1. NEHES 2010 Fall Conference Perspectives on Growing a Healthcare Institution Perspectives on Growing a Healthcare Institution Diverse Trends in Facility Planning and Development NEHES 2010 Fall Conference October 3-6, 2010 Bretton Woods, New Hampshire Presented by Robby Robertson, Vice President of Facilities & Real Estate Services, Winchester Hospital John Duraes, Director of Engineering, Women & Infants Hospital Daniel Dunn, FACHE, Senior Vice President of Operations, Wentworth-Douglass Hospital Moderated by Rob Smedberg, Associate, VHB/Vanasse Hangen Brustlin, Inc.

2. NEHES 2010 Fall Conference Perspectives & Trends Delivering the best healing environments

3. NEHES 2010 Fall Conference LEARNING OBJECTIVES Perspectives on Growing a Healthcare Institution

4. NEHES 2010 Fall Conference Objective #1: How an organization’s structure impacts decision- making concerning capital improvements Healthcare systems Independent hospitals Large vs. small

5. NEHES 2010 Fall Conference Objective #2: How to facilitate the input of stakeholders throughout the planning-design-construction cycle Medical staffs Patients Hospital managements Professional staffs Boards of trustees

6. NEHES 2010 Fall Conference Objective #3: Identification of typical design/construction challenges, and solutions to address them Project management Community involvement Regulatory requirements Construction logistics

7. NEHES 2010 Fall Conference INTRODUCTION TO THE PANEL Perspectives on Growing a Healthcare Institution

8. NEHES 2010 Fall Conference Robby Robertson Vice President of Facilities & Real Estate Services Winchester Hospital John Duraes Director of Engineering Women & Infants Hospital Daniel Dunn, FACHE Senior Vice President of Operations Wentworth-Douglass Hospital

9. NEHES 2010 Fall Conference Winchester Hospital Winchester, Massachusetts Nonprofit, acute care, independent community hospital Founded 1912 229 beds >2,600 employees >700 physicians

10. NEHES 2010 Fall Conference Women & Infants Hospital Providence, Rhode Island Member of Care New England Health System Regional perinatal center for southeastern New England Teaching affiliate at Warren Alpert Medical School of Brown University 167 adult beds and 80 NICU beds >3,000 employees 48 off-campus locations

11. NEHES 2010 Fall Conference Wentworth-Douglass Hospital Dover, New Hampshire Largest acute care hospital in Seacoast region Founded 1906 178 beds Seacoast Cancer Center – regional medical oncology services

12. NEHES 2010 Fall Conference PANEL DISCUSSION Perspectives on Growing a Healthcare Institution

13. NEHES 2010 Fall Conference Lessons Learned Impact of organizational structure on decision-making process Stakeholder input and consensus-building Design/construction challenges and solutions

14. NEHES 2010 Fall Conference QUESTIONS? Perspectives on Growing a Healthcare Institution