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Hawai‘i Pacific Health

  • Location: Honolulu, HI
  • Award: Evidence-Based Leadership Healthcare Organization of the Month
  • Awarded: June 2010

Hawai‘i Pacific Health is a nonprofit health care system that serves the state as Hawaii's largest health care provider. Formed in 2001 with the merger of three longtime leaders in health care, we have a combined history of 250 years of service to the people of Hawai‘i and the Pacific Region. Our network includes over 5,500 employees and four hospitals: Kapi‘olani Medical Center for Women & Children, Kapi‘olani Medical Center at Pali Momi, Straub Clinic & Hospital, and Wilcox Memorial Hospital; 44 outpatient clinics and service sites; and affiliations with more than 1,300 physicians. As a network, our hospitals and clinics lead the state in the areas of women's health, pediatric care, cardiovascular services, cancer care and bone and joint services. We were an early adopter of the electronic medical record and now rank among the top 3.8 percent of hospitals nationwide in EMR adoption with system-wide implementation that allows our hospitals and physicians to offer integrated, coordinated care to patients throughout the state.

Key initiatives that Hawai‘i Pacific Health's hospitals and clinics have implemented include:

  • Rounding
  • Discharge Phone Calls
  • Managing Up
  • Key words
  • Thank you notes
  • AIDET
  • Employee Reorientation
  • Quarterly Employee Engagement Events
  • Quarterly Hardwiring Excellence Training for Managers
  • Annual Leadership Conferences
  • Professional Nursing Conferences
  • Leader Evaluation Manager (LEM)

Our Commitment to Excellence

People

  • Employees are active participants in work teams including formalized Employee Advisory and Patient Advisory groups that bring front-line perspective and feedback to quality and excellence programs.
  • Employees show a high level of engagement with 83% participation in the annual survey with engagement scores that exceed the industry average.
  • Retention, turnover, and vacancy rates exceed targets and are below industry averages.
  • We provide a variety of opportunities for employee growth and development, including our 9-month "Bridge to Leadership" program for staff level employees who aspire to a management role.
  • This year, we accommodated every one of our more than 5,500 employees in a "Reorientation" program where they were re-introduced to our organization, provided clarity on goals and expectations, and helped every employee understand how they make a difference in the lives of our patients.

Service

  • Improved HCAHPS overall hospital rating from 57th percentile in 2008 to in 83rd percentile in 2010 as measured by Press Ganey's All Hospital database.
  • Improved HCAHPS likelihood to recommend scores from 70th percentile in 2008 to 85th percentile in 2010.
  • Improved ED overall rating of care from 67th percentile in 2008 to 89th percentile in 2010 as measured by Press Ganey ‘s large ED database.

Quality

  • Hawai‘i Pacific Health hospitals routinely deliver care that is better than state and national results as measured by CMS defined measures in heart attack, heart failure, pneumonia and surgical care.
  • Patients who undergo cardiovascular surgery at Straub are assured a post-operative infection rate that is among the lowest in the country for the past 6 years.
  • Our intensive care units have reduced risk of infections, and as a system we have succeeded in nearly eliminating infections related to ventilator use and bloodstream infections related to central bloodstream catheters.
  • Kapi‘olani's Newborn Special Care Unit cares for the smallest and sickest babies in Hawai'i and the Pacific Region. Thanks to excellent teamwork, rates of complications from being born too early are much lower than national benchmarks.
  • Kapi‘olani's women's centers are in the top 5% nationally, awarded the Breast Imaging Center of Excellence by the American College of Radiology.
  • Our four hospitals continue their string of sustained American Heart Association "Get With The Guidelines" gold and silver awards in heart failure, coronary artery disease, and stroke care.
  • Straub received the 2009 National Organ Donation Silver Recognition award, becoming the only hospital in Hawai‘i to receive such recognition.

Finance

  • Despite economic and reimbursement challenges, Hawai‘i Pacific Health's focused and strategic efforts have led to a stronger financial standing. Moody's Investors Service recently upgraded our bond rating from a B to an A(3), noting our ability to maintain this financial stability. Focused management allows us to focus on improving quality, investing in technology, and pursuing education and development of our staff and physicians.

Growth

  • Several new joint ventures with physicians and other health care organizations further expand services and access to care for patients and communities, particularly those on the neighbor islands.
  • Partnerships such as those with the Cancer Center of Hawai‘i and the University of Hawai‘i's Comprehensive Cancer Center enable patients to receive the latest cancer treatments here at home in the islands.
  • Our focus on service lines continues to bring improvements in care and technology in women's services, pediatrics, bone and joint, heart care, and cancer care.
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