Rural beds hospitals urban. Medical search. Frequent questions

6. In many countries, hospital beds are inadequate and inequitably distributed between rural and urban areas, with availability ranging from 0.9 to 2.9 beds per 1,000 people.8 Lack of national health infrastructure development planning and irrational interference in the location of hospitals account for this situation. (who.int)
The shipments contain hospital beds, gurneys, exam tables, crutches, walkers and over 1,000 boxes of medical supplies ranging from gloves to sutures to surgical kits. (globalgiving.org)

Results The response rate was 42%, with 1457 acute care hospitals completing the survey. (bmj.com)
The study analyzed fiscal year 2013 for more than 3,000 acute care hospitals of which 59% were nonprofit, 25% were for-profit, and 16% were public. (medpagetoday.com)
Participating hospitals were identified through a census of licensed acute care hospitals in California and New Jersey. (cdc.gov)
Acute care hospitals were divided into the categories of Level I and II Trauma Centers, Level III and IV Trauma Centers, Acute Care Hospitals without a designated trauma status, and Psychiatric Facilities. (cdc.gov)
Acute care hospitals without a trauma designation were categorized into those with 300 beds or more and those with fewer than 300 beds. (cdc.gov)
Our analytic sample included 3078 acute care hospitals and 14,866 Medicare-certified SNFs in the United States, encompassing more than 47 million hospital discharges. (ajmc.com)

urban dwellers want fewer children than rural residents. (theodora.com)
Under this broad umbrella term, there is evidence that patient engagement is associated with fewer adverse events, 3 better patient self-management, 4 , 5 fewer diagnostic tests, 6 decreased use of healthcare services 7 and shorter lengths of stay in hospitals. (bmj.com)
Rural hospitals also had fewer postoperative wound infection rates than urban hospitals. (dotmed.com)
Compared to most urban areas, rural communities typically have less of most everything when it comes to health care - fewer providers, physicians, nurses, resources and clinics. (sc.edu)
fewer ICU beds are just one example. (sc.edu)
Rural hospitals, those with 50 or fewer beds and major teaching hospitals tended to lose more than urban hospitals, larger hospitals and those with minor or no teaching component. (medpagetoday.com)
Of hospitals with fewer than 50 beds, only one in four had all seven elements in place. (ruralhealthinfo.org)
On the supply side, researchers find that CON laws are associated with fewer dialysis clinics, fewer hospice care facilities, fewer hospital beds, and fewer hospitals and ambulatory surgery centers in both urban and rural areas. (mercatus.org)
Early in the vaccine rollout, advocacy groups like the National Rural Health Association urged states to focus more resources toward rural areas like Leopold, which generally have older, less healthy populations and fewer health care options. (wmot.org)

Interestingly, rural hospitals represent more than half of all hospitals in America. (dotmed.com)
Haywood County - with its flat land and fertile soil, generations of proud farmers but low per capita income of about $22,000 - is something of a poster child for rural America. (politico.com)
But up to 30 percent of the U.S. population lives in rural America, which already has experienced more than 128 hospital closures since 2010, including 19 last year. (sc.edu)
COVID-19 could lead to more closures and instability in rural America, even though the lower density of rural areas may help keep transmission rates of the disease down. (sc.edu)
It is the only uniformly collected data that I know of on all hospitals in America. (medpagetoday.com)
This program aims to equip rural hospital CEOs with the competencies and skills to address the unique challenges in rural America and to be top-performing CEOs. (ruralhealthinfo.org)
They show that, despite daunting obstacles, rural America need not be left behind when it comes to health care. (cnn.com)
Will the Coronavirus Spare Rural America? (planetizen.com)
lt;span class="field field--name-title field--type-string field--label-hidden">Will the Coronavirus Spare Rural America? (planetizen.com)

SACRAMENTO, Calif. (AP) - California has recorded a half-million coronavirus cases in the last two weeks, overwhelming hospitals in urban centers and rural areas. (kjrh.com)
As the administration utilizes the Defense Production Act to quickly increase critical medical supplies, how will the taskforce ensure supplies are appropriately delivered to both urban centers and rural areas? (lakeconews.com)

More than three-quarters of rural hospitals' revenue stems from outpatient settings, which were idled for several stints this year as non-urgent procedures were delayed or canceled, Chartis found . (modernhealthcare.com)
That's because Medicare and commercial insurers tend to pay more for tests to sustain endangered rural hospitals compared with urban hospitals and especially outpatient labs. (californiahealthline.org)
Inpatient and outpatient tier designations and facility urban/rural designations are updated annually on Oct. 1, based on the most current Centers for Medicare & Medicaid Services fiscal year inpatient prospective payment system impact file or the ZIP code of its physical location which is included in the U.S. Census Bureau's metropolitan core-based statistical area. (oklahoma.gov)
Does it cover ER visits, or x-rays or outpatient procedures that are done at hospitals? (wa.gov)

Rural hospital closures have been accelerating, with 181 since 2005 - and over half of those happening since 2015, according to data from the University of North Carolina. (politico.com)
Those closures caused shortages of beds, ventilators and medical staff, and left behind patients with high and rising levels of diabetes and hypertension. (politico.com)
These opportunities are starkly contrasted with the fact that there were 136 rural hospital closures from 2010 to 2021 and a record-breaking 19 closures in 2020. (ruralhealthinfo.org)
The reasons for the closures vary, but experts and administrators cite factors including declining rural populations, rising medical costs, insufficient Medicare reimbursements, large numbers of uninsured patients, state decisions against Medicaid expansion and mismanagement. (aol.com)
The pandemic could actually hasten more rural hospital closures, said Michael Topchik of the Maine-based Charter Center for Rural Health. (aol.com)
But it now emerges that virtually all community hospital closures are in Conservative or LibDem held constituencies. (blogspot.com)
They haven't included ward or bed closures in their figures. (blogspot.com)
Do you know of ward closures of hospitals in Tory or LibDem seats within the last two years? (blogspot.com)
2018 saw a record number of rural hospital closures, with a total of 18 closures in one year. (lakeconews.com)

These counties covered approximately 68% of the California population and 65% of the state's hospitals. (cdc.gov)
Nebraska, Massachusetts and Louisiana have the largest gaps among seniors, with rural Nebraskan counties averaging about 19 percentage points behind the state's urban counties. (wmot.org)
At the state's largest hospitals, families of four making up to $111,000 per year are eligible for at least a discount on the their out-of-pocket expenses. (wa.gov)

