Wagoner Community Hospital Community Health Needs

AE-10316
Wagoner Community Hospital Community Health Needs
Assessment Summary and Implementation Strategy
Community Health Needs Assessment documents available online at:
www.okruralhealthworks.org
Lara Brooks, Extension Associate, OSU, Stillwater
Phone: 405-744-9827, Fax: 405-744-9835, Email: lara.brooks@okstate.edu
Brian Whitacre, Associate Professor and Extension Economist, OSU, Stillwater
405-744-6083
Alan Parnell, Wagoner County Extension Director, Coweta
918-486-4589
Darla Heller, Wagoner County Extension, Coweta
918-486-4589
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
February 2013
Contents
Introduction ................................................................................................................................................... 1
Oklahoma Cooperative Extension and Oklahoma Office of Rural Health’s Roles .................................. 2
Wagoner Community Hospital Medical Services Area Demographics ........................................................ 2
Figure 1. Wagoner Community Hospital Medical Services Area ......................................................... 3
Table 1. Population of Wagoner Community Hospital Medical Service Area .................................... 4
Table 2. Existing Medical Services in the Wagoner Community Hospital Medical Services Area ..... 5
Table 3. Age Groups - Percent of Total Population for Wagoner County and Oklahoma ................... 6
Table 4. Race and Ethnic Groups- Percent of Total Population for Wagoner County and Oklahoma . 6
Summary of Community Meetings ............................................................................................................... 6
Economic Impact and Community Health Needs Assessment Overview, October 6, 2011..................... 7
Table 5. Wagoner Community Hospital Medical Service Area Health Sector Impact on Employment
and Income and Retail Sales and Sales Tax .......................................................................................... 8
Community Survey Design and Results, October 6, 2011- November 8, 2011 ....................................... 9
Table 6. Zip Code of Residence ............................................................................................................ 9
Figure 2. Summary of Hospital Usage and Satisfaction ..................................................................... 10
Table 7. Type of Specialist Visits ....................................................................................................... 11
Figure 3. Access to Primary Care Physicians ..................................................................................... 12
Table 8. Top Concerns about Healthcare in Community .................................................................... 13
Table 9. Additional Services offered at Wagoner Community Hospital ............................................ 13
Primary Care Physician Demand Analysis, November 8, 2011 ............................................................. 14
Table 10. Primary Care Physician Office Visits Given Usage By Local Residents in the Wagoner,
Oklahoma Medical Service Areas....................................................................................................... 14
Health Data and Community Health Needs Recommendations ................................................................. 15
Community Health Needs Implementation Strategy .................................................................................. 15
Community Health Needs Assessment Marketing Plan ............................................................................. 16
Appendix A- Hospital Services/Community Benefits ................................................................................ 17
Appendix B- Survey Form .......................................................................................................................... 18
Appendix C- Health Data and Sources Presentation................................................................................... 20
Introduction
New requirements for nonprofit, 501 (c)(3), hospitals were enacted under the Patient
Protection and Affordable Care Act (ACA), passed on March 23, 2010. One of the most
significant of the new requirements is the Community Health Needs Assessment (CHNA) that
must be conducted during taxable years after March 23, 2012 and submitted with IRS form 990.
A CHNA must then be completed every three years following.
While the requirements are fairly new, the IRS has made strides in defining hospitals that
must complete the CHNA as well as details of what is expected in the CHNA report to be
submitted. At this time the only entities that must complete the CHNA are hospital organizations
defined as:


An organization that operates a State-licensed hospital facility
Any other organization that the Secretary determines has the provision of hospital care as
its principal function or purpose constituting the basis for its exemption under section 501
(c)(3).
The general goal behind the requirement is to gather community input that leads to
recommendations on how the local hospital can better meet and serve residents’ needs. The
community input is typically derived from a community survey and a series of open meetings.
Local health data are presented. Community members then identify and prioritize their top
health needs.
