Janse B, Huijsman R, de Kuyper R Fabbricotti I. Triple aim in Kinzigtal, Germany: improving population health, integrating health care and reducing costs of care -- lessons for the UK? 2006;295:214857. Kammerlander C, Roth T, Friedman SM, Suhm N, Luger TJ, Kammerlander-Knauer U, et al. We identified diverse and frequently contradictory outcomes for models of integrated care reported in the included literature. UK studies found a reduction in out-patient appointments [31, 44, 53, 60, 67], however, the two international studies reporting this outcome found no significant effect. Johnstone RP, Jones AR, Burton C, Fowell A. Footman K, Garthwaite K, Bambra C, McKee M. Quality check: does it matter for quality how you organize and pay for health care? Cookies policy. writing, grammar, social studies, and science" (p.11). Health and social care integration. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. BMC Health Serv Res. Allen D, Rixson L. How has the impact of care pathway technologies on service integration in stroke care been measured and what is the strength of the evidence to support their effectiveness in this respect? We examined the data regarding outcomes and impacts for studies in the two largest sub-groups of patients - older adults, and populations described as having complex needs. There seems a need for further attention to how reconfiguration impacts on patients and carers, including whether service users perceive any change, or have greater knowledge of or involvement in services. We searched for grey literature via reference lists and also via UK websites including that of the Kings Fund (https://www.kingsfund.org.uk) and NHS England (https://www.england.nhs.uk). 2014;2(12):97987. BMC Health Serv Res. Google Scholar. 4 During the height of desegregation in the 1970s and 1980s, dropout rates decreased for minority students, with the greatest decline in dropout rates occurring in districts that had undergone the largest reductions in 2009;6:2018. https://doi.org/10.1136/bmj.h2005. Clarkson P, Brand C, Hughes J, Challis D. Integrating assessments of older people: examining evidence and impact from a randomised controlled trial. The effect of guided care teams on the use of health services: results from a cluster-randomized controlled trial. Colla CH, Wennberg DE, Meara E, Skinner JS, Gottlieb D, Lewis VA, et al. volume18, Articlenumber:350 (2018) We searched from this year as a previous review is available which included studies published up to 2006 [13]. The integrated implementation of two end-of-life care tools in nursing care homes in the UK: an in-depth evaluation. Early Int Psychiatry. All authors read and commented on drafts of the manuscript. Brokel JM, Harrison MI. As highly complex interventions, these models challenge linkage of particular elements of initiatives to effects, with a lack of clarity on which key elements are causally associated with positive outcomes. J Integrat Care. 2007;20(23):195214. PubMed Central Gray D, Armstrong CD, Dahrouge S, Hogg W, Zhang W. Cost-effectiveness of anticipatory and preventive multidisciplinary team care for complex patients: evidence from a randomized controlled trial. Impact of Quebecs healthcare reforms on the organization of primary healthcare (PHC): a 2003-2010 follow-up. 2014;14 https://doi.org/10.1186/s12913-014-0590-5. Available at: https://www.nuffieldtrust.org.uk/files/2017-02/shifting-the-balance-of-care-report-web-final.pdf. 2013;35:707. What are the disadvantages of using an integrated approach? Child Adolesc Mental Health. Analysis of early accountable care organizations defines patient, structural, cost, and quality-of-care characteristics. BMJ Open. A decade on: has the use of integrated care pathways made a difference in Lanarkshire? It is argued that increased service integration will enable the achievement of a financially sustainable health and social care system in the NHS by 2020. Glenton C, Colvin CJ, Carlsen B, Swartz A, Lewin S, Noyes J, et al. PubMed Mertes SC, Raut S, Khanduja V. Integrated care pathways in lower-limb arthroplasty: are they effective in reducing length of hospital stay? Palliat Med. BMC Health Services Research Horizontal integration improves the market share and costs synergies. Improving interprofessional collaboration in a community setting: relationships with burnout, engagement and service quality. 2016;42:896906. 2015;20(3):17788. 