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Breast Centre: Helping Move Breast Program Forward

• Space• Branding/Profile/Fundraising• Opportunity for more integrated care• More flexibility in scheduling to meet patient and

staff needs• Potential for research and clinical relationship

(between imaging and oncology)

Sunnybrook Breast Centre

Norm Abrams

April 23, 2007

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Background

• CFI grant opportunity• Several functional programs:

2000 (entire hospital) 2004

• Several locations: A-1, A-2 N-wing M-1

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M-wing Advantages

• M6 or M7: Shelled area available M-wing: diagnostic & treatment building Reasonably close to TSRCC Excellent accessibility for patients:

o Parkingo TTC

New space: no decant needed

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Why Revisit Functional Program?

• 2004 Functional Program is dated (based on 2000 version)

• Changes in breast and breast cancer care• Align with TSRCC/ Sunnybrook strategic plan

for Breast • Significant changes:

New faculty Demerger with Women’s College Centre New space parameters

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Sunnybrook Research Institute

ICES

1 km

New Breast Centre

XOR

Cancer Centre

Imaging research

Molec. Path

MRI

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ICES

Sunnybrook Breast Cancer Research Centre

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Key Driver: CFI Grant

• At M6 or M7: Dry Research

o Clinical trials & outcomes research Wet Research

o Data/ tumour/ tissue bankso 3D Path Lab

• Elsewhere at Sunnybrook: MRI equipped room Experimental surgery

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Physical Parameters• Area available = one half of M-wing upper

floor area• Equals approx:

17,500 net sq.ft. 24,700 departmental gross sq.ft.

• Balance of M6 & M7 for Research • Possible location: east side of M-wing

closest to elevators

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M-Wing Breast Center Size

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Equivalent Area in TSRCC:

1st Floor clinics (entire west side)

+ Waiting area in atrium

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Areas 2004 Fct. Program

2007 Draft: Preliminary

Dry Research 4,400 nsf 4,400 nsf

Wet Lab 1,380 nsf 1,160 nsf

Clinic 6,960 nsf 6,540 nsf

Breast Imaging 4,750 nsf 4,900 nsf

Offices 8,000 nsf *4,800 nsf

TOTAL NET 25,500 nsf 21,800 nsf

TOTAL GROSS 35,100 dgsf *30,000 dgsf

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In Breast Centre

• Total estimated net area available 17,500 net sq.ft.

• Total estimated net area committed: Wet Lab (CFI grant) (1,160 nsf) Dry Research (CFI grant) (4,400 nsf) Interdisciplinary Clinics (6,540 nsf) 12,100 net sq.ft. total above

• Balance available = 5,400 net sq.ft.

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Outside of Breast Centre

• Intravenous Chemotherapy• Radiation Therapy treatment / review• MRI• Inpatient • Surgical Suite

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Candidates for Remaining Area 5,400 nsf

• All Breast Imaging (4,900 nsf)• Satellite Breast Imaging (?)• Offices (8,000 nsf?)• Pharmacy satellite (current 1,600 nsf)

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All Breast Imaging (4,900 nsf)

• Mammography – current = 5 rms vs. 8 rooms• Ultrasound – current = 2 rms vs 7 rooms• Localization & Stereotactic Core Biopsy – 1 room• Optical Scan – 1 room

• Note: MRI included elsewhere

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Possible Scenarios• All scenarios include Research + Clinics + …• Scenario 1:

All Breast Imaging Offices

• Scenario 2: Breast Imaging satellite Offices

• Scenario 3: Breast Imaging satellite Offices Pharmacy satellite

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Scenario 1

• Research • Clinics • All Breast Imaging

= 4,900 nsf• Offices

= 500 nsf

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Scenario 2

• Research • Clinics • Breast Imaging satellite

= +/-2,500 nsf?• Offices

= +/-3,100 nsf?

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Scenario 3

• Research • Clinics • Breast Imaging satellite

= +/-2,500 nsf?• Offices

= +/-2,100 nsf? • Pharmacy satellite

= +/-1,000 nsf

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EXERCISE - Possible Scenarios• All scenarios include Research + Clinics + …• Scenario 1:

All Breast Imaging = 4,900 nsf Offices = 500 nsf

• Scenario 2: Breast Imaging satellite = +/-2,500 nsf? Offices = +/-3,100 nsf?

• Scenario 3: Breast Imaging satellite = +/-2,500 nsf? Offices = +/-2,100 nsf? Pharmacy satellite = +/-1,000 nsf

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Components for Priorization: 5400 sq feet available

• Imaging (all)• Pharmacy (satellite)• MD offices• Supportive Care offices

Nutrition Social work psychology