b'GREATER MONADNOCK COMMUNITY HEALTH IMPROVEMENT PLAN 2015-2018II.COMMUNITY PROFILE GrThe Greater Monadnock Region, which is located in the southwestern cornerofNewHampshire,includesall23municipalitiesinCheshire County and the 10 western-most towns in Hillsborough County.With the exception of the City of Keene (population 23,409), the Region is a predominantlyruralareawithtownpopulationsrangingfrom221 personsinRoxburyto6,939inSwanzey.Asof2010,theRegions population totaled 101,401. Acentralanddefiningfeatureofthe RegionisMountMonadnock, which rises 3,165 feet above sea level.Forests cover more than 80% of this land with rural and suburban residential development emanating from village centers and small downtown areas.With the exception of Keene and a few small downtown areas, much of this development is dispersed with one house for every ten or more acres.While a strong sense of local identity defined by municipal boundaries prevails, there is variety in where people work and shop, have social connections, spend leisure time, and access services, including health care.Mount Monadnock and its highlands bisect the landscape into twosub-regions.OneisdominatedbytheCityofKeeneasan employment,commercialandpopulationcenterandtheotherisa more linear configuration of the Contoocook River Valleys population centers of Peterborough, Jaffrey, and Rindge.Affiliated with the Capital Region Healthcare System in Concord, MCH serves the Greater Peterborough area with a 62-bed acute care facility.Similarly,theRegionhastwocentersforaccessingmedicalcare-The hospital staff includes over 125 primary care and specialty care CheshireMedicalCenter(CMC)/Dartmouth-HitchcockKeene(DHK)physicians, and offers a variety of services including pulmonary, cardiac andMonadnockCommunityHospital(MCH)inPeterborough. and physical rehabilitation; 24-hour emergency care; a fully equipped CMC/DHK is a 169-bed, acute care health organization that serves aslaboratory; and, an extensive radiology department.The primary care thereferralcenterforSouthwestNewHampshire,NorthCentralservicesnetworkprovidesawiderangeofprimaryandbehavioral MassachusettsandSoutheastVermont.CMCisjoinedwithDHK,ahealthcareservicesforindividualsandfamilieswithofficesin multi-specialtygrouppracticerepresenting25primarycareandPeterborough, Jaffrey, New Ipswich and Antrim.specialty areas.DHK includes satellite offices in the communities of Jaffrey, Walpole, and Winchester. 8'