FRONTLINE HOSPITAL WORKERS HAVE BEEN GOING NON STOP SINCE THE START OF THE CORONAVIRUS OUTBREAK.

A YEAR INTO THE PANDEMIC, ADMINISTRATORS, DOCTORS AND NURSES ARE HAVING TO MANAGE CLUSTERS WITHIN FACILITIES, THE RECENT SPIKE IN HOLIDAY CASES AND NOW THE MASS ROLLOUT OF VACCINATIONS.

WE’LL BE TALKING WITH THE TOP ADMINISTRATORS OF HAWAII’S HOSPITALS TO SEE WHAT’S WORKING AND WHAT’S NOT IN COVID 19: HOSPITAL CHECK UP.

TONIGHT’S LIVE BROADCAST AND LIVE STREAM OF INSIGHTS ON PBS HAWAII START NOW.

¶¶ ¶¶ ALOHA AND WELCOME TO INSIGHTS ON PBS HAWAII.

I'M YUNJI DE NIES.

HOSPITALS IN COVID 19 HOT SPOTS ON THE MAINLAND ARE ON THE BRINK OF COLLAPSE, OVERWHELMED WITH PATIENTS.

FORTUNATELY, WE’RE NOT AT THAT BREAKING POINT HERE, AND THAT’S CRITICAL BECAUSE OF OUR ALREADY LIMITED CAPACITY.

HOSPITAL DOCTORS, NURSES AND STAFF HAVE BEEN WORKING TIRELESSLY TO KEEP THEIR PATIENTS AND FACILITIES SAFE.

NOW, THEY’RE HELPING TO RUN MASS VACCINATION SITES.

OUR PANEL TONIGHT ARE ADMINISTRATORS REPRESENTING VARIOUS HOSPITALS ACROSS THE STATE.

WE LOOK FORWARD TO YOUR PARTICIPATION IN TONIGHT'S SHOW.

YOU CAN EMAIL, CALL OR TWEET YOUR QUESTIONS.

AND YOU’LL FIND A LIVE STREAM OF THIS PROGRAM AT PBSHAWAII.ORG AND THE PBS HAWAII FACEBOOK PAGE.

NOW, TO OUR GUESTS WHO ARE ALL APPEARING VIAT THE INTERNET.

DR. RICK BRUNO IS THE PRESIDENT OF THE QUEEN’S MEDICAL GROUP AND THE QUEEN’S HEALTH SYSTEM’S SENIOR VICE PRESIDENT OF PATIENT CARE.

HE’S AN EMERGENCY ROOM PHYSICIAN WHO CONTINUES TO WORK IN THE ER DEPARTMENT.

MARTHA SMITH IS THE EXECUTIVE VICE PRESIDENT OF OAHU OPERATIONS AT HAWAII PACIFIC HEALTH.

SHE’S WORKED IN HOSPITAL OPERATIONS AND HEALTH CARE IN HAWAII AND FLORIDA FOR 25 YEARS.

SAM BALUKOFF IS THE HOSPITAL ADMINISTRATOR AT KAISER PERMANENTE HAWAII’S MOANALUA MEDICAL CENTER.

HE OVERSEES THE OPERATIONAL, CLINICAL AND FINANCIAL ACTIVITIES AT THE 295 BED HOSPITAL.

AND RYAN ASHLOCK IS THE OPERATIONS EXECUTIVE FOR ADVENTIST HEALTH CASTLE.

PRIOR TO HIS MOVE TO WINDWARD OAHU, HE WAS THE FINANCE EXECUTIVE AT ADVENTIST HEALTH FEATHER RIVER IN CALIFORNIA.

LINDA ROSEN, HEAD OF THE HAWAII HEALTH SYSTEMS CORPORATION, WHICH INCLUDES HILO MEDICAL CENTER, KONA COMMUNITY HOSPITAL AND OTHER FACILITIES, INITIALLY ACCEPTED AN INVITATION TO JOIN US TONIGHT BUT LATER CANCELLED HER APPEARANCE.

I WANT TO START WHAT IS ON EVERYONE'S MIND RIGHT NOW.

THAT OF COURSE IS THE VACCINE.

LET'S START WITH YOU.

YOUR FACILITY FIRST TO OPEN ONE OF THE SO CALLED PODS DOWN AT PIER 2.

10 US HOW THAT'S GOING SO FAR.

>> GOING EXTREMELY WELL.

APPOINTMENTS SYSTEM INITIALLY.

>> I THINK, WAS DIFFICULT FOR SOME PEOPLE.

BUT WE REFIND IT EVERY SINGLE DAY.

ONE OF THE THINGS WE LEARNED, WITH COVID 19 IS YOU HAVE TO BE READY INNOVATE AND IMPLEMENT ON A DAILY BASIS.

SOMETIMES AN HOURLY BASIS.

GOING EXTREMELY WELL.

WE'VE ADMINISTERED ABOUT 15,000 VACCINE SO FAR.

WE HAVE ABOUT ANOTHER 12,000 APPOINTMENTS.

WE WILL ADMINISTER THOSE VACCINES AS QUICKLY AS WE CAN GET THE VACCINE INTO OUR HANDS.

WE'VE BEEN VERY PLEASED.

A LOT OF GREAT COMPLIMENTS HOW IT'S RUNNING MANY I THINK OUR TEAM HAS DONE A FANTASTIC JOB.

AND GETTING IT UP AND RUNNING QUICKLY AND MAKING SURE WE'RE GETTING THOSE SHOTS IN THE ARMS.

>>Yunji: I KNOW QUEEN'S OPENED THEIR FACILITY AT THE BLAISDELL ON MONDAY.

HOW IS THAT GOING?

>> I THINK OUR EXPERIENCE IS SIMILAR TO WHAT MARTHA JUST OUTLINED.

OUR GOAL IS TO VACCINATE UP TO 6,000 PATIENTS A DAY.

WE DID 1200 THE FIRST DAY.

DONE ABOUT 12,000 SO FAR.

12,000 DOING ABOUT 1200 A DAY.

SO FAR, SO GOOD.

EXPERIENCE, HEARD FROM PEOPLE HAS BEEN GOOD.

LIKE ANYTHING, LIKE MARTHA SAID, WE STARTED THIS FROM SCRATCH.

AND WE'LL LEARN AS WE GO.

>>Yunji: LET'S TALK ABOUT KAISER PERMANENTE.

EL ADVENTIST CASTLE HEALTH.

ADMINISTERING VACCINES AS WELL.

AT THEIR FACILITIES.

CAN YOU TELL US HOW IT'S GOING WHERE YOU ARE.

>> >> ABSOLUTELY.

THE EXCITING.

WE'VE HAD A VARIETY OF OPPORTUNITIES AND EXPERIENCES.

REALLY TRIED TO EXPAND OUR OUTREACH AND TRY DIFFERENT THINGS.

WE'VE TRIED EVERYTHING FROM WALK IN CLINICS AT THE HOSPITAL.

HAD MASS VACCINATION OPPORTUNITY.

STARTED DEPLOYING LARGER CLINICAL LOCATION.

WE'RE DOING EVERYTHING FROM SMALLER SHOT CENTERS TO MASS VACCINATIONS.

>> REALLY EXCITING, CLOSE TO 20,000 TOTAL VACCINES.

WALKING THROUGH THOSE LINE AND SEEING THE SMILES ON PEOPLE'S FACE, SEEING HOPE IN THEIR EYES, HAS BEEN PHENOMENAL.

>>Yunji: HOW IS IT GOING AT CASTLE IN.

>> SIMILAR TO WHAT THE OTHERS HAVE SAID.

HERE AT CASTLE, IT'S BEEN GOING REALLY REALLY WELL.

BEEN ABLE TO ADMINISTER OVER 8500 VACCINATIONS HERE ON THE WINDWARD SIDE.

SO FAR.

TO TAG ON TO WHAT SAM HAS SAID, ONE OF THE AMAZING THINGS WE HAVE SEEN IN THIS VACCINATION PROCESS IS REUNIONS FOR SOME PEOPLE COME BADGE BACK.

OVER 75.

AMAZING STORIES INDIVIDUALS BEING ABLE TO SEE EACH OTHER.

HOPE THEY HAVE RETURN TO SOME SORT OF NORMALCY IN THEIR LIVES.

>>Yunji: ADMINISTRATION ON NATIONAL LEVEL HAS SAID THEY WANT TO GET DO I BELIEVE 100 MILLION VACCINES IN THE FIRST 100 DAYS.

LET'S TALK ABOUT THE VACCINE DISTRIBUTION FROM THE FEDERAL LEVEL.

KAUAI'S NOT GETTING WHAT WE INITIALLY THOUGHT WE WERE GETTING.

