Download Community Needs Assessment - Wickenburg Community Hospital

Greater Wickenburg Region
Community Health Needs Assessment
Final Report December 2016
Greater Wickenburg Region Community Health Needs Assessment – December 2016
Table of Contents
Introduction ………………………………………………………………………………………………………………………………………… 3
Acknowledgements ………………………………………………………………………………………………………………… 4
About Greater Wickenburg Region ……………………………………………………………………………………………………… 5
History of Wickenburg ……………………………………………………………………………………………………………. 6
Wickenburg Demographics ……………………………………………………………………………………….. 8
History and Demographics of Congress ….……………………………………………………………………………… 12
History and Demographics of Salome ……………………………………………………………………………………. 14
Market Overview …………………………………………………………………………………………………………………… 15
Wickenburg Community Hospital at a Glance ………………………………………………………………………… 21
Mission, Vision, and Values ……………………………………………………………………………………….. 22
Community Health Needs Assessment
Process/Methodology ……………………………………………………………………………………………………………. 23
Survey Results ……………………………………………………………………………………………………………………….. 24
Analysis of Findings ……………………………………………………………………………………………………………….. 40
Next Steps ………………………………………………………………………………………………………………………………………….. 43
CHNA Strategic Plan …………………………………………………………………..………………………………………….. 44
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Greater Wickenburg Region Community Health Needs Assessment – December 2016
Introduction
Beginning August 2016, Wickenburg Community Hospital in partnership with the Town of Wickenburg,
Wickenburg Chamber of Commerce, Wickenburg Unified School District, Wickenburg Ranch, and the
Wickenburg Health Care Coalition; a nonprofit, nonpartisan, community collaboration organized to
support a healthy, active lifestyle in the town of Wickenburg and surrounding areas, began conducting a
comprehensive, region-wide Community Health Needs Assessment.
A Community Health Needs Assessment (CHNA) is defined as:
The ongoing process for a hospital to evaluate the health needs of its region-wide service area
which facilitates a prioritization of needs and strategies to address them.
Our purpose for conducting the CHNA was to define the self-identified current health status of our
residents, what they identified as barriers to accessing health care, what types of services they are
currently using, a consensus definition that would constitute a healthy community, major health
challenges, and what would improve access to health care throughout our geographic region.
Results of the CHNA will be used to develop a comprehensive strategy for region-wide population heath
improvement in collaboration with our community partners and residents.
The CHNA also integrates well into the Hospital’s long-term strategic plan. Our vision to be the world
class health and wellness leader for all communities served was adopted by our Board of Directors in
2012. Our vision is implemented daily by staff and employees who fulfill our mission statement to
provide quality health and wellness services where the patient, family, and community come first.
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Greater Wickenburg Region Community Health Needs Assessment – December 2016
Acknowledgements
We would like to acknowledge our community partners, the members of the Wickenburg Health Care
Coalition, and the Project Team for their assistance in the development and distribution of the CHNA
survey. Their contributions provide invaluable and diverse insight into the issues most likely to be
relevant to our population. They also assisted greatly in the distribution of the survey to their clients,
employees, families, and other community members throughout the region. We look forward to
working with these same partners and expanding our collaborative efforts to include WCH Board of
Directors and others as we develop our CHNA Strategic Plan.
Community Partners
Town of Wickenburg, Josh Wright, Town Manager
Wickenburg Chamber of Commerce, Julie Brooks, Executive Director
Wickenburg Unified School District, Howard C. Carlson, Ed.D., Superintendent
Wickenburg Ranch, Tarah Mayerhofer, Members Services Manager
Wickenburg Health Care Coalition
The Meadows, Alan Benham, Chairman
Wickenburg Fire Department, Ed Temerowski, Vice Chairman
Hospice of the Valley, Amie Boucher, Secretary
Air Evac, Louise Sandoval, Treasurer
2016 Project Team
Linda Brockwell RN, Chief Nursing Officer
Peter Stachowicz, Director of Ambulatory Services
Karen Smith RN, Quality and Infection Prevention Manager
Jo Haga, Laboratory Manager
Brenda Kohler, HIM Manager
Brenda Crissman, Community Awareness Manager
WCH Board of Directors
Dee Pollock, Chairman
Maureen Serrano, Secretary
Todd Kravetz MD, Chief of Staff
Betsy Diebel, Director
Gary Turner, Director
Kevin Cloe, Director
Troy Jones DDS, Director
Richard Abbuhl MD JD, Vice Chairman
Brian Warnock JD, Treasurer
Jim Tavary, President & CEO
Bobby E. Johnson, Director
John Cook, Director
Rich Newman, Director
Leonard Kirschner MD, Ex-officio
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Greater Wickenburg Region Community Health Needs Assessment – December 2016
About the Geographic Region
Wickenburg Community Hospital serves a large geographic region between Surprise, Arizona and the
Prescott Valley, including Highway 93 – a major thoroughfare to Las Vegas, Nevada.
Primary Service Area
Wickenburg
Congress
Yarnell
Salome
85390
85332
85362
85348
Secondary Service Area
Kirkland
Morristown
Wittman
85390
85332
85362
•
•
Dark green = primary service area
Light green = secondary service area
SOURCE: ESI Corporation
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Greater Wickenburg Region Community Health Needs Assessment – December 2016
History of Wickenburg, Arizona
Words like tradition and authenticity aren’t just jargon and babble in Wickenburg. We are tradition. We
are authentic. And Wickenburg fills a glorious chapter in the history of Arizona and the West. Though
less than an hour away (54 freeway miles) from the hustle and bustle of modern Phoenix, Arizona’s
most western community stands guarded from the metropolitan masses.
After all, Mother Nature herself kissed Wickenburg. Resting on the northern edge of the Sonoran
Desert, just below Arizona’s mountainous country, the Wickenburg area abounds in natural beauty.
Stoic saguaros. Shadow mountains. Lush desert flanking the river. And while the area’s geological
treasures attracted the miners from around the world, the Hassayampa River flood plain provided fertile
soil for farming and ranching.
For centuries, the western Yavapai (or Tolkapaya as they called themselves), made the banks of this
oasis their home, irrigating their crops of corn, beans, squash, and tobacco with river water. They
named this place Haseyamo, “following the water as far as it goes,” from which the word Hassayampa
derived.
Though within the claimed territories, neither the Spanish Empire nor the Mexican Republic ever
extended their authority this far north. However, Hispanic culture and trade did reach the Yavapai tribe
which was Wickenburg’s first family.
In the early 1820’s, stalwart hunters and trappers
explored the Hassayampa River in search of beavers,
whose pelts were sold to hat makers back east and in
Europe. Their reports helped pique American interest
in the West. The Wickenburg area and much of the
West became part of the United States following the
Mexican American War in 1848.
