pulaski memorial hospital community health needs ...2. existing healthcare resources and facilities...

Pulaski Memorial Hospital Community Health Needs Assessment Page 0

PULASKI MEMORIAL HOSPITAL

616 E 13TH STREET WINAMAC, IN. 46996

PULASKI MEMORIAL HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT

APRIL 2016


Pulaski Memorial Hospital

Community Health Needs Assessment

April, 2016

Executive Summary

In accordance with the Patient Protection and Accountable Care Act, each hospital with a

501(c)(3) status must conduct a community health needs assessment and publicly report the

results. Surveys were distributed to a wide variety of community members through the use of

Pulaski Memorial Hospital’s website, church groups, and other civic organizations. 118 surveys

were returned. As a primary provider of health care related services in Pulaski County, the

hospital understands that it plays a key role in addressing the health needs of the county’s

residents.

Introduction

Pulaski Memorial Hospital undertook a community health needs assessment in January,

February, and March 2016. The assessment was designed to identify the most important health

issues in the county using comparative information. The assessment also identifies priority

health issues where better integration of public health and healthcare can improve access and

quality to residents of Pulaski County and surrounding areas. This document will be used as a

planning tool to assist in initiating strategic initiatives regarding medical service to meet the

critical health needs of citizens whose health is at-risk in our community. This project represents

Pulaski Memorial Hospital’s efforts to share information that can lead to improved health status

and quality of care available to Pulaski County and surrounding residents, while building upon

and strengthening the hospital’s existing infrastructure of services and providers.

The 2016 Pulaski Memorial Hospital Community Health Needs Assessment has the following

objectives:

Develop a comprehensive profile of health status, quality of care, and care management

indicators for residents of Pulaski County and surrounding communities.

Determine the health status of the community.

Identify specific health needs of the community.

Analyze the gaps between existing healthcare coverage and healthcare needs in the

community.

Methodology

The consumer survey portion of this project was designed based on the format of previous

successful needs assessments obtained from other facilities (PMH). The anonymous

questionnaire contained 46 questions. All respondents included in this assessment were

voluntary participants over the age of 18. Descriptive and inferential statistics were derived

through analysis utilizing Microsoft Excel. Qualitative data was summarized, categorized, and

rank ordered when possible.

Pulaski Memorial Hospital recognized that there are many factors that affect community health.

Community health is a positive concept that is influenced by social, physician and personal


resources and capabilities. Health depends not only on formal medical care but also on other

factors including individual behavior, genetic makeup, and social and economic conditions for

individuals and communities. This process included a multidimensional approach to examining

the broad range of factors that influence health including:

Population

o Age, race, sex

o Socioeconomic characteristics

Pregnancies, births, and child-related indicators

Mortality

o Infant

o General

Disease incidence and prevalence

Health resources and programs currently available

Education levels

Healthcare consumption behaviors and perceptions

Medical Service Area of Pulaski Memorial Hospital

1. Definition and description of the community served by Pulaski Memorial Hospital

a. Primary service areas include Pulaski County and Starke County. Some services,

such as home health care, extend beyond these two counties into surrounding

areas.

13776

1886

1617

1401

10651053

1034 1006

Top 8 Service Areas

46996 46985 47957 47946 46939 46960 46366 46534


b. Of a total of 25,999 registered accounts at Pulaski Memorial Hospital, the eight

zip codes with the highest percentage of registrations were reviewed:

i. 4 of the highest populations served were in Pulaski County

ii. 1 of the highest populations served was in Fulton County

iii. 2 of the highest populations served were in Starke County

2. Existing healthcare resources and facilities in the community

a. Pulaski Memorial Hospital is the only hospital in Pulaski County and the only

hospital with OB services in Pulaski County and Starke County.

b. Multiple physician practices, located in Winamac, Francesville, and Monterey.

c. Pulaski County Public Health Department

d. Several long-term care facilities

3. Demographic Profile

4. Social and Economic Profile

5. Economic impact of Pulaski Memorial Hospital

a. 258 employees, second largest in Pulaski County.

b. $18.3 Million in salaries and benefits paid in fiscal year 2015.

Description of Community

1. Physical

a. Pulaski County is located in the northwestern part of Indiana.

b. The county is largely rural

c. The 24th largest county in Indiana at approximately 433.7 square miles.

2. Population – Ethnicity, age, households, and income

a. The total population of Pulaski County is 13,755.

b. The median age is 41.7 years old.

c. Males make up 50.5% of the total inhabitants of the county.

d. Females make up 49.5% of the total inhabitants of the county.

