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106-476: In 2022, Baystate's four hospitals reported a total of over 55,000 discharges and over 185,000 emergency department visits. In 1974, Springfield Hospital Medical Center merged Wesson Women's Hospital to create the 672-bed Medical Center of Western Massachusetts. In 1976, the Medical Center of Western Massachusetts merged with Wesson Memorial Hospital. The merger established Baystate Medical Center, then

212-771: A Homestead Act , a transcontinental railroad, the National Bank Act , authorization of United States Notes by the Legal Tender Act of 1862 , and the end of slavery in the District of Columbia . The Revenue Act of 1861 introduced income tax to help finance the war. In December 1860, the Crittenden Compromise was proposed to re-establish the Missouri Compromise line, by constitutionally banning slavery in territories to

318-526: A phishing scam of Baystate Health employees may have compromised some demographic and clinical information of as many as 13,000 patients. Baystate informed patients and stated social security numbers or financial or account information was not accessed in the scam. Located on the campus of Baystate Medical Center in Springfield, Massachusetts, Baystate Children's Hospital, with 110 beds and 57 bassinets, provides complete critical care programs, including

424-629: A psychiatric ward , and an ICU . Services include intensive care, diagnostic imaging, cardiopulmonary services and rehab, emergency treatment, cancer services, lab and behavioral health . In 2015, the Cleverley & Associates Community Value Index recognized Noble Hospital as being in the top 20 percent of hospitals nationwide. In 2019 both the Telemetry Unit and the Intensive Care Unit of Noble Hospital were closed. Currently

530-522: A Baltimore newspaper editor, Frank Key Howard , after he criticized Lincoln in an editorial for ignoring Taney's ruling. In Missouri, an elected convention on secession voted to remain in the Union. When pro-Confederate Governor Claiborne Fox Jackson called out the state militia, it was attacked by federal forces under General Nathaniel Lyon , who chased the governor and rest of the State Guard to

636-692: A State to remain in the Union" was not among the "enumerated powers granted to Congress". A quarter of the US army—the Texas garrison—was surrendered in February to state forces by its general, David E. Twiggs , who joined the Confederacy. As Southerners resigned their Senate and House seats, Republicans could pass projects that had been blocked. These included the Morrill Tariff , land grant colleges,

742-465: A blockade of the Confederacy to suffocate the South into surrender. Lincoln adopted parts of the plan but opted for a more active war strategy. In April 1861, Lincoln announced a blockade of all Southern ports; commercial ships could not get insurance, ending regular traffic. The South blundered by embargoing cotton exports before the blockade was fully effective; by the time they reversed this decision, it

848-705: A draft law in April 1862 for men aged 18–35, with exemptions for overseers, government officials, and clergymen. The U.S. Congress followed in July, authorizing a militia draft within states that could not meet their quota with volunteers. European immigrants joined the Union Army in large numbers, including 177,000 born in Germany and 144,000 in Ireland. About 50,000 Canadians served, around 2,500 of whom were black. When

954-483: A firm hand by Lincoln tamed Seward, who was a staunch Lincoln ally. Lincoln decided holding the fort, which would require reinforcing it, was the only workable option. On April 6, Lincoln informed the Governor of South Carolina that a ship with food but no ammunition would attempt to supply the fort. Historian McPherson describes this win-win approach as "the first sign of the mastery that would mark Lincoln's presidency";

1060-409: A major corporate restructuring in 1997 reduced the number of governing boards across BH from twenty-one to six. On January 1, 2004, the governance structure of Baystate Health was further simplified with the establishment of a single board of trustees for Baystate Health that also serves as mirror boards for its patient care entities that had previously been governed by a separate board. In August 2016,

1166-479: A man until she died in 1915 at the age of 71. The small U.S. Navy of 1861 rapidly expanded to 6,000 officers and 45,000 sailors by 1865, with 671 vessels totaling 510,396 tons. Its mission was to blockade Confederate ports, control the river system, defend against Confederate raiders on the high seas, and be ready for a possible war with the British Royal Navy . The main riverine war was fought in

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1272-502: A new 641,000-square-foot (59,600 m), $ 300 million facility that includes: a heart and vascular center; new patient care units with private rooms; a new emergency department, of 70,000 square feet (6,500 m). The new building also includes shell space for future growth. It was officially dedicated on February 28, 2012. The Massachusetts Department of Health certified the new building in January 2012 and new patients began to occupy

1378-451: A patriotic fire under the North. On April 15, Lincoln called on the states to field 75,000 volunteer troops for 90 days; impassioned Union states met the quotas quickly. On May 3, 1861, Lincoln called for an additional 42,000 volunteers for three years. Shortly after this, Virginia , Tennessee , Arkansas , and North Carolina seceded and joined the Confederacy. To reward Virginia,

