The Miriam Hospital said it has received state approval for a renovation project. The hospital will update its emergency department and inpatient units. “Our current building, now over 100 years old, can no longer adequately support the demands of modern patient care. In addition, our emergency department is a fragmented space that no longer supports efficient patient flow and the highest levels of communication we strive to deliver to those who have come to rely on us for their care,” Maria Ducharme, president and chief quality executive at Brown University Health,” said in a release.