TRANSFORMING HEALTH CARE
Case Study
For more information please contact: Micki Benz Vice President of Community Development Saint Mary’s Health Care 200 Jeerson Street, SE Grand Rapids, Michigan 49503 Phone: 616.913.1890 E-mail: benzm@trinity-health.org On the Web: www.smhealthcare.org
Do all the good you can In all the ways you can For all the people you can Just as long as you can. - Peter Wege Conservationist, Environmentalist, Philanthropist
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Transforming Health Care Saint Mary’s Health Care Master Campus Redesign
Bring something more. To patients, to employees, to the community. Build something more. Than just facilities. Be something more. Than a health care provider. Be an integral part of a neighborhood, a leader in healthy living, a model for environmental stewardship and sustainability. Live it, breathe it, do it. Expect it.
About Saint Mary’s Health Care Saint Mary’s Health Care in Grand Rapids, Michigan, is an integrated network of health care excellence, leading in cancer care, neuroscience, orthopedics, diabetes and endocrine care, kidney transplants and integrative medicine. Saint Mary’s Health Care encompasses more than 2,500 employees; a 324-bed, JCAHO-accredited teaching hospital; The Lacks Cancer Center; The Wege Institute; The Center for Diabetes and Endocrinology; The Hauenstein Center; Orthopedic Services; three fitness centers; five HealthLink community outreach centers; affiliations with home health care and rehabilitation services; and the area’s premier primary care network, Advantage Health Physician Network. Saint Mary’s recently was awarded the Governor’s Award of Excellence and named one of West Michigan’s 101 Best and Brightest Companies to work for. Saint Mary’s is a member of Trinity Health, the country’s fourth-largest Catholic health care system and recipient of the National Quality Health Care Award.
Mission Statement We serve together in Trinity Health, in the spirit of the Gospel, to heal body, mind and spirit, to improve the health of our communities and to steward the resources entrusted to us.
Core Values Respect Social Justice Compassion Care of the Poor and Underserved Excellence
Vision Statement To be the premier health care system in West Michigan with a unique blend of primary and specialty care and a special emphasis on oncology, neuroscience and orthopedic services. Printed on 100% post-consumer recycled paper.
CONTENTS
Vision
1
Overview and rationale Introduction ................................................................................ 0 A community that embraces green...............................................0 Early leadership in environmental stewardship ......................0 Local and national need drives growth .......................................0 Collaborating toward a mutual vision .........................................0
2
Transformation
The Saint Mary’s Master Campus Redesign Community campus vision ....................................................... 0 Design principles ........................................................................ 0 Integrate and expand green space Create a pedestrian-oriented community Create an identifiable image for the community Create a collaborative neighborhood Design for safe and secure surroundings Provide opportunities for small businesses Encourage mixed-use housing Transforming Health Care ......................................................... 0 The Hauenstein Center Hope Lodge Parking Greening and parks Art Medical office space New Urbanism: mixed uses Additional features
3
Be a part of something more A call to action............................................................................. 0
Vision
Overview and rationale
Introduction Several years ago, Saint Mary’s Health Care in
Health Care takes very seriously as a steward of
downtown Grand Rapids, Michigan, began
the land, provider of health services and good
to transform its urban campus: We built The
neighbor since 1893.
Wege Institute for Mind, Body and Spirit and
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The Lacks Cancer Center and made plans
As such, Saint Mary’s initiated a yearlong
to break ground on a neuroscience facility.
process of research and collaboration in order
As these buildings were taking shape, Saint
to create an innovative solution for revitalizing
Mary’s leaders envisioned a broader plan – one
and expanding its urban campus. What Saint
that would transform the existing hospital
Mary’s leadership found was groundbreaking:
campus and beyond. In 2006, Saint Mary’s
Stakeholders wanted more than nice-looking
purchased four acres of land directly to the
health care facilities; they wanted a campus
west, expanding the entire campus footprint
with features and amenities that reached
to 26 acres. The boundaries are State Street to
beyond traditional health services. They wanted
the north, Lafayette Street to the east, Wealthy
something to be proud of, take ownership in, put
Street to the south and LaGrave Avenue to the
their mark on for future generations.
west. Estimates to revitalize the area range from $30 million to $60 million, not including a new
We began to rethink our role as solely a health
neuroscience facility under construction.
care provider. We began to think that we could – and should – lead in beautifying land, creating
It is a huge responsibility that impacts multiple
community and empowering people. We
stakeholders – a responsibility that Saint Mary’s
realized: We should be a catalyst for change.
more responsible land use and development.
