reinvent phx and the urban land institute anchor...

Reinvent Phoenix Anchor Institution Interview Findings

Mayor’s Breakfast for Healthcare and Education Leaders November 1, 2013

Reinvent PHX and The Urban Land Institute

Anchor Institution Interview Findings


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Reinvent Phoenix – Anchor Institutions

Objective: Engage key decision makers to learn about their unique challenges and identify opportunities where the City can partner to create a more healthy and economically vital City.


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Reinvent Phoenix – Anchor Institutions

Approach: Conduct one on one interviews with the following:

Medical Banner Health Kindred Hospital Maricopa Integrated Health System Mountain Park Health Center St. Joseph’s Hospital/Dignity Health St. Luke’s Hospital

Educational Arizona State University-Downtown Fortis College GateWay Community College Phoenix College Phoenix School of Law U of A College of Medicine-Phoenix


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Key Findings - Transportation

Issue Vehicular: Lack of access and safety Parking: Inadequate supply

Draft Strategies • Augment visitor parking at ASU Downtown Campus

• Increase parking supply at Gateway Community College (public-private)

• Integrate cross walk activation across Van Buren Ave. and 46th St.

Districts Downtown, Gateway

Champions Educational Institutions, City of Phoenix


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Issue Light Rail: Lack of access to employers Transit: Increase eds/ meds connectivity and use

Draft Strategies • Add light rail stop at 18th Street • Add a fixed loop circulator route

(like DASH) east of Washington St.

• Extend time of route use

Districts Downtown, Eastlake, Gateway

Champions Valley Metro, Educational Institutions


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Issue Bicycle: Limited access and safety concerns Pedestrian: Lack of walkability

Draft Strategies • Design/Implement complete street on Van Buren St.

• Provide bikes at 18th St. light rail stop and route/lane connections

• Evaluate sidewalk connectivity to adacent area

Districts Gateway

Champions Educational Institutions, City of Phoenix


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Key Findings - Land Use

Issue Land Utilization: Potential to marginalize light rail adjacency and locational attributes

Draft Strategies • Land bank land within ¼ mile around light rail stations

• Assemble underutilized parcels • Augment non-profit

monetization efforts for TOD funding needs

Districts Eastlake, Gateway

Champions City of Phoenix


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Key Findings - Neighborhoods

Issue Safety: Concern of crime and personal safety Community: Housing needs rehabilitation/infill Amenities: Lack of retail/office/open space

Draft Strategies • Prepare CPTED assessments • Partner with schools and non-

profit(s) • Analyze market potentials and

pre-development catalysts

Districts Eastlake, Gateway

Champions Med Inst., Eds. Inst. NPs, City, School Districts


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Key Findings - Workforce

Issue Workforce Shortage: Shortage of clinical care positions such as social workers, RN case managers, physical therapy, pharmacists

Strategies • Discuss the need with education providers

• Work with City’s Workforce Development program

Affected District All Districts

Champions Med Inst., Eds. Inst. , City


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Key Findings - Workforce

Issue Primary Care Physician Shortage: As the population grows the number of Graduate Medical Education slots has not kept pace

Strategies • Continue to lobby Congress to add GME slots in Arizona

• State to match healthcare providers dollar for dollar

Affected District All Districts

Champions Med Inst., Eds. Inst. , State of Arizona


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Key Findings – Economic Development

Issue Shortage of Amenities: Areas around anchor institutions have a shortage of restaurants, retail, childcare, business services, etc.

Strategies • Work with anchor institutions to quantify potential market demand, such as size of workforce population and median wages

• Identify the mix of businesses that could be supported and create an attraction program

Affected District Garfield and Gateway

Champions Med Inst., Eds. Inst. , City, Discovery Triangle


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Issue Extended Stay Hotels: There is a shortage of extended stay hotels within a 2-3 mile radius of healthcare facility

Strategies • Work with medical institutions to quantify room night demand

• Identify potential parcels suitable for a hotel

• Prepare a list of desirable extended stay hotel brand and begin an outreach program

Affected District Midtown, Garfield and Gateway

Champions Med Inst., City, Discovery Triangle


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Issue Medical Office: There is an anticipated shortage in medical office space within proximity to Healthcare facilities

Strategies • Identify buildings for adaptive reuse and vacant parcels suitable for medical office space

