DOCSLIB.ORG

Icare Program Report Improving Communications and Readmissions: Stories from Fourteen Rural Colorado Communities Presented by Colorado Rural Health Center

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Icare Program Report Improving Communications and Readmissions: Stories from Fourteen Rural Colorado Communities Presented by Colorado Rural Health Center iCARE Program Report Improving Communications and Readmissions: Stories from Fourteen Rural Colorado Communities Presented by Colorado Rural Health Center TABLE OF CONTENTS OPENING LETTER FROM THE CEO 1 ABOUT THE COLORADO RURAL HEALTH CENTER 2 HISTORY OF iCARE 3 CONTEXT: PFACS AND iCARE MEASURES 5 iCARE BY THE NUMBERS: CRITICAL ACCESS HOSPITALS 6 iCARE IN NUMBERS: 2018-2020 8 iCARE PARTICIPATING FACILITIES MAP FOR 2019 10 COMMUNITIES: MT. SAN RAFAEL HEALTH CENTER 11 SPANISH PEAKS REGIONAL HEALTH CENTER 13 SAN LUIS VALLEY HEALTH 14 RIO GRANDE HOSPITAL AND CLINICS 15 HEART OF THE ROCKIES REGIONAL MEDICAL CENTER 16 SOUTHWEST HEALTH SYSTEM 17 RANGELY DISTRICT HOSPITAL 18 YUMA DISTRICT HOSPITAL AND CLINICS 19 MELISSA MEMORIAL HOSPITAL 21 SEDGWICK COUNTY HEALTH CENTER 22 SOUTHEAST COLORADO HOSPITAL 23 PROWERS MEDICAL CENTER 24 KIT CARSON COUNTY MEMORIAL HOSPITAL 25 KIOWA COUNTY HOSPITAL DISTRICT 26 CONCLUSIONS AND NEXT STEPS 27 OPENING LETTER FROM THE CEO Numerous reports and publications show the struggles rural communities face with serving a population that is older, sicker and poorer than their urban counterparts. 73% of Colora- do’s landmass is considered rural, with 47 of the 64 counties designated as either rural or frontier, representing 721,500 people. In these areas, the median age is 43, compared to 40 in urban. 22% of adult rural Coloradans are considered obese, 7% of rural adults have diabetes, and 21% of ru- ral kids live in poverty, compared to 11% in urban. These statistics paint a grim picture of rural life and highlight a detrimental national narrative that needs to change. One step towards shifting these stories is by seeing, demonstrating and showcasing the good work being accomplished in our rural communities. Highlighting the “Power of Rural” is one of the reasons that the iCARE Program was created. When rural communities have the power to come up with so- lutions that work for their unique environment, innovation takes place and that innovation results in positive change. CRHC is proud of the work that our rural communities and staff have accomplished over the past ten years and know that more positive change will come through our rural community’s collaboration on the Colorado Rural Sustainabil- ity Network. We hope you enjoy these stories showing how rural is able to demon- strate real change and cost savings through collaborative quality im- provement. I like to say that rural can be summed up in one word: community. Michelle Mills, CRHC CEO 1 ABOUT THE COLORADO RURAL HEALTH CENTER The Colorado Rural Health Center (CRHC) was created in 1991 and serves as Colorado’s State Office of Rural Health (SORH) and Rural Health Association. Formed by a group of organizations to identify and address rural health needs in Colorado, CRHC is one of three SORHs in the nation that is structured as a non-profit organization. CRHC pro- vides a variety of services and programs to assist rural hospitals, clinics, and emergency medical service (EMS) agencies, including Colorado’s 32 Critical Access Hospitals and 52 federally certified Rural Health Clinics, CRHC provides a variety of in addressing healthcare issues. services and programs to CRHC’s mission is to enhance assist rural hospitals [32 healthcare services in the state by providing information, education, CAHs], clinics [52 RHCs], and linkages, tools, and energy toward ad- emergency medical service dressing rural health issues. CRHC’s (EMS) agencies across the vision is to improve healthcare ser- State of Colorado. vices available in rural communities to ensure that all rural Coloradans have access to comprehensive, affordable, high quality healthcare. An innovative leader in addressing rural healthcare issues, CRHC has provided operational, financial and quality improvement assistance to rural hospitals and clinics since its inception. CRHC offers a variety of programs for rural Colorado including: Critical Access Hospitals (CAHs) and small rural hospitals- quality improvement and operations programs Rural Health Clinics (RHCs) - compliance, operations and quality im- provement programs Rural health workforce programs