A community that embraces green
Early leadership in environmental stewardship
To understand Saint Mary’s philosophy on land
In the early 2000s, about to embark on
use and community development – and why we
construction of a major new cancer center,
are doing what we are doing – is to understand
Saint Mary’s Health Care first introduced the
how the people of Grand Rapids intertwine
idea of sustainability to its in-house design
philanthropy with environmental stewardship.
group. “With Peter Wege’s involvement, the
But there is more to be done. Saint Mary’s will be more than just a part of the solution. Saint Mary’s will be a leader.
momentum and the spirit captured us all,” Similar to the oath that physicians take, Grand
recalled Saint Mary’s Health Care President
Rapids philanthropists and civic leaders
and CEO Phil McCorkle in Values-Driven Design
share an affinity for “first, do no harm,” and
and Construction: Enriching Community Benefits
then, “go forth and do good.” As a result, the
Through Green Hospitals, a paper presented by
Grand Rapids metropolitan area has more
The Center for Health Design and Health Care
Leadership in Energy and Environmental Design
Without Harm at a conference sponsored by the
(LEED)-certified buildings per capita than any
Robert Wood Johnson Foundation.
The Grand Rapids metro area has more LEED-certified buildings per capita than any other location in the United States.
other location in the United States, according to the U.S. Green Building Council.
OVERVIEW AND RATIONALE
The following case study describes the collaborative process and resulting recommendations for this blueprint for change, the Saint Mary’s Master Campus Redesign.
Wege, son of the founder of Steelcase, the world’s largest manufacturer of office
Local philanthropist Peter Wege, a longtime
furniture, had given Saint Mary’s leaders a
environmentalist and conservationist, has
tour of Steelcase’s new wood facility in nearby
made LEED certification a requirement for
Kentwood, Michigan. In 2001, the facility became
many of the building projects he has supported
the world’s first manufacturing plant to receive
throughout Grand Rapids and elsewhere,
LEED certification for Environmental Excellence
including Saint Mary’s. His philosophy in action
by the U.S. Green Building Council.
– Land Development Today, November/December 2006
has influenced many in West Michigan to embrace green building.
McCorkle said, “As Peter was giving us the tour, we realized, ‘These are the same kinds of design
The natural environment itself is a player in
practices that we should incorporate into our
fostering this “think green” mentality. West
new building.’”
Michigan is inherently a land of farms, forests,
In 2005, The Lacks Cancer
rivers and lakes, with the city of Grand Rapids
The Lacks Cancer Center at Saint Mary’s would
and its suburbs at the core. As sprawl has
become a pioneer not only in highly specialized
become an issue and threatened to destroy the
and integrated oncology services but also in
region’s natural resources, community leaders,
sustainable building practices. In 2005, the year it
Center became the second hospital in the nation to receive LEED certification. The Hauenstein Center is expected
planners and citizens have turned much of their
opened, Lacks became the second hospital in the
focus to redevelopment of the urban center
nation to receive the coveted LEED certification.
to be the first to receive Silver
where the bulk of the population lives and
The hospital, designed based on response from
LEED certification.
works. Today, there is a concerted effort toward
patients and community members, also won 2
top honors in the 2005 Associated Builders and
mission is to bring economic growth to West
Contractors Construction Awards Program.
Michigan. “When I bring potential developers, investors and business owners to the region,
The $35.4 million, 172,000 square-foot
I use Saint Mary’s as model design that makes
facility is the only dedicated cancer hospital
a strong and positive statement, not only to
in West Michigan. All care is under one roof,
the surrounding neighborhood but also to the
including surgical suites, patient rooms,
region as a whole.”
diagnostic tools, clinical research, treatment technologies, a lab, social services, prosthetic
Need drives growth
and cosmetic assistance, a pharmacy and other holistic support services. The center is
The Grand Rapids health care community
the only TomoTherapy™ Center of Excellence
began working together several years ago
in the region and also houses such critical
to grow the region as a national health care
technologies as the da Vinci Surgical System,
destination, much like Baltimore, Cleveland and
Endoscopic Ultrasound, Cone Beam CT and
Chicago.
Dermascopy. The Warren Reynolds Library at Lacks is the largest public cancer resource library
Saint Mary’s specializes in cancer care,
in Michigan.
neurological disorders and orthopedics. We also are known for pioneering family practice
Lacks’ model of multidisciplinary care under
medicine in West Michigan, for which we have
one roof and its adherence to green- and
achieved national recognition.
sustainable-building practices has become the standard for future Saint Mary’s facilities.
Collaborative partnerships between Saint
With The Hauenstein Center for neuroscience
Mary’s and other institutions are yielding
now under construction on the campus, Saint
discoveries that people across the globe will
Mary’s will pursue Silver LEED certification.
benefit from. These efforts are making Grand
The center likely will be the first hospital in the
Rapids a career destination choice for people in
nation to achieve this designation. More on The
medicine and science, which, in turn, fuels local
Hauenstein Center, and its multidisciplinary
economic growth.
approach to treating those with neurological diseases, is described on page 14 of this case
The Van Andel Research Institute in Grand
study. Future facilities also will be built to LEED
Rapids has led the expansion of the life
standards.
