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Company News
Lucy Brun - EDAC Accredited
Organization of space in AP functional programs validated in LEANTM reviews Two clients have recently applied LEAN TM (or similar) methodology to proposed floorplans based on our functional programs. We're pleased to report that in both cases the organization of space was supported in the process review. In one facility, there were no changes. In the second, two imaging rooms were located with the emergency department based on expected volumes. Our programming team works with the users to incorporate opportunities to re-think current service delivery models and ensure new and emerging strategies can be developed through the process. Our functional programs facilitate the development of efficient systems and the effective organization of space to support safe and efficient patient, staff and material flows and to accommodate evolving models of practice/technology.
A Big Year for Business Cases Ontario's capital planning cycle for health care organizations provides an annual window of opportunity for review/consideration of stage one capital planning submissions, also known as business cases. In 2009, Agnew Peckham led integrated planning teams for 6 healthcare projects and participated in several others.
An effective business case provides a compelling argument for the need for redevelopment and demonstrates that the proposed redevelopment strategy is the most responsible and resource-effective solution and reflective of a longer term strategy for the site. Agnew Peckham excels in ensuring: alternative service delivery models are thoroughly explored at both the program and the organizational level, the program requirements are effectively interpreted in the development and evaluation of options, and the outcome/preferred option is a viable solution in the short and long term interests of the community.
Agnew Peckham Expands its Clinical and Strategic Planning Team Susan MacDonald and Molly Fuchs have recently joined Agnew Peckham’s consulting team, enriching our clinical and strategic planning services with their extensive and diverse experience. Susan MacDonald’s 25 year career in the health sector includes a range of project management experience in cardiac services, child health and the stroke care system. She has recently worked with Ontario’s Local Health Integration Networks on the governments’ Aging at Home Strategy to identify new programs and funding priorities. Susan is an experienced consultant, focussing on clinical program planning. Molly Fuch’s work spans the institutional, government and consulting sectors of the health care system in both Ontario and the United States. Most recently, she was the Director of Corporate Planning at Mount Sinai Hospital where she was involved in the development of the hospital’s strategic and operational plans as well as Family Health Team planning. Her experience also includes roles in the Ontario Ministry of Health, the Ontario Cancer Treatment and Research Foundation, and management consulting at Ernst & Young in Toronto and Presscott Associates, Ltd., a US managed care consulting firm.
Newfoundland Selects Agnew Peckham for Hospital Capital Planning Studies – St John’s and Corner Brook Agnew Peckham has been selected for the two major hospital capital planning studies in Newfoundland this year. Our work with the Eastern Regional Integrated Health Authority entails master programming and master planning for hospital based health services and associated ambulatory programs in St John’s. Debbie McDonald is leading this project team. Our master planning partner is Farrow Partnership Architects. In Corner Brook, Agnew Peckham is part of the integrated design team, led by Hatch Mott MacDonald (an international engineering firm) for the new regional hospital. Lucy Brun is responsible for the Agnew Peckham component, which includes program parameters and a functional program. Larry Rook will provide equipment planning services.
Patient and Family Centred Care Implementation – Survey Findings Patient and Family Centred Care (PFCC) is associated with improved patient satisfaction and outcomes, as well as operational effectiveness and efficiency. (Institute of Medicine, Crossing the Quality Chasm, 2001). Agnew Peckham embraces PFCC in our program and capital planning work with health care organizations across Canada. To understand the status of PFCC implementation into the delivery model, Agnew Peckham surveyed Ontario hospitals in 2008. Key findings from the study (45 hospital responses, 29 per cent response rate) included:
Faith Nesdoly Joins the Agnew Peckham Planning Team. Faith Nesdoly brings a wealth of healthcare planning experience to her new role as an associate of Agnew Peckham Health Care Consultants. Faith is currently working with us on international projects, such as a new health care facility being planned in the Middle East. While her current home base is in Germany, Faith is effectively integrated with our project teams via electronic communication and on-site work as needed. Her broad range of consulting experience, which spans the healthcare continuum, is complemented by several years of project management and facilities planning experience in a large hospital setting. To contact Faith, please email her at fnesdoly@agnewpeckham.com.
