‘Beaming’ with excitement

WLMH Foundation celebrates new hospital with beam-signing event

Dr. Joan Bellaire figures she signs her name at least 1,000 times a year for work. But on Nov. 23, her signature felt extra special because it was signed on the last beam needed to build the new West Lincoln Memorial Hospital (WLMH).

“It was an honour to put my name on the beam,” says Bellaire, medical director for WLMH.

“This hospital has been the heart of our community for many years. It was special to see the community come together to leave their mark on the hospital that will serve the people of West Niagara for many decades to come.”

A beam-signing ceremony is a tradition in the construction industry marking a milestone in the construction process — the placement of the final steel beam needed to complete a building’s framework. Before the beam is placed, it’s signed by the project’s team members and supporters.

“It’s amazing to think that by signing the beam I am a part of WLMH’s history and future at the same time.” — Doris Franklin, WLMH registered respiratory therapist.

With construction of the new WLMH rapidly progressing, the project finally embarked on this exciting milestone, calling for the WLMH Foundation to gather supporters and friends to sign their name on the beam before it was finally hoisted.

“It has been an honour working with the most generous and dedicated community over the past 24 years as we worked towards this goal,” says Pamela Ellens, CEO of WLMH Foundation. “It is really special to now see the construction of the new hospital.”

A celebration of community

The celebration kicked off with a ceremony attended by staff, partners and supporters, including EllisDon, Infrastructure Ontario, and community leaders such as Grimsby Mayor Jeff Jordan, West Lincoln Mayor Cheryl Ganann, MP Dean Allison, Foundation Chair Kevin Antonides, and Take it to the Finish Line Campaign Chair Andrew Smith.

Community and staff members were invited to drop by on Nov. 23 and 24 to add their names to the beam. Doris Franklin, who has served as a registered respiratory therapist at WLMH since 2003, was among the many staff members and physicians who took part.

“What an exciting day,” says Franklin.  “It’s been a long-time coming. This is something we’ve been dreaming about since I began working at the hospital. It’s amazing to think that by signing the beam I am a part of WLMH’s history and future at the same time.

I’ll forever cherish the many amazing memories made in the original WLMH, but I look forward to continuing my career and providing care to my community in our new hospital.”

With support from generous donors and surrounding municipalities that raised $50-million to meet provincial funding requirements, the project broke ground in April 2022 and is slated to open in mid-2025.

‘It’s been a busy year’

WLMH marks anniversary of ground-breaking

So much has happened since the end of last April when hospital and community members gathered at West Lincoln Memorial Hospital (WLMH) to break ground on the long-awaited new hospital.

“It’s been a busy year,” said Kelly Campbell, vice-president corporate services and capital development at Hamilton Health Sciences (HHS). “From the moment the contract with our build partner (EllisDon Infrastructure Healthcare) was signed, crews started working to prepare the site for construction. The site has been bustling with activity every day since.”

The site required a number of projects to be completed prior to construction starting, including the relocation and demolition of a few existing structures. Read more about all of the site early works here.

With a relatively blank canvas to build on, activity ramped up in the early fall. More and more trades reported to the site daily, working on the future build and finalizing access routes for construction vehicles while updating some operational elements of the existing hospital, like the existing emergency department ramp. The year ended off with the tower crane installation.

“WLMH is a pretty tight site which can create challenges to maintain hospital operations while construction is going on. Lots of planning, energy and attention to detail has been required to ensure that first and foremost, patients and patient transport have uninterrupted access to the existing hospital,” said Campbell.

Exhibits and milestones

The project has continued to pick up steam in 2023. In March, site staff and physicians got a sneak peek at new spaces in the future hospital through a time-limited room mock up exhibit.

“The high fidelity mock ups were a great opportunity for the people who will be working in the new hospital to get a sense of the design and layouts. It will have a completely different look and feel from the existing hospital which people are used to, so it helps everyone visualize what it will be like,” said Campbell.

Earlier this month, the project crossed another important progress marker with the pouring of the first slab. Concrete columns now outline the new building as the hospital is starting to take shape.

Transition planning underway

It may or may not come as a surprise that moving an entire hospital (and patients) into a new building takes considerable planning. This process, commonly known as “operational readiness” in the health sector, involves looking at every piece of hospital operations, from what equipment needs to move and when, to scheduling appointments in the new building.

“Operational readiness is really thinking about how we are going to live and function in the new building,” says Jennifer Robinson, project manager at HHS leading operational planning. “What does the staffing look like, patient flow and day-to-day operations? Which existing policies and processes will need to change? That all gets organized now so as we get closer to move-in, we have a solid plan for a seamless transition from the old building to the new one.”

A committee has been established to guide this work, made up of hospital experts from many clinical and administrative specialties. The focus of this process will change as the project gets closer and closer to opening the doors on the new hospital.

“One year from now – which will be about one year from occupancy – we will really start focusing on transition, like ramping up and ramping down and in what sequence. For example, once we have the all clear to move in, Security and Facilities teams will move in first to set up safety procedures and infrastructure. Our detailed planning will drill into when other support services move in; all in preparation to support the patient move-in day and balance patient services on site,“said Robinson.

WLMH in 2022: Momentous milestones and crossing finish lines

Each year at West Lincoln Memorial Hospital (WLMH) feels more momentous than the last. This is worth celebrating, considering all that has happened during the past few years.

It is no secret that hospitals everywhere are facing incredible challenges, particularly related to staffing shortages made worse by three difficult years navigating the COVID-19 pandemic. Despite this setback, staff and physicians across Hamilton Health Sciences (HHS), including WLMH, continue to move major projects forward and meet the needs of the communities we serve.