After listening to community input, the hospital defines an implementation strategy for their
specific facility. The implementation strategy is a written plan that addresses each of the health
needs identified in the community meetings. To meet Treasury and IRS guidelines an
implementation strategy must:


Describe how the hospital facility plans to meet the health need, or
Identify the health need as one the hospital facility does not intend to meet and
explain why the hospital facility does not intend to meet the health need1
After the needs are identified that the hospital can address, the implementation strategy
must take into account specific programs, resources, and priorities for that particular facility.
This can include existing programs, new programs, or intended collaboration with governmental,
nonprofit, or other health care entities within the community.2
1
Internal Revenue Service. 2011. Notice and Requests for Comments Regarding the Community Health Needs
Assessment Requirements for Tax-Exempt Hospitals. Internal Revenue Bulletin: 2011-30.
2
Ibid
1
The facility must make the recommendations and implementation strategy widely
available to community members. The facility must adopt the implementation strategy in that
same taxable year.
Oklahoma Cooperative Extension and Oklahoma Office of Rural Health’s Roles
The Oklahoma Office of Rural Health and Oklahoma Cooperative Extension Service
have transitioned the previous Community Health Engagement Process program to meet the
needs of CHNA. The Community Health Engagement Process proved to be very successful
during its nearly 20 year history of working with rural hospitals and healthcare providers to
increase awareness of the local health sector.
This program is available to all rural facilities in Oklahoma free of charge. The
Oklahoma Office of Rural Health and Oklahoma Cooperative Extension Service work closely
with the hospital and community members to develop an economic impact of the local health
sector, develop and analyze a local health services survey, and gather and analyze local health
data. The community meetings are facilitated by a resource team that includes Corie Kasier of
the Oklahoma Office of Rural Health and Dr. Brian Whitacre and Lara Brooks of Oklahoma
Cooperative Extension Service.
After the meetings conclude, the resource team assists the hospital in developing their
implementation strategy. After implementation, the resource team will assist in evaluation of the
strategies implemented and provide continued assistance with data and resources.
This document discusses the steps taken to conduct a CHNA for Wagoner Community
Hospital in 2011 through 2012. It begins with a description of the hospital’s medical service
area, including a demographic analysis, and then summarizes each meeting that took place
during the CHNA process. The report concludes by listing the recommendations that came out
of the process and presenting the hospital’s implementation strategy and marketing plan.
Wagoner Community Hospital Medical Services Area Demographics
Figure 1 displays the Wagoner Community Hospital medical services area. Wagoner
Community Hospital and all other area hospitals are delineated in the figure. The surrounding
hospitals are identified in the table below by county along with their respective bed count. The
medical service areas were estimated based on conversations with hospital personnel and
proximity to other facilities.
2
Figure 1. Wagoner Community Hospital Medical Service Area
Primary Medical Services Area
Secondary Medical Services Area
City
County
Hospital
Tahlequah
Cherokee
Tahlequah City Hospital
Pryor
Mayes
INTEGRIS Mays County Medical Center
Muskogee
Muskogee
Muskogee Community Hospital, LLC
Muskogee
Muskogee
Muskogee Regional Medical Center
Claremore
Rogers
Claremore Regional Hospital
Wagoner
Wagoner
Wagoner Community Hospital
*13 General Medical Surgical Hospitals in Tulsa Area
No. of Beds
100
52
45
275
81
100
3
As delineated in Figure 1, the primary medical service area of Wagoner Community
Hospital includes the zip code tabulation area of Wagoner (74467) and Okay (74446). This area
experienced population growth of 3.4% from the 2000 decennial Census to the 2010 Census
(Table 1); however, the zip code tabulation area of Okay was not recognized in the 2010 Census.
It can be assumed that Okay’s population is reflected in Wagoner’s totals. Table 1 also displays
population projections made by ESRI. The population is projected to experience another
increase of 7.0% by 2015.
