28
Table of Contents
Introduction ................................................................................................................................................... 2
Oklahoma Office of Rural Health and Kingfisher Community Collaborative Partnership ...................... 3
Previous Community Health Needs Assessment- Priorities, Implementation, and Evaluation .................... 3
Mercy Hospital Kingfisher Medical Services Area Demographics .............................................................. 5
Figure 1. Mercy Hospital Kingfisher Medical Service Areas ............................................................... 6
Table 1. Population of Mercy Hospital Kingfisher Medical Service Area .......................................... 8
Table 2. Existing Medical Services in the Mercy Hospital Kingfisher Medical Services Area ........... 9
Table 3. Percent of Total Population by Age Group for the Mercy Hospital Kingfisher Medical
Service Areas, Kingfisher County and Oklahoma .............................................................................. 10
Table 4. Percent of Total Population by Race and Ethnicity for Mercy Hospital Kingfisher Medical
Service Areas, Kingfisher County and Oklahoma .............................................................................. 11
MAPP Model and Community Health Assessment Process ....................................................................... 12
Summary of Community Meeting .............................................................................................................. 14
Community Survey Methodology and Results, March 1- April 11, 2016 .............................................. 15
Table 5. Zip Code of Residence ......................................................................................................... 15
Table 6. Type of Specialist Visits ....................................................................................................... 16
Figure 2. Summary of Hospital Usage and Satisfaction Rates ........................................................... 17
Table 7. Top Healthcare Concerns in the Kingfisher Area ................................................................ 18
Table 8. Additional Services Community Members Would Like to See Offered at Mercy Hospital
Kingfisher ........................................................................................................................................... 19
Community Health Needs Implementation Strategy .................................................................................. 20
Community Health Needs Assessment Marketing Plan ............................................................................. 21
Appendix A- Hospital Services/Community Benefits ................................................................................ 22
Appendix B Community Meeting Attendees .............................................................................................. 23
Appendix C- Meeting 1 Materials, April 11, 2016 ................................................................................... 24
2
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
3
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 Office of Rural Health and Kingfisher Community Collaborative
Partnership
The Oklahoma Office of Rural Health makes this program available to all rural facilities
in Oklahoma free of charge. The Oklahoma Office of Rural Health works 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 and Lara
Brooks of the Oklahoma Office of Rural Health.
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.
The Kingfisher Community Collaborative conducted a community health assessment
during 2014-2015 along with a community health improvement plan during 4th quarter 2015.
This thorough assessment identified ten overall concerns in the community. This process and
findings were used as the baseline data for the CHNA for Mercy Hospital Kingfisher. Further,
the community meeting for the hospital’s CHNA was hosted by the Kingfisher Community
Collaborative on April 11, 2016.
The Kingfisher Community Collaborative is a local health coalition and a Certified
Health Improvement Organization that meets regularly in Kingfisher. This collaborative is made
up of representatives from service providers, healthcare providers, education, safety, and the
faith based community who all have the desire to improve the quality of life of their community.
Mercy Hospital Kingfisher is an active member of this collaborative.
This document discusses the steps taken to conduct a CHNA for Mercy Hospital
Kingfisher in 2016. It begins with a description of the hospital’s medical service area, including
a demographic analysis, and then summarizes and the community meeting that took place as a
part of 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.
Previous Community Health Needs Assessment- Priorities, Implementation,
and Evaluation
Mercy Hospital Kingfisher worked with the Oklahoma Office and Oklahoma Cooperative
Extension Service in 2013 to complete their first Community Health Needs Assessment. During
that time, health concerns were identified by community members and then prioritized by
4
community members in focus group-style meetings. The following identifies each priority,
implementation taken, and an evaluation or impact of the implementation.
Priority: Mental Health
Service Implemented/Partnerships: Red Rock and Mercy Behavioral Health transfer agreement
and support
Mercy Hospital Kingfisher works with Red Rock to receive behavioral health patients in crisis.
Mercy Behavioral Health receives the bed availability at Mercy Behavioral Health facilities.
There have been 150 patients referred to Red Rock in the 30 months since Mercy entered this
collaboration. Patients have not yet been transferred to Mercy Behavioral Health, but this project
is less than one month old.
