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Chris O’Brien Lifehouse: Creating a Shift in Healthcare Culture

By Ryan Mccann
Monday, 24 March, 2014


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[hr]It was in the late 1990s when medical professionals and the board of the Royal Prince Alfred’s Sydney Cancer Centre were inspired to establish a comprehensive
cancer facility. But, when project leader and leading cancer specialist Chris O’Brien was himself diagnosed with a malignant brain tumour in 2006, the task took on
new impetus. Australian ϳԹȺ and Healthcare Bulletin spoke with the Chris O’Brien Lifehouse CEO Tim Dugan about the project, and how the vision for a patient-centred, world-class comprehensive cancer centre in Sydney became a reality. [hr]
The Lifehouse project is named after Chris O’Brien, whoinspired people through his work and his own battle withcancer. His vision was to build a facility that integrated clinicalcare, research, education and integrative therapies. How has the hospital’s design incorporated this vision?
The vision of Chris O’Brien, and his clinical colleagues, was tobuild a truly comprehensive cancer centre, based on the modelthat has been a success overseas in terms of improving qualityof design-in-health-3care and outcomes for patients.
But Chris also wanted to create a new culture and modelof cancer care. Through his own personal experience as adoctor turned patient, Chris saw the cancer journey from anew perspective. The reality for many cancer patients is thata diagnosis is followed by feelings of confusion and lack ofcontrol as they, and their loved ones, try to navigate their waythrough a complex series of appointments and treatments.
Our mission is to improve the lives of people affected by cancerand a key part of the delivery on that ambitious aim is to put thepatient at the centre of everything we do.
So, enabling multidisciplinary care by bringing all the peopleinvolved in cancer care under one roof and thinking about thepatient journey has influenced the design of every aspect of ourfacility and our services.
We have thought constantly about making the cancer journeyas easy as it can be for our patients - from enabling medical,research and support staff to work together and collaborate,including specialists who will offer complementary therapies, todesign features of our building.
We have created a space where staff can work in a state-of-artfacility and where patients will feel safe and comfortable and ableto easily navigate around different areas of the facility. In fact,from the light-filled atrium, you can actually look up and see thenine storeys which incorporate our research and clinical areas.
Who have been the key personnel managing the Lifehousefrom an idea, to a project, and finally a world-class facility?
We began a decade ago with a dream of building acomprehensive cancer centre. From a team that was initiallyjust a handful of people, the dream has been brought to life byan incredible collective of thousands of individuals, in particularthe Board and staff of Chris O’Brien Lifehouse, who have keptgoing, even when the going was tough, and never lost sight ofthe goal. The passion and commitment to making Lifehouse thevery best it can be for our patients is something that has beenshared by all involved.
We have been fortunate to have worked with someincredible partners on this project, including architectsRice Daubney, builders Brookfield Multiplex and projectmanagers Capital Insight.
It has been said this facility will transform cancer treatment forAustralians. How will this facility stand out from others?
Lifehouse will be an Australian centre of excellence and a keycomponent in a national strategy to deal with the burden ofcancer. Integrated cancer centres are recognised around theworld as design-inhealththe model that provides the best possible outcomesfor people living with cancer, as well as the most meaningfuladvances in research and education.
We will incorporate all aspects of cancer care, includingdiagnosis, treatment, emotional support research andeducation - under one roof.
Our mission is to improve cancer treatment in an environmentthat fosters innovation, discovery and increased participationin clinical trials. We are located alongside Royal PrinceAlfred (RPA), a large teaching hospital and Sydney Universityand will also collaborate with other research groups andpartners to establish a national resource for research,treatment and wellness.
I am sure the work we carry out at Lifehouse will contributeto improvements in cancer care that can be applied nationally.
Stage One of the project opened in November.How was the transition of services managed?
With the opening of Stage 1 of Lifehouse in November,certain services – including out-patient clinics forchemotherapy, radiation oncology, medical imaging,pathology, pharmacy and allied health – transitionedfrom RPA’s Sydney Cancer Centre to Lifehouse.
[pullQuote]“As a registered charity,Lifehouse relies onfundraising to achieve the vision of world-class carein a state-of-the-art facility,providing equipmentand services over andabove those covered byoperational budgets.”[/pullQuote]
We collaborated closely to ensure a smooth move for staffand patients and to ensure the continuity of care for ourpatients. This included planning for the move over a numberof years and detailed, specific change communicationswith particular groups, such as staff and patients movingfrom Sydney Cancer Centre to Lifehouse.
How will the new facility work with theRPA’s existing capabilities?
We have worked closely with RPA throughout the planning anddevelopment of the Lifehouse project.
We have agreed protocols for issues, such as transfer ofpatients, which are included in the Service Delivery Agreement,the legal document that sets out how Lifehouse will delivercare, which was signed by Lifehouse, Sydney Local HealthDistrict and the NSW Government in October.
Stage 2 of Lifehouse will see the opening of theatres, in-patientbeds and intensive care and high dependency beds in 2014/15.Until then, some cancer patients will continue to receivetreatment at RPA and some will have a combination of carefrom RPA and Lifehouse.
Can you tell us about the researchfacilities that will be incorporated?
Medical research has always been at the heart of the Lifehousevision as an integrated cancer centre. Quite simply, research isthe key to improving care and outcomes for patients.designinhealth2
Prior to opening, we already had a long tradition of supportingcancer research through partnering with institutes and fundingspecific projects.
But now Lifehouse has opened, we have entered a new andexciting chapter where we will be able to conduct researchourselves, in our own facility and in partnership with others.
As well as the research centre on Level 6 at Lifehouse, trials willalso be conducted at the Centenary Institute – Chris O’BrienLifehouse Cancer Research Centre. This will be housed in thenewly-built Charles Perkins Centre, adjacent to our Lifehouse.
The cost of this project has been mentioned as $260 million,with government funding $180 million. How were theremaining funds raised?
The build and fit-out of the facility hasbeen made possible by a combinationof Government funding, donations andreturn on investments.
We received $180 million in FederalGovernment funding, Sydney Universitycontributed $10 million and the NSWgovernment has provided long termleases at nil cost of land and buildingsto Lifehouse. The final $70 million camefrom Lifehouse via our fundraisingefforts, including major donations, aCharitable Bond Investment scheme,and investments.
Lifehouse has a unique fundingmodel. We are a not-for-profitbenevolent institution and will treatpublic and private patients. We haveno shareholders and income will bereinvested for the benefit of our patients.
[pullQuote]"Lifehouse will be anAustralian centre ofexcellence and a keycomponent in a nationalstrategy to deal withthe burden of cancer.Integrated cancer centresare recognised around theworld as the model thatprovides the best possibleoutcomes for peopleliving with cancer, as wellas the most meaningfuladvances in research andeducation."[/pullQuote]
As a registered charity, Lifehouse relieson fundraising to achieve the vision ofworld-class care in a state-of-the-art facility,providing equipment and services over andabove those covered by operational budgets.

