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For more information please contact:Micki BenzVice President of Community DevelopmentSaint Mary’s Health Care200 Jeff erson Street, SEGrand Rapids, Michigan 49503Phone: 616.913.1890E-mail: benzm@trinity-health.orgOn the Web: www.smhealthcare.org

Do all the good you can

In all the ways you can

For all the people you can

Just as long as you can.

- Peter Wege Conservationist,

Environmentalist, Philanthropist

Do all the good you can

In all the ways you can

For all the people you can

Just as long as you can.

- Peter Wege Conservationist,

Environmentalist, Philanthropist

Do all the good you can

In all the ways you can

For all the people you can

Just as long as you can.

- Peter Wege Conservationist,

Environmentalist, Philanthropist

Saint Mary’s Health CareMaster Campus Redesign

Bring something more. To patients, to employees, to the community.

Build something more. Than just facilities.

Be something more. Than a health care provider.

Be an integral part of a neighborhood, a leader in healthy living, a model forenvironmental stewardship and sustainability.

Live it, breathe it, do it. Expect it.

Transforming Health Care

CONTENTS

About Saint Mary’s Health Care

Saint Mary’s Health Care in Grand Rapids, Michigan, is an integrated network of health care excellence, leading in cancer care, neuroscience, orthopedics, diabetes and endocrine care, kidney transplants and integrative medicine. Saint Mary’s Health Care encompasses more than 2,500 employees; a 324-bed, JCAHO-accredited teaching hospital; The Lacks Cancer Center; The Wege Institute; The Center for Diabetes and Endocrinology; The Hauenstein Center; Orthopedic Services; three fi tness centers; fi ve HealthLink community outreach centers; affi liations with home health care and rehabilitation services; and the area’s premier primary care network, Advantage Health Physician Network. Saint Mary’s recently was awarded the Governor’s Award of Excellence and named one of West Michigan’s 101 Best and Brightest Companies to work for. Saint Mary’s is a member of Trinity Health, the country’s fourth-largest Catholic health care system and recipient of the National Quality Health Care Award.

Core Values

Respect

Social Justice

Compassion

Care of the Poor and Underserved

Excellence

Mission Statement

We serve together in Trinity Health, in the spirit of the Gospel, to heal body, mind and spirit, to improve the health of our communities and to steward the resources entrusted to us.

Vision Statement

To be the premier health care system in West Michigan with a unique blend of primary and specialty care and a special emphasis on oncology, neuroscience and orthopedic services.

1 Overview and rationale

Introduction ................................................................................ 0

A community that embraces green ...............................................0

Early leadership in environmental stewardship ......................0

Local and national need drives growth .......................................0

Collaborating toward a mutual vision .........................................0

Vision

Printed on 100% post-consumer recycled paper.

2

3

The Saint Mary’s Master Campus Redesign

Community campus vision ....................................................... 0

Design principles ........................................................................ 0

Integrate and expand green space

Create a pedestrian-oriented community

Create an identifi able image for the community

Create a collaborative neighborhood

Design for safe and secure surroundings

Provide opportunities for small businesses

Encourage mixed-use housing

Transforming Health Care ......................................................... 0

The Hauenstein Center

Hope Lodge

Parking

Greening and parks

Art

Medical offi ce space

New Urbanism: mixed uses

Additional features

Transformation

Be a part of something more

A call to action ............................................................................. 0

Visi

on

1

Introduction

Several years ago, Saint Mary’s Health Care in

downtown Grand Rapids, Michigan, began

to transform its urban campus: We built The

Wege Institute for Mind, Body and Spirit and

The Lacks Cancer Center and made plans

to break ground on a neuroscience facility.

As these buildings were taking shape, Saint

Mary’s leaders envisioned a broader plan – one

that would transform the existing hospital

campus and beyond. In 2006, Saint Mary’s

purchased four acres of land directly to the

west, expanding the entire campus footprint

to 26 acres. The boundaries are State Street to

the north, Lafayette Street to the east, Wealthy

Street to the south and LaGrave Avenue to the

west. Estimates to revitalize the area range from

$30 million to $60 million, not including a new

neuroscience facility under construction.

It is a huge responsibility that impacts multiple

stakeholders – a responsibility that Saint Mary’s

Health Care takes very seriously as a steward of

the land, provider of health services and good

neighbor since 1893.

As such, Saint Mary’s initiated a yearlong

process of research and collaboration in order

to create an innovative solution for revitalizing

and expanding its urban campus. What Saint

Mary’s leadership found was groundbreaking:

Stakeholders wanted more than nice-looking

health care facilities; they wanted a campus

with features and amenities that reached

beyond traditional health services. They wanted

something to be proud of, take ownership in, put

their mark on for future generations.

We began to rethink our role as solely a health

care provider. We began to think that we could

– and should – lead in beautifying land, creating

community and empowering people. We

realized: We should be a catalyst for change. 1

Overview and rationale

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The following case study describes the collaborative process and resulting recommendations for this blueprint for change, the Saint Mary’s Master Campus Redesign.

