THE CAMPAIGN FOR BC CHILDREN

2013 Report on Giving

Thank you to our lead benefactors and the caring individuals and organizations who have contributed $1 million or more to the Campaign for BC Children.

OUR LEADERSHIP DONORS

lead benefactorsSave-On-Foods, Overwaitea Foods,

PriceSmart Foods, Cooper’s Foods & Urban Fare

Teck Resources Limited

benefactorsA Night of Miracles Estate of Karel and Edith AlstonThe Auxiliary to BC Children’s HospitalBMO Financial GroupJack and Doris Brown FoundationL.C. CampbellThe Patrick and Beryl Campbell

Charitable TrustCanucks for Kids FundCapstone Mining Corp.Stephanie A. CarlsonChinese-Canadian CommunityCIBC and CIBC EmployeesColonel Harland Sanders CharitiesConcert Properties Ltd. &

Janice and David PodmoreFinningGolden Girls GroupDouglas C. Gordon

Brian and Andrea HillThe Hudson FamilyMilan & Maureen Ilich FoundationJake and Judy KerrLedcor Group of Companies,

Dave Lede Family Charitable Foundation

The Lee FamilyDonald R. LindsayMining4Life Charity ChallengeDjavad Mowafaghian FoundationPeterson GroupRBCScotiabank and its EmployeesDaniel and Henrik Sedin and FamiliesSilver WheatonTELUS Team Members and RetireesThe Yu FamilyAnonymous (5)

THE NEW BC CHILDREN’SHOSPITAL:BUILT FOR CHANGEThe new BC Children’s Hospital will be built for change. It is being designed with the future in mind. As the health needs of our patients evolve and technology progresses, so will the environment in which children and families receive the care they need.

1

Conceptual rendering of the new BC Children’s Hospital. Subject to change.

The new seven-storey hospital will have a child-friendly exterior that appeals to the imagination of children and adults alike. On the outside, the building will appear less intimidating and more approachable to children, using design techniques such as a large canopy and having the higher floors set back. The new building will be almost 50,000 square metres – more than twice the size of our current facility.

Inside the hospital, flexible work spaces will accommodate staff and equipment changes with minimized downtime, which means equipment remains available for diagnosing and treating patients while staff changeovers take place seamlessly. New patient rooms will be comfortable and provide family space and each will offer life-saving features – oxygen, monitoring, private rooms to prevent infection and more. All of these components, inside and out, are part of a facility in which health care comes to the patient’s bedside as much as possible, rather than the patient being moved around the hospital.

The building will use wood as a primary building material as well as for interior and exterior finishing, such as beams and panelling. Local resources will be used for construction wherever possible to help support our local economy. These plans meet LEED Gold certification standards to minimize environmental impact. Evidence-based design reveals the importance of light, sound, colour, good air quality, and the incorporation of art and nature into daily hospital life – all of which help to reduce patients’ and families’ stress and anxiety. In the new BC Children’s Hospital, the needs of children and families come first, caregivers are empowered to do their best work and spaces are being designed in a way that will accommodate innovations in care, equipment and technology.

3

CANCER CARE ALL ON ONE FLOORIn 2011 children and teens made 9,477 visits to the hospital’s cancer and blood disorder clinics, which are spread across three floors of the existing Children’s Hospital. The future vision for the new hospital brings together inpatient and outpatient treatment areas for oncology, hematology, and blood and marrow transplant to create a cohesive and collaborative medical environment with easy, seamless transitions between treatment areas. Providing this specialized care all on one floor will help to alleviate children’s and families’ anxiety about where they are and who they are seeing by streamlining treatment and giving them the consistency of having the same staff members to care for them

Clockwise from top left: Oscar Dorval, Lina Palethorpe, Clara Howorth and her mom Andrea.

during their visit. This also helps to reduce complications in immune- compromised children undergoing chemotherapy because less travel within the hospital means less exposure to the bugs that can make them even sicker.

The oncology floor in the new hospital will have 27 inpatient beds for children in active treatment, plus an outpatient day program for kids who are well enough to receive treatment while living at home or in follow-up care. The 2,300-net-square-metre oncology floor will treat kids with cancers such as leukemia and lymphoma as well as caring for children with rare and common blood disorders.

The cure and survival rates of children seen by the Oncology/Hematology/Blood and Marrow Transplant Program at BC Children’s Hospital rank among the best in the world, but we can still do more. The oncology floor will provide an environment conducive to family participation, allowing parents – and even siblings – to stay with each sick child during treatment and recovery. Amenities such as kitchens and laundry facilities will make it easier for parents to stay with their child 24 hours a day throughout their child’s treatment.