844

595

211

2417

Largest Cities and Towns in Pulaski County as of July 2014

Francesville

Medaryville

Monterey

Winamac


e. Minority populations make up 2.80% of the total inhabitants of the county.

f. Median household income is $44,821, with the average wage per job at $38,620

g. Population Projections

Year Population % Decrease from 2011

2011 13,363

2020 13,053 -2.32%

2030 12,543 -6.14%

2040 11,840 -11.40%

h. Labor-force Projects

Year Population % Decrease from 2011

2011 6,825

2020 5,970 -12.53%

2030 5,330 -21.90%

2040 4,890 -28.35%

3. Education

a. 85.3% of county residents have at least a high school diploma, compared with a

statewide average of 87.2%.

b. 45.4% of county residents have a high school diploma with no further education,

compared with a statewide average of 35.2%.

c. 26.8% of county residents have an associate degree (only), compared with a


0.00%

5.00%

10.00%

15.00%

20.00%

25.00%

30.00%

35.00%

0-4 5-19 20-24 25-44 45-64 65+

Years of Age

Gender Demographics of Pulaski County

Female

Male


d. 9.5% of county residents have a bachelor degree (only), compared with a


e. 3.6% of county residents have at least a graduate degree (or more), compared with

a statewide average of 8.4%

4. Vitals

a. Average number of births per year: 143

b. Average number of teen births per year: 9

c. Average numbers of death: 159

5. County Health Rankings and Roadmaps

a. 2015 Health Outcomes: Ranked 43th out of 92 counties (based on an equal

weighting of mortality and morbidity measures)

i. Poor Physical Health days:

1. Pulaski County: 3.9

2. Indiana: 3.6

3. National Benchmark: 2.5

ii. Poor Mental Health days:

1. Pulaski County: 3.0

2. Indiana: 3.7

3. National Benchmark: 2.3

iii. Low Birth weight:

1. Pulaski County: 6.1%

2. Indiana: 8.2%

3. National Benchmark: 5.9%

15%

45.4%

26.8%

9.5%

3.6%

Pulaski County Education Attained

No High School Diploma

High School Diploma only

Associate Degree

Bachelor Degree

Graduate Degree


b. 2015 Health Factors: Ranked 42th out of 92 counties (based on weighted scores of

four types of factors: behavioral, clinical, social and economic, and

environmental)

i. Adult Smoking:

1. Pulaski County: 22%

2. Indiana: 23%

3. National Benchmark: 14%

ii. Adult Obesity:


2. Indiana: 31%


iii. Physical Inactivity:


2. Indiana: 27%


iv. Uninsured:


2. Indiana: 17%


v. Primary Care Physicians:

1. Pulaski County: 2,625 : 1

2. Indiana: 1,518 : 1

3. National Benchmark: 1,045 : 1

vi. Preventable Hospital Stays:

1. Pulaski County: 80

2. Indiana: 70

3. National Benchmark: 41


Community Input Process

1. Overview of Community Input Process

a. Facilitators

i. This process was facilitated by Tom Barry, Carol Sparks, and Megan

Moon at Pulaski Memorial Hospital.

b. Participants

i. A group of individuals representing a variety of businesses and agencies

within the Hospital’s service area were invited to attend two (2) meetings:

Community Health Needs Assessment Project Steering Committee

Members and Attendance

Name Title Company 1/11/16

Tom Barry CEO Pulaski Memorial Hospital X

Carol Sparks Community Outreach Pulaski Memorial Hospital X

Megan Moon Exec. Assistant Pulaski Memorial Hospital X

Nathan Origer Exec. Director Pulaski Co. Econ Develop X

Andrea Keller Nurse Pulaski Co. Health Dept. X

Teresa Hansen Director Pulaski Co. Health Dept. X

Dan Foster Superintendent Eastern Pulaski Schools X

c. Community Input Meetings

1. Community Input Meeting Number 1

a. Agenda

i. Introductions

ii. Background Analysis

iii. Project Scope and Proposed Process/Timeline

1. Completed assessment due September 13, 2013.

iv. Steering Committee Responsibilities

1. Work closely with hospital administration to design and

approve a health survey.

