Western Maryland Regional Medical Center
Western Maryland Regional Medical Center is a hospital located in Cumberland, Maryland in Allegany County. The facility, which opened on November 21, 2009, is owned by the Western Maryland Health System, it was established as a combination of Memorial Hospital and Sacred Heart Hospital, both of which are now closed. It is sometimes confused with Western Maryland Hospital Center, a state-run rehabalitation hospital located in Hagerstown, Maryland. Established as the Western Maryland Hospital in 1888, Memorial Hospital moved to its current location on Memorial Avenue in Cumberland, Maryland in 1929 and was renamed in honor of those who gave their life in World War I. Memorial Hospital was once owned and operated by the City of Cumberland and became a private non-profit organization in the early 1980s. Afterwards, Memorial was owned by the Cumberland Memorial Hospital Corporation. Sacred Heart Hospital was first incorporated as Allegany Hospital in 1905 and moved from its original site on Decatur Street to the Seton Drive facility in 1967.
The Daughters of Charity were asked to come to Cumberland to operate the hospital in 1911. Between 1935 and 2006, the hospital was known as Sacred Heart Hospital; the hospital was known as WMHS Braddock Campus before the opening of the Western Maryland Regional Medical Center in 2009. In an effort to manage local healthcare resources, Cumberland Memorial Hospital Corporation and Sacred Heart Hospital joined together in April 1996 to form the Western Maryland Health System. Working together, the two hospitals were able to expand the range of healthcare services available to local residents and meet the challenges associated with an ever-changing healthcare industry. In 2005, the Western Maryland Health System made the decision to build a new hospital in Cumberland that would replace both Memorial and Sacred Heart hospitals; as their original facilities were less than two blocks apart in the early 20th Century, both hospitals in a sense would come full circle by becoming a single hospital. In 2015 WMHS was recognized by Healthgrades as one of America’s 50 Best™ hospitals for Cardiac Surgery.
On October 25, 2006, the Western Maryland Health System broke ground on the construction of a new hospital. The location on Willowbrook Road was chosen due to its proximity to the Allegany County Health Department, Allegany College, which has a nursing program, the Thomas B. Finan Center, the local inpatient psychiatric hospital; the project involved the reuse of several large buildings, including one used as the corporate headquarters of The Kelly Springfield Tire Company as well as another, a call center used by M&T Bank. Because the site of the Allegany County Health Department was both an aging facility as well as the optimal location for a hospital, the Allegany Health Department was relocated to the first floor of the former Kelly building as well as the building used as a tire testing facility; the Allegany Health Department was demolished to make way for the new hospital. On November 21, 2009, the Western Maryland Regional Medical Center opened on Willowbrook Road in Cumberland consolidating the Western Maryland Health System within the city into one centralized facility.
By 3:30 PM that same day, all patients from both Memorial Hospital and Sacred Heart Hospital had been moved to the new hospital and the two facilities were closed. The Western Maryland Health System's headquarters is located next to the Western Maryland Regional Medical Center. Other facilities operated by the health system include Frostburg Nursing and Rehabilitation Center, an 88-bed nursing home providing long term care located in Frostburg, MD; the Health System provides urgent care services in Frostburg, MD at its Frostburg Medical Center as well as in nearby Mineral County, WV at its Hunt Club Medical Center. The Western Maryland Health System operates four primary care centers for patients 18 years of age and older; the Board of Directors of Western Maryland Health System has signed a non-binding letter of intent with UPMC to pursue an affiliation agreement that would integrate Western Maryland Health System into the UPMC system. An affiliation would offer Allegany County and the surrounding areas access to enhanced health care services, leverage UPMC’s clinical expertise and give the hospital system improved ability to recruit more top doctors to the area.
