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Newman Memorial Hospital
Medical Service Area Survey Results
Oklahoma Office of Rural Health OSU Center for Rural Health
Oklahoma Cooperative Extension Service
Oklahoma State University
September 2013
AE-13166
Newman Memorial Hospital
Medical Service Area Survey Results
Community Health Needs Assessment documents available online at:
www.okruralhealthworks.org
Lara Brooks, Extension Associate, OSU, Stillwater
405-744-9827
Brian Whitacre, Associate Professor and Extension Economist, OSU, Stillwater
405-744-6083
Lynda Latta, Ellis County Extension Director, Arnett
580-885-7775
Corie Kaiser, Director, Oklahoma Office of Rural Health, Oklahoma City
405-840-6500
Oklahoma Office of Rural Health
OSU Center for Rural Health
Oklahoma Cooperative Extension Service
Oklahoma State University
September 2013
No. %
73848- Laverne 49 30.2%
73858- Shattuck 40 24.7%
79034- Follett, TX 16 9.9%
73843- Gage 15 9.3%
73832- Arnett 11 6.8%
73840- Fargo 7 4.3%
73844- Gate 7 4.3%
73801- Woodward 3 1.9%
79046- Higgins, TX 3 1.9%
73851- May 2 1.2%
73834- Buffalo 1 0.6%
73852- Mooreland 1 0.6%
73855- Rosston 1 0.6%
73932- Beaver 1 0.6%
79024- Darrouzett, TX 1 0.6%
79014- Canadian, TX 1 0.6%
No response 3 1.9%
162 100.0%
Zip Code of Residence
Response Category
30.2%
24.7%
9.9%
9.3%
6.8%
14.8%
Zip Code of Residence, Top 5 Responses
73848- Laverne
73858- Shattuck
79034- Follett, TX
73843- Gage
73832- Arnett
Other
Local Health Services Survey Results - Newman Memorial Hospital Medical Service Area - 2013 1
No. %
124 76.5%
No 35 21.6%
3 1.9%
162 100.0%
1. Has your household used the services of a hospital in the past 24 months?
Response Category
Yes
Don't know/No response
Total
76.5%
21.6%
1.9%
Hospital Usage
Yes
No
Don't know/No response
Local Health Services Survey Results - Newman Memorial Hospital Medical Service Area - 2013 2
No. %
106 65.8%
11 6.8%
St. Anthony Hospital, Oklahoma City 6 3.7%
5 3.1%
St. Mary's Regional Medical Center, Enid 5 3.1%
INTEGRIS Bass Baptist Hospital, Enid 2 1.2%
Surgery Center of Enid 2 1.2%
McBride Orthopedic Hospital, Oklahoma City, OK 2 1.2%
OU Medical Center, Oklahoma City 1 0.6%
Mercy Hospital, Oklahoma City 1 0.6%
Buster Rural Health Clinic, Cheyenne 1 0.6%
Children's Hospital Colorado, Denver, CO 1 0.6%
Oklahoma Transplant Center (OU), Oklahoma City, OK 1 0.6%
Oklahoma Spine Hospital, Oklahoma City 1 0.6%
Amarillo VA Health Care System, Amarillo, TX 1 0.6%
Valir Health, Oklahoma City 1 0.6%
Oklahoma City, No Facility provided 1 0.6%
13 8.1%
161 100.0%
Response Category
Newman Memorial Hospital, Shattuck
Woodward Regional Hospital, Woodward
2. Where did you receive hospital services?
Harper County Community Hospital
Total*
No Location provided
*Some respondents answered more than once. Average hospitals visited per respondent = 1.30
65.8%
6.8%
3.7%
3.1% 20.5%
Location of Hospital Services
Newman Memorial Hospital,
Shattuck
Woodward Regional Hospital,
Woodward
St. Anthony Hospital, Oklahoma
City
Harper County Community
Hospital
Other
Local Health Services Survey Results - Newman Memorial Hospital Medical Service Area - 2013 3
2.1. Hospital utilization comparison- Newman Memorial Hospital compared to previous
community surveys
Survey Area
Newman Memorial Hospital
Other Surveys Averages*
Other Surveys Low Range*
Other Surveys High Range*
75.0%
24.1%75.9%
Did not use local hospital
34.2%
Used local hospital
65.8%
59.6%
25.0%
40.4%
*Based on a total of 30 community surveys conducted since 2008.
