed at providing a clearer view of the trends shaping healthcare infrastructure in Ontario—from the pipeline, and current project pressures to projections for 2024. Afterwards we’ll dig a little deeper with your questions on process, procurement, and the future landscape for healthcare builds.

• Identifying how IO likes to work with project teams » Streamlining communications and preparing for meetings for efficient submission review process • Exploring what measures are being taken to adapt to current market conditions » Assessing where there are opportunities to pivot or scale back » Determining if billion-dollar healthcare projects are sustainable moving forward • Tracking trends in material cost, labour shortages and the impact on project delivery » Developing strategies to mitigate the impact schedule, and cost projects, especially those with long lead times

4 | LINKEDIN Healthcare: Legal, Regulatory, and Compliance Experts

10:00

Contending with Escalating Costs—Contracting to Mitigate Cost-Related Risk on Healthcare Projects Microphone-alt Annik Forristal, Partner, McMillan LLP Owners and contractors are facing uncertainty in the market and it’s impacting timelines and budgets.

This presentation will explore how to effectively manage the risks associated with rising material costs through contracts. The discussion will focus on how to ensure all parties are positioned to effectively navigate this challenging period and avoid added bumps on the road to project completion.

• Analyzing trends in fixed prices contracts to cost plus contracts » Assessing the frequency of success with different types of contracts • Examining use of price escalation clauses and force majeure related to supply chain disruptions and the COVID-19 pandemic • Exploring best practices for drafting contracts and administering them once the project has started 10:45

Morning Coffee Break

11:00

Establishing Standards for Private Medical and Surgical Centres in Ontario Microphone-alt Stasia Bogdan, Director Planning & Redevelopment, Providence, St. Joseph’s, Unity Health Toronto Kirsten Reite, Principal, KRA Private healthcare in Canada has been available for many years in the form of elective and cosmetic surgery however due to demand, driven in part by COVID 19 and the associated wait times, private, non-hospital medical and surgical centres are fast becoming a partner in our public system. The passage of Ontario’s health reform bill earlier this year shows a deepening commitment to this partnership by allowing more private clinics to offer select publicly funded procedures. It’s a critical time to explore standards for these clinics to ensure patient safety. This discussion will focus on: • Non-Hospital ambulatory care model specifically concerning design impacts of CSA, accreditation, and building systems impacts compared to hospital facilities • Applying standards and contemplated revisions to the current edition of the CSA standard, which will further inform future builds for a more robust model of standardization and public safety

11:30

Lightning Talks

The Express Tour of 3 Healthcare Projects in Eastern Canada Etobicoke General Hospital: Microphone-alt Thevaki Ganesharajah, Senior Project Manager, Capital Development, William Osler Health System West Lincoln Memorial Hospital:

Situated in London, the fastest growing city in Ontario, and 3rd fastest growing city in Canada, LHSC is the single acute care hospital for the local community. LHSC currently serves a total population of more than a million in Southwestern Ontario for specialty acute care.

Like many Academic Health Science Centres around the world, LHSC is playing an increased role in population health and equity. This session will focus on SDH risk informed methodologies currently being used at LHSC for volume forecasting: • Defining social determinants of health (SDH) and why it matters within the context of master/ capital planning » The importance of a Population and Social Determinants of Health (SDH) informed approach to forecasting volumes within capital planning

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

This session will provide a snapshot of three distinctive healthcare projects that are either currently underway or recently reached completion. Each lightning talk will cover scope and timelines, and innovative design elements, as well as lessons learned during the delivery process, and post occupancy. Presentations will be followed by Q&A. 12:30

Lunch Break

1:30

Exploring the Efficacy of Artful Intersections for Health and Wellness Infrastructures

• Examining SDH risk informed methodologies and how they are essential to ensuring equity deserving populations are meaningfully acknowledged with respect to future hospital capacity and infrastructure planning • Analyses and mapping of SDH risk groups that evidence the greater concentration of need 3:45