Priority: Alcohol Abuse
Service Implemented/Partnerships: 5K sponsorships: 8th Grade Health Support with focus on
decision making around alcohol
The Student Governing Board hosts an annual 8th Grade Health Fair. The hospital provides
snacks and guest speakers for this event. Nearly 300 students are served and benefit from this
event each year.
Priority: Obesity
Service Implemented/Partnerships: Conducted 5 free community 5Ks, Sponsored a portion of the
Kingfisher Trails for public use
One spring and one fall 5K are held. These events are open and free to the community. Five
events have been held since August 2013. There have been over 500 participants who have
benefited from these offerings to date.
Mercy Hospital Kingfisher is a community sponsor of the Kingfisher Trails expansion project.
This is completely open to the public; therefore, a specific number of individuals who have
benefited from this sponsorship cannot be determined.
5
Priority: Tobacco Abuse
Service Implemented/Partnerships: The fall 5K is a partnership with TSET and every Mercy
inpatient is educated on the opportunities for support to help stop using tobacco
TSET and Mercy serve as co-sponsors of the fall 5K event. Mercy Hospital Kingfisher has
adopted the Tobacco Free Mercy Initiative where every tobacco user admitted to Mercy as an
inpatient will receive education on tobacco cessation and local resources and opportunities to
quit using tobacco. All nursing staff and respiratory therapy staff are trained to intervene with
the patient. This program just started April 1, 2016. To date, there have been fewer than 10
patients contacted in Kingfisher.
Priority: Adult Health Education
Service Implemented/Partnerships: Support groups on campus
Mercy Hospital Kingfisher hosts on session per month on the local campus with guest expert
speakers covering a variety of topics. There have been over 150 in attendance over the past 12
months that this program has been offered.
Awareness of Community Outreach
A question was included on the community survey (complete methodology detailed on
page 15) to gauge survey respondents’ awareness of current community programs offered by the
hospital. Seven individuals or 8.1 percent of the total indicated they were aware of community
programs. Survey respondents were then asked to list which programs they knew. Student
governing board, free assistance programs, color run, and nutrition were listed, and each had one
response.
Mercy Hospital Kingfisher Medical Services Area Demographics
Figure 1 displays the Mercy Hospital Kingfisher medical services area. Mercy Hospital
Kingfisher and all area hospitals are delineated in the figure. The surrounding hospitals are
identified in the table below by county along with their respective bed count.
6
Figure 1. Mercy Hospital Kingfisher Medical Service Areas
7
As delineated in Figure 1, the primary medical service area of Mercy Hospital Kingfisher
includes the zip code areas of Kingfisher, Cashion, Dover, Loyal, Okarche, Hennessey, and
Omega. The primary medical service area experienced a population increase of 9.8 percent from
the 2000 Census to the 2010 Census (Table 1). This same service area experienced a population
decrease of 0.5 percent from the 2010 Census to the latest available, 2010-2014, American
Community Survey.
The secondary medical services area is comprised of the zip code areas of Calumet,
Crescent, Geary, and Greenfield. The secondary medical service area experienced an increase in
population of 1.7 percent from 2000 to 2010 followed by another population increase of 3.7
percent from 2010 to the 2010-2014 American Community Survey.
