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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).
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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
Background • CFI grant opportunity • Several functional programs: • 2000 (entire hospital) • 2004 • Several locations: • A-1, A-2 • N-wing • M-1
M-wing Advantages • M6 or M7: • Shelled area available • M-wing: diagnostic & treatment building • Reasonably close to TSRCC • Excellent accessibility for patients: • Parking • TTC • New space: no decant needed
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
Sunnybrook Research Institute 1 km Molec. Path New Breast Centre XOR ICES Imaging research MRI Cancer Centre
Key Driver: CFI Grant • At M6 or M7: • Dry Research • Clinical trials & outcomes research • Wet Research • Data/ tumour/ tissue banks • 3D Path Lab • Elsewhere at Sunnybrook: • MRI equipped room • Experimental surgery
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
Equivalent Area in TSRCC: 1st Floor clinics (entire west side) + Waiting area in atrium
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.
Outside of Breast Centre • Intravenous Chemotherapy • Radiation Therapy treatment / review • MRI • Inpatient • Surgical Suite
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)
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
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
Scenario 1 • Research • Clinics • All Breast Imaging = 4,900 nsf • Offices = 500 nsf
Scenario 2 • Research • Clinics • Breast Imaging satellite = +/-2,500 nsf? • Offices = +/-3,100 nsf?
Scenario 3 • Research • Clinics • Breast Imaging satellite = +/-2,500 nsf? • Offices = +/-2,100 nsf? • Pharmacy satellite = +/-1,000 nsf
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
Components for Priorization: 5400 sq feet available • Imaging (all) • Pharmacy (satellite) • MD offices • Supportive Care offices • Nutrition • Social work • psychology