1484-547: Is a 31-bed, tax-exempt, not-for-profit hospital, providing medical, surgical, pediatric, obstetric, emergency, outpatient, and adult day care services. Founded in 1909 by the Ware Visiting Nurse Association, the hospital services communities in Western and Central Massachusetts . The hospital was renamed Baystate Mary Lane Hospital in 2006. In 2016, it was announced they will stop overnight care at

1590-525: Is a medical center in Westfield, Massachusetts . Founded in 1893, Noble Hospital owes its existence to Reuben Noble. Noble was born in Westfield in 1820. He made a fortune from the city's whip manufacturing industry and unsuccessfully campaigned as a Democrat in two Massachusetts State Senate elections. Noble died on June 3, 1890. His will gifted over $ 43,000 for the establishment of a hospital "for

1696-420: Is rapidly being replaced by hospitalist medicine a term first used by Robert Wachter in an article written for The New England Journal of Medicine in 1996. The concept of hospitalist medicine provides around-the-clock inpatient care from physicians whose sole practice is the hospital itself. They work with the community of primary care physicians to provide inpatient care and transition patients back to

1802-483: Is the care of patients whose condition requires admission to a hospital . Progress in modern medicine and the advent of comprehensive out-patient clinics ensure that patients are only admitted to a hospital when they are extremely ill or have severe physical trauma . Patients enter inpatient care mainly from previous ambulatory care such as referral from a family doctor , or through emergency medicine departments. The patient formally becomes an " inpatient " at

1908-597: The 1860 presidential election . Seven Southern slave states responded to Lincoln's victory by seceding from the United States and forming the Confederacy. The Confederacy seized U.S. forts and other federal assets within their borders. The war began on April 12, 1861, when the Confederacy bombarded Fort Sumter in South Carolina . A wave of enthusiasm for war swept over the North and South, as military recruitment soared. Four more Southern states seceded after

2014-543: The Battle of Gettysburg . Western successes led to General Ulysses S. Grant 's command of all Union armies in 1864. Inflicting an ever-tightening naval blockade of Confederate ports, the Union marshaled resources and manpower to attack the Confederacy from all directions. This led to the fall of Atlanta in 1864 to Union General William Tecumseh Sherman , followed by his March to the Sea . The last significant battles raged around

2120-622: The Confederate States of America , on February 4, 1861. They took control of federal forts and other properties within their boundaries, with little resistance from outgoing President James Buchanan , whose term ended on March 4. Buchanan said the Dred Scott decision was proof the Southern states had no reason to secede and that the Union "was intended to be perpetual". He added, however, that "The power by force of arms to compel

2226-563: The Emancipation Proclamation went into effect in January 1863, ex-slaves were energetically recruited to meet state quotas. States and local communities offered higher cash bonuses for white volunteers. Congress tightened the draft law in March 1863. Men selected in the draft could provide substitutes or, until mid-1864, pay commutation money. Many eligibles pooled their money to cover the cost of anyone drafted. Families used

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2332-560: The Emancipation Proclamation , which declared all slaves in rebel states to be free, applying to more than 3.5 million of the 4 million enslaved people in the country. To the west, the Union first destroyed the Confederacy's river navy by the summer of 1862, then much of its western armies, and seized New Orleans . The successful 1863 Union siege of Vicksburg split the Confederacy in two at the Mississippi River , while Confederate General Robert E. Lee 's incursion north failed at

2438-451: The North 's reasons for refusing to allow the Southern states to secede. The pseudo-historical Lost Cause ideology denies that slavery was the principal cause of the secession, a view disproven by historical evidence, notably some of the seceding states' own secession documents . After leaving the Union, Mississippi issued a declaration stating, "Our position is thoroughly identified with

2544-592: The Virginia to prevent its capture, while the Union built many copies of the Monitor . The Confederacy's efforts to obtain warships from Great Britain failed, as Britain had no interest in selling warships to a nation at war with a stronger enemy and feared souring relations with the U.S. By early 1861, General Winfield Scott had devised the Anaconda Plan to win the war with minimal bloodshed, calling for

2650-406: The 168,649 men procured for the Union through the draft, 117,986 were substitutes, leaving only 50,663 who were conscripted. In the North and South, draft laws were highly unpopular. In the North, some 120,000 men evaded conscription, many fleeing to Canada, and another 280,000 soldiers deserted during the war. At least 100,000 Southerners deserted, about 10 percent of the total. Southern desertion

2756-657: The Atlantic and Pacific oceans. Insurance rates soared, and the American flag virtually disappeared from international waters, though reflagging ships with European flags allowed them to continue operating unmolested. After the war, the U.S. government demanded Britain compensate it for the damage caused by blockade runners and raiders outfitted in British ports. Britain paid the U.S. $ 15 million in 1871, but only for commerce raiding. Dinçaslan argues that another outcome of

2862-566: The Bahamas in exchange for high-priced cotton. Many were lightweight and designed for speed, only carrying small amounts of cotton back to England. When the Union Navy seized a blockade runner, the ship and cargo were condemned as a prize of war and sold, with proceeds given to the Navy sailors; the captured crewmen, mostly British, were released. The Southern economy nearly collapsed during