Outreach Emergency Preparedness Policy and Advocacy Health Information Technology (HIT) 2 HISTORY OF iCARE CRHC implemented the Improving Communications and Readmissions (iCARE) program in 2010. The program worked with CAHs and rural clinics across Colorado for over ten years to reduce readmissions, improve com- munications in transitions of care, and improve clinical processes, espe- cially related to chronic disease. The communities engaged in this program had higher populations of patients over the age of sixty, treated patients with multiple chronic conditions, and typically served a higher rate of soci- oeconomically disadvantaged patients. CAHs and rural clinics provide vital access to care in their rural communi- ties, yet they are often overlooked in national and statewide healthcare initiatives. Additionally, many initiatives are designed for an urban envi- ronment. CRHC created iCARE as an opportunity to engage Colorado CAHs and their clinics in a statewide project aligning with national priorities, demonstrating sustainable improvements in reducing hospital readmis- sions and improving communication in transitions of care. The program highlights the unique characteristics of rural healthcare, the strengths of rural health facilities, and their capacity for innovation to meet the needs of their patients. iCARE began with nine CAHs and expanded two years later, in 2012, to in- clude the RHCs affiliated with the hospitals. The focus and goals for clinics centered on quality improvement (QI) for chronic disease management, specifically diabetes, and addressing the clinic’s role in communications and reducing readmissions in partnership with the hospital. The most re- cent cohort of the program (February 2018-2020) involved fourteen “communities,” defined as a CAH and their rural health clinic(s). 3 HISTORY OF iCARE In its ten years of operation, iCARE evolved with its participants to focus on topics that were relevant and timely. In its most recent iteration, partic- ipating CAHs focused on Inappropriate Emergency Department Utilization. Emergency Department (ED) visits are a high-intensity service and a cost burden on the healthcare system, as well as on patients. Some ED events may be attributed to preventable or treatable conditions that could be provided in the clinic. A high rate of ED utilization may indicate poor care management, inadequate access to care or poor patient choices, resulting in ED visits that could be prevented.1,2 For participating RHCs, the program’s focus turned toward patient and family engagement (PFE), and more specifically, establishing Patient and Family Advisory Councils (PFACs). This focus was identified because re- search over the last ten years has pointed to the important role that pa- tients and families play in not only improving patient satisfaction, but in improving patient outcomes, such as shortening hospital stays, reducing falls, and improving safety of care.3,4 Leaders in healthcare have recog- nized that the roles of patients and families in healthcare delivery is essen- tial for improving the patient experience and clinical outcomes, and for de- creasing costs.3,4 This has been reinforced at the national level with the implementation of government programs designed to encourage healthcare organizations to report on specific quality measures, many of which relate specifically to patient engagement. 5 1 Dowd, B., Karmarker, M., Swenson, T., Parashuram, S., Kane, R., Coulam, R., & Moore Jeffery, M. (2014). Emergency department utilization as a measure of physician performance. American Journal of Medical Quality, 29(2), 135-43. http://ajm.sagepub.com/content/29/2/135.long. 2 Agency for Healthcare Research and Quality. (2015). Measures of care coordination: Preventable emer- gency department visits. https://www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/ measure2.html. 3 Bertakis, K.D., & Azari, R. (2011). Patient-centered care is associated with decreased health care utiliza- tion. The Journal of the American Board of Family Medicine 24(3), 229-239. https://www.jabfm.org/ content/24/3/229.full. 4 Charmel, P.A., & Frampton, S.B. (2008). Building the business case for patient-centered care. Healthcare Financial Management Association. http://pqcnc-documents.s3.amazonaws.com/fpe/ fperesources/BuildingBusinessCasePCCCharmelFrampton2008.pdf. 5 Kuhn, K.J., Mickelsen, L. J., Morimoto, L. N., Larson, D.B. (2016). The use of patient and family advisory councils to improve patient experience in radiology. American Journal of Roentgenology 5(207), 965-970. 