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What’s in store for your business after q4 if you had to think about it for longer than five seconds, it’s time to get into action with the mrea business planning clinic .

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• What: National MREA Business Planning Clinic
• When: October 20-21, Noon - 4 p.m. CT
• Where: LIVE on KWConnect.com or  Pivot: Shift Ahead  on Facebook
• Who: Hosted by Gene Rivers and other top agents like Mike Duley, Lesley Peters, and more!

Success in your business comes from knowing the answer to three questions: why? how? what? The MREA Business Planning Clinic answers all three. Built on the proven models of The Millionaire Real Estate Agent – a New York Times bestseller written by Gary Keller – MREA Business Planning Clinic will get your 2022 started with a bang: 

• Why: Discover your big why: the relationship between you and your goals.
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• Use the MREA models to get more leads, listings, and make the most money in the least amount of time.

Gene Rivers is a KWU Master Faculty member as well as a national and worldwide speaker on Keller Williams models, systems and tools. He and his wife Rebekah own multiple businesses including a multimillion-dollar portfolio.

"Real estate agents are business owners. The U.S. Small Business Administration data says most small businesses will fail or not grow. Businesses that don't fail or stall have two things in common.  They are properly capitalized, AND they follow detailed written business plans on a constant basis. Invest in your business, and follow detailed written plans and you WILL achieve your dreams." – Gene Rivers

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MoSCoW Prioritization

What is moscow prioritization.

MoSCoW prioritization, also known as the MoSCoW method or MoSCoW analysis, is a popular prioritization technique for managing requirements. 

  The acronym MoSCoW represents four categories of initiatives: must-have, should-have, could-have, and won’t-have, or will not have right now. Some companies also use the “W” in MoSCoW to mean “wish.”

What is the History of the MoSCoW Method?

Software development expert Dai Clegg created the MoSCoW method while working at Oracle. He designed the framework to help his team prioritize tasks during development work on product releases.

You can find a detailed account of using MoSCoW prioritization in the Dynamic System Development Method (DSDM) handbook . But because MoSCoW can prioritize tasks within any time-boxed project, teams have adapted the method for a broad range of uses.

How Does MoSCoW Prioritization Work?

Before running a MoSCoW analysis, a few things need to happen. First, key stakeholders and the product team need to get aligned on objectives and prioritization factors. Then, all participants must agree on which initiatives to prioritize.

At this point, your team should also discuss how they will settle any disagreements in prioritization. If you can establish how to resolve disputes before they come up, you can help prevent those disagreements from holding up progress.

Finally, you’ll also want to reach a consensus on what percentage of resources you’d like to allocate to each category.

With the groundwork complete, you may begin determining which category is most appropriate for each initiative. But, first, let’s further break down each category in the MoSCoW method.

Start prioritizing your roadmap

Moscow prioritization categories.

1. Must-have initiatives

As the name suggests, this category consists of initiatives that are “musts” for your team. They represent non-negotiable needs for the project, product, or release in question. For example, if you’re releasing a healthcare application, a must-have initiative may be security functionalities that help maintain compliance.

The “must-have” category requires the team to complete a mandatory task. If you’re unsure about whether something belongs in this category, ask yourself the following.

If the product won’t work without an initiative, or the release becomes useless without it, the initiative is most likely a “must-have.”

2. Should-have initiatives

Should-have initiatives are just a step below must-haves. They are essential to the product, project, or release, but they are not vital. If left out, the product or project still functions. However, the initiatives may add significant value.

“Should-have” initiatives are different from “must-have” initiatives in that they can get scheduled for a future release without impacting the current one. For example, performance improvements, minor bug fixes, or new functionality may be “should-have” initiatives. Without them, the product still works.

3. Could-have initiatives

Another way of describing “could-have” initiatives is nice-to-haves. “Could-have” initiatives are not necessary to the core function of the product. However, compared with “should-have” initiatives, they have a much smaller impact on the outcome if left out.

So, initiatives placed in the “could-have” category are often the first to be deprioritized if a project in the “should-have” or “must-have” category ends up larger than expected.

4. Will not have (this time)

One benefit of the MoSCoW method is that it places several initiatives in the “will-not-have” category. The category can manage expectations about what the team will not include in a specific release (or another timeframe you’re prioritizing).

Placing initiatives in the “will-not-have” category is one way to help prevent scope creep . If initiatives are in this category, the team knows they are not a priority for this specific time frame. 