65.8%
59.6%
25.0%
75.9%
34.2%
40.4%
75.0%
24.1%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Newman Memorial Hospital
Other Surveys Averages*
Other Surveys Low Range*
Other Surveys High Range*
Used local hospital Did not use local hospital
Local Health Services Survey Results - Newman Memorial Hospital Medical Service Area - 2013 4
No. %
16 29.1%
18 32.7%
Closer, more convenient location 10 18.2%
Quality of Care/Lack of confidence 4 7.3%
1 1.8%
Family doctor 1 1.8%
Lower cost 1 1.8%
Emergency room visit/Auto accident 1 1.8%
Not getting in on the day needed 1 1.8%
No response 2 3.6%
55 70.9%
Insurance reasons
3. If you responded in question 2 that your household received care at a hospital other than
Newman Memorial Hospital, why did you or your family member choose that hospital?
Response Category
Total
Availability of specialty care
Physician referral
29.1%
32.7%
18.2%
7.3%
1.8%
0% 5% 10% 15% 20% 25% 30% 35%
Physician referral
Availability of specialty care
Closer, more convenient location
Quality of Care/Lack of confidence
Insurance reasons
Reason for Choosing a Hospital Other Than Newman Memorial Hospital
Local Health Services Survey Results - Newman Memorial Hospital Medical Service Area - 2013 5
No. %
Laboratory 62 25.5%
Emergency room 50 20.6%
Radiological imaging 48 19.8%
Physician services 46 18.9%
Inpatient services 14 5.8%
Other outpatient 12 4.9%
Immunizations 2 0.8%
Urgent care 2 0.8%
Physical therapy 1 0.4%
EKG 1 0.4%
Child birth 1 0.4%
Physical exam 1 0.4%
Cataract surgery 1 0.4%
Cardiological check up 1 0.4%
Other, not listed 1 0.4%
243 100.0%
*Some respondents selected more than one category. Average number of services used per respondent = 2.29
Total
4. What hospital service(s) were used at Newman Memorial Hospital?
Response Category
25.5%
20.6%
19.8%
18.9%
5.8%
0% 5% 10% 15% 20% 25% 30%
Laboratory
Emergency room
Radiological imaging
Physician services
Inpatient services
Services used at Newman Memorial Hospital
Local Health Services Survey Results - Newman Memorial Hospital Medical Service Area - 2013 6
Satisfied Dissatisfied Don't know
73.6% 15.1% 11.3%
85.3% 12.2% 2.5%
63.8% 33.3% 2.9%
100.0% 0.0% 0.0%
Survey Area
Newman Memorial Hospital
Other Surveys Averages*
5. How satisfied were you or someone in your household with the services you received at
Newman Memorial Hospital?
*Based on 61 community surveys conducted since 2002.
Other Surveys Low Range*
Other Surveys High Range*
73.6%
85.3%
63.8%
100.0%
15.1%
12.2%
33.3%
0.0%
0% 20% 40% 60% 80% 100%
Newman Memorial Hospital
Other Surveys Averages*
Other Surveys Low Range*
Other Surveys High Range*
Satisfaction with Newman Memorial Hospital
Satisfied
Dissatisfied
Don't know
Local Health Services Survey Results - Newman Memorial Hospital Medical Service Area - 2013 7
No. %
13 13.3%
Good treatment/Service 13 13.3%
11 11.2%
9 9.2%
9 9.2%
Problem solved 4 4.1%
Efficient services 4 4.1%
Quality of care 3 3.1%
Satisfied, but concerned about care 2 2.0%
Long time patient/Knows doctor staff well 2 2.0%
Thorough care 1 1.0%
Satisfied, but slow registration 1 1.0%
Satisfied, but expensive care 1 1.0%
Satisfied, but doctor had to stop treatment 1 1.0%
Satisfied, but did not like distance from admissions to lab window 1 1.0%
23 23.5%
98 100.0%
%
Unprofessional physician/staff 6 23.1%
Problem(s) not resolved 4 15.4%
Concerned about quality of care 4 15.4%
4 15.4%
Dissatisfied with physician 3 11.5%
Lack of follow up 1 3.8%
Problems with billing and registration 1 3.8%
Not enough time with physician 1 3.8%
No pricing for services available 1 3.8%
Insurance claim not handled properly 1 3.8%
26 100.0%
No response
Total
Response Category
Friendly staff
Quick treatment
Convenient location/Local service
Response Category
6a. Why were you satisfied?