4 https://www.ajronline.org/doi/ref/10.2214/AJR.16.16604. CONTEXT: PFACS AND iCARE MEASURES PFACs have been a particularly successful strategy for patient engagement.5 These councils allow communities to gain feedback from patients and their families who frequent the clinic and hospital. PFACs are critical to reducing medical errors, improving healthcare safety and quality, and addressing social determinants of health.5 As part of the last two years of the program, iCARE communities focused on establishing a PFAC if they didn’t already have one, or improving their existing PFAC. iCARE communities also submitted data to help track their QI projects and goals. Participating iCARE clinics re- ported on the following National Quality Forum, or NQF measures, which serve as a national standard for quality improvement and other healthcare
Load more

Recommended publications
  • DBA's CO Based on Trade Names for Businesses in Colorado
    DBA's CO Based on Trade Names for Businesses in Colorado masterTradena tradena effectiveDat tradenameDescription firstName middleName meId meForm e 20211638663 Individual 07/12/2021 All Ways Hauling Transportation Anthony 20141009560 Entity Type 01/05/2014 Chief Enterprises, LLC 20181294630 Entity Type 04/06/2018 Roll Recovery 20151237401 Individual 04/03/2015 Myers Trading & Company Jesse D. 20171602081 Individual 08/07/2017 heyzeus flooring Adam 20141035632 Entity Type 01/18/2014 Moving Disciples & The Trash Pirates 20211212829 Individual 03/01/2021 Front Range Fence Chris 20191782811 Entity Type 09/27/2019 Animas Plastic Surgery 19991088965 Entity Type 05/10/1999 MACRO FINANCIAL INC. 20181763175 Entity Type 09/26/2018 Soggy Dog Pet Grooming 20151776006 Entity Type 12/02/2015 Great Clips 20191478381 GP 06/08/2019 Vail Kris Kringle Market 20211644925 Entity Type 07/15/2021 Gravity Cafe 20131593648 Entity Type 10/16/2013 J2S Tech 20191807904 Individual 10/06/2019 Flower's Wash & Fold Xochitl Cerena 20191471279 Entity Type 06/04/2019 Crossroads Healthcare Transitions 20171612638 Entity Type 08/14/2017 Elevation 8000 Endurance Company 20201335274 Entity Type 04/14/2020 Bongo Billy's Coffee 20171759458 Individual 10/06/2017 Sunny Gunny Gallery Deborah Lynne Page 1 of 1260 09/25/2021 DBA's CO Based on Trade Names for Businesses in Colorado lastName suffix registrantOrganization address1 address2 Jackson 14580 Park Canyon rd Chief Enterprises, LLC 12723 Fulford Court Roll Recovery, LLC 5400 Spine Rd Unit C Myers 5253 N Lariat Drive Hish 10140 west evans ave. Moving Disciples & The Trash Pirates, LLC, 6060 S. Sterne Parkway Delinquent December 1, 2016 Isaacs 6613 ALGONQUIN DR Ryan Naffziger, M.D., P.C.
    [Show full text]
  • Petroleum Systems and Assessment of Undiscovered Oil and Gas in the Raton Basin–Sierra Grande Uplift Province, Colorado and New Mexico by Debra K
    Chapter 2 Petroleum Systems and Assessment of Undiscovered Oil and Gas in the Raton Basin–Sierra Grande Uplift Province, Colorado and New Mexico By Debra K. Higley Volume Title Page Chapter 2 of Petroleum Systems and Assessment of Undiscovered Oil and Gas in the Raton Basin– Sierra Grande Uplift Province, Colorado and New Mexico—USGS Province 41 Compiled by Debra K. Higley U.S. Geological Survey Digital Data Series DDS–69–N U.S. Department of the Interior U.S. Geological Survey U.S. Department of the Interior DIRK KEMPTHORNE, Secretary U.S. Geological Survey Mark D. Myers, Director U.S. Geological Survey, Reston, Virginia: 2007 For product and ordering information: World Wide Web: http://www.usgs.gov/pubprod Telephone: 1–888–ASK–USGS For more information on the USGS—the Federal source for science about the Earth, its natural and living resources, natural hazards, and the environment: World Wide Web: http://www.usgs.gov Telephone:1–888–ASK–USGS Any use of trade, product, or firm names is for descriptive purposes only and does not imply endorsement by the U.S. Government. Although this report is in the public domain, permission must be secured from the individual copyright owners to reproduce any copyrighted materials contained within this report. Suggested citation: Higley, D.K., 2007, Petroleum systems and assessment of undiscovered oil and gas in the Raton Basin–Sierra Grande Uplift Prov- ince, Colorado and New Mexico, in Higley, D.K., compiler, Petroleum systems and assessment of undiscovered oil and gas in the Raton Basin–Sierra Grande Uplift Province, Colorado and New Mexico—USGS Province 41: U.S.