The systems entered a clinical affiliation in February 2018. A merger would "allow WMHS to maintain clinical excellence in western Maryland and throughout the region for years to come," said Barry Ronan, president and CEO of the Maryland health system. "Since we became clinically affiliated with UPMC in 2018, we have a stronger clinical and operational position, allowing a broad range of nationally recognized care here locally for the people of Allegany County and surrounding counties in Maryland and West Virginia." Western Maryland Health System
A health system sometimes referred to as health care system or as healthcare system, is the organization of people and resources that deliver health care services to meet the health needs of target populations. There is a wide variety of health systems around the world, with as many histories and organizational structures as there are nations. Implicitly, nations must design and develop health systems in accordance with their needs and resources, although common elements in all health systems are primary healthcare and public health measures. In some countries, health system planning is distributed among market participants. In others, there is a concerted effort among governments, trade unions, religious organizations, or other co-ordinated bodies to deliver planned health care services targeted to the populations they serve. However, health care planning has been described as evolutionary rather than revolutionary; the World Health Organization, the directing and coordinating authority for health within the United Nations system, is promoting a goal of universal health care: to ensure that all people obtain the health services they need without suffering financial hardship when paying for them.
According to WHO, healthcare systems' goals are good health for the citizens, responsiveness to the expectations of the population, fair means of funding operations. Progress towards them depends on how systems carry out four vital functions: provision of health care services, resource generation and stewardship. Other dimensions for the evaluation of health systems include quality, efficiency and equity, they have been described in the United States as "the five C's": Cost, Consistency and Chronic Illness. Continuity of health care is a major goal. Health system has been defined with a reductionist perspective, for example reducing it to healthcare system. In many publications, for example, both expressions are used interchangeably; some authors have developed arguments to expand the concept of health systems, indicating additional dimensions that should be considered: Health systems should not be expressed in terms of their components only, but of their interrelationships. The World Health Organization defines health systems as follows: A health system consists of all organizations and actions whose primary intent is to promote, restore or maintain health.
This includes efforts to influence determinants of health as well as more direct health-improving activities. A health system is therefore more than the pyramid of publicly owned facilities that deliver personal health services, it includes, for example, a mother caring for a sick child at home. It includes inter-sectoral action by health staff, for example, encouraging the ministry of education to promote female education, a well known determinant of better health. Healthcare providers are individuals providing healthcare services. Individuals including health professionals and allied health professions can be self-employed or working as an employee in a hospital, clinic, or other health care institution, whether government operated, private for-profit, or private not-for-profit, they may work outside of direct patient care such as in a government health department or other agency, medical laboratory, or health training institution. Examples of health workers are doctors, midwives, paramedics, medical laboratory technologists, psychologists, chiropractors, community health workers, traditional medicine practitioners, others.
There are five primary methods of funding health systems: general taxation to the state, county or municipality national health insurance voluntary or private health insurance out-of-pocket payments donations to charitiesMost countries' systems feature a mix of all five models. One study based on data from the OECD concluded that all types of health care finance "are compatible with" an efficient health system; the study found no relationship between financing and cost control. The term health insurance is used to describe a form of insurance that pays for medical expenses, it is sometimes used more broadly to include insurance covering disability or long-term nursing or custodial care needs. It may be provided from private insurance companies, it may be purchased by individual consumers. In each case premiums or taxes protect the insured from unexpected health care expenses. By estimating the overall cost of health care expenses, a routine finance structure can be developed, ensuring that money is available to pay for the health care benefits specified in the insurance agreement.
The benefit is administered by a government agency, a non-profit health fund or a
Towson is an unincorporated community and a census-designated place in Baltimore County, Maryland. The population was 55,197 as of the 2010 census, it is the second-most populated unincorporated county seat in the United States. The first inhabitants of the future Towson and central Baltimore County region were the Susquehannock people who hunted in the area, their region included all of Baltimore County, though their primary settlement was farther northeast along the Susquehanna River. Towson was settled in 1752 when Pennsylvania brothers and Thomas Towson, began farming an area of Sater's Hill, northeast of the present-day York and Joppa Roads. William's son, opened the Towson Hotel to serve the growing number of farmers bringing their produce and livestock to the port of Baltimore, he built the hotel near the area's main crossroads. The village became known as "Towsontown"; the property in West Towson came from two land grants: 400 acre Gott's Hope in 1719, Gunner's Range in 1706. In 1790, businessman Capt. Charles Ridgely completed the magnificent Hampton Mansion just north of Towsontown, the largest private house in America at the time.