Some initiatives in the “will-not-have” group will be prioritized in the future, while others are not likely to happen. Some teams decide to differentiate between those by creating a subcategory within this group.

How Can Development Teams Use MoSCoW?

  Although Dai Clegg developed the approach to help prioritize tasks around his team’s limited time, the MoSCoW method also works when a development team faces limitations other than time. For example: 

Prioritize based on budgetary constraints.

What if a development team’s limiting factor is not a deadline but a tight budget imposed by the company? Working with the product managers, the team can use MoSCoW first to decide on the initiatives that represent must-haves and the should-haves. Then, using the development department’s budget as the guide, the team can figure out which items they can complete. 

Prioritize based on the team’s skillsets.

A cross-functional product team might also find itself constrained by the experience and expertise of its developers. If the product roadmap calls for functionality the team does not have the skills to build, this limiting factor will play into scoring those items in their MoSCoW analysis.

Prioritize based on competing needs at the company.

Cross-functional teams can also find themselves constrained by other company priorities. The team wants to make progress on a new product release, but the executive staff has created tight deadlines for further releases in the same timeframe. In this case, the team can use MoSCoW to determine which aspects of their desired release represent must-haves and temporarily backlog everything else.

What Are the Drawbacks of MoSCoW Prioritization?

  Although many product and development teams have prioritized MoSCoW, the approach has potential pitfalls. Here are a few examples.

1. An inconsistent scoring process can lead to tasks placed in the wrong categories.

  One common criticism against MoSCoW is that it does not include an objective methodology for ranking initiatives against each other. Your team will need to bring this methodology to your analysis. The MoSCoW approach works only to ensure that your team applies a consistent scoring system for all initiatives.

Pro tip: One proven method is weighted scoring, where your team measures each initiative on your backlog against a standard set of cost and benefit criteria. You can use the weighted scoring approach in ProductPlan’s roadmap app .

2. Not including all relevant stakeholders can lead to items placed in the wrong categories.

To know which of your team’s initiatives represent must-haves for your product and which are merely should-haves, you will need as much context as possible.

For example, you might need someone from your sales team to let you know how important (or unimportant) prospective buyers view a proposed new feature.

One pitfall of the MoSCoW method is that you could make poor decisions about where to slot each initiative unless your team receives input from all relevant stakeholders. 

3. Team bias for (or against) initiatives can undermine MoSCoW’s effectiveness.

Because MoSCoW does not include an objective scoring method, your team members can fall victim to their own opinions about certain initiatives. 

One risk of using MoSCoW prioritization is that a team can mistakenly think MoSCoW itself represents an objective way of measuring the items on their list. They discuss an initiative, agree that it is a “should have,” and move on to the next.

But your team will also need an objective and consistent framework for ranking all initiatives. That is the only way to minimize your team’s biases in favor of items or against them.

When Do You Use the MoSCoW Method for Prioritization?

MoSCoW prioritization is effective for teams that want to include representatives from the whole organization in their process. You can capture a broader perspective by involving participants from various functional departments.

Another reason you may want to use MoSCoW prioritization is it allows your team to determine how much effort goes into each category. Therefore, you can ensure you’re delivering a good variety of initiatives in each release.

What Are Best Practices for Using MoSCoW Prioritization?

If you’re considering giving MoSCoW prioritization a try, here are a few steps to keep in mind. Incorporating these into your process will help your team gain more value from the MoSCoW method.

1. Choose an objective ranking or scoring system.

Remember, MoSCoW helps your team group items into the appropriate buckets—from must-have items down to your longer-term wish list. But MoSCoW itself doesn’t help you determine which item belongs in which category.

You will need a separate ranking methodology. You can choose from many, such as:

• Weighted scoring
• Value vs. complexity
• Buy-a-feature
• Opportunity scoring

For help finding the best scoring methodology for your team, check out ProductPlan’s article: 7 strategies to choose the best features for your product .

2. Seek input from all key stakeholders.

To make sure you’re placing each initiative into the right bucket—must-have, should-have, could-have, or won’t-have—your team needs context. 

At the beginning of your MoSCoW method, your team should consider which stakeholders can provide valuable context and insights. Sales? Customer success? The executive staff? Product managers in another area of your business? Include them in your initiative scoring process if you think they can help you see opportunities or threats your team might miss. 

3. Share your MoSCoW process across your organization.

MoSCoW gives your team a tangible way to show your organization prioritizing initiatives for your products or projects. 

The method can help you build company-wide consensus for your work, or at least help you show stakeholders why you made the decisions you did.

