ellis county, ks - hays med · 22/01/2015 · this assessment was coordinated and produced by vvv...

Ellis County, KSCommunity Health Needs Assessment Round #2

May 2015

VVV Research & Development, LLCOlathe, KS

Community Health Needs AssessmentTable of Contents

I. Executive SummaryII. Methodology

a) CHNA Scope & Purpose

b) Local Collaborating CHNA parties (The identity of any and allorganizations with which the organization collaborated and third parties thatengaged to assist with the CHNA)

c) CHNA & Town Hall Research Process (A description of the process & methodsused to conduct the CHNA, a description of how the organization considered theinput of persons representing the community, and an explanation of the process /criteria used in prioritizing such needs)

d) Community Profile (A description of the community served by the facility andhow the community was determined)

III. Community Health Status

a) Town Hall CHNA Findings: Areas of Strengths & Areas to Change and/or Improve

b) County Health Area of Future Focus (A prioritized description of all of thecommunity needs identified by the CHNA)

c) Historical Health Statistics

IV. Inventory of Existing County Health Resources

a) A description of the existing health care facilities and other resources within thecommunity available to meet the needs identified through the CHNA

V. Detail Exhibits

a) Patient Origin & Access to Care

b) Town Hall Attendees, Notes & Feedback (Who attended with qualifications)

c) Public Notice & News

d) Primary Research Detail Shaded lines note IRS requirements

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I. Executive Summary

[VVV Research & Development, LLC]

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I. Executive Summary

Ellis County, KS - 2015 Community Health Needs Assessment (CHNA) Round #2

Creating healthy communities requires a high level of mutual understanding andcollaboration among community leaders. The development of this assessment bringstogether community health leaders and providers, along with local residents, to research andprioritize county health needs and document community health delivery successes. Thishealth assessment will serve as the foundation for community health improvement efforts forthe next three years. The last CHNA for Ellis County, KS was published in May of 2012.<Note: The Patient Protection and Affordable Care Act (ACA) requires not-for-profit hospitalsto conduct a CHNA every three years and adopt an implementation strategy to meet theneeds identified by the CHNA>. This assessment was coordinated and produced by VVVResearch & Development, LLC (Olathe, Kansas) under the direction of Vince Vandehaar,MBA.

Important CHNA benefits for both the local hospital and health department, as well as for thecommunity, are as follows: 1) Increases knowledge of community health needs andresources, 2) Creates a common understanding of the priorities of the community's healthneeds, 3) Enhances relationships and mutual understanding between and amongstakeholders, 4) Provides a basis upon which community stakeholders can make decisionsabout how they can contribute to improving the health of the community, 5) Providesrationale for current and potential funders to support efforts to improve the health of thecommunity, 6) Creates opportunities for collaboration in delivery of services to thecommunity and 7) Provides guidance to the hospital and local health department for howthey can align their services and community benefit programs to best meet needs.

Town Hall “Community Health Strengths” cited for Hays Medical Center’s Primary Service Areaare as follows:

# Topic # Topic

1 Collaborative Community 9 Good Doctors

2Complete Healthcare

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Good Community Health with

Support Groups

3 Good Acute Care Hospital 11 Strong Local Economy

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Pressure of Being a Regional

Leader (Makes Them Better) 12

Schools are Supportive of

Struggling Families

5 Safe Community 13 Activites for Senior Population

6 Sound Education System 14 "Work Well Kansas"

7 Walk-In Clinic at Oak Park 15 Longevity8 Walking Club 16 Access to Fitness/Wellness

Ellis County, KS - Community Health "Strengths"

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Town Hall “Community Health Changes and/or Improvements Ranking” cited for Hays MedicalCenter’s Primary Service Area are as follows:

Key Community Health Needs Assessment Conclusions from secondary research for HaysMedical Center’s Primary Service Area are as follows:

KS HEALTH RANKINGS: According to the 2014 RWJ County Health Rankings study, EllisCounty’s highest State of Kansas ranking (of 105 counties) was in Physical Environment.

• TAB 1: Ellis County has a population of 28,939 residents as of 2013, a growth of 1.4%.14% of Ellis County’s population consists of the elderly (65+), and 30.5% percent ofthese elderly people (65+) are living alone. The percent of Hispanics and Latinos in EllisCounty is 11.2%. 23% percent of children in Ellis County live in single-parenthouseholds, lower than the Kansas rural norm of 29%. The percent of people livingbelow the poverty level in is 16.2%, higher than the Kansas rural norm of 12.5%. Thepercent of people with limited access to healthy food is 6%. The percent of people 65+with low access to a grocery store in Ellis County is 2.6%, much lower than the Kansasrural norm of 9.5%.

# 2015 Health Needs to Change and/or Improve Votes % Accum

1 Add Primary Care Physicians 15 12.5% 12.5%

2 Reduce Drinking in the Community 12 10.0% 22.5%

3 Increase Childcare Providers 11 9.2% 31.7%

4 Improve Sources/Quality of Water 9 7.5% 39.2%

5 Reduce Mental health Isolation (placement) 8 6.7% 45.8%

6 Expand Hays Public Transportation 8 6.7% 52.5%

7 Reduce Drug Abuse 8 6.7% 59.2%

8 Increase Senior Care (Skilled Care) options 7 5.8% 65.0%

9 Decrease Tobacco usage 6 5.0% 70.0%

10 Expand Dental Care for Medicaid/Uninsured 6 5.0% 75.0%

11 Add Affordable Rent/Housing 5 4.2% 79.2%

Total Town Hall Votes 120 100.0%

Note:

Town Hall Community Health Needs Priorities (30 Attendees)

Ellis County KS (Hays Medical Center PSA)

Other items receiving votes: Medical Billing, Gerontology, IP Dementia, Mental

Health Services, Family Support, Available Healthcare Services, Community

Stakeholder Healthcare Communication, Handicap Housing, Homeless Shelter,

Family Planning, Medical Detox, Personal Responsibility in Healthcare, Healthy Food

Options

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• TAB 2: Ellis County’s per capita income equals $26,845. The median value of owner-occupied housing units is $127,400, higher than the Kansas rural norm of $75,775. Thepercent of unemployed workers in the civilian labor force in Ellis County is 2.1%. EllisCounty has a lower percentage of low-income persons with low access to a grocerystore (5.8%), compared to the Kansas rural norm of 15.4%. The percent of solo driverswith a long commute is 6.2%, lower than the Kansas rural norm of 12.2%. The percentof people in Ellis County experiencing severe housing problem (12.2%) is higher thanthe Kansas rural norm of 8.5%. The number of renters in Ellis County spending 30% ormore of their household income on rent is much higher than the Kansas rural norm(37%) at 51.7%.

• TAB 3: In Ellis County, 27.6% of students are eligible for the free or reduced lunchprogram. The county maintains a 91.7% high school graduation rate, significantly higherthan the Kansas rural norm of 84.6%. The percent of persons (25+) with a Bachelor’sdegree or higher in Ellis County is 30%. The student-to-teacher ratio in Ellis County is13.9, higher than the Kansas rural norm of 9.4.

• TAB 4: The percent of births where prenatal care began in the first trimester in EllisCounty is 84.5%, higher than the Kansas rural norm of 78.9%. The percent of birthswith low birth weights is 6.4%. The average monthly WIC participation in Ellis County is13.1%, lower than the Kansas rural norm of 20.9%.

• TAB 5: The ratio of the population in Ellis County to primary care physicians is 1,624.The staffed hospital bed ratio in Ellis County is 5.9%. The congestive heart failurehospital admission rate in Ellis County is 242, higher than the Kansas rural norm of 191.The COPD hospital admission rate (202) in Ellis County is higher than the Kansas ruralnorm of 194.

• TAB 6: The depression rate for the Medicare population in Ellis County is 18.1%, higherthan the Kansas rural norm of 15.2%. The percent of alcohol-impaired driving deaths inEllis County (39.3%) is higher than the Kansas rural norm of 36.4%. The percentage ofpeople in Ellis County with inadequate social support is 10% lower than the Kansas ruralnorm.

• TAB 7: The adult obesity rate in Ellis County is 29%. The percent of adults who bingedrink in Ellis County (21.9%) is higher than the Kansas rural norm of 16.7%. Thepercent of people in Kiowa County who are physically inactive is 27%. The percent ofpeople who are physically inactive in Ellis County is 26%. The percent of adults with fairor poor self-perceived health status is 10.7%, lower than the Kansas rural norm of12.4%. 100% of the population in Ellis County served unaffected by SDWA Nitrateviolations. The sexually transmitted infection rate in Ellis County is 543, much higherthan the Kansas rural norm of 369. The percent of the Medicare population in EllisCounty with Diabetes is 23.4%, and the percent of the Medicare population withAlzheimer’s disease or dementia is 13.2%. Hyperlipidemia and rheumatoid arthritis inthe Medicare population are both higher than the Kansas rural norms in Ellis County.

• TAB 8: The uninsured adult population rate in Ellis County is 15.7%.

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• TAB 9: The mortality rate in Ellis County per 100,000 is 72.

• TAB 10: The percent of infants fully immunized at 24 months is 70.6%, which is lowerthan the Kansas rural norm. The percent of diabetic screenings in Ellis County is 80%,lower than the Kansas rural norm of 86%. The percent of people in Ellis County areconsuming fruit and vegetables less than one time per day is high.

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II. Methodology


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II. Methodologya) Scope and Purpose

The new federal Patient Protection and Affordable Care Act requires that each registered501(c)3 hospital conduct a Community Health Needs Assessment (CHNA) at least once everythree years and adopt a strategy to meet community health needs. Any hospital who has fileda 990 is required to conduct a CHNA. IRS Notice 2011-52 was released in late fall of 2011 togive notice and request comments.

JOB #1: Meet/Report IRS 990 Required Documentation

1. A description of the community served by the facility and how the community wasdetermined;

2. A description of the process and methods used to conduct the CHNA;3. The identity of any and all organizations with which the organization collaborated

and third parties that it engaged to assist with the CHNA;4. A description of how the organization considered the input of persons representing

the community (e.g., through meetings, focus groups, interviews, etc.), who thosepersons are, and their qualifications;

5. A prioritized description of all of the community needs identified by the CHNA and anexplanation of the process and criteria used in prioritizing such needs; and

6. A description of the existing health care facilities and other resources within thecommunity available to meet the needs identified through the CHNA.

Section 501(r) provides that a CHNA must take into account input from persons who represent the broad interests ofthe community served by the hospital facility, including individuals with special knowledge of or expertise in publichealth. Under the Notice, the persons consulted must also include: Government agencies with current informationrelevant to the health needs of the community and representatives or members in the community that are medicallyunderserved, low-income, minority populations, and populations with chronic disease needs. In addition, a hospitalorganization may seek input from other individuals and organizations located in or serving the hospital facility’sdefined community (e.g., health care consumer advocates, academic experts, private businesses, health insuranceand managed care organizations, etc).

JOB #2: Making a CHNA Widely Available to the Public

The Notice provides that a CHNA will be considered to be “conducted” in the taxable year thatthe written report of the CHNA findings is made widely available to the public. The Notice alsoindicates that the IRS intends to pattern its rules for making a CHNA “widely available tothe public” after the rules currently in effect for Form 990. Accordingly, an organization wouldmake a facility’s written report widely available by posting the final report on its websiteeither in the form of (1) the report itself, in a readily accessible format or (2) a link to anotherorganization’s website, along with instructions for accessing the report on that website. TheNotice clarifies that an organization must post the CHNA for each facility until the date on whichits subsequent CHNA for that facility is posted.

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JOB #3: Adopt an Implementation Strategy by Hospital

Section 501(r) requires a hospital organization to adopt an implementation strategy to meet theneeds identified through each CHNA. The Notice defines an “implementation strategy” as awritten plan that addresses each of the needs identified in a CHNA by either (1) describing howthe facility plans to meet the health need or (2) identifying the health need as one that thefacility does not intend to meet and explaining why the facility does not intend to meet it. Ahospital organization may develop an implementation strategy in collaboration with otherorganizations, which must be identified in the implementation strategy. As with the CHNA, ahospital organization that operates multiple hospital facilities must have a separate writtenimplementation strategy for each of its facilities.

Great emphasis has been given to work hand-in-hand with leaders from both hospitals andthe local county health department. A common approach has been adopted to create theCHNA, leading to aligned implementation plans and community reporting.

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IRS Notice 2011-52 OverviewNotice and Request for Comments Regarding the Community Health Needs AssessmentRequirements for Tax-exempt Hospitals

Applicability of CHNA Requirements to “Hospital Organizations”

The CHNA requirements apply to “hospital organizations,” which are defined in Section 501(r) to include(1) organizations that operate one or more state-licensed hospital facilities, and (2) any otherorganization that the Treasury Secretary determines is providing hospital care as its principal function orbasis for exemption.

How and When to Conduct a CHNA

Under Section 501(r), a hospital organization is required to conduct a CHNA for each of its hospitalfacilities once every three taxable years. The CHNA must take into account input from personsrepresenting the community served by the hospital facility and must be made widelyavailable to the public. The CHNA requirements are effective for taxable years beginningafter March 23, 2012. As a result, a hospital organization with a June 30 fiscal year end must conductan initial CHNA for each of its hospital facilities by June 30, 2013, either during the fiscal year endingJune 30, 2013 or during either of the two previous fiscal years.

Determining the Community Served

A CHNA must identify and assess the health needs of the community served by the hospital facility.Although the Notice suggests that geographic location should be the primary basis for defining thecommunity served, it provides that the organization may also take into account the target populationsserved by the facility (e.g., children, women, or the aged) and/or the facility’s principal functions (e.g.,specialty area or targeted disease). A hospital organization, however, will not be permitted to define thecommunity served in a way that would effectively circumvent the CHNA requirements (e.g., by excludingmedically underserved populations, low-income persons, minority groups, or those with chronic diseaseneeds).

Persons Representing the Community Served

Section 501(r) provides that a CHNA must take into account input from persons who represent thebroad interests of the community served by the hospital facility, including individuals with specialknowledge of or expertise in public health. Under the Notice, the persons consulted must also include:(1) government agencies with current information relevant to the health needs of the community and(2) representatives or members of medically underserved, low-income, and minority populations, andpopulations with chronic disease needs, in the community. In addition, a hospital organization may seekinput from other individuals and organizations located in or serving the hospital facility’s definedcommunity (e.g., health care consumer advocates, academic experts, private businesses, healthinsurance and managed care organizations, etc).

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Required Documentation

The Notice provides that a hospital organization will be required to separately document the CHNA foreach of its hospital facilities in a written report that includes the following information: 1) a descriptionof the community served by the facility and how the community was determined; 2) a description of theprocess and methods used to conduct the CHNA; 3) the identity of any and all organizations with whichthe organization collaborated and third parties that it engaged to assist with the CHNA; 4) a descriptionof how the organization considered the input of persons representing the community (e.g., throughmeetings, focus groups, interviews, etc.), who those persons are, and their qualifications; 5) a prioritizeddescription of all of the community needs identified by the CHNA and an explanation of the process andcriteria used in prioritizing such needs; and 6) a description of the existing health care facilities and otherresources within the community available to meet the needs identified through the CHNA.

Making a CHNA Widely Available to the Public

The Notice provides that a CHNA will be considered to be “conducted” in the taxable year that thewritten report of the CHNA findings is made widely available to the public. The Notice also indicatesthat the IRS intends to pattern its rules for making a CHNA “widely available to the public” after the rulescurrently in effect for Forms 990. Accordingly, an organization would make a facility’s written reportwidely available by posting on its website either (1) the report itself, in a readily accessible format, or (2)a link to another organization’s website, along with instructions for accessing the report on that website.The Notice clarifies that an organization must post the CHNA for each facility until the date on which itssubsequent CHNA for that facility is posted.

How and When to Adopt an Implementation Strategy

Section 501(r) requires a hospital organization to adopt an implementation strategy to meet the needsidentified through each CHNA. The Notice defines an “implementation strategy” as a written planthat addresses each of the needs identified in a CHNA by either (1) describing how the facilityplans to meet the health need, or (2) identifying the health need as one that the facility does notintend to meet and explaining why the facility does not intend to meet it. A hospital organizationmay develop an implementation strategy in collaboration with other organizations, which must beidentified in the implementation strategy. As with the CHNA, a hospital organization that operates multiplehospital facilities must have a separate written implementation strategy for each of its facilities.

Under the Notice, an implementation strategy is considered to be “adopted” on the date the strategy isapproved by the organization’s board of directors or by a committee of the board or other parties legallyauthorized by the board to act on its behalf. Further, the formal adoption of the implementation strategymust occur by the end of the same taxable year in which the written report of the CHNA findings wasmade available to the public. For hospital organizations with a June 30 fiscal year end, that effectivelymeans that the organization must complete and appropriately post its first CHNA no later than its fiscalyear ending June 30, 2013, and formally adopt a related implementation strategy by the end of the sametax year. This final requirement may come as a surprise to many charitable hospitals, considering Section501(r) contains no deadline for the adoption of the implementation strategy.

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Year 2015 - IRS and Treasury Finalize Patient Protection Rules for

Tax-Exempt Hospitals ACCOUNTING TODAY 1/2/15

The Internal Revenue Service and the Treasury Department have issued final regulations under the

Affordable Care Act to protect patients in tax-exempt hospitals from aggressive debt collection practices

and to provide other rules for charitable hospitals.

Under the final regulations, each Section 501(c)(3) hospital organization is required to meet four

general requirements on a facility-by-facility basis: establish written financial assistance and emergency

medical care policies; limit the amounts charged for emergency or other medically necessary care to

individuals eligible for assistance under the hospital's financial assistance policy; make reasonable efforts

to determine whether an individual is eligible for assistance under the hospital’s financial assistance

policy before engaging in extraordinary collection actions against the individual; and conduct a

community health needs assessment, or CHNA, and adopt an implementation strategy at least once

every three years. The first three requirements are effective for tax years beginning after March 23,

2010 and the CHNA requirements are effective for tax years beginning after March 23, 2012.

The ACA also added a new Section 4959, which imposes an excise tax for failure to meet the CHNA

requirements, and added reporting requirements. These final regulations provide guidance on the

entities that must meet these requirements, the reporting obligations relating to these requirements

and the consequences for failing to satisfy the requirements. “Charitable hospitals represent more

than half of the nation’s hospitals and play a key role in improving the health of the communities they

serve,” wrote Emily McMahon, Deputy Assistant Secretary for Tax Policy at the U.S. Department of the

Treasury, in a blog post Monday explaining the requirements. “But reports that some charitable

hospitals have used aggressive debt collection practices, including allowing debt collectors to pursue

collections in emergency rooms, have highlighted the need for clear rules to protect patients. For

hospitals to be tax-exempt, they should be held to a higher standard. That is why the Affordable Care

Act included additional consumer protection requirements for charitable hospitals, so that patients are

protected from abusive collections practices and have access to information about financial assistance

at all tax-exempt hospitals.”

She noted that as a condition of their tax-exempt status, charitable hospitals must take an active role in

improving the health of the communities they serve, establish billing and collections protections for patients

eligible for financial assistance, and provide patients with the information they need to apply for such

assistance. “These final rules adopt the same framework of proposed regulations but simplify the

compliance process for charitable hospitals, while

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continuing to provide meaningful guidance on protections for patients and requirements to assess

community health needs,” she added.

Under the new rules, hospitals cannot charge individuals eligible for financial assistance more for

emergency or other medically necessary care than the amounts generally billed to patients with insurance

(including Medicare, Medicaid, or private commercial insurance). In addition, every tax-exempt hospital

must establish and widely publicize a financial assistance policy that clearly describes to patients the

eligibility criteria for obtaining financial assistance and the method for applying for financial assistance.

Charitable hospitals are also prohibited from engaging in certain collection methods (for example,

reporting a debt to a credit agency or garnishing wages) until they make reasonable efforts to determine

whether an individual is eligible for assistance under the hospital’s financial assistance policy.

In addition, each charitable hospital need to conduct and publish a community health needs assessment

at least once every three years and disclose on the tax form that it files on an annual basis the steps it is

taking to address the health needs identified in the assessment.

Many of the requirements have been in place since the Affordable Care Act passed in 2010, but in

response to comments on the proposed regulations, the final rules also expand access to translations for

patients, by lowering the threshold for having translations of financial assistance policies available from

10 percent of the community served as proposed, to five percent of the community served or population

expected to be encountered by the hospital facility, or 1000 persons, whichever is less, according to

McMahon. “The final rules also revise the notification requirements to maintain important protections for

patients while making it easier for hospitals to comply with them,” she wrote. “General notifications

regarding a hospital’s financial assistance policy must appear on bills and in the hospital. However,

individual written and oral notifications of the hospital’s financial assistance policy are now only required

when a hospital plans to use extraordinary collections actions, such as reporting a debt to a credit bureau,

selling the debt to a third party or garnishing wages.”

While charitable hospitals must continue to make a good-faith effort to comply, the rules provide

charitable hospitals with time to fully update their policies and programming to implement the changes.

But if a charitable hospital fails to meet the consumer protection provisions required by the law, the

hospital could have its tax-exempt status revoked. If a hospital fails to properly conduct a community

health needs assessment or adopt an implementation strategy, an excise tax will apply, McMahon noted.

“However, if a hospital fails to meet a requirement, but the failure is neither willful nor egregious, the

hospital can correct and publicly disclose the error to have it excused, thus avoiding revocation of tax-

exempt status, but the excise tax would still apply,” she wrote.