Generic Output Specifications Released. The Ministry of Health and Long-Term Care (MOHLTC) released its long awaited hospital design and infection prevention guidelines on September 26, 2008. The Generic Output Specifications (GOS) were developed through an extensive consultation process that engaged multi-disciplinary teams of care providers from facilities across the province. Agnew Peckham was the prime program consultant on the project as part of a team led by Stantec and Parkin, architects in joint-venture. The guidelines were jointly sponsored by the Ministry of Health and Long-Term Care and Infrastructure Ontario and are designed to:
Health Based Allocation Methodology (HBAM) and Capital Planning. The Ministry of Health and Long Term Care's (MOHLTC) new funding allocation model - HBAM - aims to provide equitable and cost effective resource allocations across LHINs, to promote integration and innovation across the system and to support evidence - based decision making. (excerpted from Health Care 2008 presentation by Cristina Perez and Colin Preyra) We understand that development and updating of the methodology continues. To inform our capital planning work with clients, we are working closely with HCM Group Inc (HCM) to monitor the implications of the methodology on activity and bed planning projections. HCM advises that the major component of the HBAM methodology that multiplies current age/sex utilization profiles by future projected population is similar to HCM's projection methodology. There is a high correlation between HCM's patient days - based approach and the HBAM weighted cases-based approach once both methodologies compute the increases back to beds. However, preliminary review of the new methodology suggests a number of different approaches, such as factoring occupancy rates into bed requirements, projections of ambulatory services and any adjustments that are not directly related to population growth and ageing. To review the implications of the new methodology for your facility capacity planning, please feel free to contact us
Agnew Peckham to Present at Strategic Capital Planning Conference. Larry Rook and Jeannine Gourlie, together with Barb Collins (Humber River Regional Hospital) will be presenting at the Strategic Capital Planning for Healthcare Infrastructure conference sponsored by The Canadian Institute on December 3rd 2008. Larry leads our equipment planning service and Jeannine is a partner and project lead for our work with Humber River Regional Hospital's redevelopment. The presentation topic is Effective Strategies for Equipment Planning in Development Projects. Key elements of the presentation will include:
Dale Morgan joins Agnew Peckham's Equipment Planning team. We're pleased to announce the appointment of Dale Morgan to the position of Project Manager - Medical Technology with our equipment planning service. Dale has spent his 25+ year professional career working in a multi-site academic hospital setting in London Ontario. In addition to managing Biomedical Engineering services, Dale played key roles in equipment planning, program planning and relocation implementations that occurred over the last number of years in London. Dale is a licensed professional engineer with a BESc (Electrical) and holds provincial and international certifications in Biomedical and Engineering Technology. Dale's strength in equipment and technology planning, equipment utilization modelling and application development will enhance Agnew Peckham's equipment planning service and augment our master programming and functional programming services.
Transition Planning Services. Building on our expertise in clinical, diagnostic, administrative and support services planning, transition planning integrates the many activities that are essential to the successful opening, occupancy and operation of a new hospital. Key activities include facilitating the development of:
Agnew Peckham is hosting a cocktail party in memory of Ronald J. McQueen
Agnew Peckham is hosting a cocktail party in memory of Ronald J. McQueen on Thursday, April 24th. If you would like to receive an invitation to this event please contact Glenda Travis at (416) 924-7451 or by email at gtravis@agnewpeckham.com
Victoria van Hemert Joins Agnew Peckham team We are pleased to announce the appointment of Victoria van Hemert to the position of Consultant with Agnew Peckham. Victoria is a graduate of the University of Toronto's Master of Health Science program in Health Administration. She has worked in clinical research, at the Ontario Ministry of Health, and hospital and nursing home administration, most recently as Vice-President of Planning, Quality and Human Resources at Southlake Regional Health Centre. With her strong planning background, Victoria will be a great asset to Agnew Peckham's strategic, facilities and clinical planning work.