Total
*Some respondents selected more than one category. Average number of services used per respondent = 1.63
Long wait/Slow service
Satisfied with staff/Knowledgeable staff
*Some respondents selected more than one category. Average number of services used per respondent = 1.26
6b. Why were you dissatisfied?
Local Health Services Survey Results - Newman Memorial Hospital Medical Service Area - 2013 8
Type of Specialist No. %
Cardiologist 24 15.2%
Urologist 15 9.5%
Orthopedist 14 8.9%
Dermatologist 12 7.6%
OB/GYN 10 6.3%
Rheumatologist 9 5.7%
Gastroenterologist 7 4.4%
Otolaryngologist 7 4.4%
Surgeon 6 3.8%
Ophthalmologist 5 3.2%
Oncologist 5 3.2%
Endocrinologist 4 2.5%
Pulmonologist 4 2.5%
Pain Management 4 2.5%
Internal/General 4 2.5%
Podiatrist 3 1.9%
Allergist 2 1.3%
Nephrologist 2 1.3%
Neurologist 2 1.3%
Pediatrician 2 1.3%
Hepatologist 2 1.3%
Cardiac Surgeon Oklahoma City (2) 2 1.3%
Retinologist 2 1.3%
Audiologist 1 0.6%
Respiratory Therapist 1 0.6%
Physical Therapist 1 0.6%
Neuropsychologist 1 0.6%
Perinatal Specialist Oklahoma City (1) 1 0.6%
Pediatric Trauma Denver, CO (1) 1 0.6%
Ped. Endocrinologist 1 0.6%
Transplant Oklahoma City (1) 1 0.6%
Emergency Room Woodward (1) 1 0.6%
Stroke Arnett (1) 1 0.6%
Dentist 1 0.6%
Total 158 100.0%
Enid (5); Shattuck (4); Oklahoma City (4); Elk City (1);
Norman (1)
Shattuck (3); Oklahoma City (3); Liberal, KS (3); Edmond
(2); Enid (1)
Woodward (2); Shattuck (1); Oklahoma City (1)
Oklahoma City (1); No Location (1)
No Location (1)
CityOklahoma City (7); Shattuck (6); No Location (3);
Woodward (3); Spokane, WA (2); Clinton (1); Perry (1);
Amarillo, TX (1)
Oklahoma City (9); Enid (2); Woodward (2); Edmond (1);
Oklahoma City (4); Enid (2); Shattuck (1); Woodward (1);
Liberal, KS (1); No Location (1)
Oklahoma City (4); Woodward (2); No Location (1)
Oklahoma City (5); Edmond (2); Norman (1); Amarillo,
TX (1)
Oklahoma City (3); Enid (2); Amarillo, TX (1); No
Location (1)
Oklahoma City (3); Enid (2)
Oklahoma City (3); Enid (1)
Enid (4)
Oklahoma City (2); Enid (1); Woodward (1)
Enid (2); Oklahoma City (1)
7. What type of specialist has your household been to and in which city did you receive that care?
Oklahoma City (3); Shattuck (1); Woodward (1)
Shattuck (4); Woodward (1); No Location (1)
Oklahoma City (1); Amarillo, TX (1)
Enid (1); Amarillo, TX (1)
Oklahoma City (1); Woodward (1)
Amarillo, TX (1)
Oklahoma City (1)
Shattuck (1)
Oklahoma City (1); Amarillo, TX (1)
Shattuck (1)
Edmond (1); Oklahoma City (1)
Oklahoma City (1)
*Some respondents answered more than once. 105 respondents had seen a specialist. Those 105 respondents reported
visiting an average of 1.5 specialists.
