Providing Fifty Years of Service
“Where History and Vision Meet”
Community Survey 2010
Who are we?
• Cook population around 600, district
hospital with service region of about 2500
square miles and 4000 permanent
population.
• Large tourism and summer resident
community
• 14 bed CAH
• FQHC attached
• Survey questions developed by Cook Hospital
and the National Rural Health Resource
Center
• 10 zip codes in the Cook Hospital service area
were surveyed from a supplied database with
800 residents being selected randomly
• 265 surveys returned
• 35% response rate
• 95% confidence level +/- 4.67%
Primary Location
• Cook
66% (n=163)
• Virginia
20% (n=50)
• Hibbing
15% (n=38)
• Duluth
3% (n=32)
Primary Reason for Choice
• Closest to home
67% (n=166)
• Prior experience with clinic
61% (n=151)
• Appointment availability
36% (n=90)
• Clinic’s reputation for quality
29% (n=72)
Overall Quality of Services in Cook
Average Weighted Score
4.00
3.66
3.73
3.57
3.52
3.51
3.42
3.45
3.55
3.43
3.21
3.58
3.36
3.26
3.00
3.00
2.00
1.00
Services at Cook Hospital
3.43
3.25
3.51
Overall Quality of Care
Average Weighted Score
4.00
3.37
3.13
3.08
3.57
3.41
3.51
3.55
3.50
3.27
2.97
3.00
2.00
1.00
Aspects of Care at Cook Hospital
3.51
3.44
3.45
3.39
Ideas for Improving Access to Care
• More primary care providers
57% (n=110)
• More specialists
53% (n=102)
• Lower cost of care
38% (n=73)
• Outpatient services open longer hours
22% (n=42)
Respondents could select all that apply, so percentages do not equal 100% (n=193)
9
Community Health Concerns
• Alcohol/Substance abuse
63% (n=156)
• Cancer
51% (n=126)
• Heart disease
41% (n=101)
• Obesity
39% (n=97)
Respondents could select 3 that apply, so percentages do not equal 100% (n=246)
10
Criteria for Healthy Community
• Access to health care
67% (n=171)
• Good jobs & a healthy economy 49% (n=126)
• Healthy behaviors & lifestyles
32% (n=81)
• Strong family life
30% (n=77)
Respondents could select 3 that apply, so percentages do not equal 100% (n=255)
11
Summary
• Respondents are utilizing hospital & primary care
services in Cook
• Respondents rate overall quality of care and
services at Cook Hospital/Scenic Rivers Clinic
as good to excellent
• Respondents utilize local health care for
convenience, quality, & economic support of
the community
12
Recommendations
• Reference secondary data sources to compare and
validate survey findings
• Evaluate opportunities to expand specialty
services through outreach/tele-health or
increase marketing of specialty services if
applicable
• Inform community of assessment results & next
steps
13
Noteworthy Observations
• The Community
• The need for more
holds us in high
Primary care
regard
providers was very
evident
• We have more than
a mission on paper • Local Specialists
but with lives
are important to an
aging community
• Under reform, our
(travel)
challenges are huge
• We can’t rest on our
laurels
Assumptions
•
•
•
•
Mandates affect direction
Mandates affect vision
Technology is here …. Keep up!
Our workforce is more important than
ever (look at the care scores)
• Core values can’t be compromised
Assumptions (cont)
• Standards of care are high
• Consumer expectations are high
• Forward thinking is an absolute (without it
large or small organizations face disaster)
• Resources are limited (use them wisely)
• The reform imperative is required but the
perfect solution is elusive
Assumptions (more?)
• Partnerships are a given and they all look
different
• The hospital in our community is one of
the largest employers thereby a large
contributor economically
From Our Strategic Plan
• The Cook Hospital has spent its first 50
years becoming a highly respected small
rural hospital with tenacity and a proven
niche armed with a vision. Our next 50
years we will spend passionately keeping
the mission and vision alive to serve our
citizens.
Hinge points
•
•
•
•
Our ability to adapt
Our ability to meet performance standards
Our ability to efficiently use our resources
Our ability to maintain a workforce capable of working
in the current environment of the extreme pressure high
quality care expects
• Our ability to instill confidence in our patrons and
constituants
• Our ability to secure financial resources in a tough
environment
• Our ability to maintain our focus on doing what is right
Sad Facts
• The number one reason for not having
medical insurance is that those surveyed
cannot afford to pay for it
• 20% of respondents were concerned that
we only have a somewhat healthy
community. (69% viewed it as healthy)
but we are only as strong as our weakest
link.
Positive facts
• 66% of respondents were aware of our services
• 87% felt the hospital was of importance to the
local economy
• 67% (the largest of reasons listed) indicated that
Access to Healthcare and other services were an
important criteria for a healthy community …
second highest was jobs at 47%
Know This
•
•
•
•
•
•
•
Know the people you serve
Know your strengths and weaknesses
Be flexible
Be ready for change
Keep your focus
Keep your vision
Be ready to make mistakes but get up and
keep going
Providing Fifty Years of Service
“Where History and Vision Meet”
Too much on our plate?
…….We don’t know until we really try