To help ensure smooth and timely care for your patients, we kindly ask that patients arrive for imaging services with the necessary requisition forms in hand. Having the correct documentation prepared in advance will prevent any delays and allow us to provide services more efficiently.
For CT, MRI, or Ultrasound appointments, please make sure the following are completed:
Requisition form
Pre-authorization
Lab results (if applicable)
With these documents, we can often schedule or provide services as early as the next day. Walk-in X-ray services are also available with a requisition form.
Requisition forms can be sent via fax to (808) 322-4576. If you have any questions, our scheduling team is happy to assist at (808) 322-4490.
You can download the necessary forms and learn more about imaging appointments here.
The hardest part of being a caretaker for Teresa Kuala‘au is watching her husband Wendell of more than 40 years wither from the once muscular, 180-pound Hawaiian fisherman to only 129 pounds as he battles diabetes and non-Hodgkins lymphoma.
Now, the emotional exhaustion and uncertainty is even greater for 64-year-old Kualaʻau because it’s her husband’s third bout with cancer. But Kualaʻau does have some peace of mind that she knows her 69-year-old husband’s end-of-life medical wishes.
Teresa and Wendell Kuala‘au. Photo courtesy: Teresa Kuala‘au
Twenty years ago, the couple created advanced health care directives at the advice of their primary care physicians. They have been updated over the years.
On Saturday at the second annual Empowering Caregiver Resource Fair, Kona Community Hospital is hoping to educate more caregivers about health care directives and how they can better take care of their loved ones who are suffering from declining health and themselves.
The event will be at the Sgt. Rodney JT Yano Hall, 82-6156 Māmalahoa Highway in Captain Cook from 9 a.m. to 12:30 p.m.
So far, 63 people have RSVP’d.
Speakers will explain the nuances of health care directives, which are legal documents that provide instructions for medical care and only go into effect if you cannot communicate your own wishes. The two most common advance directives for health care are the living will and the durable power of attorney for health care.
Anne Padilla, spokesperson for Kona Community Hospital, helped organize the first caregiver resource fair in 2023, where a little more than 100 people attended. She said the need to educate caregivers about advanced health care directives became apparent when it was learned that many of the waitlisted patients at the hospital who were awaiting discharge to a skilled nursing facility for continued care and/or rehabilitation did not have one.
At the first resource fair, speaker Amy Hamane with Community First Hawai‘i said the biggest concern among caregivers was they didn’t have a legal document about the medical wishes of the people they were caring for.
“When someone is no longer able to speak and communicate, having an emergency situation, the directive documents what your wishes are if you’re unable to communicate,” Hamane said.
Community partners will share their expertise and connect caregivers with local resources. Speaker topics include:
Understanding Dementia-Related Behaviors presented by the Alzheimer’s Association
Advance Health Care Directives presented by Community First Hawaiʻi
Safe Lifting and Transfer Techniques for Caregivers presented by Kona Community Hospital’s Rehabilitation Department
Third Circuit Court Judge Peter Kubota also willl be at the event to discuss planning ahead of a loved one’s death and what documents need to be done.
Additionally, the hospital created Emergency Medical Folders that provide a central location for caregivers to store and organize medical information, including lists of medications and the health care directive.
Kuala‘au said the folders come in handy if she shows up at the hospital with Wendell and she’s too shaken to communicate with the health care workers, noting the folder includes all the information a doctor would need, including a medication list, names of doctors and even a power of attorney document.
Padilla said the folders help streamline information when it’s needed. Last year, they gave out 100 folders.
Call 808-322-4559 for more information about the resource fair or register online to RSVP for the Empowering Caregiver Resource Fair.
Hamane also will be at the second fair to register people for an upcoming October workshop, where caregivers will be given step-by-step guidance through filling out a health care directive and providing an understanding of the choices to be made.
Kuala‘au will provide her services free as a notary public since these documents require notarization or two people witnessing.
The workshop is co-hosted by Community First Hawai‘i and the hospital.
In the advance health directives made by Wendell and Teresa Kualaʻau, they have named each other as the person who can make decisions about their health if they are unable to do so.
They both also include instructions that they won’t wont to have their lives prolonged if death is inevitable, with Teresaa Kualaʻau saying: “There’s no sense in that.”
But having these wishes documented is important, she said, “so family members aren’t guessing.”