2968-400: The British response to the U.S. was toned down, helping avert war. In 1862, the British government considered mediating between the Union and Confederacy, though such an offer would have risked war with the U.S. British Prime Minister Lord Palmerston reportedly read Uncle Tom's Cabin three times when deciding what his decision would be. The Union victory at the Battle of Antietam caused

3074-621: The British to delay this decision. The Emancipation Proclamation increased the political liability of supporting the Confederacy. Realizing that Washington could not intervene in Mexico as long as the Confederacy controlled Texas, France invaded Mexico in 1861 and installed the Habsburg Austrian archduke Maximilian I as emperor. Washington repeatedly protested France's violation of the Monroe Doctrine . Despite sympathy for

3180-585: The Civil War the deadliest military conflict in American history. The technology and brutality of the Civil War foreshadowed the coming World Wars . The origins of the war were rooted in the desire of the Southern states to preserve the institution of slavery . Historians in the 21st century overwhelmingly agree on the centrality of slavery in the conflict. They disagree on which aspects (ideological, economic, political, or social) were most important, and on

3286-575: The Commonwealth, which at its greatest extent was over half the state, and it went into exile after October 1862. After Virginia's secession, a Unionist government in Wheeling asked 48 counties to vote on an ordinance to create a new state in October 1861. A voter turnout of 34% approved the statehood bill (96% approving). Twenty-four secessionist counties were included in the new state, and

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3392-400: The Confederacy refused to exchange black prisoners. After that, about 56,000 of the 409,000 POWs died in prisons, accounting for 10 percent of the conflict's fatalities. Historian Elizabeth D. Leonard writes that between 500 and 1,000 women enlisted as soldiers on both sides, disguised as men. Women also served as spies, resistance activists, nurses, and hospital personnel. Women served on

3498-518: The Confederacy, France's seizure of Mexico ultimately deterred it from war with the Union. Confederate offers late in the war to end slavery in return for diplomatic recognition were not seriously considered by London or Paris. After 1863, the Polish revolt against Russia further distracted the European powers and ensured they remained neutral. Russia supported the Union, largely because it believed

3604-450: The Confederacy. According to Lincoln, the American people had shown they had been successful in establishing and administering a republic, but a third challenge faced the nation: maintaining a republic based on the people's vote, in the face of an attempt to destroy it. Lincoln's election provoked South Carolina 's legislature to call a state convention to consider secession. South Carolina had done more than any other state to advance

3710-755: The Confederate capital was moved to Richmond . Maryland , Delaware , Missouri , West Virginia and Kentucky were slave states whose people had divided loyalties to Northern and Southern businesses and family members. Some men enlisted in the Union Army and others in the Confederate Army. West Virginia separated from Virginia and was admitted to the Union on June 20, 1863, though half its counties were secessionist. Maryland's territory surrounded Washington, D.C. , and could cut it off from

3816-542: The District of Columbia by seizing prominent figures, including arresting one-third of the members of the Maryland General Assembly on the day it reconvened. All were held without trial, with Lincoln ignoring a ruling on June 1, 1861, by Supreme Court Chief Justice Roger Taney , not speaking for the Court, that only Congress could suspend habeas corpus ( Ex parte Merryman ). Federal troops imprisoned

3922-658: The North. It had anti-Lincoln officials who tolerated anti-army rioting in Baltimore and the burning of bridges, both aimed at hindering the passage of troops to the South. Maryland's legislature voted overwhelmingly to stay in the Union, but rejected hostilities with its southern neighbors, voting to close Maryland's rail lines to prevent their use for war. Lincoln responded by establishing martial law and unilaterally suspending habeas corpus in Maryland, along with sending in militia units. Lincoln took control of Maryland and

4028-1036: The South regarded it as insufficient. The remaining eight slave states rejected pleas to join the Confederacy, following a no-vote in Virginia's First Secessionist Convention on April 4. On March 4, Lincoln was sworn in as president. In his inaugural address , he argued that the Constitution was a more perfect union than the earlier Articles of Confederation and Perpetual Union , was a binding contract, and called secession "legally void". He did not intend to invade Southern states, nor to end slavery where it existed, but he said he would use force to maintain possession of federal property, including forts, arsenals, mints, and customhouses that had been seized. The government would not try to recover post offices, and if resisted, mail delivery would end at state lines. Where conditions did not allow peaceful enforcement of federal law, US marshals and judges would be withdrawn. No mention

4134-461: The South's post-war recovery. Cotton diplomacy proved a failure as Europe had a surplus of cotton, while the 1860–62 crop failures in Europe made the North's grain exports critically important. It also helped turn European opinion against the Confederacy. It was said that "King Corn was more powerful than King Cotton," as U.S. grain went from a quarter to almost half of British imports. Meanwhile,