sciences industry in this region, conducting biomedical research with focuses on cancer
“When I bring potential developers, investors and business owners to the region, I use Saint Mary’s as model design that makes a strong and positive statement, not only to the surrounding neighborhood but also to the region as a whole.” – Rick Chapla, vice president of urban development with The Right Place
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“The redevelopment pathway that Saint Mary’s
and Parkinson’s disease. Saint Mary’s serves as a
has embarked on sets them apart. They are
clinical partner in these research efforts.
walking the walk of holistic health care,” said Rick Chapla, vice president of urban development
Saint Mary’s also has partnered with leaders
with The Right Place, an organization whose
in the life sciences industry to create ClinXus, a not-for-profit clinical research infrastructure. ClinXus will dramatically increase access to
“Saint Mary’s is a key partner with the College
technologies by combining the expertise and
of Human Medicine – the physicians and staff
services of each partner. Participants in addition
have long been important to the curriculum
to Saint Mary’s include the Van Andel Research
and teaching of our medical students, so it’s
Institute, Grand Valley Internal Medicine
natural to establish a partnership that expands
Specialists, Grand Valley State University,
on teaching, clinical services and research as
Spectrum Health and Jasper Clinic.
we train future generations of physicians,” said Marsha Rappley, MD, dean of MSU’s College of
Saint Mary’s joined the Biotech
Human Medicine.
Commercialization Project, a functional unit of the West Michigan Science and Technology
With the explosive growth of health care in the
Initiative (WMSTI) that helps associates to
region, Saint Mary’s, like the other hospitals
develop patent applications for innovative ideas
locally, is serving more patients than ever.
and provides The Lacks Cancer Center with the opportunity to link innovation, inventors and
In addition to our main hospital services,
venture capitalists.
Saint Mary’s five HealthLink community
OVERVIEW AND RATIONALE
and use of clinical research and emerging
health/outreach centers provide professional, Additionally, Saint Mary’s serves as a teaching
comprehensive, quality care for the poor,
hospital in collaboration with Michigan State
underserved and homeless of greater Grand
University’s College of Human Medicine, a
Rapids. Inspired by social justice, one of Saint
relationship that dates back more than 40 years.
Mary’s core values, the clinics build trusted
MSU’s medical school relocates to Grand Rapids
community relationships and leverage resources
in 2008.
and influence to work toward the elimination of health disparities in our community. Although
Said The Honorable Peter F. Secchia, former
the primary focus is providing health care, we
ambassador to Italy, chairman emeritus of the
also serve as a single point of contact for help
board of Universal Forest Products and for whom
with entitlement programs, assistance with
the MSU medical school building will be named:
acquiring food and housing, and access to
“Saint Mary’s is a very important component of
mental-health and substance-abuse treatment
the medical school’s interagency cooperation,
programs. Two of the five HealthLink centers
bringing specialties and areas of expertise that
are adjacent or within the Master Campus
are unique, complementary and cutting edge.
Redesign footprint. They include the McAuley
MSU’s medical students will benefit from the
Health Center, the only center in West Michigan
excellence that Saint Mary’s offers.”
dedicated to treating people living with HIV/ AIDS; and the Heartside Health Clinic, located
Saint Mary’s Health Care and MSU’s agreement
in the adjacent Heartside neighborhood and
regarding Saint Mary’s role in the medical
serving much of Grand Rapids’ homeless
school move includes joint recruitment of
population.
specialists and researchers, broad involvement of existing Saint Mary’s Health Care medical staff as faculty, and space for students on the Saint Mary’s campus.
4
“They are taking vacant lots that look like ‘no man’s land’ and turning
The Saint Mary’s Master Campus Redesign is an
Saint Mary’s is adjacent the Heritage Hill Historic
extension of the goal to create community for all
District, an area of grandly restored homes and
in a diverse, urban environment.
luxury condos in historic buildings dating to the mid-1800s. In fact, Heritage Hill is one of the
them into something for everyone.” – Dwelling Place CEO Dennis Sturtevant
“Saint Mary’s is shaping a community vision that
largest urban historic districts in the country.
embraces the many benefits of development
Formed as an association in 1968 to stop
while at the same time finding new ways to
several urban renewal projects that would have
integrate all downtown neighbors into that
demolished 75 percent of the neighborhood,
community vision,” said Dennis Sturtevant,
Heritage Hill residents are rightly sensitive to and
chief executive officer of Dwelling Place, which
vigilant of any development that affects them.
provides apartments and homes for people of
As such, they are deeply vested in Saint Mary’s
varied incomes and backgrounds. “They are
– they care strongly about the appearance of
taking vacant lots that look like ‘no man’s land’
our buildings, both existing and future, and have
and turning them into something for everyone
been a vocal voice in the shape that our campus
– a place that everyone can enjoy and be proud
should take.
of. Even more, they are creating jobs for people, which creates self-sufficiency and restores
At first, Heritage Hill residents were resistant to
personal dignity and hope.”
