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It summarizes the two-day site visit methodology, including leadership and department interviews, and the review of historical and fiscal-year cost and financial statements. Recommendations are organized around reimbursement, cash flow, governance support, primary care clinic efficiency, specialist availability, and capacity for capital projects, while noting the limits of FY2006 data used.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":11,"@type":70,"position":76},"https://docshare.wps.com/template/presentations/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/kauai-veterans-memorial-hospital-performance-improvement-consultation-final-report/280136/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/kauai-veterans-memorial-hospital-performance-improvement-consultation-final-report/280136.png","ImageObject",442,249,{"name":88,"@type":89},"Jiven","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-20","2026-09-16",true,{"@type":98,"interactionType":99,"userInteractionCount":8},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What was the purpose of the Kauai Veterans Memorial Hospital performance improvement engagement?","Question",{"text":108,"@type":109},"To assess market and clinical services, identify service-line opportunities, evaluate financial gaps, review quality and performance improvement strategies, and find physician practice management opportunities that improve financial stability.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"How was the report developed and what information was reviewed?",{"text":113,"@type":109},"The team gathered and reviewed market, clinical service line, operational, and financial performance data, analyzed inpatient and outpatient volume, staff roster, and multiple years of cost reports and audited/internal statements, and completed an intensive two-day site visit with leadership and staff interviews.",{"name":115,"@type":106,"acceptedAnswer":116},"What major background issues and improvement opportunities were highlighted for KVMH?",{"text":117,"@type":109},"KVMH operated as a 25-bed Critical Access Hospital, experienced operating losses over the prior four years, and the report notes opportunities such as continued physician recruitment, increased visiting specialist availability, investment in capital projects, and improved efficiency and productivity in primary care clinics.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},280136,1791744230,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":8,"category_name":11,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":8,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":141},1099513958607,"https://ap-avatar.wpscdn.com/avatar/100002390cf8733938c?x-image-process=image/resize,m_fixed,w_180,h_180&k=1778829742770036399","Kauai Veterans Memorial Hospital  \n4643 Waimea Canyon Road, Waimea, HI  \nPerformance Improvement Consultation  \nConducted: September 11, 2006  \nReported: December 1st, 2006  \nUpdated: January 5, 2007  \nFinal Report: February 7, 2007  \nMary Guyot, RN, BS, CRRN Eric Shell, CPA, MBA  \n2  \n\n|  | Purpose of the Engagement |\n| --- | --- |\n| Introduction | • Assess market and clinical services including: |\n| Service Area | – Evaluate historic/potential demand for clinical services |\n| Clinical Services | – Identify opportunities to appropriately address clinical service line |\n| Financial | “gaps” |\n| Management | – Assess quality improvement and performance improvement strategies |\n| Physician Practice Management | • Identify other performance improvement opportunities that will result in increased financial stability. Areas to address include: |\n| Organizational Architecture | – Reimbursement and cash flow |\n| Recommendation Summary | – Hospital expense analysis\u003Cbr>– Organizational architecture and management principles |\n| Attachments | • Note – This report was based on our determination of the highest value potential opportunities for Kauai Veterans Memorial Hospital as identified on the basis of a two (2) day site visit conducted by the review team. Additional opportunities may exist for performance improvement that were either not reported or that may be detected after further scrutiny.