Southern Coos Hospital & Health Center Community Health Needs Assessment 2023
Exit Survey
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Southern Coos Hospital & Health Center is conducting a study on healthcare needs in our community. This study will help us in our efforts to improve our services. Please take a few minutes to complete the following survey. Please Note: Because we want to get feedback from as many people as possible, you may receive more than one request to complete it. We apologize for this inconvenience and ask that you only take the survey once. All responses are confidential. Feel free not to answer any questions you choose. Thank you for your help.
What is your age?
17 and under
18-24
25-34
35-44
45-54
55-64
65 and over
What is your Gender? (Adapted from the Oregon Health Authority’s guidelines on collecting gender information)
Female
Male
Transgender Female
Transgender Male
GenderQueer
Non-Binary (Gender-fluid/not exclusively male or female)
I am not sure of my gender identity
I do not know what this question is asking
Something Else Fits Better
What is your race? (adapted from the Oregon Health Authority’s guidelines on collecting race, ethnicity, and language and disability data)
American Indian or Alaska Native
American Indian
Alaska Native
Asian
Chinese
Japanese
Korean
Vietnamese
Other Asian
Asian Indian
Black or African American
Afro-Caribbean
Ethiopian
Somali
Other African (Black)
Other Black
African-American
Hispanic or Latino Latina Latinx
Central American
South American
Indigenous Mexican,
Middle Eastern or North African
Middle Eastern
North African
Native Hawaiian or Pacific Islander
Native Hawaiian
Samoan
Other Pacific Islander
White Non-Hispanic
Eastern European
Slavic
Western European
Other White
Other Options:
Multi-Racial
Prefer Not to Say
I do not have just one primary racial or ethnic identity
No. I identify as Biracial or Multiracial
N/A. I only checked one category above
Don’t know.
Don’t want to answer.
If you checked more than one category above, is there one you think of as your primary racial or ethnic identity?
Please select your Zip Code.
97406
97407
97411
97414
97415
97416
97420
97423
97444
97449
97450
97458
97459
97464
97465
97466
97476
97491
97534
Other
What type of provider do you prefer to be treated by?
Doctor of Osteopathy (DO)
Medical Doctor (MD)
Nurse Practitioner
Physician Assistant
Other
Do you use Southern Coos Hospital & Health Center or its health clinics for your main healthcare needs?
Yes
No
Southern Coos Hospital & Health Center would like to ensure we are taking care of the needs of our community. Please check all services that you, a family member, or a local friend need within the community.
Allergist
Cardiology - (Heart Specialist)
Chemotherapy (Cancer Treatment)
Colonoscopy / Endoscopy
Dermatology (Skin Health)
Dental/Oral Health
Diabetes Educators
Diagnostic Lab, MRI and X-ray
Dialysis
Dietician / Weight Management
Ear, Nose, Throat (Adult)
Ear, Nose, Throat (Pediatric)
Emergency Medical Services (Ambulance. or Emergency Room)
Endocrinology (Diabetes, Thyroid. Pituitary etc.)
General Surgery
Geriatrics
Gynecological Care (Female Health)
Health Fair and Education
Infusion Services
Internal Medicine
Mammography
Mental Health Services
Neurology (Brain and Nervous System)
Newborn Care
Obstetrical Care (Maternity Care)
Ophthalmology
Orthopedics (Bone or Skeletal Injuries)
Osteopathic Medicine
Pediatrics (Children's Health)
Podiatry
Prenatal and Perinatal Services (Before and After Birth)
Preventive Medicine
Primary Care Services (Family Medicine)
Psychiatry
Pulmonary Specialty (Lung Care)
Reproductive Health
Rheumatology (Arthritis)
Sleep Study
Specialist for Pain
Substance Abuse Services
Urgent Care/After Care
Urology (Urinary and Reproductive Systems)
Vascular (Issues with Blood Flow)
Well Child Services (Immunization, Prevention, etc.)