There is a long list of milestones arising from 2022:

• Ground is broken on the new hospital. Decades of community and hospital advocacy, and years of planning led to a moment this fall when the soil officially turned and excavation commenced. That long-awaited symbol of progress has finally arrived.
• Babies are once again gracing the halls of WLMH after a temporary program hiatus. The maternal service’s return required many helping hands from inside and outside the hospital, but it is now better set up for long-term growth and success. The return brought many familiar faces back to the site and will include the largest team of obstetricians and gynecologists in the program’s history.
• Exponential growth continues in the site’s day surgery program. The innovative Surgeon of the Week initiative really hit its stride this year, bringing a team of specialists from across HHS to see patients and provide a wide range of specialty procedures at WLMH. Operating rooms at WLMH are currently running at 100 per cent of pre-pandemic surgical activity.
• HHS launched the largest transformational initiative in the hospital’s history, implementing our new digital health information system. Through its app, called MyChart, patients have more control than ever in managing their appointments, communicating with care providers and accessing their medical history.

All of these are great achievements that can stand on their own. However, possibly the most momentous milestone at WLMH this year took place outside of the hospital.

It happened in the homes and businesses and recreation centres and parks and festivals and places of worship where members of the community came together and made the critical decision to financially support the new hospital. The Take It To The Finish campaign – led by the West Lincoln Memorial Hospital Foundation and its campaign team – achieved the fundraising target needed to support a rebuilt WLMH. Significant commitments from municipal and regional government partners (as well as past donations) got the ball rolling, and the community took it across the finish line.

Hospitals need community support, now more than ever. Fundraising is a vital lifeline that provides the money needed for essential medical equipment, tools and devices, as well as to build brand new, state-of-the-art facilities. Community generosity towards WLMH has always been boundless, and it has never been more visible than at this moment in time.

Thank you to everyone who continues to give and make a difference in patients’ lives. Wishing you and your loved ones a safe, happy and healthy holiday season, with many more milestones to come in 2023.

Rob MacIsaac
President and CEO, Hamilton Health Sciences

Leslie Gillies
VP, Community Medicine & Population Health, Interprofessional Practice/Development & Clinical Education, & WLMH Exec. Site Lead, Hamilton Health Sciences

Teamwork delivers OBGYN; obstetrics program returns to WLMH

If it takes a village to raise a baby, then it took a hospital community to bring baby services back to West Lincoln Memorial Hospital (WLMH).


Last week, the hospital announced that the obstetrics program would reopen to expectant mothers at the site on October 3 with a 24/7 model of care. The birthing service has been temporarily redirected to Niagara Health since December 2021, when the fast-moving Omicron variant spread across the site closing all but a few beds to new patient admissions.


“Returning the program needed a lot of moving parts to come together,” said Dr. Bryon DeFrance, chief of obstetrics and gynecology at Hamilton Health Sciences, providing medical leadership to birthing programs at McMaster University Medical Centre (MUMC) and WLMH. “Bringing the program back took longer than I think anyone really wanted or expected, but there were some necessary pieces which needed to be in place before that could happen. Specifically, we didn’t have a full team of obstetricians and gynecologists.”


The program had been operating with two full-time OBGYNs, which is about two-thirds of the minimum needed for around-the-clock coverage. When fully operational, the WLMH birthing program has been delivering upwards of 900 babies per year. Four full-time OBGYNs is the magic number in terms patient population size, sharing operating room hours and after-hours call responsibility. For comparison, MUMC has 16 OBGYNs for 4,000 annual deliveries.


Recruitment efforts for two full-time OBGYNs have been underway for months. Multiple candidates have expressed interest, however they would need to complete their existing commitments. That means summer 2023 is the earliest the next full-time OBGYN can start.


Bridging the gap


It became clear that short-term coverage would be needed. Hiring a “locum” – which is health-sector speak for a physician hired on time-limited contract – is quite common. Recruitment quickly turned in that direction. Postings went out across Ontario and nationwide. But something was missing.


“People come to WLMH and fall in love with the culture, but they first need to get in the door,” said Dr. Joan Bellaire, medical lead at WLMH. “A particular challenge that smaller community hospitals can have when recruiting specialized positions is a limited pool of qualified candidates nearby. This role requires the candidate to be a short-distance to the hospital when they are covering call overnight and on weekends, which needed some extra thinking on our end.”


The solution? Providing temporary housing accommodation near the hospital to remove that concern for potential candidates. And for help, the hospital turned to its trusted partner.


“We are completely aligned in our role to support the entire hospital with what it needs,” noted Pamela Ellens, executive director at West Lincoln Memorial Hospital Foundation (WLMHF). “With respect to the obstetrics program, we have given close to $600,000 over the past five years based on the hospital’s equipment requests.”

“It was only natural that we would continue to support this vital program, so the WLMHF Board approved a grant to help with recruitment efforts,” said Kevin Antonides, WLMHF Board chair. “A provision for on-demand accommodations when overnight call coverage is needed is being generously provided by a WLMHF Board member who owns a nearby hotel. We know how important this program is to the site and the entire community. We were proud to be able to help out in this way.”


Babies coming back


The collective effort and hiring strategy was successful. The job posting received interest from candidates, and resulted in a commitment from a talented physician who is currently practicing at a hospital north of Toronto. Their skills and expertise will be beneficial to expectant families and women seeking care, but also to start rebuilding the program for long-term success.


