Adventist Health Castle | Windward Health | Fall 2022

INSIDE THIS ISSUE Find out why you can trust us for high-quality healthcare in our report on quality and safety performance at Adventist Health Castle for 2020 and 2021. Fall 2022 HEALTH Windward

AT ADVENTIST HEALTH CASTLE, we believe our patients deserve the highest-quality, safest care available, not only because we are healthcare providers, but also because we treat our patients like family. As a family, transparency is key. This issue of Windward Health will shine a light on how we provide effective and safe care, thank our donors, and provide ways you can support our mission here at Castle. Effective care Our goal is to provide each patient with the information, education and tools to experience their best health possible. One way we measure that is by making sure our patients do not require more assistance after being discharged. We are happy to report that our efforts toward effective patient care have created a steady decline in patients returning to the hospital for more services. A safe place The safety of our patients and staff is also an area that we strive to excel in, and we are extremely proud to say we have received an “A” safety grade from Leapfrog for the fourth year in a row. This national distinction is a testament to our commitment to prioritizing patient safety. Thanks to you As I reflect on what we have accomplished and look toward the future, I am proud of the amazing work our teams continue to provide, and I am excited for the opportunities that lie ahead. I would like to say a heartfelt mahalo to all our donors and volunteers. Your gift of time and funds continues to help us meet the needs of our growing community and focus on the overall patient experience. Mahalo, Ryan Ashlock President Adventist Health Castle We aim to help you gain your best health 2 | WINDWARD HEALTH

A report on our quality and safety WINDWARD HEALTH | 3 Patient satisfaction Adventist Health Castle participates in the Hospital Consumer Assessment of Healthcare Providers and Systems survey, known as HCAHPS, which measures patients’ perspectives on hospital care. This standardized tool allows objective and meaningful comparisons between hospitals in areas that are important to consumers. Because it shows the level of trust and confidence our patients have in us, one of the scores that means the most to us is, “Would you recommend this hospital to your family and friends?” We are honored that for four years in a row, you have ranked us in the top 25% of hospitals nationwide on this question. 2018 2019 2020 2021 80th PERCENTILE 85th PERCENTILE 82nd PERCENTILE 84th PERCENTILE Top 25% in the nation

Your safety is our priority, and we work diligently to prevent harm such as falls, infections and injuries to your skin. We were recognized by The Leapfrog Group with an “A” letter grade in 2020 and 2021. Reducing readmissions At Adventist Health Castle, our goal is to provide each patient with the information, education and tools they need to experience their best health possible. One way we measure our success is by closely monitoring our rate of patients returning to the hospital within 30 days of an inpatient admission. Over the past five years, we have seen a steadily declining readmission rate year over year. How did we do this? We have implemented best practices such as: • Bedside reports when patient care is handed off from one nurse to the next. • Care planning sessions with all departments involved in your care. • Doctors and nurses discussing your care with you daily. • Detailed reviews of your home medication list upon admission. • Discharge phone calls by a specially trained care transition nurse. An "A" in safety 4 | WINDWARD HEALTH

A report on our quality and safety WINDWARD HEALTH | 5 BALANCE B is for Balance: Does the person have a sudden loss of balance? EYES E is for Eye: Has the person lost vision in one or both eyes? FACE F is for Face: Does the person’s face look uneven? ARMS A is for Arm: Is one arm hanging down? SPEECH S is for Speech: Is the person’s speech slurred? Does the person have trouble speaking or seem confused? TIME T is for Time: Call 911 now! Our stroke program achieved Gold Plus recognition from the American Heart Association’s Get With The Guidelines program in both 2020 and 2021. We have also been certified by The Joint Commission as a Primary Stroke Center since 2018. These achievements mean that we consistently follow the latest scientific treatment guidelines that have been shown to improve patient outcomes. Learn the signs and symptoms of stroke Stroke care Strokes are a leading cause of death and disability in the U.S. Every year, more than 795,000 adults have a stroke. Strokes are both preventable and treatable. Patients with signs and symptoms of stroke should call 911 and seek medical care immediately for early evaluation, diagnosis and treatment. Signs and symptoms of a stroke can easily be identified by the BE FAST acronym (below). Certified Primary Stroke Center

CDC recommends an assessment by a healthcare professional if you have one or more of these signs or symptoms. Act fast! Sepsis is a medical emergency. If you or your loved one has an infection that is not getting better or is getting worse, seek medical attention right away. Adventist Health Castle is committed to the best care possible for sepsis patients. This begins with early recognition of sepsis and quick treatment with diagnostic lab tests, IV antibiotics and IV fluids. The Centers for Medicare & Medicaid Services has a best practice bundle for sepsis care. Castle’s performance on bundle compliance, at 90%, is well above the national (57%) and state (73%) averages. Source: Centers for Medicare & Medicaid Services Emergency care Adventist Health Castle’s Emergency Department (ED) is staffed by board-certified physicians and specialists 24 hours a day. If you are experiencing a medical emergency, a fast and accurate diagnosis is the key to determine what steps need to be taken for your best outcome. Our team is dedicated to providing efficient and compassionate care when you need it most. One key measurement we track is the time it takes for our patients to see an ED physician. The national average is 30 minutes, with the best ED wait time at 10 minutes. If you or a loved one is experiencing a life-threatening medical emergency, please call 911. Sepsis care What is sepsis? According to the Centers for Disease Control and Prevention (CDC), sepsis is the body’s extreme response to an infection and is a life-threatening emergency. This happens when an infection you already have triggers a chain reaction throughout your body. Risk factors for sepsis are: • Age—being 65 years or older or younger than 1 year. • Having a weakened immune system. • Having chronic medical conditions, such as diabetes, lung disease, kidney disease or cancer. • Having a recent severe illness or hospitalization. • Having had sepsis before. Signs and symptoms of sepsis are: • A fast heart rate or low blood pressure. • Fever or shivering and feeling very cold. • Confusion or disorientation. • Shortness of breath. • Extreme pain or discomfort. • Clammy or sweaty skin. 2017 2018 2019 2020 2021 Average time to see a physician in minutes Castle’s Average Top Performance National Average 30 25 20 15 10 5 13 13 12 11 11 Best-care practices 6 | WINDWARD HEALTH

