Hometown Heroes: Anne Broderson is fighting for our health

 

Editor’s note: Each Wednesday, West Hawaii Today is publishing a story about individuals, groups or organizations that have helped make life better for others in our community during the COVID-19 pandemic.

It has been said that if you want to get something done to ask a busy person. Anne Broderson, a cardiac nurse practitioner at Alii Health Center, is one of those people.

Not only has she organized the biggest annual blood drive in the state, her efforts have made Alii Health’s drive-through COVID-19 testing the most successful on the Big Island.

“The energy and passion she has used in the medical field for years gave her the right tools to create from the ground up a COVID-19 testing and screening program that helps us deal with a once in a lifetime world Health crisis,” said Jeramy Madrid with Alii Health. “Every week she facilitates dozens of screening and Testing for COVID-19 all the while balancing a full clinic in Alii Health Centers Cardiology department. She is an amazing person who puts passion first that we are grateful that she’s fighting for our health first and foremost.”

Broderson was nominated by Dr. Brett Carey, chairman of the health service committee at the West Hawaii Community Health Center because of her commitment to the community.

“She was the genesis behind getting the COVID testing with Alii Health,” said Carey. “If it wasn’t for Anne I don’t know what we would have done to open it up and test more community members.”

Carey said he had some connections with Premier Medical which organized the first drive-through at Old Kona Airport Park.

“All’s I did is help to introduce them through email and Anne took it from there and ran with it,” he said. “I think she is someone in our community that whenever she sees a need she takes action really quickly and puts these initiatives together that normally would have big groups and meetings and committees. She just makes things happen.”

“I see a need that the community is lacking and it feels wrong not to act on it,” said Broderson, also noting that it was Carey who 3D-printed face shields and N95 masks used by personnel. “I’ve been able to rally the troops and be a good collaborator with outside agencies.”

Under Broderson’s leadership, Alii Health has performed well over 2,000 tests, the largest county testing by volume since their first testing on March 28.

“Alii Health Center is very fortunate to have Anne as a provider,” said Alii Health Center executive director Clayton McGhan. “Her outstanding contributions to our organization as well as the community through her involvement with the COVID-19 testing has not only raised community awareness, but also created a collaborative healthcare environment. She is a true ‘Hometown Hero!’”

Previous to spearheading COVID testing, Broderson organized the annual Elvis Sheppard blood drive in honor of her best friend Jen Davis’s fiancee who died from injuries suffered in a motorcycle crash in 2017.

“She is one of my very best friends in life,” said Davis. “She was there the day I met him and she was there the day he passed.”

At the time of the accident, Broderson was working at Kona Community Hospital.

“It was a tragic thing to happen to anybody — let alone my best friend’s fiancee,” she said.

Broderson said 78 units of blood were given to Sheppard, enough to fill a human body several times over.

“The blood products was the only thing that was going to give him a chance, and in treating Sheppard, the supply of platelets at the hospital was exhausted. I drove to Hilo that night to get more. We got back and gave him the units we got from Hilo, but it was already too late,” said Broderson. “I thought how can we give the next person in this situation a better chance?”

The morning after Sheppard died, Broderson and Davis decided they needed to do something.

“There were about 50 of his friends gathered in the hallway wanting to donate blood,” said Broderson. “That’s where the idea was born. If nothing else we wanted to at least restock the shelves for what Elvis used.”

Davis said the first blood drive was July 4, 2017.

“The blood drive was Anne’s baby from conception; to being liaison with the Blood Bank and what needed to be done. It became her passion project,” said Davis.

After the first year, they decided that it needed to be an annual endeavor.

Last year, 299 donors attended the drive, making it the biggest blood drive in the state.

“It was pretty incredible. She is so smart she is able to identify where the need lies and cares so much for her community that she jumps right in and takes ownership of these massive undertakings that you never see anybody doing,” said Davis. “She’s so intelligent she just knows exactly what needs to be done and makes it happen. She’s really a remarkable woman.”

They were planning on having the annual drive this year, but the Blood Bank had made the decision that they were not going to go to any outer islands due to the pandemic.

In addition to all the organizing Broderson has done, she has been fundraising for trauma services at Kona Community Hospital.