“We are very encouraged by the result. Two physicians cannot cover all of the potential deliveries around the clock all week, it’s just too many hours to cover. This added bench strength means we can bring the program home to the site in a safe and sustainable manner,” said DeFrance.


Over the next two years, the plan is to add two additional full-time OBGYNs to the program, bringing the total to four. Operating a team of four full-time OBGYNs will be the largest physician complement in the program’s history at WLMH.

Photos: Tearing down, building up

If you’ve been by the West Lincoln Memorial Hospital site lately, you will probably notice that it doesn’t look quite the same anymore. Work continues to roll along at West Lincoln Memorial Hospital to prepare for construction on the new hospital. If you haven’t been by recently, don’t worry, we’ve got you covered.

Workers are renovating the emergency department (ED) platform. The awning has been removed and a giant retaining wall is being built to increase the space outside of the ED.
View from the ED. The purpose of this work is to allow enough space for ambulances to turn around and then return to the street down the ED driveway, as opposed to exiting out the east parking lot exit.
Speaking of the east parking lot exit, a construction access pathway has been created. The access on the west side of the building will also be used as an access point.
Construction trailers – three to be exact – have moved onto the front lawn. These will provide space to the construction teams to conduct meetings without taking over space inside the hospital.
Roughly 35 trees across the site were taken down in preparation for new hospital construction. Efforts are being made to protect all trees which are at high risk of exposure to construction activity. More than 120 trees will be planted throughout the redevelopment project.
A walkway connecting WLMH with Deer Park Villa is being taken down. The walkway is directly in the path of construction. It’s location is very close to where the new hospital’s front entrance will be.
Soon, the area in the forefront will be excavated and formed for the hospital’s basement and footings.
With the loss of parking due to construction, off-site parking has been arranged for staff. So has a shuttle to the lot.
General rules of engagement for the project: safety always first!

Preparing the new hospital site for success

Early site works well underway at WLMH

With the ground officially “broken” on the new West Lincoln Memorial Hospital (WLMH), attention has quickly turned toward prepping the site for the build.

Early site works, which generally refers to activities required to prepare the site for construction, have been taking place since the end of April. This includes removing trees which were in the path of construction (35 were removed, with 122 new trees to be planted over the course of the project), locating and moving existing mechanical systems, and decommissioning some physical spaces connected to the existing hospital.

RELATED: New WLMH a done deal

“Depending on the site, there can be significant work needed to make it a safe, blank slate for excavation,” said Kelly Campbell, VP, Corporate Services and Capital Development at Hamilton Health Sciences. “The WLMH build site is pretty open, but it has a relatively small footprint so there is some demolition work that needs to be done ahead of construction. From the street, it may not look like much is happening at the moment, but there is a lot of work going on behind the scenes and on site.”

Notably, there is a service corridor connecting the existing hospital and Deer Park Villa located at the north end of the property. This enclosed walkway, which includes the WLMH kitchen used by hospital Nutrition Services, will be need to be removed ahead of construction. A new home for Nutrition Services – the team and area responsible for feeding inpatients – has been created inside the hospital and the walkway will soon be hoarded off and taken down.

Another early works change happening at the site will involve an alternate plan for some site parking. Parts of the existing lot will be converted to construction access, and hoarding is planned to be erected during the coming month. To offset parking demand at the site, HHS has struck a partnership with a nearby church for staff and physician parking through the week. Parking spaces at the site will be reserved for patients and families, and a small number for emergency on-call physicians.

“We knew from the beginning that access to the build site and parking would be something we need to address. With the support of our church partner, we’ve created a suitable off-site parking arrangement for our staff and physicians during the construction period,” said Campbell, noting that once the new hospital is built and the existing hospital is removed, on-site parking at WLMH will grow considerably.

Probably the biggest change in the coming weeks will be the addition of construction office trailers at the front of the hospital. While not an early site work per se, nothing screams progress like a build team setting up a field office on-site. Once positioned, the trailers will be surrounded by hoarding and wrapped with project signage, creating a safe space on-site for project meetings to take place outside of the existing hospital building.

So, when will ground actually be broken on the new hospital?

“Early works will continue over the summer and into the beginning of fall, at which time excavation and construction can start. This will continue through to fall 2024, when we can start moving furniture and fixtures in and commissioning the building. Substantial Completion is targeted for early 2025 and patients will be able to receive care in the new hospital shortly after that,” said Campbell.

Celebrating the WLMH CT’s scanniversary

It’s been a year since the team at West Lincoln Memorial Hospital (WLMH) provided its first computed tomography (CT) scan at the site. Getting to that historic day last June was more than a decade in the making.

“What an amazing year we’ve had here in the CT department at West Lincoln,” said Mindy Chmielewski, Sr. CT Technologist at WLMH. “One year of providing care to the community and helping to reduce wait times across Hamilton Health Sciences network. I really couldn’t have asked for a better team to persevere through these difficult times we are facing in healthcare. We have amazing support within the community and within our hospital site as well.”

RELATED: Video – “A Very Bright Future”

Over the past year, more than 7,300 scans were performed at the site. Approximately 3,000 of those scans were either inpatient or patients from the emergency department. Previously, these patients would need to be taken to a clinical site in Hamilton to receive the scan. A nurse from WLMH would usually go with the patient on that journey.

“Having the CT scan at the site has significantly decreased our investigational delays and as a result has allowed us to diagnose and resolve our patients health concern in less time,” said Dr. Joan Bellaire, Medical Site Lead at WLMH. “It has considerably improved the flow of our patients within our emergency department. It has also eliminated the need for nurses to accompany our patients off site for an off-site CT scan, which eased some of the challenges with nursing shortages that we and most hospitals are facing.”

