Plans for a new Windsor-Essex Hospitals System are creating a lot of buzz. That is great! This is the community’s hospital and the more voices we have involved in the discussion, the better.
It’s important, however, that when talking about the hospitals, the plans, and the history of healthcare in the region, we are using correct facts. Inaccurate information is dangerous and possibly detrimental to the future of the proposed project. . It would be devastating for our region and generations to come not to advance with respect to desperately needed healthcare infrastructure investment based upon inaccurate statements that are made to achieve an alternative purpose.
To that end, we would like to address some inaccuracies that were circulated last week in the form of letters to the print media and on social media.
INACCURATE STATEMENT:
“When the proposal to replace our hospitals was launched in 2012, the projected cost was in the $1.2 billion range. In less than three years, this ballooned by 80 per cent to $2 billion.”
For this discussion it is important to compare apples to apples. That means comparing all of the changes proposed to both campuses in the past, to what is being proposed today. The facts point not only to a financial cost savings, but better value for a project that will meets today’s standards, and the needs of patients in Windsor-Essex.
FACTS:
- Before it recommended, based on overwhelming support for the community, proceeding with a new hospital, the Windsor Essex Hospitals Taskforce looked at the Master Plans completed in 2008/2009 (“2008/09 Plans”) for both Windsor Regional Hospital Metropolitan and Hotel-Dieu Grace Hospital, Ouellette Campus. The 2008/09 Plans included a combined total of $2.168 billion in redevelopment/building costs. Those calculations included $1.005 billion to redevelop the Ouellette campus and $1.162 billion to build a new Met Hospital.
- The November 2012 Task Force report clearly states “the costs of new hospitals constructed elsewhere in the province (roughly $1.2 billion) is well exceeded by the $2 billion estimated cost in total to rebuild Windsor Regional Hospital’s Metropolitan campus and reconstruct seven inpatient floors at Hôtel-Dieu Grace Hospital” Ouellette campus. For background, check out the Windsor Hospitals Study: Final Report.
- The province recognized the 2008/09 Plans, with a price tag of more than $2 billion, still resulted in short, medium and long-term deficiencies at the Ouellette site and inefficiencies and a bifurcated delivery model for patients operating two separate acute care hospitals.
- The cost of the 2008/2009 Plans also do not take into account changes in legislative codes and requirements. Infection control standards have changed significantly since then and as a result the cost of building those same facilities today, would also increase.
- The approximately $2 billion investment announced in July 2015. Of which, $1.44B is for the new acute care hospital. The reason the new acute care hospital cost has increased since the 2009 estimate is, in large part, because it changed from just housing Met campus’ programs to including also Ouellette campus’ programs and changed from 928,097 sf to 1,628,466 sf. let alone the changes in codes and infection control requirements.
- The approximately $2B investment also includes:
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- An Urgent Care Centre and Satellite facility which will offer primary care at the former Grace Hospital site;
- A regional, centre of excellence for children and adult mental health at the HDGH Tayfour Campus;
- Additional on-site dialysis and additional diagnostic imaging at the Tayfour Campus; and
- Mental health services, chronic disease management, dialysis services and a community hub at the Ouellette campus.
INACCURATE STATEMENT:
“What is supposed to streamline the delivery of health care services, morphed into a project that will demolish two facilities, including a new $50 million Cancer Centre …”
FACTS:
- The Cancer Centre opened in 2001 and is nearly 15 years old
- The actual cost of the project is nearly $ 22.5 million including all of the equipment. The actual total construction costs was approximately $20.5 million.
- After 15 years, additional outpatient treatment and patient assessment space is now required because program growth in systemic and radiation oncology.
- This additional patient care space would require center expansion at the existing site.
- Right now the centre is operating at extended hours to meet the current needs.
- The equipment in the facility must be decommissioned and replaced no later than 2020 according to Cancer Care Ontario.
- The addition of a fourth treatment unit at the existing site is complicated by existing structures and is very costly.
- Ideally, the hospital redevelopment will be timed to facilitate machine replacements without reduced treatment capacity or without having to relocate machines to a new site.
WATCH: Radiation Oncology Program Director Jeff Richer, explains why now is the ideal time to move forward with plans for a new hospital.
We might all agree a new hospital is needed but to remove healthcare services from the most densest demographics of the entire county is unacceptable. This goes against sound city planning, environmental and social policies. You state the new hospital is to serve the region and must remain on the outskirts of the city. . If it is to be regional (our 4 original hospitals were always regional, they served all) then why did you accept tenders from the city.
There were 32 criteria used to determine the best possible location for a hospital to serve the region. Property owners from both the city and the county with land they felt met that criteria, were invited to submit their property for consideration.