An 1862 gold strike on the Colorado River near
present-day Yuma inspired hardy prospectors and
miners, predominantly from California and Mexico, to
search for minerals
throughout central Arizona.
The names of these Argonauts now grace many of the surrounding geographic
landmarks, including the Weaver Mountains and Peeple’s Valley.
Among the gold searches was the adventurer, Henry Wickenburg. He came
from far-off lands, lured by the dream of abundant gold. He quest was
rewarded by the discovery of the Vulture Mine, where over $30 million in gold
has been dug from the ground. Throughout the foothills surrounding
Wickenburg are relics of other mines that stand as a tribute to the pioneer
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Greater Wickenburg Region Community Health Needs Assessment – December 2016
miner and prospector. The mining lore of the region, past and present, adds much to the charm of the
area.
Ranchers and farmers who built homes along the fertile plain of the Hassayampa River accompanied the
miners. Many of the resourceful and committed settlers came from Sonora, Mexico, giving this area the
distinction of being the northern edge of the Hispanic ranching frontier. Together with Henry
Wickenburg and the miners, they helped found the young community of Wickenburg in 1863.
The infant town went through many trials and tribulations in those first decades, surviving Indian wars,
mine closures, desperadoes, drought, and a disastrous flood in 1890 when the Walnut Creek Dam burst,
killing nearly 70. Through it all, the town continued to grow. Its prosperity was issued with the coming
of the railroad in 1895. The historic depot still stands today as the Wickenburg Chamber of Commerce
and Visitor’s Center.
Along the town’s main historic district, early businesses built beautiful structures that still grace
Wickenburg’s downtown area. The abundant clean air and wide-open spaces attracted a whole new
and exciting aspect of the Wickenburg neighborhood. Guest ranches offered a unique western
experience to tourists who fell in love with the West. The Bar FX Ranch became the first true guest
ranch in 1923, followed by the Remudas, Kay El Bar, Rancho de los Caballeros, and Flying E ranches, just
to mention a few. The construction of the Phoenix to California highway (Highway 60) brought even
more tourists, making Wickenburg the Dude Ranch Capital of the World. Today, some of these ranches
still offer their unique brand of Western hospitality
and are among the reasons True West Magazine
recognized Wickenburg among the 10 best Western
towns in the world.
The Hassayampa community became a vital
contributor to America’s patriotic war effort during
World War II when the US Army trained thousands
of men to fly gliders at a newly constructed airfield
west of Wickenburg. After the War, modern
pioneers and home builders developed Wickenburg into a splendid American community. Wickenburg
of today is a modern town with over 600 businesses providing a full range of accommodations, services,
shopping, conveniences, specialty shops and galleries for gifts of western distinction.
SOURCE: Town of Wickenburg
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Greater Wickenburg Region Community Health Needs Assessment – December 2016
Town of Wickenburg Information
Business Information
Business
Phone Number
Wickenburg Chamber of Commerce
928-684-5479
Out Wickenburg Way
928-684-0977
Elevation
Location
Wickenburg
Airport
Elevation
2,100 Feet
2,386 Feet
Events
Event Organization
Phone Number
Wickenburg Chamber of Commerce
928-684-5479
Out Wickenburg Way
Hospital
Hospital
Phone Number
Wickenburg Community Hospital
928-684-5421
Location Information
Location Data
Latitude
Longitude
Distance to Phoenix
Distance to Tucson
Highways
Our Counties
Data
33 Degrees, 58.4 Minutes North
112 Degrees, 47.91 Minutes West
58 Miles
169 Miles
US 60 and 93
Maricopa County and Yavapai
County
Newspaper
Newspaper
Phone Number
Wickenburg Sun (Weekly)
928-684-5454
Performing Arts
Art Center
Phone Number
Del E. Webb Center
928-684-6624
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Greater Wickenburg Region Community Health Needs Assessment – December 2016
Population
Census
2000 Census
2005 Census
2010 Census
2016 Maricopa Association of Governments' (MAG)
Population
5,082 in town
6,077 in town
6,363 in town
7,004 in town
Schools
School
Wickenburg School District
Wickenburg High School
Vulture Peak Middle School
Hassayampa Elementary School
Wickenburg Christian Academy - Preschool to 12th
Phone Number
928-668-5350
928-684-6600
928-684-6700
928-684-6750
928-684-5916
Employer
Full Time
Employees
236
200
160
136
102
100
87
85
60
Part-Time
Employees
51
60
None
56
56
None
11
None
None
Temperature
Daily Maximum
64.5
67.9
73.3
81.5
90.6
100.2
103.6
101.1
96.2
85.7
73.7
65.4
83.6
Average Total
Precipitation (Inches)
1.16
1.22
1.04
0.49
0.17
0.13
1.29
1.90
1.12
0.65
0.75
1.18
11.11
The Meadows
Wickenburg Community Hospital
Rosewood Treatment Center
Wickenburg School District
Remuda Ranch
Rancho de los Caballeros
Town of Wickenburg
Safeway
Bashas'
Month
January
February
March
April
May
June
July
August
September
October
November
December
Yearly Average
Average
Daily Minimum
31.2
34.3
38.4
43.
50.4
58.7
69.6
68.7
60.5
48.5
37.7
31.5
47.7
SOURCE: Town of Wickenburg
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History of Congress, Arizona
On March 25, 1884 Dennis May discovered the gold mine responsible for the boom in Congress. The
mine was worked and then sold in 1887 and again in 1894 when the flourishing period began. Congress
was a growing mining town that employed more than 400 men during its heyday. Santa Fe, Prescott,
and Phoenix Railroads passed three miles from town in 1893. In 1899 Congress Consolidated Railroad
was finished between the mine and Congress. The functional stop became known as Congress Junction
and gave this little community life outside of the mine.
There were two sections in town: Mill Town and Lower Town. Mill Town was close to the mines and
included company offices, one hospital, and living quarters. Lower Town was located to the south and
incorporated shopping areas such as restaurants, a mercantile, saloon, two churches, a post office, and
one school. Many structures are still seen today including the old cemetery.
SOURCE: Bobby Zlatervski
Town of Congress Information
Congress is a census-designated place in Yavapai County, Arizona. Once a gold mining ghost town,
Congress now serves as a retirement and bedroom community for nearby Wickenburg.