RELATED: Story – Going the extra mile for patients

By all accounts, integrating the CT scanner into site operations has been essentially seamless. This is largely due to many teams at the site who work together to create a patient care atmosphere that is “second to none.”

“Since its implementation, site teams have collaborated to provide a remarkable experience for patients and families,” said Bethany Hancocks, clinical manager responsible for diagnostic imaging (DI), emergency department and other units at WLMH. “The DI team has worked diligently to ensure all of our techs have the essential training they need to complete these essential exams for patients in the West Niagara community and surrounding areas. The commitment to providing an optimal patient experience is recognized not only on the smiles of the patients we see through the department, but also in the feedback we have received from our grateful patients and families.”

The path to bring the CT to the site was a long one, but was accelerated by HHS’ landmark Managed Equipment Services (MES) agreement with Siemens Healthineers in early 2020. It was also supported by generous community donations through the WLMH Foundation.

RELATED: Photos – building the WLMH CT suite

WLMH key to HHS’ innovative surgical plan

Plan made possible through Surgical Innovation Fund

Three Hamilton Health Sciences (HHS) hospital sites are partnering to tackle wait times for certain spine, knee and eye day surgeries.

These surgeries currently have wait times longer than the provincial targets. This plan, made possible through $450,000 from the province’s Surgical Innovation Fund, will help reduce wait times overall.

This plan will see some day surgeries for adults currently performed at Hamilton General Hospital (HGH) and McMaster Children’s Hospital (MCH) move to West Lincoln Memorial Hospital (WLMH) in Grimsby.

Read the full story here.

“One call does it all”

Multi-year overhaul of diagnostic imaging equipment benefits from MES agreement

Change has been a consistent theme at West Lincoln Memorial Hospital over the past few years.

From an equipment perspective, the diagnostic imaging (DI) service has arguably seen the greatest amount of change during this time period. With the operating room renovations in 2020 came the new C-arm machine. Then the site’s first-ever computed tomography (CT) scanner opened for patient care in mid-2021. Immediately after, work got started on upgrading the mammography and two x-ray suites.

“We have all been so excited for so long to get two x-ray rooms open,” said Mindy Chmielewski, senior CT technologist at WLMH. “Prior to the renovation, we had two rooms and machines, but one of the machines could only perform a limited amount of procedures. That machine was also very old and the quality of images was not good. It was stiff and difficult to maneuver, which was a challenge for staff and posed significant risk for injury.”

The first renovated x-ray room opened in fall 2021. The second room became operational on February 14, essentially completing the multi-year DI overhaul at the site.

More machines, more efficiency

“Now that we have two fully functional rooms and machines, we can be far more efficient with patient care. We don’t have to wait for the other technologist to finish, we can just do our exams and get patients on their way,” said Amy Tousignant, senior x-ray technologist.

Chmielewski agrees. “When the emergency department was full and we knew we had a lot of patients requiring x-rays, it seemed like a really daunting task to coordinate in a timely manner with one machine. Now, it’s really easy and reduces stress in our day.”

Renovations, upgrades enhance safety

The x-ray suites themselves also got a makeover. The renovation included safety updates to the paneling inside the walls required to contain the radiation. The team also took the opportunity to reconfigure the space to improve overall function and safety, like adding a control room in between the two suites which lets staff monitor both rooms and easily assist colleagues in either when they need a hand.

“You can tell that function was definitely considered when they planned these renovations,” said Chmielewski, who added that the renovated rooms have received many “oohs and ahhs” from patients.

The new x-ray machines are fully automated meaning limited physical force is needed to operate.

“The ergonomic elements alone are amazing. Technologists are susceptible to injury from repetitive motions, particularly upper back injuries. These rooms and equipment are safer for staff and therefore safer for patients,” added Tousignant.

The renovation also repurposed an existing hallway into a staff room which Chmielewski, Tousignant and their colleagues call, “the team room.”

In June 2021, WLMH’s first-ever computed tomography (CT) scanner opened at the site.

CT scanner serving the community

The CT scanner saw its first patients in June 2021. Since then, the demand for the service has grown steadily. Currently, it is fully booked pretty much every day.

“We get tons of positive feedback from patients, largely about receiving care closer to home and decreased wait times for service. Patients also love the space and compliment us on the suite and facilities,” said Chmielewski. “We have received thank you cards from patients which I’ve never seen before in my career. It is a very rewarding place to work.”

All of the recent DI equipment has been procured through the landmark Managed Equipment Services (MES) agreement that Hamilton Health Sciences (HHS) made with Siemens Healthineers in early 2020. One of the most innovative pieces of the agreement is the built-in service component, which streamlines maintenance and limits machine downtime.

“MES has been really good. Each piece of equipment is labelled with a device ID number and a phone number for tech support. If anything goes wrong, we can easily get a hold of tech support around the clock to troubleshoot or schedule a maintenance call. One call does it all,” said Chmielewski.

Hospital under construction

All of this progress does not come without challenges. The noise and unavoidable chaos which comes with construction has been part of daily life at the site for many years.

“Working in a hospital under construction has been difficult. However, when I started here six years ago, it was clear how bad a state the hospital was in and how much work was needed. Yes, it can be a pain to hear the noise and have your workflow disrupted. But knowing that better things are coming, like the two new x-ray rooms, helps you get through it,” said Tousignant, who was quick to add that the construction team has been extremely courteous and respectful throughout the renos.