Aaron’s Dive Shop Carie and Erik Anderson Ryan and Elle Ashlock Donald K. and June Becker Scott Burghardt CPI Foundation Earl and Vera Cherry Alyson and Alan H. Cheung, MD Francis S. and Carolyn Y. Ching Wayne and Teresa Ching Cora and Jonathan Cho, MD Karen Chock Suzy and Clint Churchill Rich Davison George and Haruyo DeCosta D. Otani Produce Claire Durham Edward Elms The Estate of Abraham Akina First Hawaiian Bank J. Frisbee and Susan M. Campbell Winifred Graham Gail Harding Hawaii Community Foundation Hawaii Pacific University COVID Working Group Hawaii Pulmonary Health Center, LLC George and Barbara Hegarty Russell Higa Debbie Hiraoka Noel R. Jaderstrom Jones Lang LaSalle Americas Genevieve and Solomon Kamauu Richard M. Kaya Kokua Pet Clinic Jonathan and Lysa Kono Richard and Lorraine Kozuma Rudolfo D. Lacad Ralph Laffey Steven Lum, MD Denis Mee-Lee, MD Ronald D. Miller Joyce Newmyer Helen W. Nishimura Glenn and Debra Ogasawara Maureen O’Guin Cora and Barry Jim On Alison Orr-Andrawes Michael and Vickie Perry Andrew K. Poepoe Kathy and Hilton R. Raethel Renaissance Charitable Foundation Jasmin J. Rodriguez Celeste and William P. Scruggs, MD Jesse and Shilhi Seibel Arthur and Eva Shak Glenn and Colleen Shimabukuro and family Stewart and Angela Simonson Clifford W. Smith Kaily and Robert Smitson, MD Spouses of MCBH Warren Stenberg Mamoru & Aiko Takitani Foundation, Inc. Ten Tomorrow Gladys Thaw Heidar and Nora Thordarson University Health Alliance Marios Voulgaridis, MD Jerry and Amy Watanabe Elaine Yamashiro Watkins, MD The Windward Spouse Abuse Shelter, Inc. Harry C. & Nee C. Wong Foundation Valerie M. Wong Kenneth Zienkiewicz, MD Zilber Family Foundation Thank you for your philanthropy Thank you for your donation Adventist Health Castle remains focused on providing the best care and services to you and your family. Supporters like you empowered the increase of access to care with an island-wide presence. On this journey, the acquisition of Urgent Care Hawaii and a statewide presence with a growing network of physicians was achieved. As future strategies are developed, Castle would like to walk with you in philanthropy by advancing oncology, expanding primary care and innovating in workforce development. With our 60th anniversary coming in 2023, we at Castle reflect on all our donors in deep appreciation as we grow. Thank you for choosing us in your philanthropic endeavors as we continue to envelop Hawaii in love, health equity and spiritual healing. A special mahalo to the $1,000+ donors of Castle. This special group of advocates led Castle’s transformative journey by making a major gift to fulfill the mission: Living God’s love by inspiring health, wholeness and hope. Thank you to all 2020 and 2021 contributors, in-kind donors, and volunteers for your generosity. Your gifts of time and funds help our healthcare heroes deliver the highest level of care to you. A special mahalo to the following donors who contributed $1000+. WINDWARD HEALTH | 7

Every dollar you give ensures that you and your loved ones have access to advanced medical care, right here at home Adventist Health Castle knows that investing in an organization is a personal choice. Not only do you want the proper stewardship of your gift, but you also want to know the impact your donation is making on the lives of others. That’s why Castle offers diverse options for giving that benefit our patients. Whether you want to invest in technology, thank a healthcare hero for their care, honor a loved one, or simply send your gift to where it is needed most, Castle has giving programs to meet your philanthropic goals and expectations. Whether your gift is onetime or recurring, Castle pledges to use it in ways that will make a difference. Change lives Your generosity can change lives. Please give a gift to Castle today to be part of the healing of yourself, your family and your neighbors. Leave a legacy As you reflect on your lifetime achievements, please consider including Adventist Health Castle as a beneficiary of will and financial plans. A legacy gift can be a powerful expression of your hopes and dreams for the future. By making such a gift, you will help provide resources for improving and saving lives in our community. Tax-wise giving Consider a gift of appreciated securities, a grant from a donor-advised fund or a donation directly from your qualified retirement plan. MAKE A DIFFERENCE. Scan the QR code to learn about giving, or visit AdventistHealth or call 808-263-5288. Checks can be mailed to Adventist Health Castle, 640 Ulukahiki St., Kailua, HI 96734. FALL 2022 WINDWARD HEALTH is published quarterly as a community service. Information in WINDWARD HEALTH comes from a wide range of medical experts. If you have any concerns or questions about specific content that may affect your health, please contact your healthcare provider. Models may be used in photos and illustrations. 2022 © Coffey Communications, Inc. All rights reserved. How to find us 808-263-5500 Visit, and click on “Contact Us.” We’d be happy to hear from you! If you no longer wish to receive Windward Health, please contact us. Adventist Health Castle 640 Ulukahiki St., Kailua, HI 96734-4498 Nonprofit Org. U.S. Postage PAID Honolulu, HI Permit No. 985 640 Ulukahiki St. Kailua, HI 96734