Demographics
Population in 2010
1,975
Males
Females
912 (46.2%)
1,063 (53.8%)
Median resident age
AZ median age
66.3 years
36.8 years
Median household
Income
Congress
Arizona
$35, 391
$48,510
Median house/condo
Congress
Arizona
$112,525
$166,000
Median gross rent
$584
Race
White alone
Hispanic
1,692 (86.7%)
226 (11.4%)
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Greater Wickenburg Region Community Health Needs Assessment – December 2016
Two or more races
American Indian alone
Black alone
Asian alone
Native Hawaiian and
Other Pacific Islander
28 (1.4%)
13 (.7%)
9 (.6%)
6 (.3%)
3 (.2%)
Most common industries
Transportation and
Warehousing
(29%)
Agriculture
(15%)
Accommodation and
Food Services
(15%)
Professional
(14%)
Retail
(13%)
Finance/insurance
(12%)
SOURCE: City Data
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Greater Wickenburg Region Community Health Needs Assessment – December 2016
History of Salome, Arizona
The town of Salome is in the beautiful McMullen Valley, between the Harquahala and Harcuvar
Mountain Ranges on Hwy 60 between Wickenburg and Quartzsite. Established in 1904 by American
humorist Dick Wick Hall and others, Salome soon became the home of the Salome Sun, a newsletter
containing tall tales and humorous prose.
Demographics
Population in 2010
1,530
Education
(10%)
Males
Females
844 (55.2%)
686 (44.8%)
SOURCE:
City Data
Median resident age
AZ median age
60.4 years
36.8 years
Median household
Income
Salome
Arizona
$34, 936
$48,510
Median house/condo
Salome
Arizona
$88,781
$166,000
Median gross rent
$581
Race
White alone
Hispanic
Two or more races
American Indian alone
Black alone
Asian alone
Native Hawaiian and
Other Pacific Islander
1,266 (82%)
241 (16.8%)
16 (1%)
4 (.3%)
6 (.3%)
6 (.4%)
3 (.2%)
Most common industries
Transportation and
Warehousing
(3%)
Agriculture
(41%)
Accommodation and
Food Services
(26%)
Professional
(4%)
Retail
(10%)
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Market Overview
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Greater Wickenburg Region Community Health Needs Assessment – December 2016
Wickenburg Community Hospital at a Glance
Wickenburg Community Hospital is a non-profit organization owned and operated by its citizens.
Established in 1926 and like the tenacious Western spirit that built Wickenburg, our Community Hospital
and Clinics are committed to quality health and wellness services where the patient, family, and
community come first. We promise to:




Serve all patients
Offer discounted fees for patients who qualify
Not deny services based on a person’s race, color, sex, national origin, disability, religion, or sexual
orientation
Accept contracted insurance plans, including Medicare and AHCCCS
Wickenburg Community Hospital is federally designated as a Critical Access Hospital and state
designated as a Level IV Trauma Center supporting the needs of residents and surrounding rural
communities within approximately 3,300 square miles. Our campus includes Specialized Emergency
Medicine, Advanced Life Saving Technology, Critical Cardiac Care, Mayo Clinic Telestroke Partner,
Community Clinics, Surgical and Diagnostic Services, Licensed 19 Bed Acute Care Unit, Laboratory,
Medical Imaging, Cardiopulmonary, Pharmacy, Rehabilitation Center, Infusion Center, Wound Care
Center, Fitness Center, Laser & Rejuvenation Center, Internal Medicine, Family Medicine, Sports
Medicine, Allergy Program, Interventional Pain Management Program, Venous Insufficiency
Program, and Visiting Specialty Physicians.
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Greater Wickenburg Region Community Health Needs Assessment – December 2016
Mission, Vision, and Values
Our mission is to provide quality health and wellness services where the patient, family, and community
come first.
Our vision is to be the world class health and wellness leader for all communities served.
Our values
Commitment: To fulfill the health and wellness needs of our communities.
Integrity: Honesty, sincerity, and truthfulness reflected in everything we do.
Empathy: We care for patients and family with sensitivity and compassion.
Accountability: We make practical and prudent decisions insuring our future viability.
Excellence: We measure our performance by world class standards.
Creativity: We apply our unique talents and ideas to better serve our communities.
Teamwork: We foster effective partnerships and alliances.
Affordability: We will offer programs and services at the most reasonable cost allowed.
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Greater Wickenburg Region Community Health Needs Assessment – December 2016
Process/Methodology
The development of the CHNA survey process began with the formation of the 2016 Project Team in
August. A decision was made to use the survey format successfully implemented by the 2013 Project
Team and partners. The survey was not altered in any fashion as it was certain amongst the Team that
contributions provided by those in 2013 remained invaluable and diverse into the issues most likely to
be relevant to our population. It was also desired amongst the 2016 Project Team to evaluate 2016 data
alongside 2013 data in order to facilitate a comprehensive prioritization of needs and strategies to
address them.
The survey was delivered both in English and in Spanish, electronically and by paper to meet the needs
of the majority of residents in the regional service area. Distribution of the survey was accomplished
through community partnerships with the Town of Wickenburg, Wickenburg Chamber of Commerce,
Wickenburg Unified School District, Wickenburg Ranch, and the Wickenburg Health Care Coalition; a
nonprofit, nonpartisan, community collaboration organized to support a healthy, active lifestyle in the
town of Wickenburg and surrounding areas, and by notification in the town newspaper.
Wickenburg Community Hospital and each community partner distributed the survey electronically
and/or by paper to their clients, employees, families, and other community members throughout the
region. Also published display ads in the town newspaper encouraged regional residents to take the
anonymous survey online through Survey Monkey or by paper which was distributed and collected
throughout the region at various locations.
In all cases and by all methods of distribution, respondents were assured of the anonymity of their
responses and the fact that no personal identifying information was being collected in any manner. 207
persons participated in the process, which is an approximate 40% increase as compared to 2013
participation (148). While the aggregate response numbers were lower than anticipated, the 2016
Project Team was satisfied that the participation level was statistically significant.
The 2016 Project Team met on several occasions to review, discuss, and analyze survey results. After
completing thorough analysis and discussion, the Team outlined areas of prioritization and developed a
CHNA Strategic Plan to address them. The CHNA Strategic Plan may be found at the end of this report.
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Greater Wickenburg Region Community Health Needs Assessment – December 2016
Survey Results
Respondents – A total of 207 surveys were collected online by Survey Monkey and by paper. All paper
survey results were then entered into the electronic version for ease in evaluation and analysis. Of the
207 surveys, not one survey was fully completed. The Majority of respondents were residents of
Wickenburg (72.7%), followed by Congress (11.1%), and then Morristown (5.6%).
2013 participant numbers are included alongside 2016 result data in order to facilitate a comprehensive
prioritization of needs and strategies to address them.
Survey questions (50) and results correspond to the order in which they were asked.