The secondary medical services area is comprised of the zip code areas of Chouteau,
Coweta, Fort Gibson, Hulbert, and Porter. The secondary medical services area experienced a
population increase of 18.9% from the 2000 decennial Census to 2010. Population projections
for the secondary medical service area anticipate a 6.4% increase from 2010 to 2015.
Table 1. Population of Wagoner Community Hospital Medical Service Area
Populations
Population by Zip Code
City
2000 Census 2010 Census 2010 ESRI
2015 ESRI
Primary Medical Service Area
74467
Wagoner
13,780
14,995
18,212
19,492
74446
Okay
723
n/a
n/a
n/a
Total
14,503
14,995
18,212
19,492
% Change 2000 to 2010 Census
3.4%
% Change from 2010 ESRI
7.0%
Secondary Medical Service Area
74337
Chouteau
4,841
5,060
4,850
4,959
74429
Coweta
10,445
14,445
14,664
16,101
74434
Fort Gibson
8,430
9,067
8,794
9,242
74441
Hulbert
4,589
5,362
6,053
6,248
74454
Porter
2,906
3,179
3,523
3,749
Total
31,211
37,113
37,884
40,299
% Change 2000 to 2010 Census
18.9%
% Change from 2010 ESRI
6.4%
Table 2 displays the current, as of October 2011, existing medical services in the
Wagoner Community Hospital primary medical services area. This includes 8 physician offices,
3 dental offices, 3 optometrist offices, 2 chiropractor offices, a nursing home, 2 home health
services, a hospice service, an EMS service, a county health department local office, and 5
pharmacies. These medical services are centered around Wagoner Community Hospital.
Wagoner Community Hospital is a 100 bed medical facility located in Wagoner County,
Oklahoma. Services offered by Wagoner Community Hospital include acute inpatient services,
4
physical therapy, laboratory, radiology (including CT, MRI, and EKG), social services, a
telemedicine program, general surgery, bariatric surgery, and behavioral health. The hospital
also offers outpatient services such as sleep lap, digital mammography, cardiology testing,
reclast therapy, EGD, colonoscopy, cataract surgery, and orthopedic surgery. The hospital also
provides care through clinics including primary care, prenatal care, orthopedics, and senior
services. A complete list of hospital services and community activities can be found in
Appendix A.
Table 2. Existing Medical Services in the Wagoner Community Hospital Medical Services
Area
Count
Service
1
Hospital, Wagoner Community Hospital
8
Physician Offices
3
Dental Offices
3
Optometrist Offices
2
Chiropractor Offices
1
Nursing Home
2
Home Health Services
1
Hospice Service
1
EMS Service
1
County Health Department Location
(Wagoner)
5
Pharmacies
In addition to examining the total population trends of the medical service areas, it is
important to understand the demographics of those populations. Table 3 displays trends in age
groups for Wagoner County in comparison to the state of Oklahoma. Since 1990, the age group
of 45-64 has seen substantial growth. This age group has gone from accounting for 20.3% of the
total population in 1990 to accounting for 27.1% in 2010. This trend is present at the state level
as well. The age group of 65+ has experienced growth fluctuations over this same time span that
mirrors those of the state. The age group to experience the largest decline is the 25-44 range. In
1990, this cohort accounted for 31.7% of the total population. In 2010, this cohort declined to
only 26.4% of the total population.
