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TRANSFORMING MEDICINE AT THE COMMUNITY LEVEL
Creating a Healthcare-based
Mixed-Use Development in Southwest Chicago
PRESENTERS
Abigail Clary
HDR Architecture, Inc.
Christine Raguso
Vice President, Professional Services
THE VISION
THE RESEARCH
WELLNESS
STRATEGY
SELF SUSTAINING MODEL
THE VISION01
» Saint Anthony Hospital lives out the loving ministry of Jesus Christ offering health, healing and hope to the families of our community.
HISTORY OF SAINT ANTHONY HOSPITAL
THE NEIGHBORHOOD
THE CULTURE
SUCCESS AND
INDEPENDENCE
Servicing a changing community:
Founded in 1898 – home mostly to
European immigrants.
Positioned to serve the people of
Chicago’s
West and Southwest Sides
Changing neighborhood population
and needs; brought challenges to the
hospital.
SUCCESS AND INDEPENDENCE
SUCCESS AND INDEPENDENCE
More than 20 community hospitals within the City of Chicago have closed in the last 30 years.
Saint Anthony Hospital (SAH) found itself at the edge of the medical district and lost amongst major medical institutions.
Changing Identity – inconsistent message to community (Catholic, Latino, specialty).
With no consistency in its model of care, SAH became plagued with annual losses while the community had a need for more personalized care and service.
SUCCESS AND INDEPENDENCE
In 2007, Saint Anthony Hospital was on the brink of closure.
Informal Assessment through discussions with:
Community LeadersPhysiciansEmployees
With their input, strategic decisions were made to change the model of care.
SUCCESS AND INDEPENDENCE Through the implementation of what was
learned, the hospital went from multi-million dollar loss to financial gain at the end of 2007.
In 2009, the financial success of Saint Anthony Hospital allowed it to buck the trend of community hospitals and become independent from a large healthcare system.
This success has been sustained every year since through continued interaction with the community and stakeholders.
HOSPITALWITHOUTWALLS
SAINT ANTHONY – “A HOSPITAL WITHOUT WALLS”
Providing education and support to families with young children.
Partnering with schools to encourage healthy habits.
Linking families and individuals to health insurance, public benefits and community resources.
Community Wellness
Summer Fest
School at Work (SAW)
Saint Anthony Hospital’s mission is to live out the loving
ministry of Jesus Christ, offering health, healing and
hope to the families of our community.
ENGAGING THE COMMUNITY
THE RESEARCH02
NEW CONCEPT IN COMMUNITY CARE
IMPORTANCE OF COMMUNITY-BASED RESEARCH
RESEARCH TEAM
RESEARCH METHODS
PARTICIPANTS
FOUR NEIGHBORHOOD GROUPS USED FOR ANALYSIS
A= NorthernB= MiddleC= Southern & EasternD= Cicero & Berwyn
ETHNICITY GROUPS
GENDER
AGE RANGES
EMPLOYMENT STATUS
TOTAL HOUSEHOLD INCOME
RETAIL OBJECTIVES
• Stay the vision• Define the trade area• Define character• Engage the community• Create community bridge• Provide differentiation• Be relevant• Oasis / Safe Haven
RETAIL PROCESS
Conduct research study•Understand market dynamics•Understand consumer profiles, shopping patterns, preferences and needs•Quantify retail category sales base and potential•Project market share•Determine merchandising direction
PIECES OF THE PUZZLE
Research Tools•Tour the market•Review the competition•Conduct surveys – Opt-in panel, general lists, community lists, employees•Cross-tabulations, mapping and analysis•Results and recommendations
RESEARCH INFORMING
DESIGN
WELLNESS STRATEGY03
THE HISTORY OF CARE DELIVERY
DEATH IS THE ULTIMATE FAILURE
MEDICINE IS AN ART
Spent in the final year of life
1/3 OF THE NATIONAL BUDGET IN MEDICARE
MAJOR TRENDS
» Genomics» Proteomics» Metabalomics» Microbiomics» Interactomics» Diseaseomics
OMICS
DISEASE WILL BE THE ULTIMATE FAILURE
WHOLE-ISTICVS. HOLISTIC
BIOLOGY
BEHAVIOR
“Health must be viewed in the context of the larger human experience - the human condition is not simply a biological fact.”
- Predictive Health: How We Can Reinvent Medicine to Extend Our Best Years, Kenneth Brigham, MD and Michael M.E. Johns, MD
ENVIRONMENT
YOU LIVE HERE
P4 MEDICINE
PREDICTIVE
PERSONALIZED
PREVENTIVE
PARTICIPATORY
BEYOND 4 P’S
RESEARCH – GENES BEHAVIOR CAN CHANGE!
ENVIRONMENT – WE HAVE CONTROL!
BEHAVIOR – WE HAVE CONTROL!
EMOTION – WE AT LEAST
CAN TRY
KEY ASSUMPTIONS
RETAIL AT FOCAL POINT WILL BE…LIKE NO OTHER PLACE
MERCHANDISING PLAN PRINCIPLES
1.Create a commerce center to build retail core and extend market draw2.Meet Commodity needs to satisfy consumer/shopper requirements and needs and to drive visit frequency3.Phase-in Specialty Retailing to enhance offerings4.Build differentiation and relevance via a “Community Bridge” component
NEXT STEPS
• Re-define our concept• Market the retail space• Talk to retailers with vision
• Local• Regional• National
• Community networking• Entrepreneurship / local start-
ups
SELF SUSTAINING MODEL04
CREATING A SUSTAINABLE
SOLUTION
CREATING A SUSTAINABLE SOULTION
A Public/Private Partnership
Community Stakeholders, not shareholders. Sustainable from leasing partners. Creates a community-centric campus where opportunities abound.
REACHING BEYOND ONE COMMUNITY National Problem – challenges not unique to one city Needs a solution that can be replicated Requires a sustainable model – no consistent funding streams for:
Healthcare (Medicaid, Medicare) Education Programs Recreation Programs
Without real solutions, we will create Health and Wellness deserts in our cities
ELEMENTS OF FOCAL POINT
Components Identified to Promote:
Health
Wellness
Health Education
Improved Urban Setting Improved Social Opportunities RetailRecreational and Open Space