\u003Cbr>• Note – This Performance Improvement Consultation was supported in it’s entirety by the HI Office of Rural Health |\n\n3  \n\n|  | Approach and Methodology |\n| --- | --- |\n| Introduction\u003Cbr>Service Area\u003Cbr>Clinical Services\u003Cbr>Financial Management\u003Cbr>Physician Practice Management\u003Cbr>Organizational Architecture\u003Cbr>Recommendation Summary\u003Cbr>Attachments | • Gather and review pertinent market, clinical service line, operational, and financial performance data\u003Cbr>– Hospital inpatient and outpatient volume statistics\u003Cbr>– Hospital medical staff roster\u003Cbr>– Fiscal Year 2005 cost report\u003Cbr>– Historic audited financial statements (2003-2005)\u003Cbr>– 2003-2006 internal financial statements\u003Cbr>• Conduct an intensive two (2) day site visit\u003Cbr>– Interviews with CEO, CFO, Regional Medical Director, CNO, Regional Director of HR, FQHC Executive Director, Patient Financial Services Manager, Regional Facilities Director, Department Managers, and medical staff\u003Cbr>• Develop preliminary report and recommendations\u003Cbr>– Telephone conference with the CEO to obtain feedback on preliminary findings and recommendations\u003Cbr>• Submit final written summary report |\n\n4  \n\n|  | Background |\n| --- | --- |\n| Introduction | • Kauai Veterans Memorial Hospital (KVMH) Overview |\n| Service Area | – KVMH is a 25-bed Critical Access Hospital (CAH) located in Waimea, |\n| Clinical Services | Kauai, approximately 23 miles west of Lihue along route 50 |\n| Financial Management | • Three HHSC clinics in West Kauai provide primary care services – KVMH converted to CAH status in April 2001 |\n| Physician Practice Management | • Retrospective analysis of CAH status indicates a $1 .3M positive impact in FY 2005 for Medicare only not considering Medicaid or HMSA |\n| Organizational Architecture | – KVMH has been experiencing operating losses during the last 4 years, with a $3 .2M operating loss in FY2006 . |\n| Recommendation Summary | – KVMH is one of twelve Hawaii Health Systems Corporation (HHSC) facilities |\n| Attachments | • HHSC is governed by a 20-member Board of Directors covering 5 regions of Hawaii, and is a quasi-governmental organization tied indirectly to the State of Hawaii\u003Cbr>–KVMH receives annual capital asset contributions from the State of Hawaii\u003Cbr>–KVMH receives an annual collective bargaining pay raise appropriation from the State of Hawaii\u003Cbr>– A 9-member Management Advisory Committee (MAC) acts as an advisory body to both KVMH and SMMH\u003Cbr>• One member of Kauai’s MAC serves on HHCS’s board |\n\n5  \n\n|  | Background |\n| --- | --- |\n| Introduction | • General Observations |\n| Service A","cbCaitMv9qGFHWAe","https://ap.wps.com/l/cbCaitMv9qGFHWAe","pdf",772785,191,"English","# Purpose of the Engagement\n## Service Area\n## Clinical Services\n## Financial\n## Management\n## Physician Practice Management\n## Organizational Architecture\n# Approach and Methodology\n## Data review\n## Two-day site visit\n## Preliminary recommendations\n## Final written summary report\n# Background\n## KVMH overview and operations\n## Governance and oversight\n## General observations and opportunities\n# Financial Statements","[{\"question\":\"What was the purpose of the Kauai Veterans Memorial Hospital performance improvement engagement?\",\"answer\":\"To assess market and clinical services, identify service-line opportunities, evaluate financial gaps, review quality and performance improvement strategies, and find physician practice management opportunities that improve financial stability.\"},{\"question\":\"How was the report developed and what information was reviewed?\",\"answer\":\"The team gathered and reviewed market, clinical service line, operational, and financial performance data, analyzed inpatient and outpatient volume, staff roster, and multiple years of cost reports and audited/internal statements, and completed an intensive two-day site visit with leadership and staff interviews.\"},{\"question\":\"What major background issues and improvement opportunities were highlighted for KVMH?\",\"answer\":\"KVMH operated as a 25-bed Critical Access Hospital, experienced operating losses over the prior four years, and the report notes opportunities such as continued physician recruitment, increased visiting specialist availability, investment in capital projects, and improved efficiency and productivity in primary care clinics.\"}]","Kauai Veterans Memorial Hospital - Performance Improvement Consultation - Final Report | PDF",1789534070,67]