Diego Gomez knows this challenge all too well. As the project manager responsible for delivering all MES projects across HHS, he has worked closely with the construction team to sequence the projects at WLMH to minimize disruption while sticking to schedules.

“The feedback we have received about our contractors from staff and end users across the site has been excellent. It takes a lot of coordination from contractors, consultants, Siemens and site staff to execute these projects, but I feel like this is an example of great teamwork achieving great results,” said Gomez, pointing out that every project was completed on time and on budget.

Looking to the future

All of the DI equipment will carry over in to the new hospital. The future has been a shining light for many staff at the site.

“I’ve worked at different places but I’ve never had such a sense of team as I’ve seen here. It’s a positive environment and great atmosphere. We all know that things are going to get better in the new hospital and that the challenges of this building are now temporary. We’re a pretty resilient bunch,” said Tousignant.

COVID-19 Update: New outbreak declared

C-Ward, ICU outbreaks declared over

Today, HHS Infection, Prevention and Control (IPAC), in consultation with Niagara Public Health, has declared a COVID-19 outbreak on B Ward at West Lincoln Memorial Hospital (WLMH). Less than five patients have tested positive for COVID-19 in relation to the outbreak.

Additional patient and staff point prevalence testing is underway. The earliest this outbreak can be declared over is January 12, 2022.

The previous outbreaks on C Ward and ICU were declared over on December 29. C Ward is open to admissions.

A message to the WLMH community

Last year, we started this message off by noting how remarkable a year 2020 was.

It’s safe to say that 2021 has followed a similar path.

Over the past 12 months, our teams across Hamilton Health Sciences, including those at West Lincoln Memorial Hospital (WLMH), have continued to demonstrate resilience, dedication, and courage serving patients with unwavering compassion in the most challenging of times. Staff and physicians continue to rise to each occasion and meet every difficult endeavour head on.

At WLMH, we saw many staff bring their highly specialized skills to other hospital sites, helping out in the hardest hit patient care areas, and others volunteering their skills at vaccination sites. Some programs at the site saw twists and turns as the hospital followed the government’s direction in response to the unrelenting virus, changing the way our providers deliver and patients receive care.

All of that turbulence did not stop progress on major WLMH initiatives.

For the first time in the site’s almost 75-year history, patients can now get timely and critical computed tomography (CT) scans in West Niagara. This momentous achievement was the result of many years of work by many hands – in the hospital, the Foundation, the community and at Queen’s Park. The site is now also home to two new x-ray machines and a new mammography suite, allowing more opportunity for preventative screening close to home.

As we head into 2022, we are just months – yes, months – away from construction being able to start on the new hospital. Getting here has taken immense effort, energy and emotional investment. It has been a long road travelled, but when shovels finally break ground on this long-overdue project, we think we will all agree that it was time well spent.

On behalf of Hamilton Health Sciences, we would like to wish our staff, physicians, volunteers, families, donors, community and supporters a very happy, healthy and safe holiday season, and what promises to be a very exciting New Year.

Rob MacIsaac, President and CEO, Hamilton Health Sciences

Leslie Gillies, VP, Community Medicine & Population Health, & Exec Site Lead, WLMH – Hamilton Health Sciences

This message was originally drafted for the West Lincoln Memorial Hospital Foundation annual Trees of Healthy Wishes campaign.

Teams submit technical RFPs for new WLMH

Financial submissions due January 2022

The West Lincoln Memorial Hospital (WLMH) Redevelopment project moved a little closer to becoming a reality as the technical Request for Proposals (RFP) period closed.

Technical submissions include individual plans for the design, layout and execution of the future facility. Hamilton Health Sciences (HHS) and Infrastructure Ontario (IO) will now begin a rigorous evaluation of the technical submissions.

The financial component of the RFP is expected to close in January 2022, after which time HHS and IO will be able to select a preferred proponent and negotiate a contract with that team.

“As we turn the corner into the New Year, we will very soon be able to determine and share who will build the new West Lincoln Memorial Hospital and what it will look like,” said Kelly Campbell, Vice-President, Corporate Services & Capital Development at HHS. “We thank each of the teams for the time, effort and energy they have invested into developing their technical proposals for this project. Very soon, we will have the exciting yet challenging task of selecting one winner from the high-quality and unique submissions.”

It is anticipated the successful team will be announced in spring 2022, and construction will begin shortly thereafter.


The RFP was posted at the end of June 2021. The three shortlisted teams – which were determined through an open Request for Qualifications (RFQ) process earlier this year – were invited to respond to the RFP for the new hospital. The RFP package included more than 5,500 technical requirements set by HHS, in partnership with the Ministry of Health and IO, which each team must satisfy in its submission.

“This is an exciting next step towards the build of the new West Niagara hospital the community has been working towards for many years,” said Sam Oosterhoff, Niagara West MPP. “This legacy community healthcare infrastructure will provide care and treatment to many patients in our community for years to come, and I wish to thank all those who have worked so hard to get the new build to this point. The Government of Ontario is committed to working with Hamilton Health Sciences and the whole community in getting the new hospital built as soon as possible.”

Q&A: Leadership lessons learned

For the last four-plus years, Cindy MacDonald has been the Director of Community Programs and Site Administrator at West Lincoln Memorial Hospital. She recently announced her retirement which is set for the end of December 2021. She graciously (and humbly) agreed to sit down for a Rapid Fire Q&A session to share some of insights from her career and advice for younger health-care workers looking to take the leap into management.