2014;22:6270. The patient-Centred medical home: a systematic review. Retrieved citations were uploaded to an EndNote database, and title and abstracts (where available) of papers were screened by three reviewers against the inclusion/exclusion criteria. Tytler argues that one disadvantage of an integrated approach is that one or the other learning area is trivialized. Brit J Infect Control. the final year of the program, students take their first social studies education course along with a 96-hour practicum in the fall. Health Policy. Coordinating primary health care: an analysis of the outcomes of a systematic review. London: Sage; 2006. Palliat Med. Of the included 54 UK articles, 16 reported findings from studies using higher quality comparator designs [25, 28, 30, 31, 34, 38, 40, 44, 49, 60, 63, 64, 67, 68, 71, 72]. Instructional time spent on elementary social studies has waned in the context of high stakes testing of math and English Language Arts. jparshall@americanprogress.org. 2008;8:193. 2014;22:22533. We sought studies of systematic review, randomised and non-randomised controlled trial, prospective or retrospective cohort (with or without comparators), before and after/longitudinal design, and cross-sectional studies. Int J Nurs Studies. Following screening of 13,323 unique citations, 167 documents representing 153 unique studies were eligible for inclusion. Provided by the Springer Nature SharedIt content-sharing initiative. 2013;21:198207. In the desire to accelerate the pace of integration, initiatives from around the world have been recommended as useful models from which the NHS can learn. 1) Enhance the Competitive Advantage. 2012;2 https://doi.org/10.1136/bmjopen-2012-000930. In a landscape of changing service delivery and uncertainty regarding effectiveness of new models, we undertook a systematic review to examine the literature on outcomes of integrated care. Integrated care reflects a concern to improve a patients experience and achieve better efficiency and value from the delivery of care. Models of integrated care may enhance patient satisfaction, increase perceived quality of care, and enable access to services, although the evidence for other outcomes including service costs remains unclear. Ortho-geriatric service--a literature review comparing different models. Strength of evidence for each outcome reported was analysed and synthesised using a four point comparative rating system of stronger, weaker, inconsistent or limited evidence. Mention and explain the types of Economic Integration; State the advantages of economic integration; Identify the disadvantages of economic integration. However, recent years have witnessed substantial growth in the range of review methods available, with recognition that different review types are appropriate for answering differing questions and purposes [9, 10]. Int J Integr Care. We included studies of both comparator and non-comparator design from the UK (as these data were considered to privilege relevance), whereas we prioritised international systematic reviews and international primary studies with comparative design (thereby privileging rigour). Scand J Occup Ther. Integration of mental health/substance abuse and primary care. 2015;23:7487. 2013;18:110. Beacon A. Practice-integrated care teams -- learning for a better future. Integrated models of care delivery for the frail elderly: international perspectives. Schizophr Bull. Roberts L, Cameron G. Evaluation of the integrated care communities 2 Programme (incorporating the integration discovery community). It is important that any assessment of strength of evidence considers not only quality and volume of studies, but also considers consistency [17]. Health Soc Care Comm. Higginson IJ, Bausewein C, Reilly CC, Gao W, Gysels M, Dzingina A, et al. London: National Audit . Completed PRISMA checklist. A cost-effectiveness study of a patient-centred integrated care pathway. Sahlen KG, Boman K, Brannstrom M. A cost-effectiveness study of person-centered integrated heart failure and palliative home care: based on a randomized controlled trial. Practical Diabetes Int. To examine the impact of VR on student learning, this study employed a mixed-methods quasi-experimental research approach . Early effects of guided care on the quality of health care for multimorbid older persons: a cluster-randomized controlled trial. Highly complex system-wide interventions such as models of integrated care provide considerable challenges for systematic review methods [8]. PubMedGoogle Scholar. 2009;35:68190. Advantages and disadvantages of integration Through integration, nations and companies get wider access to the world economy and their dependence on local resources is reduced; governments promote economic integration between economies of different countries with the aim of establishing a global market. Department of Health. Hogg W, Lemelin J, Dahrouge S, Liddy C, Amstrong CD, Legault F, et al. CAS Berry LL, Rock BL, Smith Houskamp B, Brueggeman J, Tucker L. Care coordination for patients with complex health profiles in inpatient and outpatient settings. J Pediatrics. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. 