Communicating your team’s prioritization strategy also helps you set expectations across the business. When they see your methodology for choosing one initiative over another, stakeholders in other departments will understand that your team has thought through and weighed all decisions you’ve made. 

If any stakeholders have an issue with one of your decisions, they will understand that they can’t simply complain—they’ll need to present you with evidence to alter your course of action.  

Related Terms

2×2 prioritization matrix / Eisenhower matrix / DACI decision-making framework / ICE scoring model / RICE scoring model

Prioritizing your roadmap using our guide

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Home » Agile Development » Prioritizing Requirements with MoSCoW Method: A Guide for Agile Projects

Prioritizing Requirements with MoSCoW Method: A Guide for Agile Projects

• Posted on March 28, 2023
• / Under Agile & Scrum , Agile Development , Project Management

The MoSCoW method is a prioritization technique used in project management, software development, and business analysis. It helps to prioritize requirements based on their importance and urgency, and allows project managers to allocate resources and budget accordingly. In this article, we will explore the MoSCoW method and provide an example of its implementation.

What is the MoSCoW Method?

The MoSCoW method is a prioritization technique that categorizes requirements into four groups: Must-haves, Should-haves, Could-haves, and Won’t-haves. The acronym MoSCoW stands for:

• Must have: critical requirements that are essential for the project’s success. These requirements are mandatory and must be included in the project scope.
• Should have: important requirements that are necessary for the project’s success but can be delayed if necessary. These requirements are important, but not critical, and can be deferred to a later phase of the project.
• Could have: desirable requirements that are not essential for the project’s success, but can enhance the project’s value. These requirements are optional and can be included if time and budget allow.
• Won’t have: requirements that are not needed for the project’s success and are not included in the project scope.

The MoSCoW method helps project managers prioritize requirements based on their importance and urgency. It allows them to focus on the critical requirements and allocate resources and budget accordingly.

Example of MoSCoW Method

Let’s consider an example of a software development project to understand how the MoSCoW method works.

Suppose a company wants to develop a new mobile app for its customers. The app should allow customers to order products, track their orders, and receive notifications. The company also wants to include some additional features to make the app more appealing to customers.

The project team identifies the following requirements:

• Must have: The app must allow customers to order products, track their orders, and receive notifications.
• Should have: The app should have a search feature that allows customers to search for products, and a payment feature that allows customers to pay for their orders using various payment methods.
• Could have: The app could have a loyalty program feature that rewards customers for their purchases, and a referral program feature that incentivizes customers to refer the app to their friends and family.
• Won’t have: The app won’t have a social media integration feature that allows customers to share their purchases on social media platforms.

Using the MoSCoW method, the project team has prioritized the requirements based on their importance and urgency. The must-have requirements are critical for the success of the project and must be included in the app. The should-have requirements are important, but can be deferred to a later phase of the project if necessary. The could-have requirements are optional and can be included if time and budget allow. The won’t-have requirements are not needed for the project’s success and are not included in the project scope.

Real-life Example – CRM System

Project Description: Development of a Customer Relationship Management (CRM) System

The objective of this Agile project is to develop a CRM system for a small business that specializes in providing customized solutions to its clients. The CRM system will be designed to streamline the sales process and improve customer interactions, allowing the business to enhance customer satisfaction and loyalty.

The project will follow the Agile methodology, which involves iterative and incremental development. The Agile team will work closely with the client to gather requirements, develop prototypes, and deliver functional software increments in short iterations, typically two weeks.

Identify a List of User Stories

To create the list of user stories, you can considered the different roles that would interact with the system, such as sales representatives, managers, and customers, and thought about the various tasks they would need to perform in order to achieve their goals. you can also considered the different types of data that would need to be stored and managed within the system, such as customer information, sales data, and marketing campaigns.

Based on this analysis, you can then generated a list of user stories that covered a broad range of functionality, from lead tracking and customer service, to sales proposals and reporting. The list of user stories is intended to provide a starting point for the development team to use in prioritizing and planning the development of the CRM system.