2. Determine questionnaire distribution and collection

process

3. Determine correlations between survey results and

community data base

4. Establish health needs priorities based on information

received

v. Next Steps

1. Finalize and distribute the survey

2. Determine how the surveys will be collected and

organized

vi. Questions

vii. Adjournment

2. Community Input Meeting Number 2


a. Agenda

i. Introductions

ii. Finalization of Survey

iii. Discussion of Distribution and Collection of Survey

iv. Questions

v. Adjournment

Existing Healthcare Resources

Following is a complete listing of the currently available healthcare facilities and services in

Pulaski County and surrounding counties from providers associated with Pulaski Memorial

Hospital. This list includes one (1) Critical Access Hospital, ten healthcare provider clinics, one

(1) specialty clinic, one health department, three nursing facilities, two (2) optometrists, and two

(2) dentists. Pulaski Memorial Hospital will be able to use this listing when creating their action

plan to fully incorporate all available resources.

Pulaski Memorial Hospital

Pulaski Memorial Hospital essential services include:

Medicine

Surgery

Maternity

Emergency Services

Outpatient Services

o Clinical Laboratory

o Diagnostic Imaging

o Cardio-Pulmonary Services

ECG

Treadmill

Respiratory Therapy

o Oncology

o Physical Therapy

o Speech Therapy

o Occupational Therapy

o Home Health/Hospice

o Social Services

o Pharmacy

o Cardio/Pulmonary Rehab

Healthcare Provider Clinics

The following clinics are operated in Pulaski County and surrounding counties by

employed and non-employed providers associated with Pulaski Memorial Hospital:

Chantel Anderson, FNP (Family Nurse Practitioner)

Daniel Anderson, MD (General Surgery)

Rex Allman, MD (Family Practice)

Patricia Benedict, FNP (Family Nurse Practitioner)


Laura Brown, FNP (Family Practice)

Elizabeth Curtis, DO (Family Practice)

Melissa Dawson, MD (Family & Women’s Health)

Gene Fedor, MD (Orthopedics)

Eileen Hsu, MD (Pediatrics)

Wade Hsu, MD (General Surgery)

Clint Kauffman, MD (Family Practice, Obstetrics)

Asghar Rizvi, MD (Pain Management)

Sandy Roth, NP (Family Practice)

Shazia Siddiqui, MD (Pain Management)

F. Alan Utes, DO (Family Practice)

Specialist Clinic

The Winamac Associated Specialist Clinic consists of specialist healthcare providers in

varying fields:

Audiology

Cardiology

Dermatology

Gynecology

Neurology

Oncology/Hematology

Ophthalmology

Orthopedic Surgery

Pain Management

Podiatry

Pulmonology

Thoracic Surgery

Urology

Pulaski County Public Health Department

The Pulaski County Public Health Department essential services include:

Promoting positive health behaviors and environmental practices.

Maintaining vital records, including birth and death certificates, name changes,

paternity affidavits, adoption name changes, genealogy, etc.

Communicable disease reporting to the ISDH and CDC.

Septic and water well permitting and inspections as required by law.

Environmental complaints

Food inspections required by ISDH, and all follow-up needed on food related

complaints.

Preparedness activities as required by law.

Nursing Facilities


The following organizations provide long-term care in Pulaski County.

Pulaski Health Care Center

Hickory Creek at Winamac

Parkview Haven Retirement Home

Optometrists

Jennifer M. Gudas OD, PC

Kim Moyer, OD

Dental Services

Charles Hutton, DDS

Bradley Crawford, DDS

Findings and Recommendations

Community health needs assessments are designed, in part, to identify issues where changes in

the healthcare delivery system can improve both patient care and preventive services for those at

risk for health problems. This section presents an overview of the findings in the report and

recommendations based on those findings.

Similar to the rest of the nation, Pulaski County residents are faced with significant health risks

caused by heart disease, diabetes, hypertension, asthma, and depression. Access to quality

preventative care and disease management education is critical in minimizing future

hospitalizations as well as the seriousness of these diseases. Health insurance coverage is also a

factor in determining whether patients will seek preventative care or wait for symptoms to

become more severe, thus requiring more extensive treatments, including hospitalization.

Community Health Survey Results

1. Age

Mean age of respondents: 54.2

2. Height

Responses vary.

3. Weight

Responses vary.

4. What is your gender?

Response Category # %

Male 65 28.14%


Female 159 68.83%

No Answer 7 3.03%

Total 231 100%

5. What is your marital status?


Married 150 64.94%

Widowed 36 15.58%

Divorced 29 12.55%

Never Married 11 4.76%

Member of an unmarried couple 3 1.30%

No Answer 2 0.87%

Total 231 100%

6. Do you have children living in your home?


Yes 62 26.84%

No 165 165%

No Answer 4 1.73%

Total 231 100%

6a. If yes, how many?


