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