Outstanding Care ~ Patient & Family Centered Hospital Care for Our Future Generations Preferred Model - Decision of the Board of Directors Kawagama Lake Cottagers Association AGM – July 4, 2015

2 Why MAHC is Doing This  To ensure safe, quality, sustainable health care for future generations;  Strategic Plan – Sustainable Future;  Ministry of Health requirement;  Our facilities don’t meet current standards;  Changing practices requires new and different space;  Lengthy process with approvals required Based on today’s health care planning guidelines and infection control standards, a hospital should comprise 80 % single occupancy rooms.

3 MP/MP Refresher Master Program – Reflects facility present and future service role – Outlines current and projected future programs/services over next 5/10/20 year Master Plan – Identifies physical space requirements into future – Sizing and siting – Considers building condition and potential use of existing – Defines long-term development strategy for sites

4 Steering Committee Process Board Ad-Hoc Steering Committee – 21 Members: 9 MDs, 7 Board members, 2 Foundation reps, community member, 3 admin – 18 meetings since December 2013 Committee Goal/Objective: To recommend the model that ensures safe, high-quality and sustainable health care for future generations.

5 Final Models Considered

6 Costing of Models ModelSquare Footage Total Redevelopment Cost Approximate Local Share (24%) 2 “Full Service” Acute Care Sites (Not Status Quo) 469,117 sq ft$540,920,200$129,004,653 Centres of Focus (Hybrid) 419,721 sq ft$440,666,200$98,028,872 One Hospital (Central Location) 346,234 sq ft$395,688,500$94,910,012

7 Recommendation to Board That the Board of Directors approve the one hospital model be selected as the preferred model to ensure safe, high-quality and sustainable health care for future generations; And further that the site selection target a central location that provides the best access to care for Muskoka Algonquin Healthcare’s service population.

8 Rationale for Recommendation Preferred model selected because: -Supports patient- and family-centered care approach -Maximizes clinical/operational adjacencies & clinical flow -No duplication of services -Stable environment that attracts & retains staff/physicians -Protects viability of core services -Least expensive to build and operate -Meets future growth needs with flexibility -Easiest phasing – no impact on current operations during construction -Sustainable model to deliver safe, high quality health care for the future

9 Risks Analysis Own Funds/Local Share portion of cost Impact on Foundations’ current fundraising Travel distances/access Political context

10 Board Decision Special single-issue meeting May 27, 2015 Most impactful topic since amalgamation Each Board member explained rationale High media interest Unanimously approved recommendation One Hospital - Centrally Located 2 sites to operate while planning continues

11 Next Steps Site selection required at Stage 1 submission Construction period minimum 3 years Official opening in 2030 or beyond

12 Pre-Capital (Part A & B) Stage 1 Proposal (Part A & B) Stage 2 Functional Program (Part A & B) Stage 3 Preliminary Design Or Output Specifications Stage 4 Working Drawings Or Output Specifications Stage 5 Implementation Planning Grants: 3 possible approval milestones: proposal development, functional program, design development Construction Grant Review and support of Pre-Capital Submission Review and approval of Stage 1 Submission Review and approval of Stage 2 Functional Program Review and approval of blocks and sketch plans; approval to proceed to working drawings OR blocks/output specifications Review and approval to tender & implement/ issue RFP OR approval to award construction contract/ Project Agreement Requires Government approval to plan MOHLTC Capital Planning Process Requires Government approval to plan Requires Government approval to construct *WE ARE HERE

13 What Can I Do? Remember we are looking to 2030 and beyond Recognize the one-site model provides the best quality, safest, sustainable health care in the future Be ambassadors Be supportive. We need your help to maintain both sites in the next 15 years. If you didn’t hear it from us, it is rumour!

14 Thank You