A community that embraces green

To understand Saint Mary’s philosophy on land

use and community development – and why we

are doing what we are doing – is to understand

how the people of Grand Rapids intertwine

philanthropy with environmental stewardship.

Similar to the oath that physicians take, Grand

Rapids philanthropists and civic leaders

share an affi nity for “fi rst, do no harm,” and

then, “go forth and do good.” As a result, the

Grand Rapids metropolitan area has more

Leadership in Energy and Environmental Design

(LEED)-certifi ed buildings per capita than any

other location in the United States, according to

the U.S. Green Building Council.

Local philanthropist Peter Wege, a longtime

environmentalist and conservationist, has

made LEED certifi cation a requirement for

many of the building projects he has supported

throughout Grand Rapids and elsewhere,

including Saint Mary’s. His philosophy in action

has infl uenced many in West Michigan to

embrace green building.

The natural environment itself is a player in

fostering this “think green” mentality. West

Michigan is inherently a land of farms, forests,

rivers and lakes, with the city of Grand Rapids

and its suburbs at the core. As sprawl has

become an issue and threatened to destroy the

region’s natural resources, community leaders,

planners and citizens have turned much of their

focus to redevelopment of the urban center

where the bulk of the population lives and

works. Today, there is a concerted eff ort toward

more responsible land use and development.

But there is more to be done.

Saint Mary’s will be more than just a part of the

solution. Saint Mary’s will be a leader.

Early leadership in environmental stewardship

In the early 2000s, about to embark on

construction of a major new cancer center,

Saint Mary’s Health Care fi rst introduced the

idea of sustainability to its in-house design

group. “With Peter Wege’s involvement, the

momentum and the spirit captured us all,”

recalled Saint Mary’s Health Care President

and CEO Phil McCorkle in Values-Driven Design

and Construction: Enriching Community Benefi ts

Through Green Hospitals, a paper presented by

The Center for Health Design and Health Care

Without Harm at a conference sponsored by the

Robert Wood Johnson Foundation.

Wege, son of the founder of Steelcase,

the world’s largest manufacturer of offi ce

furniture, had given Saint Mary’s leaders a

tour of Steelcase’s new wood facility in nearby

Kentwood, Michigan. In 2001, the facility became

the world’s fi rst manufacturing plant to receive

LEED certifi cation for Environmental Excellence

by the U.S. Green Building Council.

McCorkle said, “As Peter was giving us the tour,

we realized, ‘These are the same kinds of design

practices that we should incorporate into our

new building.’”

The Lacks Cancer Center at Saint Mary’s would

become a pioneer not only in highly specialized

and integrated oncology services but also in

sustainable building practices. In 2005, the year it

opened, Lacks became the second hospital in the

nation to receive the coveted LEED certifi cation.

The hospital, designed based on response from

patients and community members, also won

The Grand Rapids metro area has

more LEED-certifi ed buildings per

capita than any other location in the

United States.

– Land Development Today, November/December 2006

In 2005, The Lacks Cancer

Center became the second

hospital in the nation to

receive LEED certifi cation. The

Hauenstein Center is expected

to be the fi rst to receive Silver

LEED certifi cation.

2

top honors in the 2005 Associated Builders and

Contractors Construction Awards Program.

The $35.4 million, 172,000 square-foot

facility is the only dedicated cancer hospital

in West Michigan. All care is under one roof,

including surgical suites, patient rooms,

diagnostic tools, clinical research, treatment

technologies, a lab, social services, prosthetic

and cosmetic assistance, a pharmacy and

other holistic support services. The center is

the only TomoTherapy™ Center of Excellence

in the region and also houses such critical

technologies as the da Vinci Surgical System,

Endoscopic Ultrasound, Cone Beam CT and

Dermascopy. The Warren Reynolds Library at

Lacks is the largest public cancer resource library

in Michigan.

Lacks’ model of multidisciplinary care under

one roof and its adherence to green- and

sustainable-building practices has become

the standard for future Saint Mary’s facilities.

With The Hauenstein Center for neuroscience

now under construction on the campus, Saint

Mary’s will pursue Silver LEED certifi cation.

The center likely will be the fi rst hospital in the

nation to achieve this designation. More on The

Hauenstein Center, and its multidisciplinary

approach to treating those with neurological

diseases, is described on page 14 of this case

study. Future facilities also will be built to LEED

standards.

“The redevelopment pathway that Saint Mary’s

has embarked on sets them apart. They are

walking the walk of holistic health care,” said Rick

Chapla, vice president of urban development

with The Right Place, an organization whose

mission is to bring economic growth to West

Michigan. “When I bring potential developers,

investors and business owners to the region,

I use Saint Mary’s as model design that makes

a strong and positive statement, not only to

the surrounding neighborhood but also to the

region as a whole.”

Need drives growth

The Grand Rapids health care community

began working together several years ago

to grow the region as a national health care

destination, much like Baltimore, Cleveland and

Chicago.

Saint Mary’s specializes in cancer care,

neurological disorders and orthopedics. We

also are known for pioneering family practice

medicine in West Michigan, for which we have

achieved national recognition.