(Dear Reader, please note that the feature photo shared with this story was taken long before the COVID-19 pandemic. Cindy, like all members of our team, diligently follow public health guidelines, including masking and physical distancing.)

Q. Best piece of advice you’ve been given about leadership?

A. My mentor told me a long time ago: “surround yourself with bright lights,” meaning other people who are committed to excellence and kindness. Bright lights bring people together and help others grow and evolve.

Q. What would you say to someone who wants to get into health-care management?

A. First thing I would ask is “why”? What do you want to achieve in your career? What’s your definition of leadership? If you’re coming into a leadership role for any other anything other than wanting to provide leadership to those around you and support patients and the organization, you may not be successful. Leadership is not about you as an individual but how you can support others to be successful. It can be a very challenging at times and you have to be in it for the right reasons. If your heart is at the bedside, you can be a leader in compassionate and evidence based care, teamwork, advocacy – there is a need for bedside leadership as well.

Q. Most important skills health-care leaders should have to be successful?

A. Communication is very important. The challenge of communicating in a digital world is that email isn’t always the best way to get a message across. How do you ensure people are informed and have what they need to do their job? How to you bring information to people as opposed to thinking they’ll seek it out on their own?

Q. Best piece of advice about being staying grounded in a management role?

A. Part of being a good leader is reflecting and learning, but you’ll never achieve everything you want to do in a role. It’s about doing the best job you can do and making positive change for those around you.

Q. Any leadership myths you’d like to dispel?

A. People sometimes think when you take on leadership positions that you need to change, but you don’t. What you do need to be is authentic and stay true to yourself.

Q. Best part about your time at WLMH?

A. The team who come in every day and provide the best care possible for patients. I’m thankful for the opportunity to work in a community hospital for the first time in my career. I’m honoured to be of service to the community, and grateful for being part of the exciting conversations about the new hospital.

Q. Plans for retirement?

A. Lots. But after 36 years of working full time in health care, I’m looking forward to what life wants to show me next.

“Perfect time” to get screened

New WLMH mammography machine up and running


The latest upgrade to diagnostic services at Hamilton Health Sciences’ (HHS) West Lincoln Memorial Hospital (WLMH) is new state-of-the-art mammography equipment that provides routine 2D mammography as well as 3D imaging, also called tomosynthesis.


Mammography technologists at WLMH started using the new machine — a GE model called the Pristina — earlier this month. It replaces the hospital’s aging mammography machine, and is part of upgrades through Managed Equipment Services (MES).


The HHS Juravinski Hospital and Cancer Centre’s CIBC Breast Assessment Centre (BAC) in Hamilton received three of the same model of machines.


“WLMH now has a top-of-the-line mammography machine with all the bells and whistles to perform screening mammograms, diagnostic studies in people with breast concerns and tomosynthesis,” says Dr. Kavita Dhamanaskar, an HHS radiologist with expertise in breast imaging. Dhamanaskar was part of the MES team that was instrumental in bringing the new machines to WLMH and the BAC.


The new machines provide traditional 2D digital mammography for routine breast screening as well as leading-edge 3D technology. With 2D mammography, two x-ray images are taken – one from the top of the breast and one from the side. The 3D mammography provides a more detailed look by obtaining a set of breast images at different angles.
Radiologists recommend tomosynthesis views when a person is recalled for further evaluation of abnormal findings on routine mammogram. This more advanced 3D scan can also be used for screening people with dense breasts.


Improved experience for patients and staff


Until this month, WLMH patients needing detailed assessment or extra views were sent to the BAC. “Now these patients can have complete diagnostic assessment right here in Grimsby instead of travelling into Hamilton,” says WLMH clinical manager Bethany Hancocks, whose responsibilities include diagnostic imaging.


Patients have shared that they’re pleased with the new machine, which is designed to provide a more comfortable experience, says WLMH mammography technologist Natasha Brandel. It’s also more user friendly for technologists, provides higher-quality scans than its predecessor, and is faster.


It has been a big year for diagnostics at WLMH, with a new CT scanner added in summer and now the new mammography machine. It’s all part of a plan to replace and upgrade most of the site’s diagnostic imaging fleet.


Ontario Breast Screening Program


WLMH is home to an Ontario Breast Screening Program (OBSP) site, serving West Niagara and Hamilton residents. The OBSP offers free mammograms to people ages 50 to 74 as part of their routine health care. It’s recommended that most women in this age group get a mammogram every two years since early detection can catch breast cancer when it’s small and is easier to treat.


Anyone in the 50 to 74 year age group who’s due or overdue for a mammogram is encouraged to book their own appointment by phone at an OBSP site that’s most convenient for them. A referral is not necessary, although appointments can also be booked through a person’s primary care provider.


This year, due to delays caused by the pandemic, women aged 75 can also book their own appointment. Outside of the provincial breast screening program, women over 75 and under 50 can book through their primary care provider if screening is deemed necessary due to personal circumstances such as a family history.


“Now is the perfect time for people who are due or overdue to book their mammogram,” says Dhamanaskar.

WLMH welcomes Dr. Mosher, OBGYN

For Dr. Andrea Mosher, coming to West Lincoln Memorial Hospital is a bit of a homecoming.

“This opportunity at WLMH is somewhat full circle for me,” said Dr. Mosher, WLMH’s newest obstetrician and gynecologist. “I grew up in Niagara Falls, did my undergrad at Queens University, went to medical school in Calgary, and took my residency in Hamilton. I am excited for this opportunity to come back to the Niagara community.”

At a young age, Dr. Mosher set her sights on a career in medicine. Influenced by a family friend who was a physician practicing obstetrics in a low-risk birthing environment, she started considering a similar path for herself.

