1. Delaware’s Next Hospital- Hierarchy
SLIDE 1
Delaware’s Next Hospital- Hierarchy
Review the following slide as a class.
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Lesson outcomes:
Recognize a hierarchy
Be able to organize data in a hierarchical structure
Be able to explain how accessibility can work to help create a hierarchy in settlement patterns
Be able to use the principle of hierarchy to solve location problems

2. >Click when ready<
SLIDE 2
Getting Started
Read the following, discuss with your partner and write your answers to the two questions in your notebook.
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Who here is a Fan of NFL Football?
This past season NFL jerseys switched manufacturers. While they had been made by Reebok before, Nike has taken over.
Nike revealed their new jerseys in Portland, Oregon, a major city on the west coast
Question #1: Why would Nike Select Portland for a reveal over a small town in Oregon?
Question #2: Can you think of a location you think would be better?

3. Hierarchy Definition Copy the following into your notes.
SLIDE 3
Hierarchy Definition
A hierarchy is a ranking system
Items at the top of the hierarchy are more “important” than those at the bottom
The bottom of a hierarchy has more in it than the top
Hierarchies are often depicted (shown) as triangles
This shape best matches with the organization of hierarchies: low numbers at the top of the hierarchy and high numbers at the bottom
Copy the following into your notes.
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4. Examples of Hierarchies
SLIDE 4
Examples of Hierarchies
High School
Copy the following diagrams into your notebooks.
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Sports Team
Stop. You will discuss this as a class.
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Coach
Principal
Teachers
Assistant Coaches
Students
Players

5. SLIDE 5
Other Hierarchies
Can anyone think of another example of a Hierarchy?
With your partner, develop examples of other hierarchies
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6. Geographic Hierarchies
SLIDE 6
Geographic Hierarchies
Towns and cities are not isolated (cut off) from one another
They are connected by things such as roads, the internet, family ties, etc.
Think about how the arrangement of Cities and their surroundings (suburbs, towns) are a hierarchical system
Copy the passage marked with a “check” into your notebooks.
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Wilmington, Newark
Brookside, Claymont, Middletown, Smyrna
City
Suburbs and Large Towns
Rural Towns and Small Communities
Harrington, Greenwood, Felton, Townsend, Elendale, Selbyville, Little Creek

7. SLIDE 7
Geographic Hierarchy
Answer the following questions into your notebook.
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Question 3: What are 2-3 examples you can think of which shows that cities, which are at the top of the Hierarchy are more important than small towns, which are at the bottom?
Example: Where are sports teams located?
Question 4: What city do the TV news stations which play in Newark or Wilmington broadcast?
Question 5: What about the national news or a national television show such as Good Morning America?

8. Overview Read the following and move to the next slide.
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Medical services are provided by doctors from their offices as well as medical clinics and hospitals.
These offices are not evenly distributed (spread out)
They cluster (bunch) around heavy population centers such as cities and towns
People who live outside of these areas will have poorer access to medical services

9. SLIDE 9
The Problem
There are eight general service hospitals in Delaware, the most recent was built in 1985
In 1985 the population of Delaware was 630,000
By 2004 the population had grown to 830,000 and increase of 1/3
Population increase shows that the need for a new hospital is growing
You will take the role of a state health planner who is trying to decide where to locate Delaware’s next hospital.
Use geographical analysis based upon the principle of hierarchy to determine the most likely lactation
Read the following problem carefully move to the next slide.
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10. Research Instructions
SLIDE 10
Research Instructions
Read the following and complete the charts as instructed.
Your teacher will provide you with the hierarchy charts you need. The population chart and maps are on the following slides.
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Task 1: Look at the Map and the Population Chart, noting what they mean. Then Use the hierarchy worksheet to organize each location by population onto the triangle. For example, the top band should have every location with a population between 71,529-27,631. Count how many locations each band has and put that number in the triangle for that band. Finally note where Newark lies on the triangle.
Task 2: Look at the Population map. Each Delaware hospital is on the map. Write down in your notebook what population band each hospital is in. Hospitals need to be near a certain number of people in order to stay in business so be sure to note what the lowest population band which can support a hospital is in your notebook.
Task 3: Keeping in mind the lowest population which can keep a hospital in business, list some locations which might be a good place to put a new hospital. Also, what are some other problems which you might have to keep in mind when building a hospital?
Task 4: Select the location you feel is best for a new hospital and what evidence leads you to feel that location is the best.

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16. Northern Population Chart
SLIDE 16
Northern Population Chart

17. Southern Population Chart
SLIDE 17
Southern Population Chart

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SLIDE 18
New Hospital
Synthesize all the information you have learned in this lesson and answer the following questions in your notebook.
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FINAL TASK: So what are some of the locations you selected for a new hospital here in Delaware?
Cite evidence as to why did you think that location would be best?
What did this exercise have to do with Hierarchy? (Remember hierarchy is a ranking system)