Kealakekua, HI – Kona Community Hospital (KCH) is proud to announce the successful launch of its Coronary Computed Tomography Angiography (CCTA) imaging service. This milestone achievement, in partnership with Aliʻi Health Center (AHC), represents a significant leap forward in non-invasive cardiac diagnostics.
CCTA testing provides doctors with a detailed visualization of coronary arteries, facilitating early detection of coronary artery disease and providing a safer, more convenient option for patients. This enhancement in diagnostic capability means patients can now receive timely care within their community, reducing wait times and the need to travel elsewhere for cardiac imaging services.
“We know from our recent healthcare site and needs assessment analysis that cardiac care is urgently needed in this community,” said Clayton McGhan, Kona Community Hospital CEO. “The introduction of the CCTA imaging service is a step in the right direction for us to be able to provide this care in our community.”
KCH and AHC worked for more than two years to bring this technology to West Hawaiʻi, implementing workstation upgrades in its radiology department to accommodate the state-of-the-art diagnostics and establishing a dedicated protocol for administering the medications needed for the procedure.
“This technology is game-changing for cardiology in Kona,” explained Jaime Westlund, DNP, Chairperson of Aliʻi Health Center’s Cardiology. “Getting to this point required a considerable amount of time and dedication, but it means our outpatient cardiac patients will have better cardiac diagnoses and care close to home.”
Kealakekua, HI – In an initiative to promote water safety awareness among Hawai‘i’s newest families, the Alex and Duke De Rego Foundation generously donated 50 gift baskets to new parents at Kona Community Hospital (KCH). This contribution underscores the critical need for water safety education from the earliest stages of life. Each gift basket contains newborn baby items along with crucial water safety educational materials to empower parents with the knowledge to protect their children around water.
Foundation President Shirley De Rego spoke to KCH staff passionately about the importance of water safety for all Hawai‘i’s children. She expressed her hope to donate 50 gift baskets annually during Water Safety Month, with ongoing efforts to distribute water safety educational materials to parents of newborns at KCH throughout the year.
A few families have so far received a gift basket at KCH, with some remembering hearing of the De Rego ʻohana.
“The life of a child is precious. It’s an honor to provide this Infant Water Safety information,” shared De Rego whose dedication to the safety and wellbeing of Hawai‘i’s keiki is deeply personal. “Knowledge is power. Anything we can do to safeguard our keiki is important. My mission is to do this with water safety and first aid /CPR.”
The Alex & Duke De Rego Foundation honors the memories of De Rego’s two sons who died in separate accidents when they were young. The foundation’s mission is to empower young people in Hawaiʻi with water safety and emergency lifesaving knowledge through hands on training.
“Thanks to the incredible efforts of the Alex and Duke De Rego Foundation, we are able to extend vital water safety education to new parents. By equipping families with this knowledge from the start, we can help reduce the number of water-related accidents and save lives,” shared Wendi Wagner, Trauma Program manager at KCH.
Kona Community Hospital launched a Hospital Site and Needs Assessment initiative to evaluate our community’s healthcare needs and the feasibility of a new hospital.
Join hospital officials on the following dates for Public Informational Sessions to learn about current and future healthcare needs of West Hawaii:
Monday, June 24 5:30 p.m. – 7:00 p.m. West Hawaiʻi Civic Center, Building A 74-5044 Ane Keohokālole Highway Kailua-Kona, HI 96740
Thursday, June 27 5:30 p.m. – 7:00 p.m. Kona Community Hospital Conference Rooms, Admin Building 79-1019 Haukapila Street Kealakekua, HI 96750
Kona Community Hospital is one step closer to constructing a wastewater treatment system.
In a letter to the Office of Planning and Sustainable Development Environmental Review Program,Clayton Mcghan, KCH CEO said the Draft Environmental Assessment (DEA) assesses the potential effects of constructing and operating the proposed project.
“Kona Community Hospital, as the proposing and approving agency, anticipates that the proposed action is not likely to have a significant effect and therefore is issuing a notice of an Anticipated Finding of No Significant Impact, subject to the public review provisions of HAR Section 11-200.1-20,” the letter states.