“Our intention for all the money that has been raised is to get a bereavement program up and running at Kona Hospital,” she said.

The program would support family members experiencing sudden death of a loved one navigate through the process, where now there is no guidance, providing someone who is a dedicated person to stay with the family to answer all their questions and offer support.

All of this while working full time as a cardiology nurse practitioner.

A gift from the heart: Anonymous donor secures, transports thousands of masks for front-line worker

A gift from the heart: Anonymous donor secures, transports thousands of masks for front-line worker

By Special to West Hawaii Today | Monday, May 25, 2020, 12:05 a.m.

https://www.westhawaiitoday.com/2020/05/25/hawaii-news/a-gift-from-the-heart-anonymous-donor-secures-transports-thousands-of-masks-for-front-line-worker/

Dr. Frank Sayre, center, distributes sterile surgical masks donated by an anonymous donor to the Keauhou Fire Station. Courtesy Photo

Tens of thousands of sterile surgical masks have reached Hawaii Island’s front-line workers thanks to an anonymous donor.

The donor flew in 54,000 masks on May 13 and another 36,000 masks on Saturday that are being distributed to front-line response teams through the Daniel R. Sayre Memorial Foundation.

To date, PPE supplies that have been nearly impossible to obtain have been provided to the Hawaii Fire Department, Hawaii Police Department, Kona Community Hospital, North Hawaii Community Hospital, Kohala Hospital, Kona Ambulatory Surgery Center, Alii Health Center for Cardiology, Orthopedics, Obstetrics/Gynecology Pediatrics, Gastroenterology and General Surgery, HOPE Services; and numerous medical, dental and veterinary offices.

These masks are among over 600,000 pieces of needed PPE that the donor secured at a cost of approximately $25 million to allow essential workers to “get back to work safely.“ It is part of the donor’s company’s philosophy to give back to communities and to continue to make a difference in the world.

Hawaii Fire Department Chief Darren Rosario and Battalion Chief Bill Bergin coordinated these efforts with Dr. Frank Sayre and Laura Mallery-Sayre, founders of the Daniel R. Sayre Memorial Foundation.

“It has been a true honor to be a part of this amazing effort to protect lives during this COVID-19 pandemic. We have such gratitude for our donor and his amazing heart!” Laura and Frank said.

COVID-19 crisis suppresses visits to Big Isle hospitals, clinics

COVID-19 crisis suppresses visits to Big Isle hospitals, clinics

 By STEPHANIE SALMONS Hawaii Tribune-Herald | Monday, May 18, 2020, 12:05 a.m.

Fewer patients are visiting Big Island emergency rooms and urgent care clinics due to the ongoing COVID-19 pandemic, and that is having a negative impact on their revenue.

Dan Brinkman, East Hawaii Regional CEO, Hawaii Health Systems Corp., said Hilo Medical Center averaged between 4,000 and 4,200 visits a month prior to the COVID-19 pandemic and stay-at-home orders issued by Gov. David Ige.

The hospital is now averaging between 2,800 and 3,000 visits, a 38% to 40% percent decline.

“It’s understandable, given the request for the governor’s order to stay at home,” Brinkman said. “I think a lot of people have taken that very serious, as we can see with the low COVID rates on our island, and I think our community has done a really good job following those directives.”

Because of those directives, Brinkman said people are limiting activities. There are fewer accidents, no more cruise visitors and fewer trauma injuries.

That’s resulted in fewer emergency room visits, but Brinkman said he’s concerned some patients are following the stay-at-home order to their detriment and seeking care after waiting far too long to do so.

“We’re seeing less overall patients in the ER. However, of the patients that we see, we’re admitting a higher percentage of them because they’re sicker.”

Brinkman said there’s been an increase in the number of patients admitted from the emergency room — up from about 12% to 17%-18%

“It’s a phenomenon that’s happening across the country,” said Brinkman. “Patients are sicker, waiting perhaps a bit long for their care. It’s understandable, but we’re hopeful as the community starts to reopen (and) some of the restrictions are lifted, that trend will reverse itself and people will feel more comfortable getting the care they need.”

But a decline in patients means a big hit to the hospital’s finances.

