A Proposed Full Service Acute Emergency Care Hospital for West Maui, Hawaii


WMH-SUMMARY DATA FROM INTERNET SURVEY 9/7//06

Largest percentage responses to Question Pro Survey on Internet. Internet poll statistics are not considered scientific but they are often used as an indicator of sentiment, particularly by major cable networks.

Questions and largest responses:

1. The only emergency acute care hospital on Maui is located at the Maui Memorial Medical Center in Wailuku, a minimum 21 miles and normally 45 minutes or more from Lahaina, Ka'anapali, Kapalua, Napili and other "West Side" locations. The current emergency and acute care services on Maui are inadequate.

91.91% Strongly Agree or Agree

2. As a resident or visitor in West Maui, I am worried about my ability to receive quality emergency services in a timely manner if I need them.

93.1 Strongly Agree or Agree

3. We need a small community hospital in West Maui that has an emergency department and offers acute care services if I need them.

91.3 Strongly Agree or Agree

4.The island of Maui needs more than one hospital. 91 I have failed to seek medical care at least once because of the time and distance it takes to go to Maui Memorial Medical Center

56.8 Never
28.6 Once

5. I know of specific situations in which my life or the life of a family member was in serious jeopardy because of the absence of acute emergency care capabilities in West Maui. I know of specific situations in which my life or the life of a family member was in serious jeopardy because of the absence of acute emergency care capabilities in West Maui.

61.7 Agree

I personally, or someone in my family, has had a life threatening emergency episode and did not reach acute emergency health care treatment in a reasonable time or as quickly as needed.

73.8 Agree

The lack of a West Maui Hospital has or could impact the desire of tourists to visit West Maui in the near future.

71.1 Strongly Agree or Agree

The absence of an acute emergency care hospital could have an adverse impact on property values or the real estate industry in general.

66.8 Strongly Agree or Agree

I have thought about moving because of the lack of adequate emergency and basic hospital services in West Maui.

76.4 Strongly Agree or Agree

PARTICIPANTS

RESIDENTS: 58%

PART TIME RESIDENTS: 28%

VISITORS: 14%

 

Select Letters to Editor Received by Maui Newspapers

Here is a partial selection of letters written to Maui newspapers. More historical letters to be added as time permits.l

May 03, 2006, Maui News

SISTER'S PAIN PROMPTS PLEA FOR HOSPITAL

One day my whole family came to watch me play tennis. We walked down stairs to the courts and then all of a sudden my little sister tripped and fractured one bone in her left arm. Employees rushed down with ice. Later on my mom drove her to the hospital in Wailuku. But we were not in luck. There was traffic! So it took about 45 minutes to get there. But on the road there my sister was in pain like you would not imagine! So that's why if we had a hospital here in Lahaina then she wouldn't have had to wait while she was hurt. Another reason why we should have a hospital here in Lahaina is that for real medical emergencies the patient should be taken care of immediately, not drive from the west side to Wailuku. It can make a huge difference in someone's life. Someone could die if they don't get help right away. Please, we really need a hospital here in Lahaina.

Tanya Noury

May 4, 06, Lahaina News

LAHAINA NEEDS A HOSPITAL SAYS SEVENTH GRADER

I think there should be a hospital in Lahaina because there is only one hospital on the entire island of Maui. One hospital cannot support the entire island population of over 91,000 people. (Editors note: It's 140,000 plus) Having a hospital in Lahaina would also make people worry less. A hospital in Lahaina would also make it easier and faster for the people who live on West Maui to receive the medical care they need. Also, if the Maui Memorial Medical Center was busy, there would be another hospital people could go to.

First of all, a hospital in Lahaina would be much easier to access for the people of West Maui. I also think that having a hospital in Lahaina would save more lives. A person might have to wait over an hour just to get to the hospital. Imagine that you just got into a really bad car accident, and you are severely injured. First, you'll have to wait for the ambulance to come, then take a 45-minute drive to the Maui Memorial Medical Center. Now imagine that the hospital was busy. You would have to wait to receive the proper medical attention you need. Secondly, I think that just knowing there's a hospital in Lahaina would comfort many people. When people find out that a family member or friend was hurt on West Maui, they wouldn't have to worry about the question, "Will they make it to the hospital in time?"

People would be relieved to know that whoever is injured can get the care they need fast. I also think that it would be easier for some people to visit friends or family in the hospital if there wasn't one so far away. Lastly, the Maui Memorial Medical Center cannot provide enough medical care for the entire island. The hospital only has 201 beds, and there are over 91,000 people on the entire island of Maui. If there was an attack on Hawaii, and a lot of people got injured on Maui, one hospital could not support everyone. I know that having a hospital in Lahaina would be bad in some ways, like making traffic worse than it already is. But maybe the hospital could be put somewhere secluded, or there could be another road made to access the hospital. In conclusion, a hospital in Lahaina would benefit the community. It would save more lives, relieve stress and worry from people, provide more medical coverage, and allow people to visit others in the hospital.

CIARA ALLEN, Grade 7, West Maui

 

Mar 23,06, Maui News

WEST MAUI NEEDS EMERGENCY CARE

The serious need for emergency care in West Maui was reinforced for me several days ago. After waking with intense kidney pain early in the morning, I was transported by ambulance 32 miles from my house in Napili to the emergency room at Maui Memorial Hospital. The long ride to the hospital through very light traffic took probably 40 extremely painful minutes, but it seemed like hours! An ambulance stationed at the Napili Fire Station could have taken me to emergency care at the Lahaina Civic Center or Pulelehua in a few minutes! Mahalo to the very efficient Lahaina ambulance crew, the incredible emergency room staff at Maui Memorial (especially Nurse David), the super nurses in the hospital's Lanai North wing (especially Nurses Matt & Marshall), and to the KIDNEY KING, Kaiser urologist Dr. Todd Hoekstra.

MIKE FOLEY, Maui County Planning Director

Nov 29, 2005, Maui News

WEST MAUI NEEDS AN ACUTE CARE CENTER

My hat's off to Joe Pluta, West Maui Taxpayers Association and everyone else involved with supporting the West Maui Hospital. Like everyone else, I have a story. I remember driving at 3 a.m. to Maui Memorial with kidney stones. I would rather be shot than make that drive in that condition again. It's a no-brainer to have an acute care center in West Maui. Build it and they will come.

DAVE MATTHEWS, Lahaina

October 5, 2005, Maui News

A DISASTER WOULD REQUIRE MORE HOSPITAL FACILITIES

It seems as if Maui residents and visitors alike can benefit tremendously from having more than one acute-care hospital on the island. It seems particularly wise to consider more hospitals given the devastating fallout of the recent hurricane disasters, and the lack of emergency medical support in the immediate aftermath. What happened in the Gulf Coast twice, could just as easily happen in Hawaii, and having additional hospitals to rely on is just good common sense. The current hospital provides care to the best of its ability, but wouldn't its services also be enhanced by having two other hospitals to share the load? I was a patient at Maui Memorial Medical Center last summer and have seen first hand how overcrowded and understaffed the current hospital is. I waited hours for assistance in the emergency room, not because the doctors were slow, but because there was no room in the facility. What options do people in West Maui have if they need emergency medical assistance, only to make their way across the island to Maui Memorial and wait outside the door hoping to get in? It seems that hedging our bets with a West Maui community hospital facility and the Malulani Health and Medical Center in Kihei is just good common sense.

Lori Okimura Wailuku

Dec. 8, 2005, Lahaina News

DOCTOR ASKS, HOW MUCH IS A LIFE WORTH?

I read the article on the need for a West Maui hospital in complete dismay. Trying to improve healthcare on West Maui is becoming as difficult as building the Lahaina Bypass. The task force reported that 2,464 ambulance calls were made from June 2002 to 2003, and that 1,278 were considered minor. Let's think a little about the other 1,186 calls that weren't so minor. That's more than three per day who had to take the "35-minute" drive to the other side. With the constantly increasing road congestion, not to mention road closures for fires and accidents, this quoted "35-minute" ride will become more and more life-threatening in the next few years. Is it all about money? A basic, 24-hour ER was quoted as costing $3,200 per day. That's about 14 cents per West Side resident per day, or little over a million a year. "The Hawaii Legislature appropriated $1 million this year to help the West Side with its healthcare facility needs." Let's use that to get what's needed, and I don't mean another study.

The article also stated that Maui Medical Group and Kaiser provide urgent care in West Maui until 5 p.m. Now it seems to me that I see the ambulance heading to the other side quite often during the daytime. I guess the urgent care on the West Side isn't exactly the same as having an emergency room. The study doesn't address the need for hospital beds and/or long term care, the burden on family and friends who have to travel to the other side to be with their loved ones, or the growing and aging of the population.

It goes back to talking about money and claims that we can't sustain a hospital at this "POINT IN TIME." Sounds like the Lahaina Bypass all over again. WMTA hospital plans make more sense The West Maui Taxpayers Association plan for a hospital is a much more rational plan than the one proposed by Maui Memorial Medical Center. The site of the hospital will be in close proximity to the Kaanapali block of resorts as well as close to Lahaina itself. All the proposed plans for housing are within Lahaina (mauka of the Honoapiilani Highway) or north of Lahaina. That way it will be equidistant from most neighborhoods and access will be by four-lane highway. The proposed MMMC plan is way out of reach from the Lahaina area, accessible only by two-lane highway. The 30-35 bed long-term health care facility will not require a full-time resident doctor like a hospital does. The emergency facility will have to be staffed by rotating members of the hospital itself. It will ultimately serve for unloading routine emergencies from the main hospital and to triage serious cases to be transferred to the main hospital. The real, immediate life-threatening emergencies that require a higher degree of medical care are probably only 10-15 percent of the other real emergencies that require immediate doctor care on the spot. The only convenient access to MMMC's planned location would be for those living from Napili to Kapalua. With all due respect to all people living in that area, there will be more of a demand for health care from the Lahaina and Kaanapali areas.

Dan Stockhammer, M.D. Lahaina