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COMMUNITY LEADER
patients to educate themselves on 
any necessary procedures to help 
them become successful trans-
plant candidates. 
The new centre would provide a 
space to have patient-centred care 
where conversations can take place 
on how best to support them and 
have the health experiences and 
outcomes they want. 
The third pillar of the campaign 
reflects a deeply compassionate, 
patient-centred approach, recogniz-
ing that care begins the moment a 
person arrives at the hospital. It em-
phasizes attending not only to clini-
cal needs, but also to the cultural, 
spiritual and relational dimensions of 
healing, particularly for those living 
with chronic disease and requiring 
acute care.
To bring this vision to life, two foun-
dational investments were estab-
lished. The first is the Indigenous 
Healing Centre, Kikâwînaw wîki (Our 
Mother’s Home), a dedicated space 
designed to foster cultural safety, 
belonging and connection. Here, 
patients and families are welcomed 
into an environment that supports 
engagement with Elders and Tradi-
tional Knowledge Keepers, creating 
opportunities for ceremony, reflec-
tion and culturally grounded care 
alongside clinical treatment.
The second investment is the Entry 
Way Assistant program, originally 
piloted to support patients receiv-
ing dialysis. Many of these individu-
als live with complex, intersecting 
conditions, such as kidney disease 
alongside diabetes, which can lead 
to vision loss, mobility challenges or 
limb differences, making it difficult 
to navigate a busy hospital environ-
ment. The program provides guided, 
compassionate support from arrival 
through to care, ensuring patients 
experience dignity, safety and a 
sense of being known.
Previously, patients often relied on 
family members or paid about $1,000 
a month for private transportation, 
creating inequitable access, espe-
cially since 43 per cent of the dialy-
sis population lives at or below the 
poverty line. To remove this barrier, 
patient porters now escort individu-
als from their front doors to appoint-
ments, saving an estimated $330,000 
annually during the pilot phase. By 
increasing patients’ sense of safety 
and belonging, the program improves 
attendance, supports roughly 50 
patients daily, helps reduce comor-
bidities, lowers overall care costs and 
enhances quality of life. 
Because of the remarkable suc-
cess of the pilot phase, the program 
has transitioned into a permanent 
service for all patients arriving at the 
hospital for a pre-scheduled ap-
pointment and are now referred to as 
“Front Entry Attendants.” St. Paul’s 
Hospital Foundation will fund the 
porters for an additional two years, 
after which St. Paul’s Hospital as a 
corporation will take over operations.
The outcomes associated with the 
campaign benefit both patients and 
the broader universal health-care 
system. By investing in early pre-
screening and prevention, we can 
help avoid the need for dialysis – one 
of the most intensive and costly 
forms of care, at approximately 
$80,000 per patient each year. This 
proactive strategy not only improves 
patient care but also saves resources 
that would otherwise be spent man-
aging downstream complications, 
creating a more successful and 
sustainable system overall. 
Lecina Hicke, CEO of the St. Paul’s 
Hospital & Foundation, said that 
“the hope overall is that we learn, 
we strengthen partnerships, and 
we continue to advocate for better 
patient outcomes, patient-centred 
approaches to care and better out-
comes for the system as well.”
The campaign is currently nearing 
its original fundraising goal of $10 
million, which will be used to build 
the Kidney Health Education Cen-
tre, complete the pilot phase of the 
pre-screening program and posi-
tion operations of the patient porter 
service. Following the campaign, 
St. Paul’s aims to scale these ef-
forts by partnering with like-minded 
organizations and adopting these 
programs in additional communities. 
Currently, St. Paul’s Hospital Foun-
dation is thrilled to officially begin 
the early phases of the construction 
project for the Kidney Health Educa-
tion Centre.  
24   
  Issue 1 – Summer 2026

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