We need to keep those critical care services in house, in the hospital where patients can be best cared for by physicians, nurses, and other staff," said Kelly. (fox9.com)
The ICD Registry helps physicians meet CMS requirements and benchmark ICD performance, the Cath PCI Registry allows physicians to benchmark their catheterization labs against nearly 600 hospitals and 2 million patient records and the ACC's door-to-balloon program saved lives by helping hospitals meet the goal of treating heart attack patients in less than 90 minutes. (acc.org)
As physicians leave small towns, rural Texans must travel farther and farther for health care. (texasobserver.org)
Over 3,000 physicians in 44 hospitals and 17,000 employees in 36 hospitals were included in the analysis. (rand.org)
Thus, in assessing hospital quality from the physician and employee perspective, shorter forms can be used, thereby reducing respondent burden, increasing the likelihood of an acceptable response rate, and making it more feasible for physicians and employees to assess hospital quality. (rand.org)
APR also examined telemedicine as a way to bring physicians to far flung rural counties. (apr.org)
By accessing a board-certified stroke neurologist via remote camera and wireless internet connection, rural and suburban physicians are able to begin treatment protocols in their own Emergency Departments. (dignityhealth.org)
Additionally, physicians at rural clinics - already operating on low resources - are reporting shortages of personal protective equipment such as masks and gloves. (lakeconews.com)

Rural hospitals are shuttering their maternity wards. (texasobserver.org)
They could equally cite Kelling, North Walsham, Benjamin Court and Cromer Hospital as community hospitals where wards have all been shut within the last two years. (blogspot.com)
Proprietary and nonprofit design involving geographic primary augment intensive care, activation of hospitals addressed all hazards more sampling units and hospitals within decommissioned wards, utilization of frequently than state or local those units has been described nonclinical space for medical purposes, government hospitals. (cdc.gov)

Rural hospitals are generally smaller than those located in urban areas. (dotmed.com)
Rural facilities normally serve areas with an average population base of 3,500 - 5,000, spread across a much larger land area. (dotmed.com)
As someone who spends a great deal of time in both types of hospitals, there is a significant difference in how patient areas are cleaned. (dotmed.com)
The state is a poster child for how rural areas are suffering disproportionately amid the pandemic in the worst public health crisis in a century. (politico.com)
It's also a prime example of the decline of rural health care - and how rural areas are suffering disproportionately in the worst public health crisis in a century. (politico.com)
Nearly all 50 counties were in rural areas. (politico.com)
In this article originally published by The Conversation, Kevin Bennett, director of research and evaluation for the South Carolina Center for Rural and Primary Healthcare, discusses the implications of COVID-19 for rural areas. (sc.edu)
The burden of COVID-19 in rural areas has been under the radar, as the toll of the disease so far has been heaviest in dense urban areas. (sc.edu)
These areas have unique needs, and compared to urban areas, COVID-19 may be a very different experience for them. (sc.edu)
This study compared work place violence programs in the high-risk hospital areas of the Emergency Department, the Psychiatric Department, and independent Psychiatric Facilities. (cdc.gov)
The sample was selected from 25 of the 58 counties, representing both urban and rural areas of the state. (cdc.gov)
Patients are drawn from urban, most acute with up to 50% of all neonates suburban and rural areas, and about 75% having LBW [3]. (who.int)
Biofourmis will support ARH and other health systems and patients in rural areas with its end-to-end care-at-home solution. (hospitalmanagement.net)
Rural areas face great healthcare access challenges with regard to lack of specialized care, diagnostic testing and hospital beds. (hospitalmanagement.net)
We have been receiving a good number of enquiries in the post-second wave period as emergency care has assumed significance in hospitals across rural and semi-urban areas. (thehindubusinessline.com)
CIPACA's vision is to increase the management of rural ICU beds from 300 plus now in small towns and rural areas to more than in the next 2-3 years. (thehindubusinessline.com)
About 15% of the U.S. population, or more than 46 million people, lives in rural areas, according to the Census Bureau. (aol.com)
Hospitals in both rural and urban areas are faced with limited treatment and placement options for patients due to an extreme shortage of both behavioral health providers and inpatient beds. (dignityhealth.org)
Launched in 1994 by former Prime Minister Benazir Bhutto's government, Pakistan's Lady Health Workers' program has trained over 100,000 women to provide community health services in rural areas. (riazhaq.com)
Checks & Balances: The pandemic experience has put the focus on India's healthcare infrastructure, especially in rural areas. (governancenow.com)
You will be surprised to know that out of total existing hospitals in the country 20 percent of hospitals cater to the rural areas. (governancenow.com)
Doctors posted in the rural areas need to be incentivised. (governancenow.com)
Till the time doctors do not show willingness to practise medicine in rural areas, the rural-urban gap cannot be filled. (governancenow.com)
As part of their letter to the vice president, the members wrote, "Rural areas are already struggling to efficiently manage the current public health crisis as it unfolds. (lakeconews.com)
As a result of distance to testing laboratories, residents in some rural areas face wait times of several days for results of COVID-19 tests. (lakeconews.com)
Is there a plan for rural areas that do not have these facilities? (lakeconews.com)
Dear Vice President Pence, We write to express concerns regarding the ability of rural medical providers to cope with a potential surge of positive Coronavirus (COVID-19) cases in rural areas and to ask what actions the White House Coronavirus Taskforce (the Taskforce) has planned to take under such circumstances. (lakeconews.com)
as functions of residency and medical school affiliation, hospital size, Objective --This study presents baseline data to determine which hospital ownership, metropolitan statistical area characteristics are associated with preparedness for terrorism and natural disaster in (MSA) status, and accreditation by the the areas of emergency response planning and availability of equipment and Joint Commission on Accreditation of specialized care units. (cdc.gov)
About 48% of the population live in rural permits the information to be completed and checked before areas, and 99% are Sunni Muslims. (who.int)
2 Although dengue has been a public health problem for several decades in the Lao People's Democratic Republic, with high levels of endemicity, in urban and peri-urban areas, the magnitude of the disease burden and epidemiological trends remain poorly understood. (who.int)