Local Health Services Survey Results - Newman Memorial Hospital Medical Service Area - 2013 9
7. What type of specialist has your household been to and in which city did you receive that care?
0
5
10
15
20
25
Card
iolo
gist
Uro
log
ist
Derm
atolo
gist
Orth
op
edist
OB
/GY
N
Oto
laryng
olo
gist
Rheu
mato
log
ist
Gastro
entero
log
ist
Op
hth
almo
log
ist
On
colo
gist
Type of Specialist
39.9%
13.9% 13.9%
9.5%
6.3%
3.8%
3.8%
2.5%
6.3%
Location of Specialist Oklahoma City Enid
Shattuck Woodward
No Location Edmond
Amarillo, TX Liberal, KS
All others
Local Health Services Survey Results - Newman Memorial Hospital Medical Service Area - 2013 10
No. %
73 69.5%
28 26.7%
4 3.8%
105 100.0%
8. Did the specialist request further testing, laboratory work and/or x-rays?
Response Category
Yes
Don't know/No response
Total
No
69.5%
26.7%
3.8%
Specialists Requiring Laboratory Work and/or X-Rays
Yes
No
Don't know/No response
Local Health Services Survey Results - Newman Memorial Hospital Medical Service Area - 2013 11
No. %
28 33.7%
18 21.7%
Woodward 13 15.7%
Enid 11 13.3%
Laverne 5 6.0%
No Location 3 3.6%
Amarillo, TX 2 2.4%
Weatherford 1 1.2%
2 2.4%
83 100.0%
Edmond
9. If yes, in which city were the tests or laboratory work performed?
*Some respondents answered more than once. Average responses equal 1.14
Shattuck
Total
Response Category
Oklahoma City
33.7%
21.7%
15.7%
13.3%
6.0%
3.6%
2.4%
1.2%
2.4%
Oklahoma City
Shattuck
Woodward
Enid
Laverne
No Location
Amarillo, TX
Weatherford
Edmond
0% 5% 10% 15% 20% 25% 30% 35% 40%
Location of Laboratory Work
Local Health Services Survey Results - Newman Memorial Hospital Medical Service Area - 2013 12
No. %
129 79.6%
19 11.7%
14 8.6%
162 100.0%
No. %
Mid-Level Clinic 5 25.0%
Rural Health Clinic 3 15.0%
Specialist 4 20.0%
Emergency Room 1 5.0%
Health Department 1 5.0%
No type of provider 1 5.0%
Urgent care 1 5.0%
Homeopathic provider 1 5.0%
No response 3 15.0%
20 100.0%
Total
Response Category
10. Do you use a family doctor for most of your routine health care?
11. If no, then what kind of medical provider do you use for routine care?
Response Category
Yes
*Some respondents answered more than once. Average responses equal 1.05
Total
No
Don't know/No response
79.6%
11.7%
8.6%
Use Family Doctor for Routine Health Care
Yes
No
Don't know/No response
Local Health Services Survey Results - Newman Memorial Hospital Medical Service Area - 2013 13
No. %
113 69.8%
No 34 21.0%
15 9.3%
162 100.0%
Yes
Don't know/No response
12. Has your household been to a primary care doctor in the Shattuck service area?
Total
Response Category
69.8%
21.0%
9.3%
Has your household been to a primary care doctor in the Shattuck
service area?
Yes
No
Don't know/No response
Local Health Services Survey Results - Newman Memorial Hospital Medical Service Area - 2013 14
Satisfied Dissatisfied Don't know
84.1% 8.8% 7.1%
90.0% 6.6% 4.4%
80.0% 20.0% 0.0%
100.0% 0.0% 0.0%
13. How satisfied were you or someone in your household with the quality of care received from a
primary care doctor in the Shattuck service area?
Other Surveys High Range*
Shattuck Service Area
Response Category
*Based on a total of 17 community surveys conducted since 2012.