the demolition of the McAuley Building to make way for The Lacks Cancer Center. Saint Mary’s
Collaborating toward a mutual vision
learned from this experience and saw the value in listening to its neighbors. “Moving forward, we worked with closely with residents as we designed
As Saint Mary’s considered all of the populations
and constructed the cancer center,” McCorkle said.
that it serves, hospital leadership began to hone a vision of a campus that would meet the needs
Residents offered valuable feedback that
of highly diverse stakeholders: patients, their
influenced design and safety features. For
families, physicians, associates (employees), civic
example, architectural elements from McAuley
leaders, area residents and business owners.
were salvaged and used in the new Lacks facility; also, the corners of the Lacks facility were angled so pedestrians can see around the corner, an important safety feature. The Heritage Hill
3 PRINCIPLES OF HEALTHY BUILDING
residents are now incredibly supportive of Saint Mary’s efforts to revitalize the area.
PROTECT: the immediate health of building occupants the health of the surrounding community
When Saint Mary’s leaders decided to revitalize the entire campus and beyond, it partnered with an architectural firm known for its understanding
natural resources and the health of the global community From The Green Guide for Health Care™
5
of historic preservation, sensitivity to social and environmental issues, and expertise in health care facilities design: Progressive AE, headquartered in Grand Rapids.
Progressive AE put Lorissa MacAllister at the helm of designing the Saint Mary’s Master
Saint Mary’s is following the 25 Steps to Sustainability as developed by Progressive AE:
Campus Redesign. MacAllister, a LEED-certified architect, spent many years as a medical social worker before pursuing a master’s degree in architecture. With the support of a Robert Wood Johnson Foundation grant, MacAllister is working locally on developing quality measures in physician practices with the Alliance for
Site 1 - Be mindful of the site selection. Do not disrupt the natural ecosystem. 2 - Design open spaces to reduce the building footprint as much as possible. 3 - Position the building to take advantage of solar gain opportunities. 4 - During construction and demolition, recycle construction and earthwork waste.
Health. She knows not only buildings; she understands people. Additionally, she is one of 21 architects and green-building specialists across the United States who are developing the globally used Green Guide for Health Care™, which expands on LEED principles to be the health care sector’s first quantifiable, sustainable design toolkit (see www.gghc.
Transportation 5 - Connect to the existing public transportation infrastructure. 6 - Provide preferred carpool parking and/or encourage alternative vehicle use. 7 - Plan pedestrian access to the building and the surrounding infrastructure. 8 - Provide bike parking and shower facilities for occupants. 9 - Do not exceed parking capacity code requirements.
org). Under MacAllister’s direction, Saint Mary’s will be registering for and adhering to this self-certifying system as well as pursuing LEED certification for all applicable construction projects. Saint Mary’s also will be adhering to standards for sustainability and sustainable operations, developed by MacAllister and Progressive AE. MacAllister and Saint Mary’s initiated a series of community meetings and charrettes – intensive planning sessions in which representatives of the area’s three neighborhood associations, the Heartside Business Association, individual residents and local business owners, facility designers and hospital leadership collaborated on a vision for development. The charrettes provided a forum for ideas and offered the unique advantage of giving immediate feedback. More important, they allowed everyone who participated to be a mutual
Light and Water 10 - Use the natural landscape to reduce irrigation requirements. 11 - Reclaim water for irrigation use. 12 - On the exterior of the building, light only the ground for safety purposes. 13 - Use low-flow fixtures to reduce water use. 14 - Install high-efficient light bulbs. 15 - Use occupancy sensors or light sensors to reduce interior light loads. Energy 16 - Support renewable and clean energy, possibly contracting to use a portion of green energy. 17 - Install equipment that does not deplete the ozone. 18 - Review mechanical systems throughout the life of the building to verify they are functioning as intended. Indoor Environment 19 - Design for the occupant’s thermal comfort and provide individual control of the system. 20 - Design a facility that allows natural light into the space and gives every occupant a view to the outside. 21 - Promote recycling within the facility.
author of the plan. Materials 22 - Specify products that have low VOCs (Volatile Organic Compounds). 23 - Specify materials that are made locally to reduce embedded energy. 24 - Select materials that have a percent of recycled content. 25 - When possible, reuse materials or use salvaged materials.
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“Development should happen to sustain the
Jay LaBine, MD, served on the committee that
environment and the people who live in it. The
helped to design the new campus: “In keeping
charrettes and meetings provided a foundation
with Saint Mary’s model of seamless care, we’ve
for a redesign that is clear-intentioned,
worked to create a design for a seamless campus –
evidence-based and supported by the
one with easy access in and out; welcoming,
community,” MacAllister said.
user-friendly and with everything patients, their families and our associates need in one location.”