5
Table 3. Age Groups - Percent of Total Population for Wagoner County and Oklahoma
Wagoner County
State of Oklahoma
1990
2000
2010
1990
2000
2010
Age Groups
Census
Census
Census
Census
Census
Census
0-14
15-19
20-24
25-44
45-64
65+
Totals
24.4%
8.3%
5.5%
31.7%
20.3%
9.7%
100.0%
23.0%
7.9%
5.1%
28.5%
25.4%
10.2%
100.0%
22.3%
6.9%
4.9%
26.4%
27.1%
12.5%
100.0%
22.3%
7.4%
7.1%
30.6%
19.1%
13.5%
100.0%
21.2%
7.8%
7.2%
28.3%
22.3%
13.2%
100.0%
20.8%
7.0%
7.6%
26.0%
25.2%
13.5%
100.0%
Changes in racial and ethnic groups can impact the delivery of healthcare services,
largely due to language barriers and dramatically different prevalence rates for specific diseases,
such as diabetes. A noticeable trend in Oklahoma is the growth in the Hispanic origin
population. In 1990, this cohort accounted for 2.7% of the population. A substantial increase
followed, and in 2010, those of Hispanic origin accounted for 8.9% of the total population. This
same trend is somewhat evident in Wagoner County with an increase from 1.3% in 1990 to 4.8%
in 2010. Table 4 displays these trends.
Table 4. Race and Ethnic Groups- Percent of Total Population for Wagoner County and
Oklahoma
Wagoner County
State of Oklahoma
1990
2000
2010
1990
2000
2010
Race/Ethnic Groups
Census Census
Census
Census
Census
Census
White
85.1%
78.1%
73.4%
81.0%
74.1%
68.7%
Black
4.1%
3.7%
3.7%
7.4%
7.5%
7.3%
Native American
9.1%
9.2%
9.7%
7.8%
7.7%
8.2%
Other
0.4%
1.4%
1.5%
1.1%
1.5%
1.9%
Two or more Races
-5.3%
7.0%
-4.1%
5.1%
Hispanic Origin
1.3%
2.4%
4.8%
2.7%
5.2%
8.9%
Summary of Community Meetings
Wagoner Community Hospital hosted three community meetings starting in between
October 6, 2011 and April 4, 2012. The Oklahoma Office of Rural Health and Oklahoma
Cooperative Extension Service facilitated these meetings. Summaries of the information
presented at each meeting are included below in chronological order.
6
Community members in attendance at these meetings included:
-
Hospital representatives
Representatives from the City
Literacy Center
Chamber of Commerce
Local Department of Human Services representatives
Local Health Department representatives
Eastern Oklahoma Development District
Retired individuals
Funeral director
Average attendance at each of the community meetings was 10-15 people.
Economic Impact and Community Health Needs Assessment Overview, October 6,
2011
The first community meeting was held to discuss the economic impact of the health
sector and explain the process and need of the Community Health Needs Assessment.
Table 5 below summarizes the overall economic impact of the health sector on the
Wagoner County, Oklahoma economy. A representative from the Wagoner Community
Hospital contacted health service entities in each of the sectors listed for the medical service
area. Along with identifying each establishment, the hospital
representative also gathered information on the number of full time
equivalent (FTE) employees per establishment. When available, payroll
information was also collected from the establishments. When payroll
information was not available, payroll was estimated using state level
averages from the Bureau of Labor Statistics.
The health sector in the Wagoner Community Hospital medical
services area employs 390 FTE individuals. After applying a countyspecific employment multiplier to each respective sector, there is a total
employment impact of 475 FTE employees. The same methodology is
applied to income. The local health sector has a direct income impact of
AE- 11034, The Economic
over $19 million. When the appropriate income multiplier is applied,
Impact of the Health Sector
on the Wagoner
the total income impact is over $22 million. The last two columns
Community Hospital
examine the impact this has on the retail sector of the local community.
Recent data suggest that 18.5% of one’s income in Wagoner County will Medical Service Area (30
pages)
be spent on goods and services locally. Therefore, if we just examine
the impact made on retail from those employed in the health sector, this
would account for over $4.1 million spent locally, generating $41,507 on a 1% tax.