With bacterial resistance increasing, rural populations are as vulnerable as urban. (ruralhealthinfo.org)
The woes of Surprise Valley Community Hospital reflect an increasingly brutal environment for America's rural hospitals, which are disappearing by the dozens amid declining populations, economic troubles, corporate consolidation and, sometimes, self-inflicted wounds. (californiahealthline.org)
The registry, founded in 1989, is located in the epidemiology and The populations of 1999 - 2000 - 2001 - 2002 are estimated on preventive Medicine service of the Hospital Mere Enfant of the the basis of the1998 National Census. (who.int)

Through eight regional coalitions MDH is tracking the number of ICU beds and ventilators in the state, as well as the ability of hospitals to cope with a 'medical surge. (fox9.com)
Hospitals had a mean of about 14 personal protective suits, 21 better disaster preparedness, because critical care beds, 12 mechanical ventilators, 7 negative pressure isolation rooms, these surveys were fielded at a time and 2 decontamination showers each. (cdc.gov)

NEISS and NEISS-AIP hospitals include very large inner-city hospitals with trauma centers as well as large urban, suburban, rural, and children's hospitals. (cdc.gov)

The number of inpatient beds available relative to the total population for the same geographical area. (who.int)
The number of inpatient beds. (who.int)

Hospital-based back surgery in the United States increased by 60% from January 2012 to December 2017, yet the supply of neurosurgeons remained relatively constant. (jmir.org)
Hospital data from January 2012 to December 2017 were used to generate geospatial-temporal maps and a video of the Current Procedural Terminology codes beginning with the digit 63 claims. (jmir.org)
On September 27, 2017, the Washington Post published an article about how only one half of rural hospitals in the U.S. can deliver a baby. (apr.org)
2017 was the forty fifth anniversary of the Associated Press story that uncovered the Tuskegee Syphilis Experiment where African Americans in rural Macon County, Alabama went untreated so researchers could track the progression of the disease. (apr.org)

Hospitals across Minnesota are trying to expand their capacity, in part by cancelling optional surgeries, and moving non-COVID-19 patients to longer care facilities. (fox9.com)
Expand these capabilities and rural providers will be able to do more, with patients able to seek care without leaving home. (sc.edu)
ICU beds are limited, medical providers are falling sick, and urban hospitals where small facilities transfer critical patients are running out of space. (texasobserver.org)
Rural patients are flooding their community ERs and hospitals, a portion of whom have to be moved to larger facilities that are not really in any position to take additional patients," he said. (modernhealthcare.com)
Under bundled payment, hospitals bear financial responsibility for SNF care but may perceive themselves as constrained in their ability to direct patients to specific providers, which may limit shifts in referral patterns. (ajmc.com)
Hospitals may respond to bundled payment in ways that do not affect discharge flows, such as sharing electronic health records, monitoring SNF performance, and hiring care coordinators to track patients after discharge. (ajmc.com)
Yet when it comes to accessing and sharing their health information, hospitals and physician's offices can frequently ask patients to go through arduous, arcane steps, such as submitting forms using a fax machine or paying fees to obtain their records, or they simply deny patients access to their own records. (pewtrusts.org)
When patients have access to their records on a personal device via APIs, they can track and manage their health outside of the doctor's office or hospital. (pewtrusts.org)
A mobile field hospital is set up at UCI Medical Center, Monday, Dec. 21, 2020, in Orange, Calif. California's overwhelmed hospitals are setting up makeshift extra beds for coronavirus patients, and a handful of facilities in hard-hit Los Angeles County are drawing up emergency plans in case they have to limit how many people receive life-saving care. (kjrh.com)
It costs more for rural hospitals to recruit and retain their workforce and to deliver services to their patients. (ruralhealthinfo.org)
When Huerta, the CEO, arrived four years ago, he found the hospital in disarray -- dilapidated facilities, fearful employees, reluctant patients and a financial mess left behind by the former CEO. (cnn.com)
The community of Surprise Valley, Calif., wrestled with the idea of selling its tiny, long-cherished hospital to a Denver entrepreneur who sees a big future in lab tests for faraway patients. (californiahealthline.org)
Gertz, 34, a former weightlifter who runs clinical-lab and nutraceutical companies, unveiled his plan to pay for it: He'd use the 26-bed hospital to bill insurers for lab tests regardless of where patients lived. (californiahealthline.org)
Enticed by such outsiders, some struggling rural hospitals around the country have embraced lab billing for faraway patients as a rescue plan. (californiahealthline.org)
Appalachian Regional Healthcare (ARH) has chosen Boston-based Biofourmis' technology to support its new programme to provide acute hospital-level care to patients at their homes. (hospitalmanagement.net)
In West Virginia, where no city has a population of more than 50,000 and 20% of residents are senior citizens, frustration has mounted over two recent hospital closings that forced patients to seek help farther away, and a third hospital that filed for bankruptcy in October announced Monday it was shutting down in April. (aol.com)
Hospitals are not seeing thousands of new patients either. (riazhaq.com)
Specifically, the letter outlines a need for a contingency plan to provide immediate assistance for rural communities as they prepare for a potential surge in patients as more positive COVID-19 cases are identified nationwide. (lakeconews.com)
Does the taskforce have a contingency plan for when rural hospitals become overwhelmed with COVID-19 patients? (lakeconews.com)
It is essential for our rural hospitals and all rural medical facilities to have certainty that in the case of an overflow of patients, the federal government will be ready to provide immediate assistance. (lakeconews.com)
Washington's charity care law requires that hospitals make financial assistance available for low-income patients to help with their out-of-pocket medical costs. (wa.gov)
In rural settings advanced nurse practitioners work with patients and families so that patients have access to timely care without the need to travel. (futurelearn.com)
This model of care creates additional bed capacity in the hospital and frees up medical clinicians to treat new patients. (futurelearn.com)

urban population: 78.6% of total population (2018) rate of urbanization: 0.44% annual rate of change (2015-20 est. (flagcounter.com)
urban population: 73.8% of total population (2018) rate of urbanization: 0.88% annual rate of change (2015-20 est. (flagcounter.com)

This research represents a mix of hospitals across geography, location (urban/suburban/rural), bed size, and hospital type. (acc.org)
Tracts were classified as urban, suburban, and rural. (bvsalud.org)
Rural tracts had the lowest frequency (21%) compared with suburban (28%) and urban (31%) tracts. (bvsalud.org)