5

Conceptual rendering of the new BC Children’s Hospital. Subject to change.

THE NEW STRUCTURE OF PEDIATRIC INTENSIVE CAREBC’s kids spend a total of more than 6,000 days – some stay for months at a time – in our Pediatric Intensive Care Unit (PICU) each year. These are children suffering from the most severe illnesses or injuries. When the hospital was first built, the impact of long hospital stays on children was barely a consideration. Big open wards were not made for quiet family time, let alone preventing the spread of superbugs and contagious diseases. Today’s limited space means family and caregivers jostle for position at the bedside and parents are sometimes forced to leave the side of their desperately ill child to make way for equipment and medical staff.

The physical layout and structure of the 1,861-net-square-metre PICU in the new Children’s Hospital will be very different. By looking at the challenges posed by the existing PICU, planning teams took a major departure from the open-ward layout seen today. Plans for the new hospital show the PICU divided into four “neighbourhoods,” each with private rooms and observation alcoves in addition to nursing and supply areas that will allow nurses to visually monitor patients better. These much-needed private rooms will help to reduce hospital-acquired infections, promote healing and provide quiet time for families during life’s most trying moments.

Kids in any PICU are also vulnerable to infection and complications, making isolation rooms necessary in recovery. The new PICU will have all single patient rooms and allow isolation of individual children or an entire neighbourhood to reduce the risk of infection. One of the

neighbourhoods will be a specialized Cardiac Intensive Care Unit, staffed with nurses specializing in caring for children with heart conditions. Each bed will have life-saving equipment and monitoring systems built into the bedside and enable caregivers to quickly respond if conditions worsen.

The unit will have an additional six beds over the current PICU for a total of 28 spacious, private rooms designed to support the most advanced tech-nologies for life support, respiratory support and the safe administration of medications.

Intensive care units will be designed to better protect vulnerable patients from infection, and will be large enough to allow family members to stay by their child’s side.

7

A state-of-the-art operating room at The Children’s Hospital, Denver.

THOUGHTFUL ORGANIZATION OF PROCEDURE AND OPERATING ROOMSWhen the current Children’s Hospital was designed, planners believed that as technology advanced, equipment would become smaller and require less space. Today, we know that operating rooms (ORs) actually require more space to accommodate a greater variety of elaborate surgical equipment, and the larger, multidisciplinary medical teams needed to treat children with com-plex health problems. It’s not uncommon for there to be 10 or more people in an OR during a major surgery.

In the current plans, the ORs will be located on two floors and divided into general procedures, like dental or tonsil surgery, and more specialized procedures such as trauma, orthopedic, cardiac and neurosurgery. They will measure 40, 60 or 85 square metres and, though the general procedure ORs are smaller, even the smallest OR in the new hospital will be larger than the biggest OR in the current hospital. The larger ORs will be specialized with the equipment needed for both minimally invasive and traditional open-heart, brain, back and bone surgeries.

Plans for the new Children’s Hospital not only provide more space for surgery, they also reveal a reorganized structure that is more efficient and safer. Locating ORs and interventional radiology rooms together supports a closer relationship between surgery and imaging, and facilitates changes in the type of care needed during today’s procedures. ORs will also have two “garages” for imaging machines that are to be used during procedures. One of these

“garages” houses a CT scanner, located between an interventional radiology room and an OR, enabling the scanner to be moved into either procedure room

9

depending on where it is needed. This unique set up will greatly benefit patients because doctors can use imaging in real time while the child is under the same anesthesia, increasing the accuracy of the procedure and potentially shortening the length of time the child and family have to spend in hospital. Imaging within the procedure room also reduces a child’s chances of infection from being moved multiple times and de-creases the potential for medical errors. This also increases staff efficiency, minimizes costs, and gives the flexibility of using treatment areas for multiple purposes.

TWO IN ONE: THE NEW ANESTHETIC CARE UNITChildren from across BC had 8,579 surgeries at BC Children’s Hospital in 2011. These children may be distressed, scared and in pain, or might just need some quiet time with loved ones. Currently there are four patient rooms in the pre-operative area serving 25 to 50 children a day – the majority of patients and families must wait in the common area. In the recovery room, a maximum of two family members are allowed with each child; there is only one isolation room in the recovery area and the remaining 11 beds are separated by curtains, posing infection-control and privacy concerns.