The gatherings yielded ideas small and large. For example: Make the area more walkable. Add
The redesign also ensures the campus will be
greenspace. Enhance safety with appropriate
an accessible, urban oasis. It will have its own
lighting. Hide surface parking lots behind
identity, yes, but also be an integrated part of the
buildings. Include water features. Add art
adjacent neighborhoods. A place where people
sculptures. How about a deli?
can walk down Cherry Street, turn on Jefferson and get cup of coffee or buy flowers. Or, even
“A huge suggestion that we took to heart – in
walk to work.
fact, we modified the design – was to eliminate the look of metal that we had proposed for the
In keeping with “not being an island,” Saint
exterior of the new neuroscience center and
Mary’s looked beyond its borders and considered
give it a far more natural, holistic appearance,”
Grand Rapids as a whole. Saint Mary’s leadership
McCorkle said.
met with Grand Rapids and Downtown Alliance officials to learn more of their future plans in
Traditional hospitals can be intimidating to
order to coordinate and integrate them with
approach, difficult to navigate and make
their own.
patients, visitors and employees feel closed off from the rest of the world. Neighborhood
“In developing its redesign, Saint Mary’s has
residents offered feedback that Saint Mary’s
done a great job working with multiple stake-
seemed like an island. All stakeholders agreed
holders, including the city. They have thought
that the hospital campus should reject the
clearly about their mission, coordinating their
“institution/island” image.
plan to be inclusive of the surrounding neighborhoods,” said Grand Rapids Deputy City Manager Eric Delong. “By doing so, Saint Mary’s has enabled the parties to coordinate public and private investment in a way that will accelerate redevelopment of their campus and define this emerging growth area of the city.”
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City of Grand Rapids Planner Suzanne Schulz
Said the Bishop of Grand Rapids, the Most
worked closely with Saint Mary’s officials in the
Reverend Walter A. Hurley: “The decision
planning stages. “What Saint Mary’s is doing
of Saint Mary’s Health Care to expand its
should be a national model. A lot of health care
medical facilities and campus in downtown
facilities isolate themselves. Some are even like
Grand Rapids reflects its tradition to offer
fortresses. So many opportunities are lost in
excellent health care and its dedication to
health care when accessory uses such as gift
remain at the forefront of medicine. The
shops and cafes are behind doors as opposed
development of Saint Mary’s campus points
to integrated at the street level. Saint Mary’s is
to the hospital’s commitment to serve both
opening up the campus, making itself a total
the broader community and the particular
community resource and asset,” Schulz said.
needs of the Heartside neighborhood.”
“It’s really about health, education and spirituality – triangulating these
“They’re creating a mixed-use space that also is multi-modal – accessible on foot, bike, by bus or
Grand Rapids Mayor Heartwell was part of
three aspects of life ... I’m not aware
car. It’s revolutionary.”
early discussions for both the Saint Mary’s
of anywhere else in the country
Master Campus Redesign and Cathedral A key stakeholder and collaborator is the
Square: “The Heartside neighborhood
Roman Catholic Diocese of Grand Rapids,
has been redeveloping in recent years
which is concurrently redeveloping an area
to open spaces and businesses. The
directly adjacent Saint Mary’s campus known
Master Campus Redesign and Cathedral
as Cathedral Square. Already anchored by the
Square are important components in the
Cathedral of Saint Andrew, Catholic Central High
revitalization of the area. We’re making the
School, St. Andrew’s School and nearby Catholic
shift to a neighborhood that is inclusive
Charities West Michigan (formerly known as
of all. It’s really about health, education
Catholic Social Services), it will soon include
and spirituality – triangulating these three
diocesan headquarters and other facilities and
aspects of life – and Saint Mary’s and the
features of service to the community.
diocese are unique in taking this leadership
where this is being done.” – Mayor George Heartwell
role. I’m not aware of anywhere else in the The diocese and Saint Mary’s share a vision for
country where this is being done.”
the area, one that sees the downtown Catholic campus as much more than a collection of
Saint Mary’s also is in collaboration with city,
buildings.
county and state transportation officials.
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LEED - Neighborhood Development Regional accessibility/ location of development Developments sited in central cities or central business districts on parcels surrounded by existing development and already provided with infrastructure generate fewer automobile trips and emissions than developments constructed on previously undeveloped parcels at the edge of development or on noncontiguous parcels. Population and employment density Research shows that increasing population and employment density has transportation, air quality and traffic safety benefits that translate into specific gains for public health. Land-use mix Introducing a greater mix of land uses into a neighborhood can produce a number of public health benefits. A more diverse area is more likely to capture trips in the neighborhood and therefore facilitates pedestrian, bicycle, ridesharing or transit travel and reduces vehicle travel, thus decreasing overall vehicle emissions. A mix of land uses is important in all types of neighborhoods but is particularly effective when introduced into employment centers. Traffic calming Traffic calming devices reduce traffic speeds and/or traffic volumes and thus reduce traffic accidents. In addition to roundabouts or traffic circles, chicanes (S-shaped curves) are the most effective devices for improving traffic safety, reducing collision frequency by an average of 82 percent. 9
Roundabout traffic circles are being built at the
eliminating secondhand smoke, even in outdoor
corners of Cherry/Jefferson and Wealthy/Jeffer-
spaces. The policy also advances Saint Mary’s
son (essentially, the north and south entrances
LEED initiatives for a healthier environment.
onto our campus); Jefferson Street is being improved; and a third roundabout near the south-
The Center for Health Design and the Robert
east corner of our campus likely will be installed.
