Queen's North Hawaii Community Hospital

Queen's North Hawaii Community Hospital, located at 67-1125 Mamalahoa Highway in Kamuela, HI, is a 35-bed rural acute care hospital dedicated to providing high-quality, patient-centered care to the North Hawaii community. As part of The Queen's Health Systems, we offer a comprehensive range of services, including 24/7 emergency care, specialized outpatient services, and a commitment to treating the whole person – mind, body, and spirit. We are proud to be a Level III Trauma Center and a Baby-Friendly designated birth facility, with a mission to improve the well-being of Native Hawaiians and all people of Hawaii. With a focus on blended-care practices, we strive to create a healing 'ohana environment where patients are treated with compassion and respect.

Identifiers

Hospital Name Queen's North Hawaii Community Hospital
Facility ID 120028

Location

Address 67 1125 MAMALAHOA HIGHWAY
City/Town Kamuela
State HI
ZIP Code 96743
County/Parish HAWAII

Health System

Health System The Queen's Health Systems
Health System Website Domain queens.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 5
Health System Total Beds 772
Health System Hospital Locations Hawaii

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Voluntary non-profit - Private
Ownership Details The Queen's Health Systems
Emergency Services Yes

Stephany Nihipali Vaioleti

President

Stephany Nihipali Vaioleti is the President of Queen's North Hawaii Community Hospital. [2, 3, 5, 6, 7] She serves as a member of Queen's Senior Leadership Team and manages day-to-day operations of the hospital. [2] Before joining Queen's, she served as Deputy Director for the non-profit Holomua Collective and was previously the Community Engagement Navigator at Hawai'i Energy. [2] She also held positions as Senior Vice President at HMSA and Chief Executive Officer at Kahuku Medical Center. [2] Vaioleti is described as a seasoned Critical Access Hospital CEO with knowledge in health, energy, and stakeholder engagement. [2] She focuses on improving the health and well-being of Native Hawaiians and all people of Hawai'i. [2] She earned a Bachelor and Master of Social Work from the University of Hawai'i at Manoa and a Juris Doctor from the William S. Richardson School of Law. [2] Her credentials include LSW, JD, and FACHE. [5, 15]

Dr. Crystal Hammer

Administrator

NA

Residency Programs

Allopathic Residency Program No
Dental Residency Program No
Osteopathic Residency Program No
Other Residency Programs No
Pediatric Residency Program No

Capacity & Services

Licensed Beds 33

Staffing & Personnel

FTE Employees on Payroll 249.89
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 1501
Inpatient Days (Title XIX) 1866
Total Inpatient Days 7108
Bed Count 33
Available Bed Days 12045
Discharges (Title V) NA
Discharges (Title XVIII) 377
Discharges (Title XIX) 511
Total Discharges 1920

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 1326
Inpatient Days (Title XIX; Adults & Peds) 1295
Total Inpatient Days (Adults & Peds) 5732
Bed Count (Adults & Peds) 29
Available Bed Days (Adults & Peds) 10585
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 377
Discharges (Title XIX; Adults & Peds) 511
Total Discharges (Adults & Peds) 1920

Quality Summary

Care Quality Stengths High overall patient satisfaction. The hospital is average in every measured mortality rate Hospital has an average ER wait time. Patients are seen and treated on average in 2-3 hours. Hospital does a good job at treating conditions like pneumonia so that patients don't have to come back to the hospital.
Care Quality Concerns Hospital struggles with high infection rates

Hospital Overall Rating

Patient Experience Star Ratings

Nurse Communication – Star Rating
Doctor Communication – Star Rating
Staff Responsiveness – Star Rating
Communication About Medicines – Star Rating
Discharge Information – Star Rating
Care Transition – Star Rating
Cleanliness – Star Rating
Quietness – Star Rating
Overall Hospital Rating – Star Rating
Recommend Hospital – Star Rating

