Applying a Health Lens to Public Facility Design

Dr. Lisa Richards, Medical Officer of Health, Winnipeg Regional Health AuthorityCPHA Conference, Toronto

May 28, 2014

CLASP Project Team

WRHA- Population and Public Health ProgramDeanna Betteridge- Physical Activity Promotion ManagerSarah Prowse- Acting Physical Activity Promotion MangerShelagh Graham- Healthy Built Environment SpecialistDr. Lisa Richards- Medical Officer of HealthDr. Lawrence Elliott- Medical Director

City of Winnipeg- Planning, Property & DevelopmentAndrew Ross- Planner, Urban Planning DivisionSusanne Dewey-Povoledo- Planner

OverviewBackgroundObjectivesPartnerships (4)Tool: Active Design ChecklistPreliminary FindingsReflections &Successes

Social Planning Council ∙ MMM Group ∙ Province of Manitoba (Local Government; Healthy Living, Seniors & Consumer Affairs; Manitoba Health) ∙ University of Manitoba (City Planning; Office of Sustainability; Kinesiology & Recreation Management) ∙ Bike Winnipeg ∙ City of Winnipeg (Council; Public Works; Planning, Property & Development; Winnipeg Transit) ∙ Professional Interior Designers Institute of Manitoba ∙ Green Action Centre ∙ Heart & Stroke Foundation ∙ Health in Common ∙ Dillon Consulting ∙ WRHA (Chronic Disease Collaborative; Injury Prevention Program) ∙ University of Winnipeg (Kinesiology)

CLASP HCBD Winnipeg

If you want to go fast, go alone.If you want to go far, go together.

- African Proverb

Senior Management

City of Winnipeg staff

Local stakeholders

University of Manitoba

Building Strategic

Relationships

Supporting Research & Evaluation

Exploring Promising Practices

Building Sustainability

Applying a Health Lens to Public Facility Design

Leading by Example?

Issue Identification- WRHA Access Centers

WRHA Access River East

WRHA QuickCare Clinic

Project Outcomes- Short Term To enhance the consideration of active design, collaboration

mechanisms: Are established- between WRHA Population and Public

Health and Capital Planning Are explored- between WRHA and City of Winnipeg

Increased awareness and understanding of opportunities and challenges of applying a health lens to public facility design.

Increased understanding of the points in decision-making processes where active access related decisions are made.

Project Outcomes- Long Term The incorporation of a health lens into WRHA

tendering and selection processes. Potential consideration of practical planning process

and policy amendments that support healthy and active community design.

Improvement of active design elements in public facilities.

Active Design Checklist for Public Facilities

Criteria to provide guidance for how to design public facilities in order to promote active access

http://www.cite7.org/resources/documents/ITERP-PromotingSustainableTransportationThroughSiteDesign.pdf

Active Design Checklist- Overview

1. Site Selection2. Building Placement &

Orientation3. Site Design4. Pedestrian Access &

Amenities5. Bicycle Access & Amenities6. Building Design & Context

Partnerships

Winnipeg Regional Health AuthorityCity of WinnipegUniversity of ManitobaReh-Fit Centre

Winnipeg Regional Health Authority

“…an innovative way to deliver a range of health and social services to a community."ACCESS St Boniface

City of WinnipegEast Elmwood Community Centre“A new facility in an existing community place”

http://umanitoba.ca/admin/campus_planning_office/media/SW_Gate_Location_Map4_(FINAL).pdf

http://www.visionaryregeneration.com/media/Southwood_Riverbanksm3.jpg

University of Manitoba

Southwood Lands “… transforming the Fort Garry campus into a new, sustainable 24/7 ‘live, work, learn, play’ community”

http://www.communitynewscommons.org/newstoyoueic/wp-content/uploads/2013/03/Reh-Fit-Centre-crop.jpg

Reh-Fit CentreExpanding and enhancing a well used medically-based fitness center

Key Informant Interviews

1. Current processes and tools used for new builds?2. Active Design Checklist

• Utility of the checklist? • Criteria that were easy/a challenge to consider or

incorporate?• Criteria that prompted you to plan your facility differently?

3. Opportunities for integrating the checklist criteria into existing processes and tools?

Preliminary Findings:1. Current Considerations and Tools

• Site Selection, Design and Layout• Building Design and Layout• Pedestrian and Bicycle Access/Amenities

Preliminary Findings:2. Active Design Checklist• Some criteria are already incorporated;

others will be a challenge• Illustrations could be helpful• Expansion of checklist- building interior

Preliminary Findings:3. Integration of Checklist into Planning Tools

• Opportunity to apply select criteria at: o RFP stageo Selection stage

• Also- policy development, audits, prioritization of capital improvements

• Benefit as a stand alone tool for decision-makers

Reflections…

• Site selection, design and layout- extremely important but not always prioritized

• Parking stall expense is an opportunity!• Loved the checklist… but harder to incorporate into

current processes• Introduced checklist at later stages of development-

limited opportunity for change• Bureaucratic realities (e.g. funding delays)• Benefit of internal champion as “agent of change”

Successes to Date

• Education of key decision makers• Better understanding process and tools for decision

making • Refinement of Active Design Checklist• Insight into challenges of applying certain checklist

criteria• Developed relationships within our own

organizations, and identified opportunities to influence policy change

Contact Information:Dr. Lisa Richards, Medical Officer of Healthlrichards@wrha.mb.ca 204-612-1581, Winnipeg, Manitoba