Brinkman said the hospital is projecting a $26 million drop in revenue through the end of the calendar year.

“We’ve seen declines in our elective surgeries, in clinic visits. Collectively, it’s cost us a lot.”

That projection, however, could balloon should there be a surge in COVID-19 cases.

According to Brinkman, combined revenue for the East Hawaii Region, which also includes the hospitals in Ka‘u and Honokaa, is around $260 million.

The hospital has received $21 million in federal funding as part of the Coronavirus Aid, Relief, and Economic Security (CARES) Act.

“That will offset a good portion of that $26 million, which is good news,” Brinkman said. “We also started this whole crisis in pretty solid financial condition, so we have some reserves.”

HMC’s goal is to avoid reductions in services or layoffs or pay cuts, despite the persistence of the virus threat, he said.

“We’re hopeful we can manage that transition, because all hospitals are going to have to adjust their services, adjust how they’re going to do their business. Our goal is to do that without disrupting the health care in the community.”

Elsewhere in Hilo, declining patient counts are having a similar impact.

“As far as the numbers are concerned, we’re probably down about 60% of the patient load we normally see,” said Brenda Dunne, director of operations at Hilo Urgent Care.

Revenue is down about 60%, too.

Looking into her parking lot Friday, Dunne said there was maybe one car that didn’t belong to her staff, “which is really scary, because normally Monday and Friday are our busiest days.”

Typically, she has two doctors and three nurses working those days, but had to cut back to one doctor and two nurses.

“We’re happy that people are being safe, but as far as business is concerned, I don’t know how we’re going to do it if it continues to be this way,” Dunne said.

Making the situation more difficult, Dunne said, is the clinic’s income is based solely on patients who visit.

“If we don’t have patients coming in, we don’t have income coming in,” she said. “Every single patient are our paychecks. We do not have any funding from the state or from the federal government. That’s a huge hit for us.”

The clinic did apply for and received help from the Paycheck Protection Program, a U.S. Small Business Administration loan that helps businesses keep their workforces employed during the COVID-19 crisis.

“… When that is out, we shall see,” Dunn said.

The number of emergency room visits are down in other Big Island hospitals, too.

At Kona Community Hospital, a part of the Hawaii Health Systems Corp., emergency room visits are down as well.

Chief Financial Officer Dean Herzog said the hospital’s emergency room had about 65 visits per day before stay-at-home orders were implemented but now have about 30.

Admissions also decreased from about 300 per month to about 200, and demand for all services is down by about 33%, he said.

Herzog said, too, that all hospital revenues are down by about a third, but federal stimulus dollars will help offset the losses. He did not say how much money the hospital will be receiving.

Apart from COVID-19 testing, which is available in its emergency room, ER visits to Queen’s North Hawaii Community Hospital in Waimea have decreased between 20% and 30%, spokeswoman Lynn Scully said.

Like HMC, Scully said NHCH’s biggest concern is making sure people get the care that is needed and not waiting.

“It is usually easier to treat things earlier instead of waiting,” she said. “Emergencies don’t stop because of a pandemic, and we would like the community to know that their local emergency rooms are open and available for people’s urgent needs 24/7.”

 

Medical staff honored with flyover

Medical staff honored with flyover

By West Hawaii Today Staff | Saturday, May 16, 2020, 12:05 a.m.

Staff from two Hawaii Island hospitals made it outside Thursday to see the Hawaii Air National Guard and 15th Wing Active Duty Airmen from Joint Base Pearl Harbor-Hickam perform a flyover in a salute to all frontline workers battling COVID-19.

The KC-135 Stratotanker flew over Kona Community Hospital and North Hawaii Community Hospital Thursday afternoon as part of routine training sorties.

Inspired by the Air Force’s Operation American Resolve Salutes campaign, the flyover was intended to provide a salute to all the health care professionals, frontline responders, and essential personnel working to keep everyone safe and healthy during these unique times.

 

Kona Community Hospital reports first inpatient case of COVID-19

Kona Community Hospital reports first inpatient case of COVID-19

The patient tested positive for the novel coronavirus and was admitted to the hospital on Wednesday, according to a statement provided by KCH spokeswoman Judy Donovan. The patient, a resident, has no history of travel.