WCH Community Health Needs Assessment 2016
1. Where do you live?
Answer Options
Response
Percent
Response
Count
2013
Aguila
Bagdad
Circle City
Congress
Morristown
Peeples Valley
Salome
Wenden
Wickenburg
Wittman
Yarnell
1.5%
0.0%
0.5%
11.1%
5.6%
1.0%
3.5%
0.5%
72.7%
2.5%
1.0%
3
0
1
22
11
2
7
1
144
5
2
3
2
0
19
5
0
12
2
96
3
0
answered question
skipped question
144
4
198
9
2. How do you learn about health services available in your local area?
Answer Options
Word of mouth
Website/Internet
Social Media (Facebook, Twitter, etc...)
Health Care Provider
News Paper
Mailings
Public Health
Church
Presentations
Other (please specify)
Response
Percent
Response
Count
2013
47.8%
10.8%
0.5%
25.3%
13.4%
0.0%
1.1%
0.0%
1.1%
89
20
1
47
25
0
2
0
2
18
88
21
3
50
53
16
0
4
9
11
answered question
skipped question
186
21
132
16
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Greater Wickenburg Region Community Health Needs Assessment – December 2016
3. Do you have a regular doctor or healthcare provider, in general, in the last 12
months?
Answer Options
Yes
No
Response
Percent
Response
Count
2013
87.0%
13.0%
174
26
128
12
answered question
skipped question
140
8
200
7
4. How satisfied are you with the health care you have received, in general, in the last
12 months?
Answer Options
Very Satisfied
Satisfied
Somewhat Satisfied
Not Satisfied
Very Disappointed
N/A
Response
Percent
Response
Count
2013
41.0%
35.0%
13.5%
3.5%
1.0%
6.0%
82
70
27
7
2
12
47
61
15
7
1
8
answered question
skipped question
139
9
200
7
5. Which of the following services have you or a member of your family used in the
past 12 months?Check all that apply.
Answer Options
Well Baby or Well Child Check UP
Cholesterol Check
Colonoscopy
Flu Shot
Pneumonia Shot
Tdap Shot
Mammography
Pap Smear
Routine Blood Pressure Check
Routine Blood Sugar Check
Routine/Annual Health Check Up
Routine Dental Care
Vaccinations
Taken a Matter of Balance Class
Taken a Chronic Disease Self-Management Class
Prostate (PSA) Check
None
Other (please specify)
Response
Percent
Response
Count
2013
9.3%
45.9%
13.4%
54.1%
18.6%
3.6%
32.5%
14.9%
53.6%
32.5%
53.1%
39.2%
14.4%
0.5%
0.5%
14.9%
7.2%
18
89
26
105
36
7
63
29
104
63
103
76
28
1
1
29
14
16
13
75
17
92
7
8
59
24
74
51
65
70
22
0
0
24
11
16
answered question
194
133
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Greater Wickenburg Region Community Health Needs Assessment – December 2016
skipped question
15
13
6. In the past 12 months, have you or a member of your family received care in a
hospital? (i.e., hospitalized overnight, emergency room, day surgery, obstetrical care,
rehabilitation, radiology, labs, etc...)
Answer Options
Yes
No
Response
Percent
Response
Count
2013
60.6%
39.4%
117
76
70
63
answered question
skipped question
133
15
193
14
7. Thinking about the hospital you use or would use most frequently, what are the 3
most important reasons for selecting that hospital?
Answer Options
Cost of care
Close to home
Closest to work
Hospital's reputation for quality
Prior experience with hospital
Recommendation by family/friends
Referred by healthcare provider
Required by insurance plan
VA/Military requirement
Other (please specify)
Response
Percent
Response
Count
2013
26.0%
64.6%
7.3%
54.2%
37.0%
16.7%
32.8%
24.5%
1.6%
50
124
14
104
71
32
63
47
3
2
32
73
8
70
46
29
56
27
3
0
answered question
skipped question
133
15
192
15
8. If you or a member of your family needed to be hospitalized in the future, where
would that hospital be located?
Answer Options
Wickenburg
Phoenix
Prescott
Other Hospital in Arizona
VA
Hospital Outside of the United States
Other (please specify)
Response
Percent
Response
Count
2013
59.9%
32.6%
0.6%
5.8%
0.6%
0.6%
103
56
1
10
1
1
26
56
49
1
10
1
0
27
answered question
skipped question
172
35
117
31
9. In the past 12 months, have you gone to a hospital emergency room to get medical
care for yourself or a member of your family?
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Greater Wickenburg Region Community Health Needs Assessment – December 2016
Answer Options
Yes
No
Do not recall
Response
Percent
Response
Count
2013
40.8%
58.6%
0.5%
78
112
1
52
80
1
answered question
skipped question
133
15
191
16
10. Why did you go to the emergency room?
Answer Options
Serious illness or injury
I do not have a regular health provider
Could not get an appointment soon enough with my
regular healthcare provider
Could not get to my regular healthcare provider
when office was open
Directed to go there by the healthcare provider
Did not know where else to go
Other (please specify)
Response
Percent
Response
Count
75.6%
2.4%
62
2
6.1%
5
2.4%
2
9.8%
3.7%
8
3
20
answered question
skipped question
2013
38
2
3
3
5
2
13
46
102
82
125
11. In the last 12 months, how many times did you go to a hospital emergency room?
Answer Options
Response
Percent
Response
Count
2013
None
1 time
2-3 times
4 or more times
60.5%
23.2%
13.0%
3.2%
112
43
24
6
88
35
7
2
answered question
skipped question
132
16
185
22
12. Do you have medical insurance for yourself and/or your family?
Answer Options
Yes, for everyone in my household
Yes, only for myself
Yes, only for my spouse (significant other)
Yes, for myself and my spouse (significant other)
No
Other (please specify)
Response
Percent
Response
Count
2013
55.9%
23.9%
1.1%
17.6%
1.6%
105
45
2
33
3
4
65
33
4
26
1
3
answered question
skipped question
188
19
132
16
Page 27 of 44
Greater Wickenburg Region Community Health Needs Assessment – December 2016
13. How do you pay for prescription medications?
Answer Options
I have insurance that covers all or part of
prescription medications
I have insurance that covers part of prescription
medications. I purchase medications in another
country to reduce costs.
I don't have insurance. I take prescription
medications less often.
I don't have insurance. I do not fill prescriptions I am
given.
I don't have insurance. I pay for prescription
medications myself.
I don't have insurance. I purchase medications in
another country to reduce costs.
I can't afford the costs. I don't take prescription
medications.