Collaborative partnerships between Saint

Mary’s and other institutions are yielding

discoveries that people across the globe will

benefi t from. These eff orts are making Grand

Rapids a career destination choice for people in

medicine and science, which, in turn, fuels local

economic growth.

The Van Andel Research Institute in Grand

Rapids has led the expansion of the life

sciences industry in this region, conducting

biomedical research with focuses on cancer

and Parkinson’s disease. Saint Mary’s serves as a

clinical partner in these research eff orts.

Saint Mary’s also has partnered with leaders

in the life sciences industry to create ClinXus,

a not-for-profi t clinical research infrastructure.

ClinXus will dramatically increase access to

“When I bring potential developers,

investors and business owners to the

region, I use Saint Mary’s as model

design that makes a strong and

positive statement, not only to the

surrounding neighborhood but also

to the region as a whole.”

– Rick Chapla, vice president of urban development with

The Right Place

3

and use of clinical research and emerging

technologies by combining the expertise and

services of each partner. Participants in addition

to Saint Mary’s include the Van Andel Research

Institute, Grand Valley Internal Medicine

Specialists, Grand Valley State University,

Spectrum Health and Jasper Clinic.

Saint Mary’s joined the Biotech

Commercialization Project, a functional unit

of the West Michigan Science and Technology

Initiative (WMSTI) that helps associates to

develop patent applications for innovative ideas

and provides The Lacks Cancer Center with the

opportunity to link innovation, inventors and

venture capitalists.

Additionally, Saint Mary’s serves as a teaching

hospital in collaboration with Michigan State

University’s College of Human Medicine, a

relationship that dates back more than 40 years.

MSU’s medical school relocates to Grand Rapids

in 2008.

Said The Honorable Peter F. Secchia, former

ambassador to Italy, chairman emeritus of the

board of Universal Forest Products and for whom

the MSU medical school building will be named:

“Saint Mary’s is a very important component of

the medical school’s interagency cooperation,

bringing specialties and areas of expertise that

are unique, complementary and cutting edge.

MSU’s medical students will benefi t from the

excellence that Saint Mary’s off ers.”

Saint Mary’s Health Care and MSU’s agreement

regarding Saint Mary’s role in the medical

school move includes joint recruitment of

specialists and researchers, broad involvement

of existing Saint Mary’s Health Care medical

staff as faculty, and space for students on the

Saint Mary’s campus.

“Saint Mary’s is a key partner with the College

of Human Medicine – the physicians and staff

have long been important to the curriculum

and teaching of our medical students, so it’s

natural to establish a partnership that expands

on teaching, clinical services and research as

we train future generations of physicians,” said

Marsha Rappley, MD, dean of MSU’s College of

Human Medicine.

With the explosive growth of health care in the

region, Saint Mary’s, like the other hospitals

locally, is serving more patients than ever.

In addition to our main hospital services,

Saint Mary’s fi ve HealthLink community

health/outreach centers provide professional,

comprehensive, quality care for the poor,

underserved and homeless of greater Grand

Rapids. Inspired by social justice, one of Saint

Mary’s core values, the clinics build trusted

community relationships and leverage resources

and infl uence to work toward the elimination of

health disparities in our community. Although

the primary focus is providing health care, we

also serve as a single point of contact for help

with entitlement programs, assistance with

acquiring food and housing, and access to

mental-health and substance-abuse treatment

programs. Two of the fi ve HealthLink centers

are adjacent or within the Master Campus

Redesign footprint. They include the McAuley

Health Center, the only center in West Michigan

dedicated to treating people living with HIV/

AIDS; and the Heartside Health Clinic, located

in the adjacent Heartside neighborhood and

serving much of Grand Rapids’ homeless

population.

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The Saint Mary’s Master Campus Redesign is an

extension of the goal to create community for all

in a diverse, urban environment.

“Saint Mary’s is shaping a community vision that

embraces the many benefi ts of development

while at the same time fi nding new ways to

integrate all downtown neighbors into that

community vision,” said Dennis Sturtevant,

chief executive offi cer of Dwelling Place, which

provides apartments and homes for people of

varied incomes and backgrounds. “They are

taking vacant lots that look like ‘no man’s land’

and turning them into something for everyone

– a place that everyone can enjoy and be proud

of. Even more, they are creating jobs for people,

which creates self-suffi ciency and restores

personal dignity and hope.”

Collaborating toward a mutual vision

As Saint Mary’s considered all of the populations

that it serves, hospital leadership began to hone

a vision of a campus that would meet the needs

of highly diverse stakeholders: patients, their

families, physicians, associates (employees), civic

leaders, area residents and business owners.

Saint Mary’s is adjacent the Heritage Hill Historic

District, an area of grandly restored homes and

luxury condos in historic buildings dating to

the mid-1800s. In fact, Heritage Hill is one of the

largest urban historic districts in the country.

Formed as an association in 1968 to stop

several urban renewal projects that would have

demolished 75 percent of the neighborhood,

Heritage Hill residents are rightly sensitive to and

vigilant of any development that aff ects them.

As such, they are deeply vested in Saint Mary’s

– they care strongly about the appearance of

our buildings, both existing and future, and have

been a vocal voice in the shape that our campus

should take.