The adult, who is in stable condition, is the first COVID-19 patient to be admitted to the Kealakekua hospital.

“Kona Community Hospital has been actively preparing with our federal, state, and county partners to respond to a confirmed novel coronavirus case since February,” said Infection Prevention and Employee Health director Lisa Downing, RN, in a statement. “Our top priority is maintaining the health and safety of our staff and patients.”

The state Department of Health’s on-call virologist was consulted and is supporting the hospital’s care management of this patient that includes precautions to protect patients and staff, Donovan said.

According to the statement, the hospital’s house supervisor, emergency department and medical unit leadership and staff were all briefed upon notification of the positive test. All precautions were reviewed with the infection prevention director and the incident command team leader.

The hospital is currently following its emergency plans, which include minimizing the number of employees who enter the patient’s room; following precautions defined by CDC that include standard, contact, airborne and eye protection; and isolating the patient.

The hospital’s House Supervisor, Emergency Department and Medical Unit leadership and staff were all briefed upon notification of the positive test. All precautions were reviewed with the infection prevention director and the incident command team leader.

Meanwhile, the state Department of Health announced Thursday afternoon one new case of COVID-19 on Hawaii Island, bringing Hawaii County’s total to 68. Of those cases, 39 have been cleared and released from isolation.

Including the admission announced Thursday, two Hawaii County individuals have been hospitalized. The first was a worker at McDonald’s in Kona who tested positive and was transported earlier this month to Oahu for treatment, according to state Health Director Dr. Bruce Anderson, who has stated repeatedly the case will be included in Hawaii County’s tally.

The new Big Island case was among four new positive cases announced statewide on Thursday. One case was on Oahu and two were on Maui. All are adult residents.

Hawaii has now recorded 596 cases of COVID-19 since Feb. 28. Six of those cases were Hawaii residents diagnosed outside of the state.

To date, more than 26,600 people have been tested by private and state laboratories for the novel coronavirus.

No new COVID-19-related deaths were reported Thursday. The statewide death toll remained at 12.

Update from West Hawaii Region Board of Directors

Jay Kreuzer, Acting CEO West Hawaii Region

On April 3, 2020, the HHSC West Hawaii Region Board of Directors named Jay Kreuzer into the role of Acting CEO of the West Hawaii region, which includes Kona Community Hospital and Kohala Hospital.

The Board decision was made in order for then-Acting CEO, Linda Rosen, MD to return to her full time position as CEO at the HHSC corporate office on `Oahu.

Frank Sayre, DDS and West Hawaii Region Board Chair said the decision to have Kreuzer step into the Acting CEO role provides seamless coverage for the Region, which is crucial during the current situation with the COVID-19 pandemic.

Sayre said, “We’re very appreciative of Dr. Rosen’s leadership and guidance over the past several weeks, but understand her need to get back to her full time responsibilities.”

Kona Ambulatory Surgery Center and Kona Community Hospital partner to accept masks

Beginning Friday, March 27, 2020, the Kona Ambulatory Surgery Center (KASC) and Kona Community Hospital (KCH) will be partnering to collect donated surgical masks and N-95 respirators.

The two healthcare organizations are seeking surgical masks and N-95 respirators in original, unopened packaging to augment supplies at KCH should additional supplies be needed.

Kona Ambulatory Surgery Center has been designated as the drop off site for donated items. Donations will be accepted Monday – Friday from 7:00am to 4:00pm. The surgery center address is 75-5905 Walua Road, Suite 4 in Kailua-Kona. Donation receipts will be provided.

Please contact KASC clinical manager, Nadine Calloway Reese at (808) 331-7960 or by email at nreese@konaasc.com.

“The community has expressed so much interest in helping during this unprecedented time,” said Katherine Cholet, KASC Administrator. “We’re humbled by that, and also happy to help Kona Community Hospital in their preparations for a potential influx of COVID-19 patients.”