City County Hospital
No. of
Beds
Watonga Blaine Mercy Hospital Watonga 17
Okeene Blaine Okeene Municipal Hospital 25
El Reno Canadian Mercy Hospital El Reno 48
Yukon Canadian INTEGRIS Canadian Valley 75
Enid Garfield INTEGRIS Bass Baptist Health Center 183
Enid Garfield INTEGRIS Bass Pavilion 24
Enid Garfield St. Mary’s Regional Medical Center 245
Kingfisher Kingfisher Mercy Hospital Kingfisher 25
Guthrie Logan Mercy Hospital Logan County 25
Fairview Major Fairview Regional Medical Center 25
Oklahoma City Oklahoma AllianceHealth Deaconess 238
Oklahoma City Oklahoma Community Hospital, LLC 49
Oklahoma City Oklahoma INTEGRIS Baptist Medical Center 629
Edmond Oklahoma INTEGRIS Health Edmond 40
Oklahoma City Oklahoma Lakeside Women’s Hospital 23
Oklahoma City Oklahoma McBride Orthopedic Hospital 74
Oklahoma City Oklahoma Mercy Hospital Oklahoma City 349
Oklahoma City Oklahoma Oklahoma Heart Hospital 99
Oklahoma City Oklahoma Oklahoma Spine Hospital 25
Oklahoma City Oklahoma OU Medical Center 756
Oklahoma City Oklahoma St. Anthony Hospital 686
8
Table 1. Population of Mercy Hospital Kingfisher Medical Service Area
2000 2010 2010-2014 % Change % Change
Population by Zip Code Population Population Population 2000-2010 2010-10-14
Primary Medical Service Area
73750 Kingfisher 6,551 7,025 7,083 7.2% 0.8%
73016 Cashion 1,367 1,850 1,559 35.3% -15.7%
73734 Dover 981 1,067 974 8.8% -8.7%
73756 Loyal 289 352 272 21.8% -22.7%
73762 Okarche 1,966 2,156 1,912 9.7% -11.3%
73742 Hennessey 3,617 3,824 4,423 5.7% 15.7%
73764 Omega 182 144 117 -20.9% -18.8%
Total 14,953 16,418 16,340 9.8% -0.5%
Secondary Medical Service Area
73014 Calumet 1,531 1,431 1,751 -6.5% 22.4%
73028 Crescent 3,199 3,454 3,607 8.0% 4.4%
73040 Geary 1,972 1,976 1,716 0.2% -13.2%
73043 Greenfield 165 125 181 -24.2% 44.8%
Total 6,867 6,986 7,255 1.7% 3.9%
SOURCE: Population data from the U.S. Bureau of Census, Decennial Census 2000, 2010 and
American Community Survey 2010-2014(January 2016)
Table 2 displays the current existing medical services in the primary service area of
Mercy Hospital Kingfisher medical services area. Most of these services would be expected in a
community of Kingfisher’s size: doctors, dentists, nursing homes and pharmacies are present.
Mercy Hospital Kingfisher is a 25 bed critical access facility located in Kingfisher County,
Oklahoma. Services offered by Mercy Hospital Kingfisher include acute in patient services,
swing bed, physical, speech, and occupational therapy, laboratory, modified Barium Swallow
studies, and radiological services (CT, MRI, and Ultrasound) are also available at Mercy
Hospital Kingfisher. A complete list of hospital services and community involvement activities
can be found in Appendix A.
9
Table 2. Existing Medical Services in the Mercy Hospital Kingfisher Medical Services
Area
Count Service
1 Hospital, Mercy Hospital Kingfisher
4 Physician clinics
4 Dental Offices
2 Optometrist Offices
2 Chiropractor Offices
4 Nursing Homes
1 Assisted Living Facility
2 Home Health Services
2 Hospice Services
1 County Health Department, Kingfisher
County
1 EMS Service, Kingfisher
6 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 the primary and secondary medical service areas as well as Kingfisher County in
comparison to the state of Oklahoma. Overall, the over 65 age group has experienced an
increase in population across all geographies from the 2010 Census to the latest, 2009-2013
American Community Survey. This cohort accounted for 14.0 percent of the total population at
the state level. In terms of the medical service areas, this age group accounted for 15.1 percent
of the primary medical service area, 18.6 percent of the secondary medical service area, and 15.3
percent of the population of Kingfisher County. The 45-64 age group accounts for the largest
share of the population in the primary (26.0%) and secondary (28.7%) service areas and
Kingfisher County (25.6%). This is compared to the state share of 25.4 percent of the total
population.
10
Table 3. Percent of Total Population by Age Group for the Mercy Hospital Kingfisher
Medical Service Areas, Kingfisher County and Oklahoma
Primary Medical
Service Area
Secondary Medical
Service Area
Kingfisher
County Oklahoma Age
Groups
2010 Census
0-14 21.9% 20.3% 22.0% 20.7%
15-19 7.1% 7.5% 7.1% 7.1%
20-24 4.9% 5.3% 5.0% 7.2%
25-44 24.1% 22.3% 24.1% 25.8%
45-64 27.2% 26.9% 26.8% 25.7%
65+ 14.9% 17.7% 15.0% 13.5%
Totals 100.0% 100.0% 100.0% 100.0%
Total
Population 16,418 6,986 15,034 3,751,351
10-14 ACS
0-14 22.8% 20.4% 22.8% 20.6%
15-19 6.6% 6.7% 6.6% 6.8%
20-24 5.0% 6.5% 5.0% 7.4%
25-44 24.5% 19.0% 24.8% 25.8%
45-64 26.0% 28.7% 25.6% 25.4%
65+ 15.1% 18.6% 15.3% 14.0%
Totals 100.0% 100.0% 100.0% 100.0%
Total
Population 16,340 7,255 15,202
3,818,851
SOURCE: U.S. Census Bureau, Decennial Census data for 2010 and American Community Survey data for 2010-
2014 (www.census.gov [January 2016]).