    [Show full text]
  • Summits on the Air – ARM for USA - Colorado (WØC)
    Summits on the Air – ARM for USA - Colorado (WØC) Summits on the Air USA - Colorado (WØC) Association Reference Manual Document Reference S46.1 Issue number 3.2 Date of issue 15-June-2021 Participation start date 01-May-2010 Authorised Date: 15-June-2021 obo SOTA Management Team Association Manager Matt Schnizer KØMOS Summits-on-the-Air an original concept by G3WGV and developed with G3CWI Notice “Summits on the Air” SOTA and the SOTA logo are trademarks of the Programme. This document is copyright of the Programme. All other trademarks and copyrights referenced herein are acknowledged. Page 1 of 11 Document S46.1 V3.2 Summits on the Air – ARM for USA - Colorado (WØC) Change Control Date Version Details 01-May-10 1.0 First formal issue of this document 01-Aug-11 2.0 Updated Version including all qualified CO Peaks, North Dakota, and South Dakota Peaks 01-Dec-11 2.1 Corrections to document for consistency between sections. 31-Mar-14 2.2 Convert WØ to WØC for Colorado only Association. Remove South Dakota and North Dakota Regions. Minor grammatical changes. Clarification of SOTA Rule 3.7.3 “Final Access”. Matt Schnizer K0MOS becomes the new W0C Association Manager. 04/30/16 2.3 Updated Disclaimer Updated 2.0 Program Derivation: Changed prominence from 500 ft to 150m (492 ft) Updated 3.0 General information: Added valid FCC license Corrected conversion factor (ft to m) and recalculated all summits 1-Apr-2017 3.0 Acquired new Summit List from ListsofJohn.com: 64 new summits (37 for P500 ft to P150 m change and 27 new) and 3 deletes due to prom corrections.
    [Show full text]
  • The Old Ross Homestead
    ACREAGE AND LOCATION vaulted wood beam ceilings, a 2012 taxes $1,359.24 Presenting The Old Ross Homestead, huge glass wall that opens into the ® located just 4± miles south of La great room with huge fireplace are Spanish Peaks MLS# 12-646 Veta, Colorado at 3302 CR 360 in beautiful touches to this home. The Huerfano County, which is the home highlight is the kitchen. Small but PRICE of the famous Spanish Peaks. The mighty, the kitchen is a gourmet’s $1,250,000 ranch boasts 70± acres of lush hay paradise. Centered by a large butcher FARM RANCH & RECREATIONAL PROPERTIES www.fullerwestern.com meadows, oak brush stands and block island to prepare the meal, Broker tall trees along Wahatoya Creek. this is the social hub of the home. Paul Machmuller Additionally, there are several ponds Rustic touches include hammered 719-742-3605 to attract wildlife. The property lies copper accents, huge sink and hood [email protected] THE OLD ROSS inside a conservation easement, covering the Wolf cook stove/oven, protecting this parcel and the valley wood butcher block counter tops HOMESTEAD from future development creating a and a Sub-Zero refrigerator. The view $1,250,000 lifelong private ranch for generations from each window is both unique to come. There is a large herd of and spectacular. Additionally, the 3302 County Rd. 360 elk that live in the valley and many private, screened-in porch offers the La Veta, CO 81055 deer, bear, wild turkey and loads of perfect setting for morning coffee or small game animals call this place evening glass of wine.
