SMC Receives Survey Results
On April 16, Lara Brooks and Rod Hargrave, both of Oklahoma State University (OSU), were in Alva to present the findings of the recent community survey for Share Medical Center (SMC). Approximately 20 community members were on hand for the presentation. This survey was the second step in SMC's Community Health Needs Assessment, an integral process for determining future strategies and services for the medical center. Click here for the survey results.
The survey had been made available for about two months online via OSU and was promoted on www.smcok.com and SMC's Facebook page. Hard copy surveys were available at the hospital, Share Convalescent Home, and The Homestead. Further, community members were given copies of the survey at the first meeting in the CHNA process, mid-March.
94% of responders were from Alva, with additional surveys turned in from Freedom, Enid, Carmen, and Waynoka. 85% said they had used a hospital in the past 24 months; 73% said they used SMC. Other hospitals listed included some of the regional hospitals in Northwest Oklahoma and the Oklahoma City area, as well as others; the furthest mentioned was the Mayo Clinic in Minnesota.
As compared to other hospitals, SMC's utilization is about 13% higher than the average of all hospitals that have participated in the Community Health Needs Assessment (CHNA) with OSU.
Twenty out of the thirty responders who used hospitals other than SMC stated that either physician recommendation or a need for specialty care was the reason they left Alva. Only five stated quality concerns as their reason for choosing a hospital other than SMC.
Of the services used at SMC, 28% of responders used the laboratory and 24% used the emergency room; 19% used physician services and 18.5% used diagnostic imaging services, i.e. x-ray, mammography, MRI, etc.
88% of responders stated they were satisfied with the services at SMC, which is about 3% higher than the average of all hospitals that have participated in the CHNA with OSU. The number one reason for their satisfaction was identified as the friendly/caring staff at SMC. Conversely, unfriendly/unprofessional staff was listed as the number one reason for dissatisfaction, but this was only noted by five responders.
In discussion with the group, Brooks asked if these findings were surprising. In general, the group felt there was good quality of care and staff at SMC, but they were surprised that no one mentioned billing, given that SMC had faltered significantly in this area in recent months. As the discussion continued, some shared based on their most recent experiences, they thought the billing issues had largely been resolved.
With regard to specialty physician services, nearly one out of four responders listed cardiology as a service they've used in the past 24 months. One out of ten listed obstetrics/gynecology. In total, responders listed twenty-six specialty services; nine of which services were sought in Alva. 41% of responders used specialty services in Enid; about 29% in Oklahoma City; and just over 15% in Alva.
For those who saw a specialist, 61% reported that the specialist required further testing, lab work, and/or x-rays. While Alva saw just over 15% of the specialty physician services, more than 26% of responders had their follow-up work in Alva.
94% of responders reported using a family doctor for their routine care. 91% admitted to using a primary care doctor in the Alva area. Physician satisfaction rated at 91% which was slightly better than average for the hospitals that have participated in the CHNA with OSU.
There were two questions to help determine the perceived need for primary care doctors. Interestingly, only 15% of responders thought there were enough primary care doctors in Alva, but 87% reported they were able to get appointments when they needed to. Just over half of responders said they would be okay seeing a nurse practitioner or physicians assistant for primary care. The remaining responders were split between unwilling or unsure.
The top four concerns about healthcare services in the Alva area were, 1. lack of providers (17.6%); 2. keeping exisiting services/the hospital (12.1%); 3. quality of care (8.8%); and 4. government impact on healthcare (5.5%). No other concerns were reported over 5%.
When asked what additional services should be offered at SMC, responders overwhelmingly listed more specialists at 36.1%. 18.5% said that additional services were not needed or they didn't know what services would be needed. Worth noting, of the 108 responders, only three stated a need to have dialysis, prenatal care, labor and delivery, and 24-hour urgent care. Six mentioned chemotherapy or cancer care as a needed service. No other service was listed more than once.
Based on population data from 2010, Brooks noted based on regional trends for physician visits, that Alva could support 4.2 providers with an M.D. or D.O. counting as 1.0 and mid-levels, i.e. physicians assitants and nurse practitioners counting as 0.75. Click here for the Physician Demand Analysis.
Today, Alva has two independent providers (Dr. Phil Self and Dr. Kirt Bierig). SMC employs two doctors (Dr. James Colvert, and Dr. Elizabeth Kinzie) as well as two nurse practitioners (Bryan Nutter, CNP-FNP) and one physicians assistant (Lindsey Pruitt, PA-C). That's a total of 6.25 providers and there is the possibility of two more mid-level providers by the end of summer 2014.
The next meeting in the CHNA process will deal with actual health outcomes and will be the final step in the CHNA process prior to identifying goals and objectives for SMC moving forward.
For more information, contact Kandice Allen, CEO at 580.430.3309 or Kelly Parker, Director of Marketing at 580.327.4080 (The Homestead).