By spring 2011, design teams had worked to develop a schematic (early) design for the new hospital. This involved determining where services will go in the building and what services need to be located next to each other (i.e. locating labour and delivery next to maternal operating rooms). The work involved five sessions involving 17 groups and more than 200 people to help create the initial designs. (Click here to see the spring 2011 design video.) Also, in parallel to these early design sessions, teams had spent time working through how to improve our processes using lean methodology (Click here to see our first Lean video from early 2011.).
In August 2011, Saskatoon Health Region was challenged by the provincial government to dig deeper into design to reconcile available funding with the building's latest cost estimate based on the latest schematic design.
The Health Region decided to focus even more on incorporating lean methodology using 3P (production preparation process). With the assistance of expert consultants, teams of patients and families, staff and physicians collected detailed data on the patient experience today. They then determined even more ways to improve processes including "just-in-time" supply delivery, and most importantly, reduce the waits patients have and stops patients make. This work resulted in the teams creating two dimensional floor plans for each area, three dimensional table top models and life size mock-ups of certain rooms to test concepts. That work resulted in an overall design concept for the hospital which architects used to create real floor plans. The size of the building had been reduced, and the associated cost, through a decrease primarily in storage and administrative spaces. This reduction would be supported by improved supply delivery processes along with new ways of delivery care within clinical areas. (Click on here to see our Lean design videos).
In parallel, extensive site preparation work began at Royal University Hospital. On November 21, 2011, Saskatoon Health Region announced patients and visitors driving into Royal University Hospital would see activity underway including parkade construction. Known then as “Early Works”, this project focuses on completing the required changes to the parking structures and site to pave the way for the Children’s Hospital footprint. It includes the addition of two levels to the 1984 parkade and eventually removing a portion of the older 1971/1976 parkade.
Divided into four phases, phase one would see a two level expansion to the existing 1984 parkade structure; Phase Two included construction of a helix ramp to connect all floors in the parking structures and serve as a new exit; Phase Three would reconfigure the existing entrance and exit locations to match the new parkade layout and create a new walk-in entrance into RUH from the parkade. Phase Four will demolish approximately 60% of the existing 1971/76 parking structure to accommodate the footprint for the new Children’s Hospital building.