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The Queen’s T Connection HE QU EEN’ S MEDICAL CENTE R A Weekly Publication for the People of Queen’s • Vol. 19 • No. 23 • May 31, 2010 NCCCP Cancer Centers: QMC Among Chosen Few A A diagnosis of cancer is devastating. Whatever the prognosis, it is life-altering. Then comes the question of where to get care. Hawaii residents don’t have to look any further than The Queen’s Cancer Center, which has become one of 14 new sites chosen by the National Cancer Institute (NCI)—a part of the National Institutes of Health—to join a network of community cancer centers that offer expanded research and leading edge cancer care at community hospitals. There are now just 30 such community hospitals nationwide. Called the NCI Community Cancer Centers Program (NCCCP), Paul Morris, MD, FACS, Chair of the Queen’s Cancer Committee and Principal Investigator, said it is the “crowning jewel” of the Queen’s cancer program. “Patients don’t need to travel elsewhere to get great cancer care,” he said. “We’ve taken the good work we’re doing here and measured ourselves against national standards. There is no greater honor…than to be chosen by the NCI to bring the newest research and best care to its community.” Established in 2007, the NCCCP used $40 million in funding from the American Recovery and Reinvestment Act to expand its number of community hospital-based sites from 16 to 30. “NCI’s mission is to reduce the burden of cancer for all,” said Art Ushijima, QHS/QMC President. “The NCI estimates that 85 percent of cancer patients are diagnosed and treated within community hospitals, close to a patient’s home. We are indeed proud that the NCI has selected Queen’s to participate in the NCCCP, which extends the NCI cancer program into local communities like ours, giving patients easier access to state-of-the-art cancer care and clinical trial opportunities.” Patients at NCCCP hospitals have more opportunities to participate in clinical trials, and access to enhanced screening, palliative care and other services. NCCCP hospitals have made considerable progress toward achieving the major goals of the program and are defining what it will take to build a national network of community cancer centers that are engaged in research and offer the latest evidence-based, multidisciplinary cancer care. Each participating community hospital is taking steps to accelerate cancer research and raise the quality of care. The top priority of the NCCCP is to overcome health care disparities. Other goals are to increase participation in clinical trials; Above: The Queen’s cancer team provides patients with truly multidiscipinary care. standardize the collection of voluntarily donated tissue and other specimens for research; improve information technology capabilities, including electronic health records; increase quality of care; and enhance palliative care and survivorship services at community hospitals. “With this designation, the NCI has recognized The Queen’s Medical Center for its outstanding cancer care,” said Darlena Chadwick, RN, Vice President for Patient Care. “We now have the potential to play a significant leadership role in defining quality cancer care for the future. We are honored to be one of 14 selected new sites from 6,000 eligible community hospitals in the United States.” The NCCCP is designed to create new research opportunities across the cancer continuum, (Continued on page 2.) Competitive QBL Builds Camaraderie W Winners’ bragging rights aside, the Queen’s Basketball League (QBL) has been a success in its goal to encourage camaraderie and provide a way for coworkers to see each other outside of work. “You meet new people, see new faces,” said Ricky Greenleaf of the OR’s B-Team. “We pass people in the hall [at Queen’s], but meet a lot of new people [through the QBL].” On average, about 100 Queen’s staff, family and friends come out to watch the games, which includes an AllStar game and three-point competition. In its fifth season, the closed league QBL (QHS and affiliates employees only) has eight teams this season: OR, BTeam, Rehab, Nurses (two time champs, back to back), Crisis (Kekela), FTC (Family Treatment Center), DLS and The Squad (nurses). The season runs from June 2 to September 22, and games are held at the Lanikila Gym across from NCCCP the Lanikila Health Center, or at the Kilauea Gym. The first game begins on Wednesday, June 2, 6:00 pm at the Lanikila Gym. QBL “Commissioner” Rodney Aquino, RN, encourages all to come (Continued from page 1.) from screening and treatment to followup care, with an emphasis