• Healthy Archuleta Health Partner Survey

  • Overview:  Healthy Archuleta, in partnership with Archuleta County, are working to complete a community health assessment over the next three years. They are looking at two broad questions that will help capture people’s voices/experiences related to food and primary healthcare issues and opportunities in Archuleta County.

    1. How is our community experiencing preventative/primary health care access and utilization (coverage, timeliness, workforce, and service?)

    2. How is our community interacting with our community-based food system and what can be done to bolster our local system?

    As you go through this assessment we are interested in how community members access the preventative/primary care system and how the system interacts to get people what they need.  Primary care providers, mental health providers, dental providers, as well as supporting services in our community will all be asked similar sets of questions to help look at how the system interacts.

    Our Definition of Primary Care: Routine healthcare that includes screenings, check-ups, and patient counseling to prevent illness, disease, and other health problems as well as response to acute illnesses or to coordinate care among specialists

  • What Agency are you representing while completeing this survey?
  • Which of these services does your agency provide?*
  • Which age groups do you provide Primary/Preventative Care to?
  • Which Primary/Preventative services do you offer for children 0-5?
  • Which Primary/Preventative Services do you offer for children 6-18?
  • Which Primary/Preventative Services do you offer for adults?
  • Which age groups do you provide Mental Health Care to?
  • Which of the follow mental health services do you provide?
  • Which age groups do you provide Dental Care to?
  • What type of primary dental services to do you offer
  • Do you have bi-lingual staff
  • Which Insurance do you accept?
  • Do you offer a sliding scale?
    • Workforce Questions 
    • Are you currently fully staffed?*
    • If not, what are the biggest challenges for you in recruitment of workforce?
    • If not, what are the biggest challenges for you in retention of workforce?
    • Professional Relationships 
    • Please select all organizations on this list that you recognize and your organization has had minimal interactions with within the last year.  (You are included in this list, please DO NOT select your own organization)*

    • Please indicate the kinds of activities your organization has in relationship with the organizations on this list?

      The definitions of these categories are as follows:

      0. None (no interaction at all)

      1. Cooperative Activities: involves exchanging information, attending meetings together, and offering resources to partners. (Example: attend same conferences, joint meetings/case consultations about clients)

      2. Coordinated Activities: Include cooperative activities in addition to intentional efforts to enhance each other's capacity for the mutual benefit of programs. (Examples: joint trainings or data sharing agreements)

      3. Integrated Activities: In addition to cooperative and coordinated activities, this is the act of using commonalities to create a unified center of knowledge and programming that supports work in related content areas. (Example: Shared fund, space or staff)

    • Rows

    • Please indicate the kinds of activities your organization has in relationship with the organizations on this list?

      The definitions of these categories are as follows:

      0. None (no interaction at all)

      1. Cooperative Activities: involves exchanging information, attending meetings together, and offering resources to partners. (Example: attend same conferences, joint meetings/case consultations about clients)

      2. Coordinated Activities: Include cooperative activities in addition to intentional efforts to enhance each other's capacity for the mutual benefit of programs. (Examples: joint trainings or data sharing agreements)

      3. Integrated Activities: In addition to cooperative and coordinated activities, this is the act of using commonalities to create a unified center of knowledge and programming that supports work in related content areas. (Example: Shared fund, space or staff)

    • Rows
    • Who do you refer to, outside of your own agency, for mental health services?(check all that apply)
    • Who do you refer to outside of your own agency for preventative/primary medical care?(check all that apply)
    • Who do you refer to outside of your own agency for dental care? (check all that apply)
    • Community Services 
    • Do you refer individuals to any of the following SJBPH services that are offered in Archuleta County? (check all that apply)
    • If not, why?
    • Do you refer individuals to any of the aid offered through the Department of Human Services? (check all that apply)
    • If not, Why?
    • Do you make referrals for food resources for patients/clients?
    • If so, who have you refered to? (check all that apply)
    • Do you make referrals to non-profits who might provide supportive services for your patients/clients?*
    • If so, who have you refered to? (check all that apply)
    • Rate the quality of services in Archuleta County: 
    • Rows
    • Rows
    • Rows
    • Rows

    • What do you think is missing regarding food/nutrition security (Nutrition security means all people, at all times, have physical, social and economic access to sufficient, safe, and nutritious food that meets their dietary needs and food preferences for an active and healthy life.) in Archuleta County?

    • Save/Submit 
    • Should be Empty: