Okeene Municipal Hospital Medical Service Area Telephone Survey Form and Results Oklahoma Office of Rural Health Center for Rural Health OSU Center for Health Sciences Oklahoma Cooperative Extension Service Oklahoma State University May 2009
Okeene Municipal Hospital Medical Service Area Telephone Survey Form and Results AE-09015 Community Health Engagement Process documents available online at: www.okruralhealthworks.org Lara Brooks, Assistant Extension Specialist, OSU, Stillwater 405-744-6083; Fax: 405-744-9835, Email: lara.brooks@okstate.edu Brian Whitacre, Assistant Professor and Extension Economist, OSU, Stillwater 405-744-6083 Stan Ralstin, Area Community Development Specialist, OSU, Enid 580-237-7677 Alvin Woodruff, Blaine County Extension Director, Watonga 580-623-5195 Corie Kaiser, Health Consultant, Oklahoma Center for Rural Health, Oklahoma City 405-945-9197 Val Schott, Director, Oklahoma Center for Rural Health, Oklahoma City & Tulsa 405-945-9197 Oklahoma Office of Rural Health Center for Rural Health OSU Center for Health Sciences Oklahoma Cooperative Extension Services Oklahoma State University May 2009
Okeene Municipal Hospital Medical Service Area Telephone Survey Form
OKEENE MUNICIPAL HOSPITAL SURVEY DRAFT Survey Date: April 6-12, 2009 Page 1 of 8 NOTE TO INTERVIEWER: All questions are optional and respondent may, of course, choose not to answer. All answers provided on this form are for facilitation purposes only. If an answer does not "fit" into one of the provided answers, please take down the exact answer given. Thank you. Introduction and screener: Hello. My name is with. I am calling on behalf of the Okeene Health Care Task Force committee. We are conducting a brief survey on the topic of health care in the Okeene area. The community is reviewing the health care situation in the Okeene area. It is very important that we include the opinion of you or someone in your household in this brief but important survey. To ensure confidentiality, all responses are completely anonymous. Qualifier 1: May I ask, are you over the age of 18? Yes No (Ask to speak to someone over the age of 18. TERMINATE if there is no one over the age of 18 in the household.) 1. What is your zip code? 73763, Okeene 73747, Isabella 73724, Canton 73768, Ringwood 73744, Hitchcock Other (TERMINATE) 73755, Longdale 2a. 2b. Do you use a family doctor, physician assistant, or nurse practitioner for most of your routine health care? Yes (Skip to Q.3a) No (Do not read) Don't know/refused (Skip to Q.3a) If no, then what kind of medical provider do you use for routine care? (Record exact response. Probe for clarification. Do not read list.) Community Health Center Rural Health Clinic Health Department Specialist Emergency Room/Hospital Other (Specify) Medicaid
OKEENE MUNICIPAL HOSPITAL SURVEY Page 2 of 8 DRAFT 3a. Which city do you go to for most of your family's routine health care needs? (Do not read list) Okeene (Skip to Q.4a) Seiling Watonga Weatherford Fairview Other (Specify) Kingfisher (Do not read) Don't know/refused (Skip Enid to Q.4a) Oklahoma City 3b. 4a. 4b. 4c. Why do you or someone in your household use a medical provider for routine health care needs outside of Okeene? (Record exact response. Probe for clarification. Do not read list.) Better quality of providers Speed of getting an appointment Closer/Convenient location Approved provider for insurance/health Have used for years/personal relationship benefits program Nicer facilities Other (Specify) Specialist (Do not read) Don't know/refused Have you or someone else in your household been to a family doctor in Okeene in the past 24 months? Yes No (Skip to Q.5a) (Do not read) Don't know/refused (Skip to Q.5a) How satisfied were you or someone in your household with the quality of care received in Okeene? Would you say that you were (Read List)? Satisfied Dissatisfied (Do not read) Don't know/refused (Skip to Q.5a) Why do you say that? (Record exact response. Probe for clarification.) 5a. Have you or someone in your household been to a specialist in the past 24 months? Yes No (Skip to Q.6) (Do not read) Don't know/refused (Skip to Q.6)
OKEENE MUNICIPAL HOSPITAL SURVEY DRAFT 5b. Page 3 of 8 What type of specialist have you or someone in your household been to and in which city are they located? Type of Specialist City 5c-1. 5c-2. 5d. Did the specialist request further testing or laboratory work? Yes No (Skip to Q.6) (Do not read) Don't know/refused (Skip to Q.6) Did you, or the person using the specialist, consider using Okeene Municipal Hospital for laboratory services requested by your specialist? Yes No (Skip to Q.6) (Do not read) Don't know/refused (Skip to Q.6) Why did you, or your household member, not choose Okeene Municipal Hospital for laboratory services requested by your specialist? More convenient to use other facility (where specialist is located) Approved provider for insurance/health benefits program Did not know option was available Other (Specify) Nicer facilities (Do not read) Don't know/refused 6. How many people live in your household? (Record response below) (If respondent is the only person who lives in household, ask for "you" only in Q.7a and b)
