Print Conn iss 34, color.indd

Vol. 24 • No. 34 • Aug. 17, 2015
Queen’s Makes Inroads Against CLABSI
CLABSI. Central Line
Associated Blood
Stream Infection. It
killed 18 month old
Josie King at Johns
Hopkins Medicine
in 2001. A year later,
Josie’s mother Sorrell
asked a question that cut to the heart:
“Would my daughter be less likely to die
than a year ago?” The question sparked
a realization that efforts to resolve CLABSI and other patient safety issues were
insufficient, but it was the spark that
launched Johns Hopkins Medicine’s
Armstrong Institute for Patient Safety and
Quality. And now, in partnership with the
Armstrong Institute, Queen’s seeks to affirmatively answer Sorrell King’s question
and become a beacon for patient safety
and quality in Hawai‘i and beyond.
It begins with taking the Queen’s Patients First Pledge (see box). A part of the
process is also telling each other the stories of how we are or will do things differently to live out this pledge. A collaboration between doctors, nurses, and other
staff members reduced CLABSI cases
to zero at Queen’s from March through
June. Could this be the turning point
against CLABSI at Queen’s? Can this remarkable record be sustained?
CLABSI is a major problem at U.S. hospitals. Each year, it results in 200,000 preventable infections, an estimated 25,000
deaths, and $21 billion in avoidable costs.
Common in hospitals, a central line catheter is a tube that is placed into a large vein,
usually in a patient’s neck, chest, arm, or
groin. The catheter is used to draw blood,
give fluids and medications, and can be left
in place for several weeks. A bloodstream
Les Chun, MD, speaks at a CLABSI Prevention Committee meeting.
infection can happen when bacteria travels
down the catheter and enters the blood.
The infection can be treated, but is a serious condition. Unfortunately, CLASBI is
just one of many types of preventable
harm that occur in hospitals. Today, a lot
of deaths that were once deemed inevitable are now considered preventable. That
brings estimates of preventable deaths to
200,000 to 400,000 per year.
Queen’s adopted Johns Hopkins’
CUSP (Comprehensive Unit Based Safety
Program) concept, a five-step program
that not only focuses on changing the
culture, but also makes safety practices
a part of daily work. The changes come
from frontline caregivers themselves,
bring accountability by measuring results,
and get executive leadership involved.
Johns Hopkins encourages hospitals
like Queen’s to adapt their programs to
their unique situation. Instead of making CLABSI prevention a nursing issue,
Patients First Pledge
I pledge to patients that I will:
1. Treat them as if they’re a member of
my ‘ohana, my family.
2. Work together as one team. This
means using words that build each
other up; listening and learning;
speaking up when things don’t seem
right, even if it feels uncomfortable.
3. Hold myself and each other accountable to provide the best care possible.
It’s our kuleana, our responsibility.
Tell Your Story
Email your Story or Shout Out to
[email protected]. We’d like
to share your inspirational thoughts
and sentiments with everyone!
Queen’s chose to include everyone in
the process—physicians, nurses, patients,
family members, and anyone who comes
into contact with the patient—making it
(Continued on page 2)
QMC Re-Verified as Level II Trauma Center
THE QUEEN’S MEDICAL CENTER has
been re-verified as a Level II Trauma Center through May 14, 2017 by the Verification Review Committee of the American
College of Surgeons (ACS).
“It is an honor to serve as Hawai‘i’s only
American College of Surgeon’s verified
trauma center,” said Art Ushijima, QMC/
QHS President. “In Fiscal Year 2015, The
Queen’s Medical Center at Punchbowl
experienced 2,669 trauma cases. It is our
goal to continue to serve our State by providing quality health care to all of the people of Hawai‘i when they need it most.”
Established by the ACS in 1987, the
Consultation/Verification Program for
Hospitals promotes the development of
trauma centers in which participants
provide not only the hospital resources
necessary for trauma care, but also the
entire spectrum of care to address the
needs of all injured patients, from prehospitalization to rehab.
Verified trauma centers must meet essential criteria and standards that ensure
trauma care capability and institutional
performance as outlined by the ACS Committee on Trauma. There are five catego-
ries of verification, and an on-site review
is conducted by a team of site reviewers.
The ACS verification program does
not designate trauma centers, but provides confirmation that a trauma center
has demonstrated its commitment to
providing the highest quality trauma care
for all injured patients. The actual establishment and designation of trauma centers is the function of local, regional or
state health care systems agencies, such
as Hawai‘i’s Department of Health. The
Queen’s Medical Center is both a verified
and designated Trauma Center.