    [Show full text]
  • Analyses of Rocks and Minerals
    UNITED STATES DEPARTMENT OF THE INTERIOR Harold L. Ickes, Secretary GEOLOGICAL SURVEY W. C. Mendenhall, Director / rf Bulletin 878 ANALYSES OF ROCKS AND MINERALS FROM THE LABORATORY OF THE UNITED STATES GEOLOGICAL SURVEY 1914-36 TABULATED BY ROGER C. WELLS Chief Chemist UNITED STATES GOVERNMENT PRINTING OFFICE WASHINGTON : 1937 For sale by the Superintendent of Documents, Washington, D. C. ------ Price 15 cents V CONTENTS Page Introduction._____________________________________________________ 1 The elements and their relative abundance.__________________________ 3 Abbreviations used._______________________________________________ 5 Classification.___________________________________________________ 5 Analyses of igneous and crystalline rocks____-_________.._____________ 6 Alaska._____-_____-__________---_-_--___-____-_____-_________ 6 \ Central Alaska________________________________________ 6 Southeastern Alaska___________-_--________________________ 7 Arizona._________--____-_---_-------___-_--------_----_______ 8 Ajo district.-_--_.____---------______--_-_--__---_______ 8 Oatman district____________-___-_-________________________ 9 Miscellaneous rocks....-._...._-............_......_._.... 10 Arkansas.____________________________________________________ 11 Austria._____________________________________________________ 11 California.__,_______________--_-_----______-_-_-_-___________ 11 T ' Ivanpah quadrangle.____-_----__--_____----_--_--__.______ 11 Lassen Peak__________________ ___________________________ 12 Mount Whitney quadrangle________________________________
    [Show full text]
  • A Taxonomic Revision of the Phrynosoma Douglasii Species Complex (Squamata: Phrynosomatidae)
    Zootaxa 4015 (1): 001–177 ISSN 1175-5326 (print edition) www.mapress.com/zootaxa/ Monograph ZOOTAXA Copyright © 2015 Magnolia Press ISSN 1175-5334 (online edition) http://dx.doi.org/10.11646/zootaxa.4015.1.1 http://zoobank.org/urn:lsid:zoobank.org:pub:6C577904-2BCC-4F84-80FB-E0F0EEDF654B ZOOTAXA 4015 A taxonomic revision of the Phrynosoma douglasii species complex (Squamata: Phrynosomatidae) RICHARD R. MONTANUCCI1 1Department of Biological Sciences, Clemson University, Clemson, SC 29634-0314. E-mail: [email protected] Magnolia Press Auckland, New Zealand Accepted by A. Bauer: 16 Jun. 2015; published: 11 Sept. 2015 RICHARD R. MONTANUCCI A taxonomic revision of the Phrynosoma douglasii species complex (Squamata: Phrynosomatidae) ( Zootaxa 4015) 177 pp.; 30 cm. 11 Sept. 2015 ISBN 978-1-77557-789-8 (paperback) ISBN 978-1-77557-790-4 (Online edition) FIRST PUBLISHED IN 2015 BY Magnolia Press P.O. Box 41-383 Auckland 1346 New Zealand e-mail: [email protected] http://www.mapress.com/zootaxa/ © 2015 Magnolia Press All rights reserved. No part of this publication may be reproduced, stored, transmitted or disseminated, in any form, or by any means, without prior written permission from the publisher, to whom all requests to reproduce copyright material should be directed in writing. This authorization does not extend to any other kind of copying, by any means, in any form, and for any purpose other than private research use. ISSN 1175-5326 (Print edition) ISSN 1175-5334 (Online edition) 2 · Zootaxa 4015 (1) © 2015 Magnolia Press MONTANUCCI Table of contents Abstract . 3 Introduction . 3 Materials and methods . 5 Results and discussion .
    [Show full text]
  • Pontifical Mass Planned Afternoon of July 4 Denver
    1 Colorado*8 Largest Newspaper; Total Press Run, ’AU Editions, Far Above 500,000; Denver Catholic Register, 23,007 PONTIFICAL MASS PLANNED AFTERNOON OF JULY 4 ■+ Contents Copyrighted by the Catholic Press Society, Inc., 1948—Pennission to Reprodnce, Except on Articles Otherwise Marked, Given After 12 M. Friday Following Issue Over 10,000 Persons God and County DENVER CATHaiC Expected to Attend Lowry Field Service REGISTER Archbishop Vehr Will Officiate in Devotion The National Catholic Welfare Conference News Service SuppUes The Denver Catholic Register. We Unique in Colorado With Several Mem­ Have Also the International News Service (Wire and Mail), a Large Special Service, Seven Smaller Services, Photo Features, and Wide World Photos. bers of Hierarchy Present VOL. x x x v m . No. 43. DENVER, COLO., THURSDAY, JUNE 17, 1943. $1 PER YEAR History will be made Sunday, July 4, Independence day, when Archbishop Urban J. Vehr of Denver celebrates a Solemn Pontifical Field Mass at 4 p.m. in Lowry Field. This will be the first.time that a Pontifical Military Field Bishop Edwin V. Byrne Named Mass has ever been offered in the West in the afternoon. More than 10,000 are expected to assist at the Mass, which probably will be celebrated on the parade grounds of the air forces’ huge technical school. Military authorities Eighth Archbishop of Santa Fe announced that this will be one of the few occasions during war Meeting to Outline time that the public will be per- mitted to enter Lowry Field. Washington, D. C.—The Apos­ He succeeds the late Archbishop He had been stricken while dress­ Summer Activities All details for the Mass, which tolic Delegation has announced the R.