At fi rst, Heritage Hill residents were resistant to

the demolition of the McAuley Building to make

way for The Lacks Cancer Center. Saint Mary’s

learned from this experience and saw the value

in listening to its neighbors. “Moving forward, we

worked with closely with residents as we designed

and constructed the cancer center,” McCorkle said.

Residents off ered valuable feedback that

infl uenced design and safety features. For

example, architectural elements from McAuley

were salvaged and used in the new Lacks facility;

also, the corners of the Lacks facility were angled

so pedestrians can see around the corner, an

important safety feature. The Heritage Hill

residents are now incredibly supportive of Saint

Mary’s eff orts to revitalize the area.

When Saint Mary’s leaders decided to revitalize

the entire campus and beyond, it partnered with

an architectural fi rm known for its understanding

of historic preservation, sensitivity to social

and environmental issues, and expertise in

health care facilities design: Progressive AE,

headquartered in Grand Rapids.

5

“They are taking vacant lots that

look like ‘no man’s land’ and turning

them into something for everyone.”

– Dwelling Place CEO Dennis Sturtevant

3 PRINCIPLES OF HEALTHY BUILDING

PROTECT:the immediate health of building occupants

the health of the surrounding community

natural resources and the healthof the global community

From The Green Guide for Health Care™

Progressive AE put Lorissa MacAllister at the

helm of designing the Saint Mary’s Master

Campus Redesign. MacAllister, a LEED-certifi ed

architect, spent many years as a medical social

worker before pursuing a master’s degree in

architecture. With the support of a Robert

Wood Johnson Foundation grant, MacAllister is

working locally on developing quality measures

in physician practices with the Alliance for

Health. She knows not only buildings; she

understands people. Additionally, she is one

of 21 architects and green-building specialists

across the United States who are developing

the globally used Green Guide for Health

Care™, which expands on LEED principles to

be the health care sector’s fi rst quantifi able,

sustainable design toolkit (see www.gghc.

org). Under MacAllister’s direction, Saint Mary’s

will be registering for and adhering to this

self-certifying system as well as pursuing LEED

certifi cation for all applicable construction

projects. Saint Mary’s also will be adhering to

standards for sustainability and sustainable

operations, developed by MacAllister and

Progressive AE.

MacAllister and Saint Mary’s initiated a series of

community meetings and charrettes – intensive

planning sessions in which representatives of

the area’s three neighborhood associations,

the Heartside Business Association, individual

residents and local business owners, facility

designers and hospital leadership collaborated

on a vision for development. The charrettes

provided a forum for ideas and off ered the

unique advantage of giving immediate

feedback. More important, they allowed

everyone who participated to be a mutual

author of the plan.

Saint Mary’s is following the 25 Steps to Sustainability as developed by Progressive AE:

Site1 - Be mindful of the site selection. Do not disrupt the natural ecosystem.2 - Design open spaces to reduce the building footprint as much as possible.3 - Position the building to take advantage of solar gain opportunities.4 - During construction and demolition, recycle construction and

earthwork waste.

Transportation5 - Connect to the existing public transportation infrastructure.6 - Provide preferred carpool parking and/or encourage alternative vehicle use.7 - Plan pedestrian access to the building and the surrounding

infrastructure.8 - Provide bike parking and shower facilities for occupants.9 - Do not exceed parking capacity code requirements.

Light and Water10 - Use the natural landscape to reduce irrigation requirements.11 - Reclaim water for irrigation use.12 - On the exterior of the building, light only the ground for safety purposes.13 - Use low-fl ow fi xtures to reduce water use.14 - Install high-effi cient light bulbs.15 - Use occupancy sensors or light sensors to reduce interior light loads.

Energy16 - Support renewable and clean energy, possibly contracting to use a

portion of green energy.17 - Install equipment that does not deplete the ozone.18 - Review mechanical systems throughout the life of the building to verify they are functioning as intended.

Indoor Environment19 - Design for the occupant’s thermal comfort and provide individual

control of the system.20 - Design a facility that allows natural light into the space and gives every occupant a view to the outside.21 - Promote recycling within the facility.

Materials22 - Specify products that have low VOCs (Volatile Organic Compounds).23 - Specify materials that are made locally to reduce embedded energy.24 - Select materials that have a percent of recycled content.25 - When possible, reuse materials or use salvaged materials.

6

“Development should happen to sustain the

environment and the people who live in it. The

charrettes and meetings provided a foundation

for a redesign that is clear-intentioned,

evidence-based and supported by the

community,” MacAllister said.

The gatherings yielded ideas small and large.

For example: Make the area more walkable. Add

greenspace. Enhance safety with appropriate

lighting. Hide surface parking lots behind

buildings. Include water features. Add art

sculptures. How about a deli?

“A huge suggestion that we took to heart – in

fact, we modifi ed the design – was to eliminate

the look of metal that we had proposed for the

exterior of the new neuroscience center and

give it a far more natural, holistic appearance,”

McCorkle said.

Traditional hospitals can be intimidating to

approach, diffi cult to navigate and make

patients, visitors and employees feel closed

off from the rest of the world. Neighborhood

residents off ered feedback that Saint Mary’s

seemed like an island. All stakeholders agreed

that the hospital campus should reject the

“institution/island” image.