The Ridgelys lived there for six generations, until 1948. It is now open to the public. Dr. Grafton Marsh, a surgeon during the war of 1812, his brother Dr. Josiah Marsh settled their families in a collection of early houses known as Gott's Hope, part of a group along Joppa Road, they consolidated four of the structures into a larger dwelling that they called "Marshmont". The brothers went into business together as medical practitioners. Neither had any heirs but were joined in practice by their nephew, Dr. Grafton Marsh Bosley, who inherited the medical practice, the Marshmont compound, a 140-acre farm; the farm extended west of York Road, south of Joppa Road, north of the Sheppard Pratt Hospital, east of Woodbine Avenut. In 1869, Bosley and his wife Margaret Nicholson built a new home in an area of the property known as "Highlands" or "Highland Park", which they named "Uplands"; the ratification of the second Maryland Constitution of 1851 provided for the jurisdictional separation of the former Baltimore Town, founded in 1729.
Baltimore Town had served as the county seat since 1767, now the City of Baltimore, since its incorporation in 1796–97 by the General Assembly of Maryland. Several tortured sets of negotiations occurred to divide the various assets of the city and the county, such as the downtown courthouse of 1805, the city/county jail of 1801 along the Jones Falls and the almshouse, jointly owned. After a series of elections and referenda, on February 13, 1854, Towson became, by popular vote, the choice of the remaining, now rural, eastern and western portions of the county as the new county seat of Baltimore County; the Baltimore County Courthouse, still in use by 2015, with its various annexes, was designed by the local city architectural firm of Dixon and Dixon. It was completed within a year, constructed of limestone and marble donated by the well-known Ridgely family of nearby Hampton Mansion, on land donated by Towson doctor Grafton Marsh Bosley; the courthouse was subsequently enlarged in 1910 through additional designs for north and south wings by well-known and regarded city architects, Baldwin & Pennington.
Additional expansions in 1926 and 1958 created an H-shaped plan for the courthouse. An additional modernistic Baltimore County Courts Building, with room for the new charter government since 1956 and administration of a county executive and county council, plus administrative and executive departments, was erected in 1970–71 across a plaza to the west of the older historic courthouse; the old Baltimore County Jail was built in 1855, was replaced in the 1980s by a new modern Baltimore County Detention Center, north of the town on Kenilworth Avenue, with an addition constructed in the 2010s. From 1850 to 1874, another notable land owner, Amos Matthews, had a farm of 150 acres that—with the exception of the 17-acre natural parcel where the Kelso Home for Girls, was erected —was wholly developed into the neighborhoods of West Towson, Southland Hills and other subdivisions, beginning in the middle 1920s. During the Civil War, Towson was the scene of two minor engagements. Many local citizens were sympathetic to the Southern Confederate cause, so much so that Ady's Hotel and the current site of the 1920s-era Towson Theatre, flew the Southern flag.
The Union Army found it necessary to overtake the town by force on June 2, 1861. During the raid, the Union Army seized weapons from citizens at Ady's Hotel. A local paper, in jest, refers to the "strongly fortified and impregnable city of Towsontown" and downplays the need for the attack, stating, "the distinguished Straw, with only two hundred and fifty men, has taken a whole city and nearly frightened two old women out of their wits."The second engagement took place around July 12, 1864, between Union and Confederate forces. On July 10, 1864, a 135-man Confederate cavalry detachment attacked the Northern Central Railway to the north in nearby Cockeysville, under orders from Gen. Bradley T. Johnson, of Frederick, Maryland; the First and Second Maryland Cavalry, led by Baltimore County native and pre-war member of the Towson Horse Guards, Maj. Harry W. Gilmor, of Glen Ellen, attacked strategic targets throughout Ba
University of Maryland Rehabilitation & Orthopaedic Institute
University of Maryland Rehabilitation & Orthopaedic Institute is a rehabilitation hospital located along the border of the Forest Park neighborhood of northwest Baltimore City and Woodlawn, Baltimore County in Maryland. It lies on and is incorporated into the historic hospital building and grounds of the former James Lawrence Kernan Hospital; the hospital is now a part of the growing University of Maryland Medical System, centered at South Greene, West Baltimore, West Lombard Streets on the downtown westside historic campus of the University of Maryland at Baltimore. The James Lawrence Kernan Hospital was built between 1860 and 1867 as Radnor Park, a two-story, five-bay, Victorian mansion. In the first decades of the 20th century, alterations were carried out to the original house which made the house over into a combination of the Greek Revival and Colonial Revival styles; the additional surrounding 1920s-era hospital structures were built in a style that blends well with the old historic mansion and its grounds.