Wellness Clinic (Adult Immunizations, Check-ups)
Wound Care
Other
Were you aware that Southern Coos Hospital & Health Center offers the following Specialty and Outpatient Services?
Yes
No
24/7 Emergency Department
Yes
No
Care Coordination Services
Yes
No
Diabetic Education
Yes
No
General Orthopedic Surgery
Yes
No
General Surgery
Yes
No
Infusion Therapy
Yes
No
INR Management (Coagulation Services)
Yes
No
Laboratory Services
Yes
No
Medical Imaging Services
Yes
No
Osteopathy Primary Care
Yes
No
Yes
No
Ostomy & Wound Care
Yes
No
Outpatient Behavioral Health with a Licensed Clinical Social Worker
Yes
No
Outpatient Respiratory Services
Yes
No
Oximetry (Preliminary Sleep Study)
Yes
No
Pain Management Care
Yes
No
Pulmonary Function Tests
Yes
No
Were you aware that Southern Coos Hospital & Health Center offers the following preventative and imaging services?
Yes
No
3D Digital Mammography
Yes
No
Bone Density
Yes
No
CT Scans (64 Slice)
Yes
No
Echocardiograms
Yes
No
MRI
Yes
No
Ultrasound
Yes
No
X-ray
Yes
No
Were you aware Southern Coos Hospital & Health Center provides services in conjunction with the following?
Yes
No
Nephrology services through Dr. Qadir from North Bend Medical Center
Yes
No
Ear, Nose, and Throat Specialty Services through Dr. Wallace Webster
Yes
No
Telemedicine has proven to be an effective way to increase access to healthcare. Would you be open to having telemedicine visits for primary care, specialty services, and/or behavioral health services?
Yes
No
Not sure at this time
How do you feel the following supportive service needs are being met by Southern Coos Hospital & Health Center?
Needs Are Being Met
Needs Are Somewhat Being Met
Needs Are Not Being Met
I don't know
Bariatric Services (Obesity Related Diseases)
Needs Are Being Met
Needs Are Somewhat Being Met
Needs Are Not Being Met
I don't know
Care Management
Needs Are Being Met
Needs Are Somewhat Being Met
Needs Are Not Being Met
I don't know
Counseling/Assessment/Life Coaching
Needs Are Being Met
Needs Are Somewhat Being Met
Needs Are Not Being Met
I don't know
Follow-up/Discharge Planning
Needs Are Being Met
Needs Are Somewhat Being Met
Needs Are Not Being Met
I don't know
Health Education
Needs Are Being Met
Needs Are Somewhat Being Met
Needs Are Not Being Met
I don't know
Help With Enrollment Services for Medicaid
Needs Are Being Met
Needs Are Somewhat Being Met
Needs Are Not Being Met
I don't know
Help Understanding Recommended Medical Care
Needs Are Being Met
Needs Are Somewhat Being Met
Needs Are Not Being Met
I don't know
Interpretation/Translation
Needs Are Being Met
Needs Are Somewhat Being Met
Needs Are Not Being Met
I don't know
Medical Supplies for In-Home Use
Needs Are Being Met
Needs Are Somewhat Being Met
Needs Are Not Being Met
I don't know
Referral to Other Locations
Needs Are Being Met
Needs Are Somewhat Being Met
Needs Are Not Being Met
I don't know
Based on your personal experiences, are you aware of any of the following groups who need care?
Adults (18+)
Families
Children (0-12)
Youth (13-18)
Hispanic/Latinx population
BIPOC Community (Black. Indigenous, People of Color)
Individuals/Families experiencing Houselessness
LGBTQIA+
People with disabilities
People eligible for Medicare
People who are "underserved" with minimal insurance
People with behavioral health needs/substance abuse issues
People with low income
People with no insurance
People with low language proficiency
Schools
Seniors (Over 65)
Teenage parents (under 18)
Women of childbearing age (18-50 years old)
Please indicate all the following aspects of health care services Southern Coos Hospital & Health Center could provide that would benefit you personally. (Please mark your top 3)
Access to healthy foods
Adult Day Care
Alzheimer's and Dementia
Assisted Living
Clinic Evening Availability
Clinic Weekend Availability
Convenient Retail Pharmacy
Fast Track/Same Day Appointment Clinic
Lower fee for low-income individuals
More active care management by your primary care practitioners (Follow-up visits after service from other providers; nutrition, diet, prescription counseling)
Proximity to home
Respite Care
Scheduled appointment
Special Needs Services
Translation/Interpretation Services
Transportation
If you or your family members have been to any of the healthcare facilities below, please let us know the reason for your visit.