CLABSI
(Continued from page 1.)
a truly multidisciplinary effort. To head
CLABSI prevention on the ground, they
chose a unique partnership: a physician
lead, Erlaine Bello, MD, and a nursing admin lead, Michele Hadano, RN. Dr. Bello
has been working with physician groups
to assure standardized methods of central
line care are used, while Michele is working with staff. Both Dr. Bello and Michele
meet regularly with Les Chun, MD, Chief
Safety Officer, and Cindy Kamikawa, RN,
Chief Nursing Officer and Interim Sr. VP of
Operations. “There are so many variables
that can contribute to CLABSI,” noted
Rose Hata, APRN, who plays a leadership
role in the efforts. “[We want] everyone
from all disciplines eliminating all the risk
factors that can contribute to CLABSI.”
Awareness was created for all CLABSI
prevention methods, from insertion of the
catheter to patient education. Individually,
some prevention issues seem simple, such
as hand hygiene, but collectively they’re
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CLABSI Prevention Committee members
making a difference. To help clinicians
learn, a “Dirty Dozen” video was created
to highlight 12 errors and their remedies.
The script was written by Scott Gilbert,
RN, of PICC Team, and stars Queen’s staff.
Other how-to videos were also made, and
all are available on the Queen’s Intranet
under Infection Prevention & Control. “The
main contributing factor of CLABSI prevention and success is ownership by everyone at the unit level,” says Rose.
Change has a lot of stages. With four
months of zero cases, CLABSI prevention is at the “endurance” stage—sustaining success and making sure that
it’s not just a one-time winning streak.
Understanding what it takes to make
change last can be complex, but perhaps
the simplest course is to ask, “What motivates you? What’s your story?” Rose
offered hers: “Until we know that everyone is providing the best care to every
patient, we have to keep going because
we’re impacting someone’s life.”
Queen’s Staff & Friends Walk with Heart
QUEEN’S HAD A STRONG showing at
the 22nd annual American Heart Association Heart Walk held on Saturday, August
8 at Kapiolani Park. Queen’s teams raised
$28,395, ranking as the second highest
company in fundraising. Our 290 registered participants were the third largest
company group entry. Jackie Leonard,
admin secretary, Neuroscience Institute,
raised $12,896. Special thanks to this
year’s organizers: Marisa Adaro, Makana
McClellan, Susan Murray, John Scherry,
and Andrea Wilburn, and to team captains Ronnie Sato, Kazuma Nakagawa,
Andie Scelsi, Moi Mabalot, Josie Aguada,
Terri Jones, Gina Timoteo, Melissa Domingo, Tracy Lindo, Molly Schmidt, Dawn
Sanderson, Wendell Low, Joyce Kishaba, Kahealani Rivera, Rochelle Francisco,
Kathy Cypriano, Nicole Beckman, Russell
Acebo, Mike Holmberg, and Tracey Fuataga. Those who gave extra kokua: Karen
Schultz, Cindy Kamikawa, Pearl Whittaker, Barry Ratcliff, Amy Murai, Kevin Donnelly, Crystal Shiroma, Jennifer Lau, the
Queen’s Print Connection, Harkness Dining Room, and the QMC gift shop.
Photo Credit: John Scherry
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THE LAST THREE WORKSHOPS on the
retirement process presented by Human Resources are coming up at QMC
Punchbowl. How to apply for Social Security benefits will be held on Thursday,
August 20. What to do with my 401(k) assets when I retire, will be held on Thursday, August 27. Medicare Coordination of
Benefits will be held on Thursday, September 3. All sessions will be held at the
Queen’s Conference Center, Room 203
from 12:00 - 1:00 pm. Register for any of
the sessions at http://eww.queens.org/
hr/registration/retirement.asp.
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911 - IS THIS A MEDICAL EMERGENCY?, a free Speaking of Health Community lecture, will be held on Thursday,
August 20, from 6:00 - 7:00 pm at The
Queen’s Medical Center – West O‘ahu.
Medical Director Ronald Kuroda, MD,
will discuss: When should I go to the
ER? What should I expect? Who are
the people that will treat me? How long
will I wait for service? Register at www.
queenswestoahu.org/classes-and-vents
or call 691-7117. Meet in the main lobby.
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THE RISE OF THYROID CANCER, a free
Speaking of Health Community lecture,
will be held on Wednesday, August 26,
from 5:30 - 7:00 pm at the Queen’s Conference Center. Queen’s Surgical Oncology Program Director Shane Morita, MD,
MS, PhD, FACS, will cover the basic facts
about thyroid cancer, including how it develops, signs, symptoms, and treatment
options. Thyroid cancer patients will also
be on hand to share their treatment stories and perspectives. Register at www.
queensmedicalcenter.org. Click “Attend a
Class” or call 691-7117.