James Lawrence Kernan, was a theater manager and philanthropist of the late Victorian and early Edwardian eras in Baltimore. He had the landmark Kernan Hotel on West Franklin Street with its adjacent to the west Maryland Theater of Beaux Arts/Classical Revival styled architecture constructed and opened in 1903, in the middle of the newly central theatre/entertainment district of North Howard Street, in the southwest corner of the Mount Vernon-Belvedere neighborhood, adjacent to the old first downtown campus of the newly founded Johns Hopkins University; the "rathskeller" in the basement of the hotel was the site of the first "jazz band" music in the town led by John Ridgley when it opened in 1903. It was listed on the National Register of Historic Places maintained by the National Park Service of the U. S. Department of the Interior in 1979. Famous "imbedded" CBS television international news reporter/correspondent Kimberly Dozier, following her injuries from an improvised explosive device in the Iraq War in 2006, spent time at Kernan recovering.
Several former Baltimore Colts football players, including quarterback Johnny Unitas in the year before his death, were recipients of physical therapy at Kernan Hospital. University of Maryland Rehabilitation & Orthopaedic Institute home page James Lawrence Kernan Hospital, Baltimore County, including photo from 1976, at Maryland Historical Trust Kernan Hospital on Google Street View
Walter Reed National Military Medical Center
The Walter Reed National Military Medical Center known as the National Naval Medical Center and colloquially referred to as the Bethesda Naval Hospital, Walter Reed, or Navy Med, is a United States' tri-service military medical center, located in the community of Bethesda, near the headquarters of the National Institutes of Health. It is one of the most prominent U. S. military medical centers in the Washington, D. C. metropolitan area and the United States, having served numerous U. S. presidents since the 20th century. In 2011, the Walter Reed Army Medical Center, named after yellow fever researcher Walter Reed, was combined with the National Naval Medical Center to form the tri-service Walter Reed National Military Medical Center. In 1938, the United States Congress appropriated funds for the acquisition of land for the construction of a new Naval medical center, President Franklin D. Roosevelt selected the present site in Bethesda, Maryland, on July 5, 1938. Ground was broken by John McShain Builders for the Naval Medical Center on June 29, 1939 by Rear Admiral Percival S. Rossiter, MC, USN.
President Roosevelt laid the cornerstone of the Tower on Armistice Day, November 11, 1940. The original Medical Center was composed of the Naval Hospital, designed to hold 1,200 beds, the Naval Medical School, the Naval Dental School and the Naval Medical Research Institute. In 1945, at the end of World War II, temporary buildings were added to accommodate up to 2,464 wounded American sailors and marines. In November 1963, the autopsy of U. S. President John F. Kennedy was performed at Walter Reed National Military Medical Center in Bethesda, Maryland. On November 22, 1963, President Kennedy was shot and killed while riding in a motorcade in Dallas, Texas with his wife, Texas Governor John Connally, his wife, Nellie; the wounded president was taken to Parkland Memorial Hospital. The Parkland doctors and local coroner insisted that they perform the autopsy, since he had been murdered in Dallas County. However, with concern for the security of the new president, Lyndon B. Johnson, the Secret Service demanded that the assassinated president's body be taken to Washington, D.