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 2010, those of Hispanic origin accounted for 8.9 percent of the total state
population. The latest American Community Survey data of 2010-2014 suggest that this
population group has experienced an increase to 9.4 percent of the total population. This trend is
11
evident in Kingfisher County and both medical service areas. This cohort accounted for 13.6
percent of the population in the primary medical service area, 3.3 percent in the secondary, and
14.1 percent of the population in Kingfisher County.
Table 4. Percent of Total Population by Race and Ethnicity for Mercy Hospital
Kingfisher Medical Service Areas, Kingfisher County and Oklahoma
Primary Medical
Service Area
Secondary
Medical Service
Area
Kingfisher
County Oklahoma Race/Ethnic
Groups
2010 Census
White 85.2% 81.7% 84.5% 72.2%
Black 1.1% 1.7% 1.1% 7.4%
Native American 1 3.1% 9.8% 3.1% 8.6%
Other 2 7.6% 2.0% 8.1% 5.9%
Two or more Races 3 3.1% 4.7% 3.2%
5.9%
Hispanic Origin 4 12.7% 4.4% 13.4% 8.9%
Total Population 16,418 6,986 15,034 3,751,351
10-14 ACS
White 86.9% 79.5% 86.5% 73.3%
Black 0.6% 2.4% 0.4% 7.3%
Native American 1 3.9% 12.5% 3.9% 7.2%
Other 2 5.8% 1.5% 6.3% 4.5%
Two or more Races 3 2.8% 4.2% 2.9% 7.8%
Hispanic Origin 4 13.6% 3.3% 14.1% 9.4%
Total Population 16,340 7,255 11,315 3,818,851
SOURCE: U.S. Census Bureau, Decennial Census data for 2010 and American Community Survey data for 2010-
2014 (www.census.gov [January 2016]).
1 Native American includes American Indians and Alaska Natives. 2 Other is defined as Asian Americans, Native Hawaiians, Pacific Islanders and all others. 3 Two or more races indicate a person is included in more than one race group.
4 Hispanic population is not a race group but rather a description of ethnic origin; Hispanics are
included in the five race groups.
12
MAPP Model and Community Health Assessment Process
The Kingfisher Community Collaborative worked diligently throughout the community
to assess the needs of the local population utilizing the MAPP model (Mobilizing for Action
through Planning and Partnerships). The MAPP phases and process information are available
through National Association of County and City Health Officials (NACCHO)3.
There are four core areas utilized to garner data and information of the needs of the community:
Community Health Status, Community Themes and Strengths, Local Public Health System, and
Forces of Change4. This process identified ten areas of focus:
Alcohol abuse
Cancer
Cardiovascular health
Diabetes
Influenza/Pneumonia
Obesity
Teen pregnancy
Tobacco
Unintentional death
Uninsured
The Community Health Assessment included a survey, 2014 Kingfisher County Community
Themes and Strengths Assessment, which was in the form of a survey completed by Kingfisher
County Residents. Through this survey, community members identified the most important risk
factors they feel are affecting their community. Alcohol abuse and being overweight were
received the highest number of responses.
3 NACCHO: www.naccho.org 4 Kingfisher County Community Health Assessment, 2015.
(https://www.ok.gov/health/County_Health_Departments/Kingfisher_County_Health_Department/)
13
5
Survey respondents also identified what they feel are the most important health problems.
Cancers, heart disease/stroke, and mental health problems were the three most commonly
responded issues.
6
5 Kingfisher County Community Health Assessment, 2015.
(https://www.ok.gov/health/County_Health_Departments/Kingfisher_County_Health_Department/) 6 Kingfisher County Community Health Assessment, 2015.
