Missouri Dept. of Health and Senior Services February 2008 Critical Access Hospital 5 vector digital data Missouri Department of Health and Senior Services bed information based on total licensed beds per Bureau of Hospital Licensure. Critical Access Hospital locations General location of hospitals in Missouri designated as critical access. This layer is a subset of the hospital layer. "A critical access hospital is a small facility that gives limited outpatient and inpatient hospital services to people in rural areas." - definition from Centers for Medicare and Medicaid website. Critical access hospitals are a subset of the hospital layer. Original Locations were created using Sagent Geocoding software. Quality Control by Geographic Resources Center 8/11/2003 to refine locations provided by geocoding. Hospitals defined as critical access from database provided by Missouri Dept of Health and Senior Services, Health Facility Regulation. March 3, 2008 - There were no changes to the list of critical access hospitals between 2007 and 2008 Tracy Schloss February 2008 publication date Complete Annually -95.394525 -89.743289 40.482670 36.637844 hospitals hospitals emergency medical health medical facility state of Missouri 2008 Data will not be made available for download. Interested parties should send an email inquiry to GISsupport@dhss.mo.gov. This layer is a subset of hospitals. This layer was created as a convenience for users, who may need to display only those hospitals defined as critical access. Tracy Schloss Missouri Dept of Health and Senior Services GIS Specialist mailing and physical address
920 Wildwood
PO Box 570
Jefferson City MO 65109 United States (573) 522-5654 tracy.schloss@dhss.mo.gov 8-5 M-F Microsoft Windows XP Version 5.1 (Build 2600) Service Pack 2; ESRI ArcCatalog 9.2.2.1350 Positional Accuracy is equal to 1 meter Digital Ortho Quarter Quadrangles (DOQQ) vintage 2004. Hospitals - Excel data provided by program converted to Access table April 2007 Hospitals - Facility IDs from previous year (2006) was used to determine which facilities were closed and which facilities were newly opened. April 2007 Hospitals - Table of new addresses was geocoded using Centrus Geocoder for ArcGIS; personal geodatabase file created April 2007 Hospitals - Copy of 2007 hospitals was created as a temp version. April 2007 Hospitals - Facilities that had closed since last data update were deleted from temp file. April 2007 Hospitals - New addresses geocoded in previous step were appended to temp file. April 2007 Hospitals - New Locations were checked against 2004 NAIP aerial photography to refine location April 2007 Hospitals - Table was joined to county boundary layer with a spatial join to check for correct county name provided in original data. Descrepencies were identified and corrected. April 2007 Hospitals - Data was copied to a new data frame with a Projection defined as Geographic Coordinates, NAD 1983. Temp file was moved to this data frame. Latitude and Longitude coordinates in table were updated using Hawth's tool Add XY to table and choosing the option to use the coordinates of the data frame. April 2007 Hospitals - Personal geodatabase is exported to shape file. April 2007 Hospitals - Metadata for 2006 hospital layer is exported to text. Process steps are added. April 2007 Hospitals - Shape file is copied from temporary workspace into facility directory located at DHSS as M:\GISDATA\FAcility. Shape file from 2006 is renamed from hospitals.shp to chospitals06.shp. File for 2007 is given the name hospitals.shp in its place. Text version of metadata is imported for hospitals. April 2007 Shape file is also copied into SDE for use in IMS sites. April 2007 Specific hospitals designated as critical access are extracted from the full hospital layer using Select by Attribute query in ArcMap. This information is one of the attributes found in the hospital layer. Metadata imported. C:\DOCUME~1\schlot\LOCALS~1\Temp\xml18.tmp Dataset copied. M:\GISADMIN\DataDev\Hospital\CritAccHospital07 Metadata imported. M:\GISDATA\Facility\CritAcHospital.shp.xml 2008 Hospitals were selected based on the field CRIT_AC = TRUE. These hospitals were exported into a new shape file. The hospitals were the same as 2007, but exporting again from the main hospital file assured that the other fields, such as adminstrator name, were kept current. Metadata imported.C:\DOCUME~1\schlot\LOCALS~1\Temp\xml3B.tmp20080303Dataset copied.M:\GISADMIN\DataDev\Hospital\CritAccHospital0820080303 Vector Entity point 36 Point 4 Universal Transverse Mercator 15 0.999600 -93.000000 0.000000 500000.000000 0.000000 coordinate pair 0.000000 0.000000 meters North American Datum of 1983 Geodetic Reference System 80 6378137.000000 298.257222 0.000010 Explicit elevation coordinate included with horizontal coordinates CritAccHospital08 FID Internal feature number. ESRI Sequential unique whole numbers that are automatically generated. Shape Feature geometry. ESRI Coordinates defining the features. FAC_ID Unique ID assigned by DHSS - Health Services Regulation DHSS FACILITY Name of the hospital DHSS ADDRESS Address of the hospital DHSS CITY City of the hospital DHSS STATE State of the hospital DHSS ZIP ZIP code of the hospital DHSS COUNTY County where hospital is located DHSS PHONE Contact phone number of the hospital DHSS FAX Fax Number of the hospital DHSS ADMIN Administrator of the hospital DHSS TOTAL_BEDS Total number of licensed beds DHSS CMS_PROV ID number assigned by Center for Medicare and Medicaid Services DHSS TRAUMATYPE Trauma Type hospital is equipped to handle Pediatric Trauma services available for children only DHSS - Bureau of EMS Adult/Pediatric Trauma services available for adults and children DHSS - Bureau of EMS Adult Trauma services available for adults only DHSS - Bureau of EMS TRAUMALVL Level of Trauma Center support DHSS I A Level I trauma center has a full range of specialists and equipment available 24-hours a day and admits a minimum required annual volume of severely injured patients. Additionally, a Level I center has a program of research, is a leader in trauma education and injury prevention, and is a referral resource for communities in neighboring regions community outreach). http://en.wikipedia.org/wiki/Trauma_center II A Level II trauma center works in collaboration with a Level I center. It provides comprehensive trauma care and supplements the clinical expertise of a Level I institution. It provides 24-hour availability of all essential specialties, personnel and equipment. Minimum volume requirements may depend on local conditions. These institutions are not required to have an ongoing program of research or a surgical residency program. http://en.wikipedia.org/wiki/Trauma_center III A Level III trauma center does not have the full availability of specialists, but does have resources for the emergency resuscitation, surgery and intensive care of most trauma patients. A Level III center has transfer agreements with Level I and/or Level II trauma centers that provide back-up resources for the care of exceptionally severe injuries. http://en.wikipedia.org/wiki/Trauma_center LATITUDE Latitude of hospital presented in decimal degrees, datum 1983 LONGITUDE Longitude of hospital presented in decimal degrees, datum 1983 DHSS Offline Data 0.001 20080303 Missouri Dept of Health and Senior Services Tracy Schloss GIS Specialist mailing and physical address
920 Wildwood
PO Box 570
Jefferson City MO 65109 United States 573-522-5654 tracy.schlosse@dhss.mo.gov 8-5 M-F FGDC Content Standards for Digital Geospatial Metadata FGDC-STD-001-1998 local time None None http://www.esri.com/metadata/esriprof80.html ESRI Metadata Profile 2008061214174300TRUE2008042513385300{D72126F1-E90E-4F5D-9807-66824E209B87}{DFD6F375-80F8-4D46-A8BC-590CC831B544}Published20080425file://\\DHSSNAS\VOL1\DATABASE\GISDATA\Facility\CritAccHospital08Local Area Network