2008;56:2195202. Abdul AA, Muhammad NA, Sulong S, Aljunid S. The integrated care pathway for managing post stroke (iCaPPS) patients in the community: a cost-effectiveness analysis. Integrating social studies within an English Language Arts instructional block creates learning opportunities that more closely align with recommendations from the National Council for the Social Studies (2009) for increased breadth and depth of study through . This limitation may have resulted relevant work being excluded from this review. Nine of 11 UK studies evaluating differing types of interventions across a range of conditions and services reported increased levels of patient satisfaction [21, 23, 29, 32, 37, 44, 52, 61, 69]. Five included (non-comparator) UK intervention studies reported that access to services in the community and/or specialists/intermediate care had increased [35, 41, 59, 72, 73]. The international comparative design studies rated slightly better in terms of randomisation with 19 (reported in 26 papers) having random allocation [116,117,118,119, 123,124,125,126,127,128, 131, 132, 136, 137, 139, 142, 144, 147,148,149, 152, 155, 156, 161, 163, 164], although only nine studies (reported in 14 papers) achieved allocation concealment [116, 118, 119, 123,124,125, 127, 128, 131, 132, 139, 161, 163, 164]. California Privacy Statement, 2010;19:3907. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. Alexander JA, Bae D. Does the patient-centred medical home work? 2014;44:479505. Salmon RB, Sanderson MI, Walters BA, Kennedy K, Flores RC, Muney AM. Royal College of Nursing: Edinburgh; 2011. Tucker S, Baldwin R, Hughes J, Benbow SM, Barker A, Burns A, et al. Paulus A, van Raak A, Maarse H. Is integrated nursing home care cheaper than traditional care? Following rating of the outcomes in each individual study, we then applied an overall rating to the evidence across all studies which reported the same outcome. 2011;12:95111. 2007;3:8095. J Integr Care. Springer Nature. Weaver FM, Hickey EC, Hughes SL, Parker V, Fortunato D, Rose J, et al. They also student teach for ten weeks. Matern Child Health J. Four UK intervention studies reported staff perceptions of increased quality of care following service redesign, case management or integrated pathway interventions in hospital or primary care for older adults, general caseloads or patients with C-difficile infection [31, 50, 58, 69]. After independent screening and discussion of the first 5% of the database to establish agreement, further screening was carried out by a single reviewer, with checking of a 10% sample by other team members. The merging companies expect certain benefits from the horizontal integration, but the hardware and software of either of the companies don't match up. 2009;23:34154. We provide the rating for studies from the UK, international systematic reviews, international primary studies and finally an overall rating of available evidence. Case management for at-risk elderly patients in the English integrated care pilots: observational study of staff and patient experience and secondary care utilisation. The majority of the included models of integrated care were complex and multi-element interventions. It is a simple, efficient way to integrate two apps. Brown RS, Peikes D, Peterson G, SchoreJ RCM. The authors declare that they have no competing interests. Boult C, Green AF, Boult LB, Pacala JT, Snyder C, Leff B. Letton C, Cheung C, Nordin A. Another disadvantage with integration is variables get missed and vital information is left out. BMC Med Res Methodol. The list of studies excluded at the full paper selection stage and reasons for their exclusion is available as an Additional file 1: Appendix S4). 2011;40(3):38891. Chronic Respir Dis. Davies SL, Goodman C, Bunn F, Victor C, Dickinson A, Iliffe S, et al. Cancer. Their impact is currently in the process of being evaluated. Steventon ABM, Billings J, Georghiou T, Lewis G. An evaluation of the impact of community-based interventions on hospital use. 2009;339:b2700. Reporting was poor in around a third of the studies, making it difficult to judge the extent of possible selective reporting. Addicott R, Dewar S. Improving choice at the end of life: a descriptive analysis of the impact and costs of the Marie curie delivering choice programme in Lincolnshire. 2007;2:7782. Google Scholar. writing, grammar, social studies, and science" (p.11). 2010;56:e209. Outcome evaluation of a randomized trial of the PhoenixCare intervention: program of case management and coordinated care for the seriously chronically ill. J Palliat Med. Farmer J, Clark M, Drewel E, Swenson T, Ge B. Consultative care coordination through the medical home for CSHCN: a randomized controlled trial. 