Jay LaBine, MD, served on the committee that

helped to design the new campus: “In keeping

with Saint Mary’s model of seamless care, we’ve

worked to create a design for a seamless campus –

one with easy access in and out; welcoming,

user-friendly and with everything patients, their

families and our associates need in one location.”

The redesign also ensures the campus will be

an accessible, urban oasis. It will have its own

identity, yes, but also be an integrated part of the

adjacent neighborhoods. A place where people

can walk down Cherry Street, turn on Jeff erson

and get cup of coff ee or buy fl owers. Or, even

walk to work.

In keeping with “not being an island,” Saint

Mary’s looked beyond its borders and considered

Grand Rapids as a whole. Saint Mary’s leadership

met with Grand Rapids and Downtown Alliance

offi cials to learn more of their future plans in

order to coordinate and integrate them with

their own.

“In developing its redesign, Saint Mary’s has

done a great job working with multiple stake-

holders, including the city. They have thought

clearly about their mission, coordinating their

plan to be inclusive of the surrounding neighbor-

hoods,” said Grand Rapids Deputy City Man-

ager Eric Delong. “By doing so, Saint Mary’s has

enabled the parties to coordinate public and

private investment in a way that will accelerate

redevelopment of their campus and defi ne this

emerging growth area of the city.”

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City of Grand Rapids Planner Suzanne Schulz

worked closely with Saint Mary’s offi cials in the

planning stages. “What Saint Mary’s is doing

should be a national model. A lot of health care

facilities isolate themselves. Some are even like

fortresses. So many opportunities are lost in

health care when accessory uses such as gift

shops and cafes are behind doors as opposed

to integrated at the street level. Saint Mary’s is

opening up the campus, making itself a total

community resource and asset,” Schulz said.

“They’re creating a mixed-use space that also is

multi-modal – accessible on foot, bike, by bus or

car. It’s revolutionary.”

A key stakeholder and collaborator is the

Roman Catholic Diocese of Grand Rapids,

which is concurrently redeveloping an area

directly adjacent Saint Mary’s campus known

as Cathedral Square. Already anchored by the

Cathedral of Saint Andrew, Catholic Central High

School, St. Andrew’s School and nearby Catholic

Charities West Michigan (formerly known as

Catholic Social Services), it will soon include

diocesan headquarters and other facilities and

features of service to the community.

The diocese and Saint Mary’s share a vision for

the area, one that sees the downtown Catholic

campus as much more than a collection of

buildings.

“It’s really about health, education

and spirituality – triangulating these

three aspects of life ... I’m not aware

of anywhere else in the country

where this is being done.”

– Mayor George Heartwell

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Said the Bishop of Grand Rapids, the Most

Reverend Walter A. Hurley: “The decision

of Saint Mary’s Health Care to expand its

medical facilities and campus in downtown

Grand Rapids refl ects its tradition to off er

excellent health care and its dedication to

remain at the forefront of medicine. The

development of Saint Mary’s campus points

to the hospital’s commitment to serve both

the broader community and the particular

needs of the Heartside neighborhood.”

Grand Rapids Mayor Heartwell was part of

early discussions for both the Saint Mary’s

Master Campus Redesign and Cathedral

Square: “The Heartside neighborhood

has been redeveloping in recent years

to open spaces and businesses. The

Master Campus Redesign and Cathedral

Square are important components in the

revitalization of the area. We’re making the

shift to a neighborhood that is inclusive

of all. It’s really about health, education

and spirituality – triangulating these three

aspects of life – and Saint Mary’s and the

diocese are unique in taking this leadership

role. I’m not aware of anywhere else in the

country where this is being done.”

Saint Mary’s also is in collaboration with city,

county and state transportation offi cials.

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Roundabout traffi c circles are being built at the

corners of Cherry/Jeff erson and Wealthy/Jeff er-

son (essentially, the north and south entrances

onto our campus); Jeff erson Street is being im-

proved; and a third roundabout near the south-

east corner of our campus likely will be installed.

The enhancements will improve traffi c fl ow,

safety and the appearance of the streetscape.

With a commitment to sustainability in

facilities and overall campus redesign, Saint

Mary’s is following LEED-ND (Neighborhood

Development) standards. LEED-ND will be a U.S.

Green Building Council certifi cation program

for developments, much like Bronze, Silver and

Gold LEED are for buildings. LEED-ND explores

the relationship between an urban environment

and overall health. Some of facts reported in

Understanding the Relationship Between Public

Health and the Built Environment: A Report

Prepared for the LEED-ND Core Committee are

described in the sidebar at left.

Finally, and most important, Saint Mary’s talked

with patients and their families about what they

want in a health care environment. The recurring

response: “Give us a place that won’t stress us

out or make us more sick.”

A key initiative in the past year was to make the

entire downtown campus footprint a tobacco-

free zone. By not allowing smoking within its

boundaries, Saint Mary’s encourages health

and wellness among associates and guests by

Regional accessibility/location of developmentDevelopments sited in central cities or central business districts on parcels surrounded by existing development and already provided with infrastructure generate fewer automobile trips and emissions than developments constructed on previously undeveloped parcels at the edge of development or on noncontiguous parcels.

