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Today, Rosa’s Cafe has expanded to more than 40 company-owned restaurants with Texas locations in Abilene, Amarillo, Burleson, Cedar Park, College.Despite the fact that this is a chain restaurant I have eaten at. In fact, it was the second CP location we ate at that day as we crossed TX Helpful? Get answers from Cotton Patch Cafe staff. Best Little Pizza Place in Town! In the city of Amarillo there are more restaurants per capita than anywhere else in the US - SNOPES it if you don't believe me! Dee, the owner will take care of you and his painter Justin (Hedferst Kustoms) is one of the best there is. Stop by there sometime and check out some of the hot rods they are building and working on, awesome work and really nice guys!!! Don Jose Mexican Restaurant of Wichita Falls - 1. Photos & 2. 3 Reviews - Mexican - 2. St, Wichita Falls, TX - Restaurant Reviews - Phone Number. If there was a way to give minus stars, I would. There are two locations supposedly, this review will be for the Wichita Falls location. Since this place opened, we've had very uneven food and service over several years. Sometimes very good food and service, other times it has just been nasty and inedible, even for my husband who eats most anything. It has been about a year since we had ordered from Don Jose's, long enough to get past the lousy service we got last time when we went in and tried to eat dinner there. That time, I swear our waiter was drunk or high or just beyond decent manners, as he seemed to find it acceptable to make off color remarks to the our party that we found quite offensive. The waiter kept trying to make us order drinks, stating something about we ( 4 ladies) would have more luck with men if we would only have several drinks. We were all older ladies, one my mother- in- law in her 8. Normally, we would have just thought he was .. We were told there was no manager on premises that evening. We left, did not eat our food but did pay for it, and had not been back until my husband wanted a take out order- and he went and picked it up, too. Take out order was a enchilada dinner and a tamale/enchilada/taco/chili rellano combination plate and a piece of Tres leche cake. My husband did pick it up, and upon arriving home, the combination plate had no taco. Shrugged that off with minor annoyance, and tried the rest. The food it's self was so poorly seasoned and done, less than a street taco stand. The tamale was so dry it was cracking, like it had been left out and even the pork filling was dry, and was seasoned very strangely with something I could not identify and made me gag. I spit that out and tried the other food. The beans and rice were good, so I tried the chili rellano, a favorite dish of mine. It looked good, but had a . Very unpleasant, so that was out, too. The enchilada was beef, ground beef/hamburger, and bland and greasy inside. The small lettuce shreds were fresh and crisp. My husband had a enchilada dinner, a chicken one and he said the chicken tasted old and rubbery. Well, dessert can always save the day, so I went to the cake container and opened it to find a chocolate cake in a light brown fluid, the cake was like a sponge full and dripping with this fluid. No other concerns, abrupt and did not seem to care. I drove there, across town, and gave him the leavings in the original bag where the cake container had drained what ever nasty goo it was all over. I told the manager that I didn't need my money back as it would be the last Don Jose's ever saw from us. For the last two experiences, the place can keep my $2. I have anything to do with ever again. It'll be the last money they see from us. We will never eat there again, nor will we recommend it to anyone. Dungeons And Dragons Solo Adventures 4. E Pdf: full version free software download. The changes that accompanied 4e make solo gaming almost too difficult to be practical. Adventures (4) Book Reviews (4. Class Discussions (4. D& D Encounters (2. Solo Adventuring (Part 1) — Dungeon's Master. When was the last time you played D& D and it was just one PC and one DM? I’d be amazed if anyone can say that they’ve done this since the release of 4e D& D. The changes that accompanied 4e make solo gaming almost too difficult to be practical. That’s not to say that it’s impossible, but it’s a lot more work for a DM to create and run a game with just one player in 4e then it ever was in previous editions. Some of the most memorable and enjoyable games of D& D I ever played had only one player. It’s an entirely different way to experience D& D regardless of which side of the screen you’re on. As much as I like 4e and as much as I believe it’s a vastly improved system over its predecessors, these improvements have come with some sacrifices. One of those sacrifices is the feasibility of the one player game. Creating and running a one player game is a lot of work. It presents a new set of challenges for the DM and the player, even more so since the release of 4e. D&D Solo Adventures. Quests; Forum; Welcome to D&D Single Player Adventures. This