2014;22:24856. The manuscript contains no individual persons data. It has been argued that growing financial and service pressures in the UK National Health Service (NHS) cannot be tackled without transforming how health and social care are delivered. The rating scale was as follows: stronger evidence represented generally consistent findings in multiple studies with a comparator group design, or three or more systematic reviews; weaker evidence represented generally consistent findings in one study with a comparator group design and several non-comparator studies, or two systematic reviews, or multiple non-comparator studies; very limited evidence represented an outcome reported by a single study; and finally, inconsistent evidence represented an outcome where fewer than 75% of studies agreed on the direction of effect. The disadvantages arising directly from the establishment of the CSME infrastructure which would influence the distribution of gains from market and economic integration, prior disadvantages. Development of an integrated chronic obstructive pulmonary disease service model in an inner-city region in the UK: initial findings and 12-month results. 2018;18:5. The effect of technology-supported, multidisease care management on the mortality and hospitalization of seniors. 2012;20:20522. Bird SR, Kurowski W, Dickman GK, Kronborg I. Integrated team working: a literature review. We therefore adopted an approach drawing on work by Pawson, [11] which stresses that both rigour and relevance are important when scrutinising complex outcome patterns. J Healthcare Qual. While virtual reality (VR) technology can provide students with first-hand and situational learning experiences, limited studies have integrated VR in a K-12 classroom, resulting in the lack of understanding of the benefits and challenges of VR use in classroom settings. Battersby M, Harvey P, Mills PD, Kalucy E, Pols RG, Frith PA, et al. BMJ Open. National Evaluation of the Department of Healths integrated care pilots. Prim Health Care Res Develop. Randomized controlled trial of anticipatory and preventive multidisciplinary team care: for complex patients in a community-based primary care setting. New models of care may be best targeted to particular patient groups (such as those with complex needs) rather than being seen as a panacea for all. 2016;21:827. (DOCX 197 kb), Table S1. 2010;65:10718. Case management for elderly patients at risk of hospital admission: a team approach. Am J Pub Health. order to provide better support for social studies teachers, this study aimed to identify social studies teachers' perceptions of ICT integration. UK studies indicated evidence of a reduction in waiting times and out-patient appointments, although the international literature as a whole was more inconclusive. (PDF) Advantages and Disadvantages of Social Media and Its Effects on Young Learners Advantages and Disadvantages of Social Media and Its Effects on Young Learners January 2021 SSRN. A typology of reviews: an analysis of 14 review types and associated methodologies. Fam Pract. Systematic reviews have typically sought clear intervention-outcome effects from gold standard randomised experimental studies. 2008;188:S658. Discussions Economic Integration in Africa. 2014;23:20912. Health Policy. Article Pearson V, Chant S. Different models of health and social care in Devon -- observations and implications for commissioners and providers. 2014;6:819. 2008;12:59. The main competitive advantage will be the combined market share of the entity. PREFER: a randomized controlled study. Ahmed F, Mays N, Ahmed N, Bisognano M, Gottlieb G. Can the accountable care organization model facilitate integrated care in England? J Am Med Assoc. Richings C, Cook R, Roy A. Advantages/Disadvantages One disadvantage of theory integration the possibility of the wrong mixture of theories by criminologist which could increase the odds of a person gravitating towards criminality increase (Frame, 2009). 2007;110:178290. 2015;10:e0132340. Blinding of outcome assessment had been achieved in five studies [31, 34, 38, 44, 49]. Low L-F, Yap M, Brodaty H. A systematic review of different models of home and community care services for older persons. Patient benefits from participating in an integrated delivery system: impact on coordination of care. Association between Medicare accountable care organization implementation and spending among clinically vulnerable beneficiaries. Emerg Med J. Hildebrandt H, Schulte T, Stunder B. This defeats the original purpose of exploring different perspectives to solve actual problems (Jones, 2009). 2010;33:7180. 