Population and employment densityResearch shows that increasing population and employment density has transportation, air quality and traffi c safety benefi ts that translate into specifi c gains for public health.

Land-use mixIntroducing a greater mix of land uses into a neighborhood can produce a number of public health benefi ts. A more diverse area is more likely to capture trips in the neighborhood and therefore facilitates pedestrian, bicycle, ridesharing or transit travel and reduces vehicle travel, thus decreasing overall vehicle emissions. A mix of land uses is important in all types of neighborhoods but is particularly eff ective when introduced into employment centers.

Traffi c calmingTraffi c calming devices reduce traffi c speeds and/or traffi c volumes and thus reduce traffi c accidents. In addition to roundabouts or traffi c circles, chicanes (S-shaped curves) are the most eff ective devices for improving traffi c safety, reducing collision frequency by an average of 82 percent.

LEED - Neighborhood Development

eliminating secondhand smoke, even in outdoor

spaces. The policy also advances Saint Mary’s

LEED initiatives for a healthier environment.

The Center for Health Design and the Robert

Wood Johnson Foundation have collaborated

to create a series of white papers on the eff ects

of such things as building materials, sound and

light levels, and use of plants and greenery on

patient recovery times and employee safety

and productivity (see: www.healthdesign.org/

research/reports/).

There’s a term for this – “ecological medicine”

– coined by Carolyn Raff ensperger, executive

director of the Science and Environmental Health

Network. With the premise that the health of

Earth’s ecosystem is the foundation of all health,

SEHN calls for a new fi eld of inquiry and action

to reconcile the care and health of ecosystems,

populations, communities and individuals (see

www.sehn.org). Ted Schettler, MD, MPH, expands

on these issues in a white paper, Building-related

health eff ects: What do we know?

Said MSU College of Human Medicine Dean

Marsha Rappley, MD: “The environment in which

people receive health care is very important to

eff ective treatment. People need to feel that their

surroundings are fostering good health just as

much as a medical treatment would.”

Leonard Wright, MD, DABMA, medical director

of The Wege Institute for Mind, Body and Spirit,

likens Saint Mary’s plan to transform its campus

to something his piano teacher once taught

10

him: “Life, like music, needs notes and spaces

between the notes. By extension, a hospital

needs medical infrastructure, yes, but it also

needs places of quietude that are every bit as

important to the healing environment.”

Saint Mary’s has incorporated holistic health care, ecological medicine and environmental stewardship into seven design principles, which serve as the foundation of the Saint Mary’s Health Care Master Campus Redesign. We share the plan on the following pages.

Life, like music, needs notes and

spaces between the notes …

places of quietude are

every bit as important to the

healing environment.

– Leonard Wright, MD, DABMA, medical director ofThe Wege Institute

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Saint Mary’s Health CareMaster Campus Redesign

“Saint Mary’s Master Campus Redesign is an outstanding

redevelopment of a key urban area in downtown Grand

Rapids that, combined with the Diocese of Grand Rapids’

adjacent Cathedral Square, creates an area of excellence

serving diverse populations.”

– The Honorable Peter F. Secchia, Former U.S. Ambassador to Italy

“Walkability, mixed-use buildings and creative green

space – these are the things we want. We are thrilled

with the Master Campus Redesign.”

– Heritage Hill Association Executive Director Jan Earl

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“The redesign for the campus is

a great addition to Grand Rapids’

downtown and exciting for our

medical school students.”

– MSU College of Human Medicine Dean

Marsha Rappley, MD

“The design vision is extraordinary.”

– Grand Rapids Mayor George Heartwell

“We need the kinds of things that Saint Mary’s is

proposing to do – green, walkable areas, which are

proven to reduce crime. Restaurants and shops,

which will provide jobs for area residents. And, of

course, the ongoing commitment to health care for

all, which has never wavered in Saint Mary’s history.”

– Dwelling Place CEO Dennis Sturtevant

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Research, charrettes and meetings yielded a progressive vision and seven design principles.

Community campus visionTo create a community that refl ects an

innovative, safe and connected mixed-use

neighborhood campus.

Design principles

1. Integrate and expand green space

Provide informal areas of green space that

promote safe community gathering and

collaboration, respite and healing, and

planned maintenance of public areas

2. Create a pedestrian-oriented community

Provide improved comfort and a walkable

community for pedestrians; enhance

attributes of public transportation and

decrease additional surface parking

3. Create an identifi able image for the

community

Enhance the image of the surrounding

community through expansion of branding

and improvement of existing structures;

provide an identity and sense of ownership;

refl ect the community’s cultural and

economic diversity

4. Create a collaborative neighborhood

Encourage interaction among all cultures

to promote diversity; encourage interaction

between neighborhood, governmental and

commercial associations to aid in successful

community growth

5. Design for safe and secure surroundings

Improve and build upon the relationship

between public safety and the community;

allow diverse economies to coincide and

prosper together; implement characteristics

of CPTED (Crime Prevention Through

Environmental Design)

6. Provide opportunities for small

businesses

Encourage community to support and

utilize local business; encourage local

interior-focused businesses to supply street-

accessible health amenities to external

customers

7. Mixed-use housing

Encourage infi ll of aff ordable housing; work

toward a balance between the preservation

of historic homes while providing

progressive housing options; encourage the

development of mixed-use buildings that

provide housing opportunities combined

with retail

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The Hauenstein Center Saint Mary’s vision

of a neuroscience

center, built on the

Saint Mary’s model

of comprehensive,

integrated and

compassionate care,

is already underway.