4240-545: The South. The Confederacy turned to foreign sources, connecting with financiers and companies like S. Isaac, Campbell & Company and the London Armoury Company in Britain, becoming the Confederacy's main source of arms. To transport arms safely to the Confederacy, British investors built small, fast, steam-driven blockade runners that traded arms and supplies from Britain, through Bermuda, Cuba, and

4346-500: The U.S. and Britain over the Trent affair , which began when U.S. Navy personnel boarded the British ship Trent and seized two Confederate diplomats. However, London and Washington smoothed this over after Lincoln released the two men. Prince Albert left his deathbed to issue diplomatic instructions to Lord Lyons during the Trent affair. His request was honored, and, as a result,

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4452-471: The Union Army or pro-Union guerrilla groups. Although they came from all classes, most Southern Unionists differed socially, culturally, and economically from their region’s dominant prewar, slave-owning planter class. At the war's start, a parole system operated, under which captives agreed not to fight until exchanged. They were held in camps run by their army, paid, but not allowed to perform any military duties. The system of exchanges collapsed in 1863 when

4558-456: The Union blockade. The Confederacy purchased warships from commercial shipbuilders in Britain, with the most famous being the CSS ; Alabama , which caused considerable damage and led to serious postwar disputes . However, public opinion against slavery in Britain created a political liability for politicians, where the anti-slavery movement was powerful. War loomed in late 1861 between

4664-464: The Union hospital ship Red Rover and nursed Union and Confederate troops at field hospitals. Mary Edwards Walker , the only woman ever to receive the Medal of Honor , served in the Union Army and was given the medal for treating the wounded during the war. One woman, Jennie Hodgers, fought for the Union under the name Albert D. J. Cashier. After she returned to civilian life, she continued to live as

4770-492: The Union would win if it could resupply and hold the fort, and the South would be the aggressor if it opened fire on an unarmed ship supplying starving men. An April 9 Confederate cabinet meeting resulted in Davis ordering General P. G. T. Beauregard to take the fort before supplies reached it. At 4:30 am on April 12, Confederate forces fired the first of 4,000 shells at the fort; it fell the next day. The loss of Fort Sumter lit

4876-433: The Union, this was never likely, so they sought to bring them in as mediators. The Union worked to block this and threatened war if any country recognized the Confederacy. In 1861, Southerners voluntarily embargoed cotton shipments, hoping to start an economic depression in Europe that would force Britain to enter the war, but this failed. Worse, Europe turned to Egypt and India for cotton, which they found superior, hindering

4982-483: The Union-held Fort Sumter. Fort Sumter is located in the harbor of Charleston , South Carolina. Its status had been contentious for months. Outgoing President Buchanan had dithered in reinforcing its garrison, commanded by Major Robert Anderson . Anderson took matters into his own hands and on December 26, 1860, under the cover of darkness, sailed the garrison from the poorly placed Fort Moultrie to

5088-411: The Union. The central conflict leading to war was a dispute over whether slavery should be permitted to expand into the western territories, leading to more slave states , or be prohibited from doing so, which many believed would place slavery on a course of ultimate extinction. Decades of controversy over slavery were brought to a head when Abraham Lincoln , who opposed slavery's expansion, won

5194-560: The United States were in the intensive care unit; these accounted for nearly half the aggregate total hospital charges that year. American Civil War The American Civil War (April 12, 1861 – May 26, 1865; also known by other names ) was a civil war in the United States between the Union ("the North") and the Confederacy ("the South"), which was formed in 1861 by states that had seceded from

5300-577: The West, where major rivers gave access to the Confederate heartland. The U.S. Navy eventually controlled the Red, Tennessee, Cumberland, Mississippi, and Ohio rivers. In the East, the Navy shelled Confederate forts and supported coastal army operations. The Civil War occurred during the early stages of the industrial revolution, leading to naval innovations, notably the ironclad warship . The Confederacy, recognizing

5406-705: The assets that would be encumbered with the financing of a major new hospital building. In 1986, Franklin Medical Center in Greenfield joined Baystate Health; in 1999, Baystate Mary Lane Hospital in Ware joined the health system. In 2004, the Visiting Nurse Association & Hospice of Pioneer Valley, now renamed the Baystate Visiting Nurse Association & Hospice, became a member of Baystate Health. To this end,

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5512-521: The blockade was the rise of oil as a prominent commodity. The declining whale oil industry took a blow as many old whaling ships were used in blockade efforts, such as the Stone Fleet , and Confederate raiders harassed Union whalers. Oil products, especially kerosene, began replacing whale oil in lamps, increasing oil's importance long before it became fuel for combustion engines. Although the Confederacy hoped Britain and France would join them against

5618-439: The building in March 2012. Baystate Medical Center is currently a tax-exempt, nonprofit hospital with 716 beds and more than 4,000 employees. BMC serves as the tertiary care referral center for the region, meaning that it has a full complement of medical services and facilities. The latter include the area's only neonatal intensive care unit, a level-1 trauma center with pediatric designation, an adult cardiac surgery service with