Other Surveys Averages*
Other Surveys Low Range*
84.1%
90.0%
80.0%
100.0%
8.8%
6.6%
20.0%
0.0%
0% 25% 50% 75% 100%
Shattuck Service Area
Other Surveys Averages*
Other Surveys Low Range*
Other Surveys High Range*
Satisfaction with Shattuck Service Area
Primary Care Doctor
Satisfied
Dissatisfied
Don't know
Local Health Services Survey Results - Newman Memorial Hospital Medical Service Area - 2013 15
No. %
Satisfied with doctor (communication, care, thorough) 11 11.0%
8 8.0%
Problem solved/Needs met 6 6.0%
Satisfied with doctor, but no longer practicing in Shattuck 6 6.0%
5 5.0%
5 5.0%
Long time patient/Knows doctor well 4 4.0%
3 3.0%
Timely care/Quick treatment 3 3.0%
Satisfied, but difficult to get an appointment 2 2.0%
Satisfied, but concerned about care 1 1.0%
Satisfied, but care seemed expensive 1 1.0%
Satisfied, but concerned about insurance coverage 1 1.0%
Satisfied with availability of urgent care 1 1.0%
Nice facility 1 1.0%
42 42.0%
100 100.0%
No. %
Cannot get an appointment when needed/Not enough providers 3 27.3%
Concerned about quality of care/Meeting patient needs 2 18.2%
Rushed through appointment 1 9.1%
Dissatisfied with doctor 1 9.1%
Problem not solved 1 9.1%
Dissatisfied with business office handling insurance claims 1 9.1%
Dissatisfied, clinic closed 1 9.1%
Lack of natural remedies rather than prescriptions 1 9.1%
11 100.0%
*Some respondents answered more than once. Average responses equal 1.38
14b. Why were you dissatisfied with the primary care doctor?
Response Category
Total
Friendly/Caring staff/providers
Good treatment/Care/Services
Convenient Location/Local service
Ease of getting an appointment
Response Category
No response
*Some respondents answered more than once. Average responses equal 1.05
Total
14a. Why were you satisfied with the primary care doctor?
Local Health Services Survey Results - Newman Memorial Hospital Medical Service Area - 2013 16
No. %
9 5.6%
111 68.5%
42 25.9%
162 100.0%Total
No
Response Category
Yes
Don't know/No response
15. Do you think there are enough primary care (family) doctors practicing in the Shattuck
service area?
5.6%
68.5%
25.9%
Do you think there are enough primary care doctors practicing in
the Shattuck service area?
Yes
No
Don't know/No response
Local Health Services Survey Results - Newman Memorial Hospital Medical Service Area - 2013 17
No. %
110 67.9%
18 11.1%
34 21.0%
162 100.0%Total
Yes
16. Would you consider seeing a midlevel provider (nurse practitioner or physician assistant) for
your routine healthcare needs?
Response Category
No
Don't know/No response
67.9%
11.1%
21.0%
Would you see a midlevel provider for routine healthcare needs?
Yes
No
Don't know/No response
Local Health Services Survey Results - Newman Memorial Hospital Medical Service Area - 2013 18
No. %
107 66.0%
26 16.0%
29 17.9%
162 100.0%
Don't know/No response
Total
Response Category
No
17. Are you able to get an appointment with your primary care (family) doctor when you need
one?
Yes
66.0%
16.0%
17.9%
Are you able to get an appointment with your primary care
doctor when needed?
Yes
No
Don't know/No response
Local Health Services Survey Results - Newman Memorial Hospital Medical Service Area - 2013 19