on minority and underserved populations. Queen’s has partnered with the Native Hawaiian Cancer Network and ‘Imi Hale to better serve the native Hawaiian community. ‘Imi Hale, which opened a satellite office on the Queen’s campus in 2010, is a program of Papa Ola Lokahi, a nonprofit consortium of Native Hawaiian organizations and public institutions founded to improve the health and well-being of Native Hawaiians and other native peoples. The organization collaborates with key local, state, national, and international partners to reduce cancer incidence and mortality among Native Hawaiians and Pacific Islanders. The NCCCP is studying ways for patients to have access to the latest, evidence-based care close to where they live. For a variety of reasons, many cancer patients cannot commute to major academic medical centers for treatment. “Our recent selection as an NCCCP site reflects the excellence in cancer treatment at The Queen’s Cancer Center,” said Debbie Ishihara-Wong, Director of Oncology Services and Administrative Lead. “The NC2 CCP was founded on the principle that patients should not have to travel far for state-of-the-art cancer care.” “The end result of the truly multidisciplinary cancer care at Queen’s,” said Dr. Morris, “continues to rank us above national benchmarks for quality and survival according to the National Cancer Database which tracks cancer care data for the American College of Surgeon’s Commission on Cancer.” The Queen’s Cancer Center is Hawaii’s most comprehensive, up-to-date cancer facility, offering patients the only Tomotherapy treatment in Hawaii (one of just 160 in operation), Intensity Modulated Radiation Therapy (IMRT), Stereotactic Radiosurgery, brachytherapy, two robot-assisted surgery systems (da Vinci Surgical System), the latest in chemotherapy, inhouse molecular diagnostics lab, PET/CT scanning, 3 Tesla MRI, and two 64-slice CTs. The Queen’s Cancer Center also offers Hawaii’s largest and most comprehensive survivorship and navigation program, helping patients through diagnosis, treatment and long-term follow-up. Other services include nutrition counseling, genetic counseling and testing, Above: (l to r) Cliff Nene, Nurses team, Ed Ayala, Nurses, Willard Mow, DLS, Patrick Ng, OR, Rodney Aquino, FTC, Noah Juan, B-Team, Sean Abreau, Crisis. out and cheer on your colleagues. For more information, check out the QBL’s web site at www.theqbl.com. support groups, social work, pain and palliative care, rehabilitation therapies, behavioral health, financial counseling, complementary and integrated medicine (e.g., acupuncture and massage) and spiritual counseling. “The NCI has looked favorably upon Queen’s outpatient cancer center, oncology navigation program, state-of-the-art survivorship program, and our plans to develop a biospecimen tissue bank repository for the advancement of cancer research,” said Dr. Morris. “The Queen’s oncology research department leads the state and has surpassed many mainland cancer centers in clinical trials accruals. Our plans to interface existing electronic medical records with multiple information technology databases will allow Queen’s to share data with the NCI and other NCCCP sites, for the betterment of Queen’s patients and cancer patients across the nation. The competition for this prestigious selection was fierce, and all of the Queen’s cancer providers were honored to have been a part of this journey.” Figures of Speech Speak about Profession S Swallowing is something most of us take for granted; we do it many times a day without even thinking about it. But difficulty swallowing is one of the first triggers that indicate a need for a consult by a speech-language pathologist (SLP). May is National Better Hearing and Speech Month and the Print Connection was invited to the Nalani 2 home base of the Queen’s inhouse Speech Pathology Department. There are three full-time and three call-in speech-language pathologists for inpatients on staff at Queen’s. They take care of the entire inpatient population with a caseload of anywhere from 20 to 60 patients, and are available from 8:00 am to 4:30 pm every day, including Saturday and Sunday. Kimberly Magbual, Mel White and Diana GonsalvesWendt are the full-timers with callin assistance from Stephanie Mauliola, Hikaru Yamashita and Amelia DeCosta. Over at the POB 2 Outpatient Rehabilitation Services Department, Kathy Krammer works full-time, assisted by call-in Kathy Kimura. All are Certified Speech-Language Pathologists. In addition, intern Lindsay Bischoff, a graduate student from the University of Wyoming, is currently finishing