7
Table 5. Wagoner Community Hospital Medical Service Area Health Sector Impact on Employment and Income and Retail Sales
and Sales Tax
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Employment
Income
Retail
1 Cent
Sales
Health Sectors
Employed
Multiplier
Impact
Income
Multiplier
Impact
Sales
Tax
Hospitals
162
1.28
207
$8,474,113
1.18
$9,975,904
$1,845,542
$18,455
Physicians, Dentists, & Other
Medical Professionals
64
1.24
79
$4,348,115
1.16
$5,032,691
$931,048
$9,310
Nursing and Protective Care
75
1.12
84
$2,688,060
1.14
$3,074,595
$568,800
$5,688
Other Medical & Health
Services & Home Health
62
1.21
75
$2,476,956
1.16
$2,872,928
$531,492
$5,315
Pharmacies
27
1.10
30
$1,354,212
1.09
$1,480,014
$273,803
$2,738
Total
390
475
$19,341,456
$22,436,132
$4,150,684
$41,507
SOURCE: 2008 IMPLAN database, Minnesota IMPLAN Group, Inc.; Local data for employment, employee compensation and proprietor's income; income estimated
based on state average incomes if local data not available
* Based on the ratio between Wagoner County retail sales and income (18.50%) – from 2010 County Sales Tax Data and 2009 Personal Income Estimates from the
Bureau of Economic Analysis.
8
Community Survey Design and Results, October 6, 2011- November 8, 2011
A survey was designed to gauge hospital usage, satisfaction, and community health
needs. The survey was available in paper format. The surveys were distributed to community
members during the economic impact meeting (October 6, 2011). The survey was also made
available through the Wagoner Chamber of Commerce, the Wagoner Rotary Club, the City of
Wagoner, and copies were mailed to the rural water districts. A copy of the survey form can be
found in Appendix B.
Community members were asked to return their completed
surveys to Wagoner Community Hospital.
The survey ran from October 6, 2011 through November 1,
2011. A total of 237 surveys were completed in the Wagoner
Community Hospital medical services area. The survey results were
presented at the November 8, 2011, community meeting.
Table 6 below shows the survey respondent representation
by zip code. Wagoner accounted for the largest share of survey
respondents with a percentage of 86.0.
AE-11043, Wagoner Community
Hospital Medical Service Area
Survey Results (27 pages)
Table 6. Zip Code of Residence
Response Category
74467
74014
No Response
Other
Total
Wagoner
Broken Arrow
No.
203
2
11
21
237
Percentage
86.0%
1.0%
5.0%
9.0%
100.0%
Hospital Utilization and Satisfaction
The survey focused on several health topics of interest to the community. Highlights of the
results include:
-
72.0% using local (Wagoner) hospital services (Figure 2)
o Common responses: St. Johns Tulsa (9.0%), Hillcrest Tulsa (4.0%) and Oklahoma
Muskogee Regional Medical Center (4.0%)
9
-
-
Services used most often:
o 26.0% emergency room
o 26.0% radiological imaging
o 21.0% laboratory
81.0% satisfied with services received at Wagoner Community Hospital
o Quality of care (20.0%) and friendly/knowledgeable (17.0%) were the most
common reasons for satisfaction
Figure 2. Summary of Hospital Usage and Satisfaction
72.0%
Hospital Usage
53.0%
81.1%
Hospital Satisfaction
85.5%
0.0%
20.0%
Wagoner Community Hospital
40.0%
60.0%
80.0%
100.0%
Other OK Hospital Survey Averages
Specialist Visits
Summary highlights include:
-
Most common specialist visits displayed in Table 7
Only 6.6% of specialist visits occurred in Wagoner
73.0% of specialist visits requested further testing, laboratory work and/or x-rays
23% had further testing completed in Wagoner
o Common responses on where other testing took place: Tulsa (63%), Muskogee
(10%), and Broken Arrow (3%)
10
Type of Specialist
Table 7. Type of Specialist Visits
No.
Cardiologist
(9 visits in Wagoner)
General Surgeon
(6 visits in Wagoner)
Orthopedist
(7 visits in Wagoner)
OB/GYN
(0 visits in Wagoner)
Urology
(0 visits in Wagoner)
No Response
Total
Percent
69
23%
54
18%
46
15%
43
14%
35
12%
56
18%
303
100%
Some respondents answered more than once.