“Being a doctor was always a dream of mine. When I was in medical school I did rotations in obstetrics and I was then matched into the residency program. It’s an honour to be part of families’ birthing experiences and help them welcome a new life into their family and world,” she said.

Dr. Mosher is currently practicing at St. Joseph’s Healthcare Hamilton. She officially starts at WLMH on October 1. The community medical model in place at West Lincoln will be a change, but a welcomed opportunity to practice in a different care environment with new colleagues.

“The model is unique as it allows you to interact with many other providers from the hospital and community. This presents a great opportunity for continued collaboration and growth because it always keeps you learning and encourages experience sharing with each other. It’s very important to me that I’m always advancing but also helping others advance as well,” noted Dr. Mosher.

In addition to her expert clinical skills and experience, she brings another personal yet critical element to her practice which enhances her interaction with patients during their journey to parenthood.

“I’m a mother of two young boys. This is an important piece of who I am but also how I engage with my patients. Having my children let me learn what it was like from a patient’s perspective and where appropriate, I bring this into my work. While it’s definitely not a requirement for practicing obstetrics, personally, I feel like it helps me connect with new and expecting moms and parents,” she explains.

Dr. Mosher is also a practicing gynecologist and will continue this work at WLMH. Through her appointment at McMaster University, Dr. Mosher’s current research focuses on endometriosis – a common but underdiagnosed condition where endometrial tissue grows outside the uterus – with the goal of expanding knowledge of the symptoms toward earlier diagnosis and treatment.

When asked if she had a preference between her two specialties, she gave a considered chuckle before responding.

“I like to say: I came to the specialty for the obstetrics and stayed for the gynecology,” she said. “I really love them both and I think they complement each other well. I am excited to see that gynecology has significant [operating room] time allocated at WLMH and it will be great to get in there work through some of the backlog caused by the pandemic. Being able to help fill a clinical need for a community is humbling.”

The obstetrics program has been temporarily redirected to Niagara Health following a provincial directive earlier in the year which paused scheduled care and facilitated the redeployment of hospital staff to critical care and other clinical areas hard hit by the COVID-19 pandemic. WLMH staff who contributed to this response have since returned to the site.

Separately, in the past year, two of the site’s three obstetricians have departed to pursue professional opportunities abroad. Dr. Nwachukwu [ChuChu] Nwebube who leads WLMH’s obstetrics and gynecology department has remained steadfast in his role and has been the sole obstetrician/gynecologist on site for a number of months.

From an operations perspective, there are three essential pieces needed to run an obstetrics and gynecology program: operating room (OR) staff and OR availability, obstetrics staff, and obstetricians/gynecologists. Dr. Mosher’s arrival is a big step toward fulfilling the physician complement and resuming obstetrical care at the site starting October 5.

“We’re grateful to staff who took on different roles to help out across Hamilton Health Sciences sites during the pandemic, but we’re also really glad to have them back at the site,” said Cindy MacDonald, director of community programs and WLMH site administrator. “Our OR and obstetrical staffing has been stabilized. Dr. Mosher is passionate to work in the community and her arrival is an opportunity to rejuvenate the program. We’re excited for her to start, and at the same time we’re all incredibly thankful to Dr. Nwebube for his dedication and commitment to our patients and the program.”

Arguably, no one at WLMH is more eager for Dr. Mosher’s arrival than Dr. Nwebube.

“Over the last year, we’ve worked through the loss of two obstetricians and it’s very promising to welcome Dr. Mosher to the team,” he said. “She brings great expertise and talents to the program and to our patients. Her contributions will be important as we serve patients in the current building, but also as we transition to the new hospital and restore the program to its former glory and beyond. In addition to her clinical practice, she’s also an accomplished researcher and we’re looking forward to her bringing this important element to the care we provide.”

With the birthing program set to resume, consideration needs to be given that the COVID-19 pandemic is still very unpredictable in the community and the government-driven response which may be needed in the coming months is yet unknown. However, most people at the site are now looking a little farther down the road; to the opening of the new hospital.

“The promise of the new hospital holds a lot of potential,” said Dr. Mosher, who noted the prospect of a rebuilt WLMH played into her decision to accept this role. “It’s exciting to have the opportunity to work in a new facility which is being built with community growth in mind and patient care at the centre of everything. Also, the new hospital will let us further grow the obstetrics program and provide long-term stability for patients in the community.”

The WLMH redevelopment is currently in Stage 4 of the planning process, with the Request For Proposals (RFP) currently out to tender. Shovels are looking to hit the ground in June 2022.

Obstetrics services resuming October 5

Obstetrics services at WLMH will resume starting October 5, supporting deliveries from Tuesday morning to Friday afternoon.

Outside of these hours of operation, women in labour or requiring assessment will be redirected to deliver at the St. Catharines site of Niagara Health (NH).

This is the same model that was in place prior to the provincial directive earlier this year which temporarily paused scheduled care to allow hospital staff and physicians to support clinical areas hardest hit by the COVID-19 pandemic.

Our obstetricians and family physicians will retain their privileges at both hospitals, allowing continuity of care for patients. In situations where WLMH physicians are not able to attend a delivery, the patient will be under the care of the NH obstetrician on call


Midwifery care will be provided at NH only.

EXPECTING FAMILIES: this handout is for you.


Once again, the obstetrics service resumption will be assessed on an ongoing basis to determine if and how it can be extended. The goal is to provide as many hours of obstetrics services as possible, as long as its sustainable from a staffing and resourcing perspective to do so.