Sixty percent of the counties in Minnesota don't have an intensive care unit (ICU) bed, and eight counties don't even have a hospital, according to data from Kaiser Health News. (fox9.com)
Even some metro counties, like Anoka County, have demographics that make them more susceptible to hospital capacity issues. (fox9.com)
Of the 50 counties with the highest Covid deaths per capita, 24 are within 40 miles of a hospital that has closed, according to a POLITICO analysis in late January. (politico.com)
Kershaw and Clarendon counties, both in rural South Carolina, also have been hit disproportionately hard. (sc.edu)
In Rural Counties, COVID-19 Cases are Likely Undercounted. (texasobserver.org)
Seven rural counties in Alabama don't have hospitals, forcing residents to drive an hour or more for basic treatment. (apr.org)
Only sixteen of Alabama's fifty four rural counties have a hospital that can deliver a baby. (apr.org)
APR focused on the problems that means for expectant mothers, and the urban hospitals that carry the load surrounding rural counties can't. (apr.org)
Both of those regions, which combined cover 23 of 58 counties and the lower half of the state, have an ICU bed availability level of 0% according to the California Department of Public Health. (kjrh.com)
About 14% of the U.S. population lives in rural counties, a proportion that has dropped as the number of urban dwellers grows. (cnn.com)
About 60% of the counties and towns that have lost hospitals are in the South, an analysis by the Sheps Center showed. (aol.com)
When looking at vaccination rates of all adults 18 and older, rural counties appear to have largely kept pace with their urban counterparts, with rural rates on average landing within 5 percentage points of urban rates in most states. (wmot.org)
However, among people who are 65 years old or older, the gap between rural and urban counties is wider in most states. (wmot.org)
Urban counties' vaccination rates outpace rural ones in all but seven states for which there's complete data. (wmot.org)
Urban counties in Missouri, Pennsylvania and Kansas all widened their lead over rural counties by more than 5 percentage points among seniors in the three weeks the CDC has been releasing daily county-level updates. (wmot.org)
It's troubling, especially because that older population makes up a greater percentage of rural counties," says Tim Marema, editor of the Daily Yonder, a news site published by the Center for Rural Strategies. (wmot.org)

The rural county in the Tennessee delta, near the Mississippi River, had its health care system ground down in the years leading up to the pandemic: Ever since the 84-year-old Haywood County Community Hospital closed its doors in 2014, the numbers of doctors and other health care professionals dwindled. (politico.com)
A few studies, such as one from Health Affairs , have focused on the advantages that rural hospitals have over urban hospitals , especially during a pandemic. (ruralhealthinfo.org)
The pandemic erupted at an awful time for communities trying to fill health care gaps following the closure of 170 rural hospitals across the nation in the last 15 years. (aol.com)
It's a scary time to be thinking about losing a hospital when you've got a pandemic going on," said Scott Graham, chief executive officer of Three Rivers and North Valley Hospitals in central Washington. (aol.com)
As rural Americans prepare for the worst of the COVID-19 pandemic, we must work to keep rural hospitals open to face this challenge. (lakeconews.com)

Though these bacteria are still most common in adults, the researchers were concerned by "a trend toward increased risk of death" in their large study of children's hospitals. (ruralhealthinfo.org)

urban: 0.2% of population rural: 1.9% of population total: 0.6% of population (2020 est. (theodora.com)
rural: 0% of population total: 0% of population (2020 est. (theodora.com)
Pettigrew, who retired in 2020 after practicing medicine in Brownsville for 37 years, had spent his career treating a population that watched Haywood County Community Hospital shrink over the years until it finally closed entirely in 2014 - like six others in western Tennessee that closed in the same timeframe. (politico.com)

They are more likely than urban dwellers to die from chronic respiratory illnesses, heart disease and other problems that put people more at risk for COVID-19, the illness caused by the virus, according to the Centers for Disease Control and Prevention. (aol.com)

While COVID-19 stimulus funding has helped keep rural hospitals afloat, many-particularly in the South-have had to pare down services or close . (modernhealthcare.com)

Rural America's existing challenges with healthcare access and workforce capacity are being intensified by the spread of COVID-19. (lakeconews.com)

However, sometimes hospitals that are associated with clinics will extend their charity care policy to those clinics. (wa.gov)
We reviewed 1406 prescriptions in 43 randomly selected hospitals and primary health care clinics in 2 governorates in Upper and Lower Egypt in 2001. (who.int)
Injections were more often prescribed in hospitals than in primary health care clinics and in rural than in urban settings. (who.int)

Other communities are trying to keep hundreds of endangered hospitals afloat as resources are stretched thinner than ever and moneymaking services like elective surgeries are curtailed during the outbreak. (aol.com)

According to Medicare records, the average length of stay at a rural hospital is two days shorter (7.4 days versus 9.5 days) than at urban facilities. (dotmed.com)
The rural hospitals that I work in have had the same people performing the housekeeping services, some for decades, and no staff turnover rates that urban facilities experience. (dotmed.com)
The recently closed Pickens County Medical Center in Carrollton, Alabama, one of the latest health care facilities to fall victim to a wave of rural hospital shutdowns across the United States. (sc.edu)
Last fall, the ACC conducted a survey of 300 hospital executives and cardiovascular professionals representing 291 hospitals and medical facilities. (acc.org)
Hospitals participating in Medicare's Bundled Payments for Care Improvement model did not concentrate skilled nursing discharges among smaller groups of skilled nursing facilities (SNFs). (ajmc.com)
One reason is that Alabama requires hospitals to have at least fifteen beds, even if smaller facilities would be more financially self-sustaining. (apr.org)
Our system of care includes IHS- and tribally-operated health care facilities that serve tribal communities as well as three Urban Indian health programs. (ihs.gov)
Mobile field hospitals are being set up outside facilities to supplement available bed space. (kjrh.com)
But then the hospital got a dramatic reboot with new management, led by Huerta, who secured financing to help pay for more advanced technology, upgraded facilities and expanded services. (cnn.com)
Eligible small rural hospitals are non-federal, short-term general acute care facilities that are located in a rural area of the U.S. and the territories, including faith-based hospitals. (hrsa.gov)
On Jan. 1, the urban/rural indicator will be updated based on the most recent CMS ZIP code to carrier locality file for all facilities that are not hospitals. (oklahoma.gov)
Tier 1 - Network urban facilities with greater than 300 beds. (oklahoma.gov)
Tier 2 - All other urban and non-network facilities. (oklahoma.gov)
Tier 3 - Critical access hospitals, sole community hospitals, and Indian, military and VA facilities. (oklahoma.gov)
Tier 4 - All other network rural facilities. (oklahoma.gov)
Special efforts, notably facility censuses, are often required to obtain the number of beds in private facilities, especially if no registration system is enforced. (who.int)
Regular updating of the number of beds in facilities, and validation every 3-5 years through a complete census. (who.int)