5724-589: The care of their primary care provider upon discharge. Using this approach, primary care physicians are no longer required to make rounds or be on call. Today, hospitalist medicine is the fastest growing segment of medicine and is being adopted by hospitals worldwide for inpatient care. In 2011, there were approximately 39 million inpatient stays in the United States, with a national aggregate cost of $ 387 billion. U.S. programs Medicare and Medicaid bore responsibility for 63 percent of these total aggregate costs. In 2011, approximately one quarter of hospital stays in

5830-417: The city in search of treatment. The city approved Dr. Stebbins' recommendation, and Springfield City Hospital opened two years later in a remodeled farmhouse on Boston Road. In 1886, Dorcas Chapin, the widow of Chester W. Chapin , bequeathed $ 25,000 of her husband's will to Springfield Hospital on the condition that an equal sum be raised. By 1907, the hospital had a main building surrounding by four wings. In

5936-703: The concept of inpatient care by building a specialized temple for sick patients in 291 AD on the island of Tiber . It is believed the first inpatient care in North America was provided by the Spanish in the Dominican Republic in 1502; the Hospital de Jesús Nazareno in Mexico City was founded in 1524 and is still providing inpatient care. Perhaps the most famous provider of inpatient care

6042-477: The crisis was Secretary of State William H. Seward , who had been Lincoln's rival for the Republican nomination . Embittered by his defeat, Seward agreed to support Lincoln's candidacy only after he was guaranteed the executive office then considered the second most powerful. In the early stages of Lincoln's presidency Seward held little regard for him, due to his perceived inexperience. Seward viewed himself as

6148-657: The de facto head of government, the " prime minister " behind the throne. Seward attempted to engage in unauthorized and indirect negotiations that failed. Lincoln was determined to hold all remaining Union-occupied forts in the Confederacy: Fort Monroe in Virginia, Fort Pickens , Fort Jefferson , and Fort Taylor in Florida, and Fort Sumter in South Carolina. The American Civil War began on April 12, 1861, when Confederate forces opened fire on

6254-493: The ensuing guerrilla war engaged about 40,000 federal troops for much of the war. Congress admitted West Virginia to the Union on June 20, 1863. West Virginians provided about 20,000 soldiers to each side in the war. A Unionist secession attempt occurred in East Tennessee , but was suppressed by the Confederacy, which arrested over 3,000 men suspected of loyalty to the Union; they were held without trial. The Civil War

6360-430: The essential role of cotton in the European economy. The European aristocracy was "absolutely gleeful in pronouncing the American debacle as proof that the entire experiment in popular government had failed. European government leaders welcomed the fragmentation of the ascendant American Republic." However, a European public with liberal sensibilities remained, which the U.S. sought to appeal to by building connections with

6466-410: The free-versus-slave status of the new territories was a critical issue, both for the North, where anti-slavery sentiment had grown, and for the South, where the fear of slavery's abolition had grown. Another factor leading to secession and the formation of the Confederacy was the development of white Southern nationalism in the preceding decades. The primary reason for the North to reject secession

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6572-439: The homefront economy could no longer supply. Surdam contends that the blockade was a powerful weapon that eventually ruined the Southern economy, costing few lives in combat. The Confederate cotton crop became nearly useless, cutting off the Confederacy's primary income source. Critical imports were scarce, and coastal trade largely ended as well. The blockade's success was not measured by the few ships that slipped through but by

6678-414: The hospital. Nightingale became known as "The Lady with the Lamp" and is still considered the founder of modern nursing. The Nightingale School of Nursing continues today and her image is the one depicted each year on nurses' day. The original model for inpatient care required a family physician to admit a patient and then make rounds and manage the patient's care during their hospital stay. That model

6784-440: The hospital. On June 3, 2021, Baystate Health permanently closed the emergency department. Baystate Medical Center (BMC) is a hospital in Springfield, Massachusetts . In 1868, Dr. George Stebbins, the city physician in Springfield, Massachusetts, recommended that the city establish a permanent hospital. The need for a dedicated hospital in Springfield became evident during and after the Civil War , when wounded soldiers came to

6890-519: The institution of slavery—the greatest material interest of the world." The principal political battle leading to Southern secession was over whether slavery would expand into the Western territories destined to become states. Initially Congress had admitted new states into the Union in pairs, one slave and one free . This had kept a sectional balance in the Senate but not in the House of Representatives , as free states outstripped slave states in numbers of eligible voters. Thus, at mid-19th century,

6996-482: The international press. By 1861, Union diplomats like Carl Schurz realized emphasizing the war against slavery was the Union's most effective moral asset in swaying European public opinion. Seward was concerned an overly radical case for reunification would distress European merchants with cotton interests; even so, he supported a widespread campaign of public diplomacy. U.S. minister to Britain Charles Francis Adams proved adept and convinced Britain not to challenge