Here is a list of user stories for the CRM system development project:

• As a sales representative, I want to be able to track all of my leads in one place so that I can easily manage my sales pipeline.
• As a sales manager, I want to be able to view and monitor my team’s progress in real-time so that I can provide coaching and support as needed.
• As a customer service representative, I want to be able to view all of a customer’s interactions with our company so that I can provide personalized support.
• As a marketing manager, I want to be able to segment our customers based on their preferences and behavior so that I can target them with relevant campaigns.
• As a customer, I want to be able to view my purchase history and account information so that I can easily manage my relationship with the company.
• As a customer service representative, I want to be able to log and track customer complaints and inquiries so that I can ensure that they are addressed in a timely manner.
• As a sales representative, I want to be able to generate quotes and proposals quickly and easily so that I can close deals faster.
• As an administrator, I want to be able to manage user permissions and access levels so that I can control who has access to sensitive information.
• As a sales representative, I want to be able to schedule and manage appointments with my clients so that I can stay organized and on top of my schedule.
• As a manager, I want to be able to generate reports on sales performance, customer satisfaction, and other metrics so that I can make informed business decisions.

These user stories cover a range of functionality that the CRM system should provide. The development team can use these user stories to prioritize the most important features for the system, and to ensure that the system meets the needs of all stakeholders.

In table format, let’s present a clear and concise summary of the 10 user stories related to a business scenario to provide an overview of the user stories.

The table provides information on the user role, the specific goal they want to achieve, and the user story number to easily reference each story. By organizing the user stories in a table, it is easier to understand and prioritize the features that need to be developed to meet the needs of the stakeholders involved in the project. This table can serve as a reference for the development team to design and implement features that align with the needs of the end-users and stakeholders.

Prioritize the User Stories

It is important to prioritize the user stories based on their business value and impact on the project goals. This ensures that the development effort is focused on the most important and valuable features, and that the project can be delivered on time and within budget.

Prioritization can be done using various techniques such as the MoSCoW method, which categorizes user stories as “must-haves,” “should-haves,” “could-haves,” and “won’t-haves.” User stories categorized as “must-haves” are the most critical and should be developed first, while “should-haves” and “could-haves” can be developed later in subsequent iterations or releases.

Here’s a table for the 10 user stories mentioned earlier, with the relevant information and prioritization based on the MoSCoW method:

In this table, the user stories are listed in order of priority, with the “must-have” features listed first, followed by the “should-haves” and “could-haves.” The “won’t-haves” feature is not planned for implementation in this project, but may be considered for future development.

By prioritizing the user stories, the development team can ensure that the most critical features are developed first, providing value to the stakeholders and enabling the project to meet its objectives within the time and budget constraints.

Example: A Scrum Development Plan for the CRM

here is a high-level outline for a Scrum development plan to start the agile project. However, the specific details of the plan will depend on the project requirements, team structure, and other factors. Here’s an example of a Scrum development plan:

• Define the Product Backlog: The first step is to define the product backlog, which is a prioritized list of all the features, functionalities, and requirements that need to be implemented in the project. This backlog will be maintained throughout the project and will be continually refined and updated based on the changing needs of the stakeholders.
• Conduct Sprint Planning: After the product backlog has been defined, the team will conduct a sprint planning meeting to select a set of user stories from the backlog to be developed in the upcoming sprint. The team will estimate the effort required for each user story, and select the user stories that can be completed within the sprint timeframe.
• Conduct Daily Scrum Meetings : Once the sprint has started, the team will conduct daily scrum meetings to review progress, identify any obstacles or challenges, and adjust the plan as needed. The daily scrum meetings should be short and focused, with each team member providing an update on their progress.
• Develop the Product Increment: During the sprint, the team will work on developing the selected user stories, focusing on delivering a working product increment by the end of the sprint. The team will collaborate closely, with developers, testers, and other team members working together to deliver the product increment.
• Conduct Sprint Review: At the end of the sprint, the team will conduct a sprint review meeting to demonstrate the product increment to the stakeholders, gather feedback, and review the progress made during the sprint.
• Conduct Sprint Retrospective: After the sprint review, the team will conduct a sprint retrospective meeting to review the sprint process, identify areas for improvement, and plan for the next sprint.
• Repeat the process: The team will repeat this process for each subsequent sprint, continuing to refine and update the product backlog, and focusing on delivering a working product increment at the end of each sprint.

This Scrum development plan provides a framework for managing the agile project, with regular meetings and reviews to ensure that the project is on track and delivering value to the stakeholders.

The article discusses the MoSCoW method, which is a prioritization technique used in Agile project management to prioritize project requirements. The MoSCoW method divides requirements into four categories: Must-have, Should-have, Could-have, and Won’t-have. The article provides a real-life example of an Agile project and how to identify user stories for the project. The user stories are then prioritized using the MoSCoW method, with the Must-have requirements given top priority.