Not applicable. I am not taking any prescription
medications
Other (please specify)
Response
Percent
Response
Count
81.9%
154
5.9%
11
0.5%
1
0.5%
1
4.3%
8
0.5%
1
0.5%
1
5.9%
11
2013
115
4
0
9
9
0
0
8
3
4
answered question
skipped question
132
16
188
19
14. Have you seen a dentist in the last 12 months?
Answer Options
Yes
No
Not sure
Response
Percent
Response
Count
2013
66.3%
33.2%
0.5%
126
63
1
99
33
1
answered question
skipped question
133
15
190
17
15. How would you rate your overall health?
Answer Options
Very good
Good
Fair
Poor
Very Poor
Response
Percent
Response
Count
2013
25.9%
50.3%
20.6%
2.1%
1.1%
49
95
39
4
2
35
73
19
4
0
answered question
skipped question
189
18
131
17
Page 28 of 44
Greater Wickenburg Region Community Health Needs Assessment – December 2016
16. Do you have any of the following diseases or health problems? Check all that
apply.
Answer Options
None
Arthritis, Rheumatism
Back or Neck Pain
Bone or Joint Injury
Cancer
Mental Illness
Diabetes
Heart Disease
Hypertension or High Blood Pressure
Lung or Breathing Challenges (Asthma, COPD)
Walking, Mobility Problems
Stroke
Alzheimer's Disease
Other (please specify)
Response
Percent
Response
Count
2013
33.3%
27.5%
31.6%
9.4%
3.5%
1.8%
9.9%
9.4%
31.6%
9.4%
8.2%
1.8%
0.0%
57
47
54
16
6
3
17
16
54
16
14
3
0
16
38
35
40
19
9
3
12
9
35
16
13
4
0
3
answered question
skipped question
125
23
171
36
17. Describe your current level of physical activity or exercise.
Answer Options
I do vigorous activity that causes heavy sweating or
a large increase in heart rate.
I do moderate activity that causes light sweating or a
slight increase in heart rate.
I do light activity that does not cause sweating or an
increase in heart rate.
I don't do any physical activity.
Response
Percent
Response
Count
10.2%
19
50.8%
95
33.2%
62
5.9%
11
answered question
skipped question
2013
22
72
32
6
132
16
187
20
18. Tell us how you feel about your weight.
Answer Options
I believe my weight is just right.
I believe I am underweight.
I believe I am overweight.
I believe I am obese.
I believe I am very obese.
I don't know.
Response
Percent
Response
Count
2013
31.4%
1.1%
54.3%
9.6%
3.7%
0.0%
59
2
102
18
7
0
40
4
70
12
2
1
answered question
skipped question
188
19
129
19
Page 29 of 44
Greater Wickenburg Region Community Health Needs Assessment – December 2016
19. In the last three months, did you have enough money to feed your family?
Answer Options
No
Sometimes
Always
Response
Percent
Response
Count
2013
1.6%
8.7%
89.7%
3
16
165
0
15
133
answered question
skipped question
128
20
184
23
20. How many times per week do you or member of your family eat fast food or food
from a convenience store?
Answer Options
Never
1-2 times per week
3-5 times per week
6-10 times per week
More than 10 times per week
Response
Percent
Response
Count
2013
37.8%
54.6%
5.4%
2.2%
0.0%
70
101
10
4
0
46
75
6
0
0
answered question
skipped question
127
21
185
22
21. Do you currently smoke or use smokeless tobacco?
Answer Options
Yes
No
Response
Percent
Response
Count
2013
12.8%
87.2%
24
164
14
16
answered question
skipped question
130
18
188
19
22. For how long have you smoked or used smokeless tobacco?
Answer Options
Less than 1 year
1-5 years
6-10 years
More than 10 years
Response
Percent
Response
Count
2013
3.0%
9.1%
18.2%
69.7%
1
3
6
23
0
2
3
13
answered question
skipped question
33
174
91
57
23. Would you like to quit?
Page 30 of 44
Greater Wickenburg Region Community Health Needs Assessment – December 2016
Answer Options
Yes
No
Maybe
Response
Percent
Response
Count
2013
50.0%
26.9%
23.1%
13
7
6
6
0
67
answered question
skipped question
80
68
26
181
24. If you would like to quit, do you now where to go for help if you needed it?
Answer Options
Yes
No
I don't know
Other (please specify)
Response
Percent
Response
Count
2013
69.6%
13.0%
17.4%
16
3
4
4
26
5
7
3
answered question
skipped question
38
110
23
184
25. Have you ever been told by a doctor or health care provider that you have high
blood pressure?
Answer Options
Yes
No
Not sure
Response
Percent
Response
Count
2013
42.0%
55.9%
2.1%
79
105
4
53
75
3
answered question
skipped question
131
17
188
19
26. Did a doctor or health care provider ever prescribe medication for you for high
blood pressure?
Answer Options
Yes
No
Not sure
Response
Percent
Response
Count
2013
44.0%
54.8%
1.2%
73
91
2
47
63
0
answered question
skipped question
130
18
166
41
27. Are you currently taking a prescription medication for high blood pressure?
Answer Options
Yes
No
Response
Percent
Response
Count
2013
36.5%
63.5%
62
108
40
88
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Greater Wickenburg Region Community Health Needs Assessment – December 2016
Not sure
I am supposed to be taking medicine but can't afford
to pay for it.
0.0%
0
0.0%
0
answered question
skipped question
1
0
129
19
170
37
28. Have you ever been told by a doctor or health care provider that you have high
cholesterol?
Answer Options
Yes
No
Not sure
Response
Percent
Response
Count
2013
43.0%
56.5%
0.5%
80
105
1
57
68
4
answered question
skipped question
129
19
186
21
29. Did a doctor or health care provider ever prescribe medication for you for high
cholesterol?
Answer Options
Yes
No
Not sure
Response
Percent
Response
Count
2013
33.5%
65.9%
0.6%
56
110
1
45
77
1
answered question
skipped question
123
25
167
40
30. Are you currently taking a prescription medication for high cholesterol?
Answer Options
Yes
No
Not sure
I am supposed to be taking medicine but can't afford
to pay for it.
Response
Percent
Response
Count
24.6%
74.3%
0.0%
42
127
0
1.2%
2
answered question
skipped question
2013
30
96
1
0
127
21
171
36
31. Have you ever been told by a doctor or health care provider that you have high
blood sugar or diabetes?
Answer Options
Yes
No
Not sure
Response
Percent
Response
Count
2013
16.8%
81.0%
2.2%
31
149
4
17
110
3
answered question
184
130
Page 32 of 44
Greater Wickenburg Region Community Health Needs Assessment – December 2016
skipped question
18
23
32. Did a doctor or health care provider ever prescribe medication for you for high
blood sugar or diabetes?
