Press Meeting • March 28, 2012

1. BRATTLEBORO MEMORIAL HOSPITALEmergency Department Renovation/Expansion & Magnetic Resonance Imaging Purchase/Installation Press Meeting • March 28, 2012

2. Project Description • Purchase and upgrade the currently leased 1.5 T MRI and move from a trailer to a fixed location • Expand and modernize the Emergency Department • Renovate 8,500 existing sq. ft. and construct 2,500 sq. ft. of new space in front of BMH • Create separate entrances for ED walk-in patients and ambulance admissions • Slightly enlarge current front drop off with new canopy, providing a focal point for the new lobby and ED • Add 6 parking spaces for improved access

3. MRI Statement of Need • Current MRI location obstructs the ED expansion • MRI patients must travel through the ED • MRI patients are interviewed in a poorly heated/cooled external corridor • Access for handicapped patients is poor • MRI upgrade will improve imaging quality by: • updating computer software • replacing the current gradients with larger, more powerful gradients (Gradients are the electronic coils that allow the MRI to focus on a specific part of the body.)

4. Project Description-MRI • MRI located in a trailer on a pad next to the ambulance dock • Existing magnet and much of the housing will be recycled and moved to existing shell space in the Richards Building • MRI shell space was constructed as part of the CON approved in 2007 • The computer software will be upgraded in line with advances in the technology that have occurred since the unit was leased 4 years ago

5. ED Statement of Need • Issues include: • Privacy issues and HIPAA compliance at patient check-in • Limited ability to handle patient surges, requiring utilization of hall stretchers • Lack of dedicated room for decontamination of patients • No patient toilet room in the clinical area (some exam rooms have dedicated toilet rooms) • Current ED is too constrained to efficiently and effectively treat patient volume • Physical layout presents multiple challenges to streamline patient flow resulting in long waits • 72% of the hospital’s admissions come through the ED

6. Project Description-ED • New ED will consist of enhanced patient support and treatment areas : • 10 treatment beds including 2 Rapid Treatment rooms for triage and treatment for minor illness and injury • 2 behavioral health safe rooms • EMS work room • Decontamination area • Larger, improved waiting area

7. Project Description-ED

8. ED Statement of Need • Need is not just for more space, but the right kind of spaces • No physical separation between ambulatory/walk-in patients and ambulance traffic • Heating, ventilation and air conditioning system does not provide adequate fresh air ventilation based on current standards • MRI patients presently walk through ED for their scans • From FY 2000 through FY 2010, ED experienced 13% increase in annual visits • In FY 2011, ED provided approximately 13,000 visits. Based on current standards published by the American College of Emergency Physicians, our six bed ED should serve 7,200 visits

9. Architect Diagrams

10. Timeline • Refine the final design • Hire a general contractor/construction manager • Act 250 approval • Local permitting • Conduct a capital campaign feasibility study • Fall 2012 groundbreaking • Goal 15 month completion date

11. Total Project Costs

12. Communications Plan • Every Friday Rob Prohaska will outline upcoming plans for the following week • These updates will be posted every Monday starting in April on a dedicated BMH blog • Posted on social media • Facebook • Pinterest • Twitter

13. Team • Steven R. Gordon, BMH President & CEO • Rob Prohaska, BMH Director of Plant Services • Lavallee Brensinger Architects • Construction Manager, to be announced

14. Thank you for coming! Questions?