The article also outlines a Scrum development plan, which includes defining the product backlog, conducting sprint planning, daily scrum meetings, developing the product increment, sprint review, sprint retrospective, and repeating the process. The Scrum development plan provides a framework for managing the Agile project, ensuring that the project is on track, and delivering value to stakeholders.

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Article • 9 min read

The MoSCoW Method

Understanding project priorities.

By the Mind Tools Content Team

(Also Known As MoSCoW Prioritization and MoSCoW Analysis)

You probably use some form of prioritized To-Do List to manage your daily tasks. But what happens when you're heading up a project that has various stakeholders, each of whom has a different opinion about the importance of different requirements? How do you identify the priority of each task, and communicate that to team members, stakeholders and customers alike?

This is when it's useful to apply a prioritizing tool such as the MoSCoW method. This simple project-management approach helps you, your team, and your stakeholders agree which tasks are critical to a project's success. It also highlights those tasks that can be abandoned if deadlines or resources are threatened.

In this article, we'll examine how you can use the MoSCoW method to prioritize project tasks more efficiently, and ensure that everyone expects the same things.

What Is the MoSCoW Method?

The MoSCoW method was developed by Dai Clegg of Oracle® UK Consulting in the mid-1990s. It's a useful approach for sorting project tasks into critical and non-critical categories.

MoSCoW stands for:

• Must – "Must" requirements are essential to the project's success, and are non-negotiable. If these tasks are missing or incomplete, the project is deemed a failure.
• Should – "Should" items are critical, high-priority tasks that you should complete whenever possible. These are highly important, but can be delivered in a second phase of the project if absolutely necessary.
• Could – "Could" jobs are highly desirable but you can leave them out if there are time or resource constraints.
• Would (or "Won't") – These tasks are desirable (for example, "Would like to have…") but aren't included in this project. You can also use this category for the least critical activities.

The "o"s in MoSCoW are just there to make the acronym pronounceable.

Terms from Clegg, D. and Barker, R. (1994). ' CASE Method Fast-Track: A RAD Approach ,' Amsterdam: Addison-Wesley, 1994. Copyright © Pearson Education Limited. Reproduced with permission.

People often use the MoSCoW method in Agile Project Management . However, you can apply it to any type of project.

MoSCoW helps you manage the scope of your project so that it isn't overwhelmingly large. It is particularly useful when you're working with multiple stakeholders, because it helps everyone agree on what's critical and what is not. The four clearly labeled categories allow people to understand a task's priority easily, which eliminates confusion, misunderstanding, conflict, and disappointment.

For example, some project management tools sort tasks into "high-," "medium-," and "low-" priority categories. But members of the team might have different opinions about what each of these groupings means. And all too often, tasks are labeled "high" priority because everything seems important. This can put a strain on time and resources, and ultimately lead to the project failing.

Using the MoSCoW Method

Follow the steps below to get the most from the MoSCoW method. (This describes using MoSCoW in a conventional "waterfall" project, however the approach is similar with agile projects.)

Step 1: Organize Your Project

It's important that you and your team fully understand your objectives before starting the project.

Write a business case to define your project's goals, its scope and timeline, and exactly what you will deliver. You can also draw up a project charter to plan how you'll approach it.

Next, conduct a stakeholder analysis to identify key people who are involved in the project and to understand how its success will benefit each of them.

Step 2: Write out Your Task List

Once you understand your project's objectives, carry out a Gap Analysis to identify what needs to happen for you to meet your goals.

Step 3: Prioritize Your Task List

Next, work with your stakeholders to prioritize these tasks into the four MoSCoW categories: Must, Should, Could, and Would (or Won't). These conversations can often be "difficult," so brush up on your conflict resolution, group decision making and negotiating skills beforehand!

Rather than starting with all tasks in the Must category and then demoting some of them, it can be helpful to put every task in the Would category first, and then discuss why individual ones deserve to move up the list.

Step 4: Challenge the MoSCoW List

Once you've assigned tasks to the MoSCoW categories, critically challenge each classification.

Be particularly vigilant about which items make it to the Must list. Remember, it is reserved solely for tasks that would result in the project failing if they're not done.

Aim to keep the Must list below 60 percent of the team's available time and effort. The fewer items you have, the higher your chance of success.

Try to reach consensus with everyone in the group. If you can't, you then need to bring in a key decision-maker who has the final say.

Step 5: Communicate Deliverables

Your last step is to share the prioritized list with team members, key stakeholders and customers.