OKEENE MUNICIPAL HOSPITAL SURVEY DRAFT 7a/b. Page 4 of 8 What type of health insurance covers you and your family? (Read list if needed. Ask for "you" and "family" (if applicable). Can provide more than one response.) Champus/TriCare Program Insurance through Employer/Previous employer Medicaid Medicare Medicare Part D (Prescriptions) Medicare Advantage (Private pay) Medicare Supplement (Private pay) Self-Paid Insurance Plan VA benefits Native American/Tribal Benefits Other * Do Not Have Health Insurance You Family 7c. 8. If you or your familiy's insurance is through employer / previous employer/ Medicare Advantage/ or is self-paid, what company do you use? Blue Cross / Blue Shield Cigna Healthchoice Champus / TriCare Program Pacificare Physicians' Mutual United Healthcare Other (Specify) Aetna Don't Know / Refused Have you or someone in your household used the non-emergency services of a hospital in the past 24 months? Yes No (Skip to Q.15) (Do not read) Don't know/refused (Skip to Q.15)
OKEENE MUNICIPAL HOSPITAL SURVEY Page 5 of 8 DRAFT 9. At which hospital(s) were services received? (Do not read list unless prompt is needed. Record exact responses. Allow for responses for more than one hospital.) Okeene Municipal Hospital, Okeene (Skip to Q.12) Watonga Municipal Hospital, Watonga Seiling Municipal Hospital, Seiling Weatherford Regional Hospital, Weatherford Fairview Regional Medical Center, Fairview Kingfisher Regional Hospital, Kingfisher INTEGRIS Bass Baptist Health Center, Enid St. Mary's Regional Medical Center, Enid INTEGRIS Bass Pavilion, Enid Other (Specify) (Do not read) Don't know/refused 10. (If any hospital other than Okeene Municipal Hospital was indicated in Q.9, ask Q.10, Q.11a, and Q.11b; otherwise, skip to Q.12) You mentioned that you or someone in your household received care at a hospital other than Okeene Municipal Hospital. Why did you or your family member choose this/these hospital(s)? (Record exact response. Probe for clarification.) Insurance reasons Specialty doctor Closer/convenient location Where my doctor works Better Service Other (Specify) Referral/Recommended/Transferred (Do not read) Don't know/refused 11a. What hospital services were used there? (Do not read list unless prompt is needed. Record exact response.) Birthing services MRI Bone density Outpatient surgery CT Scan (CAT Scan) Physical therapy Dietary services/diabetic counseling Radiology (X-Ray) Emergency room Respiratory therapy Inpatient stay Sleep study Inpatient surgery Specialty doctor Laboratory (blood) tests Ultrasound Mammogram Other (Specify) Mental health/substance abuse (Do not read) Don't know/refused
OKEENE MUNICIPAL HOSPITAL SURVEY Page 6 of 8 DRAFT 11b. How satisfied were you or someone in your household with the services you received at this hospital? Would you say you were (Read list) Satisfied Dissatisfied (Do not read) Don't know/refused (Skip to Q.15) 12. 13. (If Okeene Municipal Hospital is mentioned in Q.9, ask Q.12, Q.13, Q.14a, and Q.14b; otherwise, skip to Q. 15.) What hospital services were used at Okeene Municipal Hospital? (Do not read list unless prompt is needed. Record exact response.) Bone density Outpatient surgery CT Scan (CAT Scan) Physical therapy Dietary services/diabetic counseling Radiology (X-Ray) Emergency room Respiratory therapy Cardiac Stress Test Specialty doctor Inpatient stay Speech therapy Inpatient surgery Ultrasound Laboratory (blood) tests Laparoscopic surgery MRI Endoscopy Nuclear medicine Other (Specify) Occupational therapy (Do not read) Don't know/refused Please rank on a scale from 1-5 (where 1 = very poor, 5 = excellent) how you felt about the following aspects of your hospital visit: a) Services provided by the doctors b) The hospital's facilities c) Services provided by the nurses d) Services provided by the administrative staff Rank (1-5) 14a. 14b. How satisfied were you or someone in your household with the services you received at Okeene Municipal Hospital? Would you say you were (Read list) Satisfied Dissatisfied (Do not read) Don't know/refused (Skip to Q.15) Why do you say that? (Record exact response. Probe for clarification.)
OKEENE MUNICIPAL HOSPITAL SURVEY Page 7 of 8 DRAFT 15. Have you or someone in your household used emergency room services in the past 24 months? Yes No (Skip to Q.17) (Do not read) Don't know/refused (Skip to Q.17) 16. 17. At which hospital(s) were emergency room services received? (Do not read list unless prompt is needed. Record exact responses. Allow for responses for more than one hospital.) Okeene Municipal Hospital, Okeene Watonga Municipal Hospital, Watonga Seiling Municipal Hospital, Seiling Weatherford Regional Hospital, Weatherford Fairview Regional Medical Center, Fairview Kingfisher Regional Hospital, Kingfisher INTEGRIS Bass Baptist Health Center, Enid St. Mary's Regional Medical Center, Enid INTEGRIS Bass Pavilion, Enid Other (Specify) (Do not read) Don't know/refused What concerns you most about health care in your community? (Record exact response.) 18. What additional services would you like to see offered in Okeene? (Do not read list unless prompt is needed. Record exact response.) Birthing Services Orthopedist Cardiologist OB/GYN Mammogram Sleep study Mental health/substance abuse More physicians in general Oncologist Other (Specify) Home Health (Do not read) Don't know/refused
OKEENE MUNICIPAL HOSPITAL SURVEY DRAFT Page 8 of 8 The last few questions are for statistical purposes only and like any of the other questions, respondents may choose not to answer. 19. 20. 21. 22. What is your age? 18-20 61-70 21-30 71-80 31-40 80+ 41-50 (Do not read) Don't know/refused 51-60 What is your ethnicity? Caucasian Native American Asian Other (Specify) Hispanic (Do not read) Don't know/refused African American What is your annual household income? Less than $10,000 $75,000 to $99,999 $10,000 to $14,999 $100,000 to $149,999 $15,000 to $24,999 $150,000 to $199,999 $25,000 to $34,999 $200,000 or more $35,000 to $49,999 (Do not read) Don't know/refused $50,000 to $74,999 INTERVIEWER: RECORD ANSWER BASED ON OBSERVATION ONLY. DO NOT ASK. Male Female Unknown (Can't Tell) That completes the survey. Thank you for your time!
Okeene Municipal Hospital Medical Service Area Telephone Survey Results
Q1. What is your zip code? Response Category No. Percent 73763, Okeene 61 30.3% 73768, Ringwood 46 22.9% 73724, Canton 40 19.9% 73755, Longdale 32 15.9% 73744, Hitchcock 12 6.0% 73747, Isabella 10 5.0% Total 201 100.0% 73763, Okeene 30.3% 73768, Ringwood 73724, Canton 73755, Longdale 15.9% 19.9% 22.9% 73744, Hitchcock 73747, Isabella 6.0% 5.0% 0% 20% 40% Okeene Municipal Hospital Telephone Survey Results 1
Q2a. Do you use a family doctor, physician assistant, or nurse practitioner for most of your routine health care? Response Category No. Percent Yes 190 94.5% No 11 5.5% Total 201 100.0% Yes 94.5% No 5.5% Okeene Municipal Hospital Telephone Survey Results 2
Q2b. If no, then what kind of medical provider do you use for routine care? Response Category No. Percent Emergency Room/Hospital 5 45.5% Specialist 2 18.2% None (Religious Views) 2 18.2% Urgent Care Clinic 1 9.1% Community Health Center 1 9.1% Total 11 100.0% Emergency Room/Hospital 45.5% Specialist 18.2% None (Religious Views) 18.2% Urgent Care Clinic 9.1% 0% 10% 20% 30% 40% 50% 60% Okeene Municipal Hospital Telephone Survey Results 3
Q3a. Which city do you go to for most of your family's routine health care needs? Response Category County No. Percent Okeene Blaine 115 57.2% Enid Garfield 43 21.4% Fairview Major 14 7.0% Watonga Blaine 11 5.5% Oklahoma City Oklahoma 6 3.0% Clinton Custer 2 1.0% Kingfisher Kingfisher 1 0.5% Seiling Dewey 1 0.5% Weatherford Custer 1 0.5% Hennessey Kingfisher 1 0.5% Cherokee Alfalfa 1 0.5% Canton Blaine 1 0.5% Don't know/no response 4 2.0% Total 201 100.0% Okeene Municipal Hospital Telephone Survey Results 4