This includes total hospital beds (for long-term and acute care), maternity beds and pediatric beds, but not delivery beds. (who.int)

According to Virgil Dickson at Modern Healthcare, "rural hospitals on average have done better at avoiding the spread of hospital-acquired conditions and have scored higher in Medicare's value-based purchasing program than their urban counterparts. (dotmed.com)
It only takes one or two critically ill families to completely swamp a rural facility's capacity," Dr. Roger Ray, a physician consulting director at Chartis, told Modern Healthcare in April. (modernhealthcare.com)

urban: 0% of population (2015 est. (theodora.com)
Anoka County has 35 ICU beds, but 18 percent of the population, 63,313 people, are over the age of 60. (fox9.com)
The 14-bed hospital serves all of Butte County, whose population of 2,501 is spread over a territory half the size of Connecticut. (cnn.com)
urban: 0.1% of population rural: 0.9% of population total: 0.3% of population (2015 est. (flagcounter.com)
CIPACA's ICU operations at Matoshree are expected to serve the population in and around the region, which doesn't have hospitals to offer quality emergency services during the golden hour. (thehindubusinessline.com)
While the nation's coronavirus hot spots so far have been big cities like New York and New Orleans, officials fear inadequate testing and the lack of medical resources linked to hospital failures will catch up with smaller population centers. (aol.com)
The program website introduces it as follows: "This country wide initiative with community participation constitutes the main thrust of the extension of outreach health services to the rural population and urban slum communities through deployment of over 100,000 Lady Health Workers (LHWs) and covers more than 65% of the target population. (riazhaq.com)
She cites data to make her point, "India's population is 140 crore and 65-70 percent population belongs to the rural area. (governancenow.com)
The more elderly population has been eligible for the vaccine for a longer period of time, so you would expect to see rural even, [or] maybe a little bit ahead. (wmot.org)
In terms of accessibility, we found that 47.2% of the population are within 5 km of a hospital with ≥50 beds, and this percentage ranged from 87.0% in City of Cape Town to 0% in Namakwa district. (bvsalud.org)
The Lao People's Democratic Republic is one of the least developed countries of South-East Asia, with an estimated population of only 6.5 million in 2012 living in predominantly rural agricultural communities. (who.int)

When it comes to critical care in Minnesota there is a rural vs. urban divide. (fox9.com)
There were only 243 intensive care unit (ICU) beds available in Minnesota as of Wednesday, and more than half are located in the Twin Cities metro. (fox9.com)
Kyle Kopec, the director of government affairs for local health care company Braden Health, looks at an old photo of the Haywood County Community Hospital he found in a storage shed. (politico.com)
Over 450 rural hospitals are at risk of closure, according to an analysis by the Chartis Group, one of the nation's largest independent health care advisory firms. (politico.com)
I'm also the director of research and evaluation for the South Carolina Center for Rural and Primary Health Care. (sc.edu)
We Asked You About Health Care in Rural Texas. (texasobserver.org)
Texas is facing a rural health care crisis. (texasobserver.org)
There is one ICU bed for every 9,500 Americans who live in rural communities, where intensive care beds are hard to come by. (modernhealthcare.com)
Compares a short- and long-form instrument that measures physician and employee judgments about hospital care. (rand.org)
Seven of the 10 most-profitable hospitals in the United States are nonprofit hospitals, each earning more than $160 million from patient care services, according to a study in Health Affairs . (medpagetoday.com)
When you go to a specific hospital you are going to that hospital for your care. (medpagetoday.com)
In a statement on its website , Gundersen CFO Dara Bartels said the study "does not reflect our costs, as an integrated health system, for the care we provide in a multi-state, largely rural region with a high Medicare patient mix, and does not analyze data on quality of care. (medpagetoday.com)
But we have taken into account all the factors that would explain why you are a profitable or nonprofitable hospital with respect to patient care. (medpagetoday.com)
Getting medical treatment and hospital care abroad can be very expensive, and, if you need it, a medical evacuation back to your country can cost more than $50,000! (countryreports.org)
Hospital participation in Medicare's Bundled Payments for Care Improvement model was not associated with changes in number of skilled nursing facility (SNF) partners or in SNF discharge concentration. (ajmc.com)
Please find enclosed Alabama Public Radio's entry for best public affairs program, titled "Help Wanted: Alabama's Rural Health Care Crisis. (apr.org)
Furthermore, an article from the Center for Health Care Strategies, Inc. recognizes the unique opportunities that are embedded in rural communities and how this can advance the delivery of complex care. (ruralhealthinfo.org)
Rural hospitals are facing one of the great slow-moving crises in American health care. (cnn.com)
Faced with these dramatic economic and demographic pressures, however, some hospitals are surviving -- even thriving -- by taking advantage of cutting-edge trends in health care. (cnn.com)
We were the poster child for everything that was wrong with rural health care," he said. (cnn.com)
This program supports eligible small rural hospitals in meeting value-based payment and care goals for their respective organizations through purchases of hardware, software, and training. (hrsa.gov)
SHIP also assists such hospitals in participating in delivery system reforms such as to become or join a Medicare Shared Savings Program or Accountable Care Organizations (ACOs), participate in other shared saving programs, and purchase health information technology (hardware/software), equipment, and/or training to comply with quality improvement activities such as advancing patient care information, promoting interoperability, and payment bundling. (hrsa.gov)
Last June, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule , "Hospital and Critical Access Hospital Changes To Promote Innovation, Flexibility, and Improvement in Patient Care. (ruralhealthinfo.org)
1. Despite efforts made by countries, the situation of hospitals in the African Region is getting worse in both scope and quality of health care. (who.int)
Despite these efforts, the situation of hospitals is getting worse in terms of both the scope and quality of health care they provide. (who.int)
3. Given the importance of hospitals, the Regional Committee, at its thirty-eighth session, adopted resolution AFR/RC38/R123 on improving primary health care (PHC) through hospital sector development, and the forty-second session adopted resolution AFR/RC42/R64 on reorientation and restructuring of hospitals based on PHC. (who.int)
CCR defines a hospital as "a health facility that, under an organized medical staff, offers and provides twenty-four hours per day, seven days per week inpatient services, emergency medical and surgical care, continuous nursing services, and necessary ancillary services, to individuals for diagnosis or treatment of injury, illness, pregnancy or disability. (who.int)
If this was a shoe store in Surprise Valley, I could care less, but it's a hospital. (californiahealthline.org)
CIPACA, a leading rural ICU care provider, hopes of becoming a pan-India player got a fillip as the Chennai-headquartered healthcare company expanded to the Western region. (thehindubusinessline.com)
Most rural hospitals make money on emergency room care and elective procedures, which are on hold as health care workers try to ration masks and other protective gear in anticipation of COVID-19 infections, he said. (aol.com)
Published in British medical journal "The Lancet" this month, the study followed 1,857 children who were treated at home with oral amoxicillin for five days and 1,354 children in a control group who were given standard care: one dose of oral cotrimoxazole and instructions to go to the nearest hospital or clinic. (riazhaq.com)
Today, experts estimate that in the case of a surge in the number of COVID-19 cases within individuals 60 and older, only eight states would have sufficient hospital beds to provide care. (lakeconews.com)
As a result of legislation proposed by the Attorney General's Office and adopted by the Legislature, 4 million Washingtonians now qualify for free or discounted care at hospitals across Washington state. (wa.gov)
Approximately half of all Washingtonians are eligible for free or reduced-cost care at Washington state hospitals. (wa.gov)
The new law establishes two tiers of financial assistance - one for large hospitals and large health care systems (Tier 1) and another for smaller, independent hospitals (Tier 2). (wa.gov)
Charity care applies to the part of your hospital bill that you pay - like deductbles and copays. (wa.gov)
There can be out-of-pocket costs associated with any hospital care depending on what is covered. (wa.gov)
Does charity care only apply to hospital care? (wa.gov)
Charity care applies to medical care received at a hospital. (wa.gov)
Results --About 92 percent of hospitals had revised their emergency response medical care. (cdc.gov)
Hospital Ambulatory Medical Care related exposures has been published and Mass Casualty Supplement, Survey (NHAMCS) included a (1). (cdc.gov)
General health care in the region been reduced to a minimum is provided predominantly by ALGERIA, SETIF (1998-2002) thanks to a careful control of ALGERIA, SETIF (1998-2002) the CHU (University Hospital name, sex, date of birth and Centre) and 6 other hospitals, diagnosis. (who.int)