The site was chosen based on a process outlined in an RFP. A Fairness Advisor appointed to monitor the site selection process had no reservations or concerns about the outcome of the process from a fairness perspective. In his final report he commended the hospital and its advisors for the manner in which the process was undertaken.
This part of the planning for a new Windsor-Essex Hospitals System has been completed and we are moving forward.
For more on the site selection process visit
http://www.wrh.on.ca/Site_Published/AcuteCare/RichText.aspx?Body.QueryId.Id=69510&LeftNav.QueryId.Categories=774
I attended the DWBIA presentation and was left with the impression that the new acute care site will not be equipped/staffed for non life threatening emergency traffic and those patients with non-life threatening emergencies which apparently constitutes 90% of the emergency room traffic will be re-routed to the Urgent Care Centre(Grace site) regardless of being a city or county resident. Could you please respond and provide full clarification of the emergency services that will be handled at each location and whether or not this applies to residents of both the city and county.
Please go to the following video and blog which discusses what is an urgent care centre and focuses on a great example of an urgent care centre In Ontario https://windsorhospitalsblog.org/2015/04/07/right-care-right-place-right-time/
A patient is not limited to attending either the urgent care centre or the acute care hospital emergency department. However, the first choice for a patient should be primary care, their own family physician and/or family health team to name a couple of good examples. If a patient needs care not provided by primary care, they will be able to attend the urgent care centre or the emergency department. As stated in the video, urgent care centres have been shown to address the clinical care of patients in a more timely fashion. Since 85% to 90% of patients that attend an emergency department go home after their visit the goal is to find a system that can treat patients that visit an ER in a more timely and efficient manner.
The urgent care centre will be staffed by emergency room physicians and nurses. It will have full laboratory services and diagnostic imaging services which includes a CT scanner.
Being a city and/or county resident does not determine which facility one can attend. That is not the case now and not the case ever.
Thanks for the clarification. I understand the concept of the Urgent Care Centre and it sounds like a very high tech efficient facility. You clarified that both facilities will be open to everyone for emergencies regardless of their place of residence but for quicker service/less wait time the recommendation is to use the Urgent Care Centre(Grace site) downtown Windsor.
Future expansion? The new ‘MegaHospital’ will be out of date by the time, (if ever) that is needed. The Provincial government’s own report expects no population growth in Windsor or Essex County as projected up to 2035. The future may even hold a movement to smaller, more specialized hospitals built as part of existing neighbourhoods. The WRH site selection committee criteria was deliberately rural site biased by the excessive surface parking requirement. This rural site appears to be designed to meet the needs of speculative developers that put forth the Sandwich South Secondary Plan and needed a large scale public project to move it forward prematurely so they can $piggy back on all the new infrastructure and services that the proposed new Single Site Acute Care Hospital will require. Expensive new Infrastructure and services that will be paid out of the public purse and would not be necessary if an urban City core site was chosen. Isn’t this bad money chasing bad money designed such that the hands of a few will get richer at the unnecessary excessive expense of the rest of us?
Thanks for the comments. You are providing more of a commentary rather than questions. However, regardless of growth, Windsor-Essex should not and does not deserve substandard hospital infrastructure as compared to what the rest of the Province is enjoying at Windsor-Essex expense. Our current residents and generations to come deserve state-of-the-art acute care hospital facilities. They deserve nothing less.
This seems like a slow process. In 2012 we were told 10 years to wait. It’s almost 2016 and still no ground breaking. Do we have a realistic completion goal at this point?
Thanks for the comment
The actual process started in 2012 with the Task Force Report that recommended, based on community input to move towards a regional acute care hospital. It was not until early 2013 that we received the official “start” from the Ministry of Health and Long-Term Care to commence the planning process. So as of January 2016 we will be 3 years into the process. Moving to the next stage (Stage 2 and 3) is critical. That stage includes all functional planning and design. Stage 2 and 3 will take 2-3 years to complete. Then there would be a request for proposal phase. Construction could start in approx 3-4 years. It will take 3 years to complete construction. So in total it still is on track for a total of 10 years from the start. 3 years so far, 4 years to complete functional planning,design and RFP and finally 3 years to construct.
The location is really not well thought out. Why continue to gut the city core?
The desire to repopulate downtown is clear the possibility of the Law School moving appears in the media on a regular basis. Why then move the hospital and all of its associated services? I know about the consultations and the very complicated survey.
How about one simple question. Where do the residents of Windsor Essex what the proposed hospital to be. Near the airport or near existing services?
Thanks for comments.