Q3b. Why do you or someone in your household use a medical provider for routine health care needs outside of Okeene? Response Category No. Percent Closer/Convenient location 35 33.3% Have used for years/personal relationship 26 24.8% Better quality of providers 20 19.0% Specialist 9 8.6% Approved provider for insurance/health benefits 8 7.6% Nicer facilities 3 2.9% Lower cost provider 1 1.0% Doctor from Okeene travels to Canton 1 1.0% Preferred female OB/GYN 1 1.0% Don't know/no response 1 1.0% Total 105 100.0% Some respondents answered more than once. Okeene Municipal Hospital Telephone Survey Results 5
Q4a. Have you or someone else in your household been to a family doctor in Okeene in the past 24 months? Response Category No. Percent Yes 121 60.2% No 79 39.3% Don't know/no response 1 0.5% Total 201 100.0% Yes 60.2% Don't know/no response 0.5% No 39.3% Okeene Municipal Hospital Telephone Survey Results 6
Q4b. How satisfied were you or someone in your household with the quality of care received in Okeene? Would you say that you were Response Category No. Percent Satisfied 114 94.2% Dissatisfied 6 5.0% Don't know/no response 1 0.8% Total 121 100.0% Satisfied 94.2% Don't know/no response 0.8% Dissatisfied 5.0% Okeene Municipal Hospital Telephone Survey Results 7
Q4c-1. Why do you say that you are satisfied with the services received in Okeene? Response No. Percent Satisfied, because the services were local and personal 34 23.3% Satisfied with doctors/physician assistants/nurses 29 19.9% Resolved medical issue(s) 24 16.4% Good treatment/care 20 13.7% Short waiting time 18 12.3% Friendly staff 10 6.8% Service was good 7 4.8% Satisfied, but concerned with care 2 1.4% Specialists come from larger cities 1 0.7% Satisfied, no reason given 1 0.7% Total 146 76.7% Some respondents answered more than once. Q4c-2. Why do you say that you are dissatisfied with the services you received in Okeene? Response No. Percent Unsatisfied with physicians 4 50.0% Medical issue(s) not resolved 2 25.0% Bad service 1 12.5% Long wait 1 12.5% Total 8 100.0% Some respondents answered more than once. Okeene Municipal Hospital Telephone Survey Results 8
Q4d. How satisfied were you or someone in your household with the quality of care you received in Okeene? Compared to Other Studies Survey Area Satisfied Dissatisfied No Response Okeene 94.2% 5.0% 0.8% Other Surveys Averages 91.3% 7.3% 1.4% Other Surveys Low Range 82.7% 17.3% 0.0% Other Surveys High Range 100.0% 0.0% 0.0% 0% 25% 50% 75% 100% Okeene Other Surveys Averages Other Surveys Low Range Other Surveys High Range Satisfied Dissatisfied No Response Okeene Municipal Hospital Telephone Survey Results 9
Q5a. Have you or someone in your household been to a specialist in the past 24 months? Response Category No. Percent Yes 119 59.2% No 82 40.8% Total 201 100.0% Yes 59.2% No 40.8% Okeene Municipal Hospital Telephone Survey Results 10
Q5b-1. What type of specialist have you or someone in your household been to? Type of Specialist No. Percent Top 7 Responses Cardiologist 38 42.7% Orthopedist 14 15.7% OB/GYN 11 12.4% Urologist 11 12.4% Oncologist 9 10.1% Neurologist 9 10.1% Orthopedic Surgeon 8 9.0% All others 73 82.0% Total 89 194.4% Some respondents answered more than once. Okeene Municipal Hospital Telephone Survey Results 11
Q5b-2. What type of specialist have you or someone in your household been to and in which city are they located? Type of Specialist City No. Percent Cardiologist Oklahoma City (16); Enid (15); Okeene (4); Edmond (1); Stillwater (1); Hot Springs, AR (1) 38 23.5% Oklahoma City (8); Enid (4); Tulsa (1); Orthopedist Shreveport, LA (1) 14 8.6% OB/GYN Enid (5); Oklahoma City (5); Atlanta, GA (1) 11 6.8% Urologist Oklahoma City (6); Enid (4); Okeene (1) 11 6.8% Oncologist Enid (5); Oklahoma City (2); Fairview (1); Houston, TX (1) 9 5.6% Neurologist Oklahoma City (4); Enid (4); Fairview (1) 9 5.6% Orthopedic Surgeon Oklahoma City (5); Enid (3) 8 4.9% Gastroenterologist Enid (4); Oklahoma City (2); Okeene (1); Fairview (1) 8 4.9% Rheumatologist Oklahoma