The $60.5 million,

140,000 square-foot

neuroscience center, slated for completion in

early 2009, will be the only one of its kind in the

country. It will bring together both inpatient and

outpatient neurological services under one roof

for the diagnosis and treatment of such diseases

as Alzheimer’s, stroke, Parkinson’s and spine

disorders. It will be the fi rst center in Michigan

for the diagnosis, treatment and rehabilitation of

epilepsy. It will be have one of only 30 Epilepsy

Monitoring Units (EMUs) in the United States.

It also will house a new state-of-the-art critical

care unit as well as Saint Mary’s new Emergency

and Trauma Center, tripling the size of the

current Emergency Department. Additional

features include a community center for

The Hauenstein Centersupport-group meetings and classes, a speech

and alternative therapy section, a rehabilitation

unit with a large gymnasium, and a small, quiet

space overlooking a garden rooftop.

Patients, nurses and physicians are currently

helping to design the interior amenities of

the facility; neighborhood residents and

Saint Mary’s associates off ered feedback on

the exterior design. Green- and sustainable-

building practices are being adhered to; some

of these features include energy-effi cient

glass windows and rooftops that will be

covered with year-round vegetation. Saint

Mary’s will seek Silver LEED certifi cation for the

neuroscience center.

14

Phas

e 1

Transforming Health CareSaint Mary’s is putting the Master Campus Redesign into motion by function.

As busy hospital campus in an urban environment, we will do so with minimal

disruption to our patients, associates and the community.

Saint Mary’s is working with the city of Grand Rapids to rebuild a park at the corner of State and Jeff erson streets. A sculpture will mark this north entrance to the Saint Mary’s campus.

The front of the Main Hospital building will feature a park with walkways, gardens, art and water.

Greening and parksWith the new parking structure, the current

parking lot that stretches in front of our Main

Hospital building will be dismantled; in its place,

a park with walkways and gardens will be built.

The goal is to start building the new park in the

spring of 2009.

Also, at the corner of State and Jeff erson streets

is a small park that Saint Mary’s is working with

the city of Grand Rapids to rebuild.

Green roofs will be added to the Main Hospital’s

two entrances and the roof of the current

Emergency Department. The roof of the

MRI suite will also get a green roof, but with

an additional feature: skylights, so patients

undergoing procedures will be able to see

the trees and other foliage arching over the

skylights.

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Phas

e 1

Hope LodgeHope Lodge is a recently built American

Cancer Society “home away from home” for

cancer patients and family members who

live far from a treatment center. Saint Mary’s

donated the $1 million parcel located on the

northwest corner of Cherry and Jeff erson

streets on which the $6.8 million building was

constructed.

ParkingAdjacent The Hauenstein Center will be a

parking structure to accommodate 550

vehicles and a rooftop helistop for AeroMed

patients. The $9.5 million parking structure

will provide most of the parking for Saint

Mary’s Health Care as a whole. It is expected to

be completed in November 2008.

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ArtInterior and exterior art, particularly

those pieces from local artists, will be

commissioned, created and displayed

on the Saint Mary’s campus. The Saint

Mary’s Health Care Art Committee

oversees selection and placement of

art, working with artists to ensure art

is featured to its best advantage for

patients and the community at-large to

enjoy. The Lacks Cancer Center features

art in its common areas and in all 42

patient rooms; plans are to place art in

every patient room on the campus.

Outdoor sculptures and water features

will be placed in the park leading to the

main hospital building and at the park

being rebuilt at the corner of State and

Jeff erson streets.

Medical offi ce spaceThis portion of the redesign involves

private investment and redevelopment

of medical offi ce space just to the north

of the Saint Mary’s campus, doubling

the current size.

Tree-lined streets and sidewalks will be walkable to shops, cafes and restaurants. Offi ces and condo-living will be on the second fl oor of the retail structures.

Based on the principles of New Urbanism, the two L-shaped buildings will off er street-level shops with parking tucked be-hind the structures.

New Urbanism: mixed usesThis phase, to the west of the current campus, is

the most groundbreaking. It involves widening

Maple Street to become a boulevard. A vacant

building will either be razed or rehabilitated,

and new structures featuring retail, offi ces and

condos will be built. Parking will be tucked

behind these L-shaped buildings. The concept

is based on the principles of New Urbanism as

defi ned in the Charter of the New Urbanism.