What is the next stageof the Lifehouse Project?
The work on the completion of Stage2 of Lifehouse was already underwaybefore we saw our first patients. We areexcited about expanding our servicesto include in-patient facilities for publicand private patients. Again, there hasbeen great attention to detail and afocus on the patient experience in thedesign planning of these services.
We are also looking forward toexpanding our complementary therapyoffering, through the LifehouseLivingRoom. The aim of the LivingRoomis to provide patients and carers thebest possible support by offeringintegrative medicine as part of theoverall package of cancer care andby guiding patients towards treatmentswith evidence-based benefits. We hopeto also be able to contribute to theevidence base of using therapies,such as acupuncture, massage andexercise physiology, in combinationwith orthodox cancer treatment.
[pullQuote]“Lifehouse will be anAustralian centre ofexcellence and a keycomponent in a nationalstrategy to deal withthe burden of cancer.Integrated cancer centresare recognised around theworld as the model thatprovides the best possibleoutcomes for peopleliving with cancer, as wellas the most meaningfuladvances in research andeducation.”[/pullQuote]

Timothy Dugan


profileTim Dugan has more than 20 years’experience in health and researchmanagement in both the commercialand not-for-profit sectors.
He was appointed to the role of CEOof Lifehouse in 2008.
Prior to joining Lifehouse, Timwas Chief Operating Officer andCompany Secretary of the VictorChang Cardiac Research Institute,a member of the Stakeholder Boardof the Australian Stem Cell Centre ofExcellence and Commercial Managerof Mayne Nickless Radiology, NSWand Queensland.
Tim is also a Director of two privatecompanies and was appointed tothe Board of Lifehouse in April 2009.
Tim has an MBA from the MelbourneBusiness School (MelbourneUniversity), a Bachelor of AppliedScience from the Royal MelbourneInstitute of Technology and aGraduate Diploma in CorporateGovernance.
He has overseen the developmentof the Lifehouse facility through adynamic period of transition, fromthe construction phase to opening,and remains passionate about whatlies ahead for the organisation.
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