According to the DEA, KCH is proposing a redundant wastewater treatment system with a capacity of 50,000 gallons-per-day (gpd) to supplement its existing 50,000-gpd system, which requires a shutdown to perform critical repair and maintenance. Because hospital operations must not be disrupted, KCH will divert the wastewater flow to the redundant system while the existing system is offline, and whenever future maintenance is needed.
The project will be timed to minimize effects to medical facility operations, personnel and patients. The project would not adversely affect surface water or groundwater. No valuable natural or cultural resource would be committed or lost at the quarter-acre grassed/paved project site through construction and use of additional wastewater treatment system facilities at the hospital.
KCH has determined that its wastewater treatment system (WWTS) requires a shutdown to perform critical repair and maintenance in order to continue effective operation. The hospital was built in 1975 and after many renovations is now a full service hospital with services including acute inpatient medical/surgical, obstetrics, skilled nursing, intensive care, and outpatient surgery.
The project would build a second, redundant WWTS with a capacity of 50,000 gpd. Once the redundant system is fully operational, repairs to the existing system can be conducted.
A nearby seepage pit area previously permitted for emergency use will be used for the absorption process during the brief time required for the diversion of the influent to the new system. After that, the systems will be capable of being operated alternately. Current demand can be filled with just one system operational at a time, and there are no immediate significant expansion plans at KCH that would generate substantially more wastewater.
The entire construction area will be less than a quarter-acre.
Dylan Palazzo, Director of Surgical Services at Kona Community Hospital, points at the air conditioning and ventilation handlers in an operating room. The hospital is seeking state funding to upgrade its system to avoid risk of closure. (Tiffany DeMasters/Big Island Now)
An operating room at Kona Community Hospital was a chilly 67.7 degrees early Friday morning, perfect conditions for performing surgeries.
However, as summer approaches, Dylan Palazzo, Director of Surgical Services, said temperatures in the sterile environment will spike. Warmer days, machines running hot and body heat from people performing or assisting in the procedures can raise the temperature in their three operating rooms to upwards of 75 degrees with higher humidity — which raises the risk of bacteria growth.
These conditions, at times, have led hospital staff to have to close operating rooms until they cool down to continue with procedures.
“We reach out to maintenance and they do what they can to get the temperature back in range, but sometimes we have to wait it out,” Palazzo said.
These spikes are due in part to Kona Community Hospital’s decades-old cooling and ventilating system. While they’ve never had to postpone a surgery because of spiking temperatures, Palazzo said it’s only a matter of time.
The nearly 50-year-old hospital — built in 1974 — runs the risk of closure every day due to outdated utilities. And if they do conk out, elective and trauma surgeries will end and the hospital runs the risk of losing its Level 3 Trauma Designation, which requires at least one operating room to always be availableto provide emergency surgeries.
Missy Elliott, Director of Pharmacy at Kona Community Hospital, points out the segregated compound room used to mix IV medications. The hospital is seeking state funding to expand the pharmacy to build an FDA-mandated clean room suite. (Tiffany DeMasters/Big Island Now)
“It’s just like a homeowner. You don’t know when the water heater is gonna go out but when it does, you better have $10,000 to replace it,” said Diane Hale, the hospital’s chief nurse executive.
Hospital leaders have been attending 2023 State Legislature sessions to bring attention to their urgent needs and advocate for approximately $17 million over the next two years to address the cooling and ventilating system problems as well as install campus-wide lighting and security cameras. There also is a need to deal with waste-water treatment issues.
A significant portion of the funding would be used for an uninterruptible power source to minimize equipment damage from frequent brown-outs, which are partial, temporary reduction in system voltage.
“We’re making a lot of noise trying to get our story out there,” said Judy Donovan, Marketing & Strategic Planning Director for the hospital.
The hospital hopes to secure $4.9 million in 2024 to start on the infrastructure and cooling system upgrades. They hope to receive the remaining $11.3 million in 2025.
Clayton McGhan, West Hawaiʻi Regional CEO, said Kona Community Hospital started its efforts to get state funding in December by meeting with the Hawai‘i Island Delegation.
“We shared with them our challenges, and it was well received,” McGhan said.
McGhan attended Opening Day of the State Legislature in January and has been back to Honolulu on several occasions to discuss the hospital’s plight with lawmakers.
The last major renovation the hospital had was in 2020 when the three operating rooms were upgraded. In the early 1990s, the hospital built an additional building for same day surgeries, with a recovery room and Intensive Care Unit. The hospital also expanded its acute and long-term care to 75 beds.