C. aboard Air Force One. Presidents and Vice Presidents are treated at the Medical Evaluation and Treatment Unit at the METU Suite, a secured and autonomous ward within the complex. Franklin D. Roosevelt selected the site of the hospital, laid the cornerstone, made formal dedication remarks at the hospital's opening on November 11, 1940; when NNMC was dedicated in 1942, its original intention was to provide medical care to military personnel only. But since Franklin D. Roosevelt had paralysis of his lower extremities, the medical center offered to provide the President with any medicine or treatment necessary to keep him physically fit for the presidency. With that, an official White House doctor was appointed by the President to sort out medical issues with him. Since FDR, most presidents have used a military hospital close to Washington, D. C. either Bethesda or Walter Reed AMC, as the primary facility for them and their immediate family to receive medical care. Each president pays for any of his medical expenses personally.
Ronald Reagan, on July 13, 1985, underwent surgery to remove polyps from his colon. He sent a letter transferring power to then–Vice President George H. W. Bush, deliberately invoking the Acting President clause of the 25th Amendment, on January 5, 1987, Reagan underwent surgery for prostate cancer which caused further worries about his health. At this time, Reagan was 76 years old. First Lady Nancy Reagan, on October 17, 1987, underwent a mastectomy due to breast cancer. In August 1960, a $5.6 million expansion project was initiated and consisted of two five-story wings attached to the main building's east side. Completed in the summer of 1963, Buildings 7 and 8 provided space for 258 beds and replaced the World War II temporary ward buildings. In January 1973, the mission of the Naval Medical Center was modified to include the provision: "to provide coordinated dispensary health care services as an integral element of the Naval Regional Health Care System, including shore activities, as may be assigned."
This change established the National Naval Medical Center Region and placed all naval health care facilities within the Naval District Washington under the authority of the commanding officer of the Medical Center. The new inpatient buildings and the Naval Medical Center were consolidated into one command on September 1, 1973, to form National Naval Medical Center. In 1975, an extensive renovation began which included the construction of two new buildings: Building 9, a three-story outpatient structure, Building 10, a seven-story, 500 bed inpatient facility, with a combined area of more than 880,000 square feet. In 1979, the remaining temporary buildings were replaced with a multi-level staff-parking garage; this addition made National Naval Medical Center one of the largest medical facilities in the country. The original Naval Medical Center tower was since listed on the National Register of Historic Places by the U. S. Department of the Interior. In early 1994, after two unsuccessful operations following strokes, Dr. Milton Wittman, DSW, a nationally acclaimed administrator and pioneer of public mental-health services in the National Association of Social Workers and the National Institute of Mental Health, had to have both his legs amputated due to casts being improperly casted on his legs.
Wittman's family his sons Dr. Friedner Wittman of UC Berkeley and Peretz Wittman, sued Bethesda Naval Hospital for gross malpractice; the lawsuit was dragged out in court, after some time, the Un
Johns Hopkins Hospital
The Johns Hopkins Hospital is the teaching hospital and biomedical research facility of the Johns Hopkins School of Medicine, located in Baltimore, Maryland, U. S, it was founded in 1889 using money from a bequest of over $7 million by city merchant, banker/financier, civic leader and philanthropist Johns Hopkins. Johns Hopkins Hospital and its school of medicine are considered to be the founding institutions of modern American medicine and the birthplace of numerous famous medical traditions including rounds and house staff. Many medical specialties were formed by Dr. Harvey Cushing. Johns Hopkins Hospital is regarded as one of the world's greatest hospitals and medical institutions, it was ranked by U. S. News & World Report news magazine as the best overall hospital in America for 21 consecutive years. In 2017-2018, the hospital ranked in 15 adult and 10 children's specialties, coming in 1st in Maryland and 3rd nationally behind the Mayo Clinic in Rochester and the Cleveland Clinic in Cleveland, Ohio.