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II. Methodologyb) Collaborating CHNA Parties

Working together to improve community health takes collaboration. Listed below is an in depthprofile of the local hospital and Health Department CHNA partners:

Hays Medical Center Profile

2220 Canterbury Dr, Hays, KS 67601CEO: John H. Jeter, MD

About HaysMed: Hays Medical Center is a private, not-for-profit hospital formed bythe 1991 merger of two religiously affiliated facilities, and provides the only tertiarylevel services in the region. The organization's Vision Statement, developedcollaboratively with local and regional physicians, hospital administrators andcommunity board representatives, was refined to a single core purpose: "To HelpPeople Be Healthy," and an overriding goal: "To Be the Best Tertiary Care Center inRural America."

HMC's DeBakey Heart Institute provides heart surgery for the western half of thestate. Additionally the 207-bed facility provides medical, surgical and pediatric carealong with cardiac, neonatal and intensive care units; cancer, joint and spinecare, diagnostic imaging and eye surgery center; emergency department,rehabilitation, hospice and lifeline. A total of 6,696 admissions and 173,321outpatient procedures documented last year, while the medical group's specialtyand rural health clinics accounted for more than 145,464 office visits. In addition,the DeBakey Heart Institute had 2,374 admissions while the Dreiling/SchmidtCancer Institute provided services to 2,580. Last year 721 births were alsorecorded at the hospital while 13,644 patients were seen in the EmergencyDepartment. The Center for Health Improvement, a MFA accredited fitnesscenter, incorporates hospital-based fitness and rehabilitation programs withoccupational medicine and independent physician clinics, opened it's doors 11 yearsago and has a membership in the fitness area of 2,000.

Hays Medical Center maintains a local market share of nearly 90%; with totalprimary/secondary/tertiary service are at 25%. Patient utilization figuresdemonstrate approximately one-half of all hospitalizations in the region aremaintained in the small rural hospitals surrounded by Hays Medical Center.Administering perhaps the largest Critical Access hospital network in the country,HMC earned the 1997 National Rural Health Association Outstanding ProgramAward for its EACH/RPCH and Telemedicine programs. It is NIAHO Hospitalaccredited, a Level 3 Trauma Center, an accredited Chest Pain Center with PCI andPrimary Stroke Center.

More than one thousand associates staff the medical center and physician clinics,accredited by DNV Healthcare and the American College of Radiology.

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Mission Statement: Patient, physicians and employers will first think of Hays Medical Centerand our regional partners to meet their health care needs. We will provide the best incompassionate care and will help communities understand and improve their health. Wesupport health care as a component of rural life by combining tertiary services in a ruraldelivery system using primary care physicians, local hospitals and other health care providers.

Vision: To help people be healthy.

Hays Medical Center offers the following services to its community:- Bariatrics - Nursing- Billing/Financial - OB/GYN- Bone, Joint and Spine Center - Occupational Therapy- Breast Care Center - Orthopedics- Cancer - Out Patient Rehab- Convenient Care Walk-In Clinic - Palliative Care- Cosmetic Surgery - Pastoral Care- Diabetes Solutions - Pediatrics- Dietary - Pharmacy- Dodge City Specialty Center - Pulmonology- Education - Rehabilitation- Emergency Department - Robot Surgery- Eye - Senior Focused Care- Family Medicine - Sleep and Neurodiagnostic- Fitness Center - Special Nursing Services- Great Bend Healthcare Center - Sports Medicine- HaysMed Partners - Surgery- Heart - Urology- Hospice - Volunteer Services- Hospitalists - Weight Loss Surgery- Imaging - WorkSMART- Internal Medicine - Woman/Infant Services- Lifeline - Wound Healing Hyperbaric Center- Nephrology

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Ellis County Health Department Profile

601 Main St., Ste. B, Hays, KS, 67601Administrator: Robert “Butch” Schlyer, RN

Medical Consultant: Katrina Hess, MDPhone: 785-628-9440Regional District Office: NW Trauma Region: NW

The Ellis County Health Department is open Monday through Friday from 7:30 am to 4:30 pm.In 2004, ECCP applied for funding from KDHE through the partnership of the Ellis County HealthDepartment in the Chronic Disease Risk Reduction Grants, to assist with tobacco cessationopportunities. ECCP is the acting Juvenile Justice Authority Committee for Ellis County and overthe years assisted with securing mini-grant funds for juvenile delinquency prevention efforts.Efforts specifically focused on Intensive Tutoring facilitated at the Northwest Kansas JuvenileIntake Program and mentoring through Big Brothers Big Sisters of Ellis County. The healthdepartment also offers WIC services, including immunizations screening, breastfeedingeducation & support, and classes for nutrition & health.

Offerings: Screenings (Blood pressure, Cholesterol, Glucose, Prostate (PSA), andTuberculosis), metabolic panels, CBC Blood count, Hemoglobin AIC, Protime, TSH (Thyroidstimulating hormone), wellness physicals, lead testing, education on children’s health matters.

Immunizations: Hepatitis A/B, HPV, Meningococcal, Diphtheria, Tetanus, Pertussis, Pneumonia,Influenza, Zostavax, MMR, Polio, Rabies, Rotavirus, and Varicella.

Mission: “It is the philosophy of the Ellis County Health Department that every citizen of EllisCounty should have access to basic public health services at an affordable cost. This agencywill promote, provide and maintain these services while encouraging personal responsibility forindividual health care. However, individuals will not be denied supported services due toinability to pay.”

Accreditation: Ellis County Health Department currently considering working towards CHNAaccreditation.

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II. Methodologyb) Collaborating CHNA Parties Continued

Consultant Qualifications

VVV Research & Development, LLCCompany Profile: 601 N. Mahaffie, Olathe, KS 66061 (913) 302-7264

VINCE VANDEHAAR, MBA

Principal Consultant & Owner of VVV Research & Development, LLCVVV Research & Development, LLC was incorporated on May 28th, 2009. With over 30 years of business &faculty experience in helping both providers, payors, and financial service firms obtain their strategicplanning and research & development needs, Vince brings in-depth health industry knowledge, researchaptitude, planning expertise and energy. VVV Research & Development services are organized, formalprocesses of listening to the voice of the customer. Vince started his consulting business after workingfor Saint Luke’s Health System (SLHS) of Kansas City for 16 years. (Note: Saint Luke’s Hospital of KansasCity, SLHS’s largest hospital, won the Malcolm Baldrige National Quality Award in March of 2003. TheBaldrige examiners cited Vince’s department as “Best Practice” in the areas of customer satisfaction,market research and evaluation efforts <Kansas City Star 3/10/04>).

VVV Research & Development, LLC consultants have in-depth experience helping hospitals work withlocal Health Departments to engage community residents & leaders to identify gaps between existinghealth community resources & needs and construct detailed strategies to meet those needs - while stilladhering to the hospital’s mission and budget. Over the past 20 years, Vandehaar has completed 8comprehensive Baldrige aligned Community Health Needs Assessments for Saint Luke’s of Kansas CitySystem facilities (3 campuses) and was contracted to conduct 2 additional independent Dept. of Healthconsulting projects (prior to IRS 990 regs). To date, VVV has completed 39 CHNA IRS alignedassessments for Kansas, Iowa and Missouri hospitals & Health Departments.

Vince Vandehaar, MBA is actively involved in the Kansas City community. He is a member the GreaterKansas City Employee Benefits Association, the Society for Healthcare Strategy & Market Development,the American Marketing Association Kansas City Chapter and Co-Chair of the AMA Kansas City HealthcareSpecial Interest Group. In addition to these roles, from 2000 to 2008, Vince served as the state chairmanfor MHA’s Data Committee and was a member of KHA’s Data Taskforce.

Collaborating Consultants

Alexa Backman, MBA 2015 - VVV Research & Development, LLC

Lead Planning & Marketing Analyst

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II. Methodologyc) CHNA & Town Hall Research Process

Our Community Health Needs Assessment process began in December of 2014. At thattime an inquiry by Hays Medical Center (Hays, KS) to all NW KS Health Alliance Networkmember hospitals was communicated to explore the possibility of a “group buy” to meetIRS CHNA requirements. (Note: Most NW KS Alliance Network hospitals work closelywith Hays Medical Center to provide onsite IT, Telemedicine, Mobile Radiology and Bio-Medical services. In addition, many Hays based specialists will travel to neighboringcounties to provide visiting outreach clinics).

In late December of 2014 a meeting was called (hosted) by Hays Medical Center to learnmore from the NW Alliance members (24) regarding their CHNA needs and to review thepossible CHNA collaborative options. VVV Research & Development, LLC from Olathe, KSwas asked to facilitate this discussion with the following agenda: VVV Research CHNAexperience, review CHNA requirements (regulations) and discuss CHNA steps/options tomeet IRS requirements and to discuss the next steps.

VVV CHNA Deliverables:

Uncover/Document basic secondary research – health of county (Organized by 10 TABS) Conduct Town Hall meeting to discuss secondary data and uncover/prioritize county

health needs Conduct & Report CHNA primary Research (valid N) – if elected by client Prepare & publish IRS-aligned CHNA report to meet requirements

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Step Date (Start-Finish) LEAD Task

1 12/11/2014 VVV / Hold kickoff Northwest Alliance review.

2 1/1/2015 Hosp Select CHNA Option A/B/C. Approve (sign) VVV CHNA quote.

3 1/20/2015 VVV

Send out REQCommInvite Excel file. Hosp & Hlth Dept to fill in PSA

Stakeholders Names/Address/E-mail.

4 1/20/2015 VVV

Request Hospital Client to send KHA PO reports (PO101, 103 and

TOT223E) to document service area for FFY 13, 12 and 11. In

addition, request hospital to complete 3 year historical PSA

IP/OP/ER/Clinic patient origin file (Use ZipPSA_3yrPOrigin.xls).

5 On or Before 01/28/15 VVV

Prepare CHNA Round#2 Stakeholder Feedback "online link." Send

text link for hospital review.

6 On or Before 1/28/2015

VVV /

Hosp

Prepare/send out PR story to local media announcing upcoming

CHNA work (general story). Hospital to place.

7 2/2/2015 VVV

Mail Round #2 CHNA Community Survey. Hospital will e-mail request

to participate to all stakeholders.

9 2/11/2015

VVV /

Hosp

Prepare/send out PR story to local media CHNA survey announcing

CHNA Round #2 survey. Request public to participate.


Assemble & complete secondary research - Find/populate 10 TABS.

Create Town Hall Ppt for presentation.

11 2/18/2015 Hosp

Prepare/send out Community Town Hall invite letter and place local

ad.

12 2/18/2015

VVV /

Hosp

Prepare/send out PR story to local media announcing upcoming Town

Hall. VVV will mock-up PR release to media sources.

13 3/6/2015 ALL

Conduct conference call (time TBD) with Hospital/Public Hlth to

review Town Hall data/flow.

14 3/11/2015 VVV

Conduct CHNA Town Hall. Lunch 11:30-1pm at Hays Medical Center.

Review & Discuss Basic health data plus rank health needs.


Complete Analysis - Release Draft 1- seek feedback from leaders

(Hospital & Health Dept).


Produce & Release final CHNA report. Hospital will post CHNA online

(website).

17 On or Before 05/31/15 Hosp Conduct Client Implementation Plan PSA Leadership meeting.

18

30 Days Prior to End of

Hosp Fiscal Year Hosp

Hold Board Meetings to discuss CHNA needs, create & adopt an

implementation plan. Communicate CHNA plan to community.

Project Timeline & Roles 2015

VVV CHNA Work Plan - Hays Medical Center

19

To meet IRS aligned CHNA requirements, a four-phase methodology was reviewed andapproved as follows:

Phase I – Discovery:

Conduct a 30 minute conference call with CHNA hospital client and County Health Department.Review / confirm CHNA calendar of events, explain / coach client to complete requiredparticipants database and schedule / organize all Phase II activities.

Phase II – QUALIFY Community Need:

A) Conduct secondary research to uncover the following historical community health status forPSA. Use Iowa Hospital Association (IHA), Vital Statistics, Robert Woods Johnson County HealthRankings, etc. to document “current state” of county health organized as follows:

TAB 9. Mortality ProfileTAB 10. Preventative Quality Measures

TAB 5. Hospitalization / Providers ProfileTAB 6. Behavioral Health ProfileTAB 7. Risk Indicators & FactorsTAB 8. Uninsured Profile

TAB 1. Demographic Profile

TAB 2. Economic/Business ProfileTAB 3. Educational ProfileTAB 4. Maternal and Infant Health Profile

B) Gather historical primary research to uncover public health needs, practices and perceptionsfor hospital primary service areas.

Phase III – QUANTIFY Community Need:

Conduct 90 minute Town Hall meeting with required county PSA residents. (Note: At each TownHall meeting, CHNA secondary data will be reviewed, facilitated group discussion will occur, anda group ranking activity to determine the most important community health needs will beadministered).

Phase IV - Complete data analysis & create comprehensive Community HealthNeeds Assessment:

Post CHNA report findings to meet IRS CHNA criteria.

After consideration of CHNA stakeholders (sponsoring hospital & local health department) theCHNA Basic option was selected with the following project schedule:

Phase I: Discovery…………………………………………………………… January 2015

Phase II: Secondary / Primary Research……………………………… Jan - Feb 2015

Phase III: Town Hall Meeting.……………………………………..…….. March 12, 2015

Phase IV: Prepare / Release CHNA report………………………..….. May 2015

20

Detail CHNA Development Steps Include:

Development Steps

Step # 1 Commitment

Determine interest level of area healthcare leaders

(Hospital, Health Dept, Mental Health Centers, Schools,

Churches, Physicians etc), hold community meeting.

Step # 2 Planning

Prepare brief Community Health Needs Assessment Plan

- list goals, objectives, purpose, outcome, roles,

community involvement, etc. Hold Community Kick-off

meeting.

Step # 3 Secondary Research

Collect & Report Community Health Published Facts.

Gather data health practice data from published

secondary research sources i.e. census, county health

records, behavioral risk factors surveillance, etc.

Step # 4a Primary Research

Conduct Community Roundtable (Qualitative Research).

Review Secondary Research (Step3) with Community

Stakeholders. Gather current opinions and identify

health needs.

Step # 4b Primary Research

<Optional>

Collect Community Opinions. (Quantitative Research).

Gather current opinions (Valid sample size) regarding

community health needs and healthcare practices. If

appropriate, conduct Physician Manpower Assessment

to determine FTE Physician need by specialty.

Steps # 5 Reporting

Prepare/Present comprehensive Community Health

Needs Assessment report (to community leaders) with

Recommended Actions to improve health . < Note:

Formal report will follow IRS Notice 2011-52 regs >

Steps to Conduct Community Health Needs Assessment

VVV Research & Development, LLC 913 302-7264

21

Overview of Town Hall Community Priority Setting Process

Each community has a wealth of expertise to be tapped for CHNA development. For this

reason, a town hall is the perfect forum to gather community insight and provide an

atmosphere to objectively consensus build and prioritize county health issues.

All Town Hall priority-setting and scoring processes involve the input of key stakeholders in

attendance. Individuals and organizations attending the Town Halls were critically important

to the success of the CHNA. The following list outlines partners invited to Town Hall: local

hospital, public health community, mental health community, free clinics, community-

based clinics, service providers, local residents, community leaders, opinion leaders, school

leaders, business leaders, local government, faith-based organizations and persons

(or organizations serving them), people with chronic conditions, uninsured community

members, low income residents and minority groups.

Hays Medical Center’s Town Hall was held on Wednesday, March 11th, 2015 at Hays MedicalCenter. Vince Vandehaar and Alexa Backman facilitated this 1 ½ hour session with thirty (30)attendees. (Note: a detail roster of Town Hall attendees is listed in Section V a).

The following Town Hall agenda was conducted:

1. Welcome & Introductions

2. Review Purpose for the CHNA Town Hall and Roles in the Process

3. Present / Review of Historical County Health Indicators (10 TABS)

4. Facilitate Town Hall participant discussion of data (probe health strengths/ concerns). Reflect on size and seriousness of any health concerns sitedand discuss current community health strengths.

5. Engage Town Hall participants to rank health needs (using 4 dots to castvotes on priority issues). Tally & rank top community health concernscited.

6. Close meeting by reflecting on the health needs / community votingresults. Inform participants on “next steps.”

At the end of each Town Hall session, VVV encouraged all community members to continue

to contribute ideas to both hospital and health department leaders via e-mail or personal

conversations.

(NOTE: To review detail Town Hall discussion content, please turn to Section V for detailed

notes of session and activity card content reporting of open end comments).

22

Community Health Needs AssessmentEllis County KS Town Hall Meetingon behalf of Hays Medical Center

Vince Vandehaar, MBAVVV Marketing & Development INC.

Owner and Adjunct Marketing Professor

Olathe, Kansas [email protected]

www.vandehaarmarketing.com913-302-7264

Community Health Needs Assessment (CHNA)Town Hall Discussion Agenda

I. Opening / Introductions (10 mins)

II. Review CHNA Purpose & Process (10 mins)

III. Review Current County "Health Status“ – -Secondary Data by 10 TAB CategoriesReview Community Feedback Research (35 mins)

IV. Collect Community Health Perspectives Hold

Community Voting Activity: Determine MOST Important Health

areas. (30 mins)

V. Close / Next Steps (5 mins)

VVV Marketing & Development INC.

I. Introduction:Background and Experience

Vince Vandehaar MBA,VVV Marketing & Development INC Principal Consultant, Olathe,

KS 913 302-7264 – Professional Consulting Services: Strategic Planning, Marketing

Management, Business Research &Development Focus : Strategy ,Research , Deployment

– Over 25 years of experience with Tillinghast, BCBSKC, Saint Luke’s

Adjunct Professor - Marketing / Health Admin.- 26 years + Webster University (1988 – present)

Rockhurst University (2010 – present)

Alexa Backman MBA 2015, VVV Collaborative Analyst

Town Hall Participation (You)

ALL attendees welcome to share.

– Parking Lot

There are no right or wrong answers.

Only one person speaks at a time.

Please give truthful responses.

Have a little fun along the way.

23

I. Introductions: a conversation withthe community. Community members and organizations

invited to CHNA Town Hall

Consumers: Uninsured/underinsured people, Members of at-risk populations, Parents, caregivers and o ther consumers of

health care in the community, and Consumer advocates.

Community leaders and groups: The hospital organization’s board members, Local clergy and congregational leaders ,

Presidents or chairs of civic or service clubs -- Chamber of Commerce, veterans' organizations, Lions, Rotary, etc., Representativesfrom businesses – owners/CEO's of large businesses (local or large corporations with local branches.),Business people &merchants (e.g., who sell tobacco, alcohol, or other drugs), Representatives from organized labor, Political, appointed andelected officials., Foundations., United Way organizations. And other "community leaders."

Public and other organizations: Public health officials, Directors or staff of health and human service organizations ,

City/Community planners and development officials, Individuals with business and economic development experience, Welfareand social service agency staff,Housing advocates - administrators of housing programs: homeless shelters, low-income- familyhousing and senior housing,Education officials and staff - school superintendents, principals and teachers, Public safety officials ,

Staff from state and area agencies on aging,Law enforcement agencies - Chiefs of police, Local colleges and universities, Coalitionsworking on health or other issues.

Other providers: Physicians, Leaders in other not-for-profit health care organizations, such as hospitals, clinics, nursing

homes and home-based and community-based services, Leaders from Catholic Charities and other faith-based service providers ,

Mental health providers, Oral health providers, Health insurers, Parish and congregational nursing programs, Other h ealth

professionals

II. Purpose: Why conduct CommunityHealth Needs Assessment?

To determine health-related trends and issuesof the community.

To understand/evaluate health deliveryprograms in place.

To develop strategies to address unmet healthneeds.

To meet Federal requirements – both localhospital & Health Department.

II. Review CHNA Definition

A Community Health Needs Assessment (CHNA) is asystematic collection, assembly, analysis, anddissemination of information about the health ofthe community. <NOTE: Some the data has already been

collected (published) by local, state and federal public healthorganizations. Some data will be collected today.>

CHNA’s role is to identify factors that affect thehealth of a population and determine theavailability of resources to adequately addressthose factors.

Future System of CARE Sg2

IP = inpatient; SNF = skilled nursing facility; OP = outpatient.

HealthDept./Pharmacy

Wellness andFitness Center

Diagnostic/ImagingCenter

UrgentCareCenter

Home

PhysicianClinics

AmbulatoryProcedureCenter

IP Rehab

Hospital

Home CareHospice

AcuityCommunity-BasedCare

AcuteCare

Recovery &RehabCare

SNF

OPRehab

24

Community Health Needs AssessmentJoint Process: Hospital & Health Department

II. Required Written Report IRS 990Documentation …..

a description of the community served

a description of the CHNA process

the identity of any and all organizations & third parties whichcollaborated to assist with the CHNA;

a description of how the organization considered the input ofpersons representing the community (e.g., through meetings,focus groups, interviews, etc.), who those persons are, andtheir qualifications;

a prioritized description of all of the community needsidentified by the CHNA and

a description of the existing health care facilities and otherresources within the community available to meet the needsidentified through the CHNA.