City (5); Enid (2); Norman (1) 8 4.9% General Surgeon Enid (5); Edmond (1); Oklahoma City (1) 7 4.3% Otolaryngologist Enid (3); Oklahoma City (3) 6 3.7% Pulmonologist Enid (2); Ardmore (1); Oklahoma City (1) 4 2.5% Endocrinologist Oklahoma City (2); Edmond (1) 3 1.9% Ophthalmologist Enid (3) 3 1.9% Allergist Oklahoma City (1); Lincoln, NE (1) 2 1.2% Dentist Enid (1); Oklahoma City (1) 2 1.2% Dermatologist Enid (1); Oklahoma City (1) 2 1.2% Hepatologist Oklahoma City (1); Kansas City, MO (1) 2 1.2% Nephrologist Enid (2) 2 1.2% Proctologist Enid (2) 2 1.2% Audiologist Enid (1) 1 0.6% Geneticist Oklahoma City (1) 1 0.6% Geriatrician Edmond (1) 1 0.6% Neurosurgeon Enid (1) 1 0.6% Ocular Surgeon Oklahoma City (1) 1 0.6% Pain Management Oklahoma City (1) 1 0.6% Pediatric Neurologist Tulsa (1) 1 0.6% Pediatrician Oklahoma City (1) 1 0.6% Podiatrist Oklahoma City (1) 1 0.6% Psychiatrist Oklahoma City (1) 1 0.6% Retina Specialist Oklahoma City 1 0.6% Total 162 100.0% Some respondents answered more than once. Okeene Municipal Hospital Telephone Survey Results 12
Q5c-1. Did the specialist request further testing or laboratory work? Response Category No. Percent Yes 87 73.1% No 30 25.2% Don't know/no response 2 1.7% Total 119 100.0% Yes 73.1% Don't know/no response 1.7% No 25.2% Okeene Municipal Hospital Telephone Survey Results 13
Q5c-2. Did you, or the person using the specialist, consider using Okeene Municipal Hospital for laboratory services requested by your specialist? Response Category No. Percent Yes 37 42.5% No 50 57.5% Total 87 100.0% No 57.5% Yes 42.5% Okeene Municipal Hospital Telephone Survey Results 14
Q5d. Why do you or your household member not choose Okeene Municipal Hospital for laboratory services requested by your specialist? Response Category No. Percent More convenient to use other facility (where specialist is located) 37 71.2% Approved provider for insurance/health benefits 4 7.7% Did not know option was avaialble 3 5.8% Nicer facilities 2 3.8% Okeene was not equipped for test needed 2 3.8% Better quality of providers 2 3.8% Did not live in Okeene at the time 1 1.9% Don't know/no response 1 1.9% Total 52 100.0% Some respondents answered more than once. Okeene Municipal Hospital Telephone Survey Results 15
Q6. How many people live in your household? Response Category No. Percent One 37 18.4% Two 98 48.8% Three 30 14.9% Four 17 8.5% Five 11 5.5% Six 4 2.0% Seven 2 1.0% Eight 1 0.5% Ten 1 0.5% Total 201 100.0% One 18.4% Two 48.8% Three 14.9% Four 8.5% Five 5.5% Six 2.0% 0% 20% 40% 60% Okeene Municipal Hospital Telephone Survey Results 16
Q7a. What type of health insurance covers you? Response Category All Categories Percent Major Categories Percent All Medicare 107 38.8% Medicare 63 22.8% Medicare Part D 24 8.7% Medicare Supplement 17 6.2% Medicare Advantage 3 1.1% Insurance through employer/previous employer 102 37.0% 102 37.0% Self-paid insurance plan 29 10.5% 29 10.5% Medicaid (Sooner Care) 7 2.5% 7 2.5% Champus/TriCare Program 6 2.2% 6 2.2% VA benefits 3 1.1% 3 1.1% Native American/Tribal benefits 2 0.7% 2 0.7% None/Not covered by health insurance 20 7.2% 20 7.2% Total 276 100.0% 276 100.0% Some respondents answered more than once. Okeene Municipal Hospital Telephone Survey Results 17
Q7b. What type of health insurance covers your family? Response Category All Categories Percent Major Categories Percent All Medicare 65 33.9% Medicare 45 23.4% Medicare Part D 11 5.7% Medicare Supplement 9 4.7% Insurance through employer/previous employer 82 42.7% 82 42.7% Self-paid insurance plan 20 10.4% 20 10.4% Medicaid (Sooner Care) 12 6.3% 12 6.3% Champus/TriCare Program 7 3.6% 7 3.6% VA Benefits 4 2.1% 4 2.1% Native American/Tribal benefits 2 1.0% 2 1.0% None/Not covered by health insurance 16 83% 8.3% 16 83% 8.3% Total 192 100.0% 192 100.0% Some respondents answered more than once. Okeene Municipal Hospital Telephone Survey Results 18