is the first article in a series we’ll be running throughout October in which we look at how to overcome the difficulties or running and playing a solo adventure. In part 1 and part 2 we’ll provide tips for the DM and then end the series with tips for players. Creating a game that focuses on just one player can be very rewarding. In fact, I enjoy this kind of adventure more than those designed for large parties. It gives you the opportunity to weave a very intricate story that revolves around one hero. This kind of adventure is a lot more challenging to run and create. Dungeons And Dragons 5e Monster Manual Pdf 4e. DOWNLOAD PDF Dungeons & Dragons Monster Manual Roleplaying Game Core Rules 4th. For those who have played solo adventures in 4e D& D please let us know of any additional. D& D 4e: Solo: D& D Single Player Adventures. Posted by Freelance Police. Dungeons & Dragons; D& D 4. E Game System; 0 Comments. Dungeons and Dragons Adventures provides resources for 2. E/3. E Dungeons and Dragons. Introduction to Amberdale (PDF 1. Mb) PDabble. It’s not something I’d recommend for new or timid DMs. When there’s only one PC you have to take a whole bunch of new factors into considerations when planning each encounter. Combat encounters are going to present issues you wouldn’t normally have to worry about in a traditional game. Combat in 4e is designed with a party in mind. Different classes and different roles all have a purpose and a place on the battlefield. The absence of one or two roles isn’t a big deal if you’re still running a party of five. It’s a huge deal for a party of one. Some roles and classes are definitely more suited to solo games than others, but any PC who finds himself alone in combat should be weary. When you’re in an adventuring party and you fall unconscious during combat one of your allies can revive you. Dungeons And Dragons Solo Adventures 4e Pdf ConverterIf you’re all by yourself and fall below 0 hit points it’s probably game over. There may be rare occasions when the monster or villain has a really good reason to keep you alive, but this should be the exception and not the norm. While the Sword Coast Adventurer’s Guide is a valuable resource for Dungeon. Winner (Judges' Spotlight): Best Adventure: Dungeons & Dragons (Sword Coast. Jump to: navigation, search. A listing of various free adventures available on the Internet. D&D 4e: Solo: D&D Single Player Adventures. Posted by Freelance Police. Dungeons & Dragons; D&D 4E Game System; 0 Comments. Subscribe Thu Jun 16. List of Dungeons & Dragons modules. For a list of published 3rd and 4th Edition Adventures see List of Dungeons & Dragons adventures. It’s up to the DM to make sure that the solo PC isn’t forced into situations where his demise is all but a sure thing. Give the PC options. If he chooses to fight, it should be within his abilities to win. It doesn’t have to be a cake walk, but it should be possible. In order to keep combat encounters balanced you should keep the monsters a few levels below that of the PC. This level difference will give the PC increased hit points, defenses and attack scores – all of which provide him with an edge. Another option is to throw the PC a life line. Maybe he has a couple of NPCs accompanying him on his mission or quest. They’venot active combatants but they can jump in if things go really wrong. Personally, I’d discourage this approach. As the DM you’ve got enough to do without having to keep track of a coupe more NPCs. Supporting characters should definitely be a part of the story, but try to leave them out of combat. Any PC who is willing to adventure on his own is clearly a cut above normal PCs. DMsmay want to give this exceptional PC an additional edge by granting a couple of bonus feats. Durability, Toughness, and Human Perseverance are all great utility feats that make any solo adventurer more potent on his own. This is just the tip of the ice burg, but it’s a good start. Designing an adventure for one PC is tough, but these suggestions should make things a little bit easier. In part two of this series we’ll provide some suggestions for running solo skill challenges as well as things to remember regarding the larger campaign. Later articles will provide the would- be solo player with things to keep in mind should they find himself in a solo game. For more tips on how to run a game for just one PC, check out D& D Party of One (Part 2). And in D& D Party of One (Part 3) we provide tips for players. Have you played or run a solo game in 4e? What challenges did you experiences? Did the game work out as you expected or did you find the 4e mechanics to prohibitive for this kind of adventure? Looking for instant updates? Subscribe to the Dungeon’s Master feed! List of Dungeons & Dragons modules. A module in Dungeons & Dragons is an adventure published by TSR, the term is usually applied to adventures published for all Dungeons & Dragons games before 3rd Edition. For 3rd Edition and beyond new publisher Wizards of the Coast uses the term adventure. For a list of published 3rd and 4th Edition Adventures see List of Dungeons & Dragons adventures. For description and history of Adventures/Modules see Adventure (D& D). Adventures for various campaign settings are listed in different articles, including Forgotten Realms, Dragonlance, Greyhawk, Mystara, Kara- Tur, Spelljammer, Ravenloft, Al- Qadim, Dark Sun, Planescape, Birthright, and Eberron. The modules listed here are in three separate lists of official TSR Dungeons & Dragons modules only. The coded modules (1. Modules made after the code system was dropped (1. Note: There is considerable overlap caused by the transition period and early pre- advertising for some modules. Coded modules (1. They can also form an extended campaign following T and followed by G. AC. They are generally associated with Mystara albeit quite generic. B. Mostly they are independent adventures, set in Mystara. C. They can also form an extended campaign following G, and followed by Q. DA. They are linked series traditional modules for AD& D (1st Ed) except where noted. DLA. 3 1. 99. 4Compilation of DL1. They can also form an extended campaign following A, and followed by DGA. It was originally planned to be a series of five linked modules, but only three were ever published. LN. Mentzer initially intended the . The original concept was to use these modules to form the basis of a new Greyhawk boxed set, although TSR never went forward with these plans and as such the modules are not officially for Greyhawk. RA. This series was latter revised and reprinted as B7, C4 & C5. Code. Title. Levels. Author(s)Published. Notes. RPGA1. Rahasia. Later combined into B7. Original RPGA1 by itself is a very rare module, though PDFs exist of RPGA1 and 2 combined and edited into a single document. RPGA2. Black Opal Eye. Later combined into B7. Very rare module. RPGA3. The Forgotten King. Paul La. Fountain. Introduces four new crystal spheres. SJA4. Under the Dark Fist. No modules were ever assigned codes WG1. WG1 was earmarked for The Village of Hommlet (T1), and WG2 was earmarked for The Temple of Elemental Evil (T1- 4). WG3 was to be Lost Caverns of Tsojcanth (S4), a loosely tied prequel to WG4. WG7 was advertised during summer 1. Shadowlords, a collaboration between Gary Gygax and Skip Williams. Gygax's lawsuit with TSR put Shadowlords in limbo, and it was replaced with Castle Greyhawk. WGA. The planned third module became instead the Greyhawk Wars boxed wargame. X. Reynolds. 19. 99. Expanded version of G1, G2 and G3 that includes adventures suitable for low to high level characters. Set in Greyhawk. 1. The Apocalypse Stone. Jason Carl & Chris Pramas. An endtimes adventure designed to bring about the destruction of the campaign world. Generic setting. 9. Assault on Raven's Ruin. Reynolds. 19. 98. Second volume in the Lost Tombs trilogy. Set in Greyhawk. 9. The Dancing Hut of Baba Yaga. Ranked 1. 4th greatest adventure of all time. Cordell; Steve Miller. Three- part adventure (Greyhawk, Ravenloft and Planescape). The final 2nd edition adventure. The Doomgrinder. 4. Set in Greyhawk. Dragon Mountain. Boxed set adventure. Dungeons of Despair. Varies. Various. 19. Adventures compiled from Dungeon magazine. The Dwarven Glory Pete and Judy Kerestan. Distributed by TSR and published by Wee Warriors. Evil Tide. 5. Generic setting. Eye of Doom. 6. Reid. Second part of the . Reid. 19. 96. First part of the . Generic setting. Eye of the Wyvern. Jeff Grubb. Fast- Play Game adventure. Eye to Eye. 8. Reid. Third part of the . Terra. 19. 94. For the Dark Sun setting. The Gates of Firestorm Peak. Bruce Cordell. 19. Ranked 1. 1th greatest adventure of all time. Generic setting. 2. Hail the Heroes. 1. Includes an interactive audio CD for use with the adventure. A Hero's Tale. 1- 1. Monte Cook. 19. 96. Adventure anthology suitable for any campaign world. In the Phantom's Wake. Includes adventures for low to high level characters. The Knight of Newts. Designed for the boxed set or Rules Cyclopedia and comes with full color poster map. Labyrinth of Madness. Monte Cook. 19. 95. Generic setting. 3. Legends of the Hero- Kings. Variable. Ed Stark. For the Birthright campaign setting. Includes adventures for low to high level characters. The Lost Shrine of Bundushatur. Michael D. Wagner. Generic setting. Part of the Dungeon Crawl series of stand- alone modules. Mark of Amber. 4. Rateliff. 19. 95. Set in Mystara; sequel to Castle Amber. Includes interactive audio CD for use with the adventure. Moonlight Madness. Epic Underdark Campaign. Night of the Shark. Richard Baker III1. Set in Mystara. Palace of the Vampire Queen Pete and Judy Kerestan. The first published adventure ever. Distributed by TSR and published by Wee Warriors. Connors. 19. 92. Thunder Rift setting. Followed by Rage of the Rakasta. Quest for the Fazzlewood John and Laurie Van De Graaf. Tournament module later revised and published as The Gem and the Staff. Connors. 19. 93. Thunder Rift setting. Can be played as a sequel to Quest for the Silver Sword or as a stand- alone. Ravenloft: 2. 5th Anniversary. Also known as the Silver Anniversary Edition, not to be confused with the I6 Ravenloft facsimile which was included in the TSR Silver Anniversary box. Moore. 