III. Review Current County "Health Status“ –Secondary Data by 10 TAB Categories plus IA State Rankings

TAB 9. Mortality ProfileTAB 10. Preventative Quality Measures

TAB 5. Hospitalization / Providers ProfileTAB 6. Behavioral Health ProfileTAB 7. Risk Indicators & FactorsTAB 8. Uninsured Profile

TAB 1. Demographic Profile

TAB 2. Economic/Business ProfileTAB 3. Educational ProfileTAB 4. Maternal and Infant Health Profile

County Health Rankings Robert Wood

Johnson Foundation & University of WI Health Institute

25

1 2b

Focus Area Measure Description Focus Area Measure DescriptionAir pollution - particulate

matterThe average daily measure of fine particulate matter

in micrograms per cubic meter (PM2.5) in a county

Violent crime Violent crime rate per 100,000 population

Drinking water violations Percent of population potentially exposed to water

exceeding a violation limit during the past year

Injury deaths Injury mortality per 100,000

Severe housing problems Percent of households with at least 1 of 4 housing

problems: overcrowding, high housing costs, or lack

of kitchen or plumbing facilitiesDriving alone to work Percent of the workforce that drives alone to work 3Long commute - driving

aloneAmong workers who commute in their car alone, the

percent that commute more than 30 minutes

3a

2a Focus Area Measure Description

Focus Area Measure Description Tobacco use Adult smoking Percent of adults that report smoking >= 100

Uninsured Percent of population under age 65 without health

insurance

Diet and

exercise (10%)

Adult obesity Percent of adults that report a BMI >= 30

Primary care

physicians

Ratio of population to primary care physicians Food

environment

index

Index of factors that contribute to a healthy

food environment

Dentists Ratio of population to dentists Physical inactivity Percent of adults aged 20 and over reporting

Mental health

providers

Ratio of population to mental health providers Access to exercise

opportunities

Percent of the population with adequate

access to locations for physical activity

Preventable hospital

stays

Hospitalization rate for ambulatory-care sensitive

conditions per 1,000 Medicare enrollees

Alcohol and

drug use (5%)

Excessive drinking Binge plus heavy drinking

Diabetic screening Percent of diabetic Medicare enrollees that receive

HbA1c screening

Alcohol-impaired

driving deaths

Percent of driving deaths with alcohol

involvement

Mammography

screening

Percent of female Medicare enrollees that receive

mammography screening

Sexual activity

(5%)

Sexually

transmitted

infections

Chlamydia rate per 100,000 population

2b Teen births Teen birth rate per 1,000 female population,

ages 15-19

Focus Area Measure Description 3b / 3c

High school

graduation

Percent of ninth grade cohort that graduates in 4

years

Focus Area Measure Description

Some college Percent of adults aged 25-44 years with some post-

secondary education

Quality of life

(50%)

Poor or fair

health

Percent of adults reporting fair or poor health

(age-adjusted)

Employment

(10%)

Unemployment Percent of population age 16+ unemployed but

seeking work

Poor physical

health days

Average number of physically unhealthy days

reported in past 30 days (age-adjusted)

Income (10%) Children in poverty Percent of children under age 18 in poverty Poor mental

health days

Average number of mentally unhealthy days

reported in past 30 days (age-adjusted)

Inadequate social

support

Percent of adults without social/emotional support Low birthweight Percent of live births with low birthweight (<

2500 grams)

Children in single-

parent households

Percent of children that live in household headed by

single parent

Length of life

(50%)

Premature death Years of potential life lost before age 75 per

100,000 population (age-adjusted)

Community

safety (5%)

Physical Environment (10%)

Air and water

quality (5%)

Housing and

transit (5%)

Social and Economic Environment (40%)

Health Outcomes (30%)

Health Behaviors

Clinical Care (20%)

Access to care

(10%)

Quality of care

(10%)

Social and Economic Environment (40%)

Education

(10%)

Family and

social support

(5%)

Morbidity / Mortality

Yr 2012 CHNA Needs

# Health Areas of Future Focus N=40 Votes %

1Aging Services (Nursing Home & Assisted Living

facilities )19 14.1%

2 Low Cost Health Services / Providers 15 11.1%

3 Mental Health services 15 11.1%

4 Alternative to ER (Urgent Care Facility) 13 9.6%

5 Public Transportation 9 6.7%

6 Additional Dentists services 8 5.9%

7 Preventative Care services 8 5.9%

8Delivery & Integration of Care. Health Ed

Coordination7 5.2%

9 Obesity 7 5.2%

10 Business Culture Promoting Healthy Living 6 4.4%

11 Geriatrics 6 4.4%

12 Bike / Walking Path 5 3.7%

2012 Health Needs - Ellis County KS (Ranked)

IV. Collect Community Health PerspectivesAsk your opinion. Your thoughts?

1) Tomorrow: What is occurring or mightoccur that would affect the “health of ourcommunity” ?

2) Today: What are the strengths of ourcommunity that contribute to health

3) Today: Are there healthcare services inyour community / neighborhood that youfeel need to be improved and / orchanged?

VVV Research & Development [email protected]

913 302-7264

Community Health Needs Assessment

QuestionsNext Steps ?

26

II. Methodologyd) Community Profile (A Description of Community Served)

Ellis County Community Profile

Demographics

The population of Ellis County was estimated to be 29,316 citizens in 2014, and had a0.71% change in population from 2010–2014. The county covers 899.9 square miles is one ofthe top pheasant hunting states in the nation. It also has the Cedar Bluff Reservoir and LakeWilson for recreation and is home to the Cathedral of the Plains1. The county has an overallpopulation density of 33 persons per square mile. The county is located in Central WesternKansas and the most common industries are education, health and social services and retail trade2.The county was founded in 1867 and the county seat is Hays3.

The major highway transportation access to Ellis County is U.S. Interstate 70, which

runs through the center of the county. Kansas Highway 183 is the major North–South road.

Also, Old Highway 40 runs parallel to I-70 throughout the county.

Ellis County KS Airports4

Name USGS Topo Map

Hays Medical Center Heliport Hays North

Hays Regional Airport Hays South

Philip Ranch Airport Victoria

Rans Airport Hays North

Saint Anthony Hospital Airport Hays North

1 http://kansas.hometownlocator.com/ks/ellis/2 http://www.city-data.com/county/Ellis_County-KS.html3 http://www.ellisco.net/index.aspx?NID=1444 http://kansas.hometownlocator.com/features/cultural,class,airport,scfips,20051.cfm

27

Schools in Ellis County:

Public Schools5

Name Level

Ellis High High

Felten Middle Middle

Hays High High

Kathryn O’Loughlin McCarthy Elem Primary

Kennedy Middle Middle

Lincoln Elem Primary

Roosevelt Elem Primary

Victoria Elem Primary

Victoria High High

Washington Elem Primary

Washington Elem Primary

Woodrow Wilson Elem Primary

Private Schools6

Name Level

High Plains Christian School Elementary

Holy Family Elementary Elementary

Maranatha Christian School Elementary

St. Mary’s School Elementary

Thomas More Prep Marian High Sch Secondary

5 http://kansas.hometownlocator.com/schools/sorted-by-county,n,ellis.cfm6 http://kansas.hometownlocator.com/schools/sorted-by-county,n,ellis.cfm

28

Population: Households HH Per CapitaZIP NAME County Yr2014 Yr2019 Chg Yr2014 Yr2019 Avg Size Income 1467601 Hays ELLIS 24,656 25,349 2.8% 10,405 10,732 2.3 $23,84167627 Catharine ELLIS 80 82 2.5% 40 41 2.0 $32,49167637 Ellis ELLIS 2,720 2,784 2.4% 1,159 1,191 2.3 $22,56267660 Pfeifer ELLIS 74 76 2.7% 30 30 2.5 $22,02967671 Victoria ELLIS 1,797 1,875 4.3% 735 770 2.3 $22,65167674 Walker ELLIS 50 51 2.0% 26 27 1.9 $33,325

29,377 30,217 16.7% 12,395 12,791 2.2 $26,150

Population 2014: YR 2014 FemalesZIP NAME County Yr2014 POP65p KIDS<18 GenY MALES FEMALES Age20_3567601 Hays ELLIS 24,656 3,292 6,137 9,778 12,324 12,332 3,55067627 Catharine ELLIS 80 15 19 21 42 38 567637 Ellis ELLIS 2,720 461 677 801 1,325 1,395 24167660 Pfeifer ELLIS 74 13 17 19 39 35 567671 Victoria ELLIS 1,797 360 437 514 921 876 13067674 Walker ELLIS 50 8 14 13 26 24 3

29,377 4,149 7,301 11,146 14,677 14,700 3,934

Population 2014: Aver Hholds

ZIP NAME County White Black Amer IN Hisp HH Inc14 Yr2014 HH $50K+67601 Hays ELLIS 22,600 372 80 1,546 $55,998 10,405 4,39967627 Catharine ELLIS 77 0 0 1 $64,983 40 2267637 Ellis ELLIS 2,653 8 3 92 $52,705 1,159 47967660 Pfeifer ELLIS 71 0 1 3 $54,337 30 1267671 Victoria ELLIS 1,757 7 7 20 $54,806 735 33867674 Walker ELLIS 49 0 0 1 $64,086 26 14

27,207 387 91 1,663 $57,819 12,395 5,264

Source: ERSA Demographics

Totals

Detail Demographic Profile

Totals

Totals

29

III. Community HealthStatus


30

III. Community Health Statusa) Historical Health Statistics

Health Status Profile

This section of the CHNA reviews published quantitative community health indicators andresults of our recent CHNA Town Hall. To produce this profile, VVV Research &Development staff analyzed data from multiple sources. This analysis focuses on a set ofpublished health indicators organized by ten areas of focus (10 TABS), results from the 2015County Health Rankings and conversations from Town Hall primary research. (Note: The RobertWood Johnson Foundation collaborates with the University of Wisconsin Population HealthInstitute to release annual County Health Rankings. As seen below in model, these rankingsare based on a number of health factors).

31

Secondary Research

2015 State Health Rankings for Ellis County, KS

#

Kansas 2015 County

Health Rankings (105

Counties) DefinitionsELLIS CO

2015 Trend

NW

Alliance

(12)

1 Physical Environment Environmental quality 83 502 Health Factors 5 26

2a Clinical Care

Access to care / Quality

of Care 9 41

2b Social & Economic Factors

Education, Employment,

Income, Family/Social

support, Community

Safety 4 293 Health Outcomes 12 44

3a Health Behaviors

Tobacco Use,

Diet/Exercise, Alcohol

Use, Sexual Activitiy 21 343b Morbidity Quality of life 22 483c Mortality Length of life 7 42

OVERALL RANK 12 44

http://www.countyhealthrankings.org

NW KS Norms include the following 12 counties: Barton, Ellis, Gove, Kiowa, Norton,

Osborne, Pawnee, Phillips, Russell, Sheridan, Smith and Thomas

When considering the state of community health, it’s important to review published healthdata by topic area. Below is a summary of key TABS of information collected:

32

Tab 1 Demographic Profile

TAB Health IndicatorELLIS CO

2015 TREND KANSAS

NW Alliance

(12) SOURCE

1a a Population, 2013 estimate 28,939 2,895,801 104,831 People Quick Facts

1a b Population, 2010 28,531 2,853,118 104,876 People Quick Facts

1a c Pop Growth % - April 1,10 to July 1, 13 1.4% 2.1% -0.5% People Quick Facts

1a d Persons under 5 years, percent, 2013 6.9% 6.9% 6.0% People Quick Facts

1a e Persons under 18 years, percent, 2013 25.0% 21.8% 22.1% People Quick Facts

1a f Persons 65 years and over, percent, 2013 14.0% 13.6% 20.4% People Quick Facts

1a g Female persons, percent, 2013 50.2% 49.7% 49.2% People Quick Facts

1a h White alone, percent, 2013 (a) 87.1% 95.6% 95.4% People Quick Facts

1a i

Black or African American alone,% 2013

(a) 6.2% 1.0% 1.7% People Quick Facts

1a j Hispanic or Latino, percent, 2013 (b) 11.2% 5.4% 5.2% People Quick Facts

1a k

Foreign born persons, percent, 2008-

2012 6.5% 2.6% 2.1% People Quick Facts

1a l

% Language other than English spoken

at home 10.9% 7.6% 4.7% People Quick Facts

1a m

% Living in same house 1 year +, 2008-

2012 83.0% 75.8% 86.6% People Quick Facts

1a n People 65+ Living Alone, 2009-2013 30.5% 29.4% 32.4%

American Community

Survey


2015 TREND KANSAS

NW Alliance

(12) SOURCE

1b a Veterans, 2008-2012 2,185 NA 18,731 People Quick Facts

1b b Population per square mile, 2010 34.9 31.6 17 Geography Quick Facts

1b c

Violent crime rate (Rate of Violent Crime

per 1,000) 3.9 3.5 2.1%

Kansas Bureau of

Investigation

1b d Children in single-parent households 23% NA 29% County Health Rankings

1b e

People Living Below Poverty Level, 2009-

2013 16.2% 13.7% 12.5%

American Community

Survey

1b f

Children Living Below Poverty Level,

2009-2013 13.4% 18.7% 18.1%

American Community

Survey

1b g Limited access to healthy foods 6% NA 8% County Health Rankings

1b h

People 65+ Living Below Poverty Level,

2009-2013 7.5% 7.6% 8.5%

American Community

Survey

1b i

People 65+ with Low Access to a Grocery

Store, 2010 2.6% NA 9.5%

U.S. Department of

Agriculture - Food

Environment Atlas

1b j Voter Turnout, 2012 65.4% 66.8% 71.0%

Kansas Secretary of

State

33

Tab 2 Economic Profiles


2015 TREND KANSAS

NW Alliance

(12) SOURCE

2a a Households, 2008-2012 11,094 1,110,440 42,866 People Quick Facts

2a b Median household income, 2009-2013 $43,085 $51,332 $44,017

American Community

Survey

2a c

Per capita money income in past 12

months (2012 dollars), 2008-2012 $26,845 $24,625 $25,046 People Quick Facts

2a d

Households with Cash Public Assistance

Income, 2009-2013 1.6% 2.3% 1.6%

American Community

Survey

2a e Housing units, 2013 12,397 NA 106,387 People Quick Facts

2a f

Median value of owner-occupied housing

units, 2008-2012 $127,400 $134,700 $75,775 People Quick Facts

2a g Homeownership rate, 2009-2013 57.6% 60.7% 62.6%

American Community

Survey

2a h

Housing units in multi-unit structures, %

2008-2012 17.6% 23.4% 9.0% People Quick Facts

2a i Persons per household, 2008-2012 2.5 2.3 2.3 People Quick Facts

2a j Severe Housing Problems, 2006-2010 12.2% 12.8% 8.5% County Health Rankings

2a k Homeowner Vacancy Rate, 2009-2013 1.2% 2.0% 1.8%

American Community

Survey

2a l

Renters Spending 30% or More of

Household Income on Rent, 2009-2013 51.7% 45.5% 37.0%

American Community

Survey


2015 TREND KANSAS

NW Alliance

(12) SOURCE

2b a Retail sales per capita, 2007 $12,444 $18,264 $9,577 Business Quick Facts

2b b Total number of firms, 2007 3,551 237,040 10,781 Business Quick Facts

2b c

Unemployed Workers in Civilian Labor

Force, 2014 2.1% 3.9% 2.7%

U.S. Bureau of Labor

Statistics

2b d

Private nonfarm employment, percent

change, 2011-2012 1.9% (1) 4.6% 5.3% Business Quick Facts

2a e

Households with No Car and Low Access

to a Grocery Store, 2010 1.3% 2.1%

U.S. Department of

Agriculture - Food

Environment Atlas

2b f Child Food Insecurity Rate, 2012 18.4% 22.5% 20.8% Feeding America

2a g Grocery Store Density, 2011 0.1% 0.4%

U.S. Department of

Agriculture - Food

Environment Atlas

2b h

Low-Income and Low Access to a

Grocery Store, 2010 5.8% 15.4%

U.S. Department of

Agriculture - Food

Environment Atlas

2b i

Low-Income Persons who are SNAP

Participants, 2007 13.9% 12.3%

U.S. Department of

Agriculture - Food

Environment Atlas

2b j

Households without a Vehicle, 2009-

2013 5.1% 5.3% 4.2%

American Community

Survey

2b k

Mean travel time to work (minutes),

workers age 16+, 2008-2012 18.9 12.7 14 People Quick Facts

2b l

Solo Drivers with a Long Commute, 2008-

2012 6.2% 19.5% 12.2% County Health Rankings

2b m Workers who Walk to Work, 2009-2013 2.6% 2.4% 4.6%

American Community

Survey

34

Tab 3 Public Schools Health Delivery Profile

Currently school districts are providing on site primary health screenings and basic care.


2015 TREND KANSAS

NW Alliance

(12) SOURCE

3 a

Students Eligible for the Free Lunch

Program, 2011-2012 27.6% 38.9% 34.2%

National Center for

Education Statistics

3 b

Poverty Status by School Enrollment,

2009-2013 6.3% 12.9% 12.6%

American Community

Survey

3 c

Student-to-Teacher Ratio (% Student /

Teacher), 2011-2012 13.9 13 9.4

National Center for

Education Statistics

3 d High School Graduation, 2013 91.7% 85.8% 84.6%

Annie E. Casey

Foundation

3 e

Bachelor's degree or higher, percent of

persons age 25+, 2008-2012 30.0% 32.1% 20.5% People Quick Facts

# School Health Indicators Ellis Co 2012 Trend

Districts USD 489 USD 388 USD 432 Overall

1 Total # Public School Nurses 4 1 1 5.5

2School Nurse is Part of the IEP TeamYes/No Yes yes As needed Yes

3 School Wellness Plan (Active) Yes yes Yes No

4VISION: # Screened / Referred to Prof /Seen by Professional 1636/130/34 285/7/6 250/8/6

1707/ 150/

67

5HEARING: # Screened / Referred to Prof /Seen by Professional 1234/17/1 285/10/7 250/2/2 1516/ 39/ 20

6ORAL HEALTH: # Screened / Referred toProf / Seen by Professional 1197/54/0 259/25/15 Doing Soon

1328/ 132/

30

7SCOLIOSIS: # Screened / Referred to Prof /Seen by Professional

0/0/0 0/0/0

Per Athletic

Physical 0/ 0/ 0

8# of Students Served with No IdentifiedChronic Health Concerns 2368 350 303 3138

9 School has a Suicide Prevention Program No No As Needed No

10 Compliance on Required Vaccincations (%) 99% 100% 94% 100%

Ellis Co 2015

35

TAB 4 Maternal and Infant Health Profile

Tracking maternal & infant care patterns are vital in understanding the foundation of family

health.

# Criteria - Vital SatisticsELLIS CO

2015TREND KANSAS

NW Alliance

(12)

a Total Live Births, 2008 385 41,815 1,293

b Total Live Births, 2009 406 41,388 1,317

c Total Live Births, 2010 375 40,439 1,274

d Total Live Births, 2011 408 39,628 1,315

e Total Live Births, 2012 406 40,304 1,370

f

Total Live Births, 2008-2012 -

Five year Rate (%) 14.0% 14.5% 11.5%


2015 TREND KANSAS

NW Alliance

(12) SOURCE

4 a

Percent of Births Where Prenatal Care

began in First Trimester, 2011-2013 84.5% 78.4% 78.9%

Kansas Department of

Health and Environment

4 b

Percentage of Premature Births, 2011-

2013 7.8% 9.0% 8.9%



4 c

Percent of Births with Low Birth Weight,

2011-2013 6.4% 7.1% 7.6%



4 d

Percent of births Where Mother Smoked

During Pregnancy, 2010-2012 NA 13.5% NA



4 e

Percent of all Births Occurring to Teens

(15-19), 2011-2013 6.0% 8.1% 7.6%



4 f

Percent of Births Occurring to Unmarried

Women, 2011-2013 33.5% 36.7% 31.3%



4 g

Average Monthly WIC Participation per

1,000 population, 2013 13.1% 23.6% 20.9%



4 h

Percent of WIC Mothers Breastfeeding

Exclusively, 2013 16.1% 12.9% 14.6%



36

TAB 5 Hospitalization/Provider Profile

Understanding provider access and disease patterns are fundamental in healthcare delivery.Listed below are several vital county statistics.

5 a

Ratio of Population to Primary Care

Physicians, 2013 1624 1816 2114



5 b

Staffed Hospital Bed Ratio (per 1,000

Pop), 2012 5.9% 3.4% 13.1%

Kansas Hospital

Association

5 c

Percent of Births with Inadequate Birth

Spacing, 2011-2013 9.3% 11.0% 10.8%



5 d Preventable hospital stays 72 NA 64 County Health Rankings

5 e

Heart Disease Hospital Admission Rate,

2009-2011 298 300 262



5 f

Congestive Heart Failure Hospital

Admission Rate, 2009-2011 242 199 191



5 g

Chronic Obstructive Pulmonary Disease

(COPD) Hospital Admission Rate, 2009-

2011 202 136 194



5 h

Bacterial Pneumonia Hospital Admission

Rate, 2009-2011 269 269 488



5 i

Injury Hospital Admission Rate, 2009-

2011 832 915 691



FFY2012 FFY2013 FFY2014 Trend

1 Total Discharges 3320 3090 2740

2 Total IP Discharges-Age 0-17 Ped 66 114 86

3 Total IP Discharges-Age 18-44 347 303 262



6 Total IP Discharges-Age 75+ 1085 902 769

7 Psychiatric 79 65 59

8 Obstetric 410 386 366

9 Surgical % 27.1% 25.1% 28.4%









8 Obstetric 384 355 337

9 Surgical % 24.8% 24.0% 27.1%

# Kansas Hospital AssocOP TOT223E FFY2012 FFY2013 FFY2014 Trend

1 ER Market Share - Hays Reg 92.8% 93.3% 92.5%

2 OPS Market Share - Hays Reg 70.9% 88.0% 88.6%

3 OP Market Share - Hays Reg 81.9% 78.9% 77.1%

# KS Hospital Assoc PO103Ellis County IP 2015

# KS Hospital Assoc PO103Hays Medical Center (Only)

37

TAB 6 Social & Rehab Services Profile

Behavioral health care provide another important indicator of community health status.


2015 TREND KANSAS

NW Alliance

(12) SOURCE

6 a Depression: Medicare Population, 2012 18.1% 16.2% 15.2%

Centers for Medicare &

Medicaid Services

6 b

Alcohol-Impaired Driving Deaths, 2008-

2012 39.3% 34.7% 36.4% County Health Rankings

6 c Inadequate social support 6% NA 16% County Health Rankings

6 d Poor mental health days 2.0 NA 2.8 County Health Rankings

TAB 7 Health Risk Profiles

Knowing community health risk factors and disease patterns can aid in the understanding“next steps” to improve health. Being overweight/obese; smoking, drinking in excess, notexercising etc can lead to poor health.


2015 TREND KANSAS

NW Alliance

(12) SOURCE

7a a % of Adults with High Cholesterol, 2013 42% 38.1% 41.0%



7a b Adult obesity 29% 30% 30% County Health Rankings

7a c

Percent of Adults Who are Binge

Drinkers, 2013 21.9% 15.4% 16.7%



7a d

Percent of Adults Who Currently Smoke

Cigarettes, 2013 20.0% 20.0% 22.0%



7a e

% of Adults with Diagnosed

Hypertension, 2013 28.5% 31.3% 31.7%



7a f

% of Adults with Doctor Diagnosed

Arthritis, 2013 24.8% 23.9% 23.3%



7a g % Physical inactivity 26.0% NA 25.0% County Health Rankings

7a h

% of Adults with Fair or Poor Self-

Perceived Health Status, 2013 10.7% 15.4% 12.4%



7a i

Public Water Supply - Percent of

Population Served Unaffected by SDWA

Nitrate Violations, 2013 100.0% 99.7% 96.2%



7a j Sexually transmitted infections 543 NA 369 County Health Rankings

38

TAB 7 Health Risk Profiles


2015 TREND KANSAS

NW Alliance

(12) SOURCE

7b a Hypertension: Medicare Population, 2012 62.8% 52.7% 55.2%


Medicaid Services

7b b

Hyperlipidemia: Medicare Population,

2012 49.7% 39.3% 38.1%


Medicaid Services

7b c

Rheumatoid Arthritis: Medicare

Population, 2012 37.4% 27.7% 33.5%


Medicaid Services

7b d

Ischemic Heart Disease: Medicare

Population, 2012 28.8% 26.7% 29.7%


Medicaid Services

7b e Diabetes: Medicare Population, 2012 23.4% 24.6% 23.0%


Medicaid Services

7b f Heart Failure: Medicare Population, 2012 17.1% 14.0% 18.3%


Medicaid Services

7b g

Chronic Kidney Disease: Medicare

Population, 2012 17.6% 13.9% 13.1%


Medicaid Services

7b h COPD: Medicare Population, 2012 15.3% 11.0% 12.9%


Medicaid Services

7b i

Alzheimer's Disease or Dementia:

Medicare Pop 2012 13.2% 9.9% 10.6%


Medicaid Services

7b j

Atrial Fibrillation: Medicare Population,

2012 9.8% 8.0% 9.3%


Medicaid Services

7b k Cancer: Medicare Population, 2012 10.4% 8.0% 9.1%


Medicaid Services

7b l Osteoporosis: Medicare Population, 2012 11.7% 6.1% 8.2%


Medicaid Services

7b m Asthma: Medicare Population, 2012 3.9% 3.8% 3.5%


Medicaid Services

7b n Stroke: Medicare Population, 2012 3.2% 3.2% 2.6%


Medicaid Services

TAB 8 Uninsured Profiles

Based on state estimations, the number of insured is documented below. Also, the amountof charity care (last 3 years of free care) from area providers is trended below.

#

Charity Care by Individual

Facility YR 2012 YR 2013 Yr 2014 TREND

1 Local Hospital Charity Care $2,276,103 $2,925,065 $1,834,923


2015 TREND KANSAS

NW Alliance

(12) SOURCE

8 a Uninsured Adult Population Rate, 2012 15.7% 17.6% 17.4% U.S. Census Bureau

39

TAB 9 Mortality Profile

The leading causes of county deaths are listed below. Areas of higher than expected areso noted.

#

Causes of Death by County

of Residence, KS 2012

ELLIS CO

2015TREND KANSAS

NW Alliance

15

TOTAL 420 43,262 2013

1

Major Cardiovascular

Diseases 67 7,458 341

2 All Other Causes 53 4,215 194

3 All Malignant Neoplasms 52 5,406 256

4 Diseases of Heart 42 5,314 259

5 Ischemic Heart Disease 33 2,990 156

6

Malignant Neoplasms of

Respiratory and 22 1,537 72

7

Chronic Lower Respiratory

Diseases 20 1,680 75

8 Cerebrovascular Diseases 15 1,331 53

9 Alzheimer's Disease 12 788 42

10 Pneumonia and Influenza 11 621 37

11 Atherosclerosis 10 459 16

12 Other Heart Diseases 9 2,156 100

13

Malignant Neoplasms of

Digestive Organs 9 1,288 51

14 Other Malignant Neoplasms 9 1,145 48

15 Suicide 7 505 27

16 Diabetes Mellitus 7 633 23

17

Residual Infection &

Parasistic Disease 7 586 24

18 Motor Vehicle Accidents 5 410 33

40

TAB 9 Mortality Profile


2015 TREND KANSAS

NW Alliance

(12) SOURCE

9 a Life Expectancy for Females, 2010 81 81 81

Institute for Health

Metrics and Evaluation

9 b Life Expectancy for Males, 2010 77 76 76

Institute for Health

Metrics and Evaluation

9 c Infant Mortality Rate, 2009-2013 5.1% 6.4% 3.9%



9 d

Age-adjusted Mortality Rate per 100,000

population, 2011-2013 705 757 740



9 e

Age-Adjusted Years of Potential Life Lost -

Traffic Injury, 2011-2013 555 490 1541



9 f

Age-adjusted Cancer Mortality Rate per

100,000 population, 2011-2013 147 166 148



9 g

Age-adjusted Heart Disease Mortality

Rate per 100,000 population, 2011-2013 127 156 166



9 h

Age-adjusted Chronic Lower Respiratory

Disease Mortality Rate per 100,000

population, 2009-2013 44 51 51



9 i

Age-adjusted Traffic Injury Mortality

Rate per 100,000 population, 2011-2013 24 13 25



9 j

Age-adjusted Unintentional Injuries

Mortality Rate per 100,000 population,

2011-2013 43 40 66



9 k

Age-adjusted Suicide Mortality Rate per

100,000 population, 2003-2013 22 15 14



TAB 10 Preventive Health Profile

The following table reflects future health of county. This information also is an indicatorof community awareness of preventative measures.


2015 TREND KANSAS

NW Alliance

(12) SOURCE

10 a Access to Exercise Opportunities, 2014 74.3% 70.9% 51.3% County Health Rankings

10 b

% of Infants Fully Immunized at 24 Mo,

2011-2013 70.6% 71.7% 78.6%



10 c

Percent of Adults Ages 65 Yrs + Who

Were Immunized Against Influenza Past

12 Mo, 2013 76.2% 64.8% NA



10 d

Percent of Adults Who Reported

Consuming Fruit Less than 1 Time Per

Day, 2013 44.5% 41.7% NA



10 e

Percent of Adults Who Reported

Consuming Vegetables Less than 1 Time

Per Day, 2013 29.1% 22.9% NA



10 f Diabetic screening 80% NA 86% County Health Rankings

10 g Mammography screening 75% NA 64% County Health Rankings

10 h % Annual check-up visit with PCP NA NA NA TBD

10 i % Annual check-up visit with Dentist NA NA NA TBD

10 j % Annual check-up visit with Eye Doctor NA NA NA TBD

41

Community Feedback Research

For CHNA Round #2, it also important to gather community perspective from keystakeholders on their views of progress to address baseline CHNA needs documented 3 yearsago. Below are findings of this online community primary research:

Question 1- Overall Quality Ranking

42

Questions 5 & 6- Community Ranking of Healthcare Services 2015

Community Healthcare Needs

Assessment 2015

How satisfied are you with each

of the following . . .?

CHNA

NORM

(23)

N=8959

Hays

2012

PSA

N=577

Hays

2015

PSA

N=520

Trend

a) Ambulance Service 3.5% 1.6% 1.6% 0.0%

b) Child Care 9.1% 13.3% 12.2% -1.1%

c) Chiropractor 4.7% 1.6% 0.9% -0.7%

d) Dent ists 7.8% 2.0% 3.1% 1.1%

e) Emergency Room 10.6% 11.5% 17.2% 5.7%

f ) Eye Doctor / Optometrist 5.4% 1.0% 1.5% 0.5%

g) Family Planning Services 14.6% 7.5% 17.3% 9.8%

h) Home Health 6.3% 6.3% 10.4% 4.1%

i) Hospice 5.0% 2.7% 4.2% 1.5%

j) Hospital Inpat ient Services 5.5% 4.7% 7.2% 2.5%

k) Mental Health Services 31.1% 13.9% 21.8% 7.9%

l) Nursing Home 13.2% 10.6% 12.7% 2.1%

m) Outpat ient Services 4.2% 2.5% 3.5% 1.0%

n) Pharmacy 2.2% 1.4% 1.1% -0.3%

o) Primary Care Doctors 4.4% 5.6% 4.8% -0.9%

p) Public Health Department 5.8% 6.6% 6.2% -0.3%

q) School Nurse 7.6% 4.3% 7.0% 2.7%

r) Specialist Physician care 10.5% 8.1% 8.2% 0.1%

Poor / Very Poor %

43

Question 7- Receiving Healthcare Services Outside our Community

CHNA

NORM

(23)

N=8959

Hays

2012

PSA

N=577

Hays

2015

PSA

N=520

T re nd

60.0% 36.6% 37.6% 1.0%

40.0% 63.4% 62.4% -1.0%

100% 100.0% 100.0%

Over the past 2 years, did you or

your household receive health careservices outside of your county?

Yes

Community Healthcare Needs Assessment 2015

No

Totals

44

Question 8- Requested Discussion Items for Town Hall Agenda

In your opinion, what areas need

addit ional educat ion or attent ion in our

community?

CHNA

NORM

(23)

N=8959

Hays

2012 PSA

N=577

Hays

2015

PSA

N=520

T re nd

l) Obesity 8.2% 8.2% 4.2%

b) Aging (Dement ia) 5.7% 6.7% 5.9%

y) Drugs 2.3% 5.8% 3.5%

k) Nutrit ion 5.5% 5.2% 3.1%

a) Abuse / Violence 5.4% 5.2% 0.5%

c) Alcohol 5.4% 7.0% 5.3%

i) Mental I llness 5.7% 4.6% 2.9%

p) Preventative Healthcare 5.5% 6.0% 4.6%

n) Pain Management 3.8% 4.2% 3.1%

x) Wellness Educat ion 4.8% 5.4% 2.2%

t ) Tobacco Use 4.8% 5.2% 3.5%

u) Uninsured 5.2% 5.1% 5.3%

e) Child Care 2.9% 4.7% 5.7%

v) Vaccinat ions / Immunizat ions 2.1% 2.0% 5.3%

d) Alternative Medicine 3.3% 3.2% 1.8%

f ) Chronic Diseases 3.4% 3.4% 0.7%

o) Poverty 4.5% 3.1% 2.8%

j) Neglect 3.1% 2.9% 3.8%

g) Family Planning / Birth Control 3.8% 2.9% 4.6%

s) Teen Pregnancy 4.8% 4.2% 5.6%

w) Water Quality 2.4% 3.0% 7.7%

r) Suicide 3.1% 3.7% 4.5%

q) Sexually Transmit ted Diseases 2.3% 2.4% 4.5%

h) Lead Exposure 0.8% 0.9% 3.0%

m) Ozone (Air Quality) 0.6% 0.4% 5.4%

Other (please specify) 0.9% 0.5% 0.7%

TOTALS 100.0% 100.0% 100.0%

Community Healthcare Needs Assessment 2015

45

IV. Inventory of CommunityHealth Resources


46

Cat HC Services Offered in County: Yes / No Hospital Hlth Dept Other

Clinic Primary Care y n y

Hosp Alzheimer Center n n n

Hosp Ambulatory Surgery Centers y n n

Hosp Arthritis Treatment Center n n n

Hosp Bariatric/Weight Control Services y n n

Hosp Birthing/LDR/LDRP Room y n n

Hosp Breast Cancer y n n

Hosp Burn Care n n n

Hosp Cardiac Rehabilitation y n n

Hosp Cardiac Surgery y n n

Hosp Cardiology Services y n n

Hosp Case Management y n n

Hosp Chaplaincy/Pastoral Care Services y n n

Hosp Chemotherapy y n n

Hosp Colonoscopy y n n

Hosp Crisis Prevention y n y

Hosp CT Scanner y n n

Hosp Diagnostic Radioisotope Facility y n n

Hosp Diagnostic/Invasive Catheterization y n n

Hosp Electron Beam Computed Tomography (EBCT) y n n

Hosp Enrollment Assistance Services y y n

Hosp Extracorporeal Shock Wave Lithotripter (ESWL) y n n

Hosp Fertility Clinic n n n

Hosp Full Field Digital Mammography (FFDM) y n n

Hosp Genetic Testing/Counseling y n n

Hosp Geriatric Services y n n

Hosp Heart y n n

Hosp Hemodialysis y n n

Hosp HIV/AIDSServices y n n

Hosp Image-Guided Radiation Therapy (IGRT) y n n

Hosp Inpatient Acute Care - Hospital Services y n n

Hosp Intensity-Modulated Radiation Therapy (IMRT) 161 y n n

Hosp Intensive Care Unit y n n

Hosp Intermediate Care Unit y n n

Hosp Interventional Cardiac Catherterization y n n

Hosp Isolation Room y n n

Hosp Kidney y n y

Hosp Liver y n n

Hosp Lung y n n

Hosp Magnetic Resonance Imaging (MRI) y n n

Hosp Mammograms y n n

Hosp Mobile Health Services y n n

Hosp Multislice Spiral Computed Tomography (<64 slice CT) y n n

HospMultislice Spiral Computed Tomography (<64+ slice

CT)y n n

Hosp Neonatal n n n

Hosp Neurological Services y n n

Hosp Obstetrics y n n

Hosp Occupational Health Services y n n

Hosp Oncology Services y n n

Hosp Orthopedic services y n n

Hosp Outpatient Surgery y n n

Hosp Pain Management y n n

Hosp Palliative Care Program y n n

Hosp Pediatric y n y

Hosp Physical Rehabilitation y n y

Hosp Positron Emission Tomography (PET) y n n

Hosp Positron Emission Tomography/CT (PET/CT) y n n

Hosp Psychiatric Services y n y

Hosp Radiology, Diagnostic y n n

Hosp Radiology, Therapeutic y n n

Inventory of Health Services - Ellis County, KS

47

Cat HC Services Offered in County: Yes / No Hospital Hlth Dept Other

Inventory of Health Services - Ellis County, KS

Hosp Reproductive Health y n n

Hosp Robotic Surgery n n n

Hosp Shaped Beam Radiation System 161 y n n

HospSingle Photon Emission Computerized Tomography

(SPECT)y n n

Hosp Sleep Center y n n

Hosp Social Work Services y n y

Hosp Sports Medicine y n y

Hosp Stereotactic Radiosurgery n n n

Hosp Swing Bed Services y n n

Hosp Transplant Services n n n

Hosp Trauma Center y n n

Hosp Ultrasound y n n

Hosp Women's Health Services y n y

Hosp Wound Care y n n

SR Adult Day Care Program n n n

SR Assisted Living n n y

SR Home Health Services y n y

SR Hospice y n n

SR Long Term Care n n y

SR Nursing Home Services n n y

SR Retirement Housing n n y

SR Skilled Nursing Care y n y

ER Emergency Services y n n

ER Urgent Care Center n n y

ER Ambulance Services n n y

SERV Alcoholism-Drug Abuse n n y

SERV Blood Donor Center n n y

SERV Chiropractic Services n n y

SERV Complementary Medicine Services n n y

SERV Dental Services n n y

SERV Fitness Center y n y

SERV Health Education Classes y n y

SERV Health Fair (Annual) n y y

SERV Health Information Center y y y

SERV Health Screenings y y y

SERV Meals on Wheels y n y

SERV Nutrition Programs y y n

SERV Patient Education Center y y y

SERV Support Groups y n y

SERV Teen Outreach Services n n n

SERV Tobacco Treatment/Cessation Program n n y

SERV Transportation to Health Facilities n n y

SERV Wellness Program y n y

48

# of FTE Providers

# of

Physicians

County

Based

# of

PA's/NP's

County

Based

Primary Care:Family Practice 7.0 9.0Internal Medicine 4.0 3.0Obstetrics/Gynecology 4.0 0.0Pediatrics 3.0 2.0

Medicine Specialists:Allergy/Immunology 0.5Cardiology 8.0 2.0Pediatric Cardiology 0.0

Dermatology 1.5 3.0Endocrinology 0.0Gastroenterology 0.0Oncology/RADO 3.0 2.0Infectious Diseases 0.0Nephrology 2.0Neurology 0.0Psychiatry 3.0Pulmonary 1.0Rheumatology 0.0Pathology 2.0Child Neurology 0.0

Surgery Specialists:General Surgery 5.0 1.0Neurosurgery 0.0Ophthalmology 3.0Orthopedics 4.0 4.0Otolaryngology (ENT) 1.0Plastic/Reconstructive 0.0 1.0Thoracic/Cardiovascular/Vasc 1.0 1.0Urology 3.0 1.0Oral Surgery 3.0Spine Surgery 1.0

Hospital Based:Anesthesia/Pain 5.0Emergency 5.0 0.0Radiology 6.0Pathology 4.0Hospitalist * 5.0 2.0Neonatal/Perinatal 0.0Physical Medicine/Rehab 0.0

Dentistry 18.0

TOTALS 103.0 31.0

2015 Physician Manpower - Ellis County, KS

Supply Working in County

49

Specialty Clinic Outreach ScheduleName of Specialty Telephone # LocationCardiology Dr. Anaya – monthly unless noted

Dodge City – twice a monthGreat BendLakinRussell- twice a monthDr. Carter – monthlyDightonLaCrosseDr. Fisher – monthly unless notedColby – twice a monthHill CityLarnedTribuneDr. Freeman – monthlyColbyNess CityNortonOakleyPhillipsburgDr. Janif – monthly unless notedGreat Bend – twice a monthPlainville – twice a monthScott CityDr. Pandit – monthly unless notedAtwoodGreat BendLarnedJetmoreNortonSt. FrancisDr. Thapa – monthly unless notedQuinterScott City- twice a monthTribuneWaKeeney

ENT 785-628-3131 Dr. BlackQuinter - 2 times a month (1 visit for surgery)Plainville – once a month

50

MobileCardiovascularScreening

QuarterlyOakleyHill CityPhillipsburgRansomScott City

Mobile Echo“Only”

Contact the localradiology department foran appointment

WeeklyNortonOsborne

MobileMammography

Contact the local hospitalfor an appointment

Atwood –every 4 weeksDighton - every 6 weeksFranklin, NE – every 4 weeksGreat Bend – Monday through FridayHill City – every 3 weeksHoxie – every 4 weeksKinsley – every 4 weeksLaCrosse–every 4 weeksLakin – every 8 weeksLarned –every 3 weeksLeoti- quarterlyOakley–every 3 weeksPhillipsburg – every 3 weeksRansom – quarterlySharon Springs – every 8 weeksSt. Francis – every 4 weeksSyracuse – every other monthTribune –every 8 weeks

MobileUltrasound, Echo,Vascular

Contact the localradiology department foran appointment

Atwood - weeklyDighton - weeklyGreat Bend - M-F (Ultrasound) and Tuesday (Echo)Hill City – twice a weekHoxie - weeklyLarned –3 times a weekOakley – 2 times a weekOberlin - weeklyPhillipsburg – twice a weekRansom - weekly

OB/GYN Dr. Fort – MonthlyGreat BendDr. Hodny – MonthlyGreat BendDr. Lloyd – MonthlyGreat BendDr. Weber – MonthlyGreat Bend

Oncology Dr. Abuerreish - monthlyColbyLarnedDr. FieldsColby – twice a monthDr. O’Dea – monthlyNortonQuinter

51

Ophthalmology 785-628-8218 Dr. McDonaldBeloit- Surgery & Clinic once a monthLarned – Surgery & Clinic once a monthSmith Center- Surgery & Clinic once a monthDr. PokornyAlma, NE -Surgery & Clinic once a monthLaCrosse – Clinic once a monthNorton - Surgery & Clinic once a monthPhillipsburg - Surgery & Clinic once a month

OrthopedicSurgery

Dr. Cheema – monthlyGreat BendLarnedQuinterTribune (Jared Reed, PA-C)Dr. DeCarvalho - monthlyHill CityNortonScott City – three times a monthDr. Lee - monthlyColby – two times a monthOakleyWaKeeneyDr. Sharma (spine) – monthlyColby (Rebecca Green, PA-C)Great BendLarned

Surgery Dr. Cunningham - monthlyDodge CityLarnedPhillipsburgPlainvilleDr. Hornick - monthly

RussellPhillipsburgDr. Schultz – monthlyHoxieOakleyPhillipsburgPlainvilleQuinterWaKeeneyDr. Teget – monthlyGreat BendNortonSmith CenterDr. Tsereteli – monthlyHill CityPlainville

Urology Dr. Azzouni – monthlyDodge CityGreat BendLarnedNortonPhillipsburg

Dr. McDonald – monthly

52

Dodge CityGoodlandGreat BendLarnedScott CityDr. Werth – monthlyColbyDodge CityGreat BendScott CityEd Habash, PA - 3 times a weekGreat Bend

Wound Care Norton - weekly

Schedules are tentative and subject to change on occasion.

53

Ellis County Area Health Services Directory

Emergency Numbers

Police/Sheriff 911

Fire 911

Ambulance 911

Non-Emergency Numbers

Ellis County Sheriff 625-1040

Ellis County Ambulance 628-9461

Municipal Non-Emergency Numbers

Police/Sheriff FireHays 625-1030 628-7330Catharine 625-1040 625-4558Ellis 726-4462 726-3232Pfeifer 628-7330 625-4558Schoenchen 625-1040 625-4558Victoria 735-9354 625-4558Walker 625-1040 625-4558

To provide updated information or to add new health and medical services to this directory, please contact:

Ellis County Extension601 Main Street, Suite A (Hays) 785-628-943

54

Other Emergency Numbers

Kansas Child/Adult Abuse and NeglectHotline800-922-5330www.srskansas.org/hotlines.html

Domestic Violence Hotline800-799-7233www.ndvh.org

Emergency Management (Topeka)785-274-1409www.accesskansas.org/kdem

Federal Bureau of Investigation866-483-5137www.fbi.gov/congress/congress01/caruso100301.htm

Kansas Arson/Crime Hotline800-KS-CRIME800-572-1763www.accesskansas.org/kbi

Kansas Bureau of Investigation (Topeka)785-296-8200www.accesskansas.org/kbi

Kansas Crisis Hotline (DomesticViolence/Sexual Assault)888-END-ABUSEwww.kcsdv.org

Kansas Road Conditions866-511-KDOT511www.ksdot.org

Poison Control Center800-222-1222www.aapcc.org

Suicide Prevention Hotline800-SUICIDEhttp://hopeline.com800-273-TALKwww.suicidepreventionlifeline.com

Toxic Chemical and Oil Spills800-424-8802www.epa.gov/region02/contact.htm

Health Services

Hospitals

Hays Med2220 Canterbury Drive (Hays)800-248-0073www.haysmed.com

Hays Med Services Include:

Billing/FinancialDietaryEducation

Community ProgramsProfessional Programs

Fitness CenterAquaticsChild CareMassage TherapyNutritionPersonal TrainingSwimming Lessons

HospiceHospitalistsImagingLifelineOccupational Therapy

General OrthopaedicHand Care CenterNeurological RehabilitationSports Medicine

Palliative CarePharmacyRehabilitation (In-Patient)Rehabilitation (Out-Patient)Respiratory Therapy

BiPAP/CPAPBreathing ExercisesDelivering Aerosolized DrugsManagement of Life SupportOxygen TherapyPulmonary Function Diagnostic Testing

Senior Focused CareSleep and Neurodiagnostic

Sleep Disorder TestSpecial Nursing ServicesSports MedicineVolunteer ServicesWound Healing and HyperbaricWeight Loss SurgeryWorkSMART

Health Department

Ellis County Health Department601 Main Street (Hays)628-9440www.ellisco.net

Ellis County Health Department Services Include:

-Monitor health status to identify communityhealth problems-Diagnose and investigate health problems in thecommunity-Inform, educate, and empower people abouthealth issues-Mobilize community p[partnerships to identify andsolve health problems-Develop policies and plans that support individualand community health efforts-Enforce laws that protest health and ensure

safety

55

-Link people to needed personal health servicesand ensure the provision of health care whenotherwise unavailable-Assure a competent public health and personalhealth care workforce-Evaluate personal and population based healthservices-Research for new solutions to health problems

Mental Health

High Plains Mental Health Center208 East 7th Street (Hays)628-2871www.highplainsmentalhealth.com

Medical Professionals

Chiropractors

Advanced Chiropractic Clinic2721 Canal Boulevard (Hays)628-3031

Arnett Chiropractic Care2705 Vine (Hays)628-3622www.activator.com

Davidson Chiropractic Clinic1905 Vine (Hays)628-8555

Great Plains Chiropractic1011 West 27th Street (Hays)625-7463

Koerner Chiropractic2707 Vine Street, Suite 1 (Hays)628-2105www.koernerchiropractic.com

Mark Schupman1011 West 27th (Hays)625-7463

Riverside Chiropractic4333 Vine Street (Hays)621-4747

Robin C. Hale2705 Vine (Hays)628-3622

Steimel Chiropractic Office107 East 27 (Hays)625-8771

Solomon Chiropractic206 West 8th (Hays)625-2225

Stuart Chiropractic2919 Hall Street (Hays)

621-4567

Clinics

First Care Clinic105 West 13thStreet (Hays)621-4990

Knoll Clinic1106 East 27th, Suite 2 (Hays)625-5500

Hess Medical Clinic2201 Canterbury Drive (Hays)628-7495

Surgical Associates of Hays2501 East 13th Street (Hays)628-3217

Specialty Clinics

Kelly A. Christine1010 Downing Avenue (Hays)625-8553

Heartland Dermatology and Skin CancerCenter

2707 Vine, Suite 10 (Hays)628-3231

High Plains Cardiology2214 Canterbury Drive (Hays)625-4699

Nuclear Oncology718 Main Street (Hays)628-6940

Renal Care Group2905 Canterbury Drive (Hays)625-0033

Dentists

Cedar Lodge Dental Group1001 Cody Avenue (Hays)625-7369www.cedarlodgedental.com

Complete Family Dentistry2703 Hall (Hays)628-2424www.troyhallagindds.com

Daniel R. Loftus2501 Canterbury Drive (

Kurt L. Glendening2707 Vine, Suite 3 (Hays)628-6469

Larry R. Good3005 Hall Street (Hays)

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625-6012

Leiker Orthodontics1010 Downing Avenue (Hays)621-4580

Les Ward3001 Hall (Hays)625-2174

Lifetime Dental Care2701 Sternberg Drive (Hays)625-7969www.lifetimedentalcare.com

Lynn Kinderknecht2770 Hall (Hays)623-4441

Miner Family Dentistry1010 Downing Avenue, Suite 10 (Hays)625-2200www.minerfamilydentristry.com

Purviance Dental Lab2707 Vine Street (Hays)628-0798

Optometrists

Candy K. Charowhas4301 Vine (Hays)625-5551

Hattan & Akers Family Eye Care1517 East 27th (Hays)625-2226

Krug & Jones Family Eye Care2203 Canterbury Drive (Hays)625-3937www.krugoptometry.com

Schmidt & Robben625 East 8th Street (Hays)625-2922

Travis Kinderknecht2214 Canterbury Drive (Hays)628-8218

Physicians

HMC Physician Practice1403 Main (Hays)623-4122

Michael B. Lasley2501 East 13th Street, Suite 7 (Hays)628-3217

Ronald R. Holweger2503 Canterbury Drive (Hays)625-4363

Rehabilitation Services

FE T. Villarante208 East 8th, Suite B (Hays)623-5686

Hays Rehabilitation Center2220 Canterbury Drive (Hays)623-5737

Progressive Physical Therapy Center2209 Canterbury, Suite B (Hays)621-4570www.progressivept-hays.com

SKIL of Western Kansas1013 Centennial Boulevard (Hays)628-8019

Other Health Care Services

General Health Services


Good Samaritan Society – Home Health ofCentral Kansas205 East 7th Street, Suite 300A (Hays)621-2499

Assisted Living/Nursing Homes/TLC

Brookdale-Sterling House1801 East 27th Street (Hays)628-1111

Cedarview Assisted Living2929 Sternberg Drive (Hays)628-3200

Good Samaritan Society27 & Canal (Hays)625-7331

Schoenberger Nursing Agency106 West 10th Street (Hays)625-8189

St. John Assisted Living2225 Canterbury (Hays)628-8742

Diabetes

Arriva Medical800-375-5137

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Diabetes Care Club888-395-6009

Disability Services

American Disability Group877-790-8899

Kansas Department on Aging800-432-3535www.agingkansas.org/index.htm

Domestic/Family Violence

Child/Adult Abuse Hotline800-922-5330http://www.srskansas.org/services/child_protective_services.htm

Family Crisis Center (Great Bend)Hotline: 792-1885Business Line: 793-1965

Kansas Crisis HotlineManhattan785-539-7935

Sexual Assault/Domestic Violence Center(Hutchinson)Hotline: 800-701-3630Business Line: 663-2522

Food Programs

Hays Meal Site1035 Highway 40 Bypass (Hays)628-6644

Kansas Food Bank1919 East Douglas (Wichita)316-265-4421www.kansasfoodbank.org

Health and Fitness Centers

The Center for Health Improvement2500 Canterbury Drive (Hays)623-5900

Curves for Women1702 Vine Street (Hays)650-0910

Main Street Gym & Fitness806 Main Street (Hays)628-9404

Sun Yi’s Academy of Taw Kwon Do Karate806 Main Street (Hays)625-4718

Home Health

U-Save Pharmacy2505 Canterbury Drive (Hays)625-2529

Good Samaritan Society – Home Health ofCentral Kansas205 East 7th Street, Suite 300A (Hays)621-2499

Hospice

Hospice/Palliative Care at Haysmed2220 Canterbury (Hays)623-6200

Massage Therapy

Massage by Wanda628-6366www.massagebywanda.blogspot.com

Massage Therapy Associates2707 Vine Street, Suite 4 (Hays)628-8011

Studio 8625-5740

Ultimate Massage205 East 7th Street, Suite 219 (Hays)639-6358www.meltstressaway.com

Medical Equipment and Supplies

American Medical Sales and Repair866-637-6803

Apria Healthcare2009 Vine Street (Hays)628-6242

School Nurses

Felten Middle School29 & Fort (Hays)623-2450

Hays Public Schools – USD 489Lincoln Elementary School1906 Ash (Hays)623-2500Kathryn O’Loughlin McCarthy Elementary School1401 Hall (Hays)623-2510Roosevelt Elementary School2000 MacArthur Road (Hays)623-2520Washington Elementary School

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305 Main (Hays)623-2540Wilson Elementary School101 East 28 (Hays)623-2550Felten Middle School201 West 29th (Hays)623-2450Kennedy Middle School1309 Fort (Hays)623-2470Hays High School2300 East 13th (Hays)623-2600www.usd489.com

High Plains Christian School2700 Canterbury Road (Hays)628-2558

Holy Family Elementary School1800 Milner Street (Hays)625-3131

Little Sprouts Preschool and ChildcareCenter2818 Grant Avenue (Hays)625-2518

Thomas More Prep1701 Hall (Hays)625-6577

Senior Services

Kansas Department on Aging800-432-3535

Northwest Kansas Area Agency on Aging510 West 29th Street (Hays)628-8204www.nwkaaa.com

Schoenberger Nursing Agency106 West 10th Street (hays)625-8189

Veterinary Services

The Animal Health Center of Hays3340 East 27th Street (Hays)628-8603www.animalhealthcenterhays.com

Hays Veterinary Hospital1016 East 8th Street (Hays)625-2719

Hillside Veterinary Clinic5250 North Vine Street (Hays)628-3800

Rohleder Veterinary Services1954 Vineyard Road (Hays)621-4838

Local Government, Community, and Social Services

Adult Protection

Adult Protective Services (SRS)800-922-5330www.srskansas.org/ISD/ees/adult.htm

Elder Abuse Hotline800-842-0078www.elderabusecenter.org

Alcohol and Drug Treatment

Alcohol and Drug Abuse Services800-586-3690http://www.srskansas.org/services/alc-drug_assess.htm

Alcoholics Anonymous410 Oak (Hays)625-9860

Dream Incorporated2818 Vine (Hays)628-6655

G&G Addiction Treatment Center866-439-1807

Seabrook House800-579-0377

Smokey Hill Foundation for ChemicalDependency209 East 7th Street (Hays)625-5521

The Treatment Center888-433-9869

Children and Youth

Children’s Alliance627 Southwest Topeka Boulevard (Topeka)235-5437www.childally.org

Kansas Children’s Service League800-332-6378

Crime Prevention

Ellis County Sheriff105 West 12th Street (Hays)625-1040www.ellisco.net

Ellis Police Department815 Jefferson Street #A (Ellis)

59

726-4462www.ellispd.net

Hays Police Department105 West 12th Street #112 (Hays)628-1030

Highway Patrol Department1821 Frontier Road (Hays)625-3753www.kansashighwaypatrol.org

Victoria Police Department1005 4th Street (Victoria)735-9354

Day Care Providers – Adult

Hays Med2220 Canterbury Drive (Hays)800-248-0073www.haysmed.com

Day Care Providers - Children

Happy Days Childcare & Preschool216 West 38th Street (Hays)628-3297

Hays Area Children’s Center94 Lewis Drive (Hays)625-3257www.hacc.info

Little Sprouts Preschool2818 Grant Avenue (Hays)625-2518

Extension Office

Ellis County Extension601 Main Street, Suite A (Hays)628-9430

Funeral Homes

Brock’s North Hill Chapel2509 Vine Street (Hays)625-3215

Cline’s Mortuary1919 East 22nd Street (Hays)628-8822(Victoria)735-9224

Hays Memorial Chapel20 & Pine (Hays)628-1009

Keithley Funeral Chapel

400 East 17th Street (Ellis)726-4400

Head Start

Head Start320 West 13th (Hays)623-2430

Housing

Hays Housing Authority1709 Sunset Terrace (Hays)625-1188

Legal Services

Anderson & Wichman1400 Main (Hays)625-6519

Bittel & Johnson & Oller111 West 10th Street (Hays)623-2966

Caleb Boone Attorney at Law1200 Main (Hays)625-6551www.calebboone.com

Clinkscales Elder Law Practice201 West 11th Street (Hays)625-8040www.ks-eldercare.com

Court Trustee3000 Broadway Avenue (Hays)623-4515

Don C. Staab1301 Oak (Hays)628-8517

Dreiling, Bieker, & Hoffman111 West 13th Street (Hays)625-3537www.martindale.com

Glassman, Bird, Braun & Schwartz200 West 13th Street (Hays)625-6919

Jack CurtisBox 807 (Hays)625-3600

Jeter Law Firm1200 Main, Suite 202 (Hays)628-8226

John C. Herman235 West 10th Street (Hays)628-2795

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Kansas Legal Services2017 North Vine (Hays)625-4514

Law Office of Michael N. Flesher209 Highland Avenue (Hays)628-1936

Leslie Hess1200 Main (Hays)623-4110

Melvin J. Sauer, Junior111 West 1

Northwest Kansas Area Agency on Aging510 West 29th Street (Hays)628-8204www.nwkaaa.com

Ross J. Wichman1400 Main (Hays)625-6519

Seibel Law Office1805 West 27th Street (Hays)625-3997

Simon Roth108 West 25 (Hays)625-9771

Stan Basgall Attorney at Law2703 Hall Street (Hays)625-4747

Thomas M. Wasinger110 East 12th (Hays)625-8022

Thomas C. Boone1200 Main, Suite 304 (Hays)625-6551

Willis K. Musick107 West 13 (Hays)625-8809

Libraries, Parks and Recreation

Buffalo Hills Park2400 East 7th Street (Hays)625-4720

Ellis Public Library907 Washington Street (Ellis)726-3464www.ellislibrary.org

Forsyth Library600 Park Street (Hays)628-4431www.fhsu.edu

Hays Park Department

1546 East US Highway 40 Bypass (Hays)628-7375

Hays Public Library1205 Main Street (Hays)625-9014www.hayspublib.org

State of Kansas Wildlife & Parks1426 US Highway 183 (Hays)628-8614www.kdwp.state.ks.us

Victoria Municipal Pool603 Iron Street (Victoria)735-2387

Pregnancy Services

Adoption is a Choice877-524-5614

Adoption Network888-281-8054

Adoption Spacebook866-881-4376

Graceful Adoptions888-896-7787

Kansas Children’s Service League877-530-5275www.kcsl.org


Public Information

Chamber of Commerce2700 Vine Street (Hays)628-8201

Rape

Domestic Violence and Rape Hotline888-874-1499

Family Crisis Center1806 12th Street (Great Bend)793-1885

Kansas Crisis HotlineManhattan785-539-7935800-727-2785

Red Cross

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American Red Cross208 East 8th Street (Hays)650-0067www.redcross.org

Social Security

Social Security Administration800-772-1213800-325-0778www.ssa.gov

Transportation

Access Transportation1205 East 22nd Street (Hays)628-1052

Development Services of Northwest Kansas1205 East 25 (Hays)621-2078www.dsnwk.org

State and National Information, Services, Support

Adult Protection

Adult Protection Services1-800-922-5330www.srskansas.org/SD/ees/adult.htm

Domestic Violence and Sexual Assault(DVACK)1-800-874-1499www.dvack.org

Elder Abuse Hotline800-842-0078www.elderabusecenter.org

Elder and Nursing Home Abuse Legalwww.resource4nursinghomeabuse.com/index.html

Kansas Coalition Against Sexual andDomestic Violence1-888-END-ABUSE (363-2287)www.kcsdv.org/ksresources.html

Kansas Department on AgingAdult Care Complaint Program1-800-842-0078

NationalCenter on Elder Abuse (Administrationon Aging)www.ncea.gov/NCEAroot/Main_Site?Find_Help/Help_Hotline.aspx

National Domestic Violence Hotline1-800-799-SAFE(799-7233)1-800-787-3224 (TTY)www.ndvh.org

National Sexual Assault Hotline

1-800-994-96621-888-220-5416 (TTY)www.4woman.gov/faq/sexualassualt.htm

National Suicide Prevention Lifeline1-800-273-8255

Poison Center1-800-222-1222

Sexual Assault and Domestic Violence CrisisLine1-800-701-3630

Social and Rehabilitation Services (SRS)1-888-369-4777 (HAYS)www.srskansas.org

Suicide Prevention Helpline1-785-841-2345

Alcohol and Drug Treatment Programs

A 1 A Detox Treatment1-800-757-0771

AAAAAH1-800-993-3869

Abandon A Addiction1-800-405-4810

Able Detox-Rehab Treatment1-800-577-2481 (NATIONAL)

Abuse Addiction Agency1-800-861-1768www.thewatershed.com

AIC (Assessment Information Classes)1-888-764-5510

Al-Anon Family Group1-888-4AL-ANON (425-2666)www.al-anon.alateen.org

Alcohol and Drug Abuse Hotline800-ALCOHOL

Alcohol and Drug Abuse Services800-586-3690http://www.srskansas.org/services/alc-drug_assess.htm

Alcohol and Drug Addiction TreatmentPrograms1-800-510-9435

Alcohol and Drug Helpline1-800-821-4357

Alcoholism/Drug Addiction TreatmentCenter

800-477-3447

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Kansas Alcohol and Drug Abuse ServicesHotline800-586-3690http://www.srskansas.org/services/alc-drug_assess.htm

Mothers Against Drunk Driving1-800-GET-MADD (438-6233)www.madd.org

National Council on Alcoholism and DrugDependence, Inc.1-800-NCA-CALL (622-2255)www.ncadd.org

Recovery Connectionwww.recoveryconnection.org

Regional Prevention Centers of Kansas1-800-757-2180www.smokyhillfoundation.com/rpc-locate.html

Better Business Bureau

Better Business Bureau328 Laura (Wichita)316-263-3146http://www.wichita.bbb.org

Children and Youth

Adoption800-862-3678http://www.adopt.org/

Boys and GirlsTown National Hotline1-800-448-3000www.girlsandboystown.org

Child/Adult Abuse and Neglect Hotline800-922-5330http://www.srskansas.org/

Child Abuse Hotline1-800-922-5330

Child Abuse National Hotline800-422-4453800-222-4453 (TDD)http://www.childhelpusa.org/home

Child Abuse National Hotline1-800-4-A-CHILD (422-4453)www.childabuse.com

Child Find of America1-800-426-5678

Child Help USA National Child Abuse Hotline1-800-422-4453

Child Protective Services800-922-5330www.srskansas.org/services/child_protective_services.htm

HealthWaveP.O. Box 3599Topeka, KS666011-800-792-48841-800-792-4292 (TTY)www.kansashealthwave.org

Heartspring (Institute of Logopedics)8700 E. 29TH NorthWichita, KS67226www.heartspring.org

Kansas Big Brothers/Big Sisters1-888-KS4-BIGSwww.ksbbbs.org

Kansas Children’s Service League (Hays)785-625-22441-877-530-5275www.kcsl.org

Kansas Department of Health andEnvironment785-296-1500www.kdheks.gove-mail: [email protected]

Kansas Society for Crippled Children106 W. Douglas, Suite 900Wichita, KS672021-800-624-4530316-262-4676www.kssociety.org

National Runaway Switchboard1-800-RUNAWAYwww.1800runaway.org/

National Society for Missing and ExploitedChildren1-800-THE-LOST (843-5678)www.missingkids.com

Parents Anonymous Help Line800-345-5044http://www.parentsanonymous.org/paIndex10.html

Runaway Line800-621-4000800-621-0394 (TDD)http://www.1800runaway.org/

Talking Books800-362-0699http://skyways.lib.ks.us/KSL/talking/ksl_bph.html

Community Action

Peace Corps800-424-8580www.peacecorps.gov

Public Affairs Hotline (Kansas CorporationCommission)

63

800-662-0027www.kcc.state.ks.us

Counseling

Care CounselingFamily counseling services for Kansas and Missouri1-888-999-2196

Carl Feril Counseling608 North Exchange (St. John)620-549-6411

CastlewoodTreatmentCenter for EatingDisorders1-888-822-8938www.castlewoodtc.com

Catholic Charities1-888-468-6909www.catholiccharitiessalina.org

Center for Counseling5815 West Broadway (Great Bend)800-875-2544

Central Kansas Mental HealthCenter1-800-794-8281Will roll over after hours to a crisis number.

Consumer Credit Counseling Services800-279-2227http://www.kscccs.org/

Kansas Problem Gambling Hotline866-662-3800http://www.ksmhc.org/Services/gambling.htm

National Hopeline Network1-800-SUICIDE (785-2433)www.hopeline.com

National Problem Gambling Hotline1-800-552-4700www.npgaw.org

SamaritanCounselingCenter1602 N. Main StreetHutchinson, KS67501620-662-7835http://cmc.pdswebpro.com/

Self-Help Network of Kansas1-800-445-0116www.selfhelpnetwork.wichita.edu

Senior Health Insurance Counseling1-800-860-5260www.agingkansas.org

Sunflower Family Services, Inc.(adoption, crisis pregnancy, conflict solutioncenter)1-877-457-5437www.sunflowerfamily.org

Disability Services

American Association of People withDisabilities (AAPD)www.aapd.com

American Council for the Blind1-800-424-8666www.acb.org

Americans with Disabilities Act InformationHotline1-800-514-03011-800-514-0383 (TTY)www.ada.gov

Disability Advocates of Kansas,Incorporated

1-866-529-3824www.disabilitysecrets.com

Disability Group, Incorporated1-888-236-3348www.disabilitygroup.com

DisabilityRightsCenter of Kansas (DRC)Formerly Kansas Advocacy & Protective Services1-877-776-15411-877-335-3725 (TTY)www.drckansas.org

Hearing Healthcare Associates800-448-0215

Kansas Commission for the Deaf andHearing Impaired1-800-432-0698www.srskansas.org/kcdhh

Kansas Relay Center (Hearing Impaired service)1-800-766-3777www.kansasrelay.com

NationalCenter for Learning Disabilities1-888-575-7373www.ncld.org

National Library Services for Blind &Physically Handicappedwww.loc.gov/nls/1-800-424-8567

Parmele Law Firm8623 East 32nd Street North Suite 100 (Wichita)877-267-6300

Environment

Big Bend Ground Water Management125 S Main St. (Stafford)620-234-5352

Environmental Protection Agency1-800-223-0425913-321-9516 (TTY)www.epa.gov

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Kansas Department of Health andEnvironmentSalina785-827-9639Hays 785-625-5663Topeka785-296-1500www.kdheks.gov

Food and Drug

Center for Food Safety and Applied Nutrition1-888-SAFEFOOD (723-3366)www.cfsan.fda.gov/www.healthfinder.gov/docs/doc03647.htm

US Consumer Product Safety Commission800-638-2772800-638-8270 (TDD)www.cpsc.gov

USDA Meat and Poultry Hotline1-888-674-68541-800-256-7072 (TTY)www.fsis.usda.gov/

U.S. Food and Drug Administration1-888-INFO-FDA1-888-463-6332www.fsis.usda.gov/

Poison Hotline1-800-222-1222

Health Services

AIDS/HIV Center for Disease Control andPrevention800-CDC-INFO888-232-6348 (TTY)http://www.cdc.gov/hiv/

AIDS/STD National Hot Line800-342-AIDS800-227-8922 (STD line)

American Health Assistance Foundation800-437-2423www.ahaf.org

American Heart Association800-242-8721www.americanheart.org

American Lung Association800-586-4872

American Stroke Association1-888-4-STROKEwww.american heart.org

Center for Disease Control and Prevention800-CDC-INFO888-232-6348 (TTY)http://www.cdc.gov/hiv/

Elder Care Helplinewww.eldercarelink.com

Eye Care Council800-960-EYESwww.seetolearn.com

Kansas Foundation for Medical Care800-432-0407www.kfmc.org

National Health Information Center800-336-4797www.health.gov/nhic

National Cancer Information Center800-227-2345866-228-4327 (TTY)www.cancer.org

National Institute on Deafness and OtherCommunication Disorders InformationClearinghouse800-241-1044800-241-1055 (TTY)www.nidcd.nih.gov

Hospice

Hospice-Kansas Association800-767-4965

Kansas Hospice and Palliative CareOrganization888-202-5433www.lifeproject.org/akh.htm

Southwind Hospice, Incorporatedwww.southwindhospice.com785-483-3161

Housing

Kansas Housing Resources Corporation785-296-2065www.housingcorp.org

US Department of Housing and UrbanDevelopmentKansas Regional Office913-551-5462

Legal Services

Kansas Attorney General800-432-2310 (Consumer Protection)800-828-9745 (Crime Victims’ Rights)800-766-3777 (TTY)http://www.ksag.org/

Kansas Bar Association785-234-5696www.ksbar.org

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Kansas Department on Aging800-432-3535www.agingkansas.org/index.htm

Kansas Legal Services800-723-6953www.kansaslegalservices.org

Southwest Kansas Area Agency on Aging240 San Jose DriveDodge City, KS 67801(316) 225-8230http://www.swkaaa.org/

Medicaid Services

First Guard888-828-5698www.firstguard.com

Kansas Health Wave800-792-4884 or 800-792-4292 (TTY)www.kansashealthwave.org

Kansas Medical Assistance ProgramCustomer Service800-766-9012www.kmpa-state-ks.us/

Medicare Information800-MEDICAREwww.medicare.gov

U.S. Department of Health and HumanServicesCenters for Medicare and Medicaid Services800-MEDICARE (800-633-4227) or877-486-2048 (TTY)www.cms.hhs.gov

Mental Health Services

Alzheimer's Association1-800-272-3900 or 1-866-403-3073 (TTY)www.alz.org

Developmental Services of NorthwestKansas

1-800-637-2229

KansasAlliance for Mentally Ill(Topeka, KS)785-233-0755www.namikansas.org

Make a Difference1-800-332-6262

Mental Health America1-800-969-6MHA (969-6642)

National Alliance for the Mentally IllHelpline

1-800-950-NAMI (950-6264) or 703-516-7227(TTY)www.nami.org

National Institute of Mental Health1-866-615-6464 or 1-866-415-8051 (TTY)www.nimh.nih.gov

National Library Services for Blind andPhysically Handicapped1-800-424-8567www.loc.gov/nls/music/index.html

National Mental Health Association800-969-6642800-433-5959 (TTY)www.nmha.org

Pawnee Mental Health

State Mental Health AgencyKS Department of Social and RehabilitationServices915 SW Harrison StreetTopeka, KS66612785-296-3959www.srskansas.org

Suicide Prevention Hotline1-800-SUICIDE [784-2433]www.hopeline.com

Nutrition

American Dietetic Association1-800-877-1600www.eatright.org

American Dietetic Association ConsumerNutrition Hotline800-366-1655

Department of Human NutritionKansasStateUniversity119 Justin HallManhattan, KS66506785-532-5500www.humec.k-state.edu/hn/

Eating Disorders Awareness and Prevention1-800-931-2237www.nationaleatingdisorders.org

Food StampsKansas Department of Social and RehabilitationServices (SRS)1-888-369-4777 or Local SRS officewww.srskansas.org/ISD/ees/food_stamps.htm

Kansas Department of Health andEnvironment1000 SW Jackson, Suite 220Topeka, KS66612785-296-1320www.kdheks.gov/news-wic/index.html

Road and Weather Conditions

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Kansas Road Conditions866-511-KDOT511http://kdot1.ksdot.org/divplanning/roadrpt/

Senior Services

Alzheimer's Association1-800-487-2585

American Association of Retired Persons(AARP)1-888-OUR-AARP (687-2277)www.aarp.org

Americans with Disabilities Act InformationLine1-800-514-0301 or 1-800-514-0383 [TTY]www.usdoj.gov/crt/ada

American Association of Retired Persons888-687-2277www.aarp.org

Area Agency on Aging800-432-2703

Eldercare Locator1-800-677-1116www.eldercare.gov/eldercare/public/home.asp

Home Buddy1-866-922-8339www.homebuddy.org

Home Health ComplaintsKansas Department of Social and RehabilitationServices (SRS)1-800-842-0078

Kansas Advocates for Better Care Inc.Consumer Information1-800-525-1782www.kabc.org

Kansas Department on Aging1-800-432-3535 or 785-291-3167 (TTY)www.agingkansas.org/index.htm

Kansas Foundation for Medical Care, Inc.Medicare Beneficiary Information1-800-432-0407

Kansas Tobacco Use Quitline1-866-KAN-STOP (526-7867)www.kdheks.gov/tobacco/cessation.html

Older Kansans Employment Programs(OKEP)785-296-7842www.kansascommerce.com

Older Kansans Hotline800-742-9531

Older Kansans Information ReferenceSources on Aging (OKIRSA)1-800-432-3535

Senior Health Insurance Counseling forKansas1-800-860-5260www.agingkansas.org/SHICK/shick_index.html

SHICK1-800-860-5260www.agingkansas.org/SHICK

Social Security Administration785-296-3959 or 785-296-1491 (TTY)www.srskansas.org

SRS Rehabilitation Services Kansas785-296-3959785-296-1491 (TTY)www.srskansas.org

Suicide Prevention

Suicide Prevention Services800-784-2433www.spsfv.org

Veterans

FederalInformationCenter1-800-333-4636www.FirstGov.gov

U.S. Department of Veterans Affairs1-800-513-7731www.kcva.org

Education (GI Bill)1-888-442-4551

HealthResourceCenter877-222-8387

InsuranceCenter800-669-8477

Veteran Special Issue Help LineIncludes Gulf War/Agent Orange

Helpline800-749-8387

U.S. Department of Veterans Affairs

Mammography Helpline888-492-7844

Other Benefits800-827-1000

Memorial Program Service [includesstatus of headstones and markers]800-697-6947

Telecommunications Device for theDeaf/Hearing Impaired

67

800-829-4833 (TTY)www.vba.va.gov

Veterans Administration

Veterans Administration Benefits800-669-8477

Life Insurance800-669-8477

Education (GI Bill)888-442-4551

Health Care Benefits877-222-8387

Income Verification and MeansTesting

800-929-8387Mammography Helpline

888-492-7844Gulf War/Agent Orange Helpline

800-749-8387Status of Headstones and Markers

800-697-6947Telecommunications Device for theDeaf

800-829-4833www.vba.va.gov

Benefits Information and Assistance800-827-1000

Debt Management800-827-0648

Life Insurance Information and Service800-669-8477

Welfare Fraud Hotline

Welfare Fraud Hotline800-432-3913

Index

68

V. Detail Exhibits


69

Patient Origin & Access


70









8 Obstetric 410 386 366

9 Surgical % 27.1% 25.1% 28.4%









8 Obstetric 384 355 337

9 Surgical % 24.8% 24.0% 27.1%

# Kansas Hospital AssocOP TOT223E FFY2012 FFY2013 FFY2014 Trend

1 ER Market Share - Hays Reg 92.8% 93.3% 92.5%

2 OPS Market Share - Hays Reg 70.9% 88.0% 88.6%

3 OP Market Share - Hays Reg 81.9% 78.9% 77.1%

# KS Hospital Assoc PO103Ellis County IP 2015

# KS Hospital Assoc PO103Hays Medical Center (Only)

71

Town Hall AttendeesNotes & Feedback


72

Date: 03/11/15

First Name Last Name Organization Address/City/ST/Zip

Regina Borthwick HaysMed 2220 Canterbury Hays KS 67601

Bryan Brady First Care Clinic FQHC 105 W. 13, Hays, KS 67601

Erica Burges United Way of Ellis County 205 East 7th, Suite 106, Hays, KS 67601

William Cadoret HaysMed 2220 Canterbury Hays KS 67601

Bill Davis Turning Point 124 E. 12th, Hays, KS 67601

Sarah Dreiling HaysMed 2220 Canterbury Hays KS 67601

Grace Evans Via Christi Village 2225 Canterbury, Hays, KS 67601

Sandra Gottschalk North Central Kansas Tech School 2205 Wheatland Ave, Hays KS 67601

Ruth Heffel HaysMed Foundation 2200 Canterbury, Hays, KS 67601

Stephanie Howie HaysMed 2220 Canterbury Hays KS 67601

JoBeth Jackson Regional Prevention Center 209 E. 7th Hays, KS 67601

John Jeter HaysMed 2220 Canterbury Hays KS 67601

Kristin Koster Hays Rec. Commission 1105 Canterbury Drive Hays, KS 67601

Rich Kramer Insurance Planning 3006 Broadway Ave., Hays, KS 67601

Jackie Loos USD 489 Hays High School 2300 East 13th Hays, KS 67601

Kerry McCue Ellis Co EMS 1009 Cody Ave. Hays Ks 67601

Monica Ptacek Early Childhood Connections 2300 East 13th Hays, KS 67601

Dave Quillin Hays Rec. Commission 1105 Canterbury Drive Hays, KS 67601

Dr. Richard Rajewski Hays Family Medicine 2509 Canterbury Dr. Hays, KS 67601

Robert Schyler Public Health Department 601 Main, Hays, KS 67601

Mary Ann Shamen Hays Middle School 201 W 29th St, Hays, KS 67601

Terry Siek HaysMed 2220 Canterbury Hays KS 67601

Jodi Sproul Regional Prevention Center 209 E. 7th Hays, KS 67601

Kent Steward City of Hays PO Box 490 Hays KS 67601

Shae Veach HaysMed 2220 Canterbury Hays KS 67601

Aaron White Ellis County Coalition for EcoD 2700 Vine St. Hays, KS 67601

Gayla Wichman HaysMed 2220 Canterbury Hays KS 67601

*Three Town Hall attendees did not sign the roster

Ellis County, KS Town Hall Roster N=30

73

Ellis County Community Health Needs Assessment Meeting03.11.15n=30

County Health Rankings:• “Why so poor on the physical???” WATER

TAB 2: Economic/Business Profile• Economic Factors like Oil come into play, it is down now

TAB 3: Educational Profile• Screenings are required by law, they are actually doing it. Vision every 2 years,

hearing every 3 years

TAB 7: Risk Indicators/Factors Profile• Have a big issue in Public Health with STIs, state doesn’t investigate anymore

because they are so commonplace (i.e. gonorrhea)

TAB 8: Uninsured Profile• The Supreme Court might have something to do with healthcare in the future

o Don’t perceive that many people here have insurance off the exchange, it isonly going to affect those people

o Regulatory and expansion of Medicaid will help- they do not have Medicaido Future of FQHCs? Critical Access Hospitals? A lot at Federal level to consider

STRENGTHS:• Collaborative Community• Walk-In Clinic at Oak Park• Sound Education System• Walking Club• Good Acute Care Hospital• Complete Healthcare• Pressure of being a Regional Leader (makes them better)• Safe Community• Activities for Senior Population• Good Community Health with Support Groups• Schools are Supportive of Struggling Families• Good Doctors• Longevity• “Work Well Kanas”

74

• Access to Fitness/Wellness• Strong Local Economy

WEAKNESSES:• Placement for Mental Health Services• More Senior Care (Skilled Care)• Gerontology Specialty• Family Support/Infrastructure• Inpatient Dementia Care• Access to Dental Care for Medicaid/Uninsured• Personal Responsibility in Healthcare• Affordable Healthy Food Options• More Primary Care Physicians• Sources/Quality of Water• Hays Public Transportation• Affordable Rent/Housing• Medical Billing Issues• Homeless Shelter• Drug Abuse• Affordable Handicap Housing• No Medical Detox Locally• Isolation of Mental Health• Lack of Family Planning• Knowledge of Available Healthcare Services• Alcohol in the Community• Community Healthcare Stakeholder Communication• Lack of Childcare Providers• Tobacco

75

Public Notice & Invitation


76

HaysMed To Conduct Community HealthNeeds Assessment Survey Update

For Immediate Release: Jan 22, 2015

HaysMed is working with other Ellis County Kansas health providers to update the 2012 community

health needs assessment. Results of this update will be compiled and prioritized to help guide the

hospital’s implementation plans to address health care needs and fulfill both federal and state

requirements.

Starting the week of February 2nd, surveys will be mailed to 2800 randomly selected Ellis county residents

with a deadline of Friday Feb 27th. (Note: If you would like to participate and do not receive a

mailed survey, please go to https://www.surveymonkey.com/s/Hays15CHNA to complete

the survey online). Copies of the paper survey will also be available for pickup at HaysMed at the

Information Desks in the Miller Medical Pavilion Entrance B, Main Entrance C and at The Center for Health

Improvement.

All Ellis County KS residents and business leaders are encouraged to participate. Included in the 2015

CHNA surveys are questions dealing with community health regarding service delivery, fitness, nutrition,

and access to care. All survey responses are anonymous and completing the survey takes less than 10

minutes. VVV Research & Development, LLC, an independent research firm from Olathe, Kansas has been

retained to conduct this countywide research.

If you have any questions about the survey or survey process, please call 785-623-2300.

77

Hays Med LOGO

NEWSDate: Feb 23, 2015For Immediate Release

In order to gauge the overall health needs of Ellis County residents, Hays MedicalCenter is working together with other community providers to conduct a communitywide healthcare needs assessment. To ensure that all county residents have anopportunity to participant, the deadline to complete this assessment hasbeen extended to Friday March 4th, 2015.

If you would like to participate and did not receive a mailed paper survey, please eithercomplete the assessment online by entering the following link into your browser:

https://www.surveymonkey.com/s/Hays15CHNA

or drop by Hays Medical Center to pick up a paper survey.

Again it is important that all assessment surveys be completed and returned by FridayMarch 6th, 2015. All survey responses are anonymous and completing the survey takesless than 10 minutes.

In addition, a Town Hall meeting will be held on Wednesday, March 11th, 2015 at HaysMedical Center from 11:30am-1pm. Persons invited to the Town Hall meetingrepresent all segments of Ellis County’s population.

78

DATE

Firstname LastnameOrganizationADDRESSCITY ST ZIP

Dear Community Health Partner;

To fulfill IRS Community Health Needs Assessment requirements, Hays Medical Centerheld a Town Hall meeting in March of 2015. During this Town Hall meeting, a list ofcommunity health needs were discussed and ranked. Now, we need to take asecond step to develop an implementation plan to address each communityhealth need cited.

Hays Medical Center values your input as a community health stakeholder to promotequality health delivery. Today, we are organizing a working lunch meeting to gathercommunity health improvement action steps and need your participation. (Note: Duringthis meeting, we will review the list of community health needs and then brainstorm onhow we will address each of these issues).

The details of the meeting are as follows:

May 21st, 2015Hadley Room 111:30 to 1:00 p.m.

Thank you for your continued support as we complete our Community Health NeedsAssessment work. We truly appreciate your time & effort to participate on ThursdayMay 21st 2015.

Sincerely,

Shae VeachVP Regional OperationsHays Medical Center

79

In a message dated 2/11/2015 11:35:06 A.M. Central Standard Time, [email protected]:

Re: Community Health Needs Assessment

Butch,

It was nice visiting with you this morning. I’ve attached the link to the HaysMedwebsite. The CHNA survey link is on the front page.

http://www.haysmed.com/

Thanks for helping get the word out about the survey and encouraging folks to takeit. I appreciate it! See you on March 11th.

Thanks,

Tammy

Tammy Jacobs

Regional Health

Hays Medical Center

(785) 623-2300 - phone

(785) 623-5030 - fax

[email protected]

80

In a message dated 2/12/2015 3:00:49 P.M. Central Standard Time, [email protected]:

Bryan, Re: Notification of Community Health Needs Assessment (Ellis County)

Thanks for visiting with me about the Community Health Needs Assessment currentlytaking place in Ellis County. I’ve attached the link to the HaysMed website. The CHNAsurvey link is on the front page under the Upcoming Events section.

http://www.haysmed.com/

Thanks for helping get the word out about the survey and encouraging folks to takeit. I appreciate it! See you on March 11th.

Thanks,

Tammy

Tammy Jacobs

Regional Health

Hays Medical Center

(785) 623-2300 - phone

(785) 623-5030 - fax

[email protected]

81

Detail Primary ResearchPrimary Service Area


82

Community Health Needs AssessmentRound #2 Community Feedback

Methodology

A community feedback survey was created on behalf of the CHNA client to gather PSAstakeholder feedback on health perception and progress in addressing previous CHNAcommunity needs. In addition to 2500 mailed surveys, community residents wereencouraged to take the survey online by entering the following address into personal

browser, where 520 responses were collected: https://www.surveymonkey.com/s/Ellis15.Also, an invite letter was sent to all PSA stakeholders (i.e. Schools, County, City, Clergy,Public Health Leaders).