    [Show full text]
  • Triangulation in Colorado 1927 Datum
    m-q sl6”iTSv , 2-u- 4 LJ .d U. S. DEPARTMENT OF COMMERCE R. P. LAMONT, Secretary COAST AND GEODETIC SURVEY R. S. PAlTON, Dirscta Special Publication No. 160 CO ADO [ 1927 DATUM] BY OSCAR S. ADAMS Senior Mathematician UNITED STATES GOVERNMENT PRINTING OFFICE WASHINGTON 1 1930 -~~~ For sale by the Superintendent of Documents, Wanhlngton, D. C. - - - Prico 15 cent. National Oceanic and Atmospheric Administration ERRATA NOTICE One or more conditions of the original document may affect the quality of the image, such as: Discolored pages Faded or light ink Binding intrudes into the text This has been a co-operative project between the NOAA Central Library and the Climate Database Modernization Program, National Climate Data Center (NCDC). To view the original document, please contact the NOAA Central Library in Silver Spring, MD at (301) 713-2607 x124 or [email protected]. LASON Imaging.Contractor 12200 Kiln Court Beltsville, MD 20704- 1387 January 1,2006 Blank page retained for pagination PUBLICATION NOTICES The Coast and Geodetic Survey maintains mailing lists containing the names and addresses of persons interested in its publications. When a new publica- tion or a new edition of a publication is issued on any of the subjects covered by the mailing list, a circular showing the scope and contents of the publication is sent to each person whose name and address is on the mailing list of the subject covered by the publication. If you desire to receive notices regarding publications of the Coast and Geodetic Survey as issued, you should write to the Director of the Coast arid Geodetic Survey, Washington, D.
    [Show full text]
  • Haplain Joseph Higgins Flown Back to U. S. Rf,Sister
    “ g- 2. 19411 iinine HAPLAIN JOSEPH HIGGINS FLOWN BACK TO U. S. lountain Community THE Pueblo Priest, Home Mom RETIIEIIT [Pastore’a FOR LflyiltOMEN ,;lub uards Its Faith SOUTH E R N COLORADO For Hospitalization, E« ight to i REGINS A00.16 “ ■ E . r , Niibl, espite Isolation Led Tour to Lourdes RF,SISTER The annual retreat for laywomen unrise Valley Near Walsenburg Likened to THE OFFICIAL CA NEWSPAPER OF THE DIOCESE OF PUEBLO Recent Letter to BisHoP Gives Description of in St. Scholastica’s academy, Can* f e ’c H & -------------------------------------------------, ^---------------------------------------------------------------------------------------- on City, will be held this year be­ VOL. I. No. 4. FRIDAY, AUG. 3, 1945 ginning THursday evening, Aug. PXBD drinks Pioneer Settlements of State; Fr. Faisti A Pilgrimage to Home of St. Ttiereso, 16, and closing Sunday noon. Aug. 20. The Rev, Henry Huber, O.S.6., ' go* GL. 9855 Offers Mass THere Patron of Diocese of Conception abbey. Conception 2 2 N u rse Oldest Pueblo Catholic Church Mo., will conduct this year’s exer­ Walsenburg.—THe Kev. Francis Faisti, assistant Pas- cises. a~ n O T E l THe Very Rev. JosePH Higgins, Pastor of St. Patrick’s I uf gt, Mary's ParisH, celebrated Mass in Sunrise Valley ParisH, Pueblo, wHo Has been on leave as army cHaPlain at­ Women intending to make tHa |EE SHOP Inday, July *29, and uPon His return recounted a story P re se n t/ retreat should place their reserva­ W e< Poputar Prf„ tacHed to a HosPital unit in Paris, France, arrived in tHe tions with Mrs, L.
