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Item 9B - Narrative Methodist Southlake Hospital, after receiving some comments from the emergency patients and the public about the lack of visibility of their Emergency Room, underwent an internal review of their site signage as it relates to the Emergency Room. The Emergency Room is located on the east side of the hospital and is not visible from Highway 114, which is a major thoroughfare. Delay in emergency care due to someone trying to locate the emergency room is unacceptable and is a Texas Administrative Code compliance issue. Texas Administrative Code, Title 25, Part 1, Chapter 133, Subchapter 1, Rule 133.163 states: “An emergency sign shall be provided at the entry from the public road(s) or street(s) serving the site. The emergency sign at the entry to the site shall be illuminated and connected to the emergency essential electric system. Additional sign(s) on site may be required to direct patients to the emergency treatment area entrance when the emergency treatment area is not visible from the site entry.” After conducting their review, Methodist Southlake Hospital worked with a marketing company to improve their signs relating to the Emergency Room. The following recommendations were made: 1) Add a set of illuminated Emergency letters with an arrow pointing to the Emergency Room on the façade of the parking garage that faces highway 114. 2) Improve wayfinding to the Emergency Room by adding directional signs leading traffic to the ER from other parts of the hospital campus. 3) Clearly mark the Main Entrance to the Hospital to distinguish it from the emergency entrance. 4) Adding a monument sign facing highway 114 which includes the letters “EMERGENCY”. The master sign agreement we have submitted addresses these deficiencies in the emergency wayfinding and will bring the hospital into compliance with the Texas Administrative Code.