1. DE Next Hospital – Hierarchy Lesson #4
Lesson Objective Question: How might the position of a place in a settlement hierarchy affect the life of the people in that place?
Background: Human settlements, large and small, do not exist in isolation. Connected by transportation and communication links, social and cultural ties, and economic interdependence, settlements form webs of interaction and activity. Understanding the critical importance of hierarchy in the day-to-day interactions of settlements is a key to effective decision making.
Key Terms – Accessibility, Hierarchy
Copy Lesson Objective Question and Key Terms into Notebook
Read Background
Label all parts to lesson
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Scenario and Problem
Situation: You are the member of the New Hospital Task Force of the Delaware State Planning Department. Your task is to recommend the best location for a new major hospital in the state, using geographic analysis based on the principle of hierarchy. Upon completion of your analysis, make your recommendation in the form of a report to the State Planning Director, indicating the reasons for your choice.
Read Scenario and Problem
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Student Reading Quiz
What is the difference between a general and a specialized hospital?
Give an example of a type of specialized hospital?
On average, how big is a general hospital in the United States?
When was the last hospital built in Delaware, and which hospital was it?
How has the ratio of hospital beds to population changed in Delaware between 1985 and 2005?
Give one reason why there is no need for another hospital in Delaware?
Give one reason why Delaware may soon need a new general hospital?
Pick up or Open Copy of Student Reading
Read Individually
Take Notes in Notebook (OPTIONAL)
Answer Reading questions in Notebook
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DE Population
Using the Delaware population table, put a number in the space in the triangle that equals the number of places that fall within the largest population band (71,529 – 27,631). See below and on next slide.
Repeat for each row.
If a population is equal to a range of numbers, that place goes in the lower band. For example, if a place has 2,294 people, it belongs in the band below the 2, 294 line.
Write the names of the places that fall within each band in the boxes on the right-hand side of the chart. Do this for each band except the last band ( ).
Pick up copy of DE Population Chart and Delaware Settlement Hierarchy Worksheets
Follow Directions on slide
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6. Northern and Southern
Use the Northern and Southern population charts to complete the next two worksheets, just has you did for the DE Pop

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Circle the places on your worksheet where each hospital is located.
Write in your research notebook in which population band you find each hospital.
Note what is the minimum threshold for each hospital.
DE Hospital
Follow directions on right side of slide
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Given the threshold requirements, identify the locations where a new hospital might be located.
What other factors do you need to consider before you can arrive at a single choice?
DE Hospital
Follow Directions on slide
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11. Exit Ticket Pick up worksheet
Staple Exit Ticket and Charts together when finished and Turn in.

12. Report to the State Planning Director (Extra Credit)
You have now collected enough information to write your report to the State Planning Director. Remember that your task is to recommend the single best location for the new hospital. Your answer represents your best judgment – and reasonable people – other students – may come to different conclusions. The most important point to remember is to back up your recommendation with the best possible evidence to support your choice.

13. Class Work
Geography Worksheets

14. Homework
Read – Student Reading Standard One
Answer Questions