Answer Options
Yes
No
Not sure
Response
Percent
Response
Count
2013
15.9%
84.1%
0.0%
25
132
0
14
106
1
answered question
skipped question
121
27
157
50
33. Are you currently taking a prescription medication for high blood sugar or
diabetes?
Answer Options
Yes
No
Not sure
I am supposed to be taking medicine but can't afford
to pay for it.
Response
Percent
Response
Count
12.5%
86.9%
0.0%
20
139
0
0.6%
1
answered question
skipped question
2013
14
109
0
0
123
25
160
47
34. Do you have any children (yours or in your care, such as a grandchild) under 3
years of age?
Answer Options
Yes
No
Response
Percent
Response
Count
2013
8.3%
91.7%
15
166
13
115
answered question
skipped question
128
20
181
26
35. Are the children's immunizations all current?
Answer Options
Yes
No
Not sure
Response
Percent
Response
Count
2013
82.5%
10.5%
7.0%
47
6
4
32
5
5
answered question
skipped question
57
150
42
106
36. Please tell us why these children have not been immunized? Check all that
apply.
Page 33 of 44
Greater Wickenburg Region Community Health Needs Assessment – December 2016
Answer Options
I can't afford it
Medical reasons
Religious reasons
I can't get a convenient appointment
Personal reasons
I don't believe in immunizations
I believe immunizations cause other medical
problems
I was not aware immunizations were recommended
Other (please specify)
Response
Percent
Response
Count
100.0%
0.0%
0.0%
0.0%
0.0%
0.0%
1
0
0
0
0
0
0.0%
0
0.0%
0
7
answered question
skipped question
2013
0
0
0
0
2
0
1
0
7
3
145
1
206
37. In the last 12 months, which community health resources have you used and
where have you gone to get medical care for yourself or your family? Check all that
apply.
Answer Options
Doctor's Office or Clinic
Urgent Care
Hospital (ER, Outpatient, Inpatient, Labor/Delivery)
Dentist
Pharmacy
VA
Public Health Department
Area Agency on Aging
Other (please specify)
Response
Percent
Response
Count
2013
95.1%
13.0%
40.2%
52.2%
53.3%
2.7%
1.1%
0.0%
7.1%
175
24
74
96
98
5
2
0
13
115
11
43
81
86
5
0
0
7
answered question
skipped question
123
25
184
23
38. What is the name or location of the place where you received medical care?
Answer Options
Wickenburg
Phoenix
Prescott
Other Hospital in Arizona
VA
Hospital Outside of the United States
Other (please specify)
Response
Percent
Response
Count
2013
81.0%
14.3%
1.2%
3.0%
0.0%
0.6%
136
24
2
5
0
1
38
110
47
7
5
5
1
21
answered question
skipped question
168
39
120
28
Page 34 of 44
Greater Wickenburg Region Community Health Needs Assessment – December 2016
39. If you routinely seek health care outside of your community, why? Check all that
apply.
Answer Options
Cost of Care
Closer to Work
Quality of Equipment
Quality of Staff
Prior Relationship with Provider
More Privacy
Required by Insurance Plan
VA/Military Requirement
N/A-Only use Local Services
Other (please specify)
Response
Percent
Response
Count
2013
17.0%
6.3%
16.1%
19.6%
32.1%
9.8%
17.0%
1.8%
22.3%
19
7
18
22
36
11
19
2
25
22
17
4
11
28
22
14
12
3
15
24
answered question
skipped question
83
65
112
95
40. In the past 3 years have you or a member of your family seen a health care
specialist (other than your primary care provider/family doctor) for healthcare?
Answer Options
Yes
No
Response
Percent
Response
Count
2013
78.5%
21.5%
139
38
107
21
answered question
skipped question
128
20
177
30
41. What type of healthcare specialist was seen? Check all that apply.
Answer Options
Allergist
Cancer Doctor
Cardiologist
Chiropractor
Dentist
Dermatologist
Dietician
Endocrinologist
ENT (Ear, Nose, Throat)
Gastroenterologist
General Surgeon
neurologist
Mental Health Counselor
Neurosurgeon
Obstetrician/Gynecologist
Occupational Therapist
Oncologist
Response
Percent
Response
Count
2013
7.6%
10.3%
36.6%
9.7%
40.7%
24.8%
2.1%
9.7%
12.4%
22.1%
7.6%
10.3%
3.4%
4.1%
13.1%
1.4%
8.3%
11
15
53
14
59
36
3
14
18
32
11
15
5
6
19
2
12
6
7
32
14
62
26
2
11
18
25
8
6
7
6
14
2
6
Page 35 of 44
Greater Wickenburg Region Community Health Needs Assessment – December 2016
25.5%
15.2%
6.2%
24.1%
1.4%
1.4%
5.5%
14.5%
5.5%
0.7%
0.7%
0.7%
15.9%
Ophthalmologist (Eye Doctor)
Orthopedic Surgeon
Pediatrician
Physical Therapist
Psychiatrist (MD)
Psychologist
Pulmonologist
Radiologist
Rheumatologist
Speech Therapist
Social Worker
Substance Abuse Counselor
Urologist
Other (please specify)
34
16
9
26
5
2
4
16
3
2
0
1
18
8
37
22
9
35
2
2
8
21
8
1
1
1
23
21
answered question
skipped question
107
41
145
62
42. In the last 12 months, have you delayed medical care because you were not able
to pay for it?
Answer Options
No
Yes, 1 Time
Yes, 2-3 Times
Yes, 4 or More Times
Response
Percent
Response
Count
2013
78.1%
8.7%
8.7%
4.4%
143
16
16
8
95
14
13
5
answered question
skipped question
127
21
183
24
43. Please tell us why you believe you were not able to get medical care. Check all
that apply.
Answer Options
I was not able to pay
The provider was not accepting Medicare
The provider was not accepting Medicaid (AHCCCS)
plans
It was too far to go-transportation problems
Could not find a provider who was taking new
patients
The provider was not accepting my insurance
Office was not open when I could go
Unsure if services were available
Had no one to care for my children
Could not get off work
Did not know where to go
My insurance did not cover it
Not treated with respect
Too nervous or afraid
Response
Percent
Response
Count
56.8%
6.8%
25
3
6.8%
3
2.3%
1
6.8%
3
15.9%
11.4%
0.0%
0.0%
4.5%
2.3%
27.3%
2.3%
4.5%
7
5
0
0
2
1
12
1
2
2013
19
0
0
2
1
4
6
0
0
2
0
5
2
1
Page 36 of 44
Greater Wickenburg Region Community Health Needs Assessment – December 2016
Language barriers
Do not like doctors
Other (please specify)
0.0%
9.1%
0
5
8
0
4
8
answered question
skipped question
31
117
44
163
44. Have you or a member of your family seen a behavioral or mental health provider
in the last 12 months?
