INNOVATIVE LEADERS for AMBULATORY CARE CENTERS

INNOVATIVE LEADERS for AMBULATORY CARE CENTERS

We create unique design solutions that promote human-centered care with the efficiency and flexibility to grow and adapt to meet our clients future healthcare delivery needs.

AN INNOVATIVE COMPANY LEADING THE WAY SERVICES Architecture, Interiors, Commissioning, Building Engineering, Construction Management, Forensics, LEAN Methodologies, Stategic Operational Planning, Systems Improvement, Leadership Training 10 YEARS OF DESIGN Consulting services to the region; depth of resources with 125 design professionals 51 REGION-WIDE LOCATIONS Multi-disciplinary A/E offices throughout Minnesota, North Dakota, South Dakota, Arizona, and Colorado that specialize in healthcare planning and design 10 HEALTHCARE PROJECTS Completed throughout the Midwest 3k+ MILLION DOLLARS PER YEAR in overall construction value built 275

01 Value Added Services 02 A Changing Business Environment 03 Solutions That Perform NEW MODELS OF CARE DELIVERY Primary care providers and patients alike are tuned into the changes impacting healthcare delivery today. Reimbursements based on care quality versus volume, rapidly changing technology, a desire for greater convenience, increase in chronic illnesses, and a focus on wellness are trends currently driving healthcare delivery. 04 Key Elements for Future Design 05 Services & Expertise 06 Trends 07 Green, LEAN, & EBD 08 Healthcare Clients for Life

VALUE ADDED SERVICES 01 Value Added Services PRE DESIGN redefining the design process POST DESIGN HEALTH SERVICE PLANNING OPERATIONAL PLANNING FACILITY PLANNING SERVICES OPERATIONAL SUPPORT Market Analysis LEAN Design Functional Programming Post Project Evaluation Population-Based Planning Master Site + Facility Planning Comprehensive Facility Assessment Financing Options Grant Writing USDA, Bond Financing Technology Future Proofing Facility Simulation Value Stream Mapping Work Flows Benchmarking Statement of Conditions (SOC) Submittals Space Planning Space Layout Optimization Evidence-Based Design Signage + Wayfinding Equipment Planning Commissioning Construction Management Facility Crisis Management Facility Maintenance Advisory Support Train Facility Managers M+E Infastructure Analysis Moratorium Exception Certificate of Need Survey Response CMS Life Satefy Code OSHA JCAHO

02 A Changing Business Environment A CHANGING BUSINESS ENVIRONMENT At EAPC, we understand the decisions that face today s ambulatory care facilities. Should you remodel? Do you expand an existing facility? Do you build a new facility from the ground up? Can you expand the range of services you offer? The answers to these questions will have significant, long term impacts on your organization. You will need information and expertise to guide you to an outcome that is right for your organization and those served. Our team will evaluate your current structure from the roof supports to the HVAC systems, listen to your goals and ideas, and then suggest options that will meet your needs while maintaining budgetary and scheduling requirements. It s a big decision. We can help ensure that it s the right decision for you.

Alan Dostert AIA Principal Design Architect Wayne Dietrich AIA Principal Design Architect Stanley Schimke CID Director of Healthcare Services/Medical Planner Andrew Jordan AIA Senior Design Architect 03 Solutions That Perform SOLUTIONS THAT PERFORM Jim Anderson AIA LEED AP BD+C Senior Project Manager Chad Frost LEAN Specialist Leap Chear AIA NCARB LEED AP BD+C Sustainability Specialist John Spohn CID LEED AP ID&C Healthcare Interiors After a course of action has been decided upon, EAPC can assist you through the remainder of the process. Jim Tyler PE Mechanical Engineer Anthony Corcoran PE CGD LEED AP Mechanical Engineer Cory Vaughn PE LEED AP Electrical Engineer Jim Stocke Commissioning Specialist We have been designing, renovating, and constructing healthcare facilities for nearly five decades. We know that a well-designed facility will cater to several different groups of stakeholders, each with its own criteria for success. Our definition of success is a project that incorporates a functional workspace for caregivers, efficient operations for administration, and of course, a comfortable, stimulating environment for patients and their visitors. While these goals may seem divergent, they can be attained through creative, thoughtful design and innovative construction techniques. At EAPC, we have a talented, creative team in place, and we have the knowledge that only comes with experience. You define your goals. We help you reach them. We bring your ambulatory care plans to life!

EVIDENCE-BASED CARE ENVIRONMENTS KEY ELEMENTS OF AMBULATORY CARE Adaptable and Flexible Patient Centered Medical Home Model Evidence-Based Design Access to Daylight and Outdoors Interior Lighting and Finishes Accessibility/Ease of Access LEAN and LEED Influenced Technology Self Check-In Electronic Health Records Remote Monitoring Telemedicine RFID Wireless Sensors Safety and Security SERVICES/EXPERTISE Comprehensive Centers Medical Office Buildings Surgery & Imaging Centers Multi-Specialty Clinics Primary Outpatient Clinics Orthopaedic Centers Virtual Clinics Behavioral Health Wellness/Rehab TRENDS Medical Home Model Team Based Care Models Measurement & Outcomes Health & Wellness Enhanced Technology On Stage/Off Stage Approach Flexible & Efficient Design Seek More Sustainable Environments 04 Key Elements for Future Design 05 Services & Expertise 06 Trends