    [Show full text]
  • United States Department of the Interior Bureau of Land Management
    United States Department of the Interior Bureau of Land Management Environmental Assessment for the Royal Gorge Field Office November 2013 Competitive Oil & Gas Lease Sale Royal Gorge Field Office 3028 E. Main Canon City, CO 81212 DOI-BLM-CO-200-2013-0022-EA July 2013 TABLE OF CONTENTS Contents CHAPTER 1 - INTRODUCTION .................................................................................................. 3 1.1 IDENTIFYING INFORMATION ................................................................................... 3 1.2 PROJECT LOCATION AND LEGAL DESCRIPTION .............................................. 4 1.3 PURPOSE AND NEED .................................................................................................... 4 1.3.1 Decision to be Made .................................................................................................... 4 1.4 PUBLIC PARTICIPATION ............................................................................................ 6 1.4.1 Scoping ........................................................................................................................ 6 1.4.2 Public Comment Period ............................................................................................... 7 CHAPTER 2 - ALTERNATIVES .................................................................................................. 8 2.1 INTRODUCTION............................................................................................................. 8 2.2 ALTERNATIVES ANALYZED IN DETAIL ...............................................................
    [Show full text]
  • Proceedings of the United States National Museum
    PROCEEDINGS OF THE UNITED STATES NATIONAL MUSEUM issued SMITHSONIAN INSTITUTION U. S. NATIONAL MUSEUM Vol. no Washington : 1959 No. 3416 GRASSHOPPERS OF THE MEXICANUS GROUP, GENUS MELANOPLUS (ORTHOPTERA; ACRIDIDAE) By Ashley B. Gurney ^ and A. R. Brooks Introduction Since the historic outbreaks of the Rocky Mountain grasshopper (Melanoplus spretus (Walsh)) in the 1870's, the close relatives of that species, especially the one recently called M. mexicanus (Saussure), have been of great economic importance in the United States and Canada. The present study was undertaken to clarify the status of the various taxonomic entities in this complex, and we hope it will stimulate further clarifying studies. We have also attempted to summarize briefly the more important information on the biology of each species. For many years the status of spretus has been a puzzle to ento- mologists because no specimens have been collected since the early 1900's. Gradually the opinion developed that spretus disappeared because it was the migratory phase of a normally solitary grasshopper, and it was supposed that mexicanus was that species. Om* study of • Entomology Research Division, Agricultural Research Service, U. S. Department of Agriculture. ' Entomology Section, Canada Department of Agriculture Research Laboratory, Saskatoon, Saskatche- wan, Canada. 1 477119—59 1 : 2 PROCEEDESTGS OF THE NATIONAL MUSEUM vol. no the aedeagus indicates that spretus is a distinct species. Any further evidence bearing on this opinion naturally is very desirable. It is chiefly on the basis of the differences in the aedeagus that mexicanus has been found to be distinct from the species commonly misidentified as M.
    [Show full text]
  • Geology of the Igneous Rocks of the Spanish Peaks Region Colorado
    Geology of the Igneous Rocks of the Spanish Peaks Region Colorado GEOLOGICAL SURVEY PROFESSIONAL PAPER 594-G GEOLOGY OF THE IGNEOUS ROCKS OF THE SPANISH PEAKS REGION, COLORADO The Spanish Peaks (Las Cumbres Espanolas). Geology of the Igneous Rocks of the Spanish Peaks Region Colorado By ROSS B. JOHNSON SHORTER CONTRIBUTIONS TO GENERAL GEOLOGY GEOLOGICAL SURVEY PROFESSIONAL PAPER 594-G A study of the highly diverse igneous rocks and structures of a classic geologic area, with a discussion on the emplacement of these features UNITED STATES GOVERNl\1ENT PRINTING OFFICE, WASHINGTON : 1968 UNITED STATES DEPARTMENT OF THE INTERIOR STEWART L. UDALL, Secretary GEOLOGICAL SURVEY William T. Pecora, Director For sale by the Superintendent of Documents, U.S. Government Printing Office Washington, D.C. 20402 CONTENTS Page Page Abstract__________________________________________ _ G1 Petrography-Continued Introduction ______________________________________ _ 1 Syenite_______________________________________ _ G19 Geologic setting ___________________________________ _ 3 Porphyry _________________________________ _ 19 General features _______________________________ _ 3 Aphanite---------------------------------- 20 Sedhnentaryrocks _____________________________ _ 4 Lamprophyre _____________________________ _ 20 Structure _____________________________________ _ 4 Syenodiorite __________________________________ _ 22 Thrust and reverse faults ___________________ _ 5 Phanerite_________________________________ _ 22 Normal faults _____________________________
    [Show full text]