In the early 2000s, a new administration services building was constructed across from the emergency department entrance, the Behavioral Health Services Unit opened and the new building for chemotherapy and outpatient services was also added onto the hospital. The air conditioning and utility systems have been upgraded and repaired piecemeal over the years. McGhan said a lot of the equipment remains outdated.
Kona Community Hospital operating room. (Tiffany DeMasters/Big Island Now)
“We need to fix the infrastructure to manage the [power] load that’s put on it,” he said.
The hospital’s pharmacy also has been working to expand by building a clean room suite, which allows pharmacists to prepare IV medications and store them for longer.
Missy Elliott, Director of Pharmacy, said the pharmacy has a room — the segregated compound area — that enables the safe mixing of medications for inpatients and infusion patients. However, the compound area only lets the hospital store those mixtures for 12 hours because the air circulation doesn’t flow in the right direction. A clean room suite status requires air to flow from the ceiling down. Currently, the air is flowing from the ground toward the ceiling.
While the airflow is going in the wrong direction, Elliott said the room is immaculately pristine, and tested regularly with no bacteria or mold growth.
But because of the short shelf-life of the mixed medications in the current segregated compound area, “we waste a lot of stuff,” Elliott explained. “In a clean room suite, it keeps stuff for up to a week. It will help us provide better care for inpatients and those who get outpatient care.”
The clean room suite will be built on the backside of the hospital, but will still be accessible through the pharmacy.
Building a clean room suite also is part of a requirement by the Federal Drug Administration.
The hospital pharmacy came under FDA scrutiny in 2019 due to a complaint about unsafe practices within the segregated compound room. During a review, the FDA found the room had bacteria growth in the past and remediation steps weren’t properly documented.
The FDA reinspected the pharmacy in February 2022. Elliott said inspectors came out and spent time watching the hospital pharmacists for a week, checking for any potential violations and watching them prepare medications. In July 2022, the FDA issued a closeout letter that said the pharmacy had addressed all the original issues it was initially cited for and no new citations were issued.
Part of the FDA’s review was the understanding that the pharmacy would build a clean room suite. The original deadline for the room to be completed was next month. All the pieces are in place to build it, but the contractor won’t sign a contract until the hospital has the funding, Elliott said.
In the meantime, Elliott said the hospital “promised” to keep the FDA updated.
Elliott also said the pharmacy could be providing more service and the hospital is proactively working toward that goal.
“We’ve taken on a lot of new tasks,” she said. “Our big push to increase patient safety is to have a pharmacy available 24 hours a day. Our services just keep growing. Our hours need to grow as well.”
Funding for Kona Community Hospital projects was added to Gov. Josh Green’s proposed Executive Budget for 2023-2025 earlier this month. The added infrastructure project comes at a price tag of $21.7 million and covers funding for four different projects that if not completed could put the facility at risk of closure:
central utility plant
site utilities [heating, ventilating and air condition systems]
loading dock
building infrastructure
Additionally, proposed funding includes an expansion of the hospital’s pharmacy.
Blake Oshiro, senior advisor to the governor, said they are awaiting a public release of the Senate Ways and Means version of the state budget to see if funding for Kona Community Hospital is appropriated. They hope to see those papers sometime next week.
“The House and Senate must still confer in the final weeks of April so we will continue to work with the legislature so that they understand the importance of these projects,” Oshiro said. “We will find out at the end of April whether this funding is in or out of the budget.”
State Rep. Nicole Lowen, whose Big Island district includes the hospital, said she and other area representatives have agreed that Kona Community Hospital upgrades are a high priority item, adding funding requests for the hospital goes into the budget every year depending on the expressed needs.
Last year, for example, the legislature secured $500,000 for a hospital site and hospital needs assessment, which now is in the process of being conducted. The hospital also has received $2.5 million for oncology services upgrades and replacing equipment and $674,000 for pharmacy expansion, “which as we now know wasn’t enough due to rampant inflation,” Donovan said.
“We just go by what we’re told [by the hospital] on what their highest needs are,” Lowen said. “This is the first year we’ve been made aware of the risk-of-closure items.”
Lowen added: “We [area representatives] have never been anything but completely supportive of health care in West Hawai‘i.”