Q7c. If you or your familiy's insurance is through employer/ previous employer/ Medicare Advantage/ or is self paid, what company do you use? Response Category All Categories Percent Blue Cross/Blue Shield 50 33.8% Health Choice 18 12.2% Aetna 15 10.1% United Health Care 6 4.1% First Health 3 2.0% Champus/TriCare Program 2 1.4% Physicians' Mutual 2 1.4% Christian Hospitalization Aid 2 1.4% Mutual of Omaha 2 1.4% Prinicpal Finance 2 1.4% AARP 2 1.4% 1 Each: 21 14.2% Cigna, First Choice, Providian, Advantrix, American Medical, American Postal Union Workers, Assurant Health, Community Care, Continental, Coventry Health Care Provider, Delta, Golden Rule, Group Benefits Services, Mega, Mutual Assurance, Oklahoma Health Authority, Oklahoma Health Care, Oklahoma Health Network, Providence, Shenandoah, Waterstone Don't know/refused 23 15.5% Total 148 100.0% Some respondents answered more than once. Okeene Municipal Hospital Telephone Survey Results 19
Q8. Have you or someone in your household used the nonemergency services of a hospital in the past 24 months? Response Category No. Percent No 117 58.2% Yes 82 40.8% Don't know/no response 2 1.0% Total 201 100.0% No 58.2% Don't know/no response 1.0% Yes 40.8% Okeene Municipal Hospital Telephone Survey Results 20
Response Category Location No. Percent Okeene Municipal Hospital Okeene 49 57.6% Fairview Regional Medical Center Fairview 8 9.4% INTEGRIS Bass Baptist Health Center Enid 8 9.4% St. Mary's Regional Medical Center Enid 6 7.1% Watonga Municipal Hospital Watonga 5 5.9% McBride Clinic Orthopedic Hospital Edmond 2 2.4% Surgery Center of Enid Enid 2 2.4% Kingfisher Regional Hospital Kingfisher 1 1.2% Mercy Health Center Oklahoma City 1 1.2% Clinton Indian Hospital Clinton 1 1.2% Hospital in OKC, Don't remember name Oklahoma City 1 1.2% Hospital in Enid, Don't remember name Enid 1 1.2% Total 85 100.0% Some respondents answered more than once. Q9a. At which hospital(s) were services received? Okeene Municipal Hospital Telephone Survey Results 21
Survey Area Q9b. Which hospital(s) were services received? Okeene Municipal Hospital Compared to Other Studies Used local hospital Did not use local hospital Okeene Municipal Hospital Other Surveys Averages Other Surveys Low Range Other Surveys High Range 57.6% 42.4% 47.1% 52.9% 25.0% 75.0% 63.6% 36.4% 0% 25% 50% 75% 100% Okeene Municipal Hospital Other Surveys Averages Other Surveys Low Range Other Surveys High Range Used local hospital Did not use local hospital Okeene Municipal Hospital Telephone Survey Results 22
Q10. You mentioned that you or someone in your household received care at a hospital other than Okeene Municipal Hospital. Why did you or your family member choose this/these hospital(s)? Response Category No. Percent Closer/Convenient location 13 27.1% Where my doctor works 11 22.9% Referral/Recommended/Transferred 8 16.7% Better service 7 14.6% Specialty doctor 6 12.5% Insurance reasons 3 6.3% Total 48 100.0% Some respondents answered more than once. Closer/Convenient location 27.1% Where my doctor works 22.9% Referral/Recommended/ Transferred 16.7% Better service 14.6% 0% 10% 20% 30% 40% Okeene Municipal Hospital Telephone Survey Results 23
Q11a. What hospital services were used there? Response Category Subcategories All Categories Percent All Diagnostic Imaging 20 28.2% Radiology (X-Ray) 8 Mammogram 4 MRI 3 CT Scan (CAT Scan) 3 Ultrasound 2 Laboratory (Blood) Tests 17 23.9% Outpatient surgery 8 11.3% Specialty doctor 6 8.5% Emergency room 5 7.0% Inpatient surgery 4 5.6% Inpatient stay 4 5.6% Physical therapy 3 4.2% Routine health care/primary care 1 1.4% Dietary services/diabetic counseling 1 1.4% Prescriptions 1 1.4% Colonoscopy 1 1.4% Total 20 71 100.0% Some respondents answered more than once. Okeene Municipal Hospital Telephone Survey Results 24