19. 98. Set in Greyhawk. Return to the Keep on the Borderlands. Rateliff. 19. 99. Sequel to B2 The Keep on the Borderlands. Set in Greyhawk (but also has several Mystara references), even though B2 was generic in terms of setting. Return to the Tomb of Horrors. Cordell. 19. 98. Expansion and sequel to S1 Tomb of Horrors. Ranked 1. 0th greatest adventure of all time. Cordell. 19. 99. Sequel to S2 White Plume Mountain. Set in Greyhawk. 1. Reverse Dungeon. Various. John D. Rateliff & Bruce R. Cordell. 20. 00. Players roleplay monsters defending a dungeon against NPC adventurers. Generic setting. 1. Road to Danger. 1. Cordell. 19. 97. Third part of the . Reynolds and Chris Pramas. Sequel to A1. Set in Greyhawk. Sword and Crown. 5. Introductory adventure. Temple, Tower, and Tomb. Steve Winter and Laura Craig. NNTerrible Trouble at Tragidore. Included with the 2nd edition Dungeon Master. Cordell. 19. 99. Generic setting. The Silver Key. 2. Reynolds. 19. 98. First part of the Lost Tombs trilogy. Set in Greyhawk. 1. The Star of Kolhapur. Generic setting. 3. The Sword of Roele. Generic setting. 3. Warlock of the Stonecrowns. It has no cover but the sleeve originally containing the whole bundle; Wilderness adventure. Book of numbers by shakuntala devi pdf download for free, 428 Posts 85 Topics Last post by itputdalotion0n in Re: XCOM 2 on June 04, 2015, AM 1257 Posts 41 Topics. Soulreaver 2 conntroller patch; 1985 yamaha xt 250 service manual. Pumpkin patch in gatlinburg tn; www.location-en-martinique.eu / 2014 / Americas great game pdf. There are many to choose from, such as Giphy GIF Maker 1 and IMGUR Video to GIF 2. Soulreaver 2 conntroller patch; regattabeachclub.us. 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The CHR Program was implemented to improve the health knowledge, attitudes and practices of Indian people by promoting, supporting, and assisting the I H S in delivering a total health care program on the community level. The efforts of CHR program staff have produced an American Indian and Alaska Native health service delivery system, which provides for follow- up and continued contact with the health care delivery system at the community level, thereby meeting the most basic needs of the American Indian and Alaska Native population. The goal of the CHR Program is to address health care needs through the provision of community- oriented primary care services, including traditional Native concepts in multiple’ settings, utilizing community- based, well- trained, medically- guided health care workers. The Indian Health Service (IHS) is the principal federal health care provider and health advocate for American Indians and Alaska Natives (AI/AN). The IHS goal is to raise Indian health status to the highest possible level. History & Background Development of the Program. It is generally accepted that the CHR program began in 1. CHR program was not a creation of the Indian Health Service. Indian Health Services (IHS) Mashpee Wampanoag Health Service Unit-IHS. 483 B Great Neck Road South. Phone 508-477-6967 Clinical Fax 508-477-0607 Administration Fax 508-477-0156. Hours of Operation 8:00-4:30. Health Center Updated 9/2/2016. Our mission is to provide a health care system, which is responsive to the needs to the Kickapoo Tribe and Native American Tribes, and provide the best possible health care. To upload your Job adverts pls register or email: [email protected]. Make the best use of your partners’ time and interests. Learn what community members and key partners see as important oral health issues and why they feel they are important. Be clear about the criteria for. National Information Center on Health Services Research and Health Care Technology (NICHSR). The Office of Economic Opportunity (OEO) initially funded the Community Health Aide Program in 1. In 1. 96. 9, IHS requested funds to train 2. Community Health Aides in Alaska. By 1. 97. 2, the last OEO- CHR program was transferred to IHS, which increased its support and training of CHRs to 1,0. FY '7. 4. IHS has held that the CHR program was created to meet four needs: The need for greater involvement of American Indians/Alaskan Indians in their own health programs, and greater participation by Native Americans in the identification and solving of their health problems. The need for greater understanding between the Indian people and the Indian Health Service Staff. The need to improve cross- cultural communication between the Indian community and the providers of health service. The need to increased basic health care and instruction in Indian homes and communities. The CHR program was not initiated by the tribes, but rather was assumed by IHS to be useful in providing the tribes an opportunity to become involved in health by paying staff to perform an outreach, community organization function. The CHR program was a result of Native American Tribes identifying the need for such a program, lobbying for it, and acquiring funding. Had the program remained in OEO, the question of function of CHRs might never have arisen and