Transforming Infrastructure to Meet the Complex Medical Needs of Vulnerable Populations in the Community Microphone-alt Patsy Poulin, Principal, Cumulus Architects Inc. Larissa Smit, Director of Innovation & Strategy, Safehaven

Microphone-alt Natalia Olszewska MD, Co-Founder, Impronta Tye Farrow, Senior Partner, Farrow Partners Architects Pia Kontos, Ph.D., Senior Scientist, KITE Research Institute, Toronto, Rehabilitation Institute – University Health Network, Professor, Dalla Lana School of Public Health & RSI Laurie Kilgour-Walsh, Interim Head of Wellness and Learning, Art Gallery of Hamilton Moderator: Keith Francis, Associate + Senior Director of Experience Outcomes, Forge Media + Design • Exploring the intersection of architecture, neuroscience and salutogenic design • Designing spaces to promote health, wellness and productivity • Identifying the contributions of the arts in promoting wellbeing • Learning how arts-based initiatives reduce stigma and improve social inclusion and quality of care 2:45

Afternoon Networking & Refreshment Break

3:00

Evidencing the Importance of a Population and Social Determinants of Health Informed Approach to Hospital Capital Planning

Addressing Gaps in the Continuum of Care

Gaps exist in the continuum of care for individuals with disabilities and complex medical conditions.

Family members provide care where they can but are often left looking to an overstretched Long Term Care system to help.

Savehaven, an organization that provides day programming, respite and residential care for children, youth and adults is working with Cumulus Architects to reimagine the physical space in a way that will help fill the gaps that exist.

In this session explore how the redevelopment of Safehaven’s Bloor Street site will: • Address current gaps in the continuum of care • Leverage community synergies to create a state-of-the-art hub • Reimagine residential, and transition care spaces in a way that will enable respite and day program expansion

4:30

Networking Reception Sponsored by:

Microphone-alt Jana Fear, MLIS, Office of Capital Management, London Health Sciences Centre Andrea McInerney, Executive Director, Office of Capital Management, London Health Sciences Centre REGISTER NOW

CanadianInstitute.com/HealthcareInfrastructure • 1 877 927 7936

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DAY 2 | Wednesday, November 8, 2023 7:45

Registration Opens and Continental Breakfast Served

10:30

8:50

Special Focus on Digital Enablement

Co-Chairs’ Opening Remarks Microphone-alt Cathy Renaud RN, BScN, MHM, CHE, Director, Planning and Programming, Capital Development, William Osler Health System Darnell Williams, Director, Planning and Design, Trillium Health Partners

Morning Coffee and Networking Break

10:45

Interpreting the CSA Digital Infrastructure Standard for Healthcare Facilities Microphone-alt Christine Chadwick, Managing Director, Archus

9:00

Embedding Indigenous Knowledge, Traditional Healing Practices, Cultural Safety and, Humility into Healthcare Planning and Project Delivery Microphone-alt Andrew Koscielniak, R. Kin, MA, Director, Indigenous Health, N’doo’owe Binesi, Indigenous Health, St. Joseph’s Hospital • Building a health system that honours traditional health and holistic wellness practices of Indigenous Peoples

Mathieu LeBreton, RN, BScN, MScHQ, Senior Project Manager, Digital Experience Lead | FFE & ICAT Planning, New Campus Development, The Ottawa Hospital The integration of digital infrastructure is an increasingly important, and complex consideration for both new and existing healthcare facilities. It can be difficult to know where to start in such a rapidly evolving technological landscape and how to identify the best approach for your organization.

The CSA has released a new standard that will provide a framework for the adoption technologies.

Points of discussion include:

» Developing a framework to guide the organization and improve the healthcare experience for Indigenous clients

• Developing your healthcare facility’s vision and technology strategy

» Integrating practices into the built environment—through sacred spaces, healing gardens, art installations

• Implementing scalable IT solutions

• Creating culturally safe environments and healthcare services and initiatives that respond to the unmet needs of Indigenous clients 9:30

Delivering Care in the Future: The Journey to a New Digital Hospital Microphone-alt Jeannie Gandham, Associate Director, IT Program, New St. Paul’s Hospital The New St. Paul’s Hospital, an entirely new build of a downtown Vancouver hospital, will be the most digitally innovative hospital in Western Canada. The technology strategy for the project’s IT Program is a balance between innovation and digital equity to ensure a positive impact for patients and providers. This discussion will focus on how the project is adapting to emergent needs and how infrastructure has been planned to support and enable rapid changes in healthcare.