1 16 25.81%

2 13 20.97%

3 5 8.06%

4 2 3.23%

No Answer 26 41.94%

Total 62 100%

7. What is the zip code where you live?


46366 (North Judson, Indiana) 5 2.16%

46403 (Gary, Indiana) 1 0.43%

46534 (Ober, Indiana) 5 2.16%

46939 (Kewanna, Indiana) 6 2.60%

46940 (La Fontaine, Indiana) 1 0.43%

46960 (Monterey, Indiana) 6 2.60%

46970 (Peru, Indiana) 1 0.43%

46975 (Rochester, Indiana) 2 0.87%

46985 (Star City, Indiana) 17 7.36%

46996 (Winamac, Indiana) 141 61.04%


47926 (Burnettsville, Indiana) 2 .87%

47946 (Francesville, Indiana) 13 5.63%

47957 (Medaryville, Indiana) 20 8.66%

47959 (Monon, Indiana) 1 0.43%

47960 (Monticello, Indiana) 1 0.43%

47978 (Rensselaer, Indiana) 2 0.87%

60450 (Morris, Illinois) 1 0.43%

No Answer 6 2.60%

Total 231 100%

8. What is the highest grade or year of school completed?


Never attended school 0 0%

Elementary School (grades 1-6) 0 0%

Middle/Junior (grades 7-8) 1 0.85%

High School (grades 9-12) 10 8.47%

Some High School 1 0.85%

Graduated 12 or GED 18 15.25%

Some College 25 21.19%

Associate Degree 21 17.80%

4 Year College Graduate 22 18.64%

Post Graduate 20 16.95%

No Answer 0 0%

Total 118 100%

9. Are you currently:


Employed 83 70.34%

Self-Employed 5 4.24%

Out of work for less than 1 year 0 0%

Out of work for more than 1 year 0 0%

Homemaker 3 2.54%

Student 0 0%

Retired 27 22.88%

No Answer 0 0%

Total 118 100%

9a. Employed/Self-Employed Job Type


Office Job 19 82.61%

Food Service Job 2 8.70%

Retail 1 4.35%

Farm 0 0%


Construction 1 4.35%

Factory 0 0%

Total 23 100%

10. What is your annual household income:


Less than $10,000 3 2.54%

$10,000 - $19,999 9 7.63%

$20,000 - $29,999 15 12.71%

$30,000 – $39,999 9 7.63%

$40,000 - $49,999 11 9.32%

$50,000 - $59,999 7 5.93%

$60,000 - $69,999 11 9.32%

$70,000 - $79,999 8 6.78%

$80,000 - $89,999 4 3.39%

$90,000 - $99,999 5 4.24%

$100,000 - $149,999 11 9.32%

$150,000 or more 14 11.86%

No Answer 11 9.32%

Total 118 100%

11. How often do you smoke cigarettes:


Everyday 8 6.78%

Some days 1 .85%

Not at all 109 92.37%

No Answer 0 0%

Total 118 100%

12. How often do you use smokeless tobacco products such as chewing tobacco/snuff:


Everyday 1 0.85%

Some days 2 1.69%

Not at all 115 97.46%

No Answer 0 0%

Total 118 100%

13. Do you have at least one drink of any alcoholic beverage:


Everyday 6 5.08%

Some days 57 48.31%

Not at all 55 46.61%

No Answer 0 0%


Total 118 100%

14. Do you use marijuana or other recreational non-prescribed drugs?


Everyday 0 0%

Some days 1 0.85%

Not at all 117 99.15%

No Answer 0 0%

Total 118 100%

15. Have you used, possessed, supplied, or manufactured methamphetamine?


Everyday 0 0

Some days 0 0

Not at all 118 100%

No Answer 0 0%

Total 118 100%

16. How many days per week do you participate in moderate activity?


Everyday 27 22.88%

Some days 78 66.10%


No Answer 0 0%

Total 118 100%

17. How many days per week do you participate in aerobic exercise?


Everyday 17 14.41%

Some days 77 65.25%


No Answer 2 1.69%

Total 118 100%

18. During the past 12 months, have you had a flu shot of flu mist?


Yes 91 77.12%

No 19 16.10%

Don’t Know 0 0%

No Answer 8 6.78%


Total 118 100%

19. Have you ever had a pneumonia shot?


Yes 32 27.12%

No 72 61.02%

Don’t Know 5 4.24%

Not Applicable 0 0%

No Answer 9 7.63%