7102-534: The interwar period and treated airmen from Westfield's Barnes Airport during World War II . In 1956, its trustees voted to construct a new hospital building. Westfield residents enthusiastically supported this decision, raising $ 1,500,000 to fund the construction of this new facility. The new Noble Hospital opened in 1958, and has expanded its services substantially over the past half century. In 2015, Noble Hospital joined Baystate Health and became Baystate Noble Hospital. The 97-bed facility now has an emergency center,

7208-412: The legislatures of the dissolution of ties to the Union. However, at least four—South Carolina, Mississippi, Georgia, and Texas —provided detailed reasons for their secession, all blaming the movement to abolish slavery and its influence over the North. Southern states believed that the Fugitive Slave Clause made slaveholding a constitutional right. These states agreed to form a new federal government,

7314-538: The mental health unit is scheduled to close in 2023. Baystate Wing Hospital in Palmer, Massachusetts is a 74-bed community hospital with a history of providing health care for the Quaboag Hills and the Pioneer Valley. In addition, Baystate Wing's five medical centers, located in Belchertown , Palmer, and Wilbraham , offer outpatient services and primary care. 42°7′16.2″N 72°36′12.4″W  /  42.121167°N 72.603444°W  / 42.121167; -72.603444 Inpatient care Inpatient care

7420-424: The need to counter the Union's naval superiority, built or converted over 130 vessels, including 26 ironclads. Despite these efforts, Confederate ships were largely unsuccessful against Union ironclads. The Union Navy used timberclads, tinclads, and armored gunboats. Shipyards in Cairo, Illinois, and St. Louis built or modified steamboats . The Confederacy experimented with the submarine CSS  Hunley , which

7526-418: The new Confederacy sent delegates to Washington to negotiate a peace treaty. Lincoln rejected negotiations, because he claimed that the Confederacy was not a legitimate government and to make a treaty with it would recognize it as such. Lincoln instead attempted to negotiate directly with the governors of seceded states, whose administrations he continued to recognize. Complicating Lincoln's attempts to defuse

7632-525: The new hospital opened on September 9, 1895. In 1910, the hospital had raised an additional $ 65,000 in donations, enough to build a much larger facility on High Street. Although FCPH struggled financially during the Great Depression , it managed to expand its facilities and recruit new medical specialists. The hospital expanded further after World War II , and became affiliated with Baystate Medical Center in 1981. To reflect this new affiliation, it

7738-724: The north of it, while permitting it to the south. The Compromise would likely have prevented secession, but Lincoln and the Republicans rejected it. Lincoln stated that any compromise that would extend slavery would bring down the Union. A February peace conference met in Washington, proposing a solution similar the Compromise; it was rejected by Congress. The Republicans proposed the Corwin Amendment , an alternative, not to interfere with slavery where it existed, but

7844-421: The notion that a state had the right to nullify federal laws and even secede. On December 20, 1860, the convention unanimously voted to secede and adopted a secession declaration . It argued for states' rights for slave owners but complained about states' rights in the North in the form of resistance to the federal Fugitive Slave Act, claiming that Northern states were not fulfilling their obligations to assist in

7950-462: The patient prior to discharge to monitor the patient's progress as well as any potential complications that may have arisen. A 2016 Cochrane review showed some benefit to patient health when using individualised discharge planning over a standard format, though no reduction in health care costs. Inpatient care goes back to 230 BC in India where Ashoka founded 18 hospitals. The Romans also adopted

8056-463: The patient's current state, although the patient may be eligible for discharge it is important to examine factors such as the likelihood of re-injury to avoid higher health care costs. Patients' homes should also be visited and examined before they are discharged from the hospital to determine any immediate challenges and corresponding goals, adaptations and assistive devices that need to be implemented. Follow-up appointments should also be coordinated with

8162-464: The primary cause of disunion, it was disunion itself that sparked the war." Abraham Lincoln won the 1860 presidential election . Southern leaders feared Lincoln would stop slavery's expansion and put it on a course toward extinction. His victory triggered declarations of secession by seven slave states of the Deep South , all of whose riverfront or coastal economies were based on cotton that

8268-505: The reception of persons who may need medical or surgical treatment during temporary sickness or injury." Noble Hospital addressed the demand for a dedicated medical facility in Westfield, which was industrializing rapidly at the turn of the century. By 1905, Noble Hospital had expanded to include a surgical center and a nurse's training school. Between 1917 and 1920, the hospital's medical staff treated hundreds of wounded World War I veterans and Spanish Influenza patients. It grew further in

8374-792: The region's only Pediatric Intensive Care and Neonatal Intensive Care Units. It also includes pediatric inpatient services, child life specialists, an emergency room for kids, and outpatient specialty services. Baystate Franklin Medical Center is a hospital in Greenfield, Massachusetts . In 1894, Dr. William Pierce and Ellen Brown rented a house at 6 Main Street and opened a private medical practice. The following year, citizens of Franklin County agreed to open Franklin County Public Hospital (FCPH). With $ 16,000 in community fundraising,