It's important that you communicate the reasons for each categorization, particularly with Must items. Encourage people to discuss any concerns until people fully understand the reasoning.

Zhen is a project manager for a large IT organization. She's working with a team of designers, marketers and developers to redesign a large corporate client's website.

At the initial meeting, each group has strong opinions about which tasks are most important to the project's success, and no one wants to give up their "high priority" objective.

For example, the marketing team is adamant that the new website should gather visitors' personal information, for use in future marketing campaigns.

Meanwhile, the designers are arguing that, while this is important, the site may be more successful if it had a professionally produced streaming video. They also want a feed streaming onto the website's home page from the client's social networking accounts.

The developers counter that the current prototype design won't translate well onto mobile devices, so the top priority is retrofitting the site so people can view it on these.

Zhen can see that, while each priority is important, they're not all critical to the project's success. She decides to use the MoSCoW method to help the group reach consensus on which task is truly "mission critical."

She starts with a key question: "If I came to you the night before rollout and the following task was not done, would you cancel the project?" This question helped everyone in the group drill down to the project's most important priority.

The group finally agreed on the following priorities:

• Must – The retrofit website must be easily viewable on mobile devices.
• Should – There should be a social networking stream included.
• Could – There could be a streaming video on the site to help users.
• Would – Personal information would be gathered for future marketing efforts, but not on this occasion.

The MoSCoW method helped everyone agree on what was truly important for the project's final success.

The MoSCoW method is a simple and highly useful approach that enables you to prioritize project tasks as critical and non-critical. MoSCoW stands for:

• Must – These are tasks that you must complete for the project to be considered a success.
• Should – These are critical activities that are less urgent than Must tasks.
• Could – These items can be taken off the list if time or resources are limited.
• Would – These are tasks that would be nice to have, but can be done at a later date.

The benefit of the MoSCoW approach is that it makes it easy for team members and key stakeholders to understand how important a task is for a project's success.

Apply This to Your Life

Try using the MoSCoW method to prioritize your daily tasks. Look at what you completed at the end of the day. Did prioritizing enable you to get more done?

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Gritman Medical Center shows off new building

MOSCOW, Idaho – Gritman Medical Center hopes one of its campus buildings in Moscow will become a one-stop destination for patients who need treatments for cancer, pain and neurological conditions.

The hospital hosted an open house Wednesday at the C.L Gritman Medical Office Building to show off the new homes for Palouse Oncology and Hematology, the Beatriz and Ed Schweitzer Neurology Clinic, the Gritman Interventional Pain Clinic and Gritman Infusion Services.

All of these clinics have either been built or expanded inside this three-story building on 803 S. Main St. this year. The goal is to save patients the hassle of moving between different buildings to get treatment.

Palouse Oncology and Hematology and the Interventional Pain Clinic are the only clinics of their kind on the Palouse. The C.L. Gritman Medical Office Building was designed to give them room to expand, so more patients can come through their doors.

“It just allows us to help more people,” said Gregory Bauer, a certified registered nurse anesthetist who works in the Interventional Pain Clinic.

The Interventional Pain Clinic sees about 450 patients a month, Bauer said. The Palouse Oncology and Hematology clinic can see up to 157 people a month, said Clinical Director Jenni Adams.

“To be able to treat patients here is very special,” Adams said. “If you think about patients who have cancer, they’re already fatigued, they’re already stressed, their resources are already stretched. And to drive 30 minutes for one appointment or a couple appointments a week is exhausting.”

Having all these services in one building, she said, means patients only have to disrupt their lives for a couple hours one day a week instead of several days a week.

Gretta Jarolimek, Gritman’s chief clinics officer, said all the staff in the building are dedicated to helping people living in pain.

“Everyone who is here is here for that same purpose,” she said.

Pain is often followed by depression, which is why Bauer said he appreciates the new offices are well-lit, modern and offer views of downtown Moscow to help make patients more comfortable.

“The energy in this space is positive,” he said.

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Students in the Community Law Clinic represent clients throughout the Second Judicial District in family law matters, including divorce and custody cases; petitions to obtain domestic violence protection orders; actions to establish and enforce child support; guardianships; and terminations of parental rights and adoptions. Students have also served as guardians ad litem on behalf of minors, and in guardianships over incapacitated or disabled adults. In addition to family law matters, students advise and represent tenants having disputes with their landlords, assist individuals with changing their names, defend clients in consumer debt actions, and draft simple wills.

The clinical program seeks to provide students with meaningful real-life experiences while offering high-quality legal services to underrepresented members of the community.

