1. Mary’s Center Spring 2015 Needs Assessment Questionnaire Julie Grysavage The George Washington University

2. Overview ● Goal: to perform an updated needs assessment questionnaire (31 questions total) assessing: ● Part 1: Self-reported patient demographics ● Part 2: Social, Economic and Education Situation ● Part 3: About Mary’s Center ● > 13 years old ● Two groups: ○ Waiting room ○ Phone and email

3. Waiting Room: What did we do? ● Volunteers approached every other patient and asked them about completing a paper survey ● This is a Convenience Sample, not randomized ● The volunteer assisted the patient as necessary ● Final total= 179 surveys

5. Results

6. How old are you?

7. How long have you lived at your address?

8. In what country were you born?

10. What do you like about Mary’s Center?

11. Barriers to Getting Care at Mary’s Center: DC Locations

12. Barriers to Getting Care at Mary’s Center: MD Locations

13. Before coming to Mary’s Center, what prevented you from getting health care services?

14. When you come to Mary’s Center, how long do you usually have to wait before seeing your Clinician/Provid er?

15. When you come to Mary’s Center, how long do you usually have to wait before seeing your Dentist?

16. When you come to Mary’s Center, how long do you usually have to wait before seeing your Therapist?

17. When you come to Mary’s Center, how long do you usually have to wait before being able to get your blood drawn?

18. Would you recommend Mary’s Center to a friend? If no, why not: 1. not organized=1 2. wait too long=1 3. difficult to communicate over phone=1

19. Why you recommend Mary’s Center to a friend?

20. What are 3 special recomme ndations you have for improving our services?

21. Phone and Email: What did we do? ● Randomized the list of 2014 patients: patients either received an email or a call from a volunteer ● Completed a Survey Monkey ● Only those that used the medical service + one other service ● This represented the cohort of more frequent patients ● https://www.surveymonkey.com/r/GNN58X5 https://www.surveymonkey.com/r/GNN58X5

23. ● Originally, we aimed for 380 patients ● Patient population: 34, 116 ● Confidence Level: 95% ● Confidence Interval (Margin of Error): 5% ● Our final number was 293 ● Margin of Error: 5.7%

24. Results

25. How old are you? (English)

26. How old are you? (Spanish)

27. How long have you lived at your address? (English)(Spanish)

28. In what country were you born? (English)(Spanish)

29. If “Other,” please specify: DC Locations (Spanish)(English)

30. If “Other,” please specify: MD Locations (Spanish) (English)

31. What do you like about Mary’s Center? (English)

32. What do you like about Mary’s Center? (Spanish)

33. Barriers to Getting Care at Mary’s Center:(English)

34. Barriers to Getting Care at Mary’s Center:(Spanish)

35. Before coming to Mary’s Center, what prevented you from getting healthcare services? (English)

36. Before coming to Mary’s Center, what prevented you from getting healthcare services? (Spanish)

37. When you come to Mary’s Center, how long do you usually have to wait before seeing your Provider? (English) (Spanish)

38. When you come to Mary’s Center, how long do you usually have to wait before seeing your Dentist? (Spanish) (English)

39. When you come to Mary’s Center, how long do you usually have to wait before seeing your Therapist? (Spanish) (English)

40. When you come to Mary’s Center, how long do you usually have to wait before being able to get your blood drawn? (English)(Spanish)

41. Would you recommend Mary’s Center to a friend? (English) (Spanish)

42. What are 3 special recommendations you have for improving our services? (English) One percent categories: 1.Creating specific areas for sick patients 2.Online appointment portal 3.Write prescriptions exactly as intended 4.Call patient with information after appointment 5.Improve contact with doctor 6.Add a snack machine/coffee/tea 7.More staff 8.Decrease time for blood work 9.Sunday hours 10.More mental health programs 11.Improve flow through the clinic 12.Geriatric focus

43. What are 3 special recommendations you have for improving our services? (Spanish)

44. One percent categories: 1.Servicios sociales mejores 2.añadir más centros de Mary's Center 3.Que sea más rápido cuando sacan sangre 4.Menos burocracia 5.Dar information de los efectos de medicamentos 6.Más atención en el area de consejera 7.Tienen que repetir los examenes de sangre 8.Que se enfoquen en el paciente 9.Más opciones de cuidado de salud 10.Deberian llamara para darle los resultados de sangre 11.Refer people to Medstar or Howard Hospitals (this reply was given in English, but on a Spanish questionnaire). No other explanation available. 12.Citas sábados y domingos 13.Programas de salud para adultos 14.atender a todos los pacientes aunque no sean del mismo condado de 15.que el horario de la cita sea el correcto 16.cambiar las parteras 17.cambiar al personal de laboratorio 18.no discriminación 19.gestión de tiempo/mejor organización

45. Going forward Understanding the barriers to care and factors that prevent patients from receiving care before coming to Mary’s Center Literature Review: Ethnicity, Insurance, Barriers to Care

46. Acknowledgements Alis Marachelian and Bethlehem Muleta, and the Health Promotion staff Volunteers Ana Alvarez, Cecilia Perry, Carolina Kenrick, Robel Asmerom, Sharari Bryan, Sangida Nasifa, Gloria Hilda Gallo Aviles, Raquel Vargas Diaz The patients who took the time to fill out the surveys and give constructive feedback!