Answer Options
Yes
No
Wanted to but couldn't afford to pay for it.
Wanted to but could not get to a provider.
Response
Percent
Response
Count
2013
8.5%
90.4%
0.6%
0.6%
15
160
1
1
10
106
5
1
answered question
skipped question
122
26
177
30
45. Please tell us which 3 of the following behavioral or mental health issues are of
biggest concern in your community.
Answer Options
Alcohol Abuse
Suicide Prevention
Depression
Drug Abuse (Illegal and/or Prescription)
Access to behavioral/mental healthcare providers
Access to behavioral/mental healthcare facilities
Lack of insurance coverage for behavioral/mental
health needs
Lack of insurance coverage for behavioral/mental
health medicaltions
Other (please specify)
Response
Percent
Response
Count
57.9%
8.4%
47.4%
69.5%
29.5%
15.8%
55
8
45
66
28
15
25.3%
24
9.5%
9
46
3
26
58
19
13
25
13
5
5
answered question
skipped question
2013
79
69
95
112
46. Please tell us which 5 of the following are the most serious health concerns in
your community.
Answer Options
Aging problems (i.e. hearing, vision loss, etc.)
Availability of Medical Services
Cancer
Diabetes
Domestic Violence
Emergency Room Services
Gun Related Injuries
Elder Abuse/Neglect
Response
Percent
Response
Count
2013
69.7%
21.3%
34.2%
31.6%
9.7%
10.3%
0.0%
13.5%
108
33
53
49
15
16
0
21
72
30
29
29
15
17
6
12
Page 37 of 44
Greater Wickenburg Region Community Health Needs Assessment – December 2016
Heart Disease/Stroke
High Blood Pressure
HIV/AIDS
Immunization Rates
Infant Death
Obesity
Motor Vehicle Accidents
Respiratory/Lung Disease
Tobacco Use
Lack of Preventative Healthcare
Lack of Physical Activity/Exercise
Dementia/Alzheimer's Disease
Unprotected Sex-STD's
Teenage Pregnancy
Other (please specify)
48.4%
33.5%
1.9%
0.6%
0.0%
35.5%
14.2%
16.1%
16.1%
19.4%
19.4%
23.9%
4.5%
9.7%
50
38
0
3
1
42
14
21
26
16
30
17
5
15
5
75
52
3
1
0
55
22
25
25
30
30
37
7
15
10
answered question
skipped question
112
36
155
52
47. Please tell us which 3 of the following social issues are of most concern in your
community.
Answer Options
Bullying
Child Abuse
Domestic Violence
Elder Abuse
Homicide, Assault
Immigration Issues
Lack of Affordable Housing
Sexual Assault, Rape
Racism
Dropping out of School
Gang Involvement
Underage Drinking
Underage Tobacco Use
Teenage Pregnancy
Not using child safety seats or seat belts
Unprotected Sex-STD's
Not enough safe bicycle or walking paths
Other (please specify)
Response
Percent
Response
Count
2013
27.7%
11.5%
40.0%
14.6%
2.3%
26.2%
50.8%
3.1%
7.7%
16.9%
4.6%
19.2%
16.9%
14.6%
7.7%
3.8%
15.4%
36
15
52
19
3
34
66
4
10
22
6
25
22
19
10
5
20
14
26
12
36
10
1
35
26
2
3
18
4
41
16
11
4
6
14
8
answered question
skipped question
94
54
130
77
48. Please select the 3 items below that you believe are most important for a healthy
community.
Answer Options
Affordable Housing
Response
Percent
Response
Count
2013
50.6%
80
36
Page 38 of 44
Greater Wickenburg Region Community Health Needs Assessment – December 2016
6.3%
24.1%
27.8%
63.3%
15.2%
34.2%
33.5%
23.4%
25.9%
3.2%
6.3%
7.6%
8.2%
Arts and Cultural Events
Clean Environment
Religious or Spiritual Values
Good Jobs and Healthy Economy
Community Involvement
Good Schools
Strong Family Life
Healthy Behaviors and Lifestyles
Low Crime, Safe Neighborhoods
Low Death and Disease Rates
Low Level of Domestic Violence
Tolerance for Diversity
Parks and Recreations
Other (please specify)
5
21
27
70
25
40
44
28
37
1
9
10
10
0
10
38
44
100
24
54
53
37
41
5
10
12
13
0
answered question
skipped question
111
37
158
49
49. What would improve our community's access to healthcare? Check all that
apply.
Answer Options
Greater Health Education Services
Improved Quality of Care
Interpreter Services
More Primary Care Providers
More Specialty Care Providers
Transportation Assistance
Outpatient Services Expanded Hours
Telemedicine
Cultural Sensitivity
Other (please specify)
Response
Percent
Response
Count
2013
40.0%
35.2%
13.8%
47.6%
42.8%
39.3%
34.5%
15.9%
9.7%
58
51
20
69
62
57
50
23
14
12
38
34
15
45
57
29
36
14
4
12
answered question
skipped question
145
62
97
51
50. What Services would you like to see offered in your community
that are not currently available?
Answer Options
answered question
skipped question
Response
Count
2013
46
46
46
161
46
102
Page 39 of 44
Greater Wickenburg Region Community Health Needs Assessment – December 2016
Analysis of Findings
The findings of this CHNA presented above will be analyzed in the same order as the actual survey
questions.
Respondents - though 2016 participation increased by 40% as compared to 2013 participation, the
relatively small number of respondents (207) compared to the population of the service area is of
concern.
Population data from primary and secondary service areas total 29,526.
SOURCE: ESI Corporation, US Department of Commerce, AZ Department of Economic Security
Medical Care/Health Services – nearly 75% of respondents learn about health care services by word of
mouth or through their health care provider. 87% of respondents have a regular health care provider
and of those, 76% are satisfied or very satisfied with the health care received. Of concern is that 13% of
respondents do not have a regular health care provider and may not have received preventative testing
or services in the last year, even though 61% of respondents reported that they themselves or family
members receive care in a hospital (overnight hospitalization, emergency room, day surgery).
Approximately 41% of respondents indicated they have gone to the hospital emergency room seeking
medical care for themselves or a family member. Of those, the majority visited the emergency room
because of serious illness or injury, or as directed by their health care provider. Of concern is the
approximate 4% who did not know where else to go. Responses indicate a need for community
education.
Health Insurance – nearly 56% of respondents have medical insurance covering everyone in their
households with approximately 2% of respondents without medical insurance. Approximately 88% of
respondents have insurance that covers all or part of their prescribed medication and surprisingly less
than 1% of respondents can’t afford the costs and do not take prescribed medication.