Students may gain experience in the following five clinics.

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• Family Justice Clinic is a partnership to provide free legal services to victims of domestic and sexual abuse referred from FACES to the clinic. Students handle all aspects of representation of survivors, including gathering all information needed to determine the legal issue at hand and which, if any, legal services will be provided.
• Entrepreneurship Law Clinic assists small and start-up businesses referred to the clinic by the Idaho Small Business Development Center. Clients include both for profit and nonprofit companies in a variety of business areas. Students perform legal services, such as preparing formation and organizational documents, employee agreements and more.
• Low Income Taxpayer Clinic pairs students with those in need of tax assistance.

Moscow Medical is the longest serving family practice on the Palouse. We are a certified Rural Health Outpatient Clinic committed to excellent medical care and offer a full range of family practice services , including same day appointments. We welcome all patients , regardless of inability to pay.

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We are a Mobile IV service that is currently offering therapeutic and lifestyle infusions in your home or place of employment. At this time we can see patients in either Moscow or Pullman. Our skilled Nurses have excellent knowledge of all of our packages and products and can help you decide what service is best for you. 

WHAT IS IV THERAPY?

IV Therapy is the process of infusing fluids, vitamins, minerals or medications directly into your bloodstream by placing an IV into your veins. If you are dehydrated, giving fluids directly into your bloodstream is a more effective and faster way of hydrating you, especially if you are unable to keep fluids down. IV administration of vitamins and minerals has a much higher rate of absorption, and your body is able to use them right away to help you heal and give you an immediate boost. Our services are designed to be easy. We gather health history during our scheduling call and perform an in-person exam at your home. Most of our services can be done within an hour and will have you back to your day with little to no downtime.

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Our treatments can help you actively heal and improve your overall health and wellness. Whether you’re looking for more energy, hydration or relief from pain, we’ll customize a treatment plan that’s right for you. Our team of nurses will ensure that each treatment is tailored to your individual needs. 

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Walmart Health Is Closing

April 30, 2024

BENTONVILLE, Ark., April 30, 2024 — Back in 2019, we launched Walmart Health centers. During our five-year journey, we made meaningful impacts with patients while continuing to learn, pivot and evolve. While our mission to help people save money and live better remains, today we are sharing the difficult decision to close Walmart Health and Walmart Health Virtual Care. Through our experience managing Walmart Health centers and Walmart Health Virtual Care, we determined there is not a sustainable business model for us to continue.

The decision to close all 51 health centers across five states and shut down the virtual care offering was not easy. We understand this change affects lives – the patients who receive care, the associates and providers who deliver care and the communities who supported us along the way. This is a difficult decision, and like others, the challenging reimbursement environment and escalating operating costs create a lack of profitability that make the care business unsustainable for us at this time.

Our priority will be ensuring the people and communities who are impacted are treated with the utmost respect, compassion and support throughout the transition. We do not yet have a specific date for when each center will close but will share as soon as decisions are made.

While we will no longer operate health centers, we will take what we learned as we provide trusted health and wellness services across the country through our nearly 4,600 Pharmacies and more than 3,000 Vision Centers. For 40 years, we have provided these high quality, accessible and affordable points of care that are integral to their respective communities.

• Over the past few years, the importance of Pharmacies has continued to grow, and we have expanded the clinical capabilities of the services we provide. We continue to offer immunizations and have grown to provide Testing and Treatment services, access to specialty pharmacy medication and care, as well as other essential services such as medication therapy management and a variety of health screenings. With more than 4,000 of our stores in medical provider shortage areas, our pharmacies are often the front door of healthcare.
• Our optical business, which is growing and evolving to serve customers how and when they want, recently expanded with more than 200 Vision Centers brought under Walmart ownership. We also launched a suite of optical tools, including virtual try-on capabilities that make getting a pair of glasses even easier.

Our culture of innovating and trying new formats and services has helped our company become stronger and better able to serve customers. We will continue to innovate as we grow our core businesses and launch even more services like the Walmart Healthcare Research Institute and health programs to join our fresh food and OTC offerings in helping our customers live better.

Today and in the coming days, we are focused on continuity of care for patients and providing impacted associates with respect and assistance as we begin the closing process of the health care centers. The associates and providers have made an incredible difference for their patients and communities, and they are a priority:

• All associates are eligible to transfer to any other Walmart or Sam’s Club location.
• All associates will be paid for 90 days, unless they transfer to another location during that time or leave the company.
• After 90 days, if they do not transfer or leave, eligible associates will receive severance benefits.
• Our provider partners will continue to serve existing patients while clinics are open. Through their respective employers, these providers will be paid for 90 days, after which eligible providers will receive transition payments.