GREEN DESIGN Sustainable design is multi-faceted; it includes the selection of recycled building materials, getting the most from energy efficient mechanical and lighting systems, and utilizing daylight to better enhance the indoor environment. From the overall site to the workstation in an office, we strive to maintain a low impact and make smart design decisions to better the environment. HAPPINESS More satisfied occupants due to a healthier and cleaner environment leading to increased memory and better breathing air PRODUCTIVITY Fresh air, good lighting and access to outside views, and access to daylight and operable windows gives productivity a boost SUSTAINABILITY Saving energy, water, and other resources reduces the carbon footprint RESULTS Immediate and measurable results quantify a certain return on investment One of the available tools to achieve our goals is LEED (Leadership in Energy and Environmental Design). LEED provides a framework to start the design process and a verifiable structure to measure the project outcomes. Our team of LEED accredited professionals is prepared to assist with any size project that embraces the principles of renewability and sustainability and to achieves those collective goals. EAPC has been involved in projects with LEED certification goals, promoting design and construction practices to reduce negative environmental impacts and improve occupant health and well-being. Our team is experienced with cost estimation, life cycle cost analysis and assessment, local construction knowledge, and building energy modeling. 07 Green, LEAN, & EBD

LEAN EAPC has been an industry leader in incorporating LEAN principles in the facility planning, design, and project delivery processes. Key to this philosophy is the incorporation of LEAN and Six Sigma concepts in EAPC s process, led by EAPC s LEAN Specialist, Chad Frost. ON-TIME STARTS Demand-match staffing Reduction in supply waste Improved turnaround time SCHEDULING Reduction in avoidable cancellations Improved scheduling accuracy Optimized room utilization OPERATIONAL COSTS Completed pre-admission tests prior to date of surgery Accurate case carts A NEW BUILDING WILL NOT FIX BROKEN PROCESSES EAPC has an integrated programming process that brings together the client stakeholders, patients point of view, architects, and a LEAN facilitator to transform the process and co-develop a final design that the not only the patients needs, but also the staff and providers needs as well. STAFF & PHYSICIAN Aligned goals and metrics Ownership of processes and outcomes Improved physician and staff satisfaction REVENUE OPPORTUNITY CLINICAL QUALITY Improved patient experience Effective transitions of care Reduction in complications EAPC advocates using a LEAN-based approach to the programming, planning, and design phases of projects. This approach allows healthcare organizations to review processes, incorporate the industries best practices and provide input and secure buy-in from all stakeholders, prior to any design work being started resulting in a LEAN path forward.

ACCESS TO NATURE NOISE BUILDING LAYOUT FLOORING MATERIALS WINDOWS ERGONOMICS HEALING ENVIRONMENT WAYFINDING AIR QUALITY EVIDENCE-BASED DESIGN FURNITURE ARRANGEMENTS LIGHTING Evidence-Based Design is a performance-based approach to building that must include a set of increasingly specific performance targets that are established over the course of planning, design, construction, and occupancy. Proactive, evidence-based healthcare facility design is an important and growing trend in healthcare. SINGLE PATIENT ROOMS At EAPC, our planners and designers embrace a holistic approach to Evidence-Based Design, combining innovative design solutions and best practices that provide safe, quality patient care and family support, and a positive and safe work environment for staff.

HEALTHCARE CLIENTS FOR LIFE ALLINA HEALTH since 1989 ALTRU HEALTH SYSTEM since 1977 (formerly United Hospital since 1983) BANNER HEALTH since 2016 BETHEL LUTHERAN NURSING & REHABILITATION CENTER since 2016 CATHOLIC HEALTH INITIATIVES since 2002 CAMPBELL COUNTY HEALTH since 2014 CENTRACARE HEALTH since 2017 CHEYENNE REGIONAL MEDICAL CENTER since 2017 CLEARWATER COUNTY MEMORIAL HOSPITAL since 2007 EDGEWOOD since 2005 ELDERCARE OF MINNESOTA since 2005 ESSENTIA HEALTH since 2016 EVENTIDE SENIOR LIVING COMMUNITIES since 2008 FAIR MEADOW NURSING HOME since 2014 FAIRVIEW HEALTH SERVICES since 2002 FREEMAN REGIONAL HEALTH SERVICES since 2016 GLACIAL RIDGE HEALTH SYSTEM since 2014 GOOD SAMARITAN SOCIETY since 1996 GOLDEN ACRES since 2007 HEART OF AMERICA MEDICAL CENTER since 1995 INDIAN HEALTH SERVICES since 2012 KITTSON MEMORIAL HEALTHCARE CENTER since 1994 MAPLE VIEW MEMORY CARE since 2006 MARIAN MANOR HEALTHCARE since 2016 MARSHFIELD CLINIC since 2008 MAYO CLINIC since 1997 MISSOURI SLOPE LUTHERAN CARE CENTER since 2006 MOUNTRAIL COUNTY HEALTH CENTER since 2016 NORTH MEMORIAL HEALTH CARE since 1997 PARK NICOLLET HEALTH SERVICES since 1989 PIONEERCARE since 2015 RIVER S EDGE ASSISTED LIVING since 2004 RIVERVIEW HEALTH since 2004 SANFORD HEALTH since 2012 (formerly MeritCare since 2001) SISTERS OF MARY OF THE PRESENTATION HEALTH SYSTEM since 2000 TRINITY HEALTH since 2005 UNITY MEDICAL CENTER since 2000 VALLEY HOME ASSISTED LIVING & MEMORY CARE since 2005 08 Healthcare Clients for Life

We create unique design solutions that promote human-centered care with the efficiency and flexibility to grow and adapt to meet our clients future healthcare delivery needs. www.eapc.net CONTACT OUR HEALTHCARE TEAM NORTH DAKOTA SOUTH DAKOTA COLORADO ARIZONA Stanley Schimke, Director of Healthcare Services stanley.schimke@eapc.net 701.204.8403 MINNESOTA Andrew Jordan, Director of Healthcare Support Services andrew.jordan@eapc.net 763.225.5050