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K'ima:w Medical Center Patient Survey 2024
1.
Your Age
19-30
31-51
52 - 64
65+
2.
Gender
Male
Female
Other
3.
Nationality
American Indian/Alaska Native
Other Ethnicity
4.
Do you consider this center your regular source of care?
Yes
No
5.
When your given information from your provider and/or pharmacist how often do you need help understanding it?
Always
Usually
Sometimes
Rarely
Never
6.
How are we doing in the following areas: Waiting/Safety? 5 Being Excellent and 1 being Low; Skip if N/A
5 being great 1 being poor
Time in waiting room
5
4
3
2
1
Time in exam room
5
4
3
2
1
Time for appointment
5
4
3
2
1
Safety while on campus
5
4
3
2
1
7.
How are we doing in the following Departments? Skip if N/A
5 Being Great 1 Being Poor
Outreach/ CHR
5
4
3
2
1
Transportation
5
4
3
2
1
Purchased and Referred are (PRC)
5
4
3
2
1
Ambulance/EMS
5
4
3
2
1
8.
Staff: Provider: (physician, Dentist, Physician Assistant, Nurse Practitioner, Behavior Health Counselors ; Skip if N/A
5 Being Great 1 Being Poor
Listens to you
5
4
3
2
1
Takes enough time with you
5
4
3
2
1
Explains what you want to know
5
4
3
2
1
Gives you good advice and treatment
5
4
3
2
1
9.
How was your Virtual appointment? Skip if N/A
5 Being Great 1 Being Poor
Connectivity
5
4
3
2
1
Waiting Time
5
4
3
2
1
Scheduling of appointment
5
4
3
2
1
How likely are you to schedule another virtual appointment
5
4
3
2
1
Would you like to see more Virtual service options
5
4
3
2
1
10.
Laboratory and Radiology ; Skip if N/A
5 Being Great 1 Being Poor
Friendly and Helpful to you
5
4
3
2
1
Answers our questions
5
4
3
2
1
11.
Pharmacy; Skip if N/A
5 Being Great and 1 Being Poor
Friendly, helpful and answers your questions
5
4
3
2
1
Refill process meets your needs
5
4
3
2
1
Privacy of consultations
5
4
3
2
1
12.
Facility
5 Being Great 1 Being Poor
Neat and Clean Buildings
5
4
3
2
1
Comfort and Safety while on campus
5
4
3
2
1
13.
Confidentiality- Keeping my personal information private
1
5
Clear
14.
Primary Care Medical Home (PCMH) , is a model of care where services are provided to patients by a primary care practitioner and team that increases access to its services, tracks and coordinated a patient’s care delivered by other practitioners and facilities, uses evidence based treatment protocols and focuses more on patient and family education and self management. A “Medical home” focuses on the relationship between the patient, his/her family, and the people that work at the healthcare clinic.
Do you know your Primary Care Medical Home Team: (Acorn / River Ducks) :
Yes
No
15.
If you marked Yes, has this improved your access to care, treatment, services, and communication?
Yes
No
16.
Your suggestions for improvement, including patient Safety?
17.
If you have any suggestions for the Kimaw.org website, please note them below.
Thank you for taking the time to complete this survey !