8480-638: The region's only open-heart surgery capabilities, and a kidney transplant center. BMC is affiliated with the University of Massachusetts Medical School , and therefore is classified as an academic hospital. In 2016, U.S. News & World Report ranked BMC the third-best hospital in Massachusetts . In March 2020, BMC constructed a triage area outside the emergency department to address the potential surge in COVID-19 patients. Baystate Noble Hospital

8586-414: The return of fugitive slaves. The "cotton states" of Mississippi , Florida , Alabama , Georgia , Louisiana , and Texas followed suit, seceding in January and February 1861. Among the ordinances of secession, those of Texas, Alabama, and Virginia mentioned the plight of the "slaveholding states" at the hands of Northern abolitionists. The rest made no mention of slavery but were brief announcements by

8692-503: The second-largest hospital in New England , with 1,036 beds. In 1983, Baystate Medical Center was reorganized into three separate corporations: Baystate Health Systems, the parent corporation now renamed Baystate Health; Baystate Medical Center; and the for-profit corporation Baystate Diversified Health Services. The reorganization provided a legal framework for developing a future multi-institutional health care system and for reducing

8798-636: The southwestern corner of Missouri (see Missouri secession ). Early in the war the Confederacy controlled southern Missouri through the Confederate government of Missouri but was driven out after 1862. In the resulting vacuum, the convention on secession reconvened and took power as the Unionist provisional government of Missouri. Kentucky did not secede, it declared itself neutral. When Confederate forces entered in September 1861, neutrality ended and

8904-532: The stalwart island Fort Sumter. Anderson's actions catapulted him to hero status in the North. An attempt to resupply the fort on January 9, 1861, failed and nearly started the war then, but an informal truce held. On March 5, Lincoln was informed the fort was low on supplies. Fort Sumter proved a key challenge to Lincoln's administration. Back-channel dealing by Seward with the Confederates undermined Lincoln's decision-making; Seward wanted to pull out. But

9010-446: The state reaffirmed its Union status while maintaining slavery. During an invasion by Confederate forces in 1861, Confederate sympathizers and delegates from 68 Kentucky counties organized the secession Russellville Convention, formed the shadow Confederate Government of Kentucky , inaugurated a governor, and Kentucky was admitted into the Confederacy on December 10, 1861. Its jurisdiction extended only as far as Confederate battle lines in

9116-485: The subject of cultural and historiographical debate . Of continuing interest is the fading myth of the Lost Cause of the Confederacy . The war was among the first to use industrial warfare . Railroads, the electrical telegraph , steamships, the ironclad warship , and mass-produced weapons were widely used. The war left an estimated 698,000 soldiers dead, along with an undetermined number of civilian casualties, making

9222-457: The substitute provision to select which man should go into the army and which should stay home. There was much evasion and resistance to the draft, especially in Catholic areas. The New York City draft riots in July 1863 involved Irish immigrants who had been signed up as citizens to swell the vote of the city's Democratic political machine , not realizing it made them liable for the draft. Of

9328-408: The ten-month Siege of Petersburg , gateway to the Confederate capital of Richmond . The Confederates abandoned Richmond, and on April 9, 1865, Lee surrendered to Grant following the Battle of Appomattox Court House , setting in motion the end of the war . Lincoln led the nation through that victory but was shot by an assassin on April 14. By the end of the war, much of the South's infrastructure

9434-451: The thousands that never tried. European merchant ships could not get insurance and were too slow to evade the blockade, so they stopped calling at Confederate ports. To fight an offensive war, the Confederacy purchased arms in Britain and converted British-built ships into commerce raiders . The smuggling of 600,000 arms enabled the Confederacy to fight on for two more years, and the commerce raiders targeted U.S. Merchant Marine ships in

9540-417: The twentieth century, Springfield's population increased considerably, and Springfield Hospital further expanded Expansion culminated in a big merger in fall 1976, when Springfield Hospital and Wesson Women's Hospital joined with Wesson Memorial to form the 1,036-bed Baystate Medical Center (BMC). Today, BMC is the largest hospital affiliated with Baystate Health Systems. In 2012, Baystate Medical Center opened

9646-541: The war began and, led by its president, Jefferson Davis , the Confederacy asserted control over a third of the U.S. population in eleven states. Four years of intense combat, mostly in the South, ensued. During 1861–1862 in the Western theater , the Union made permanent gains—though in the Eastern theater the conflict was inconclusive. The abolition of slavery became a Union war goal on January 1, 1863, when Lincoln issued

9752-430: The war created jobs for arms makers, ironworkers, and ships to transport weapons. Lincoln's administration initially struggled to appeal to European public opinion. At first, diplomats explained that the U.S. was not committed to ending slavery and emphasized legal arguments about the unconstitutionality of secession. Confederate representatives, however, focused on their struggle for liberty, commitment to free trade, and

9858-478: The war due to multiple factors: severe food shortages, failing railroads, loss of control over key rivers, foraging by Northern armies, and the seizure of animals and crops by Confederate forces. Historians agree the blockade was a major factor in ruining the Confederate economy; however, Wise argues blockade runners provided enough of a lifeline to allow Lee to continue fighting for additional months, thanks to supplies like 400,000 rifles, lead, blankets, and boots that

