Northern Inyo Hospital

2012 Community Needs Assessment

English

Question Title

* 1. Please check the boxes next to the services you have left the area for in the past 3 years, and indicate where you went to receive the service:

	Reno/CC	Southern CA	Mammoth	Bakersfield	Bay Area	Other
Dental	Dental Reno/CC	Dental Southern CA	Dental Mammoth	Dental Bakersfield	Dental Bay Area	Dental Other
Dermatology	Dermatology Reno/CC	Dermatology Southern CA	Dermatology Mammoth	Dermatology Bakersfield	Dermatology Bay Area	Dermatology Other
Dialysis	Dialysis Reno/CC	Dialysis Southern CA	Dialysis Mammoth	Dialysis Bakersfield	Dialysis Bay Area	Dialysis Other
Ears/Nose/Throat	Ears/Nose/Throat Reno/CC	Ears/Nose/Throat Southern CA	Ears/Nose/Throat Mammoth	Ears/Nose/Throat Bakersfield	Ears/Nose/Throat Bay Area	Ears/Nose/Throat Other
Heart Disease/ Cardiology	Heart Disease/ Cardiology Reno/CC	Heart Disease/ Cardiology Southern CA	Heart Disease/ Cardiology Mammoth	Heart Disease/ Cardiology Bakersfield	Heart Disease/ Cardiology Bay Area	Heart Disease/ Cardiology Other
HIV/AIDS	HIV/AIDS Reno/CC	HIV/AIDS Southern CA	HIV/AIDS Mammoth	HIV/AIDS Bakersfield	HIV/AIDS Bay Area	HIV/AIDS Other
Labs	Labs Reno/CC	Labs Southern CA	Labs Mammoth	Labs Bakersfield	Labs Bay Area	Labs Other
Lung Disease	Lung Disease Reno/CC	Lung Disease Southern CA	Lung Disease Mammoth	Lung Disease Bakersfield	Lung Disease Bay Area	Lung Disease Other
OB	OB Reno/CC	OB Southern CA	OB Mammoth	OB Bakersfield	OB Bay Area	OB Other
Oncology	Oncology Reno/CC	Oncology Southern CA	Oncology Mammoth	Oncology Bakersfield	Oncology Bay Area	Oncology Other
Orthopedics	Orthopedics Reno/CC	Orthopedics Southern CA	Orthopedics Mammoth	Orthopedics Bakersfield	Orthopedics Bay Area	Orthopedics Other
Physical Therapy/ Rehab	Physical Therapy/ Rehab Reno/CC	Physical Therapy/ Rehab Southern CA	Physical Therapy/ Rehab Mammoth	Physical Therapy/ Rehab Bakersfield	Physical Therapy/ Rehab Bay Area	Physical Therapy/ Rehab Other
Primary Care	Primary Care Reno/CC	Primary Care Southern CA	Primary Care Mammoth	Primary Care Bakersfield	Primary Care Bay Area	Primary Care Other
Psychiatry/ Mental Health	Psychiatry/ Mental Health Reno/CC	Psychiatry/ Mental Health Southern CA	Psychiatry/ Mental Health Mammoth	Psychiatry/ Mental Health Bakersfield	Psychiatry/ Mental Health Bay Area	Psychiatry/ Mental Health Other
Radiology	Radiology Reno/CC	Radiology Southern CA	Radiology Mammoth	Radiology Bakersfield	Radiology Bay Area	Radiology Other
Rheumatology	Rheumatology Reno/CC	Rheumatology Southern CA	Rheumatology Mammoth	Rheumatology Bakersfield	Rheumatology Bay Area	Rheumatology Other
General Surgery	General Surgery Reno/CC	General Surgery Southern CA	General Surgery Mammoth	General Surgery Bakersfield	General Surgery Bay Area	General Surgery Other
Urology	Urology Reno/CC	Urology Southern CA	Urology Mammoth	Urology Bakersfield	Urology Bay Area	Urology Other
Weight Management	Weight Management Reno/CC	Weight Management Southern CA	Weight Management Mammoth	Weight Management Bakersfield	Weight Management Bay Area	Weight Management Other

Question Title

* 2. Why did you leave the area? (Please check all that apply):

Service not offered locally

Per physician's recommendation

Lower cost out of area

Friend's recommendation

Privacy issues

No local providers in your insurance's network

Question Title

* 3. If you left the area for an exam before/after a surgery or for a check-up visit, would you have preferred to stay in Bishop and conduct the visit with your physician using internet teleconferencing (in a privacy secured environment)?

Yes

Question Title

* 4. Do you feel NIH provides enough First Aid and CPR courses?

Yes

Question Title

* 5. Should NIH host an annual Health Fair for residents?

Yes

Question Title

* 6. Please indicate which community education/support groups you feel NIH should provide for free to all residents? Please mark all that apply.

Adult Day Care

Adult/Geriatric Physical Activity

Alcohol Abuse Prevention

Alzheimer's

Bereavement Support

Breastfeeding

Cancer

Cardiovascular Disease

Care Giver Support

Caring for Elderly Parents

Child Birth

Childhood Obesity

Depression

Diabetes Management

Dialysis Support

End of Life Care

Mommy & Me Classes

Nutritional Education

Palliative Care Education

Parenting/Well Child

Prenatal Care

Smoking Cessation

Substance Abuse Program

Teen Parenting

Wellness / Weight Management

Question Title

* 7. Please indicate which annual prevention/screening programs you feel NIH should provide for free to qualifying low income residents:

Mammograms

Pap Smear

Colorectal Screenings

Prostate Screening

Routine Blood Work

Medication Review

Question Title

* 8. Please indicate which Community Development programs NIH should be investing in for our community:

Telemedicine* for specialty services not available in our hospital district (like Oncology)

Telemedicine* to provide Primary Care services to remote areas of the district

Assisting uninsured mental health patients gain access to treatment

Assisting Inyo County Veterans with access to local healthcare

Assisting senior residents with transportation for medical visits and prescriptions

Assisting all local providers access to sharing electronic health records for residents

Assisting disabled residents with transportation for medical visits and prescriptions

Assisting homeless residents with emergency housing

Assisting low income residents obtain access to food

*Definition of Telemedicine: The electronic exchange of medical information to improve patients' health.

1. Teleconferencing with a specialist to render a diagnosis (dermatology, mental health, cardiology, pathology, oncology, etc…). This includes examining and discussing images, vital signs and other measurements to develop a treatment plan, and monitor treatment. Teleconferencing used in conjunction with special equipment can also be utilized for pre and post-surgical examinations.

2. Patient care. This allows patients in remote areas with little access to transportation and/or healthcare to have a consultation with a primary care doctor or nurse. Also a variety of indicators can be monitored remotely with equipment in the patients' home, including vital signs, blood glucose and ECG.

3. Patient education allows patients to learn how to better manage their illnesses and to participate in support groups not locally available.