up a 12-week stay and is preparing for her staff inservice. Queen’s has participated in a nationwide internship program for as many years as Kim can recall, and she has worked here for 22 years. Interns usually serve in the spring semester and can come from any university with which Queen’s has a contract. Kim says that the focus of Better Speech and Hearing Month is early intervention. “And to increase awareness of the profession, for staff as well as the public,” added Mel. “We want nurses and techs to know what to look for so that they know when to get a doctor’s order to call us in.” Difficulty swallowing and slurred speech are the most noticeable signs. Other things to look for include coughing, choking, a “wet, gurgly” voice, congestion in the lungs, temperature spikes and a patient who complains that it feels like something is stuck in their throat. During an assessment, the SLP may notice indicators of speech or think- ing disorders, such as difficulty with memory, attention span or problem solving. Stroke, traumatic brain injury, trach and vent patients, as well as cardiac, cancer pneumonia and other medically complicated patients can often benefit from what the SLPs have to offer. Initially, an evaluation is performed and then treatment goals and a care plan are developed. Family members and caregivers are included in this stage, as the treatment and exercises usually need to be continued once the patient returns home. Mel and Diana did a mock demonstration of a Vital Stimulation Therapy device (see photo) which uses neuromuscular electrical stimulation to improve swallowing function by stimulating the nerve endings and retraining the pharyngeal muscles in the throat. The electrical impulses help the muscles contract better, strengthening them and essentially re-educating the functional muscle use patterns necessary to initiate or re-establish swallowing. Diana also displayed a kit of foods with different consistencies used to help match patients on dysphagia diets with their swallowing capacity. Consistency ranges from honey to pureed and chopped foods on up to regular textures. When necessary, videoesophagrams are done in Imaging Services in conjunction with a radiologist and an imaging tech to gather even more diagnostic information. Kim, Mel and Diana have all worked at Queen’s for over a dozen years each and believe that demonstrates a quality and commitment to care that can’t be found elsewhere. “At Queen’s, because we aren’t assigned to just one unit, Above: (counterclockwise from right) Speech-Language Pathologists Diana Gonsalves-Wendt, Mel White, Kimberly Magbual and Lindsay Bischoff, intern from the University of Wyoming. we see a lot of interesting patients everyday,” Mel says. Kim agreed, adding, “There is always something new to challenge us; we can’t become complacent. It really forces us to keep up our skills.” National Better Hearing and Speech Month is sponsored by the American Speech-Language-Hearing Association (ASHA), which is the professional, scientific and credentialing association for 140,000 members and affiliates worldwide. ASHA includes audiologists, speech-language pathologists and speech, language and hearing scientists. They support continuing education opportunities, credentialing and the vision of making effective communication accessible and achievable for all. 3 metal 4 shlvs. $30; plastic, 7 drwrs, black. $20; plastic, 3 drwrs, pink. $10. Fishtank: 20 gal w/light. $15. Fan: 9 settings, runs grt. $15. Moving, all prices negotbl. (808) 227-4621. The following departments are due for TB monitoring in June: Cardiac Invasive; Cardiac Recovery; Cardiac Transfer Center; Cardiac/Geriatrics/Med Admin; Cardiac/Vascular Ultrasound; Care Enhancement Program; CCP-Foster Family; Clinical Research Admin; Clinical Trials Office; Community Based Admin; Dental Clinic; Emergency Preparedness; Employee Health; Neuroscience Institute; Neurosurgery Call; Oncology Data Registry; Pathology; QHS Cardiac Native Hawaiian Health; Queen’s Curbside; Queen’s Heart Physician Practice; Referral Line; Research Grants & Business; Research Regulatory Office; Research Support Services; Security; and Treadmill/EKG. . . . . . . . . . . . . . . . . . . . . Mark Yamakawa, QHS Executive VP/ QMC COO, and his assistant, Carol Teshima, have relocated to QMC, Harkness 248. They may be reached at 537-7988; Fax 537-7990. . . . . . . . . . . . . . . . . . . . . The Emergency Preparedness Department will host a Disaster Awareness Fair on Wednesday, June 2, from 10:30 am to 1:30 pm near Harkness. Stop by to receive information on disaster preparedness