Wood Johnson Foundation have collaborated
The enhancements will improve traffic flow,
to create a series of white papers on the effects
safety and the appearance of the streetscape.
of such things as building materials, sound and light levels, and use of plants and greenery on
With a commitment to sustainability in
patient recovery times and employee safety
facilities and overall campus redesign, Saint
and productivity (see: www.healthdesign.org/
Mary’s is following LEED-ND (Neighborhood
research/reports/).
Development) standards. LEED-ND will be a U.S. Green Building Council certification program
There’s a term for this – “ecological medicine”
for developments, much like Bronze, Silver and
– coined by Carolyn Raffensperger, executive
Gold LEED are for buildings. LEED-ND explores
director of the Science and Environmental Health
the relationship between an urban environment
Network. With the premise that the health of
and overall health. Some of facts reported in
Earth’s ecosystem is the foundation of all health,
Understanding the Relationship Between Public
SEHN calls for a new field of inquiry and action
Health and the Built Environment: A Report
to reconcile the care and health of ecosystems,
Prepared for the LEED-ND Core Committee are
populations, communities and individuals (see
described in the sidebar at left.
www.sehn.org). Ted Schettler, MD, MPH, expands on these issues in a white paper, Building-related
Finally, and most important, Saint Mary’s talked
health effects: What do we know?
with patients and their families about what they want in a health care environment. The recurring
Said MSU College of Human Medicine Dean
response: “Give us a place that won’t stress us
Marsha Rappley, MD: “The environment in which
out or make us more sick.”
people receive health care is very important to effective treatment. People need to feel that their
A key initiative in the past year was to make the
surroundings are fostering good health just as
entire downtown campus footprint a tobacco-
much as a medical treatment would.”
free zone. By not allowing smoking within its boundaries, Saint Mary’s encourages health
Leonard Wright, MD, DABMA, medical director
and wellness among associates and guests by
of The Wege Institute for Mind, Body and Spirit, likens Saint Mary’s plan to transform its campus to something his piano teacher once taught
him: “Life, like music, needs notes and spaces between the notes. By extension, a hospital needs medical infrastructure, yes, but it also needs places of quietude that are every bit as important to the healing environment.” Life, like music, needs notes and
Saint Mary’s has incorporated holistic health care, ecological medicine and environmental stewardship into seven design principles, which serve as the foundation of the Saint Mary’s Health Care Master Campus Redesign. We share the plan on the following pages.
spaces between the notes … places of quietude are every bit as important to the healing environment. – Leonard Wright, MD, DABMA, medical director of The Wege Institute
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Transformation
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2
Saint Mary’s Health Care Master Campus Redesign
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“Saint Mary’s Master Campus Redesign is an outstanding redevelopment of a key urban area in downtown Grand Rapids that, combined with the Diocese of Grand Rapids’ adjacent Cathedral Square, creates an area of excellence serving diverse populations.” – The Honorable Peter F. Secchia, Former U.S. Ambassador to Italy
“Walkability, mixed-use buildings and creative green space – these are the things we want. We are thrilled with the Master Campus Redesign.” – Heritage Hill Association Executive Director Jan Earl
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“The design vision is extraordinary.” – Grand Rapids Mayor George Heartwell
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“We need the kinds of things that Saint Mary’s is proposing to do – green, walkable areas, which are proven to reduce crime. Restaurants and shops, which will provide jobs for area residents. And, of course, the ongoing commitment to health care for all, which has never wavered in Saint Mary’s history.”
“The redesign for the campus is a great addition to Grand Rapids’ downtown and exciting for our medical school students.” – MSU College of Human Medicine Dean Marsha Rappley, MD
– Dwelling Place CEO Dennis Sturtevant
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Research, charrettes and meetings yielded a progressive vision and seven design principles.
3.
Create an identifiable image for the community Enhance the image of the surrounding community through expansion of branding
Community campus vision
and improvement of existing structures;
To create a community that reflects an
provide an identity and sense of ownership;
innovative, safe and connected mixed-use
reflect the community’s cultural and
neighborhood campus.
economic diversity
Design principles 1.
4.
Encourage interaction among all cultures to promote diversity; encourage interaction
Integrate and expand green space
between neighborhood, governmental and
Provide informal areas of green space that
commercial associations to aid in successful
promote safe community gathering and
community growth
collaboration, respite and healing, and planned maintenance of public areas 2.
Create a collaborative neighborhood
5.
Design for safe and secure surroundings Improve and build upon the relationship
Create a pedestrian-oriented community
between public safety and the community;
Provide improved comfort and a walkable
allow diverse economies to coincide and
community for pedestrians; enhance
prosper together; implement characteristics
attributes of public transportation and
of CPTED (Crime Prevention Through
decrease additional surface parking
Environmental Design) 6.