One of the breakthrough ideas that came out of the planning process was to create a centralized Anesthetic Care Unit (ACU) for the thousands of children who require anesthesia each year. Children who need anesthesia are currently seen in two different locations before and after their procedure, both of which lack appropriate family space. These children come for procedures ranging from a simple imaging scan to abdominal surgery, but most of them have some type of surgical procedure and return home the same day.

In the new BC Children’s Hospital, three ACU areas – one for each set of procedure rooms (or ORs) and one in the Medical Imaging Department, will allow children and families to be admitted to and discharged from the same area, promoting continuity of care and eliminating the need for families to transfer between two environments. All ACU patients in the new hospital will have their own private rooms before proceeding to their procedure and will ideally be able to return to the same room to recover, further enhancing care and convenience. Each room will have glass doors that can be closed for privacy and noise reduction while allowing staff to maintain sight of patients for visual monitoring. As often as possible, nurses providing care will remain the same before and after surgery, en-hancing the consistency and quality of care by giving families familiarity in the people as well as the place. The ACU will be a place where children are comforted, patients and families can find the privacy they need, and parents can get the information and assurance they need before bringing their child home.

11

Conceptual rendering of the new BC Children’s Hospital. Subject to change.

EMERGENCY CARE WITHOUT THE WAITToday’s Emergency Department (ED) has over 44,000 visits from patients every year. Space restrictions in the current ED often result in long wait times for the many cildren who are not at immediate risk. A common waiting room scene, especially in the winter months, is overflowing with patients and families with fever, flu or respiratory illness. The problem of limited space is exacerbated because, unlike in an adult facility, a child is always accompanied by their parents and other family members – all of whom must find a place to sit and wait.

The new hospital will be designed to reduce and, ideally, eliminate wait times for families by providing immediate assessment and care. All arrivals will be cared for by a health professional who can assess, treat and discharge them or immediately send the family to the appropriate area. For less urgent cases, a nurse practitioner will take families into one of four assessment rooms; the most serious cases will be sent directly to critical care rooms. The ED is already proactively implementing this new concept by hiring two specialized nurse practitioners who can triage

Emergency Department at BC Children’s Hospital.

children, order diagnostics and prescribe medications. If a child comes in with a minor condition, like an earache, the nurse practitioner can assess and prescribe antibiotics and the family can go home without waiting to see a doctor.

As a leader in the design of the “no wait” model, our hospital will be among the first in Canada to incorporate such plans into its redesign. To support this concept, planners and caregivers are also looking at ways to minimize patient transfers out of the ED. For example, patient rooms will be equipped with specialized lights so that caregivers can provide simple stitches there rather than taking the child to a procedure room. The design and layout of the new ED will be built to accommodate the changing needs of children and families, allowing for conversion of the space if required.

Another breakthrough idea from the planning process is the creation of a Clinical Decision Unit (CDU) in the ED. The CDU will allow Emergency patients to stay up to 24 hours for observation or to wait for test results without having to be admitted to the hospital. Once admitted, a child must wait to be discharged by a doctor, which usually means an over-night stay. The CDU will help families to avoid unnecessary hospital stays for minor injuries and illnesses, freeing bed space and staff time for those who do require an inpatient stay. In short, children will return home faster and caregivers will be able to spend more time with the children who need them most.

“We’re trying to implement changes even with the current floor plan.

Right now in the current ED, we’re testing and putting into place new

processes and models of care that streamline our patient flow. We can

then take these processes with us into the new Children’s Hospital.”

– Christy Hay, program manager of BC Children’s Hospital’s Emergency Department

13

NEW CONSTRUCTION ON THE RISERedevelopment of the BC Children’s Hospital site is well underway with one building completed and preparation for the con-struction of three more already in progress. The new hospital, as well as a childcare centre and a family accommodation facility set to open later this year, are all part of the redevelopment project that your contribution to the Campaign for BC Children is helping to leverage.

In the northwest corner of the site, hospital staff have moved into the new Clinical Support Building to make way for the demolition of part of the old Shaughnessy building and construction of the new hospital. The Clinical Support Building began receiving patients to programs including Social Work, Psychology, Youth Health and Shapedown BC on September 25, 2012. Construction of the new BC Children’s Hospital’s main building will begin in 2014 and is scheduled for completion by 2018.

Construction of on-site accommodation for out-of-town families who must uproot their lives to remain with their child during treatment at BC Children’s Hospital is now underway in the southeast corner of the hospital site. A groundbreaking ceremony for the new family accommodation facility was held on June 7, 2012, and it is scheduled to open in the fall of 2013.

