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Welcome

For purposes of this questionnaire, please note that Mobridge Regional Hospital & Clinics includes Mobridge Regional Hospital, Mobridge Medical Clinic, West River Health Center, West Dakota Health Center, Prairie Sunset Village, and Mobridge Ambulance Service.

Instructions: Answer every question to the best of your ability. If your answer to a question instructs you to skip to another question, you can do so by scrolling to the question indicated and clicking on it to highlight the question and answer it accordingly.
If you need to change the answer to a previous question, you can scroll back to that question, click on the question to highlight it, and adjust your answer.
If a question does not apply to you, please indicate this by answering NA (Not Applicable).

We appreciate you taking the time to complete this survey. Your feedback is very much appreciated. Thank you.

A letter from our CEO:

As part of our ongoing commitment to the care of the community, we are beginning the process of conducting our 2019 community health needs assessment.  The first step in the needs assessment is this community survey.  It will allow us to learn in even greater depth your needs, your understanding of the services we currently provide, your perceptions of how that care is provided, and your input for how we can best serve your needs moving forward.  Your participation is vital to share with us your thoughts to help us as we continually strive for improvement.

Thank you for your help in making this community health needs assessment as meaningful as possible by participating in the process.

Sincerely,

John J. Ayoub, FACHE
CEO Mobridge Regional Hospital & Clinics

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* 1. Have you or someone in your household used inpatient hospital services in the last two years?

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* 2. At which hospital(s) were services received?

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* 3. If you responded that you or someone in your household received care at a hospital other than Mobridge Regional Hospital, why did you or your family member choose that/those hospital(s)?

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* 4. If you were hospitalized at Mobridge Regional Hospital, how satisfied were you with the services?

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* 5. Why were you satisfied or dissatisfied with the services you received?

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* 6. Do you use a local medical clinic for most of your routine outpatient healthcare?

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* 7. If yes, where do you receive your local healthcare? (List all that apply.)

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* 8. Within the last 2 years, what services have you used at Mobridge Regional Hospital? (Select all that apply.)

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* 9. What specialists have you or someone in your household used in the past two years? (If none, skip to question 13.) Please select all that apply.

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* 10. Please list the clinic and city where you saw each specialist.

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* 11. Did the specialist request further testing, laboratory work and/or X-Rays?

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* 12. If yes, in what facility were the tests or laboratory work performed?

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* 13. If you were an outpatient at Mobridge Regional Hospital within the past two years, how satisfied were you with your services? (Outpatient means anything other than an overnight stay at the hospital.)

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* 14. Why were you satisfied/dissatisfied?

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* 15. Are you able to get an appointment within 48 hours with a medical provider at Mobridge Medical Clinic?

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* 16. Do you feel there is a need for extended hours at Mobridge Medical Clinic?

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* 17. If you answered yes, do you think it should open earlier or stay open later?

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* 18. Have you or someone in your household used an Ambulance Service in the last two years?

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* 19. If yes, which Ambulance Service did you use?

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* 20. How satisfied were you with your service?

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* 21. Why were you satisfied/dissatisfied?

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* 22. Do you feel there is enough Emergency Medical Services (Ambulance Services) available in the community?

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* 23. To what extent are you concerned about maintaining/keeping Ambulance Services in the community?

1 Not very concerned 5 Very concerned
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i We adjusted the number you entered based on the slider’s scale.

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* 24. Have you or someone in your household used Public Health, Social Services, or Mental/Behavioral Health within the past two years?

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* 25. How satisfied were you with your services?

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* 26. Why were you satisfied/dissatisfied?

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* 27. What services did you use? List all that apply.

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* 28. Does a sliding fee scale (financial assistance) allow your or someone in your household to access health services?

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* 29. To what extent are you concerned about the costs and out of pocket expenses of healthcare?

1 Not very concerned 5 Very concerned
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i We adjusted the number you entered based on the slider’s scale.

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* 30. To what extent are you concerned about access to care-the ability to get an appointment at a time that works for you?

1 Not very concerned 5 Very concerned
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i We adjusted the number you entered based on the slider’s scale.

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* 31. To what extent is it difficult for you or someone in your household to comply with follow-up care instructions (i.e. further evaluation, therapy, medication, etc)?

1 Not very concerned 5 very concerned
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i We adjusted the number you entered based on the slider’s scale.

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* 32. Why?

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* 33. Do you think there are enough medical providers practicing in the community?

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* 34. Have you or someone in your household delayed healthcare due to lack of money and/or insurance?

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* 35. Have you or someone in your household been denied insurance coverage or sought it, but found that it was too expensive?

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* 36. Have you been able to afford insurance, but decided not to purchase it for other reasons?

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* 37. If yes, why?

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* 38. Do you believe Mobridge Regional Hospital & Clinics has services that support residents in managing their own health- in other words, helping residents to be more aware of available healthcare resources and tools to live  amore healthy lifestyle and prevent disease?

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* 39. What additional services, if any, would you like to see Mobridge Regional Hospital & Clinics offer residents to help them manage their own health?

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* 40. Have you or someone in your family had to place a family member in a nursing home in the past two years?

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* 41. If yes, were you able to place your family member in the community?

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* 42. Do you receive your dental care in the community?

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* 43. Do you receive your vision care in the community?

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* 44. Do you get your medications from a pharmacy in Mobridge?

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* 45. Do you have issues with the affordability of medications?

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* 46. Do you think that the following topics are an issue within our community?

  Not an Issue Minor Issue Moderate Issue Major Issue No Opinion/I don't know
Adult Smoking/Tobacco Use
Youth Smoking/Tobacco Use
Adult Substance Abuse or Alcohol, Prescription Drugs, or Non-Prescription Drugs
Poverty
Low Education Levels
Motor Vehicle Accidents
Transportation (Access to or Affordability)
Health Insurance Education (Access to Information)
Availability of Sidewalks, Walking Paths, and Biking Trails
Availability of Recreation and Exercise Opportunities
Affordability of Recreation and Exercise Opportunities
Domestic Violence
Sexual Violence
Bullying in Schools
Being able to Find or Afford Before or After School Childcare for School Aged Children
Access to In-Home Care for an Adult Aged 65 or older
Being able to Find or Afford Childcare for Children Aged 0-5
Knowing how to Access Services or Information Available in the Area
Being Able to Find Crisis Intervention Resources (Suicide, Family Violence, Child or Adult Neglect, Alcohol or Drug Emergencies)

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* 47. After considering the services offered in the community, what services are not available that you believe would be beneficial?

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* 48. What do you believe to be the most important health or medical issue confronting the residents of our area? Please explain:

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