Total 118 100%

20. Have you ever had a mammogram?


Yes 54 45.76%

No 39 33.05%


Not Applicable 16 13.56%

No Answer 8 6.78%

Total 118 100%

21. Have you ever had a Pap test? (females only)


Yes 74 62.71%

No 12 10.17%

Don’t Know 0 0%


Total 118 100%

22. Have you ever had a PSA test? (males only)


Yes 18 15.25%

No 21 17.80%



Total 118 100%

23. Have you ever had a colonoscopy or sigmoidoscopy exam?


Yes 66 55.93%

No 49 41.53%




No Answer 0 0%

Total 118 100%

24. Have you been told by a health professional that you have high blood pressure?


Yes 39 33.05%

No 78 66.10%


Not Applicable 0 0%

No Answer 0 0%

Total 118 100%

25. If you currently have high blood pressure, are you taking medication?


Yes 31 26.27%

No 34 28.81%

Don’t Know 0 0%


Total 118 100%

26. Have you ever been told by a health professional that you have diabetes?


Yes 18 15.25%

No 99 83.90%

Don’t Know 0 0%


No Answer 0 0%

Total 118 100%

27. If you currently have diabetes, are you taking insulin?


Yes 6 5.08%

No 41 34.75%

Don’t Know 0 0%


Total 118 100%

28. Have you had your blood cholesterol checked?


Yes 111 94.07%


No 7 5.93%

Don’t Know 0 0%

Not Applicable 0 0%

No Answer 0 0%

Total 118 100%

29. Have you been told by a health professional that you have high cholesterol?


Yes 42 35.59%

No 73 61.86%



No Answer 0 0%

Total 118 100%

30. If you currently have high cholesterol, are you taking prescription medication?


Yes 34 28.81%

No 29 24.58%



No Answer 7 5.93%

Total 118 100%

31. About how long has it been since you last visited a healthcare provider for a routine

check-up?


Within the past year 79 66.95%

Within the past 2 (two) years 19 16.10%

Within the past 3 (three) years 2 1.69%

Within the past 5 (five) years 3 2.54%


No Answer 10 8.47%

Total 118 100%

32. Do you have one person you think of as your personal doctor or healthcare

provider?


Yes 106 89.93%

No 12 10.17%


Don’t Know 0 0%

No Answer 0 0%

Total 118 100%

33. If so, is your personal doctor or healthcare provider located in Pulaski County?


Yes 87 73.73%

No 24 20.34%


No Answer 5 4.24%

Total 118 100%

34. Do you feel you are able to schedule an appointment with your proider/physician

easily and when you want?


Yes 100 84.75%

No 12 10.17%


No Answer 2 1.69%

Total 118 100%

35. Do you have any kind of healthcare coverage, including health insurance, pre-paid

plans such as HMOs, or government plans such as Medicare?


Yes 108 91.53%

No 6 5.08%

Don’t Know 0 0%

No Answer 4 3.39%

Total 118 100%

35b. If you do not have health insurance, why?


Can’t Afford 71 60%

Spouse has Insurance 47 40%

Does not meet needs 0 0%

Other 0 0%


Total 118 100%

36. Does your employer offer health insurance?


Yes 53 44.59%

No 21 17.75%


No Answer 40 34.20%

Total 118 100%

37. Was there a time in the past 12 months when you needed to see a healthcare

provider/physician but could not because of cost?


Yes 7 5.93%

No 105 88.98%


No Answer 5 4.24%

Total 118 100%

37b. Was there a time in the past 12 months when you needed to see a dental care

provider could not because of cost?


Yes 17 14.41%

No 97 82.20%

Don’t Know 0 0%

No Answer 4 3.39%

Total 118 100%

37c. Was there a time in the past 12 months when you needed to see an eye care

provider but could not because of cost?