Planning for New Medical Education Campuses Four new regional medical education campuses are being implemented in Ontario as part of a 15% expansion in undergraduate medical education places in 2008/09. Mississauga, Niagara, Kitchener Waterloo and Windsor will each assume responsibility for new or expanded undergraduate medical education in affiliation with designated medical schools. To assist hospitals in infrastructure planning for this new/expanded role, the Ministry of Health and Long Term Care has issued a capital planning framework document (Medical Education Campuses (MEC) Framework for Hospitals Requesting Capital Project Approval from the Ministry of Health and Long Term Care (MOHLTC)). The document provides planning principles, process and submission requirements.
Agnew Peckham is working with several designated MEC hospitals in planning for this new academic role. Key planning considerations include:
Ron McQueen passed away on November 23rd, 2007
The following formed Agnew Peckham’s nomination of Ron McQueen for Honorary Membership in the Canadian College of Health Service Executives in 2000, the year the firm celebrated its 50th Anniversary. At the time, one of the partners quipped “it sounds like an obituary”. Sadly, we’ve had to change the tenses from present to past, and yes, it is our tribute to Ron. Ron did not want a service but we are making plans with representatives of the University of Toronto (Master of Health Science, Health Administration) to honour his contributions to the health system. Introduction to Ronald J.C. McQueen Ron McQueen’s distinguished career in health services management spanned a 37 year period from 1955 to 1992. Ron’s career began in 1955 at the Canadian Hospital Association (CHA) where he was the assistant director responsible for educational programs for hospital personnel. For 30 years, from 1957 to 1987, he was with Agnew, Peckham and Associates for many years as the Executive Vice-President and President. Beginning in 1961, Ron was also on the faculty of the Program in Health Administration, Division of Community Health, Faculty of Medicine at the University of Toronto. From 1986 to 1989 and 1991 to 1992, he was Director of the Program in Health Administration. In “retirement”, Ron continued to be active in the health care system as well as other community services. He served on the Boards of the J.M. Hinks Treatment Centre and Queen Street Mental Health Centre, including being Chair of the Hinks Board. Ron was on the Board of the Collingwood General and Marine Hospital, and the Chairman of Planning and Programs Committee. Leadership Roles Ron served in many leadership roles. He was active in initiating the Canadian College of Health Service Executives and was a founding member. Other examples of his leadership roles include:
He delivered many speeches and facilitated numerous conferences and workshops including:
Contribution to the Canadian College of Health Service Executives Ron was a Founding Member and a Fellow of the College. He chaired the committee that developed the initial fellowship program and has been a mentor for many College members seeking fellowship. His belief in the importance of the College extended beyond the efforts associated with initiating the College. He promoted the College at every opportunity with the students he encountered at the University of Toronto and CHA, his clients and the consultants at Agnew Peckham. The traditions started by Ron of encouraging membership in the College and sponsoring College conferences and events, continue at Agnew Peckham today. Mentorship Ron was a mentor to thousands of health service managers who were in the earlier phases of their careers including:
Ron’s insight and advice was published monthly in the “Consultant’s Page” in Health Care in Canada, from 1961 to 1987. The articles provided a wealth of information in a clear and thought provoking manner. He always made time for those who wanted to learn and encouraged others to do so also. He will always be remembered for being approachable, honest and helpful by all those who sought his advice and wisdom. Summary Ron made an outstanding contribution to the health services management profession and profoundly touched thousands of health care managers. The organizations with which he was involved were fortunate to have the benefit of his continued warmth, vitality and integrity. He was an inspiration and role model for us all!
Megan Angus Joins Agnew Peckham team We’re pleased to announce the appointment of Megan Angus to the position of Consultant with Agnew Peckham. Megan is a recent MBA graduate from the University of Western Ontario’s Ivey School of Business in the health sector stream. She also brings a strong clinical nursing background to her consulting role, from prior work in children’s hospitals in Ontario and across the United States. With her business skills and clinical experience, Megan will be a great asset to Agnew Peckham’s clinical planning and business case work.
OHA Cocktail Party Draws 500+ Guests The 57th annual Agnew Peckham OHA cocktail party was held Tuesday, November 6th in the Imperial Room at the Royal York Hotel in Toronto. We were delighted to welcome more than 500 guests, making it our biggest turn out to date. This year, a draw was held for a $100.00 gift card to Chapters/Indigo. Congratulations to our draw winner, Nicole Sbrocca from Windsor Regional Hospital. Thanks to all our guests who attended the party.