Adult Specialty/Surgery
Children's Specialty/Surgery
General Healthcare
Pediatrics
Bay Clinic (Coos Bay)
Adult Specialty/Surgery
Children's Specialty/Surgery
General Healthcare
Pediatrics
Coquille Valley Hospital (Coquille)
Adult Specialty/Surgery
Children's Specialty/Surgery
General Healthcare
Pediatrics
Waterfall Clinic (North Bend)
Adult Specialty/Surgery
Children's Specialty/Surgery
General Healthcare
Pediatrics
North Bend Medical Center (Coos Bay)
Adult Specialty/Surgery
Children's Specialty/Surgery
General Healthcare
Pediatrics
Bay Area Hospital (Coos Bay)
Adult Specialty/Surgery
Children's Specialty/Surgery
General Healthcare
Pediatrics
Coast Community Health Center (Bandon)
Adult Specialty/Surgery
Children's Specialty/Surgery
General Healthcare
Pediatrics
Coast Community Health Center (Brookings)
Adult Specialty/Surgery
Children's Specialty/Surgery
General Healthcare
Pediatrics
Coast Community Health Center (Port Orford)
Adult Specialty/Surgery
Children's Specialty/Surgery
General Healthcare
Pediatrics
Curry Family Medical (Port Orford)
Adult Specialty/Surgery
Children's Specialty/Surgery
General Healthcare
Pediatrics
Curry General Hospital (Gold Beach)
Adult Specialty/Surgery
Children's Specialty/Surgery
General Healthcare
Pediatrics
Adult Specialty/Surgery
Children's Specialty/Surgery
General Healthcare
Pediatrics
Curry Medical Center (Brookings)
Adult Specialty/Surgery
Children's Specialty/Surgery
General Healthcare
Pediatrics
PeaceHealth Riverbend (Springfield)
Adult Specialty/Surgery
Children's Specialty/Surgery
General Healthcare
Pediatrics
Slocum Orthopedic (Eugene)
Adult Specialty/Surgery
Children's Specialty/Surgery
General Healthcare
Pediatrics
South Coast Orthopedic Associates (Coos Bay)
Adult Specialty/Surgery
Children's Specialty/Surgery
General Healthcare
Pediatrics
Oregon Health Sciences University (Portland)
Adult Specialty/Surgery
Children's Specialty/Surgery
General Healthcare
Pediatrics
VA Health Care (Roseburg)
Adult Specialty/Surgery
Children's Specialty/Surgery
General Healthcare
Pediatrics
VA Health Care (Brookings)
Adult Specialty/Surgery
Children's Specialty/Surgery
General Healthcare
Pediatrics
Mercy Health (Roseburg)
Adult Specialty/Surgery
Children's Specialty/Surgery
General Healthcare
Pediatrics
Other:
Adult Specialty/Surgery
Children's Specialty/Surgery
General Healthcare
Pediatrics
How has your experience been in working with Southern Coos Hospital & Health Center and our clinics?
Needs Work
Good
Exceptional
N/A
Customer Service
Needs Work
Good
Exceptional
N/A
Explanation of diagnosis and treatment options
Needs Work
Good
Exceptional
N/A
Treated with dignity
Needs Work
Good
Exceptional
N/A
Please explain your above ratings.
Are there barriers to you or your family using Southern Coos Hospital and Health Center or its affiliated clinics?
Please take a moment to share any general comments you have about health care or supportive service needs in the area.
Done
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