Additional features that will be implemented include:• Application of design principles to existing

facilities on the Saint Mary’s campus

• Heated brick sidewalks

• A rain catch-basin for watering plants

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Phas

e 2

Phas

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& 4

A call to action

Saint Mary’s Health Care has a

strong history of giving to the

community and of a generous

philanthropic spirit that has

helped us to help others.

Ways to give:

Capital Campaign

Legacy Circle

Endowed Funds

Distinguished Friends

President’s Circle

Physician Partners

In Tribute

Profi le in giving

Bradley L. Parks, LBSW, HIV/AIDS Case Manager

Saint Mary’s Health Care

Recently, Bradley Parks,

a Saint Mary’s employee,

made a legacy gift by

naming the McAuley Health

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eth

ing

“Support of Saint Mary’s was

important to my family not only

because of its excellence as a

health care organization but also

because of its research and areas of

specialization. The generosity

of people like Ralph Hauenstein,

who donated the lead gift

for The Hauenstein Center,

results in exceptional health care

that will benefi t people

from all over the Midwest.”

– The Honorable Peter F. Secchia, Former U.S. Ambassador to Italy

Center of Saint Mary’s as a benefi ciary

to his retirement plan and life insurance

policy. “I feel fortunate to be able to

provide support, understanding and

education to people living with HIV and

AIDS. It was just obvious to me that I

wanted to share a legacy gift. If you feel

passionate about something, give in

whatever way you can.”

Profi le in giving

Rodney Robinson, Accountant

Saint Mary’s Health Care

Rodney Robinson, an

accountant for Saint Mary’s

Health Care, feels strongly

about giving back to his

employer. Not only does he

give annually, but he also

has volunteered his time to encourage other

associates to contribute as well. “I support

the Associate Giving Campaign because I

believe in and support all of the investment

eff orts that Saint Mary’s has going on in

our community. It’s an exciting time to be

a part of what Saint Mary’s is building and

rewarding to see the campus evolve.” After

having cancer touch his family, Robinson

is even more aware of the facilities, care

and technology that we have here in Grand

Rapids. “To give back,” Robinson said, “…

is a good thing.”

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Profi le in giving

Nancy Kennedy, Vice Chair, Board of Trustees

Saint Mary’s Health Care

Community leader Nancy

Kennedy serves a number

of charitable organizations,

including Saint Mary’s.

Nancy and her husband,

John Kennedy, CEO of

Autocam, Inc., are longtime West Michigan

residents as well as advocates and supporters of

downtown revitalization eff orts. For many years,

they’ve educated their children at downtown

schools and have seen fi rst-hand the evolution

of the Heartside Neighborhood in which these

schools and Saint Mary’s are located. As a

volunteer and donor, Nancy believes in Saint

Mary’s total commitment to mind, body

and spirit – and in how this commitment is

refl ected in the surrounding environment.

“There was a time when people thought they

could run from the problems of an urban

environment. Saint Mary’s never bought into

that trend – in fact, Saint Mary’s has bucked

that trend. They see the vital importance of

maintaining and upgrading what they off er

to downtown and the community as a whole.

They are literally living their commitment to

mind, body and spirit by rebuilding a health

care campus that considers the total person

and the total environment. When you see

what is currently in progress at Saint Mary’s

and what they have planned, you see a

wholeness not only in the practice of health

care but in the presence of a healthy living

environment.”

Profi le in giving

John Canepa, Emeritus Member,

Board of Trustees

Saint Mary’s Health Care

John Canepa has been

helping to shape Grand

Rapids’ future at the

ground level as a founding

member of Grand

Action, a board member

of the Downtown Development Authority,

a director at Crowe Chizek and as former

chairman of Old Kent Bank (now Fifth Third

Bank). As a Saint Mary’s donor and volunteer,

he believes in how the Saint Mary’s Master

Campus Redesign complements the city’s

over-arching redevelopment eff orts. “Saint

Mary’s plan goes a long way in revitalizing

the hospital and integrating it nicely with

what is happening at the adjacent Cathedral

Square. From a public perspective, the

simultaneously occurring redevelopment

of this area is huge in that it will serve

so many diff erent stakeholders’ needs.

From the hospital’s perspective, it brings

enhanced fl exibility and opportunity for

care of patients. It’s about treating the total

person, and that includes not just time spent

in a room but also perhaps time spent in a

rooftop garden. From my travels throughout

the Midwest, I can’t say I’ve seen anything

else like what Saint Mary’s is doing.”

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18

Contact information for

Michelle Rabideau

To wonder,

To think,

To produce a thought,

That becomes a reality,

Starts with an inspiration,

And fi nally continuance of goals,

Until the thought

Is fully achieved.

– Peter Wege

Conservationist, Environmentalist, Philanthropist

To wonder,

To think,

To produce a thought,

That becomes a reality,

Starts with an inspiration,

And fi nally continuance of goals,

Until the thought

Is fully achieved.

– Peter Wege

Conservationist, Environmentalist, Philanthropist

To wonder,

To think,

To produce a thought,

That becomes a reality,

Starts with an inspiration,

And fi nally continuance of goals,

Until the thought

Is fully achieved.

– Peter Wege

Conservationist, Environmentalist, Philanthropist

A Member of Trinity Healthwww.smhealthcare.org