14
The Kingfisher Community Collaborative started developing a strategic plan, Kingfisher
County Health Improvement Plan (CHIP), in May 2015. After deliberation and discussion
among the cross-section of representation, it was at this time that the priorities of focus were
identified:
Alcohol, tobacco, and other drugs
Behavioral health
Cardiovascular health
Obesity
Teen pregnancy7
The complete methodology of the Community Health Assessment and Community
Health Improvement Plan can be found at:
https://www.ok.gov/health/County_Health_Departments/Kingfisher_County_Health_Depart
ment
Summary of Community Meeting
Mercy Hospital Kingfisher hosted a community meeting on April 11, 2016 to review the
findings from the Kingfisher County Community Health Assessment, the Kingfisher County
Community Health Improvement Plan, and the community survey results. The Oklahoma Office
of Rural Health and the Kingfisher Community Collaborative facilitated this meeting.
Community members in attendance at this meeting included:
Mercy Hospital Kingfisher representatives
Sooner Success
Kingfisher County Health Department
OSU Cooperative Extension Service
DHS
Chisholm Trail Technology Center
Family and Children’s Consultants
Community members were invited to participate through their work within the Kingfisher
Community Collaborative. Mercy Hospital Kingfisher board members were invited to attend
from hospital leadership. Community members present represented a cross section of the
community. These individuals work with diverse populations and low-income populations, and
they provide great insight into the needs of the community. Representatives from the public
health sector were included to provide insight into what they see from a public health and
underserved population perspective of community needs.
7 Kingfisher County Community Health Improvement Plan, 2015.
15
Community Survey Methodology and Results, March 1- April 11, 2016
A survey was designed to gauge hospital usage, satisfaction, and community health
needs. The survey was available in both paper and web format. The electronic survey was
shared with members of the Kingfisher Community Collaborative who were encouraged to pass
along the link. Hard copy surveys were mailed to residents within the medical service area zip
codes. A copy of the survey form and results can be found in Appendix C. Community
members were asked to return their completed surveys to Mercy Hospital Kingfisher.
The survey ran from March 1 through March 25, 2016. A total of 86 surveys from the
Mercy Hospital Kingfisher medical service area were completed. Of the surveys returned, 65
were electronic responses. The survey results were presented at the April 11, 2016, community
meeting.
Table 5 below shows the survey respondent representation by zip code. The largest share
of respondents was from the Kingfisher (73750) zip code with 41 responses or 47.7 percent of
the total. Okarche followed with 10 responses, and Cashion had 5.
Table 5. Zip Code of Residence
Response Category No. %
73750- Kingfisher 41 47.7%
73762- Okarche 10 11.6%
73016- Cashion 5 5.8%
73170- Oklahoma City 2 2.3%
73162- Oklahoma City 1 1.2%
73132- Oklahoma City 1 1.2%
73179- Oklahoma City 1 1.2%
73734- Dover 1 1.2%
73742- Hennessey 1 1.2%
73756- Loyal 1 1.2%
73759- Medford 1 1.2%
No response 21 24.4%
Total 86 100.0%
The survey focused on several health topics of interest to the community. Highlights of the
results include:
16
Primary Care Physician Visits
- 77.9% of respondents had used a primary care physician in the Kingfisher service
area during the past 24 months
- 95.5% of those responded being satisfied
- Only 31 respondents or 36.0% believe there are enough primary care physicians
practicing in Kingfisher
- 70.9% of the respondents would consider seeing a midlevel provider for their
healthcare needs
- 76.7% responded they were able to get an appointment, within 48 hours, with their
primary care physician when needed
Specialist Visits
Summary highlights include:
- 70.9% of all respondents report some specialist visit in past 24 months
- Most common specialty visited are displayed in Table 9
- Only 2.0% of specialist visits occurred in Kingfisher
Table 6. Type of Specialist Visits
Type of Specialist No. Percent
Top 5 Responses
Cardiologist 13 13.1%
(0 visits in Kingfisher)
Orthopedist/Orthopedic Surgeon 12 12.1%
(2 visits in Kingfisher)
Neurologist/Neurosurgeon 12 12.1%
(0 visits in Kingfisher)
OB/GYN 8 8.1%
(0 visits in Kingfisher)
Urologist 8 8.1%
(0 visits in Kingfisher)
All others 46 46.5%
(0 visits in Kingfisher)
Total 99 100.0%
Some respondents answered more than once.