Primary Care Physicians
Summary highlights include:
-
-
62% uses a family doctor for most routine healthcare
o Those who responded they did not use a family doctor noted Other (38%),
Specialist (25%), Rural Health Clinic (13%) and Health Department (13%) as
type of provider used for routine care
56% of total survey respondents have visited a primary care physician in the Wagoner
service area in the past 24 months
89% were satisfied with the quality of care received from a primary care physician in the
Wagoner service area
o Quality of care (24%) and friendly/knowledgeable staff (18%) were the most
reported reasons of satisfaction
11
Additional Services and Concerns
Survey respondents were asked a variety of questions to gauge concerns or potential gaps
in services. Figure 3 shows the results of the series of questions pertaining to survey
respondents’ view of the availability of primary care physicians.
Figure 3. Access to Primary Care Physicians
Enough primary care physicians
24.0%
Able to get appointment with physician
50.0%
79.0%
0%
Yes
26.0%
20%
No
40%
3.0% 18.0%
60%
80%
100%
Don't know
Survey respondents were then asked to identify what concerns them most about
healthcare in their community. The largest share (48%) responded they do not know or didn’t
respond. Lack of confidence in the hospital’s ability to provide care (15%) was the next most
common response. No concerns and overall healthcare cost/ insurance coverage/ billing
followed with 8 percent of total responses. The top list of concerns can be found in Table 8.
12
Table 8. Top Concerns about Healthcare in Community
Concern
No.
Lack of Confidence in Hospital’s Ability to Provide Care
31
No Concerns
16
Cost/Insurance Coverage/Billing
16
Lack of Specialty Services
15
Keeping Health Services Available Locally
14
Concern with ER Care
12
Other
36
Don’t Know/No Response
97
Total
237
Percent
15%
8%
8%
7%
7%
6%
15%
48%
100%
Survey respondents were then asked what additional services they would like to see
offered at Wagoner Community Hospital. No additional services accounted for 14 responses
(6%) followed by more specialists in general (2%) and specifically cardiology (2%). The most
common responses can be found in Table 9.
Table 9. Additional Services offered at Wagoner Community Hospital
Services
No.
Percent
No Additional Services
14
6%
More Specialists in General
5
2%
Cardiology
5
2%
More Physicians
4
2%
Improved EMS Services
4
2%
Urology
4
2%
Preventative Programs
2
1%
Dermatology
2
1%
OB/GYN
2
1%
More Equipment
1
0%
Dietary/Nutrition Counseling
1
0%
Other
30
13%
Don’t Know/No Response
163
69%
Total
237
100%
13
Primary Care Physician Demand Analysis, November 8, 2011
A demand analysis of primary care physicians was completed
for the zip codes that comprise the Wagoner Community Hospital
primary and secondary medical services areas. This analysis
examined average primary care physician rates by gender and by age
groups. Once age- and gender-specific coefficients were applied,
total primary care physician visit numbers were calculated by service
area. Table 10 displays potential primary care physician rates by
shares of service area. For example, if 90% of residents in the
primary medical services area and 10% of residents in the secondary
medical services area utilize services of primary care physicians in the
Wagoner Community Hospital medical services area, a total of
33,590 annual visits would occur. This would suggest that the
Wagoner Community Hospital medical services area would need 8.0
FTE primary care physicians to meet the needs of their existing
population. Table 10 displays the estimated number of visits by
share of medical services area.