Operating rooms of the future: Kona hospital unveils $6M renovation project

Kahu Kealoha Kaopua blesses the newly renovated operating room at Kona Community Hospital at Thursday’s unveiling.Kahu Kealoha Kaopua blesses the newly renovated operating room at Kona Community Hospital at Thursday’s unveiling.Kona Community Hospital unveiled its newly remodeled state-of-the-art operating rooms Thursday morning.

Over two years of planning and construction went into the complete renovation and upgrade of the Kealakekua-based facility’s three operating rooms at a cost of about $6 million. The majority of that funding came via the state capital improvement project fund with the Kona Hospital Foundation supporting some of the cost.

“We are pleased we can bring you these new services, having 21st century services for our community,” said Chief Nurse Executive/Associate Hospital Administrator Sean McNeal. “We are very invested in delivering the best possible care starting with the most high risk area.”

Currently, the Kona Community Hospital Surgical Services Department performs over 2,200 surgical procedures annually. Operating suites are equipped for inpatient, outpatient, elective and emergency procedures. Prior to the renovation, the OR was equipped with outdated equipment.

The construction began about 19 months ago by completely demolishing one OR suite at a time down to the studs.

Each suite was then rebuilt with brand new, state-of-the-art equipment and technology down to the OR tables. New technology includes equipment booms, air conditioning system, LED lighting system, and video integration to provide better images during surgery, just to name a few.

“Each OR was built with integrated technologies that create an improved, more efficient space,” said Charlie Cholet, RNFA, and director of Surgical Services.

The biggest change to the rooms is the integration package. Surgery is all about having the right information, whether it be X-rays, lab results, history or other information, Cholet explained.

In the past, a doctor would have to walk up to a screen to look at an X-ray, then walk back to the table or stop to read the patient’s chart. Now, the information that the doctor needs is at his fingertips. Any information they want to see is on a monitor in front of them instantaneously. That efficiency could cut the OR turnover time by half.

“The complexity of the rooms is outstanding, between the air exchanges, HEPA filters, flooring, everything is in the name of patient safety, said McNeal. “That’s the key message we want to drive home is that we care enough about our community that we want to keep them safe, especially during something as possible for harm as surgery. We are blessed to have this facility and share it with the community.”

Because the new technology cuts the time a patient spends in the OR, it in turn reduces the risk for complications and infection.

“Any time you are under general anesthesia, it’s not a normal situation for your body,” said Cholet. “The longer a surgery takes, the greater the chance for infection, so by decreasing the time, we decrease the risk.”

Cholet said KCH is in the process of expanding a number of procedures it can undertake in the facility, including joint replacement, hand surgery, urology, expanded gastrointestinal and minor vascular procedures.

Plans are to keep a procedure room, created when construction was underway to maintain three operating rooms, to handle things such as pediatric dental and GI. With the additional room and efficiency from the new integrated system, Cholet said the surgical unit will be able to accommodate more procedures.

And the modernized rooms will help attract and keep more surgeons at the hospital.

“When surgeons considering coming here and saw what we had, it wasn’t a selling point,” Cholet said. “This is.”

Added McNeal: “Stay tuned. It’s only going to get better.”

KCH to Receive $1.5 Million in CIP Funds

KCH to Receive $1.5 Million in CIP Funds

December 12, 2019, 6:00 AM HST (Updated December 11, 2019, 10:55 PM)

Kona Community Hospital is about to get a face lift — and should become a comfortable atmosphere for patients, visitors and employees in the process.

Earlier this month, the State awarded Hawai‘i Health Systems Corporation with $1.5 million in Capital Improvement Project funding for a variety of upgrades and renovations at KCH, according to Sen. Dru Kanuha (D – Hawai‘i Island).

Gov. David Ige made the general obligation bond funding official by way of a letter to Kanuha sent on Dec. 2, 2019, which Kanuha posted on Facebook Wednesday.

“This project will provide construction and design funds for renovations and upgrades to various heating, ventilation and air conditioning systems throughout (KCH),” the description portion of the letter said.

Kanuha expressed excitement because of the improvements and what they mean for the future of the hospital.

“These improvements will benefit the experience of patients and staff alike, and will allow KCH to continue serving our community for many more years to come,” he said. “It’s milestones like this that help move our community forward and (encourage) us all to continue advocating for our community’s  most vital resources.”