17
Hospital Usage and Satisfaction
Survey highlights include:
- 48.1% of survey respondents that have used hospital services in the past 24 months
used services at Mercy Hospital Kingfisher
o Mercy Hospital Oklahoma City (12.3%) and INTEGRIS Baptist Medical
Center, Oklahoma City (4.9%) followed
o The most common response for using a hospital other than Mercy Hospital
Kingfisher was availability of specialty care (35.4%) followed by physician
referral (25.0%)
o The usage rate of 48.1% was lower than the state average of 56.3% for usage
of other rural Oklahoma hospitals surveyed
- 97.4% of survey respondents were satisfied with the services received at Mercy
Hospital Kingfisher
o This is above the state average for other hospitals (85.8%)
- Most common services used at Mercy Hospital Kingfisher:
o Diagnostic Imaging (26.7%)
o Laboratory (22.9%)
o Emergency Room (21.9%)
56.3%
85.8%
48.1%
97.4%
0.0% 20.0% 40.0% 60.0% 80.0% 100.0%
Hospital Usage
Hospital Satisfaction
Mercy Hospital Kingfisher Other OK Hospital Survey Averages
Figure 2. Summary of Hospital Usage and Satisfaction Rates
18
Local Healthcare Concerns and Additional Services
Survey respondents were asked what concerns them most about healthcare in their
community. The most common response was No concerns/Receive good care/Don’t know
(25.3%) followed by Lack of physicians/Difficult to see provider/Keeping providers (6.9%).
Table 10 displays all responses and the frequencies.
Table 7. Top Healthcare Concerns in the Kingfisher Area
Response Category No. %
No Concerns/ Receive good care/Don't Know 22 25.3%
Lack of physicians/Difficult to see provider/Keeping providers 6 6.9%
Quality of care/Compassion for patient 5 5.7%
Mental health services (Lack of services) 4 4.6%
Dialysis in community 4 4.6%
Lack of specialists (Pediatric care (2); OB/GYN (1)) 3 3.4%
Losing the hospital/Financial situation of hospital/Losing health services 3 3.4%
Emergency care/Physician ER coverage 2 2.3%
Number of prescriptions prescribed 2 2.3%
Need After hours care/Urgent care 1 1.1%
Level of care provided in community 1 1.1%
Utilization of Kingfisher Ambulance for transfers 1 1.1%
Hospital management 1 1.1%
Up-to-date care/Equipment 1 1.1%
19
Wait time for ambulance 1 1.1%
People leaving the community for care 1 1.1%
Assistance with self-pay 1 1.1%
Insurance coverage for services 1 1.1%
Dust/Allergies 1 1.1%
No response 26 29.9%
Total 87 100.0%
Survey respondents also had the opportunity to identify what additional services they
would like to see offered at Mercy Hospital Kingfisher. The most common response was No
additional services/Satisfied with what is available/Don’t know (26.3%) followed by specialists
(including specialists in general, OB/GYN, Neurologist, Otolaryngologist, Dermatologist,
Pediatrician, Orthopedist, Child Psychiatrist, Gastroenterologist, Podiatrist, and Pain
Management) with collectively 20 percent of the total. Table 8 displays the full listing of
Table 8. Additional Services Community Members Would Like to See Offered at Mercy
Hospital Kingfisher
Response Category No. %
No additional services/Satisfied with what is available/Don't know 25 26.3%
Specialists: Specialists in general (4); OB/GYN (4); Neurologist (2);
Otolaryngologist (2); Dermatologist (1); Pediatrician (1); Orthopedist (1);
Child Psychiatrist (1); Gastroenterologist (1); Podiatrist (1); Pain
Management (1) 19 20.0%
Dialysis 5 5.3%
After hours/Weekend clinic 4 4.2%
Improved ER care/Ability to see personal provider in ER 3 3.2%
Educational classes/Diabetes management/Outreach for older residents 2 2.1%
Affordable services 1 1.1%
More physicians 1 1.1%
Maternity services in Kingfisher 1 1.1%
Colonoscopy 1 1.1%
Bone density 1 1.1%
Mental health 1 1.1%
Cardiac care 1 1.1%
No response 30 31.6%
Total 95 100.0%
At the conclusion of the meeting, community members were divided into “table groups”
to discuss what they feel are health concerns facing the community. These concerns are based
20
on the information from the Community Health Assessment as a part of the MAPP process, the
survey results presented, and their first-hand knowledge of their community. The following
items were identified as concerns:
Access to care including specialists
Advertisement of specialists
Mental Health Education
Suicide
Healthy Lifestyle
Obesity
Childcare
Dental Care
Dialysis Clinic
Medicaid Cuts
Community Health Needs Implementation Strategy
During the April 11, 2106, meeting, hospital representatives and community members
discussed the top health priorities within the community from the hospital’s perspective. The
following lists the concerns along with steps the hospital and community plan to take to remedy
the situation.