HOW IS THAT TRICKLING DOWN TO THE HOSPITAL LEVEL IN TERMS OF BEING ABLE TO GIVE PATIENTS WHAT THEY WANT?

MARTHA, LET'S START WITH YOU.

>> SO FAR, WE'VE BEEN ABLE TO SCHEDULE AS MANY AS WE CAN FOR KAUAI.

KAUAI DOING QUITE WELL.

WILCOX WORKING WITH THE OTHER FACILITIES AND CAREGIVERS ON KAUAI TO GET THE VACCINES INTO ARM.

>> AND SO FAR, DONE ABOUT 2900 AT WILCOX HOSPITAL.

300 MORE A DAY.

THEY FEEL PRETTY GOOD ABOUT WHERE THEY'RE AT.

AGAIN, MORE VACCINE WE CAN GET DELIVERED, THE MORE WE CAN GET OUT TO THE PATIENTS AND THE FAMILIES AND CAREGIVERS AND ESSENTIAL WORKERS IN THE COMMUNITY.

>>Yunji: I KNOW THAT INITIALLY, SOME PEOPLE WHO HAD ACCOMPANIED PEOPLE IN THEIR 70s, OVER 75, CAREGIVERS WERE GETTING VACCINE AS WELL.

NOW, THAT'S COME TO A STOP.

HOW MUCH MORE VACCINE DO YOU NEED TO REACH THE LEVELS THAT WE NEED TO REACH THE GOALS THAT ADMINISTRATION SET OUT?

>> I THINK WE NEED AS MUCH VACCINE AS WE CAN GET.

AS MARTHA SAID, GOAL IS TO GET AS MANY VACCINE IN PEOPLE'S ARMS AS WE CAN.

I LOOKED ON THE DEPARTMENT OF HEALTH WEBSITE.

POSTED EVERY DAY.

I THINK THERE IS 200,000 ALLOCATED FOR HAWAII RIGHT NOW.

WE'RE WORKING VERY CLOSELY WITH THE DEPARTMENT OF HEALTH, THE OTHER HOSPITALS, TO ENSURE THAT WE GET ENOUGH VACCINE AND THE VACCINE WE HAVE, WE GET AS RAPIDLY INTO PEOPLE AS FAST AS POSSIBLE.

>>Yunji: THE LIEUTENANT GOVERNOR HAS SET OUT A GOAL.

HE SAID THAT BY JULY 4, EVERYONE WHO WANTS A VACCINE IN HAWAII SHOULD LIKELY BE ABLE TO HAVE GOTTEN ONE.

DO YOU THINK THAT IS IT REALISTIC?

>> I DO.

IT'S TOTALLY DEPENDENT ON VACCINE SUPPLY.

THIS IS SOMETHING THAT WE HAVE TALKED A LOT ABOUT, FOLKS HERE IN THIS ROOM.

WE COME TOGETHER MULTIPLE TIMES PER WEEK TO TALK ABOUT WHAT OUR EFFORTS ARE.

I KNOW I SPEAK FOR ALL OF US WHEN I SAY THAT OUR TEAMS ARE LOCKED AND LOADED.

WE'VE GOT NURSES.

DOCTORS.

MEDICAL ASSISTANCES.

PEOPLE JUST WAITING TO RECEIVE MORE VACCINE SUPPLY.

SO THAT TO WHAT DR. BRUNO SAID, AS SOON AS WE RECEIVE IT WE CAN PUT INTO ARMS.

KAISER, WE PUT TOGETHER A PLAN TO BE ABLE TO VACCINATE ALMOST 400,000 PEOPLE IN JUST A MATTER OF 3 OR 4 MONTHS.

GOT THE PEOPLE TO BE ABLE TO DO THAT.

GOT OUR LOCATIONS READY TO GO.

AND IF THE SUPPLY OPENS UP, WE WOULD BE ABLE TO PULL THAT TRIGGER.

I WANT TO MAKE A QUICK COMMENT ABOUT THE STATE.

THEY HAVE DONE JUST A YEOMAN'S WORK TRYING TO GET THIS OUT AS QUICKLY AS POSSIBLE.

DEPARTMENT OF HEALTH, HEALTH CARE ASSOCIATION OF HAWAII, JUST DONE A TREMENDOUS JOB.

GETTING VACCINE OUT TO THE HOSPITALS AS QUICKLY AS POSSIBLE.

SO THAT WE CAN GET IT INTO THEIR SYRINGES AND INTO ARMS.