By those measures, the most profitable hospital in fiscal 2013 was Gundersen Lutheran Medical Center, a 239-bed hospital in La Crosse, Wis. (medpagetoday.com)
Rural Bibb Medical Center juggled its budget and reopened its labor and delivery unit five years after it stopped birthing babies. (apr.org)
NYU Langone Medical Center is a sprawling urban hospital, but it originated from the tiny, six-bed Almshouse Hospital, the first public hospital in the United States. (mesothelioma.com)
Founded in 1736 in what was then rural New York City, Almshouse Hospital was the precursor to the Bellevue Hospital - which, many years later, would become the present-day Langone Medical Center. (mesothelioma.com)
Her son called 911 and an ambulance staffed by volunteers drove her to Lost Rivers Medical Center, a tiny brick hospital nestled on the snowy hills above this remote town in central Idaho. (cnn.com)
It was the kind of full-service medical treatment that might be expected of a hospital in a much larger town. (cnn.com)
This hospital is attached to Dow disease, malnutrition and growth failure and Medical College, Karachi. (who.int)
Jinnah Postgrad- are also more likely to have abnormal cogni- uate Medical Centre is a federal government tive development, neurological impairment general hospital attached to Sind Medical and poor school performance [6,7]. (who.int)
We found that antibiotic use in small hospitals is quite variable," Stenehjem said, "but on average, it's similar to large academic medical centers or large community hospitals. (ruralhealthinfo.org)
As rural hospitals stretch their resources and increase bed capacity, how can the taskforce support necessary increases in medical professionals to staff additional beds? (lakeconews.com)
The information response plans and resources by residency and medical school affiliation, hospital gained from a nationally representative size, ownership, metropolitan statistical area status, and Joint Commission survey about strengths and limitations of accreditation. (cdc.gov)
OBJECTIVES: Notification by emergency medical services (EMS) to the destination hospital of an incoming suspected stroke patient is associated with timelier in-hospital evaluation and treatment. (bvsalud.org)

More than 450 rural hospitals are financially vulnerable to closure. (sc.edu)
He co-authored a study released in February that found about 450 rural hospitals were vulnerable to shutting down. (aol.com)

Total costs at discharge are also just 55% of an urban hospital discharge. (dotmed.com)
The median net income per discharge among all hospitals in the study was -$82. (medpagetoday.com)
We used difference-in-differences analyses to assess changes in discharge patterns among BPCI-participating hospitals compared with matched control hospitals. (ajmc.com)
Hospital participation in BPCI was not associated with changes in the number of SNF partners or in discharge concentration relative to non-BPCI hospitals. (ajmc.com)

Commonly proposed solutions such expanding Medicaid, increasing Medicare reimbursement, or converting all hospitals at risk of closure to Rural Emergency Hospitals are not adequate to address the challenges and disparities present in these communities. (ruralhealthinfo.org)

In North Conway, New Hampshire, a physician at the 25-bed Memorial Hospital already is among the county's seven confirmed cases of coronavirus, said CEO Art Mathisen. (aol.com)

Beneficiaries range from the large urban Lima pediatric hospital Asociación de Damas Hospital Emergencias Pediátricas to the rural clinic serving single mothers and their children Policlinico Belen in Cuzco. (globalgiving.org)

Even with the added survival pressure on rural hospitals, they do have a few advantages over their urban counterparts. (dotmed.com)

Only about 9 percent of hospitals had provided for all 10 of the response plan hospital characteristics associated with components studied. (cdc.gov)

Despite these trends, rural hospitals in Alabama receive among the lowest reimbursements from Medicare. (apr.org)