Q11b. How satisfied were you or someone in your household with the services you received at this hospital? Would you say you were Response Category No. Percent Satisfied 34 97.1% Dissatisfied 1 2.9% Total 35 100.0% Satisfied 97.1% Dissatisfied 2.9% Okeene Municipal Hospital Telephone Survey Results 25
Responses Subcategories All Categories Percent All Diagnostic Imaging 13 20.6% Radiology (X-Ray) 11 MRI 1 Ultrasound 1 Laboratory (blood) test 25 39.7% Emergency room 5 7.9% Routine check-up 3 4.8% Physical therapy 3 4.8% Outpatient surgery 2 3.2% Inpatient surgery 2 3.2% Bone density 1 1.6% Cardiac stress test 1 1.6% Nuclear medicine 1 1.6% Inpatient stay 1 1.6% Routine check-up at clinic 1 1.6% Colonoscopy 1 1.6% Immunizations 1 1.6% Heart check-up 1 1.6% Don't know/no response 2 3.2% Total 13 63 100.0% Some respondents answered more than once. Q12. What hospital services were used at Okeene Municipal Hospital? Okeene Municipal Hospital Telephone Survey Results 26
Q13. Please rank on a scale from 1-5 (where 1 = very poor, 5 = excellent) how you felt about the following aspects of your hospital visit Response Category Very poor Excellent Total 1 2 3 4 5 Services provided by the doctors 0 0 1 17 31 49 The hospital's facilities 0 0 1 11 37 49 Services provided by the nurses 0 0 2 12 35 49 Services provided by the administrative staff 1 0 3 15 30 49 1 2 3 4 5 Very Poor Excellent Services provided by the doctors The hospital's facilities Services provided by the nurses Services provided by the administrative staff 0% 20% 40% 60% 80% 100% Okeene Municipal Hospital Telephone Survey Results 27
Q14a. How satisfied were you or someone in your household with the services you received at Okeene Municipal Hospital? Would you say that you were Response Category No. Percent Satisfied 49 100.0% Dissatisfied 0 0.0% Total 49 100.0% Satisfied 100.0% Dissatisfied 0.0% Okeene Municipal Hospital Telephone Survey Results 28
Q14b-1. Why do you say that you are satisfied with the services received at Okeene Municipal Hospital? Response No. Percent Good treatment/care 13 22.4% Resolved medical issue(s) 12 20.7% Satisfied because services were local and personal 12 20.7% Satisfied with doctors/physician assistants/nurses 9 15.5% Service was good 5 8.6% Friendly staff 4 6.9% Satisfied with facilities 3 5.2% Short waiting time 3 5.2% Satisfied, no reason given 2 3.4% Satisfied, but concerned about care 1 1.7% Total 58 100.0% Some respondents answered more than once. Okeene Municipal Hospital Telephone Survey Results 29
Q14c. How satisfied were you or someone in your household with the services you received at Okeene Municipal Hospital Compared to Other Studies Survey Area Satisfied Dissatisfied No Response Okeene Municipal Hospital 100.0% 0.0% 0.0% Other Surveys Averages 85.0% 12.0% 3.0% Other Surveys Low Range 66.7% 33.3% 0.0% Other Surveys High Range 97.1% 2.9% 0.0% 0% 25% 50% 75% 100% Okeene Municipal Hospital Other Surveys Averages Other Surveys Low Range Other Surveys High Range Satisfied Dissatisfied No Response Okeene Municipal Hospital Telephone Survey Results 30
Q15. Have you or someone in your household used emergency room services in the past 24 months? Response No. Percent No 129 64.2% Yes 72 35.8% Total 201 100.0% No 64.2% Yes 35.8% Okeene Municipal Hospital Telephone Survey Results 31
Q16a At which hospital(s) were emergency room services received? Response Category Location No. Percent Okeene Municipal Hospital Okeene 43 54.4% Fairview Regional Medical Center Fairview 11 13.9% St. Mary's Regional Medical Center Enid 11 13.9% INTEGRIS Bass Baptist Health Center Enid 5 6.3% Watonga Municipal Hosptial Watonga 4 5.1% Weatherford Regional Hospital Weatherford 1 1.3% Kingfisher Regional Hospital Kingfisher 1 1.3% INTEGRIS Baptist Medical Center Oklahoma City 1 1.3% Stillwater Medical Center Stillwater 1 1.3% Hospital in Enid, don't remember name Enid 1 1.3% Total 79 100.0% Some respondents answered more than once. Okeene Municipal Hospital Telephone Survey Results 32