Below is a summary of public response:

83

What is your age?

CHNA

NORM (23)

N=8959 %

Hays

2012

PSA %

Hays

2015

PSA %

U nd e r 18 (o mit) 11 0.1% 0 0.0% 0 0.0%

18 - 44 2,275 27.9% 181 36.3% 176 38.3%

45 - 64 3,741 45.8% 206 41.3% 183 39.8%

65 - 74 1,166 14.3% 51 10.2% 54 11.7%

Ove r 75 969 11.9% 61 12.2% 47 10.2%

T o ta ls 8,162 100.0% 499 100.0% 460 100.0%

Your gender?

CHNA

NORM (23)

N=8959 %

Hays

2012

PSA %

Hays

2015

PSA %

Ma le 2,024 25.4% 125 25.6% 105 23.0%

Fe ma le 5,940 74.6% 364 74.4% 352 77.0%

T o ta ls 7,964 100.0% 489 100.0% 457 100.0%

How would you identify

yourself?

CHNA

NORM (23)

N=8959 %

Hays

2012

PSA %

Hays

2015

PSA %

a ) Ca uca sia n / White American 7,876 96.3% 484 97.4% 441 97.4%

b ) African America n / Bla ck

Ame rica n 62 0.8% 0 0.0% 0 0.0%

c) La tino / H isp anic America n 57 0.7% 3 0.6% 4 0.9%

d ) Ame rica n Ind ia n / N a tive

Ala skan 32 0.4% 0 0.0% 0 0.0%

e ) Asia n Ame rican / Pa cific

Is la nd e r 35 0.4% 2 0.4% 0 0.0%

f) Multicultura l / Multirac ia l 39 0.5% 3 0.6% 2 0.4%Othe r (p le ase sp e cify ) 74 0.9% 5 0.4% 6 1.3%

T o ta ls 8,175 100.0% 497 100.0% 453 100.0%

* N o rm is comp o se d o f 23 CHN A co mmunity surve ys fro m IA, KS a nd MO.

How would you describe your

household?

CHNA

NORM (23)

N=8959 %

Hays

2012

PSA %

Hays

2015

PSA %

Sing le 1,334 16.4% 82 16.5% 79 17.2%

Ma rrie d 1,851 22.7% 112 22.5% 108 23.6%

Ma rrie d with child re n a t home 2,159 26.5% 142 28.6% 115 25.1%

Ma rrie d with child re n no longe r a t

home 1,711 21.0% 105 21.1% 92 20.1%

D ivo rce d 527 6.5% 28 5.6% 29 6.3%Othe r 571 7.0% 28 5.6% 35 7.6%

T o ta ls 8,153 100.0% 497 100.0% 458 100.0%

Regarding your health

insurance coverage..

CHNA

NORM (23)

N=8959 %

Hays

2012

PSA

N=577 %

Hays

2015

PSA

N=520 %

Priva te Insura nce yo u p urcha se d 1,034 12.1% 69 13.3% 59 13.2%

Me d ica re 1,678 19.7% 85 16.4% 86 19.2%

Me d ica id 167 2.0% 3 0.6% 1 0.2%

Co vere d by Emp lo ye r (emp loye r

p a ys to ta l cos t) 818 9.6% 64 12.4% 57 12.8%

Co vere d by Emp lo ye r (yo u &

e mp lo yer share co st) 3,971 46.6% 261 50.4% 241 53.9%

N o Co vera g e (U ninsure d ) 328 3.8% 9 1.7% 3 0.7%Othe r 532 6.2% 27 5.2% 41 0.0%

T o ta ls 8,528 100.0% 518 100.0% 488 100.0%

* N o rm is comp o se d o f 23 CHN A co mmunity surve ys fro m IA, KS a nd MO.

Community Healthcare Needs Assessment 2015 - Demographics

Community Healthcare Needs Assessment 2015 - Demographics

84

Hays Medical Center is conducting a comprehensive community health needs assessment update this year. In 2012 a similar community health needs survey was administered. Today we need your assistance to gather confidential feedback by Friday February 27, 2015. Thank you.

1. In general, how would you rate the overall quality of the healthcare delivered to your community?

2. How would you rate of the following health service . . .? (Check one box per row)

3. How would you rate the following services? (Check one box per row) Con't

Community Health Needs Assessment – Hays Medical Center Service Area

Part I: HEALTHCARE PERCEPTIONS & SATISFACTION

Very Good Good Fair Poor Very Poor

OVERALL Quality of Care nmlkj nmlkj nmlkj nmlkj nmlkj

Very Good Good Fair Poor Very Poor N/A

a) Ambulance Service nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

b) Child Care nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

c) Chiropractor nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

d) Dentists nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

e) Emergency Room nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

f) Eye Doctor / Optometrist nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

g) Family Planning Services nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

h) Home Health nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

i) Hospice nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj


j) Inpatient Services nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

k) Mental Health Services nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

l) Nursing Home nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

m) Outpatient Services nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

n) Pharmacy nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

o) Primary Care nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

p) Public Health Dept. nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

q) School Nurse nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

r) Visiting Specialists nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

85

4. Over the past 2 years, did you or your household receive health care services outside of your county?

5. Are there healthcare services in your community / neighborhood that you feel need to be improved and / or changed? (Please be specific)

6. In your opinion, how much of a problem are the following causes of diseases or disability in your community? (Check one box per row)

55

66

Not a Problem Somewhat of a Problem Major Problem Don't Know

a) Cancer nmlkj nmlkj nmlkj nmlkj

b) Diabetes nmlkj nmlkj nmlkj nmlkj

c) Substance Abuse nmlkj nmlkj nmlkj nmlkj

d) Heart Disease nmlkj nmlkj nmlkj nmlkj

e) Sexual Transmitted Diseases nmlkj nmlkj nmlkj nmlkj

f) Mental Disorders nmlkj nmlkj nmlkj nmlkj

g) Obesity nmlkj nmlkj nmlkj nmlkj

h) Pneumonia / Flu nmlkj nmlkj nmlkj nmlkj

i) Respiratory Disease nmlkj nmlkj nmlkj nmlkj

j) Stroke nmlkj nmlkj nmlkj nmlkj

k) Suicide nmlkj nmlkj nmlkj nmlkj

l) Trauma nmlkj nmlkj nmlkj nmlkj

Yes

nmlkj No

nmlkj

If Yes, please specify the healthcare services you received

55

66

Other (please specify below)

86

7. How well do you feel our local health care providers are doing in addressing the health needs of the following age groups? (Check one box per row)

8. Does our community need any additional healthcare providers?

9. In your opinion, what areas need additional education or attention in our community? (Check all that apply)


Infants nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

Age 1 12 nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj





Over 85 nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

PART II: YOUR HEALTH PRACTICES

Yes

nmlkj No

nmlkj

If Yes, please specify what is needed

55

66

a) Abuse / Violence

gfedc

b) Aging (Dementia)

gfedc

c) Alcohol

gfedc

d) Alternative Medicine

gfedc

e) Child Care

gfedc

f) Chronic Diseases

gfedc

g)Family Planning / Birth Control

gfedc

h) Lead Exposure

gfedc

i) Mental Illness

gfedc

j) Neglect

gfedc

k) Nutrition

gfedc

l) Obesity

gfedc

m) Ozone

gfedc

n) Pain Management

gfedc

o) Poverty

gfedc

p) Preventative Healthcare

gfedc

q)Sexually Transmitted Diseases

gfedc

r) Suicide

gfedc

s) Teen Pregnancy

gfedc

t) Tobacco Use

gfedc

u) Uninsured

gfedc

v) Vaccinations

gfedc

w) Water Quality

gfedc

x) Wellness Education

gfedc

y) Drugs / Substance Abuse

gfedc


55

66

87

10. In general, how would you best describe your health? (Choose one)

11. Compared to a year ago, how would you rate your overall health in general now?

12. Does your household have a provider you use for primary care?

13. Have you had a physical in the past 12 months?

14. Do you follow these health practices. . .? (Check one box per row)

15. Please complete sentence below. Are you. . .?

Yes No N/A

If over 50, have you had a colonoscopy? nmlkj nmlkj nmlkj

If male over 50, do you have annual prostate exams? nmlkj nmlkj nmlkj

If female over 40, do you have annual mammograms? nmlkj nmlkj nmlkj

If female, do you have a pap smear every other year? nmlkj nmlkj nmlkj

Do you get 2.5 hours a week of moderately intense physical activity? nmlkj nmlkj nmlkj

Yes No N/A

a) Eating right (Daily5+servingsfruits/veg/wheat) nmlkj nmlkj nmlkj

B) Using tobacco products weekly nmlkj nmlkj nmlkj

c) Exercising 23 times weekly nmlkj nmlkj nmlkj

d) Consuming alcohol (more than 1 drink daily) nmlkj nmlkj nmlkj

e) Receiving an annual flu shot nmlkj nmlkj nmlkj

Very Good

nmlkj Good

nmlkj Fair

nmlkj Poor

nmlkj Very Poor

nmlkj

Much better than a year ago

nmlkj About the same

nmlkj Much Worse than a year ago

nmlkj

Yes

nmlkj No

nmlkj

If Yes, Please give Physician's name / Specialty / City

55

66

Yes

nmlkj No

nmlkj

If no, why not? (Be specific)

55

66

88

16. What is your age?

17. Your gender?

18. How would you identify yourself?

19. How would you describe your household?

20. Regarding your health insurance coverage... What type of health coverage is your primary plan? (Choose one)

Part III: A LITTLE MORE ABOUT YOU

Under 18

nmlkj 18 44

nmlkj 45 64

nmlkj 65 74

nmlkj Over 75

nmlkj

Male

nmlkj Female

nmlkj

a) Caucasian / White American

nmlkj

b) African American / Black American

nmlkj

c) Latino / Hispanic American

nmlkj

d) American Indian / Native Alaskan

nmlkj

e) Asian American / Pacific Islander

nmlkj

f) Multicultural / Multiracial

nmlkj

g) Other

nmlkj

Single

nmlkj

Married

nmlkj

Married with children at home

nmlkj

Married with children no longer at home

nmlkj

Divorced

nmlkj

Other

nmlkj

Private Insurance you purchased

nmlkj

Medicare

nmlkj

Medicaid

nmlkj

Covered by Employer (employer pays total cost)

nmlkj

Covered by Employer (you & employer share cost)

nmlkj

No Coverage (Uninsured)

nmlkj


89

21. Thinking back over the past few years, would you say you are more or less likely to go to the doctor when you are sick or injured, or hasn’t there been much change?

22. In the past few years, what is the likelihood you or someone in your household went without medical treatment you thought was needed because of the cost?

23. What is your 5 digit zip code?

24. What is the name of your County?

You have just completed the Community Health Needs Assessment Survey. Thank you for your participation. By hitting "Next" you are submitting your responses and giving others an opportunity to complete the same survey. Again, thank you for your participation.

Much less likely

nmlkj

Somewhat less likely

nmlkj

Not much change

nmlkj

Somewhat more likely

nmlkj

Much more likely

nmlkj

No opinion

nmlkj

Much less likely

nmlkj

Somewhat less likely

nmlkj

Not much change

nmlkj

Somewhat more likely

nmlkj

Much more likely

nmlkj

No opinion

nmlkj

90

CODE Physician Specialty NEUS Neurosurgery

ALL Allergy/Immunology OBG Obstetrics/Gynecology (Delivery)

AES Anesthesia/Pain ONC Oncology/RADO

CARD Cardiology OPTH Ophthalmology

DERM Dermatology ORTH Orthopedics

EMER Emergency ENT Otolaryngology (ENT)

ENDO Endocrinology ** PATA Pathology

FP Family Practice (General) PEDS Pediatrics

GAS Gastroenterology PHY Physical Medicine/Rehab

SUR General Surgery PLAS Plastic/Reconstructive

GER Gerontology PSY Psychiatry

IFD Infectious Diseases PUL Pulmonary

IM Internal Medicine RAD Radiology

NEO Neonatal/Perinatal * ABP 06 RHE Rheumatology

NEP Nephrology ** VAST Thoracic/Cardiovascular/Vascular

NEU Neurology URL Urology

Code HC Themes Code HC Themes

VIO Abuse / Violence EMRM Emergency Room

ACC Access to Care EMS EMS

AGE Aging (Senior Care / Assistance) EYE Eye Doctor / Optometrist

AIR Air Quality FAC Facility

ALC Alcohol FAM Family Planning Services

ALT Alternative Medicine FEM Female (OBG)

ALZ Alzheimers FINA Financial Aid

AMB Ambulance Service FIT Fitness / Exercise

ASLV ASSISTED LIVING ALL General Healthcare Improvement

AUD Auditory GEN General Practioner

BACK Back / Spine GOV Government

BD Blood Drive HRT Heart Care

BRST Breastfeeding HEM Hemotologist

CANC Cancer HIV HIV / AIDS

CHEM Chemotherapy HH Home Health

KID Child Care HSP Hospice

CHIR Chiropractor HOSP Hospital

CHRON Chronic Diseases MAN Hospital Management

CLIN Clinics (Walk-in etc.) INFD INFIDELITY

COMM Communication IP Inpatient Services

CORP Community Lead Health Care LEAD Lead Exposure

CONF CONFIDENTIALITY BIRT Low Birth Weight

DENT DENTIST LOY LOYALTY

DENT Dentists MAMO Mammogram

DIAB Diabetes MRKT MARKETING

DIAL Dialysis STFF Medical Staff

KEY - CHNA Open End Comments

KEY - CHNA Open End Comments

91

DUP Duplication of Services BH Mental Health Services

ECON Economic Development MDLV MID-LEVELS

Code HC Themes SANI Sanitary Facilities

NURSE More Nurse Availibility SNUR School Nurse

NEG Neglect STD Sexually Transmitted Diseases

NP NURSE PRACTIONER SMOK Smoking

NH Nursing Home SS Social Services

NUTR Nutrition SPEC Specialist Physician care

OBES Obesity SPEE Speech Therapy

ORAL Oral Surgery STF STAFFING

ORTHD ORTHODONTIST STRK Stroke

OTHR Other DRUG Substance Abuse (Drugs / Rx)

OP Outpatient Services/Surgeries SUIC Suicide

OZON Ozone SURG SURGERY

PAIN Pain Management TPRG Teen Pregnancy

PARK PARKING TEL TELEMEDICINE

PHAR Pharmacy THY Thyroid

DOCS Physicians TOB Tobacco Use

FLU Pneumonia / Flu TRAN Transportation

FOOT Podiatrist TRAU Trauma

POD PODIATRIST TRAV TRAVEL

POV Poverty ALCU Underage Drinking

PNEO Prenatal INSU Uninsured/Underinsured

PREV Preventative Healthcare URG Urgent Care/After Hours Clinic

PRIM Primary Care: VACC Vaccinations

PROS Prostate VETS VETERANS CARE

DOH Public Health Department WAG Wages

QUAL Quality of care WAIT Wait Times

REC Recreation H2O Water Quality

RESP Respiratory Disease WELL Wellness Education/Health Fair

NO Response "No Changes," etc. WIC WIC Progam

92

ID ZIP

CommunityHealthStatus c1 c2 c3

Q4 Are there healthcare services in your community / neighborhoodthat you feel need to be improved and / or changed?

1296 67601 Good ACC URG CLIN

Access on a day-to-day basis. Convenient Care is good start justtoo small.

1196 67601 Very Good ACC Assistance for the working poor.

1347 Good ACC WAIT doctors you can get in to see

1413 67637 Very Good ACC WAIT faster service; wait time is to long

1432 67548 Good ACC PEDS WAIT

HARD TO GET AN APPOINTMENT IN A TIMELY MANNER FORSOME TYPES OF CARE, LIKE PEDIATRICS, AND THEN NOGUARANTEE YOU WILL SEE YOUR NORMAL PROVIDER, WHOYOU TRUST, MAY JUST BE THE PA YOU DON'T KNOW AT ALL.

1434 67601 Very Good ACC HDEPT WAIT

Health department needs to have evening and weekend hours.They function like departments did years ago............notprogressive.

1293 676 Good ACC COST I just wish healthcare wasn't so expensive.

1274 67601 Very Good ACC DOCS

I went to Plainville cause no doctor in Hays would take me. I alsoneeded to apply for a doctor back in 2007.

1142 Fair ACC

making sure can provide services to local and surroundingcommunities before acquiring farther away places

1493 67601 Good ACC WAIT

Need more staff at the hospital, as a paitent had to wait a long timeto even see a professional

1261 67601 Very Good ACC WAIT

Shorter wait time to see a doctor. Some wait times are severalweeks.

1231 67601 Fair ACC WAIT Waiting periods in doctor's office.

1343 67601 Very Good AGE HH QUAL

Government and regulatory burdens on nursing home and homehealth seriously impair the facilities and their employees as well astheir physicians from providing effective care.

1070 67601 Good AGE More and better options in nursing home care.

1409 67601 Good AGE nursing homes

1112 67601 Fair ALC

There needs to be a better relationship between professionalhealthcare providers and alcoholics anonymous. People who needhelp are not being sent to good groups.

1162 67601 Good BH EMER WAIT

community mental health services are too restrictive and tied toHPMH unfortunately. ER service is terrible....long waiting.

1176 67601 Very Good BH Community mental health services need to be improved.

1497 67601 Fair BH IP Inpatient Mental Health

1298 67601 Good BH DOCS

Mental health care - not enough workers to provide care to allpatients who need meds.

2020 67601 BH DOCS SPEC Mental Health in Hays/Ellis County needs more physicians.

1144 67601 Fair BH AGE OPTH

Mental health services for young children are limited. Eyeprofessionals that know how to work with very young children withspecial needs are needed. Nursing home facilities chargeexorbitant prices and provide poor care - They have high staffturnover and continuity and quality of care is extremely poor.

1147 67601 Good BH PSY THER

Mental health services need to be more acessible to all people inthe community. More psychiatrists, psychologists and therapistsare needed to better care for the population.

1495 67640 Good BH

We need more inpatient mental health and more help for dementiapatients

1069 67671 Good CLIN URG Convenient Care Clinic - need one in Victoria.

1277 67637 Good CLIN CARD SPEC

Debakey Heart Clinic - they make appointment and then chargethem and that not right.

1256 67601 Fair CLIN URG First Care Clinic

CHNA Round #2 Community Feedback 2015 -Ellis Co, KS N=499

93

ID ZIP




1148 67601 Good CLIN URG ACC

For the longest time Hays had no walk in clinics, closet wasPlainville. Scheduling times to get looked at was a hassle. FHSUcampus clinic is great for students. I was pleased with care ireceived there while in school. But walk in clinics is something iknow needs addressed. I have heard nothing good about HaysMedical Center. If i had a choice I would choose to receive in/outpatient treatment elsewhere. I have recommend people to specialistin KC area. I rarely visit a doctor or seek attention but was fairlyhappy with one Emergency room visit treatment i received. Was nottimely but i felt it was quality care. I have heard great things aboutthe PT and Chiropractic clinics in town and we have amblepractices to choose from. Dental Care is also quality. I think wehave enough choice in treatment as well. Mental health care andspecial needs (home care) are adequate in my opinion. DSNWK,High Plains, and other traveling nursing treatments are greatservices.

1392 67601 Very Good CLIN URG WAIT

Hays recently opened a walk-in clinic. I can't believe a town thissize has gone this long without one. I do think they may need toopen one that me closer down to the college.

1063 67601 Good CLIN URG More walk-in clinic access.

1185 67601 Good CLIN ENDO URG

The addition of the walk-in clinic was huge and meets a large needin our community. Would like to have access to anendocrinologist/hormonal expertise, whether through visitingresource or other

1059 67671 Fair CLIN URG ACC Used to have walk in but now closed.

1390 67601 Good CLIN URG Very impressed with the Convenient Care Clinic

1174 67601 Good CLIN EMER WAIT

With the opening of the walk in clinic I feel people will not have tovisit the emergency room for a minor issue which in turn will makethe wait time in the emergency room lessen. We were frustratedthat it took 3 hours for our 2 year old to be stitched up when he gota cut on his head. When the doctor finally came it took him 15minutes to finish the procedure. After our experience we heardfrom many of our community friends about there experience withthe long wait time in the emergency room.

1427 67601 Very Good CLINC URG The walk-in clinic great addition, feel it will need to grow! Big need.

1151 67601 Very Good COMM DOCS ACC

better communication at Doctors office, very hard to access thedoctor or his nurse, the timeliness of them returning calls is terrible,

1466 67601 Very Good DAY SANI Daycare - some seem so dirty or cramped.

1344 67601 Good DAY COST WAIT

daycare needs improvement its expensive, with limited availabilitywith part-time, evenings and weekends

1236 67601 Fair DAY Daycares for parents working 12 hour jobs.

1104 67601 Fair DENT INS Dental care to persons who are on Medicaid!

1498 67637 Very Good DENT Dentists

1302 67671 Poor DENT WAIT INS

Dentists opened on Friday, Saturday, and Sunday - more doctorsfor medicaid.

1220 67601 Fair DENT Dentists.

1167 67601 Good DENT INS

more access for dentist to the hospital for sedation dentistry forpatients with Medicaid.

1247 67601 Good DENT BH Not enough access to adult dental (low income) or mental health.

1022 67601 Very Good DENT Number of dentists.