A groundbreaking event for the Djavad Mowafaghian Childcare Centre on November 22, 2012, signified yet another step forward in the redevel-opment of the site. The childcare centre will provide safe and convenient childcare services for use by staff on the hospital site as well as members of the surrounding community. It is scheduled to open in 2014.

Left: Children from Kerrisdale Annex Elementary School at the Djavad Mowafaghian Childcare Centre groundbreaking event.

15

PATI

EN

T R

EFE

RR

ALS

>EDUCAT ION

AND

QU

AL I TY

STA

ND

AR

DS

>

HEA

LTH

PRO

MO

TION STRATEGIES & ACTIONS

TIER 4Subspecialized ServicesProvincial one-of- a-kind services

TIER 3Regional Specialized ServicesComplementing community-level services

TIER 2Community-Based Services

“Home team” focused on care for children and youth

TIER 1“Broad Reaching”

Service ProvidersPublic health nurses, family doctors, social workers

The health services that a child can receive come from four different “tiers.”

CHILD HEALTH BCSince 2007, Child Health BC has worked to help meet the evolving needs of our young patients by working closely with the province’s five regional health authorities, the Provincial Health Services Authority, health professional and care facilities – including BC Children’s Hospital – to establish a shared vision and system for pediatric care delivery.

This past year, Child Health BC executive director Dr. Maureen O’Donnell and the Child Health BC team worked closely with the Division of Neurology at BC Children’s to launch a pilot program for a provincial Telehealth follow-up clinic for children and youth with epilepsy. Telehealth is used to evaluate patients at a distance to determine if they need to visit BC Children’s for further evaluation and treatment. Led by Dr. Mary Connolly from Children’s Hospital, the neurology team meets with patients, their families and care providers in remote locations via video conferencing, sparing families a trip to the hospital. To date, 17 epilepsy follow-up clinical sessions have been held for patients and local providers in the province, primarily in Prince George and Kelowna.

Over the past year Child Health BC’s regional clinics have helped thousands of children and families across BC receive care closer to home. Through Child Health BC, Children’s Hospital is able to continue to schedule more than 200 regional subspecialty clinic days per year in various parts of the province. By giving regional child-health practitioners the knowledge, skills and tools they need to serve children, children are treated faster and families are spared the expense and inconvenience of an often long trip to Children’s Hospital. The clinics help to ensure children – especially those who live in rural communities – are not left untreated and receive adequate follow-up care.

17

LOOKING AHEAD A formal request for qualifications (RFQ) process began early this year to seek interested proponents for construction of the new hospital building. This is followed by the request for proposals (RFP), during which the three preferred proponents will be asked to bring their visions of the new hospital to life.

W 28TH AVENUE

W 32ND AVENUE

OA

K STREET

HEATH

ER STREET

WASHROOMS

FOOD TE

NT

FOOD PR

EP

GARBAGE/CA

RDBOARD

BBQ

PLAY

AREA

PRES

ENTA

TIONAMBULA

TORY

CARE B

UILDIN

G

NEWBC CHILDREN’SHOSPITAL

The RFP selection process will span the remainder of 2013 and into 2014, at which time the best design for the new BC Children’s Hospital will be chosen. The demolition of a portion of the Shaughnessy building in 2014 will make room for the construction of a new acute care centre that will be the central building on the Children’s Hospital site. Between 2014 and 2018, the hospital site will undergo significant and impressive transfor-mation as the new BC Children’s Hospital is built and completed.

19

THANKYOU!

The success of the Campaign for BC Children – the construction of the new BC Children’s Hospital and expansion of Child Health BC – is being made possible through your incredible generosity and commit-ment to the health of children in our province. In this next phase of the redevelopment project, as plans for the new hospital are put to paper, architectural blueprints are chosen and demolition begins, the grounds of BC Children’s Hospital will begin to transform. We look forward to continuing to share, celebrate and inform you of the unique and exciting elements of the new hospital in the months to come.

Your participation in the Campaign for BC Children has enabled and inspired the creation of a children’s hospital that will directly impact and improve the lives of generations of young British Columbians. Your generous support will provide enormous benefits to children and families throughout the province who rely on BC Children’s Hospital. Thank you for your leadership.

BC Children’s Hospital Foundation938 West 28th Avenue, Vancouver BC V5Z 4H4Tel: 604 875 2444 Toll Free: 1 888 663 3033Fax: 604 875 2596 www.bcchf.ca