We have to remember this is a systems announcement. It is much more than just a new regional acute care hospital. It includes a new $150million urgent care centre and $100 plus million dollar investment at the Ouellette campus for outpatient mental health, dialysis and community hub. As well as investments at the Tayfour campus. Similar to the College and the University there are programs being located downtown and in the core.
The regional acute care hospital does just that. It serves a region which includes Windsor-Essex. That is the question that was answered. The process to select the site for the new acute care hospital was very detailed, open, transparent and exhaustive. The response to the systems announcement has been overwhelmingly very positive.
How was the response to the systems announcement measured? You state it has overwhelming support.
Thanks for the question. Since the announcement there has been a lot of public feedback to many sources. This Includes but is not limited to additional town halls, feedback to Board members, feedback to members of the planning and services steering committee, feedback received from publicly elected officials, feedback to members of the site selection committee. We can go on and on.
In addition, both the Windsor-Essex Chamber of Commerce and the Windsor-Essex Development Commission have supported not only the process but also the Windsor-Essex Hospitals Plan that was announced in July 2015.
We have always stated not everyone would be happy about the location of the regional state-of-the-art acute hospital, but we truly need to focus on the overall plan. The overall plan invests in an urgent care centre, outpatient mental health, dialysis and a community hub in the Core. In addition there are additional investments at Tayfour and the new Acute site.
The site selection committee was made up of ten residents of Windsor-Essex with varying backgrounds and expertise. They heard from hundreds of residents of Windsor-Essex and also used experts in health development for support. We should commend the volunteer site selection committee made up of residents of our community and the ultimate site they selected for the regional state of the art acute care hospital based upon community feedback.
You can’t talk about a stronger or more transparent community process then the one used locally. In fact other jurisdictions have reached out to us to adopt a similar process in their jurisdiction for site selection. That speaks volumes to the process and result.
The next step is to secure the necessary “local share” to move this much needed project forward and to clearly indicate to the Province we are serious about moving forward.
We appreciate there is a small group that has always been committed to the position that they will not support any location for the new acute hospital outside of the downtown or core. However we are very pleased with the result of the thousands of hours and hundreds of individuals from our community that have committed to creating the new Windsor-Essex Hospitals system.
What about other locations where infrastructure is already in place? Why can’t the public know the list of proposed sites? Also, this video is very strange. What – are more and more people getting cancer in Windsor? It’s talking about need and growth as some kind of positive? Why do they call cancer “the Windsor disease”? Is it because of all the environmental degradation? Which, now, ironically, the hospital want to contribute to through building on a greenfield site? Very strange indeed.
Thanks for the email. The video is to respond to the inaccurate statements individuals have made about the cost to initially construct the cancer centre and also the fact that it is still functional in its current location for years to come. The opportunity before us, that a lot of jurisdictions do not have when faced with infrastructure issues, is being able to take advantage of a 90% provincial investment in new-state-of-the-art facility. Even since the current cancer centre was built, technology advances have been dramatic. We do need to expand, like other cancer programs across Ontario and North America.
As to the other sites there will be information coming out shortly as a result of getting consent from the all the property owners to release that information. However, the site(s) for all the investments will not change. We are past that part of the process. That process has been the most open, transparent and thorough site selection process ever held in Ontario and across Canada. We had 10 community members with extensive backgrounds along with community feedback and the support of some of the foremost experts in hospital site selection and development on the committee. Clearly, some people, a minority, are not happy with the location of the new acute hospital. However, moving its location for personal preference reasons is not up for debate. Also, with respect to location, as you are well aware, the Windsor Medical school program is very pleased with the site selected.
My comment has nothing to do with “personal preference”. It has to do with being concerned about the health of this community and the various communities existing within Windsor-Essex. Quite frankly, I find this blog, and the liaisons with people who share such concerns to be reductive, condescending, and insulting. I have recently moved back to Windsor from many years in the GTA and I find what is happening here to be appalling.
Again, thank you for your comments
Pulling acute active healthcare out of the most populous area of its host city Is poor planning. The many will suffer at the expense of a few. Hopefully this will be turned around soon when sound minds intervene and the provincial government understands the folly of this proposed project. It was flawed from the beginning since declaring there needs to be 60 acres for the site.
Thanks for the response. The size of the property needed to support an Acute care hospital across the province is very consistent at approximately 50 acres. This allows for proper development in the first place and then regeneration on the same site in the future. The Ministry of Health does not want to be looking for hospital sites everytime one needs to renovate or regenerate the hospital. We have a future blog on this very issue coming out soon.
The only exceptions to the above is where you have no choice but to location a hospital on a smaller area. However doing so limits your options in the future.
In our case the owner offered 60 acres for sale. However, the RFP process compared the sale price per acre to make the process identical for each owner. The RFP and criteria never asked for 60 acres.