No. %
Lack of doctors/Need more doctors 56 32.2%
7 4.0%
Lack of specialists 7 4.0%
7 4.0%
Keeping hospital/healthcare/Sustainability of services 5 2.9%
Quality of care 4 2.3%
Lack of services 3 1.7%
Business office/Billing department 3 1.7%
Distance to services 2 1.1%
Quality doctors 2 1.1%
Not having doctors in the clinics 2 1.1%
ER care/Doctors (shortage) 2 1.1%
Insurance coverage 2 1.1%
Pain management availability 2 1.1%
Wait time- efficiency 1 0.6%
Not familiar with services 1 0.6%
Not enough health care staff 1 0.6%
1 0.6%
Advanced care in Shattuck 1 0.6%
Acceptance of insurance through Insure OK 1 0.6%
Lack of cooperation among providers 1 0.6%
Building upgrades 1 0.6%
Male primary care doctors 1 0.6%
Patients do not want to see NP or PA 1 0.6%
Quality of care from midlevel providers 1 0.6%
Arthritis 1 0.6%
Having care when needed 1 0.6%
Organization 1 0.6%
Transparency of costs/services 1 0.6%
Hospital administration 1 0.6%
Lack of concern 1 0.6%
Trauma care 1 0.6%
52 29.9%
174 100.0%Total
Response Category
No response
No Concerns/ Don't Know
Difficult to get an appointment
18. What concerns you the most about healthcare in the Shattuck service area?
Lack of natural remedies before prescriptions
*Some respondents answered more than once. Average responses equal 1.07
Local Health Services Survey Results - Newman Memorial Hospital Medical Service Area - 2013 20
No. %
76 35.8%
No additional services/Don't know 11 5.2%
Primary care (more) 3 1.4%
Diabetic nutrition/education/clinic 3 1.4%
Quality physicians 2 0.9%
Improved scheduling of appointments 2 0.9%
Mental health 1 0.5%
1 0.5%
A health clinic 1 0.5%
Chemical stress test 1 0.5%
More testing 1 0.5%
Home health and Hospice 1 0.5%
Expanded rehab 1 0.5%
Mammography 1 0.5%
Ultrasounds 1 0.5%
Prenatal care 1 0.5%
Nutrition education 1 0.5%
More doctors 1 0.5%
MRI 1 0.5%
Thyroid care clinic 1 0.5%
Improved services 1 0.5%
HIDA scans 1 0.5%
More male doctors 1 0.5%
Surgical center 1 0.5%
Increased level of care 1 0.5%
Improved laboratory 1 0.5%
More providers working at hospital 1 0.5%
Personal care 1 0.5%
Continue current services 1 0.5%
Improved billing 1 0.5%
1 0.5%
90 42.5%
212 100.0%
No response
Total
Maternity/Birthing services
More like Oklahoma City
19. What additional services would you like to see offered at Newman Memorial Hospital?
Response Category
More specialists: Specialists in general (12); Orthopedist (8);
Otolaryngologist (6); Dermatologist (6); Rheumatologist (5); Pain
Management (5); OB/GYN (4); Pediatrician (4); Wound Care (4);
Podiatrist (3); Allergy Clinic (3); Diabetes (3); Cardiologist (3);
Oncologist (2); Endocrinologist (2); Surgeons (1); Neuropathology (1);
Neurologist (1); Pulmonologist (1); Perinatal (1); Hormone (1)
*Some respondents answered more than once. Average number of responses equal 1.31
Local Health Services Survey Results - Newman Memorial Hospital Medical Service Area - 2013 21
No. %
44 27.3%
No 102 63.4%
15 9.3%
161 100.0%
Don't know/No response
Total
Response Category
20. Over the past 12 months, has your household received immunizations, WIC, or any public
health related services through Newman Memorial Hospital?
Yes
27.3%
63.4%
9.3%
Public Health Related Services from Newman Memorial Hospital
Yes
No
Don't know/No response
Local Health Services Survey Results - Newman Memorial Hospital Medical Service Area - 2013 22
No. %
104 36.5%
Radio48 16.8%
39 13.7%
38 13.3%
19 6.7%
Other:
37 13.0%
285 100.0%Total
21. How are you currently informed of community events?
Outlet
Newspaper
Newman Memorial Hospital
website (1); Facebook (1)
Website
Social Media (Facebook and Twitter)
Laverne Leader Tribune (10);
NW Oklahoman (9);
Woodward News (6); Ellis
County Capital (2); weekly
paper (1); local paper (1)
Word of mouth (9);
Community Coffees (2);
Coffee shops (1); Rotary (1);
Flyers (1); Coworkers (1);
Family (1); Notes from school
(1); Signs (1); Bulletin boards
(1); Television (1); Hospital
Post (1)
Source:
Facebook (7)
K101 (7); 102.3 (1); KJIL (1);
KHYM (1); local stations (1)
36.5%
16.8%
13.7%
13.3%
6.7%
13.0%
Outlets Used for Information about Community Events
Newspaper
Radio
Social Media (Facebook
and Twitter)
Website
Other:
Local Health Services Survey Results - Newman Memorial Hospital Medical Service Area - 2013 23
Newspaper 1.54
Email 2.31
Social Media (Facebook and Twitter) 2.57
Radio 2.78
Website 3.36
No response
*Many selected more multiple #1 rankings
Outlet
Total
22. How would you prefer to be notified of community events? (Rank 1= most preferred and
5=least preferred)
#1 Ranks
38
9
73
13
27
31
191
Overall Rank (average)
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Newspaper
Social Media (Facebook and Twitter)
Radio
Website
#1 #2 #3 #4 #5
Local Health Services Survey Results - Newman Memorial Hospital Medical Service Area - 2013 24
Appendix A- Survey Form
Local Health Services SurveyNewman Memorial HospitalPlease reutrn your completed survey to the hospital by September 13, 2013
1.