Yes 17 14.41%

No 90 76.27%

Don’t Know 0 0%

No Answer 11 9.32%


Total 118 100%

38. Have you ever utilized Pulaski County Health Department for healthcare services?


Yes 43 36.44%

No 62 52.54%


No Answer 12 10.17%

Total 118 100%

39. Immunizations


Yes 30 25.42%

No 66 55.93%

Don’t Know 0 0%

No Answer 22 18.64%

Total 118 100%

39b. Vital records (birth or death certificates)


Yes 14 11.86%

No 75 63.56%


No Answer 28 23.73%

Total 118 100%

39c. Health education


Yes 4 3.39%

No 77 65.25%


No Answer 35 29.66%

Total 118 100%

39d. Septic inspections


Yes 1 0.85%

No 78 66.10%


No Answer 36 30.51%


Total 118 100%

39e. Food inspections


Yes 2 1.69%

No 78 66.10%


No Answer 36 30.51%

Total 118 100%

40. Do you feel you are able to access Pulaski County Health Department services with

ease and when you want?


Yes 67 56.78%

No 10 8.47%


No Answer 6 5.08%

Total 118 100%

41. Have you or your immediate family members (spouse and children) had to seek

health services outside Pulaski County?


Yes 78 66.10%

No 34 28.81%

No Answer 6 4.76%

Total 118 100%

42. If you needed a regular/routine appointment, how long did you have to wait for an

appointment with your primary doctor?


1 month 4 3.39%

3 weeks 5 4.24%

2 weeks 10 8.47%


1 week 22 18.64%

A few days 50 42.37%

Same day 13 11.02%

No Answer 14 11.86%

Total 118 100%

43. What is your monthly cost of healthcare services?

Responses vary.

44. How many visits have you or your family made during the past 12 months to a

doctor, ER, urgent care, psychiatrist, chiropractor, or other healthcare

professional?


11 or more 12 10.17%

7-10 22 18.64%

4-6 18 15.25%

2-3 39 33.05%

1 9 7.63%

0 11 9.32%


No Answer 3 2.54%

Total 118 100%

45. How often do you eat fast food meals such as hamburgers, tacos, fried chicken, hot

dogs, French fries, milkshakes, etc.?


5 times per week 4 3.39%

2-4 times per week 19 16.10%

4+ times per month 22 18.64%

2-3 times per month 33 27.97%

Seldom 37 31.36%

Never 2 1.69%

No Answer 1 0.85%

Total 118 100%

46. How often do you eat breakfast?


Every day 60 50.85%

Most mornings 23 19.49%

2-3 times per week 10 8.47%

Seldom 17 14.41%


Never 4 3.39%

No Answer 4 3.39%

Total 118 100%

Open Comments:

Needs pre-school screenings, help for services, assisted living services

Cost of some tests, MRIs, MRAs were way over the market rates. Blood tests (routine) is

also way out of market rates resulting in 30-mile drive to have it done.

PMH is a great facility and offers great services for the community. Keep up the good

work!

Most of healthcare expenses for my wife and I are out-of-pocket. Rising insurance

premiums forced us to find affordable plan outside of PMH network. I am hopeful PMH

will be in an affordable network soon. We would prefer to use PMH services and have

Dr. Allman as our family physician.

I would like to see an additional pharmacy in Winamac as well as an urgent care.

Really appreciate the clinic in Francesville.

I am pleased that more and more specialists and tests can be done at Pulaski Memorial,

rather than needing to travel to and drive in a city. We have received good care every

time my family and I need it. Keep up the good work!!

Would appreciate having an urgent care facility in the county. It seems if/when I do get

sick, it’s on a weekend. Please try to expand health care services to west side of county

for ease of transportation & time. As our population gets older, Francesville is becoming

a “bedroom/seniors community”. Would appreciate services targeting this age group.

I am a health conscious person. I pay attention to my diet, exercise, etc. We need to

educate parents of our younger generation of proper health care. Stay at home and eat and

be together as a family. Thanks for your work and dedication.

So far I’m pleased with my health care.

Some type of Urgent Care facility for evenings and weekends when regular physician

hours are over would be great!

Pulaski County needs and Urgent Care Facility.

HealthCare is good in the county and we are expanding. I think it is a good idea to bring

more to the community. Anderson and Allman are great!

The county needs more than 1 grocery store and 1 funeral home. They monopolize it all.

All managers at the hospital should have their salary posted so all the public can see what

they are paid. They are county employees. The hospital works as the good ole boy

system. It’s who you know.

It would be nice to have a rheumatologist on staff at Winamac. Having dealt with RHC, I

thought when you couldn’t get in to see your doctor, it was supposed to be offered who

could see you that day if you are sick, but no offers. Just “no, Doctor is booked, you can

come see him in 2 weeks”. Why not offer which doctor can see you or what NP Is

available. I could be dead in two weeks or healthy.

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