We are deeply grateful to these associates and providers for their caring service to patients in our communities and to the patients who trusted us with their care.

About Walmart

Walmart Inc. (NYSE: WMT) is a people-led, tech-powered omnichannel retailer helping people save money and live better – anytime and anywhere – in stores, online, and through their mobile devices. Each week, approximately 255 million customers and members visit more than 10,500 stores and numerous eCommerce websites in 19 countries. With fiscal year 2024 revenue of $648 billion, Walmart employs approximately 2.1 million associates worldwide. Walmart continues to be a leader in sustainability, corporate philanthropy and employment opportunity. Additional information about Walmart can be found by visiting corporate.walmart.com , on Facebook at facebook.com/walmart , on X (formerly known as Twitter) at twitter.com/walmart , and on LinkedIn at linkedin.com/company/walmart .

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Breathe Easier with Gritman’s Pulmonology Services

Pulmonology is a medical specialty that deals with conditions involving the respiratory tract. Care areas as part of Gritman Pulmonology include:  

• Chronic Obstructive Pulmonary Disease (COPD) is an umbrella term used to describe a group of diseases that cause airflow blockage and breathing-related problems. According to the CDC, 16 million Americans have COPD.
• Flexible Bronchoscopy is a visual examination of the breathing passages of the lungs. This involves placing a thin tube-like instrument into the airways via the nose or mouth to allow the physician to see inside of the airways and get samples of mucus or lung tissue if necessary.
• Pulmonary Function Tests (PFTs) are breathing tests to find out how well one can move air in and out of the lungs and how well oxygen enters into the body. They help detect early changes in lung function and measure the effects of chronic diseases like COPD, asthma and pulmonary fibrosis.

We are located inside the Gritman Internal Medicine Clinic.

We are open Monday – Friday, 8 a.m. to 5 p.m.

719 S. Main St. Moscow, ID 83843 Phone: 208-883-6779 Fax: 208-883-8430

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Conditions Treated

• Chronic Obstructive Pulmonary Disease (COPD)
• Idiopathic Pulmonary Fibrosis
• Aspirin Exacerbated Respiratory Disease
• Bronchiectasis
• Pulmonary Embolism
• Sarcoidosis
• Alpha-1 Antitrypsin Deficiency
• Pulmonary Hypertension

Services Offered

• Bronchoscopy
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• Ultrasound-Guided Thoracentesis
• Indwelling Pleural Catheter Placement

Free tobacco cessation counseling

Our respiratory therapists can help you set realistic goals, develop strategies and provide the support you need to stop smoking. We offer tobacco cessation counseling free of charge.

When you stop smoking:

• Blood pressure drops to a level close to that before your last cigarette
• Temperature of hands and feet increases to normal

8 hours later …

• Carbon monoxide level in blood drops to normal

24 hours later …

• Chance of heart attack decreases

2 weeks to 3 months later …

• Circulation improves
• Lung function increases up to 30%

1 to 9 months later …

• Coughing, sinus congestion, fatigue and shortness of breath decrease

1 year later …

• Excess risk of coronary heart disease is half that of a smoker

5 years later …

• Stroke is reduced to that of a non-smoker

10 years later …

• Lung cancer death rate about half of continuing smoker
• Risk of cancer of the mouth, throat, esophagus, bladder, kidney and pancreas decreases

15 years later …

• Risk of coronary heart disease is half that of a non-smoker

Call  208-883-6236 to schedule an appointment.

Lufkin animal shelter to hold free vaccine clinic

LUFKIN, Texas (KTRE) - Kurth Memorial Animal Services is planning to hold a free vaccine clinic on Friday, May 17.

In an email sent out Friday, the City of Lufkin announced the event, saying it “aims to provide essential vaccinations for pets, ensuring their well-being and preventing the spread of common diseases.” The clinic will be held from 12 p.m. to 5 p.m. at 1901 Hill Street in Lufkin. 600 canine DAPPV and 400 feline 1-HCP vaccines will be offered at no cost to pet owners after a donation was received from Petco Love. The Animal Services Manager, Morgan Williams, said the shelter intends to hold vaccine clinics once a month until the vaccines are depleted.

Anyone that is seeking additional information about the event is encouraged to reach out to Kurth Memorial Animal Services at 936-633-0218.

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