9964-478: The world" within a few years. Some European observers at the time dismissed them as amateur and unprofessional, but historian John Keegan concluded that each outmatched the French, Prussian, and Russian armies, and without the Atlantic, could have threatened any of them with defeat. Unionism was strong in certain areas within the Confederacy. As many as 100,000 men living in states under Confederate control served in

10070-405: The writing of an admission note . Likewise, it is formally ended by writing a discharge note. Health care professionals involved in rehabilitation are often involved in discharge planning for patients. When considering patient discharge, there are a number of factors to take into consideration: the patient's current state, their place of residence and the type of support available. When considering

10176-549: Was Florence Nightingale who was the leading advocate for improving medical care in the mid-19th century. Nightingale gained fame and credibility during the Crimean War where she and 38 women volunteer nurses traveled to Crimea to treat wounded soldiers. During her first winter at the hospital 4077 soldiers died in the hospital there. She would use this experience to change the course of inpatient care by focusing on improving sanitary conditions and better living conditions within

10282-433: Was cultivated by slave labor. Lincoln was not inaugurated until March 4, 1861, giving the South time to prepare for war during the winter of 1860–1861. Nationalists in the North and "Unionists" in the South refused to accept the declarations of secession. No foreign government ever recognized the Confederacy. The U.S. government, under President James Buchanan , refused to relinquish its forts that were in territory claimed by

10388-487: Was destroyed. The Confederacy collapsed, slavery was abolished, and four million enslaved black people were freed. The war-torn nation then entered the Reconstruction era in an attempt to rebuild the country, bring the former Confederate states back into the United States, and grant civil rights to freed slaves. The war is one of the most extensively studied and written about episodes in U.S. history . It remains

10494-408: Was high because many soldiers were more concerned about the fate of their local area than the Southern cause. In the North, " bounty jumpers " enlisted to collect the generous bonus, deserted, then re-enlisted under a different name for a second bonus; 141 were caught and executed. From a tiny frontier force in 1860, the Union and Confederate armies grew into the "largest and most efficient armies in

10600-405: Was made of bullion lost from mints. He stated that it would be US policy "to collect the duties and imposts"; "there will be no invasion, no using of force against or among the people anywhere" that would justify an armed revolution. His speech closed with a plea for restoration of the bonds of union, famously calling on "the mystic chords of memory" binding the two regions. The Davis government of

10706-566: Was marked by intense and frequent battles. Over four years, 237 named battles were fought, along with many smaller actions, often characterized by their bitter intensity and high casualties. Historian John Keegan described it as "one of the most ferocious wars ever fought," where, in many cases, the only target was the enemy's soldiers. As the Confederate states organized, the U.S. Army numbered 16,000, while Northern governors began mobilizing their militias. The Confederate Congress authorized up to 100,000 troops in February. By May, Jefferson Davis

10812-512: Was not successful, and with the ironclad CSS  Virginia , rebuilt from the sunken Union ship Merrimack . On March 8, 1862, Virginia inflicted significant damage on the Union's wooden fleet, but the next day, the first Union ironclad, USS  Monitor , arrived to challenge it in the Chesapeake Bay . The resulting three-hour Battle of Hampton Roads was a draw, proving ironclads were effective warships. The Confederacy scuttled

10918-460: Was pushing for another 100,000 soldiers for one year or the duration, and the U.S. Congress responded in kind. In the first year of the war, both sides had more volunteers than they could effectively train and equip. After the initial enthusiasm faded, relying on young men who came of age each year was not enough. Both sides enacted draft laws (conscription) to encourage or force volunteering, though relatively few were drafted. The Confederacy passed

11024-569: Was renamed Baystate Franklin Medical Center (BMFC) two years later. Baystate Franklin Medical Center is a 90-bed hospital providing medical, surgical, obstetric, pediatric, psychiatric and behavioral health inpatient care, as well as outpatient services. With 900 employees, it is the only hospital in Franklin County and serves rural communities with appropriate specialized services. Baystate Mary Lane Outpatient Center in Ware, Massachusetts ,

11130-418: Was to preserve the Union, a cause based on American nationalism . Background factors in the run up to the Civil War were partisan politics , abolitionism , nullification versus secession , Southern and Northern nationalism, expansionism , economics , and modernization in the antebellum period . As a panel of historians emphasized in 2011, "while slavery and its various and multifaceted discontents were

11236-525: Was too late. " King Cotton " was dead, as the South could export less than 10% of its cotton. The blockade shut down the ten Confederate seaports with railheads that moved almost all the cotton. By June 1861, warships were stationed off the principal Southern ports, and a year later nearly 300 ships were in service. The Confederates began the war short on military supplies, which the agrarian South could not produce. Northern arms manufacturers were restricted by an embargo, ending existing and future contracts with

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