Q16b. Percentage of respondents using local services Okeene Municipal Hospital Survey Area Used local Services Did not use local Services Routine Healthcare (Q3a) Hospital (non-emergency)(q9) Emergency Room(Q16) 57.2% 42.8% 57.6% 42.4% 54.4% 45.6% 0% 25% 50% 75% 100% Routine Healthcare (Q3a) Hospital (non-emergency)(q9) Emergency Room(Q16) Used local Services Did not use local Services Okeene Municipal Hospital Telephone Survey Results 33
Q17. What concerns you most about health care in your community? Response Category No. Percent No concerns/complaints 49 23.2% High cost of care/prescriptions/insurance 47 22.3% Hospital moving/closing/no health care in community 21 10.0% Distance to health facilities 13 6.2% Uninsured populations 11 5.2% Quality of care 10 4.7% New doctors/experienced doctors/more doctors and nurses 8 3.8% Lack of services 6 2.8% Emergency services/ Ambulance/ 911 4 1.9% Availability/Reliability of health care facilities/providers 3 1.4% Availability of specialists 3 1.4% Retiring physicians 3 1.4% Government influence in health care 3 1.4% Long wait to see physician 2 0.9% Infectious diseases 1 0.5% Acquiring newer medical technology/facilities 1 0.5% Birthing services/ OB/GYN 1 0.5% Communication among physicians 1 0.5% Availability of dentists 1 0.5% Aging population 1 0.5% Easier to get into Okeene Clinic 1 0.5% Being healthy 1 0.5% Don't know/no response 20 9.5% Total 211 100.0% Some respondents answered more than once. Okeene Municipal Hospital Telephone Survey Results 34
Q18. What additional services would you like to see offered in Okeene? Response Category No. Percent More physicians/better physicians 16 7.4% Birthing services 15 6.9% Mammogram 13 6.0% OB/GYN 7 3.2% More specialists 4 1.8% Cardiologist 2 0.9% Mental health/substance abuse 1 0.5% Oncologist 1 0.5% Gastroenterologist 1 0.5% Minor emergency clinic 1 0.5% More dentists 1 0.5% Optometrists 1 0.5% Chiropractor 1 0.5% Neurologist 1 0.5% Pediatrician 1 0.5% Physical therapy 1 0.5% Pre-natal 1 0.5% Nursing Home 1 0.5% Pulmonologist 1 0.5% Psychiatrist 1 0.5% Preventitive Medicine Services 1 0.5% Transportation to and from medical facility 1 0.5% Don't know/no response 144 66.4% Total 217 100.0% Some respondents answered more than once. Okeene Municipal Hospital Telephone Survey Results 35
Q19. What is your age? Response Category No. Percent 18-20 1 0.5% 21-30 9 4.5% 31-40 17 8.5% 41-50 44 21.9% 51-60 52 25.9% 61-70 30 14.9% 71-80 31 15.4% 81+ 17 8.5% Total 201 100.0% 18-20 0.5% 21-30 4.5% 45% 31-40 8.5% 41-50 51-60 21.9% 25.9% 61-70 71-80 14.9% 15.4% 81+ 8.5% 0% 10% 20% 30% 40% Okeene Municipal Hospital Telephone Survey Results 36
Q20. What is your ethnicity? Response Category No. Percent Caucasian 180 89.6% Native American 7 3.5% Hispanic 6 3.0% African American 1 0.5% Caucasian/Native American 1 0.5% Don't know/refused 6 3.0% Total 201 100.0% Caucasian 89.6% Native American 3.5% Hispanic 3.0% 0% 25% 50% 75% 100% Okeene Municipal Hospital Telephone Survey Results 37
Q21. What is your annual household income? Response Category No. Percent Less than $10,000 10 5.0% $10,000 to $14,999 11 5.5% $15,000 to $24,999 26 12.9% $25,000 to $34,999 25 12.4% $35,000 to $49,999 34 16.9% $50,000 to $74,999 31 15.4% $75,000 to $99,999 19 9.5% $100,000 to $149,999 7 3.5% $150,000 to $199,999 1 0.5% $200,000 or more 2 1.0% Don't know/no Response 35 17.4% Total 201 100.0% Less than $10,000 $10,000 to $14,999 5.0% 5.5% $15,000 to $24,999 $25,000 to $34,999 12.9% 12.4% $35,000 to $49,999 $50,000 to $74,999 16.9% 15.4% $75,000 to $99,999 9.5% $100,000 to $149,999 3.5% 0% 5% 10% 15% 20% 25% Okeene Municipal Hospital Telephone Survey Results 38
Q22. What is your gender? Response Category No. Percent Female 146 72.6% Male 55 27.4% Total 201 100.0% Female 72.6% Male 27.4% Okeene Municipal Hospital Telephone Survey Results 39