• Meet with medical office brokers and developers

• Facilitate the permitting process

Affected District

Midtown and Garfield

Champions Med Inst., City, Discovery Triangle


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Issue Incubation space: There isn’t space for biotech / pharmaceutical incubation within the area to facilitate R&D and clinical trials

Strategies • Identify potential locations that could accommodate this use

• Work closely with UA and others to identify biotech opportunities

Affected District

Garfield and Gateway

Champions UA, City and Discovery Triangle


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Trends

• Ambulatory care with a focus on keeping people well and out of the hospital -preventing illness and disease, not just treating it

• Healthcare case management with greater connection to the community and training providers to manage illness/disease, prevent isolation and loneliness

• Emergence of Specialty hospitals such as cancer, cardiovascular, orthopedic care

• Big data utilizing EMR and bioinformatics • On-line education will expand • End of life and palliative care will grow


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Potential Partnerships

• Public-private partnership on parking facilities • Healthcare industry and large employers to design

effective wellness programs for employees • Education and hospitals on the creation of

externship relationships • Education to partner with technology and

healthcare companies to share resources and advocacy

• Law schools to partner with community based organizations (homeless, domestic violence) that allow law students to get experience

• Dignity to partner with the City of Phoenix and nonprofit housing developers on Frequent Users of System Engagement (FUSE) to provides supportive housing for the homeless with chronic conditions that incorporates a full time caregiver


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Anchor Institution Case Study

• Program: Workforce Development • Who: Wake Forest School of Medicine • What: Encourage new pathway to medicine by

granting up to five undergraduate students studying humanities or fine arts guaranteed admission to Wake Forest School of Medicine

• Why: Practice of medicine is about working with people. Add diversity and bring humanistic qualities such as empathy and good communications skills to the student body as a whole.

• Outcome: Increase in primary care doctors • Who was Involved: Wake Forest School of

Medicine


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• Program: Community and Economic Development • Who: University of Cincinnati and anchor institutions • What: Create the “Uptown Consortium” to assess the

anchors’ shared needs and determine how the needs aligned with community interests

• Why: Uptown was blighted and crime-ridden from years of disinvestment

• Outcome: Consortium funneled $400 million to the Uptown District primarily in the form of real estate development. Uptown experienced an 8.2% decline in the number of Index Crimes (property and violent crimes), new office and retail space was built which generated more foot traffic between the anchors and the surrounding neighborhoods.

• Who was involved: University of Cincinnati, Cincinnati Children’s Hospital, Cincinnati Zoo, Health Alliance and TriHealth


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• Program: Workforce Development

• Who: Henry Ford Health Systems (HFHS)

• What: Partnered with an urban school district to offer students the opportunity to simultaneously earn their high school diploma, associate’s degree and professional certifications in health-related careers

• Why: HFHS was projecting a shortage in allied health positions with many of their medical technologists and lab professionals approaching retirement

• Outcome: Program launched with 40 students and within two years of the program student retention rate is 97% and approximately 50% of the current 12th graders are on track to receive their Associate’s Degree.

• Who was involved: HFHS, Dearborn Public Schools, Henry Ford Community College, Wayne County Regional Education Service Agency and Michigan State Board of Education


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• Program: Urban Revitalization • Who: University of Minnesota • What: Leverage the University’s research and resources to

improve a neighboring community by creating a broad-based partnership that builds on the community’s assets, ties together community and university expertise.

• Why: University recognized there was a disconnect between research and its applicability to the local community

• Outcome: Built the Urban Research and Outreach/Engagement Center (UROC) in North Minneapolis that houses several University community programs, such as:

– childhood intervention programs – business tech center that introduces provides programs for youth

entrepreneurship – health education center that introduces young urban residents to

health careers – small business training and computer courses

• Who was involved: University of Minnesota, City of Minneapolis, Federal Government, local residents, and community organizations

Strategic Directions

• State needs more tools in its tool box (TIF or some similar mechanism)

• Millenials are driving less-not compelled to own a car-reduces parking needs/improves air quality/personal health

• Connect meds and eds to physically connect teaching/research/employment through convenient modes

• Creative class wants whats “in” the City: housing options, access to nightlife, kindred spirits, culture etc.

• Jealously guard and enhance TOD opportunities for sector targets and vertical mixed use

• Tee up underutilized properties for medical office, grocery and service oriented retail around health care anchors

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