But there are only four ICU beds in Aitkin County, according to the Kaiser Health data. (fox9.com)
The NEISS-AIP data provides information about what types of nonfatal injuries occur in U.S. hospital emergency departments, how common they are, who they affect, and what causes them. (cdc.gov)
The expanded system, called the NEISS All Injury Program (NEISS-AIP), began on July 1, 2000, and collects data about all types and external causes of non-fatal injuries and poisonings treated in U.S. hospital emergency departments (EDs)-whether or not they are associated with consumer products. (cdc.gov)
The NEISS-AIP data are collected at 66 of the 100 NEISS hospitals, which represent the nation's range of hospital settings. (cdc.gov)
The National Electronic Injury Surveillance System-All Injury Program (NEISS-AIP) hospitals will provide data from about 500,000 injury-related emergency department (ED) cases yearly. (cdc.gov)
Trained, onsite hospital coders took data for injury-related cases from ED records at NEISS hospitals. (cdc.gov)
These coded data and a narrative were entered into a computer and electronically transmitted to CPSC headquarters in Bethesda, MD. NEISS-AIP quality assurance coders at CPSC headquarters received the data electronically and reviewed all of the data elements as well as a narrative (description) for each case from each of the 66 NEISS-AIP hospitals. (cdc.gov)
About 40% of adult hospitalizations at rural hospitals were COVID-19 related as of Nov. 27, up from a median of 28% in late July, Chartis Center for Rural Health's analysis of HHS data shows. (modernhealthcare.com)
Arizona has the fewest ICU beds available at 95% capacity, with Oklahoma, Florida, Tennessee and Louisiana all above 90% capacity, according to the latest HHS data. (modernhealthcare.com)
The data for this study came from a survey fielded in 1989-1991 in a cross-sectional sample of urban and rural voluntary and investor-owned hospitals that ranged in size from 75 to 470 beds. (rand.org)
The SORH receives the federal funds, verifies hospital eligibility utilizing the Rural Health Grants Analyzer (https://data.hrsa.gov/tools/rural-health), makes awards to eligible hospitals, and ensures appropriate use of funds. (hrsa.gov)
But an NPR analysis of county-level vaccination data from the Centers for Disease Control and Prevention shows signs of an emerging rural-urban divide. (wmot.org)
In some cases, data shows these rural-urban gaps are significant. (wmot.org)
Because the data were antibiotic and supply stockpiles, and characteristics included JCAHO weighted according to the inverse coordinated supply-chain management accreditation, bed capacity, and urban probability of hospital selection, of pharmaceuticals and other supplies. (cdc.gov)
Incident street addresses were geocoded to North Carolina census tracts and linked to American Community Survey socioeconomic data and urban-rural commuting area codes. (bvsalud.org)
Data were retrieved from the hospital data system. (bvsalud.org)
These data come from hospital records and may not capture the full range of heat-related illness if exposure to excess heat is not explicitly documented. (cdc.gov)

The hospital is preparing for the worst as it tries to triple the number of beds and spends upward of $100,000 on rooms with air flow aimed at limiting the spread of contagions, he said. (aol.com)

Although hospital violence is a growing concern, little is known about existing programs or methods to influence hospitals to establish violence prevention and response systems. (cdc.gov)

Internally, poverty and other developmental disparities continue to drive Ghanaians from the north to the south, particularly to its urban centers. (theodora.com)
While much attention has been focused on rural healthcare challenges and disparities, not as much focus has been given to the possibilities for innovation and the role of emerging leaders. (ruralhealthinfo.org)
It would suggest that we're potentially starting to see that trend [of rural/urban disparities] emerge because older adults, by and large, have had the opportunity to get vaccinated at this point," says Timothy Callaghan, a health policy researcher from Texas A&M University's Southwest Rural Health Research Center. (wmot.org)

But how do small, rural and Critical Access Hospitals go about implementing an AS program? (ruralhealthinfo.org)
Teams in Critical Access Hospitals (CAHs) across the country are working to figure this out. (ruralhealthinfo.org)
Infectious disease specialist Dr. Eddie Stenehjem was brought to Utah's Intermountain Healthcare to help roll-out AS programs in the organization's 22 hospitals, including its 11 small hospitals and five Critical Access Hospitals (CAHs) . (ruralhealthinfo.org)

The wider gaps in vaccination rates among senior citizens could foreshadow a brewing rural-urban divide, several experts told NPR. (wmot.org)

In 17 states, urban rates exceed rural rates by 5 or more percentage points. (wmot.org)
Three-quarters of states have seen urban rates for all ages grow slightly faster than rural rates since the end of March, widening the rural-urban gap by 4 percentage points in both North Dakota and Florida since the end of March. (wmot.org)

The closure of Haywood County Community Hospital in Brownsville left local resident Jack Pettigrew with a 35-minute trip to the nearest emergency room, thinking Covid-19 was going to kill him. (politico.com)
The nearest hospital is about 30 miles away, he said, and that's too far since COVID-19 already has been confirmed in sparsely populated Pickens County, on the Mississippi state line. (aol.com)
Ashford Hospital in Middlesex has had its A&E ward closed and the next nearest hospital is St Peters. (blogspot.com)

She also proposes dramatically increasing taxes on hospitals in order to spend more money on Medicaid: a classic shell game that profligate states use to get more federal Medicaid dollars for each net dollar spent by the state. (heartland.org)

Out of the total hospital beds in the country only 10 percent are available in the rural sector. (governancenow.com)
Survey respondents were asked to Hospitals with residency programs of similar hospitals over the entire provide total numbers of mechanical addressed biological, chemical, and Nation. (cdc.gov)
Interpreting the results practitioners and hospitals for Arrangements have been made a total of 2115 beds, or 1 bed with the hospitals outside the per 690 inhabitants. (who.int)

EGID's tier designation process is intended to only recognize a rural reimbursement methodology if the urban/rural status is based on the ZIP code of the hospital and the status of that ZIP code in the U.S. Census Bureau's metropolitan core-based statistical area. (oklahoma.gov)

The NEISS hospitals are a stratified probability sample of all U.S. hospitals (including U.S. territories) that have at least six beds and provide 24-hour emergency services. (cdc.gov)

they're between rural and urban communities. (politico.com)
And yet, we've seen some rural communities quickly, tragically become hot spots. (sc.edu)
Some communities have no hospital at all. (sc.edu)
The APR news team focused on the impact of the lack of healthcare in Alabama's rural communities, and possible remedies. (apr.org)
On Thursday, Representatives Jared Huffman (CA-02), Xochitl Torres Small (NM-02), and Ann Kuster (NH-02) were joined by 19 additional House colleagues urging Vice President Pence's COVID-19 Taskforce to prioritize the needs of rural healthcare providers, even after Congress passes the economic stimulus package aimed at providing immediate relief for families, businesses, and workers in rural and urban communities alike. (lakeconews.com)
During the limited time we have to prepare for a surge in COVID-19 cases in the United States, we urge you to develop a contingency plan to assist rural communities," the members continued. (lakeconews.com)
Researchers are concerned that vaccination rates in some rural communities may not keep up with urban rates. (wmot.org)
And some rural communities have done well, with COVID-19 vaccination rates that equal or exceed urban communities in their states. (wmot.org)
Urban and rural accessibility were also explored as factors that could limit vaccine roll-out in hard-to-reach communities. (bvsalud.org)