Access to care including specialists- Community members present identified this as a
concern as many community members are leaving the community to see a specialist. It
was also noted that community members were not exactly aware of the specialist clinics
that are currently available in the community. It was noted that greater advertisement
was needed in this area.
o Mercy Hospital Kingfisher has a Specialty Clinic that is rented to specialist
physicians in order to help meet the needs of the community. The space is
currently rented for 9.5 days per month.
o The Support Groups that meet serve as the outreach and communication of the
specialist services available.
Mental health and suicide- This is an item that was identified through the community
health assessment completed in 2015. This item was also identified as a priority from the
2013 CHNA. Further, there have been several recent suicides in the community that are
not present in current data available (due to a lag in data reporting). Community
members noted the need for education of mental health such as basic information and
education to remove the stigma. It was also noted to increase prevention of a crisis in the
form of stress and anxiety reduction/prevention.
o Mercy Hospital Kingfisher works with Red Rock Behavioral Health Services and
Mercy Behavioral Health Services for transfers and support.
21
Focus on a healthy lifestyle- This priority includes a focus on prevention, healthy eating
and tobacco use. Community members also identified obesity as a priority, but with the
overall focus of health, this item falls under this category.
o Mercy Hospital Kingfisher will continue to host and partner with several free
community events that have a focus on healthy lifestyles and choices. Several
events highlight resources in the community that are available and provide safe
opportunities to walk, jog, run, and bike.
Community Health Needs Assessment Marketing Plan
The hospital will make the Community Health Needs Assessment Summary and
Implementation Strategy Plan available upon request at Mercy Hospital Kingfisher, and a copy
will be available to be downloaded from the hospital’s website
(https://www.mercy.net/practice/mercy-hospital-kingfisher). This document will also be
available on the OSU Center for Rural Health blog site:
(http://osururalhealth.blogspot.com/p/chna.html).
22
Appendix A- Hospital Services/Community Benefits
23
Appendix B Community Meeting Attendees
Kingfisher Community Health Needs Assessment
Survey Results and Health Concern Prioritization Meeting
11-Apr-16
Name Agency/Organization
Lisa Copeland Sooner Success
Brittney Hladik Department of Human Service/School Based Social Services
Christi Madden Healthy Hearts for OK/OUHSC
Wes Harper
Blair Coughlan Kingfisher County Health Department
Brandi Krittenbrink OSU Cooperative Extension
Racheal Russell Mercy Hospital Kingfisher
Mikeal Murray Kingfisher County Health Department
Dusti Brodrick Kingfisher County Health Department
Brian Denton Mercy Hospital Kingfisher
Robert Lee Evolution Foundation
Alex Jones OSU-CHS
Debbie Osborn Sooner Success
Tyler Harl Kingfisher County Health Department
Marc Charney Family and Children’s Consultant
Kelly Lingo Red Rock Systems of Care
Linda Charney Family and Children’s Consultant
Heather Ward Kingfisher County Health Department
Allison Seigars Rural Health Projects, Inc
Theresa Sharp Oklahoma Family Network/Children’s Behavioral Health Consultant
Helen Naifeh CTTC
Gaylene Stiles Mercy Hospital
Kayla Voth Mercy Hospital
24
Appendix C- Meeting 1 Materials, April 11, 2016
25
26
27