• Creating a roadmap for success and leaning into early implementation opportunities • Staying resilient in the face of emergent needs, e.g. COVID-19 pandemic, Truth and Reconciliation with Indigenous Peoples, toxic drug and overdose crisis • Focusing on innovation in research, clinical use cases, and technology trends in the market • Moving beyond the hospital walls with a province-wide approach to care

• Navigating procurement processes

11:30

Testing and Operationalizing Technology: Strategies for Smoothing Out the Transition to a New Healthcare Facility Microphone-alt Maria Aquino, RN, MHI, Applications Specialist - Inpatient Procedure Orders, Electronic Patient Record, Unity Health Toronto Langdon Baker, Principal, Smith + Andersen Shelley Darling, Chief, Operational Readiness, Michael Garron Hospital Soraya Visram, RN BScN MHI, Senior Consultant – Healthcare & Clinical Workflow Specialist, Arup Building off our previous session—presenters will provide case study examples of recent technology implementation projects at healthcare facilities in Eastern Canada.

Key points to be covered: • Working within project and budget constraints • Preparing staff to use new digital tools through training and change management best practices • Tips on technology testing and ensuring systems are ready for opening day

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12:30

Lunch Break

Enabling Action on Climate Change

A Case Study from the NHS Net Carbon Standard

1:30

Navigating the Productive Tensions that Arise During the Planning and Construction of Healthcare Facilities Microphone-alt Jessica Fullerton, Regional Infection Control Healthcare Facility Design Program Manager, The Ottawa Hospital Marianne Lee, P.Eng., ing., LEED AP, Principal, H.H. Angus Peter Duckworth-Pilkington, B.E.S., B.Arch., Architect OAA, LEED AP, HDR Inc Moderator: Cathy Renaud RN, BScN, MHM, CHE, Director, Planning and Programming, Capital Development, William Osler Health System Healthcare facility planning involves many, sometimes competing or conflicting requirements and considerations-- from environmental and sustainability measures to infection control and patient safety. This session will examine how a multidisciplinary approach and holistic perspective can pave the way to solutions. Join our panelists for a candid conversation, that will examine real points of friction that have come up in facility planning and the best practices that helped project teams through the decision making process.

2:30

3:00

Afternoon Networking and Refreshment Break

Microphone-alt Rebecca Stubbs, Senior Consultant, Infrastructure Advisory, Climate Change and Sustainability, Mott MacDonald Embodied carbon tied to materials and construction processes account for up to 60% of whole lifecycle carbon emissions from a hospital. Action on embodied carbon emissions never seemed more pertinent. In this session examine how the UK is tackling the challenge by generating data and creating a framework of measurement, and movement towards net-zero healthcare facilities.

• Exploring how NHS NZC Building Standard developed an innovative framework for healthcare facilities » How to tier building elements and set different requirements that respond to industry maturity and data availability • Analyzing examples of the impacts of the net zero standard on projects • Assessing different trade-offs with other industry KPIs — such as pre-manufactured value, social value, adaptability, and material choices • Exploring what Canada can learn from the UK in carbon reduction for healthcare infrastructure 3:30

Examining the Benefits of Managing MES Projects In-House: Key Takeaways from the HHS Journey to Replace its Diagnostic Equipment Fleet Microphone-alt George Pankiw, Director, Hamilton Health Sciences Diego Gomez, MES, Project Manager, Hamilton Health Sciences

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• Examining the details of the equipment replacement plan and HHS progress on projects to date • Assessing the benefits of managing these projects in-house instead of using ‘turnkey’ type construction contracts • Identifying key challenges for the MES projects • Developing strategies to stay on schedule and mitigate risks 4:15

Conference Concludes

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