The National Rural Health Association (NRHA) understands that leadership is a critical component to tap into the potential of rural health. (ruralhealthinfo.org)

Local leaders want to save its only hospital from closing by imposing a one penny sales tax on its already financially burdened residents. (apr.org)

With funding through Pfizer's Independent Grants for Learning and Change , Stenehjem and his colleagues completed the "ﬁrst in-depth analysis of antibiotic use rates and selection patterns among small community hospitals in the United States. (ruralhealthinfo.org)

A graveyard outside the shuttered Haywood County Community Hospital in Brownsville, Tenn. (politico.com)
Jack Pettigrew stands for a portrait inside the Haywood County Community Hospital, which is now being remodeled, on Feb. 7. (politico.com)
When a rural hospital dies, the community around it starts to follow suit. (texasobserver.org)
This is telling us that the taxing system may not be working properly if nonprofit hospitals are making a lot of profit and not necessarily putting it back into the community. (medpagetoday.com)
There is also a strong hospital-community relationship that allows rural hospitals to lead the emergency response for their town. (ruralhealthinfo.org)
For example, rural hospitals serve as "anchor institutions" that aid in maintaining a healthy community and economy. (ruralhealthinfo.org)
By evaluating pharmacy- and physician-based interventions specifically developed for the smaller hospitals' size, staffing, and infrastructure, the study, "Stewardship in Small Community Hospitals-Optimizing Outcomes and Resources" or "SCORE", showed significant antibiotic prescribing reductions. (ruralhealthinfo.org)
In worn blue jeans and an untucked shirt, the bearded entrepreneur from Denver pledged at this town hall meeting in March to revive the Surprise Valley Community Hospital - a place many in the audience counted on to set their broken bones, stitch up cattle-tagging cuts and tend to aging loved ones. (californiahealthline.org)
Cunningham is trusting God, but he's also worried the virus will worsen in his community, endangering his wife without a hospital nearby. (aol.com)
when he found himself rushing down a winding, two-lane road toward the rural, 65-person community in February. (wmot.org)

Eligible applicants include states that are current SHIP recipients, as well as states and territories with hospitals that meet eligibility requirements that have not been previously funded. (hrsa.gov)
The SORH will be the official award recipient acting as fiscal intermediary for all eligible hospitals within its state. (hrsa.gov)
Each SORH submits an application to HRSA on behalf of the eligible hospital applicants in its state. (hrsa.gov)
and, 3) Eligible small rural hospitals may be for-profit or not-for-profit, including faith-based. (hrsa.gov)
Hospitals in U.S. territories as well as tribally operated hospitals under Titles I and V of P.L. 93-638 are eligible to the extent that such hospitals meet the above criteria. (hrsa.gov)
Eligible hospitals within the territories that do not have access to a SORH must apply to the SHIP program individually and should contact the SHIP Program Coordinator. (hrsa.gov)
Prior to the new law, a single parent working two minimum wage jobs at 50 hours per week was not eligible for financial assistance at Washington hospitals. (wa.gov)
The law ensures all Washingtonians within 300 percent of the federal poverty level are eligible for financial assistance on out-of-pocket hospital bills. (wa.gov)
Families making up to 400 percent of the federal poverty level could be eligible for financial assistance depending on the hospital. (wa.gov)
For instance, a family of four with a household income up to about $83,000 is eligible for at least a discount at every hospital in the state. (wa.gov)
At the largest hospitals, they're eligible for no out-of-pocket costs. (wa.gov)

At least 50 people have died in Dougherty's Phoebe Putney Memorial Hospital. (sc.edu)

Matoshree Hospital, is a 41-bedded multi-speciality hospital that offers a range of healthcare services and is also one of the leading hospitals in Shrigonda. (thehindubusinessline.com)

Surveys was used to provide national estimates of variations in hospital emergency briefly elsewhere (2). (cdc.gov)
District and national databases provide the number of beds. (who.int)

Summary Our findings indicate that there is a large variation in hospital implementation of PFE practices, with competing organisational priorities being the most commonly identified barrier to adoption. (bmj.com)

Lady Dufferin Hospital is babies are at greater risk of cardiovascular a charity hospital for women and children, disease, hypertension and diabetes in adult mainly catering to the needs of low-income life [8-11]. (who.int)

The CDC's hospital antibiotic stewardship toolkit lists the seven core elements of an AS program. (ruralhealthinfo.org)

Lost Rivers has only one full-time doctor, and its emergency room has just three beds -- not much bigger than a summer camp infirmary. (cnn.com)
If Lost Rivers had closed, the alternative would have been hospitals in Idaho Falls or Pocatello, each more than an hour away. (cnn.com)
As a result, rural health researchers say hospitals like Lost Rivers are important test cases. (cnn.com)

Analytical, Diagnostic and Therapeutic Techniques and Equipment9

Information Science2

Named Groups1

Health Care30

1,0002

Acute care hospitals6

Fewer9

America9

Centers and rural areas2

Outpatient4

Closures9

State's3

Physicians8

Wards3

Areas30

Populations3

Ventilators2

Trauma centers1

Inpatient beds2

20174

Patients23

20182

Suburban3

Counties16

Pandemic5

Children's hospitals1

20203

Dwellers1

Keep rural hospitals1

America's1

Clinics3

Afloat1

Facilities17

Maternity1

Modern Healthcare2

Population11

Care42

Medical12

Vulnerable2

Discharge4

Risk of closure1

Coronavirus1

Pediatric1

Counterparts1

Percent of hospitals1

Medicare1

Data17

100,0001

Methods1

Disparities3

Access Hospitals3

Divide1

Percentage2

Nearest3

Medicaid1

Total3

Designation1

Probability1

Communities9

Critical1

Financially1

Patterns among1

Community10

Eligible11

Memorial Hospital1

Healthcare services1

Provide2

Implementation1

Adult1

Stewardship1

Rivers3