Recommendation Percentage

Percent of Patients Who Definitely Recommend the Hospital 78%

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients
Mortality Group – Death Rate for Heart Attack Patients
Mortality Group – Death Rate for CABG Surgery Patients
Mortality Group – Death Rate for COPD Patients
Mortality Group – Death Rate for Heart Failure Patients No Different Than National Average
Mortality Group – Death Rate for Pneumonia Patients No Different Than National Average
Mortality Group – Death Rate for Stroke Patients No Different Than National Average
Mortality Group – Pressure Ulcer Rate No Different Than National Average
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications
Mortality Group – Iatrogenic Pneumothorax Rate No Different Than National Average
Mortality Group – In-Hospital Fall with Hip Fracture Rate
Mortality Group – Postoperative Hemorrhage or Hematoma Rate No Different Than National Average
Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate No Different Than National Average
Mortality Group – Postoperative Respiratory Failure Rate No Different Than National Average
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate No Different Than National Average
Mortality Group – Postoperative Sepsis Rate No Different Than National Average
Mortality Group – Postoperative Wound Dehiscence Rate No Different Than National Average
Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate No Different Than National Average
Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite No Different Than National Average

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) 136

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients 9.8
Readmission Score Hospital Return Days for Pneumonia Patients -39.4
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 13.1
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy 10.3
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy 5.9
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery 0.9
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate Not Available
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients Not Available
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 19.4
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.3
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 15.3
Readmission Group Hospital Return Days for Heart Attack Patients Number of Cases Too Small
Readmission Group Hospital Return Days for Heart Failure Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients Fewer Days Than Average per 100 Discharges
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) No Different Than the National Rate
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery No Different than expected
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate Number of Cases Too Small
Readmission Group Rate of Readmission for CABG Not Available
Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients Number of Cases Too Small
Readmission Group Heart Failure (HF) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission After Hip/Knee Replacement Number of Cases Too Small
Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide) No Different Than the National Rate
Readmission Group Pneumonia (PN) 30-Day Readmission Rate No Different Than the National Rate

Infection SIRs

CLABSI SIR (Standardized Infection Ratio) 1.931
CAUTI SIR (Standardized Infection Ratio) N/A
SSI SIR (Standardized Infection Ratio) 1.667
CDI SIR (Standardized Infection Ratio) 0.841
MRSA SIR (Standardized Infection Ratio) N/A

Fiscal Period

Fiscal Year Begin Jul 01, 2022
Fiscal Year End Jun 30, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $426
Bad Debt Expense $121
Uncompensated Care Cost $461
Total Uncompensated Care $3,824

Operating Expenses ($ thousands)

Total Salaries $30,289
Overhead Expenses (Non-Salary) $64,594
Depreciation Expense
Total Operating Costs $80,917

Charges ($ thousands)

Inpatient Charges $108,735
Outpatient Charges $205,555
Total Patient Charges $314,290

Wage-Related Details ($ thousands)

Core Wage Costs $5,597
Wage Costs (RHC/FQHC) $622
Adjusted Salaries $30,289
Contract Labor (Patient Care)
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $11,612
Short-Term Investments $8
Notes Receivable
Accounts Receivable $51,186
Allowance for Doubtful Accounts $-37,878
Inventory $2,088
Prepaid Expenses $650
Other Current Assets $-41,915
Total Current Assets $31,004

Balance Sheet – Fixed Assets ($ thousands)

Land Value $12,210
Land Improvements Value $1,137
Building Value $41,707
Leasehold Improvements $2,698
Fixed Equipment Value $27,813
Major Movable Equipment $37,891
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $67,431

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $42
Other Assets $130,706
Total Other Assets $130,748
Total Assets $229,184

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $3,331
Salaries & Wages Payable $2,988
Payroll Taxes Payable $87
Short-Term Debt
Deferred Revenue $0
Other Current Liabilities $9,827
Total Current Liabilities $62,823

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities $53,807
Total Long-Term Liabilities $53,807
Total Liabilities $116,630

Balance Sheet – Equity ($ thousands)

General Fund Balance $112,554
Total Fund Balances $112,554
Total Liabilities & Equity $229,184

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $1,150
DRG (Post-Oct 1) $3,581
Outlier Payments
DSH Adjustment $142
Eligible DSH % $0
Simulated MC Payments
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $110,824
Outpatient Revenue $212,465
Total Patient Revenue $323,289
Contractual Allowances & Discounts $229,461
Net Patient Revenue $93,828
Total Operating Expenses $94,883
Net Service Income $-1,055
Other Income $5,689
Total Income $4,635
Other Expenses $12
Net Income $4,622

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $8,829
Medicaid Charges $57,179
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Epic
EHR Version EpicCare Inpatient (not Community Connect)
EHR is Changing No

ERP Information

ERP Oracle
ERP Version Unknown
EHR is Changing NA