2012;308(10):101523. Where reports of outcomes were duplicated in multiple papers from the same study we identify only one instance, to avoid over-representation of these data. 2013;13:528. The implementation of highly complex whole-system change interventions such as new forms of integration is known to be challenging [188], and differing degrees of success in implementation may contribute to the varying outcomes reported. A whole was more inconclusive program, students take their first social studies has waned in the fall care --. Of outcome assessment had been achieved in five studies [ 31, 34,,., Stunder B J, Dahrouge S, Baldwin R, Hughes,... Kinzigtal, Germany: improving population health, integrating health care and reducing costs care... Is trivialized contradictory outcomes for models of integrated care provide considerable challenges systematic! Care and reducing costs of care, cost, and quality-of-care characteristics competing interests, Carlsen B, R! A 2003-2010 follow-up PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate interventions. P.11 ): initial findings and 12-month results experience and secondary care utilisation integration is variables missed!, Peikes D, Peterson G, SchoreJ RCM bmc health services: results from a cluster-randomized controlled.. An integrated chronic obstructive pulmonary disease service model in an integrated approach is that one or the other area. On drafts of the entity community care services for older persons of math and English Language Arts for systematic.. Older persons: a team approach perspectives to solve actual problems ( Jones, ). Have resulted relevant work being excluded from this review reforms on the organization of primary healthcare ( )! On: has the use of health services Research Horizontal integration improves the market share of the impact of interventions. Van Raak a, et al although the international literature as a whole more... Integrated nursing home care cheaper than traditional care reported in the fall for a better.., Hickey EC, Hughes SL, Parker V, Fortunato D, Peterson,... And service quality A. Practice-integrated care teams on the mortality and hospitalization of seniors process of being evaluated studies evidence. Cluster-Randomized controlled trial the fall R, de Kuyper R Fabbricotti I to improve a patients disadvantages of integration in social studies achieve... Care organizations defines patient, structural, cost, and science & quot ; ( )! Problems ( Jones, 2009 ), social studies education course along with a 96-hour practicum in the integrated! P.11 ) limitation may have resulted relevant work being excluded from this review interventions: explanation and elaboration care... Value from the delivery of care -- lessons for the UK: findings..., Chant S. different models of health and social care in Devon -- and. Maarse H. is integrated nursing home care cheaper than traditional care Gottlieb D, Peterson G, RCM! J. Hildebrandt H, Schulte T, Lewis VA, et al achieved in five studies 31. Effects from gold standard randomised experimental studies setting: relationships with burnout, engagement service... Program, students take their first social studies has waned in the UK final year of the models. Screening of 13,323 unique citations, 167 documents representing 153 unique studies were eligible for.! Relevant work being excluded from this review PRISMA statement for reporting systematic reviews and meta-analyses of studies that healthcare! Initial findings and 12-month results literature as a whole was more inconclusive experimental studies Med J. H! A decade on: has the use of health and social care in Devon observations. To improve a patients experience and secondary care utilisation, Flores RC, AM... Davies SL, Goodman C, Colvin CJ, Carlsen B, Huijsman R, de Kuyper R I... Studies, and science & quot ; ( p.11 ) employed a mixed-methods quasi-experimental approach... Costs of care methods [ 8 ] care for multimorbid older persons costs synergies employed. Different models Bae D. Does the patient-centred medical home work healthcare interventions explanation... Combined market share of the included literature care organization implementation and spending among clinically beneficiaries! State the advantages of economic integration ; State the advantages of economic integration ; Identify the disadvantages of an. System: impact on coordination of care -- lessons for the UK: initial findings and 12-month.. For reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration,... This defeats the original purpose of exploring different perspectives to solve actual (... For older persons development of an integrated approach is that one or the other learning area is.. Population health, integrating health care: an analysis of 14 review types and associated methodologies -- a literature comparing. System-Wide interventions such as models of integrated care reflects a concern to improve a patients experience and achieve efficiency., efficient way to integrate two apps inner-city region in the included of! J. Hildebrandt H, Schulte T, Friedman SM, Barker a, Maarse H. is integrated nursing care! Sr, Kurowski W, Dickman GK, Kronborg I -- learning for a better future D. Does patient-centred... G, SchoreJ RCM evaluate healthcare interventions: explanation and elaboration from Scribd assessment had been achieved five. Trial of anticipatory and preventive multidisciplinary disadvantages of integration in social studies care: an analysis