Hamilton Health Sciences is grateful for our ongoing partnership with NH and its team who continue to make this service arrangement possible until obstetrics services can fully resume at WLMH. We also appreciate the flexibility and professionalism our staff and physicians have demonstrated during this period of transition.

“Exciting part of the development process”

Work continues on rebuild project

The Request for Proposals (RFP) was issued at the very end of June, meaning the three teams vying for the project have all of the requirements needed to complete their bids.

For the redevelopment team which has been working furiously throughout the planning phases to get this project over the finish line, it’s a chance to take stock of all their efforts.

“This is an exciting part of the development process,” said Bart DeVries, director of redevelopment at Hamilton Health Sciences. “Our team has spent the better part of two years consulting and planning for the new hospital. Now we’re at the stage where we get to see that hard work materialize in the plans being developed by the design-build teams competing to win the project.”

Working behind-the-scenes

While this is a relatively quiet period in terms of public milestones and updates, lots of work is happening behind the scenes.

“Together with Infrastructure Ontario, we meet with each bid team on almost a weekly basis. Some of these meetings are a few hours in duration to cover their progress on schedules, IT and equipment planning, etc. In August, September, and October there are all-day meetings with each team where they share their current design iterations and walk us through their plans at each stage,” said DeVries, noting that each meeting is attended by an impartial “fairness monitor” to ensure that any information provided by the hospital to one bidder is shared equally with the others.

These meetings are an important part of the development process. They allow each design-build team to receive feedback on its designs in real time and have dialogue with the hospital. The meetings also provide the opportunity to raise red flags if there are potential issues or concerns on either side of the table.

“The RFP includes over 5,500 specific and unique requirements associated with the project. Documentation is provided to the bid teams after each design presentation session outlining which requirements have been satisfactorily met, and those that have not. As you can imagine, many questions come up throughout the process. Between regular meetings with the bidders, and request for information (RFI) requests, all parties have the ability to interact with our requirements and ultimately identify solutions, even though their design is unique from others. Where warranted, we revise some of our requirements to respond to innovations and other changes that will benefit the project,” said DeVries.

“With all projects, especially those which move as fast as the WLMH rebuild is moving, it’s always better to address matters up front so that teams can progress their designs quickly and allow us to minimize what needs to be resolved in the end,” he added.

Building relationships

The regular dialogue also lets the hospital’s team get to know each of the potential design-build teams. The new hospital will take between two and three years to build. It’s important to start building relationships and understanding each team’s dynamics.

“The relationship between the design-build team and the hospital and its planning, design and conformance (PDC) team is critical for the success of any project. Building rapport starts on day one and it’s nice for both sides to get to know each other early on,” noted DeVries.

Meetings with design-build teams will continue until late October 2021. Technical (“design”) submissions for the RFP are due at the end of November 2021. RFP financial (“cost”) submissions are due early January 2022. Evaluation of each will take place and the successful proponent will be announced sometime in March 2022. Shovels are expected to hit the ground by June 2022.

HHS, IO Issue RFP for WLMH Redevelopment

Today, Infrastructure Ontario (IO) and Hamilton Health Sciences have invited three teams to respond to a request for proposals (RFP) to design, build and finance the West Lincoln Memorial Hospital redevelopment project.

The three teams were prequalified based on criteria identified in a request for qualifications process that began in November 2020. Selection criteria included design and construction capability, experience, qualified personnel and financial capacity to undertake a project of this size and scope.

“With the posting of the RFP, the three teams who were previously shortlisted now have everything they need to develop their bids,” said Kelly Campbell, HHS vice-president of corporate services and capital development. “We are excited by the caliber of the teams and are confident each submission will bring a unique vision for the rebuilt hospital. Together with our partners at Infrastructure Ontario, we look forward to working with each team over the coming months, and ultimately choosing the group who will deliver the hospital for the community.”

The prequalified teams and their prime team members are:

AMICO SACYR ALLIANCE
• Applicant Lead: Amico Design Build Inc. (50%), Sacyr Construction S.A (50%)
• Design Team: IBI Group Architects Canada
• Construction Team: Amico Design Build Inc. (50%), Sacyr Construction S.A (50%)
• Financial Advisor: Operis Business Engineering Limited


ELLISDON INFRASTRUCTURE HEALTHCARE
• Applicant Leads: EllisDon Corporation
• Design Team: Parkin Architects Limited
• Construction Team: EllisDon Corporation
• Financial Advisor: EllisDon Capital Inc.


POMERLEAU HEALTHCARE PARTNERS
• Applicant Lead: Pomerleau Inc.
• Design Team: Cumulus Architects Inc, WalterFedy
• Construction Team: Pomerleau Inc.
• Financial Advisor: Pomerleau Inc.

“The release of the RFP for WLMH is a key milestone towards the new build,” said Sam Oosterhoff, MPP, Niagara West. “This is great news for West Niagara, and the speed with which we have arrived at this point from the initial commitment to a new build being made in October 2018, testifies to the huge desire to see this new build in the community. I have appreciated working with HHS, Minister Elliott, and the community on this key community infrastructure project, and it is exciting to see us get to this place. West Niagara has been waiting for a long time to see our new hospital, and today’s release of the RFP is very good news.”


Teams will now begin preparing proposals that detail how they will deliver the project. Once technical submissions are received by the end of November 2021, Infrastructure Ontario and Hamilton Health Sciences will evaluate the proposals, select a preferred team and then negotiate a final contract. A successful bidder is expected to be announced in spring 2022.