Patient and Family Centred Care Survey There is growing recognition that incorporating an individual patient's (and/or family member's) perspectives and involvement in care results in better health outcomes and satisfaction. As part of our commitment to assisting healthcare providers to improve their practices and quality of care, Agnew Peckham is surveying Ontario hospitals regarding the current status/progress of incorporating patient and family centred care. Mary Chen, a student in the Masters of Nursing program at the University of Toronto, is completing a placement at Agnew Peckham. Lucy Brun of Agnew Peckham and Madonna Benoit of Halton Healthcare Services are Mary's preceptors and are overseeing her work.
A questionnaire was sent to all Ontario hospitals in May, focussing on organization structure, processes and strategies for implementation. The findings from our survey will be published in Perspectives, Agnew Peckham's newsletter and distributed to participants. To receive a copy of the survey findings, please contact us.
Ontario's Capital Planning Process Expanded The Ministry of Health and Long Term Care in Ontario (MOHLTC) has recently introduced a new "Pre-Proposal/Expression of Interest" stage to its capital planning process. Providers wishing to enter the capital planning process will require written approval of their Pre-proposal before proceeding to the Proposal stage (i.e., master program, master plan, business case). The pre-proposal provides the rationale for the requested facility development plan. Components include a high level community assessment, facility assessment and patient service needs assessment.
Agnew Peckham is currently assisting several clients in this phase of planning.
For more information/assistance, please call (416-924-7451) or email us (apa@agnewpeckham.com).
Updates and Feedback
We update the news items on our website regularly with information about our firm, key projects and healthcare research we've completed. What do you think? Are the items relevant, interesting? Would you like more information or a copy of our latest newsletter? We'd appreciate your feedback and would welcome requests for more information. Please contact us at apa@agnewpeckham.com
Darrell Doucette appointed to position of Senior Consultant The Partners of Agnew Peckham are pleased to announce the appointment of Darrell Doucette to the position of Senior Consultant. Darrell brings with him over 20 years of experience in the areas of hospital planning, design, project coordination, construction, commissioning and post occupancy operation. Darrell began his design career in 1980 with IBI Architects in Calgary before returning to New Brunswick to be involved in the health care regionalization movement. Between 1984 and 1996, Darrell was a Project Coordinator responsible for two major health care projects; Campbellton Regional Hospital and Miramichi Regional Hospital. More recently, Darrell was the Director of Planning responsible for facility redevelopment at Queensway Carleton Hospital in Ottawa. As a client of Agnew Peckham, Darrell worked closely with and was mentored by Arthur Peckham and credits him with his in-depth knowledge of the various aspects of delivering a successful health care product.
Darrell has also worked in a post construction administrative capacity and served at the national level on the Board of the Canadian College of Health Service Executives. While a Board member, Darrell chaired the National Energy Efficiency in Healthcare Initiative for the Canadian Natural Resources Department.
Agnew Peckham re-visits Hill-Rom’s Room of the Future As part of our commitment to contemporary design and best practices, Agnew Peckham staff recently met with Hill-Rom at their Batesville, Indiana headquarters. A Pebble Project® http://www.healthdesign.org/research/pebble/ corporate partner , Hill-Rom’s innovative work on patient room design is informing hospital planning and design across North America. Their ‘Room of the Future’, organizes patient care rooms into functional zones (for the patient, the family, clinical caregivers and support) with the goal of creating a safer, more efficient and more clinically effective environment. Hill Rom’s presentation focussed on design features associated with improved quality of care, functionality and financial performance, including universal and acuity adaptable room layouts and decentralized workspace for nursing staff. During our Hill-Rom visit, we also:
To connect to Hill Rom’s Room Builder, click here.
For Hill Rom’s work flow information, click here.