Provide opportunities for small businesses Encourage community to support and utilize local business; encourage local interior-focused businesses to supply streetaccessible health amenities to external customers
7.
Mixed-use housing Encourage infill of affordable housing; work toward a balance between the preservation of historic homes while providing progressive housing options; encourage the development of mixed-use buildings that provide housing opportunities combined with retail
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Transforming Health Care Saint Mary’s is putting the Master Campus Redesign into motion by function. As busy hospital campus in an urban environment, we will do so with minimal disruption to our patients, associates and the community.
The Hauenstein Center Saint Mary’s vision of a neuroscience center, built on the Saint Mary’s model of comprehensive, integrated and compassionate care, is already underway. The $60.5 million, 140,000 square-foot neuroscience center, slated for completion in
support-group meetings and classes, a speech
early 2009, will be the only one of its kind in the
and alternative therapy section, a rehabilitation
country. It will bring together both inpatient and
unit with a large gymnasium, and a small, quiet
outpatient neurological services under one roof
space overlooking a garden rooftop.
The Hauenstein Center
as Alzheimer’s, stroke, Parkinson’s and spine
Patients, nurses and physicians are currently
disorders. It will be the first center in Michigan
helping to design the interior amenities of
for the diagnosis, treatment and rehabilitation of
the facility; neighborhood residents and
epilepsy. It will be have one of only 30 Epilepsy
Saint Mary’s associates offered feedback on
Monitoring Units (EMUs) in the United States.
the exterior design. Green- and sustainablebuilding practices are being adhered to; some
It also will house a new state-of-the-art critical
of these features include energy-efficient
care unit as well as Saint Mary’s new Emergency
glass windows and rooftops that will be
and Trauma Center, tripling the size of the
covered with year-round vegetation. Saint
current Emergency Department. Additional
Mary’s will seek Silver LEED certification for the
features include a community center for
neuroscience center.
Phase 1
for the diagnosis and treatment of such diseases
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Hope Lodge
Phase 1
Hope Lodge is a recently built American Cancer Society “home away from home” for
Greening and parks
cancer patients and family members who
With the new parking structure, the current
live far from a treatment center. Saint Mary’s
parking lot that stretches in front of our Main
donated the $1 million parcel located on the
Hospital building will be dismantled; in its place,
northwest corner of Cherry and Jefferson
a park with walkways and gardens will be built.
streets on which the $6.8 million building was
The goal is to start building the new park in the
constructed.
spring of 2009.
Parking
Also, at the corner of State and Jefferson streets
Adjacent The Hauenstein Center will be a
is a small park that Saint Mary’s is working with
parking structure to accommodate 550
the city of Grand Rapids to rebuild.
vehicles and a rooftop helistop for AeroMed patients. The $9.5 million parking structure
Green roofs will be added to the Main Hospital’s
will provide most of the parking for Saint
two entrances and the roof of the current
Mary’s Health Care as a whole. It is expected to
Emergency Department. The roof of the
be completed in November 2008.
MRI suite will also get a green roof, but with an additional feature: skylights, so patients undergoing procedures will be able to see the trees and other foliage arching over the skylights.
The front of the Main Hospital building will feature a park with walkways, gardens, art and water.
Saint Mary’s is working with the city of Grand Rapids to rebuild a park at the corner of State and Jefferson streets. A sculpture will mark this north entrance to the Saint Mary’s campus.
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Art those pieces from local artists, will be commissioned, created and displayed on the Saint Mary’s campus. The Saint Mary’s Health Care Art Committee oversees selection and placement of art, working with artists to ensure art
the most groundbreaking. It involves widening
Phase 2
Interior and exterior art, particularly
Maple Street to become a boulevard. A vacant building will either be razed or rehabilitated, and new structures featuring retail, offices and condos will be built. Parking will be tucked behind these L-shaped buildings. The concept is based on the principles of New Urbanism as defined in the Charter of the New Urbanism.
is featured to its best advantage for enjoy. The Lacks Cancer Center features
Additional features that will be implemented include:
art in its common areas and in all 42
•
Application of design principles to existing
•
Heated brick sidewalks
•
A rain catch-basin for watering plants
patients and the community at-large to
facilities on the Saint Mary’s campus
patient rooms; plans are to place art in every patient room on the campus.
MASTER CAMPUS REDESIGN
This phase, to the west of the current campus, is
Phases 3 & 4
New Urbanism: mixed uses
Outdoor sculptures and water features will be placed in the park leading to the main hospital building and at the park being rebuilt at the corner of State and Jefferson streets.
Medical office space This portion of the redesign involves private investment and redevelopment of medical office space just to the north of the Saint Mary’s campus, doubling the current size.
Tree-lined streets and sidewalks will be walkable to shops, cafes and restaurants. Offices and condo-living will be on the second floor of the retail structures.