Yes (Go to Q2) No (Skip to Q7) Don't know (Skip to Q7)
2.
Other (Please specify Hospital and City, then go to Q3)
3.
Quality of care/Lack of confidence
Availability of specialty care
Other (Please list below)
4.
Emergency room (ER) Inpatient services
Laboratory Physician services
Other outpatient services
Other (Please list below)
5.
Satisfied Dissatisfied Don't know
6.
7.
8.
Yes No Don't know
9.
Has your household used the services of a hospital in the past 24 months?
The zip code of my residence is:______________________________
Physician referral
Insurance reasons
If you responded in Q2 that your household received care at a hospital other than Newman Memorial
Hospital, why did you or your family member choose that hospital? (Please answer then skip to Q7)
At which hospital(s) were services received?
If you responded in Q2 that your household received care at Newman Memorial Hospital, what hospital
service(s) was used?
Radiological imaging (X-ray, MRI, CT,
Ultrasound, Mammogram)
What type of specialist have you or someone in your household been to in the past 24 months and in which
city did you receive that care?
Why were you satisfied/dissatisfied?
How satisfied was your household with the services you received at Newman Memorial Hospital?
Type of Specialist City
If yes, in which city were the tests or laboratory work performed?
Did the specialist request further testing, laboratory work and/or x-rays?
Closer, more convenient location
Newman Memorial Hospital (Skip to Q4)
Shattuck Medical Service Area Local Health Services Survey - 2013 Page 1 of 2
10.
Yes (Skip to Q12) No (Go to Q11) Don't know (Skip to Q12)
11.
Rural Health Clinic
Specialist
Tribal Health Center
Other (Please list below)
12.
Yes (Go to Q13) No (Skip to Q15) Don't know (Skip to Q15)
13.
Satisfied Dissatisfied Don't know
14.
15.
Yes No Don't know
16.
Yes No Don't know
17.
Yes No Don't know
18.
19.
20.
Yes No Don't know
21. How are you currently informed of community events? (Please check all that apply with the outlet)Outlet Source
Newspaper Radio
Website
Social Media (Facebook and Twitter)
Other
22.
Newspaper Email Social Media
Radio Website
Over the past 12 months, has your household received immunizations, WIC, or any public health related
services through Newman Memorial Hospital?
Would you consider seeing a midlevel provider (nurse practitioner or PA) for your routine healthcare needs?
If no, then what kind of medical provider do you use for routine care?
Income Based Health Center
Mid-Level Clinic (Nurse Practitioner or PA)
(Please rank your choices with 1=most preferred and 5=least preferred)
How would you prefer to be notified of community events?
Why were you satisfied/dissatisfied?
Health Department
Emergency Room/Hospital
What concerns you most about health care in the Shattuck service area?
Are you able to get an appointment with your primary care (family) doctor when you need one?
Has your household been to a primary care (family) doctor in the Shattuck service area?
How satisfied was your household with the quality of care received in the Shattuck service area?
Do you use a primary care (family) doctor in a private practice for most of your routine health care?
What other services would you like to see offered at Newman Memorial Hospital?
Do you think there are enough primary care (family) doctors practicing in the Shattuck service area?
Please return survey to:
Newman Memorial Hospital
905 S Main
Shattuck, OK 73858
(Return by mail, or drop off
in Administration)
Shattuck Medical Service Area Local Health Services Survey - 2013 Page 2 of 2