Saint_Marys-Health-Care-case-study-draft

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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1

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.”

7

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.

8

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

11

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

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