If the State Legislature doesn’t approve the funding, Hale said the hospital would be forced to use its limited operating budget — money used to pay salaries and purchase equipment — to start the projects.
“We don’t want to cut services and we don’t want a riff in our employment,” Hale said.
McGhan said it’s difficult to think about the idea of not getting state funding with the hospital already running the daily risk of closure.
“This hospital is a community hospital,” he said. “Everyone deserves to have their health and wellbeing needs met.”
Hospital leaders continue to spread awareness of the hospital’s situation. This week they met with the Chamber of Commerce and Rotary Club Kona-Mauka. On Thursday, hospital staff held a sign waving in Kona off Queen Ka‘ahumanu Highway. Next week, they will be meeting with the carpenter’s union, Hawai’i Regional Council of Carpenters.
At legislative hearings, Hale said she’s been asked if Kona Community Hospital’s needs are more important than those of Hilo Medical Center. The answer: no.
Both the Hilo and Kona communities outgrew their hospitals years ago, Hale said. Hilo Medical Center needs to expand its services, too.
“Things weren’t maintained properly in the past. Here we are now as stewards trying to create a new plan,” Hale said. “We’re just trying to keep our doors open.”
Kona Community Hospital staff and ohana wave signs Thursday on Queen Kaahumanu Highway. Courtesy Photo/Special to West Hawaii Today
Dozens of people recently rallied for Kona Community
Hospital on Queen Ka`ahumanu Highway adjacent to the LDS Church. Waving signs and shakas, hospital
leadership, board members, doctors, staff, and family came together to thank the community and Big
Island legislators for their support while the hospital seeks funding for crucial infrastructure upgrades.
“I am overwhelmed by the support our community is giving us,” said Clayton McGhan, Kona Community
Hospital Chief Executive Officer. “We love this community we call home, and it’s clear the people here
care about their hospital. They are the reason this funding is important. We’re also very grateful to our
government leaders, including Senator Kanuha and Representatives Lowen and Kahaloa for their
support. They have listened to and championed our needs during this legislative session.”
Kona Community Hospital is seeking almost $19 million from the state legislature to upgrade its nearly 50-year-old facility on Haukapila Street in Kealakekua. The funds would cover improvements to areas like its central utility lines, HVAC system, and the hospital’s pharmacy drug compounding facility.
Without the full appropriation to fix these items, the hospital might lose its ability to perform surgeries
and provide some emergency care. Patients and their relatives know that it could be the difference between life and death.
The sign-waving event provided an opportunity for hospital personnel to show their appreciation. “The overwhelmingly positive reaction of cars passing by filled our hearts,” said chief nurse executive, DianeHale. “We truly are grateful for our community’s support.”
Kona Community Hospital achieved the international Baby-Friendly designation for adhering to the highest standards of care for breastfeeding mothers and their babies. (Kona Community Hospital)
Kona Community Hospital has achieved the highly prestigious international Baby-Friendly designation after a rigorous review process conducted by Baby-Friendly USA, the organization responsible for bestowing this certification in the United States, according to a press release from Kona Community Hospital.
To receive this distinguished honor, a hospital must adhere to the highest standards of care for breastfeeding mothers and their babies. These standards are built on the Ten Steps to Successful Breastfeeding, a set of evidence-based practices recommended by the World Health Organization and the United Nations Children’s Fund for optimal infant feeding support in the precious first days of a newborn’s life.
The positive health effects of breastfeeding are well-documented and widely recognized by health authorities throughout the world. For example, the Surgeon General’s 2011 Call to Action to Support Breastfeeding stated that “Breast milk is uniquely suited to the human infant’s nutritional needs and is a live substance with unparalleled immunological and anti-inflammatory properties that protect against a host of illnesses and diseases for both mothers and children.”
Kona Community Hospital joins a growing list of more than 20,000 Baby-Friendly hospitals and birth centers throughout the world, 600 of which are in the United States. These facilities provide an environment that supports breastfeeding while respecting every woman’s right to make the best decision for herself and her family.
“This designation is the culmination of a lot of hard work and determination across our organization, all with a goal of helping families get off to a good start,” said Heidi Fromm, the hospital’s obstetrics nurse manager. “We are proud to offer an environment that supports best practices shown to increase breastfeeding exclusivity and duration and are committed to give moms who choose to breastfeed the best chance for success.”