they might have continued to play a useful but ephemeral . What was different in this case was that federal responsibility for the program passed from OEO to IHS; from the Community Action Program to the tribes themselves; and it was transferred at time when IHS was seeking a mechanism for Native Americans to achieve self- determination in health. The job related tasks of the CHR have changed somewhat throughout the years, but the original intent of IHS was that the CHRs become a community health promoter /educator, a health advocate, and a health paraprofessional who would regularly visit the homes of clients and conduct health assessments and provide transportation, when needed. Today, the history of the CHR is well documented and an integral part of the health delivery system of most tribes, nations, and villages. The CHR is seen as an agent of the people, helping their clients tend to their health needs. Today, the CHR program has grown to over 1,4. CHRs representing over 2. Many areas have their own CHR association, designed to meet and share ideas. The Oklahoma Area Association of CHRs continues a strong existence by meeting educational needs of the CHRs as well as providing a large educational conference attended by many out of state tribes as well as the Oklahoma Tribes, PHNs, LPN and RNs working in community based programs. The National Association of Community Health Representatives (NACHR) has a representative from each area to recommend national policies and share program ideas. The Community Health Representative (CHR) Program evolved to become the largest program originally contracted to the tribes, not only in dollars and number of people involved, but also in the number of tribes holding contracts. The first CHR activity was designed to contain the spread of tuberculosis throughout several American Indian communities. CHR contracts were held by 2. CHRs and CHAs. In terms of accomplishments, the program was most successful. The I H S described it as the tribes' own program and distributed a variety of literature and public statements praising its accomplishments. The Need For CHRs. CHRs are in growing demand. It has already been seen how much they assist and connect the community and their work has become essential to the Indian Health Service facilities. The CHRs are a good advocate because they come from the community of which they serve and know the specific tribal healthcare needs; their dedication to their work has helped many of which who otherwise have trouble fulfilling their healthcare needs. The efforts the representatives put into health promotion and disease prevention has also done extremely well and has limited the people from facing the problems of ill health. They have been tremendously helpful in lowering the mortality rates through their teachings and as a result of that reducing the tribal healthcare expenses. CHRs reach out and help people on an individual basis and are an important part of the I H S facilities. Muscogee (Creek) Nation CHR Program. The MCN CHR Program is staffed with five administrative staff and twenty- four Generalist positions and 4 transporter positions. The counties covered includes Okmulgee, Okfuskee, Mc. Intosh, Hughes, Muskogee, Wagoner, Creek, Tulsa and eastern Seminole Counties. Currently the CHR Program serves 9. Home Visits, Advocacy, Community Health Education, Case Management, Monitor Patient, Transportation, refer for Environmental Service and Medication delivery (limited basis). Service Eligibility. Reside within the Creek Nation service area. Have no other means or resources for transportation. Be an enrolled member of a federally recognized tribe. Have a scheduled appointment at an I. H. 2nd Street, Okemah, OK 7. Koweta Office: 3. E. Highway 5. 1, Koweta, OK 7. In the Navajo Nation, a Focus on Health Data. Native Americans have the highest rate of diabetes of all US racial and ethnic groups. Around 1. 6 percent of American Indian and Alaska Native adults have been diagnosed with that condition, according to the Centers for Disease Control and Prevention. Diabetes increases the risk of devastating complications such as heart disease, kidney failure, liver disease, and need for amputations, and Native Americans have higher rates of these problems than do other Americans with diabetes. A community health representative meets with two members of the Navajo Nation. PCORI funds a variety of projects to overcome barriers to good health and health care experienced by Native Americans. We work on two PCORI- funded projects that focus on diabetes among people living in the Navajo Nation, a territory covering parts of Arizona, Utah, and New Mexico. One of these studies is examining a community health project in which trained laypeople, known as community health representatives, reach out to coach people in their communities and help coordinate care. In the study, researchers are interviewing Navajo people who have successfully prevented or managed diabetes to find out whether, and how, community health representatives played a role. The researchers are also comparing health