Based on the principles of New Urbanism, the two L-shaped buildings will offer street-level shops with parking tucked behind the structures.
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more
Be a part of something
A call to action Saint Mary’s Health Care has a strong history of giving to the community and of a generous philanthropic spirit that has helped us to help others.
Ways to give: Capital Campaign Legacy Circle Endowed Funds Distinguished Friends President’s Circle Physician Partners In Tribute
“Support of Saint Mary’s was important to my family not only
Profile in giving
Center of Saint Mary’s as a beneficiary to his retirement plan and life insurance
because of its excellence as a health care organization but also because of its research and areas of
Bradley L. Parks, LBSW, HIV/AIDS Case Manager
policy. “I feel fortunate to be able to
Saint Mary’s Health Care
provide support, understanding and education to people living with HIV and
specialization. The generosity of people like Ralph Hauenstein, who donated the lead gift
photo
for The Hauenstein Center,
Recently, Bradley Parks,
AIDS. It was just obvious to me that I
a Saint Mary’s employee,
wanted to share a legacy gift. If you feel
made a legacy gift by
passionate about something, give in
naming the McAuley Health
whatever way you can.”
results in exceptional health care that will benefit people from all over the Midwest.” – The Honorable Peter F. Secchia, Former U.S. Ambassador to Italy
Profile in giving
associates to contribute as well. “I support the Associate Giving Campaign because I
3
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Rodney Robinson, Accountant
believe in and support all of the investment
Saint Mary’s Health Care
efforts that Saint Mary’s has going on in our community. It’s an exciting time to be
photo
Rodney Robinson, an
a part of what Saint Mary’s is building and
accountant for Saint Mary’s
rewarding to see the campus evolve.” After
Health Care, feels strongly
having cancer touch his family, Robinson
about giving back to his
is even more aware of the facilities, care
employer. Not only does he
and technology that we have here in Grand
give annually, but he also
Rapids. “To give back,” Robinson said, “…
has volunteered his time to encourage other
is a good thing.”
Profile in giving
Mary’s total commitment to mind, body and spirit – and in how this commitment is
Nancy Kennedy, Vice Chair, Board of Trustees
reflected in the surrounding environment.
Saint Mary’s Health Care
“There was a time when people thought they could run from the problems of an urban
Community leader Nancy
environment. Saint Mary’s never bought into
Kennedy serves a number
that trend – in fact, Saint Mary’s has bucked
of charitable organizations,
that trend. They see the vital importance of
including Saint Mary’s.
maintaining and upgrading what they offer
Nancy and her husband,
to downtown and the community as a whole.
John Kennedy, CEO of
They are literally living their commitment to
Autocam, Inc., are longtime West Michigan
mind, body and spirit by rebuilding a health
residents as well as advocates and supporters of
care campus that considers the total person
downtown revitalization efforts. For many years,
and the total environment. When you see
they’ve educated their children at downtown
what is currently in progress at Saint Mary’s
schools and have seen first-hand the evolution
and what they have planned, you see a
of the Heartside Neighborhood in which these
wholeness not only in the practice of health
schools and Saint Mary’s are located. As a
care but in the presence of a healthy living
volunteer and donor, Nancy believes in Saint
environment.”
Profile in giving
Campus Redesign complements the city’s
photo
Contact information for Michelle Rabideau
over-arching redevelopment efforts. “Saint John Canepa, Emeritus Member,
Mary’s plan goes a long way in revitalizing
Board of Trustees
the hospital and integrating it nicely with
Saint Mary’s Health Care
what is happening at the adjacent Cathedral Square. From a public perspective, the
photo
John Canepa has been
simultaneously occurring redevelopment
helping to shape Grand
of this area is huge in that it will serve
Rapids’ future at the
so many different stakeholders’ needs.
ground level as a founding
From the hospital’s perspective, it brings
member of Grand
enhanced flexibility and opportunity for
Action, a board member
care of patients. It’s about treating the total
of the Downtown Development Authority,
person, and that includes not just time spent
a director at Crowe Chizek and as former
in a room but also perhaps time spent in a
chairman of Old Kent Bank (now Fifth Third
rooftop garden. From my travels throughout
Bank). As a Saint Mary’s donor and volunteer,
the Midwest, I can’t say I’ve seen anything
he believes in how the Saint Mary’s Master
else like what Saint Mary’s is doing.”
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To wonder, To think, To produce a thought, That becomes a reality, Starts with an inspiration, And ďŹ nally continuance of goals, Until the thought Is fully achieved. – Peter Wege Conservationist, Environmentalist, Philanthropist
,rednow oT ,kniht oT ,thguoht a ecudorp oT ,ytilaer a semoceb tahT ,noitaripsni na htiw stratS ,slaog fo ecnaunitnoc yllanfi dnA thguoht eht litnU .deveihca ylluf sI egeW reteP – tsiporhtnalihP ,tsilatnemnorivnE ,tsinoitavresnoC
A Member of Trinity Health www.smhealthcare.org