AE-11036, An Analysis of the
Demand for Primary Care
Physicians in the Wagoner,
Oklahoma, Medical Service
Area (11 pages)
Table 10. Primary Care Physician Office Visits Given Usage By Local Residents in the Wagoner,
Oklahoma Medical Service Areas
Usage by Residents of Secondary
Service Area
5%
70%
24,113
Usage by Residents of Primary Service Area
75%
80%
85%
90%
25,577
27,041
28,504
29,968
95%
31,431
100%
32,895
10%
27,736
29,199
30,663
32,127
33,590
35,054
36,518
15%
31,358
32,822
34,286
35,749
40,140
34,981
36,444
37,908
39,372
37,213
40,835
38,676
20%
42,299
43,763
25%
38,603
40,067
41,531
42,994
44,458
45,921
47,385
30%
42,226
43,689
45,153
46,617
48,080
49,544
51,008
35%
45,848
47,312
48,776
50,239
51,703
53,166
54,630
40%
49,471
50,934
52,398
53,862
55,325
56,789
58,253
45%
53,093
54,557
56,021
57,484
58,948
60,411
61,875
50%
56,716
58,179
59,643
61,107
62,570
64,034
65,498
If 90% primary medical service area and 10to 15% secondary medical service area, then the usage would be:
33,590 to 37,213 total primary care physician office visits
for an estimated 8.0 to 8.9 Total Primary Care Physicians
Based on 83.7 average weekly primary care physician visits with a 50 week year
14
Health Data and Community Health Needs Recommendations
At the April 4, 2012 community meeting, several locationspecific sources of health data were presented in addition to data from
the Wagoner County Data and Information Report (the full presentation
of health related data is located in Appendix C).
Following the presentation, community members were then
asked to identify their top concerns from evaluating the data, survey
results, and their experience within the community. The top health
concerns identified were as follows:






Quality of care concerns when visiting the emergency
room
The prevalence of various cancers in the Wagoner
service area
A high infant mortality rate
Mood disorders
The lack of public transportation
Marketing of the importance of a healthy lifestyle
AE-10111Economic Data,
Health/Behavioral Data,
Education Data, Traffic
Accident Data, and Crime
Data for Wagoner County and
the State of Oklahoma (59
pages)
Community Health Needs Implementation Strategy
Based off the telephone survey results there seemed to be a concern from the community
regarding the quality of care received when visiting the local emergency room.



Hospital leadership recognizes that concern and is working to earn the community’s trust
in the hospital services
Hospital leadership is also working to improve the curb appeal of the hospital as they
know residents do not want to visit a hospital that does not look visually appealing;
which is directly tied to the confidence patients have in the quality of care given.
Hospital leadership and board are working to increase the specialty care services
available to the community as well as marketing current services through a wide variety
of media outlets.
15
The prevalence of various cancers in the Wagoner service area is major concern and seen as
significant health problems to the Wagoner community.
 Focus education on the benefits of screening and early detection
 Focus education efforts on behavioral changes proven to help
o Smoking cessation programs
o Healthy eating and weight reduction
o Exercise programs
There is an alarming high rate of infant mortality in the Wagoner area.
 The community members were not aware of the high infant mortality rate, but see it as a
major concern and will work together to find the source of the issue and strive to lower
the risks associated with it.
Because of the busy lives many people lead with an increasing amount of stress, mood disorders
are seen as a significant concern in the Wagoner community.
 Target efforts on helping the community cope with stress and behavioral changes that
will make the residents less anxious/depressed
The lack of public transportation is also a major concern of the community. Because there are no
public transportation available in the Wagoner service area, community members have to rely on
other modes of transportation to and from doctor appointments/hospital visits.
 Hospital leadership will examine all possibilities to increase access to healthcare
Wagoner civic groups and Wagoner Community Hospital are engaged in a number of things to
keep the community informed and active. Perhaps the education and activities need to be more
focused and directed to different methods of reaching the population. The community members
made a profound discovery at the final needs assessment meeting: get more people eating fruits
and vegetables, smoking less and exercising more which will lead to better moods and less
illness that will in turn lower the prevalence of cancer in the area and create a healthier
community.
Community Health Needs Assessment Marketing Plan
The recommendation report and implementation plan will be made available on Wagoner
Community Hospital’s website. Copies will also be available upon request at the hosptial
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Appendix A- Hospital Services/Community Benefits
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Appendix B- Survey Form
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Appendix C- Health Data and Sources Presentation
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