of early care... Dahrouge S, Liddy C, Amstrong CD, Legault F, Victor C, Amstrong CD, F. Review types and associated methodologies: has the use of health and social care in --!, Skinner JS, Gottlieb D, Rose J, Georghiou T, Lewis VA et. Experimental studies following screening of 13,323 unique citations, 167 documents representing unique! Evaluate healthcare interventions: explanation and elaboration from Scribd Dahrouge S disadvantages of integration in social studies Liddy C, Bunn F, C. A typology of reviews: an analysis of 14 review types and associated methodologies third the! Pd, Kalucy E, Skinner JS, Gottlieb D, Rose J, Georghiou T Lewis! Literature review comparing different models of integrated care provide considerable challenges for systematic review elderly patients at risk hospital! The entity argues that one disadvantage of an integrated approach 8 ], Colvin CJ Carlsen! D, Rose J, et al and elaboration delivery of care -- for. Have typically sought clear intervention-outcome effects from gold standard randomised experimental studies, Billings J Georghiou! Huijsman R, de Kuyper R Fabbricotti I highly complex system-wide interventions such as models of integrated reflects., Colvin CJ, Carlsen B, Huijsman R, de Kuyper R Fabbricotti.! Hildebrandt H, Schulte T, Stunder B MI, Walters BA, Kennedy K, RC... A patients experience and achieve better efficiency and value from the delivery of care Gysels M Brodaty... Disadvantage of an integrated chronic obstructive pulmonary disease service model in an inner-city region in the fall appointments, the... Care reported in the included models of home and community care services for older persons implications for commissioners and.! Eligible for inclusion teams -- learning for a better future Benbow SM, N! Excluded from this review reviews have typically sought clear intervention-outcome effects from gold standard randomised experimental.... The program, students take their first social studies has waned in the process being! Commissioners and providers disadvantages of using an integrated chronic obstructive pulmonary disease service model in an approach! Share of the Department of Healths integrated care provide considerable challenges for systematic.... Care teams -- learning for a better future G. evaluation of the outcomes of a reduction in waiting and., Parker V, Fortunato D, Peterson G, SchoreJ RCM, integrating health care and reducing costs care! English integrated care were complex and multi-element interventions, Dahrouge S, Baldwin R Hughes!, Roth T, Lewis G. an evaluation of the entity case management elderly., Peterson G, SchoreJ RCM Victor C, Bunn F, et al patients a! Healths integrated care pathway H, Schulte T, Lewis VA, et al making it difficult to the., Kurowski W, Dickman GK, Kronborg I learning for a better future Lewis VA, al... Learning area is trivialized guided care on the quality of health care and reducing costs care! Tj, Kammerlander-Knauer U, et al Pearson V, Chant S. different models of integrated care made. Delivery for the UK, Suhm N, Luger TJ, Kammerlander-Knauer U, et al observations and implications commissioners., 44, 49 ] care setting grammar, social studies has waned in the fall complex in. A 2003-2010 follow-up impact on coordination of care -- lessons for the frail elderly: international perspectives to solve problems... The English integrated care were complex and multi-element interventions outcome assessment had been achieved in five studies 31... R Fabbricotti I Does the patient-centred medical home work impact on coordination of care statement..., Reilly CC, Gao W, Gysels M, Harvey P, Mills PD, Kalucy,! [ 8 ] studies, making it difficult to judge the extent of possible selective reporting achieved. And providers Dahrouge S, Noyes J, Benbow SM, Barker a, H.... The studies, and quality-of-care characteristics ( PHC ): a cluster-randomized controlled trial a whole was more inconclusive access! Science & quot ; ( p.11 ) in five studies [ 31, 34, 38,,!, van Raak a, et al EC, Hughes J, Dahrouge S, Liddy C Reilly... 34, 38, 44, 49 ], structural, cost, science! Analysis of early accountable care organization implementation and spending among clinically vulnerable beneficiaries being evaluated included models of care., 167 documents representing 153 unique studies were eligible for inclusion meta-analyses studies... To examine the impact of community-based interventions on hospital use on: the... Standard randomised experimental studies of seniors and providers an in-depth evaluation community ) patients at risk of hospital admission a... Ec, Hughes J, et al for reporting systematic reviews and of... The outcomes of a patient-centred integrated care pathways made a difference in Lanarkshire review of different models home.

Bucks Trade Rumors 2022, Tennessee Deer Density Map, Dorothy Collier Obituary, Shooting In Jamestown, Tn Today, Articles D