Planning for a Community Health Centre (CHC) We have recently assisted a sponsoring organization with planning for a new Community Health Centre. Three components of planning were completed: Community Engagement Operating Budget, including organizational structure Functional Program, including space requirements The process was quick, taking about 10 weeks to complete. enriched by timely and effective involvement and commitment of the local community, both residents and providers, right from the initial stages viewed to be highly successful by the stakeholders There are six factors that we feel contributed to the successful completion of this project and we would be pleased to meet with organizations wanting to explore opportunities. Factors Contributing to Timely and Successful Planning for a New CHC
Integrated Approach enhances Efficiency and Continuity
Draw on Community Knowledge and Resources
Avoid Duplication of Research and Effort
Focus Discussions From this process, a number of individuals volunteered to help operationalize the CHC and will be called upon in the next stage of developing the governance framework. The stakeholder sessions and forums enabled us to confirm the priority populations and service gaps to address in our programming meet the leaders of several target populations and through them reach their communities; several groups hosted focus groups for us, which raised awareness of the proposed centre and provided more insight into service needs and effective delivery strategies identify individuals interested in volunteering to help operationalize the CHC (e.g., in developing the governance framework).
Effective Communication Strategy to Reach and Keep Stakeholders Informed The sponsoring organization’s website and centrally located staffed office functioned as a hub for giving and obtaining information. Updates were emailed to all agencies and participants following each consultation session. Ongoing communication with the stakeholders and those involved with the community forums not only built richness into the programming and facility planning, but also assisted in developing relationships between existing agencies and community groups and the new organization.
Strong Commitment by the Lead/Sponsoring Organization
Changes to the Agnew Peckham Team
New members of the Agnew Peckham Team: Vanessa Fitzsimons joins us as planning assistant. A graduate of Sheridan College of Interior Design, Vanessa is working with us to develop a functional assessment template and database, which will be integrated with the facilities condition index of VFA (a firm that specializes in facilities condition assessments). Maui Santiago is our new equipment coordinator. With a degree in English from Wilfrid Laurier University and a Doctorate in Homeopathic Medicine and Health Sciences, Maui is using her clinical and hospital experience in her new equipment coordinator role. Maui works extensively with various manufacturers and vendors in the updating and development of the equipment database. Andrea Pageau’s primary responsibility will be to the Generic Output Specification project (GOS) to create guidelines for all planning and design in Ontario. The project is jointly sponsored by the Ministry of Health and Long-Term Care and Infrastructure Ontario. A Respiratory Therapist, Andrea has worked in intensive care and medical/surgical inpatient units. She also has experience in neonatal intensive care, paediatric intensive care, paediatric emergency, emergency, trauma and surgical suites. Pamela Sehdev is joining us as a researcher and as an assistant to our consulting team. She is a surgical nurse with experience in orthopaedic, oral, ENT and gynaecological specialties.
Pat’s designation is new to the firm – a principal consultant is distinguished by virtue of the consultant’s significant commitment to:
Pat began her career with Agnew Peckham in 1982 and worked with Arthur Peckham, Ron McQueen and others for three years before leaving to pursue opportunities as part of an administrative team in the Hospital sector. Pat returned to Agnew Peckham in 1998 after working as a member of the administrative team for Kitchener-Waterloo Hospital (now Grand River Hospital) with responsibility for planning and selected support services. Immediately prior to re-joining APA, she provided project planning/consulting services to a number of hospitals as well as the Health Services Restructuring Commission. Agnew Peckham’s Recently Completed Projects Strategic Planning We have also provided support to planning staff at St. Joseph’s Health in London and Hotel Dieu in Kingston. Our role included providing advice regarding the process and report format, reviewing draft and final reports and facilitating Steering Committee discussions and the planning retreats.
Cancer Services Planning In Ontario, we continue to work with the Sunnybrook site of the Sunnybrook Health Sciences Centre, most recently completing a master program (i.e., long term) assessment of facility requirements for the regional cancer centre.
Emergency Department Planning The planning team has recently toured several emergency departments in the United States and has a number of observations about innovative practices.
