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This webinar highlights the University of Michigan Medical Center’s journey to address this challenge. In 2012, their hospital and ED leadership hypothesized that creating a dedicated unit in the ED for the provision of extended critical care would help meet some of these challenges, which in turn may improve care delivery and patient outcomes. Pre-determined guiding principles were carefully followed throughout the design and build phases. From start to finish, the project utilized key lean facilities design principles including the use of full-scale mock-ups. This led to a finished build that was completed ahead of schedule, under budget and with no significant change orders.