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QMC LEAGUE VOLLEYBALL play has
begun. Head down to the Halawa Gym on
Tuesday eves for games starting at 6:30
and 7:30 pm. Everyone is invited to support this season’s eight participating teams
in evenings of fun and friendly competition.
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THE QUEEN’S FEDERAL CREDIT UNION
(FCU) may merge with Hawai‘i Central
FCU. Find out what this will mean for you
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before the next member vote is called. Informal morning information sessions will
be held in the Kamehameha Auditorium
on Tuesdays, August 18 and 25 from 7:30
- 9:30 am. A Bring Your Lunch informal
session will be held on Friday, August 28
from 10:00 am - 2:00 pm. Come at any
time during the period and representatives will answer your questions. A Town
Hall Meeting will be held on Saturday,
August 29 from 9:30 - 11:30 am at the
main office on King Street. If the merger
goes through, the Harkness Branch will
be maintained and all credit union employees will be offered jobs.
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ALL BIOMETRIC SCREENING appointments for the month of August have been
taken. If you have not yet completed this
WOW requirement, you will need to have
your own physician complete a Physician
Screening Form (available on the Queen’s
Intranet). Your physician will determine
whether lab tests are required based on
your health condition and U.S. Preventative
Screening Task Force (USPSTF) guidelines. If lab tests are not required, your
physician must check the appropriate box
on the Physician Screening Form, which
will satisfy the biometric screening requirement. Queen’s health plan will only cover
preventative screenings that meet USPSTF
guidelines. Any lab work done outside of
USPSTF guidelines will NOT be covered
by your medical plan insurance and employees will be financially responsible. Requirements must be completed by August
31, 2015 to be eligible for the cost share
incentive on 2016 medical premiums. For
questions, please call the HR at 691-4627.
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SET YOUR DVR TO RECORD the latest
TV special from Emme Tomimbang. Kahanmoku: A Legacy of Healing, will air on
Monday, August 24 on KGMB at 9:00 pm.
The special, sponsored in part by Queen’s,
tells the stories of Kahanamoku Scholars,
Native Hawaiian graduates of the John A.
Burns School of Medicine (JABSOM) at
the University of Hawai‘i at Mānoa. Legendary surfer and Olympic gold medalist
Duke Kahanamoku’s widow Nadine left
their entire estate to JABSOM exclusively
for scholarship purposes. Over 80 scholarships have been awarded to date. The special includes a few physicians with ties to
Queen’s, such as brother and sister Keola
Richardson and Ann Wright, who hope to
one day follow in the footsteps of their fa-
ther Allen B. Richardson, MD, (1947-2003)
and grandfather Barrister Allen Richardson, MD, (1918 - 1981), both orthopedic
surgeons who practiced at Queen’s. Rosalyn Enos, MD, the State’s only molecular
pathologist, has practiced at Queen’s for
the past seven years and closes out the
show with what Emme calls “a fabulous
interview.” The special will rebroadcast on
Saturday, August 29 at 6:00 pm.
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ANNUAL CORPORATE COMPLIANCE
training runs now through Saturday, October 31. It is a requirement for all staff
and credentialed practitioners. Access
training through the Corporate Compliance Training icon on the Queen’s Intranet
homepage. Email any questions to [email protected] or call 691-5410.
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HEALING TOUCH/REIKI for employees
is available on Mondays and Fridays (except on holidays) from 3:00 to 4:30 pm in
the QET 7 Ewa conference room. Make
an appointment by emailing on GroupWise with your preferred time and a contact phone number.
The Queen’s Print Connection is published by Creative Services. If you have
news or wish to opine, call 691-7532 or
email [email protected]. The news
deadline is Monday prior to publication.
QHS/QMC Pres. . . . . . . . Art Ushijima
Publisher. . . . . . . . . . . . . . Keala Peters
Editor/Writer. . . . . . . . . . Jason Kimura
Assist. Ed./Writer. . . . . Glee Stormont
The Queen’s Health Systems consists of The
Queen’s Medical Center, The Queen’s Medical
Center – West O’ahu, The Queen’s Health Care
Centers, Queen Emma Land Company, Queen’s
Development Corporation, Queen’s Insurance
Exchange, Inc., Molokai General Hospital and
North Hawai‘i Community Hospital, and has
ownership interests in CareResource Hawai‘i,
Hamamatsu/Queen’s PET Imaging Center, and
Diagnostic Laboratory Services, Inc.
www.queens.org
The Queen’s Health Systems is a 501 (c) (3) nonprofit corporation