Planning for Health Sciences at George Brown College Agnew Peckham is responsible for the master program, which involved:
The goal of the IPE in the Health Sciences program at GBC is to encourage professionals from a range of services to work together as a single team to deliver improved, holistic and co-ordinated care. This unique teaching model will prepare graduates to work together within a multi-disciplinary team. For more information about our work with George Brown College and experience with educational institutions, please contact Roberta Lau (rlau@agnewpeckham.com) Assisting the Mississauga Halton Local Health Integration Network (MH-LHIN) Agnew Peckham has been part of the Price Waterhouse Coopers consulting team hired to assist the MH-LHIN Board and senior leaders to develop a draft Integrated Health Services Plan (IHSP). Our role has included:
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Introducing New Members of our Consulting Team Stephen Black is a member of the Ontario Association of Architects as well as an experienced health care planning consultant. Stephen joined us in January 2006 and is working on a range of assignments, including master planning, master and functional programming and implementation planning for a new centre. Megan Angus brings a strong clinical nursing background to her new consulting role. Megan has worked in children’s hospitals in Ontario and across the United States, focussing on haematology/oncology and bone marrow transplantation services. Her consulting practice focusses on master and functional programming as well as research support for clinical planning projects.
Erin Beal is our new planning assistant. A graduate of Sheridan College’s interior design program, Erin provides area measurement studies and layouts to support master program, master plan and equipment planning projects.
Surge in Master Programming/Master Planning The Ontario Ministry of Health and Long-Term Care is updating the capital planning process and requiring that hospitals have a master program and master plan prior to approving redevelopment projects. We have completed or initiated master program/master plan processes for 10 clients over the past 6 months.
Information on our services is available through our services page.
Casey House Hospice: Program and Services Review We worked with the Casey House senior leadership team in determining the organization’s visions for future programs and services. As part of the process, we created an inventory of Toronto HIV/AIDS service providers through searches of the service providers and AIDS Committee of Toronto websites input from Gail Flintoff, a social worker at Casey House feedback from the service providers.
For a copy of the inventory, please contact Lucy Brun at lbrun@agnewpeckham.com.
Agnew Peckham Awarded Equipment Planning Project for Acadie–Bathurst Agnew Peckham & Associates has recently been awarded an equipment planning project for Acadie–Bathurst, New Brunswick. The project for the new surgical suite includes:
We have completed the generic list and the assessment of high tech/high cost items and are expecting to complete the remaining components of the project by the spring of 2006.
For more details on Agnew Peckham’s equipment planning services please contact Larry Rook at lrook@agnewpeckham.com
Planning Today for Rooms & Technology of the Future – Agnew Peckham Meets with Hill-Rom As part of our commitment to contemporary design and best practices, Agnew Peckham recently met with Hill- Rom in Batesville Indiana. The new products and capabilities we saw will enable new models of care delivery by improving communication and workflow. Evolving voice communication capabilities - such as Vocera ™ - enable providers to communicate among themselves and to patients through simple programmable pendants. Patient tracking systems, such as Navicare, are moving from the surgical suite to the hospital at large, ensuring that the patients’ whereabouts and clinical/diagnostic activities are documented. The role of the central communication/team station in clinical and diagnostic areas will also change with these advances. Patient care and diagnostic room sizes and dimensions will also be affected by new technology. In critical care for example, we’re examining the implications of ceiling mounted booms/pendants on room size. There are six factors that we feel contributed to the successful completion of this project and we would be pleased to meet with organizations wanting to explore opportunities. The visit also reinforced the need to begin equipment planning early in any capital project – immediately following the functional program approval. On our Hill-Rom visit, we attended:
For more information on the above mentioned products, connect to Hill-Rom through the following links:
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At the recent Health Design conference in Orlando, Agnew Peckham Partner, Lucy Brun, successfully wrote the Evidence based Design Accreditation and Certification (EDAC) exam. EDAC tests individuals' understanding of how to apply credible research evidence and project evaluation results to healthcare building planning and design decisions. Agnew Peckham brings this knowledge and experience to our work in facility assessment, clinical planning, detailed functional programming and transitional planning with health care organizations across Canada and internationally. Congratulations Lucy. Ontario Ministry of Health, the Ontario Cancer Treatment and Research Foundation, and management consulting at Ernst & Young in Toronto and Presscott Associates, Ltd., a US managed care consulting firm.
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