Johns Hopkins, a Baltimore merchant and banker, left an estate of $7 million when he died on Christmas Eve, December 24, 1873, in his city mansion on West Saratoga Street, just west of North Charles Street, at the age of 78. In his will, he asked that his fortune be used to found two institutions that would bear his name: "Johns Hopkins University" and "The Johns Hopkins Hospital." At the time that it was made, Hopkins's gift was the largest philanthropic bequest in the history of the United States. Toward the end of his life, Hopkins selected 12 prominent Baltimoreans to be the trustees for the project and a year before his death, sent a letter telling them that he was giving "thirteen acres of land, situated in the city of Baltimore, bounded by Broadway, Wolfe and Jefferson streets upon which I desire you to erect a hospital." He wished for a hospital "which shall, in construction and arrangement, compare favorably with any other institution of like character in this country or in Europe" and directed his trustees to "secure for the service of the Hospital and surgeons of the highest character and greatest skill."Most Hopkins told the trustees to "bear in mind that it is my wish and purpose that the hospital shall form a part of the Medical School of that university for which I have made ample provision in my will."
By calling for this integral relationship between patient care, as embodied in the hospital, teaching and research, as embodied in the university, Hopkins laid the groundwork for a revolution in American medicine. Johns Hopkins' vision, of two institutions in which the practice of medicine would be wedded to medical research and medical education was nothing short of revolutionary. Initial plans for the hospital were drafted by surgeon John Shaw Billings, the architecture designed by John Rudolph Niernsee and completed by Edward Clarke Cabot of the Boston firm of Cabot and Chandler in a Queen Anne style; when completed in 1889 at a cost of $2,050,000, the hospital included what was state-of-the art concepts in heating and ventilation to check the spread of disease. The trustees obtained the services of four outstanding physicians, known as the "Big Four," to serve as the founding staff of the hospital when it opened on May 7, 1889, they were pathologist William Henry Welch, surgeon William Stewart Halsted, internist William Osler, gynecologist Howard Atwood Kelly.
In 1893, Johns Hopkins University was one of the first medical schools to admit women. The decision to begin coeducation was a result of a shortage of funds, as the B&O Railroad stock, supposed to cover cost was used up in building the hospital in 1889 and the medical school had not yet been built. Four of the original trustees’ daughters offered to raise the money needed to open the school, but only if the school agreed to admit qualified women to the university. After several discussions the trustees agreed to their terms and accepted the financial help of these four women, with only one of the doctors, William Henry Welch resisting. Welch changed his views on coeducation, "The necessity for coeducation in some form," he wrote "becomes more evident the higher the character of the education. In no form of education is this more evident than in that of medicine... we regard coeducation a success. He introduced the idea of bringing medical students into actual patient care early in their training.
Osler's contribution to practical education extends to the creation of "grand rounds", the practice of leading physicians discussing the most difficult cases in front of assembled medical students, for the benefit of patients and students. He once said he hoped his tombstone would say only, "He brought medical students into the wards for bedside teaching."Halsted, the first chief of the Department of Surgery, established many other medical and surgical achievements at Johns Hopkins including modern surgical principles of control of bleeding, accurate anatomical dissection, complete sterility, the first radical mastectomy for breast cancer (before
Roman Catholic Archdiocese of Baltimore
The Metropolitan Archdiocese of Baltimore is the premier see of the Roman Catholic Church in the United States. The archdiocese comprises the City of Baltimore and 9 of Maryland's 23 counties in the central and western portions of the state: Allegany, Anne Arundel, Carroll, Garrett, Harford and Washington; the archdiocese is the metropolitan. Archdiocese of Washington was part of the Archdiocese of Baltimore; the Archdiocese of Baltimore is the oldest diocese in the United States whose see city was within the nation's boundaries when the United States declared its independence in 1776. The Holy See granted the Archbishop of Baltimore the right of precedence in the nation at liturgies and Plenary Councils on August 15, 1859. Although the Archdiocese of Baltimore does not enjoy "primatial" status, it is the premier episcopal see of the Roman Catholic Church in the United States of America, as "prerogative of place". Within the archdiocese are 518,000 Catholics, 145 parishes, 545 priests, 159 permanent deacons, 55 brothers, 803 sisters, 205 lay extraordinary ministers of Holy Communion, five hospitals, 28 aged homes, 7 diocesan/parish high schools, 13 private high schools, 4 Catholic colleges/universities.
The Archdiocese of Baltimore has two major seminaries: St. Mary's Seminary and University in Baltimore and Mount St. Mary's Seminary in Emmitsburg; this archdiocese was featured in the Netflix documentary The Keepers exposing the sexual abuse history at Archbishop Keough High School and the murder of Sister Catherine Cesnik in 1969. It was revealed in late 2016 that the Archdiocese of Baltimore had paid off numerous settlements since 2011 for abuse victims. Before and during the American Revolutionary War, the Catholics in Great Britain's thirteen colonies in America were under the ecclesiastical jurisdiction of the bishop of the Apostolic Vicariate of the London District, in England. After the Treaty of Paris, signed September 3, 1783, ended the war, Maryland clergy delivered a petition to the Holy See, on November 6, 1783, for permission for the missionaries in the United States to nominate a superior who would have some of the powers of a bishop. In response, Pope Pius VI on June 6, 1784, confirmed Father John Carroll, selected by his brother priests, as Superior of the Missions in the newly independent thirteen United States of North America, with power to give the sacrament of confirmation.
This act established a hierarchy in the United States and removed the Catholic Church in the U. S. from the authority of the Vicar Apostolic of the London District. The Holy See established the Apostolic Prefecture of the United States on November 26, 1784; because Maryland was one of the few regions of the colonial United States with a substantial Roman Catholic population, the apostolic prefecture was elevated to become the Diocese of Baltimore—the first diocese in the United States—on November 6, 1789. In 1790, Father Carroll traveled to England where he was ordained and consecrated as a bishop in Lulworth Castle in Dorset, by Bishop Charles Walmesley, O. S. B; the first American-born Catholic priest, William Matthews, was ordained by Carroll at St. Peter's Pro-Cathedral in the Diocese of Baltimore in 1800. On April 8, 1808, Pope Pius VII erected the suffragan dioceses of Boston, New York and Bardstown in Bardstown, which moved in 1841 to the larger city of Louisville, from the territory of the Diocese of Baltimore and raised it to the rank of metropolitan archdiocese, thereby making it the "Archdiocese of Baltimore".
The newly established "Province of Baltimore"—whose metropolitan was the Archbishop of the Archdiocese of Baltimore—comprised all of the states and territories of the nation. The archdiocese again lost territory in following decades with the creation of the Diocese of Richmond on July 11, 1820. On July 22, 1939, the City of Washington was erected as a separate archdiocese; the archbishop of Baltimore, Michael J. Curley, was named the first archbishop of the new Archdiocese of Washington and continued to administer the two archdioceses as a single unit — in persona episcopi; the see was temporarily renamed the Archdiocese of Baltimore-Washington, in recognition of the nation's capital. Eight years on November 15, 1947, Patrick A. O'Boyle was appointed the second archbishop — and first residential archbishop — of the Archdiocese of Washington, which began to function as a separate diocese. Therefore, the territory of the "new" archdiocese — consisting of the District of Columbia and the two Washington suburban and three southern counties of Maryland — were permanently separated from the Archdiocese of Baltimore, thus reduced to its current extent.
From 1808 until 1847, Baltimore was the only archdiocese in the United States and therefore the entire country was one ecclesiastical province. As the nation's population grew and waves of Catholic immigrants arrived, the Holy See continued to erect new dioceses and elevate certain others to the status of metropolitan archdioceses, which became metropolitan sees of new ecclesiastical provinces. Thus, the Province of Baltimore became smaller and smaller. In 1846, the Diocese of Oregon City, now Portland, Oregon was raised to an archdiocese. Following in 1847, the Diocese of Saint Louis was elevated to an archdiocese and metropolitan see of the new Province of Saint Louis. In 1850, the Diocese of New York was raised to an archdiocese. In 1875, the dioceses of Boston and Phi