1 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

3 Background CFI grant opportunity Several functional programs:  2000 (entire hospital)  2004 Several locations:  A-1, A-2  N-wing  M-1

4 M-wing Advantages M6 or M7:  Shelled area available  M-wing: diagnostic & treatment building  Reasonably close to TSRCC  Excellent accessibility for patients: o Parking o TTC  New space: no decant needed

5 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

6 Sunnybrook Research Institute ICES 1 km New Breast Centre XOR Cancer Centre Imaging research Molec. Path MRI

7 ICES Sunnybrook Breast Cancer Research Centre

8 Key Driver: CFI Grant At M6 or M7:  Dry Research o Clinical trials & outcomes research  Wet Research o Data/ tumour/ tissue banks o 3D Path Lab Elsewhere at Sunnybrook:  MRI equipped room  Experimental surgery

9 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

10 M-Wing Breast Center Size

11 Equivalent Area in TSRCC: 1st Floor clinics (entire west side) + Waiting area in atrium

12 Areas2004 Fct. Program 2007 Draft: Preliminary Dry Research4,400 nsf Wet Lab1,380 nsf1,160 nsf Clinic6,960 nsf6,540 nsf Breast Imaging4,750 nsf4,900 nsf Offices8,000 nsf*4,800 nsf TOTAL NET25,500 nsf21,800 nsf TOTAL GROSS35,100 dgsf*30,000 dgsf

13 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.

14 Outside of Breast Centre Intravenous Chemotherapy Radiation Therapy treatment / review MRI Inpatient Surgical Suite

15 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)

16 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

17 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

18 Scenario 1 Research Clinics All Breast Imaging = 4,900 nsf Offices = 500 nsf

19 Scenario 2 Research Clinics Breast Imaging satellite = +/-2,500 nsf? Offices = +/-3,100 nsf?

20 Scenario 3 Research Clinics Breast Imaging satellite = +/-2,500 nsf? Offices = +/-2,100 nsf? Pharmacy satellite = +/-1,000 nsf

21 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

22 Components for Priorization: 5400 sq feet available Imaging (all) Pharmacy (satellite) MD offices Supportive Care offices  Nutrition  Social work  psychology