Self-report health status – Nearly 77% of respondents self-reported good or very good overall health
and surprisingly 17% of respondents self-reported not having any disease or health problems.
Concerning is that approximately 4% of respondents self-report poor or very poor overall health. 31% of
respondents report having back or neck pain, 31% report having hypertension, 27% report having
arthritis/rheumatism, and 8% report having walking or mobility problems. Of concern is almost 10% of
respondents report having bone or joint injury.
Weight and Nutrition – approximately 70% of respondents felt concern over their weight. Of those, 1%
believed they are underweight. Also of concern is that nearly 10% of respondents reported sometimes
not have enough money or not having enough money to feed their family. 38% of respondents never
eat fast food and alarmingly 2% of respondents eating fast food 6-10 times per week. 10% of
respondents report doing vigorous activity that causes heavy sweating or a large increase in heart rate.
Responses indicate a need for community education.
Tobacco Use – nearly 90% of respondents do not smoke or use smokeless tobacco. Of the 10% of
respondents that smoke or use smokeless tobacco, 50% want to quit. Concerning is that of those
respondents wanting to quit, approximately 30% of respondents do not know where to go for help.
Responses indicate a need for smoking cessation awareness and education.
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Greater Wickenburg Region Community Health Needs Assessment – December 2016
Hypertension and High Cholesterol – 42% of respondents report they have been told by a health care
provider that they have high blood pressure, with the majority of respondents being prescribed
medication. Concerning is that 6% of respondents are not taking prescribed medication for high blood
pressure though the majority of respondents have insurance to cover the cost of prescriptions.
43% of respondents report they have been told by a health care provider that they have high cholesterol
with more than half of the respondents being prescribed medication. Concerning is that approximately
9% of respondents are not taking prescribed medication for high cholesterol though the majority of
respondents have insurance to cover the cost of prescriptions.
Diabetes – approximately 17% of respondents have been told by a health care provider that they have
diabetes and the majority of respondents being prescribed medication. Concerning is that
approximately 3% of respondents are not taking prescribed medications for diabetes though the
majority of respondents have insurance to cover the cost of prescriptions.
Children and Immunizations – due to the small percentage of respondents living with young children
(8%), it is hard to feel good about the high rate of children immunizations reported (82%).
Respondent Medical Care – nearly 89% of respondents used community health resources in the last 12
months. Of those, 95% visited a doctor’s office or clinic, 53% visited a pharmacy, 40% visited a hospital
(ER, outpatient, inpatient, labor/delivery), and 13% visited an urgent care. 81% of respondents received
medical care in Wickenburg. Concerning is that 19% of respondents received medical care outside the
regional service area, including outside of the United States. When asked why, 32% of respondents
reported it was due to a prior relationship with provider, 36% reported it was due to the quality of
equipment and staff, and 10% reported it was for privacy.
78% of respondents reported that in the past three years they or a member of their family saw a health
care specialist. Of those, the top three specialists seen were cardiologists 36%, dermatologists 24%, and
physical therapists 24%. Of concern is that 22% of respondents delayed medical care because they were
not able to pay for it.
Behavioral Health – a relatively low percentage (10%) of respondents had interacted with a behavioral
or mental health provider in the last 12 months. Those who responded to the question (95) identified
drug abuse, alcohol abuse, and depression as the biggest behavioral or mental health issue facing the
region.
Issues Important to Respondents – the top five serious health concerns reported by respondents are
aging problems 70%, heart disease 48%, obesity 35% hypertension/stroke 33%, and
dementia/Alzheimer’s Disease 24%. Of these, three are in the top ten leading causes of death in the
service region (heart disease rank #2, Alzheimer’s Disease rank #3, and stroke rank #6.
SOURCE: Maricopa Health Status Report 2010.
It is interesting to note that 2013 respondents also ranked aging problems, heart disease, obesity, and
hypertension/stroke within the top five serious health concerns.
Social Issues – 130 respondents ranked the following top three social issues of most concern in the
community; lack of affordable housing 50%, domestic violence 40%, and bullying 27%. Interesting to
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Greater Wickenburg Region Community Health Needs Assessment – December 2016
note that 2013 respondents also ranked bullying and affordable housing within the top three social
issues of most concern.
Healthy Community – 158 respondents ranked good jobs and a healthy economy 63%, affordable
housing 50%, and good schools 34% as the three as the most important for a healthy community.
Improve community’s access to health care – 145 respondents ranked more primary care providers
48%, more specialty care providers 43%, and greater health education services 40% as the top three
issues for improving the community’s access to health care. 2013 respondents ranked the top three
equally and in the same order.
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Greater Wickenburg Region Community Health Needs Assessment – December 2016
Next Steps





Share current report with community partners and WCH Board of Directors and ask for input
about survey development and distribution methodology.
Keep in mind that word of mouth, health care provider communications, and the local
newspaper seem to be preferred methods of outreach. Explore ways to increase the use of
providers for distribution of surveys and outreach opportunities.
Additional community education is needed around Medical Care and Health Issues. Access to
primary care and specialty care providers ranked within the top three areas for improving
community access to health care in both 2013 and 2016 survey data. Aging problems, heart
disease, obesity, and hypertension/stroke ranked within the top five most serious health
concerns reported in both 2013 and 2016 survey data as well.
Additional community education and the development of programs are needed around Weight
Management and Nutrition.
Additional community education is needed around Tobacco Use and where one would find help.
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Greater Wickenburg Region Community Health Needs Assessment – December 2016
CHNA Strategic Plan
Based upon the issues identified by the respondents, the 2016 Project Team recommends the following
plan to address the above health priorities:

Increase educational efforts regarding availability of Health Care Services and self-identified
Serious Health Concerns through community outreach, physician outreach, print and digital
literature, and advertising.
For Health Care Services focus on primary care and specialty providers.
For Serious Health Concerns, focus on aging problems, heart disease, obesity, and
hypertension/stroke.
Continue education around Medicare Annual Well Visits provided at Wickenburg Community
Hospital Clinic. The Patient Protection and Affordable Care Act of 2010 added a new benefit for
Medicare recipients called an Annual Wellness Visit. A patient is eligible for the initial wellness
visit if he/she has been enrolled in Medicare for longer than 12 months and has not received a
Welcome to Medicare visit in the past 12 months.

Increase educational efforts regarding Weight Management and Nutrition best practices
through community outreach, physician outreach, print and digital literature, and advertising.
For Weight Management, work with community partners to develop a region-wide wellness
program with a focus on weight control, proper nutrition, and exercise.
For Nutrition, focus on the implementation of monthly nutrition classes.

Focus on promotion around Tobacco Use and where one can find support and services for
quitting.
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