1462 67601 Fair DENT PEDS CLIN

There is only one dentist that caters to children, so it's nearlyimpossible to get in. We take our children to Wichita because theyhave full practices dedicated to children. Additionally, the pediatricclinic in Hays is terrible. They won't see more than 2 children at avisit, so if you want to schedule well child checks for all of yourchildren at one time it's impossible. Instead, you have to makeseperate visits which as a working parent is time consuming andunrealistic. Heaven forbid more than 2 of your children get sick atthe same time.

94

ID ZIP




1435 67601 Good DENT INS WELL

This community needs more dentistry providers for medicare andmedicaid patients. Also, the monthly fee for the Center for HealthImprovement is outrageous and people who desperately need to gocannot afford it. A personal trainer to help people learn to exercisesafely is also way out of affordability. We need nutrition consultationand classes for the public instead of only those geared towardsdiabetic patients. Lastly, mental health services that people canafford is lacking. We need more public education in the area ofmental health.

1234 67601 DENT SANI

Would like to see fewer x-rays taken by dentists. Stricter germprotection at Hays Med - too many patients infected while inhospital.

1290 67601 DIAB SPEC DOCS Diabetes doctor - URGENT

1248 67601 Very Good DIAB SPEC Need diabetic specialist.

1105 67601 Good DOCS Hays Med needs Dr M. Biring.

1127 67671 Very Good DOCS NURSE NO

I am very pleased with Hays Medical Center and our doctors andnurses, great care.

1195 67601 Good DOCS EMER WAIT

Yes, the ER department. I rushed my child there after she sliced herfinger. After 4 hours, we left and never saw a doctor.

1389 Good DRUG Drug Addition

1075 67601 Good EMER Be seen quicker in the emergency room.

1445 67601 Fair EMER PRIM WAIT

Better ER services...more caring. Less of a wait. More primarycare physicians. People can't find a doctor to take them.

1316 67601 Good EMER WAIT Emergency room - Service is too slow!

2002 67601 EMER Emergency Room @ Hays Med- Unacceptable

2013 67601 EMER WAIT Emergency room it takes too long!

1307 EMER Emergency room services

1149 67601 Good EMER WAIT Emergency room wait time

1213 67601 Good EMER Emergency room.

1037 67637 Good EMER COMM ER - communication

1271 67601 Fair EMER WAIT

ER - no reason to have to be taken to room and sit 4-5 hours beforeseeing doctor.

1278 67601 Poor EMER SPEC DOCS ER - no special doctors. Don't need hospitalist in hospital.

1116 67601 Good EMER DOCS ER - very unprofessional, uncaring ER doctors.

1438 67601 Good EMER Er is horrible

1192 67601 EMER WAIT

ER needs to be improved a lot. takes hours to see someone andhours to get to a room when you have to stay.

1094 67601 Very Good EMER WAIT ER wait time is horrible at times.

1376 67601 Good EMER DENT WAIT ER wait times, Dental Access

1262 67601 EMER WAIT ER wait too long to be dismissed or admitted.

1210 67637 Good EMER Hays Emergency room

1201 67601 Poor EMER HMC - ER services.

1177 67601 Very Good EMER CARD SPEC

I hear a lot of complaints regarding locum tenens and their lack ofdetailed care. I had an experience with one in the emergency roomwhen I thought I was having a heart attack. His diagnosis was Iwas depressed and gave me an antidepressant despite myprotests. After seeing a cardiologist it was determined I have mitralvalve prolapse.

1456 67601 Good EMER WAIT LESS WAIT TIME IN ER

1301 67601 Good EMER WAIT COST Should not have a long wait at ER or cost.

1380 67601 Good EMER COMM WAIT

The emergency room at the hospital has a horrible reputation fornot taking any emergency serious. A friend recently partiallysevered a finger on his hand and they allowed him to sit in theemergency room for 15 minutes bleeding on himself and on thefloor of the waiting room. I would call that awful attention to what isgoing on. When is an emergency and emergency?

2015 67601 EMER The emergency room services

1364 67601 Fair EMER HOSP COMM

The ER and Hospital are beyond horrible, but nobody listens/caresthat customer service needs to change drastically

95

ID ZIP




1108 67601 Fair EMER AGE The ER at Hays Med and both nursing home facilities at Via Christi.

1365 67601 Fair EMER The ER in hays is a huge joke.

1265 67601 Fair EMER COMM QUAL

Trego County Hospital. My 80 year old mother was very ill. Went toher doctor and they wouldn't give antibiotic. Took her to emergencyroom in Wakeeney and they did testing and she had sepsispoisoning. We almost lost her. They even knew that she takestreatment for her cancer. Very disappointed in Hays Med.

1320 67601 Good EMER WAIT Waiting time in emergency room was very, very long.

1057 67601 Good EMER SPEC ACC Yes - ER, need specialists, i.e. neurology, GI, and rheumatology.

1470 67601 Fair ENDO SPEC add endocrinologist

1467 67601 Good ENDO SPEC endocrinologist needed

1397 67637 Fair ENDO EMER HH

Offer endocrinology Improve ER efficiency Increase hospiceconsults Increase availability of Home Health Increasecoordination of care in hospital--Physicians consult together and beaware of what each specialist orders/requires Family awareness ofcondition and physicians in hospital setting

2008 67637 FAM PHARM Family Planning Options. Need a local pharmacy.

1049 67601 Very Good FAM Non-governmental family planning.

1283 676 Good FINA BH More financial assistance for mental health services.

1031 67601 Good FP Family doctors

1328 67601 Very Good FP DENT SPEC

General family practitioners--it's really difficult for a family movinginto the community to find a good practitioner accepting patients.Likewise with dental care. More qualified specialists are needed sofamilies do not need to travel to other communities, e.g.,gastroenterologist, asthma specialist, ENT specialist.

1157 67601 Very Good FP IM BH

More family medicine or internal medicine doctors needed. It's hardto find a physician if you are new to the community. Would also liketo see better mental health services. If you need the service, it cantake weeks to get in and sometimes the patient needs the helpsooner than that.

1002 67601 Good FP IM DERM

We need more family practice physicians and skin/internal medspecialists.

1424 67601 Good GAS SPEC DOCS Gastroenterologist

1080 67601 Good GAS FAM DERM

Gastroenterology, fertility specialists, dermatology - greater accessto these services in our community.

1124 67601 Fair GAS FAM STAFF

Need gastroenterologist on staff here - not from Salina! PlannedParenthood for low income/female care, birth control, etc.

1159 67601 Very Poor GEN DOCS PHY

Hays Med doctors and hospitalist!! Can't keep the good doctors intown and Hays Med hosptialist haven't a clue on pt treatment orgood pt care. Alot of misorder exams or exam order and no ideawhat type of exam they order

1028 67637 Fair GEN FP MDLV

My family has NEVER seen an actual doctor, only mid-levelproviders.

2007 67601 GENIMP Everything

2003 67601 GENIMP Hays Med. Care

1171 67601 Very Good GENIMP HDEPT

I feel the health department needs to be more involved with buildingthe health infrastructure in Ellis County. The health department isunaccredidated, does not work to apply for grants in diseaseprevention and seems to take a very "hands off" approach tobuilding partnerships with other health organizations across thecommunity.

1055 67601 Good GENIMP Improved.

1359 67601 Fair GENIMP YES!

1269 67601 Poor GENIMP Yes, all in Hays.

1356 67601 Fair GENIMP ACC

yes, I would rather drive to Plainville to receive services thenreceive them in Hays

1013 67663 Good HH Home health care providers are hard to locate.

1481 67601 Fair HH Rest home visits to residents and seriously looking at their needs.

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ID ZIP




1226 67601 Poor HH Yes, home health. Girls don't know how to cook or clean house.

1382 67601 Fair HOSP IP

Hospital and inpatient care has went down hill significantly in thelast year

1217 67601 Fair HOSP GENIMP Hospital service overall needs improvement.

1161 67601 Poor HOSP GEN DOCS

The Doctors and Hospialist at Hays Med. Hospialist very POOR.Don't know what they are doing as far as pt treatment. What gooddoctors we have at Hays Med can't keep. Cheaper to let them goand bring other doctors who don't know near as much as thedoctors we lose.

1286 6760 Fair INS COMM QUAL

I have a big complaint. When did you begin admitting patients underobservation? We pay for our insurance and when you admit usunder observation, we get this huge bill in the mail. I think thepatients should be informed about being admitted underobservation and not a regular admit and what the difference is.Also, the patient should be informed that their insurance (Medicare)or what other insurance will not pay for everything, and the patientbeing left with a huge bill. This makes the hospital look very cheap,only thinking of the money they can make and not of their patient'swelfare. I think you need to stop admitting patients underobservation. (A patient who had surgery late in the evening and wasadmitted under observation for the night without anyone telling me, Ididn't know there was such a thing until I got the bill.)

1017 67671 Good INS COST Insurance is too high. Hospitalization is ridiculously expensive!

1396 67601 Good INS COST

It's just plain too expensive for the common man,,even withinsurance

1010 67601 Fair NEU RHE Need neurology and rheumatology services

1209 67601 Good NEU Need neurology services!

1109 67601 Good NEU GAS SPEC Neurology and gastroenterologist

1441 67637 Good NEU SPEC DOCS We are in need of a neurosurgeon

1398 67601 Good NEU SPEC DOCS

We need a neuroligist at Hays Medical Center as we don't offer thatservice.

1366 67601 Good NEU SPEC DOCS We need a neurologist!

1387 67601 Good NEU PUL SPEC

We need another pulmonologist and neurologist that serves thisarea.

1260 67601 NEU SPEC DOCS

Yes, we need a neurologist since Dr Gamboa retired and movedaway.

1266 67601 Good NO Don't know.

1039 67601 Very Good NO

I have always had great service and always get my questionsanswered.

1394 67607 Good NO n/a

1163 Good NO NA

1066 67601 Good NO No

1067 67637 Very Good NO No



1388 Very Good NO no


1429 67601 Very Good NO no

1494 67601 Very Good NO no

1005 67601 Very Good NO No! I feel that they are adequate.

1465 Very Good NO No.

1486 67601 Very Good NO None that I can think of at this time.

1154 67601 Very Good NO Not that I am aware

1289 67601 Good NO Not that we are aware of.

1126 67601 Poor NURSE HH Nursing staff HMC, home health care

1448 67601 Good NURSE school nursing - each school really needs a full time nurse on staff

1224 67601 Very Good NURSE We need a nurse more readily available at my child's school.

1408 67601 Good OBG SPEC DOCS

OB/GYN care could be improved. There is a limited amount of timeto spend with the provider and a limited amount of resourcesprovided to expecting mothers.

1166 67601 Very Poor OBG SPEC The OB unit

97

ID ZIP




1370 67672 Good OGB FINA BH

ob services need improved in ellis county. Increased affordable,accessible mental health (besides hpmh). Medical transportation.

1241 67637 Good OP Outpatient care.

1136 67601 Fair OPTH SPEC SURG Eye surgeons

1191 67601 Very Good ORTH SURG SPEC Better orthopedic surgeons.

1496 67601 Poor ORTH SPEC DOCS

Most people travel out of town for Orthopedic surgery, Haysorthopedic is pathetic ! Can't seem to keep the same doctor formore than a few years.

1020 67601 Good ORTH DOCS SCHED

Ortho clinic docs need more and better scheduling. Updateprocedures.

1368 67601 Very Good PEDS GAS PSY Anything pediatric, GI, psych.

1120 67601 Fair PEDS EMER Child care and ER

2009 67601 PEDS SPEC WAIT

Hays Med Center- Pediatrics, Difficulty to get in if a same day needarises.

1329 67601 Very Good PEDS ACC SPEC

It would be wonderful to have more pediatric specialists here ornearer to hays. So far,there are only a few in the area and manyfamilies have to travel several hours to see the providers. Thesefamilies lose income from missed work/create strained-stressedhealth because of the travel time and treatments/and there is a lossof community support that goes with traveling outside the area forservices.

1184 67637 Good PEDS

lack of pediatric services and poor follow up with peds from thepediatric office.

1299 67601 Fair PEDS FP More options for pediatrics and family care providers.

1103 67601 Good PEDS DOCS

More pediatric doctors. At Hays Med, when sick, I never get to seeour actual doctor.

1475 67601 Good PEDS NURSE SPEC

More pediatrician and nurses, more specializedareas(gastroenterologists), bigger facilities for cramped clinics

1092 67601 Good PEDS GENIMP

Need a hospital that can care for more complex pediatricneeds.Family support if a family member is hospitalized. Need aRonald McDonald house or something similar.

1138 67601 Very Good PEDS BH DOCS Need more services for autistic children

1115 67601 Good PEDS Pediatric care

1357 67601 Good PEDS SPEC DOCS

Pediatric care- you can never get an apt when you need one, whenyou set up your next apt I can never seem to get the primaryprovider my child is suppose to see. When we do get in our doctoris amazing though.

1004 67601 Good PEDS

Pediatric for admissions - not sick enough for an ICU type settingbut to sick to stay at home - this is not robust enough and notencouraged by our Peds docs - I would encourage a moreresources or aggressive county health in options in care andresources

1411 67601 Good PEDS SPEC DOCS Pediatrician specialists

1460 67602 Good PEDS HOSP pediatrics - especially in the hospital

1276 67637 Good PHAR In town pharmacy for Ellis.

1131 67601 Good PHAR STAFF Pharmacies understaffed

1027 67637 Good PHAR Pharmacy in Ellis

1305 67637 Good PHAR Pharmacy is needed.

1208 67601 Good PHAR

Regarding pharmacy - would be nice to have a year script so whenneeded is available. Out of town people often have to go back topharmacy for meds. Spend more time with patient, less computertime. A fresh glass of water, fluff pillow, back rub, etc. would benice.

1303 67601 Very Poor PHARM WELL DOCS

Yes, focus on wellness, quit prescribing drugs that do more harmand then require more drugs.

1436 Good PLAS GAS NEU Cosmetic surgeon Gastroenterologist Neurologists

1073 67601 Good PREV WELL We need more info and services for preventative health care.

1418 67601 Good PRIM PEDS ACC

Availability of primary care taking new patients. Availability ofseeing a pediatrician.

1362 67601 Very Good PRIM ACC BH Better access to primary care and mental health services.

1342 67513 Good PRIM ACC easier access to primary care

2017 PRIM HDEPT WELL expanded primary care and public health services

98

ID ZIP




1016 67637 Very Good PRIM More primary care doctors - so hard to get in.

1250 67601 Good PRIM More primary care options.

1446 67601 Very Good PRIM More Primary Care Physicians

1455 67601 Good PRIM more primary care physicians

1187 67601 Very Good PRIM ACC URG

More primary care physicians, expand Convenient Care ability toserve more patients.

1268 67601 Good PRIM More primary care physicians.

1333 67601 Poor PRIM

More primary care physicians. Hospital needs to work with thegood physicians to get them to stay in Hays instead of leaving.

1405 67601 Fair PRIM PEDS INS

more primary care/family practice doctors, very few are acceptingnew patients. Pediatric unit at HMC is terrible!!!! Only oneexperienced nurse and none of the other pediatric nurses knowwhat they are doing. I know several people that said they will neverbring their children to HMC for their childs needs, they will go all theway to Salina if needed because the care at HMC is so poor. Thelactation services at HMC are amazing and I feel that we need moreemployees focusing on this area, it is core measures and as of nowall we have is a part time employee. ER physicians know nothingabout taking care of pediatric or newborn patients. Mental heathfacilities are good in the area but very few people are able to get thehelp they need because of limitations with insurance companies.The hospital insurance is terrible and very few mental healthfacilities in the Hays area accept it. The health department needs tobe more community involved and educate better on breastfeedinginstead of just always giving formula.

1433 67601 Good PRIM NEU PUL More primary. Neurologist pulmonologist. iCU. eR

1499 67637 Good PRIM WAIT

Need more primary care and physicians that actually will take newpatients. HaysMed is slow to provide this.

1221 67601 Very Good PRIM Need more primary care physicians.

1141 67601 Good PRIM CLIN PEDS

Often there are not enough primary care physicians. They aren'taccepting new patients. The walk-in clinic has helped relieve someof these issues. I've often been told it's impossible to get into thepeds clinic with issues.

1312 67601 PRIM

Our primary care doctor does not have opening when we needthem.

1473 67601 Good PRIM primary care

1078 67601 PRIM Primary care.

1060 67601 Very Good PRIM We need more long term primary physicians.

1258 67601 Very Good PUL SPEC DOCS Need a lung specialist doctor at Hays Medical Center.

1437 67601 Fair PUL SPEC DOCS Pulmonary medicine

1414 67601 Good PUL NEU SPEC

Pulmonology is a speciality that needs to be added back into HMC.Neurology is another specialty that needs to be at HMC.

1275 67601 Good QUAL NURSE GENIMP

I spent 5 days in HMC in 2014 and not one nurse offered me atowel or washcloth to clean up or shower. I wore same gown those5 days!

1068 67637 Very Poor QUAL DOCS GENIMP

Need doctors who aren't arrogant and listen to the concerns of theirpatients. Also, would be helpful if they knew a little bit abouthealthcare.

1326 67601 QUAL PRIM NP

Need more educated, knowledgeable primary careproviders/physicians! Newer doctors ARNPS suck!

1335 67601 Good QUAL Need to be more friendlier

1180 67601 Good QUAL NURSE HH

Overall I hear that they like the fact that they can be seen andtreated for so many things (including specialties) local but thequality of care for inpatient is a complaint for Hays Med. They feellike either nurses are spread too thin or they just don't care. Manypeople tell me that they asked to get sent home early from hospitalstays because they feel they will get better care and their medicineson time at home.

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ID ZIP




1463 67637 Good QUAL EMER

Professionalism and customer service in the HaysMed Emergencyroom - it is extremely poor. The people working there do not treatothers with kindness and respect.

1193 67601 Very Poor QUAL EMER COMM

Providers that want to be there. Staff that have a personality andempathy. Treat each patient like it might be your own family, not likecrap, it's them - and you'd rather not be bothered. Empathy andcompassion. People that want to be the best at what they do. ER -need specialty doctor and ones that take calls. And if it was anemergency, we've been taught since young who to call, please, it isridiculous or at least push this button if it isn't an emergency.Communication is vital.

1288 676 Fair QUAL Quality of care - concern for patients versus the bottom line.

1492 67601 Good QUAL NURSE SPEC

service delivery is a concern at HMC; been inpatient several timesand care was below standard of attention -- long waits foranswering the call light, behind on medication schedule. Eitherunderstaffed or passive? Would be extremely beneficial to havetraveling specialists from other areas in the fields ofgastroenterology, endocrinology and rheumatology ... Ourcommunity would greatly benefit in having competent nursinghomes. Neglect and unskilled care serious issues in both. Frompersonal experience, our family called the state many times whileVia Christi has been in the new facility.

1140 67601 Good RESP NEURO SPEC

Need neurosurgeon and need neurologist for sure and a physicianfor respiratory care

1461 67601 Good RHE SPEC

Having a Rheumatologist serving through HaysMed would be veryhelpful.

1242 67601 Fair RHE SPEC No rheumatologist.

1076 67601 Fair SPEC ARTH Anything special have to leave Hays. Specialized for arthritis.

1100 67601 Good SPEC PEDS DOCS More specialists, better pediatrics - need more providers.

1235 67601 SPEC RHE Specialty areas - rheumatology.

1032 67601 Good SPEC ACC ALL

We need neurologists, endocrinologists, immunologists,allergists,pulmonologists, and primary care.

1267 67601 Poor SPEC DIAB NEU Yes, diabetic and neurology.

1377 67601 Good SPEC PEDS DOCS Yes, more pediatricians

1336 67601 Fair SPEC ENDO GAS

yes, we need an endocrinologist(s), GI Doctor(s), and someone likeDr. Benton and Dr. Kelly

1459 67637 Good SPEC INS

Yes. I feel like if Hays Med is going to bring in outside specialists,they should at least take the hospitals own insurance. This limits ahuge population from being able to benefit from these specialists.

1350 67601 Good SPEC OBG QUAL

Yes. I've been told to avoid the Hays area for any OBGYN care bymultiple other hospitals in other parts of the state, and by friendsand family members who have had bad experiences. There are alsono pediatricians taking new patients within 100 miles of Hays. Idon't understand how that can be possible for a town and hospitalof this size.

1197 67601 Good SURG SPEC Surgeons (knee and bone in general).

1263 67601 Good URG CLIN Urgent/non-emergency care

1318 67601 Very Good URL SPEC DOCS Urology needs improvement.

1352 67601 Very Good WAIT DAY COST

Child care in Ellis County is expensive (compared to surroundingcounties) and difficult to find people willing to take part timechildren, and also lack of daycare availableevenings/nights/weekends. I would like to see HaysMed provide adaycare facility for their employees.

1019 67601 Fair WELL AGE Fitness and health promotion for older adults.

1284 67601 Good WELL More wellness information at public events.

100

CHNA Reportcontact :

Vince Vandehaar, MBAVVV Marketing & Development, LLCAdjunct Professor / Professional HealthcareMarketing & Strategic Planning ConsultingServices

601 N Mahaffie, Olathe, KS 66061(913) 302-7264 (C)[email protected]

LinkedIn: vandehaarWebsite: VandehaarMarketing.com

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ellis county, ks - hays med · 22/01/2015 · this assessment was coordinated and produced by vvv...

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