outcomes of people with diabetes who have and have not worked with community health representatives. The other study combines data from electronic health records of the Navajo Nation and other sites around the country served by the Indian Health Service (IHS). Its goal is to improve health outcomes among American Indians with diabetes and cardiovascular disease. The research team will evaluate the effects of education and health services on patient outcomes to help patients make informed choices. In these studies, we have encountered challenges specific to the Navajo Nation, but input from the community has strengthened our work. In turn, we are providing the local communities with data analyses to help them improve the health care they provide. As members of the two study teams, we have found that collaborating with each other improves our analyses. We talked with PCORI about: Challenges of Providing Health Care and Doing Research within the Navajo Nation. Taking blood pressure measurements is among many tasks performed by community health representatives in the Navajo Nation. Most of the roads are not paved in the Navajo Nation, which is the size of West Virginia. The Navajo Area IHS has 1. Joan O. Healthcare providers need to take into account that many of the patients they serve have very low incomes and live far from hospitals and clinics. Shin: A lot of health care should be based in the community rather than delivered in the clinic. We want to give community health representative programs the tools they need to deliver effective health coaching and coordinate it with clinical teams. That means going to primary care doctors more regularly, rather than winding up in the emergency room or being hospitalized. Olivia Muskett, Qualitative Researcher: In our study with Dr. Shin, before we did any interviews in homes, we had to go to that community and attend what they call a chapter meeting to get permission to do interviews there. Then we went to the homes to do interviews. I had to go to each home at least twice, first to introduce myself and get permission, and second to ask the interview questions. Sometimes I had to go several times, to try to catch them when they. I believe only two of the interviews were in English. The rest were all in Navajo. Kimberly Huyser, Data Analysis Researcher: I know from conversations with my elders that they don. Doctors brand- new to the reservation don. Our elders need someone to tell them, what are healthy alternatives given the restrictions that they? How can we make meaningful change even if we can. I was the oldest of five. When my brother was a toddler and we were living in a small community, he fell and hit his head and got a huge gash. My parents had to drive 4. ER to get him stitched up. For us even to go to our preventive checkups, my parents had to strategize. Whenever we drove to town, it was a big deal. With diabetes management, it. We started by asking the members, is this research appropriate? How do you want to see this research done in the Navajo Nation? There were some study questions that we had to revise. Some of it was the way we ask the questions. For a lot of people in the community, if you don. We had to make sure that we weren. The majority of sites don. We are supplementing the healthcare data with other data, like US census data, to examine the influence of education, income, and other characteristics on health and service utilization. We provide information back to local sites, including the two in the Navajo Nation, so that they can use it for their purposes. For example, one site reviewed information for patients who obtained diabetes care and education. They could see that they were getting patients in for one visit, but not for two, three, or four visits. They felt they couldn. They are now conducting more patient outreach, such as making more phone calls and enhancing home- based services. Kimberly Huyser, Data Analysis Researcher: In the data, we see different health outcomes by clinic. Some of the things we can explain by the resources in the clinics themselves. But we also know that the resources in the community really matter. If we are able to find out that a community has higher education or the family structures are different, that might lead to mechanisms for better providing care. Back to top. Collaboration Improves Data. The Navajo Nation is the size of West Virginia with less than one- tenth of its population. Some residents live hours away from the nearest health clinic. We discuss issues related to the analyses. For instance, one Navajo Nation site transitioned to a new electronic health records system. We developed a method to ensure we did not double- count services during the transition. At a fundamental level, interventions have to be regional and connect different facilities. We also really want to make sure we understand the similarities and differences between our analytic approaches. If we were to sit down with a local advisory group, many of those people would be the same for both studies. 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