BOARD OF COUNTY COMMISSIONERS Sublette County, Wyoming P.O. Box 250 PINEDALE, WY
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1 BOARD OF COUNTY COMMISSIONERS Sublette County, Wyoming P.O. Box 250 PINEDALE, WY March 30, 2016 Dear Questionnaire Participant, Welcome to the online Sublette County health care questionnaire. The Board of County Commissioners would like your opinion. This questionnaire is designed to help us understand our constituents interests and opinions regarding current health care questions and considerations, especially the proposal for a Critical Access Hospital. To fill out this questionnaire use Microsoft s Internet Explorer. If you do not have Internet Explorer, you will need to save or download it first and fill it out using your PDF viewer. This questionnaire cannot be submitted from a mobile device (e.g. iphone, ipad). Once finished, click the Submit button at the bottom of the document; this will send your results to the appropriate parties by . If the submit button does not work as suggested you can also attach the document to an and send to sublettequestionnaire@gmail.com. Regardless of whether you hit the submit button or the questionnaire, you will receive a confirmation that your questionnaire has been submitted. IF YOU DO NOT RECEIVE A CONFIRMATION , IT HAS NOT BEEN SUBMITTED. If you prefer, you may also print and mail this questionnaire. Mailed questionnaires will not receive a confirmation of receipt. You can mail printed questionnaires to: Sublette County Health Survey c/o Ecosystem Research Group, LLC 121 Hickory Street, Suite 3 Missoula, MT Thank you for your time and opinion. We appreciate it. If you have questions, please call Mary Lankford, Sublette County Clerk at Best regards, Andy Nelson Chairman
2 County Health Care Questionnaire Sublette Board of County Commissioners, in consultation with the Sublette County Rural Health Care District and Sublette Center, is soliciting feedback from citizens regarding the current and proposed health care resources available in Sublette County. Changes to the County s health care system are necessary due to a decrease in tax revenue. Options being considered to make up for the decrease in tax revenue include the following: (1) add a four-bed hospital to the Pinedale Clinic at a cost of approximately $6 million in order to qualify for Critical Access Hospital designation, which will increase insurance reimbursements and generate revenues, (2) decrease current medical services offered or hours available in order to decrease costs, and (3) increase mill levy taxes in order to maintain current health care services. Keeping this information in mind, please answer the following questions regarding health care in Sublette County. Section 1: Health Care in Sublette County The questions in this section will help us understand the health care services in Sublette County that are most important to you as well as your opinion of the health care services currently provided. 1. Which of the following family members have been the primary focus of your health care concerns in the past year Children Adults Seniors 2. Overall, how would you rate the quality of health care services provided by the Rural Health Care District Excellent Good Fair Poor 3. Overall, how would you rate the quality of health care services provided by Sublette Center (mark only one box)? Excellent Good Fair Poor 4. How important is it to you to have assisted living services in Sublette County Page 1 of 4
3 5. How important is it to you to have memory care (dementia related) services in Sublette County (mark only one box)? 6. How important is it to you that a new nursing home be constructed to replace the current nursing home (Sublette Center) 7. Sublette County has recently experienced a decrease in tax revenue. Do you agree or disagree that the recent decrease in tax revenue generated in the County has negatively impacted the Health Care District agree Agree Neither Disagree disagree Section 2: The Business of Health Care in Sublette County Questions in this section will help us understand your perspective regarding the business of health care in the County. 8. Rate your approval of the Health Care District s current administration (mark only one box). Neither 9. Rate your approval of Sublette Center s current administration (mark only one box). Neither 10. How would you approve of a merging of services between the Health Care District and Sublette Center Neither 11. How important is it to you that a proposed merger of the Health Care District and Sublette Center results in equal representation of both entities at the board level 12. How important is it to you that a proposed merger of the Health Care District and Sublette Center results in equal representation of both entities at the management level Page 2 of 4
4 13. How important is it to you that a proposed merger of the Health Care District and Sublette Center leads to lower operating costs 14. The Health Care District has proposed adding four hospital rooms to the Pinedale Clinic to qualify for a Critical Access Hospital designation that would allow for insurance reimbursement from Medicare A. This would increase future revenues without increasing costs for general patient treatments. Do you approve of the Health Care District s proposed Critical Access Hospital project Neither 15. The following are options designed to compensate for the decrease in tax revenue that is expected to go to the Health Care District. Which option do you prefer Increase taxes to maintain the current level of health care services provided by the Health Care District. Reduce the level of health care services provided by the Health Care District. 16. If the Health Care District is not able to obtain the designation as a Critical Access Hospital and remains as is, it may need to reduce the services it provides. How important to you are the following services (mark only one box for each service)? After hours emergency room services Current clinic office hours Ancillary services (i.e. lab services and x-ray services) Paid emergency medical services (as opposed to volunteer services) Most Important Important Neutral Unimportant Most Unimportant 17. Given the reduced tax revenue available to fund health care needs, are you willing to pay more into health care provided by Sublette County by approving an additional two mill levy? Yes No 18. Which is more important to you right now regarding the Health Care District Maintaining the quality of health care services currently provided by the Health Care District. Reduce the Health Care District s costs. Page 3 of 4
5 19. In order to have an informed opinion, I need more information regarding the building of the proposed Critical Access Hospital both in terms of the health benefits and the financial responsibilities (e.g. selecting strongly agree means you need more information) (mark only one box). agree Agree Neither Disagree disagree Section 3: Demographics The demographic questions in the following section cannot be used to identify you. However, they are important so that we can better understand your answers to the other questions. 20. What is the zip code of your primary residence in Sublette County Big Piney Bondurant Boulder Cora Daniel Marbleton Pinedale La Barge area 21. Please mark one box that corresponds with your age Section 4: Additional Comments Please use this space for any additional comments. Thank you for taking the time to complete this questionnaire. Please return it in the mail using the postage paid envelope. Page 4 of 4
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