and purchase disaster kits. . . . . . . . . . . . . . . . . . . . . Patient Relations seeks donations of used or new rubber slippers for patients in need. Drop off donations at their office on Iolani Ground between 8:00 am and 5:30 pm. . . . . . . . . . . . . . . . . . . . . Free WiFi wireless Internet access via a QMCGUEST network is now available to patients and visitors throughout QMC patient rooms and the main lobby. Wireless coverage may vary based on signal strength; later this year, a project will improve wireless coverage. Patients and visitors must provide their own computing device with WiFi capability, such as a laptop, mobile Internet tablet or PDA. While there is no guarantee wireless coverage will be available at all times or that all devices will be able to connect to the network, the best efforts will be made to make sure the guest wireless network is available at all times. Connectivity assistance is available at extension 1079 Sofa: 4pc, brown, 2-end chase w/4 matching pillows. Assemble as 1-pc or separate, 2-extra arm rests, good cond. $1,600. Call 348-3529. Sell: Stove: Kenmore, electric, white, 4 burner; 6 mo old. Vry gd cond. $450. Dryer: Whirlpool, good cond. $100. Call 393-3346 Rent: Pauoa Valley: 1/1/1 in 2 BR home, beautiful, quiet, peaceful, back of valley w/big garden. $900 incl utils. 429-1307. TV cab/dresser: White, vry gd cond. $40. Exercise bike: $15. Loveseat: Brwn lthr, gd cond. $95. Organizers: (1ea) Heavy duty Misc: from any in-house phone. The guest service does not include the ability to print. Patients who need to print documents such as boarding passes should contact Patient Relations at 547-4602. . . . . . . . . . . . . . . . . . . . . The 4th annual Queen’s Interdepartmental Coed Volleyball League began play on Thursday, May 27. All are invited to come support coworkers as they compete in friendly competition. All games are played at Lanakila Gym, 1701 Lanakila Avenue across the street from Lanakila Health Center on Thursday evenings at 6:30 and 7:30 pm for the next nine weeks. It’s not too late to join a team; email [email protected] if interested. . . . . . . . . . . . . . . . . . . . . Pauahi 7 seeks DVDs for their longterm patients to watch. . . . . . . . . . . . . . . . . . . . . The Clinical Education Team offers a 12 Lead ECG workshop on Tuesday, June 29, from 8:00 am to 2:30 pm at the Queen’s Conference Center, room 204. The cost is $10 for QMC staff; $79 for others. Registration is available on the Queen’s Intranet. . . . . . . . . . . . . . . . . . . . . Morgan Boyle has returned to Queen’s as the new Health Education and Wellness Coordinator. His phone number is 547-7592, and his pager is 578-8924. . . . . . . . . . . . . . . . . . . . . All QHS employees are eligible to receive a discount on Apple products purchased at the Apple Store, ranging from 3% to 5%. The discount does not apply to the iPhone, iPod or iPad product lines. To obtain the discount, employees must show their employee ID badge. For questions, please call the Apple Store at 949-1075. Fundraiser: To benefit King Kamehameha Day parade pa‘u riders. Door prizes, grt entrtnmt & ono pupu @ Oceans 808 (Restaurant Row), Friday, 6/4 from 4 - 9pm. $10. Email [email protected] or call x5224. Cookies: Cookie Corner fundraiser for boys basketball team. Ch chip, ch chp w/mac nuts or mac nut shtbrd. $6/bag. Call 561-7084. Babysitter: Upper Liliha. Exp & reliable, infant or toddler, M-F w/flxbl hrs. 2 meals, 2 snacks daily w/afrdbl rates. 595-6360. Need childcare: Windward area for a newborn. Seeking reliable exp person to provide exclnt care in clean, safe, loving & friendly envrnmnt. Lic, CPR, First Aide cert a plus. Baby due on 8/8. Referrals appreciated. Call 808-225-6105. Placing an ad: Queen’s employees only. Include name, phone and Employee ID number. Mail to Creative Services—Print Connection, fax to 547-4002 or e-mail to [email protected] by Wednesday. The Print Connection reserves the right to edit or refuse any ad. The Print Connection does not make any warranty about the fitness of any product or service listed in Q-Mart. The Queen’s Connection Weekly The Queen’s Print Connection is published by Creative Services. If you have news or wish to opine, call us at 537-7532 or e-mail [email protected]. News deadline is the Monday prior to publication. QHS/QMC President. . . . Art Ushijima Publisher. . . . . . . . . . . . . . . Roy Cameron Editor/Writer. . . . . . . . . . . . Jason Kimura Assist. Ed./Writer. . . . . . . Glee Stormont The Queen’s Medical Center is a 501(c)(3) nonprofit corporation. www.queens.org Please recycle