>>Yunji: CAN YOU TELL US HOW THAT WORKS FROM THE DEPARTMENT OF HEALTH?

STATE FIND OUTS USUALLY ON THURSDAY WHO THEY'RE GOING TO GET FOR THE FOLLOWING WEEK.

HOSPITAL LEVEL, WHAT DO YOU FIND OUT IN TERMS OF HOW MANY DOSES YOU'RE GOING TO GET.

>> USE THIS IS WEEK AS PERFECT EXAMPLE.

ALL OF US HERE ON THIS, HAVEN'T BEEN RECEIVING INFORMATION ON WHEN WE'RE ACTUALLY GOING TO GET VACCINE UNTIL LATE THIS AFTERNOON.

IN TERMS WHAT THE NUMBERS WERE GOING TO BE FOR THIS FOLLOWING WEEK.

THAT JUST CREATES A CHALLENGE IN ORDER TO BE ABLE TO PLAN ACCORDINGLY TO BE ABLE TO OPEN UP APPOINTMENTS FOR OR COMMUNITY.

WHEN YOU JUST DON'T KNOW WHAT YOU'RE GOING TO GET.

SO THAT DOES LEAD TO FRUSTRATION IN THE COMMUNITY.

WHEN THEY HAVE REGISTERED TO BE ABLE TO GET A VACCINE, BUT YET, NOT APPOINTMENTS SLOTS.

WE HAVE TO BE VERY CAREFUL ABOUT OPENING THINGS UP BECAUSE WE DON'T WANT TO HAVE TO END UP CANCELING PEOPLE AS A RESULT OF THE FACT THAT THERE ISN'T ENOUGH VACCINE AVAILABLE.

FOR CASTLE SPECIFICALLY, BECAUSE OF THE VACCINE SHORTAGES, THAT HAWAII HAS EXPERIENCED OVER THE LAST COUPLE OF WEEKS.

HAVEN'T BEEN ABLE TO ADMINISTER AS MANY FIRST DOSE APPOINTMENTS AS WE WOULD LIKE TO BECAUSE WE'VE HAD TO TAKE THE SUPPLY THAT WE ARE GETTING TO ADMINISTER TO FOR SECOND DOSES FROM THE PEOPLE THAT WE HAD DONE 3 WEEKS AGO.

>>Yunji: GO AHEAD.

>> SORRY.

HEALTH CARE ASSOCIATION HAWAII, HILTON HAS JUST, HE'S BEEN TERRIFIC AND WE ALL TALK AS HOSPITALS STATEWIDE.

WE TALK THREE TIMES A WEEK.

WE TALK ABOUT WHAT VACCINE WE NEED, IF WE NEED TO SHARE, IF OTHER ORGANIZATIONS ARE RUNNING SHORT, CAN WE HELP ONE ANOTHER OUT, AND I THINK AS WHOLE GROUP, WE'RE JUST DOING OUR BEST TO MAKE SURE THAT EVERYBODY HAS WHAT THEY NEED WHEN SUPPLIES DO COME IN.

>>Yunji: I WANT TO FOLLOW UP ON SOMETHING THAT YOU SAID ABOUT SAVING THAT SECOND DOSE.

THERE HAVE BEEN SOME OTHER PEOPLE LET'S SAY ON THE MAINLAND, AND AS GOES ON, THIS CONVERSATION CONTINUES, WHO SAY, LET'S JUST GIVE EVERYBODY A FIRST DOSE.

JUST GET AS MANY OUT THERE AS POSSIBLE.

WHAT IS YOUR VIEW ON THAT?

>> YEAH, I CAN UNDERSTAND THAT PERSPECTIVE.

I THINK THE CHALLENGE IS THERE'S THINGS THAT CHANGE NATURALLY IN TERMS OF THE RECOMMENDATIONS.

CONSTANTLY.

WE HAVE SEEN THAT IT NEEDED TO BE WITHIN, IF IT'S PFIZER VACCINE, NEEDS TO BE WITHIN THAT 21 DAY WINDOW.

MODERNA NEEDS TO BE 28 DAYS.

I BELIEVE.

NOW WE'VE SEEN SOME INFORMATION THAT IS COME OUT THAT SAYS IN CERTAIN CIRCUMSTANCES, IT CAN BE AS LONG AS 6 WEEKS.

SO I THINK FROM OUR PERSPECTIVE, WE'RE JUST CONTINUING TO BE ABLE TO GO WITH THAT 3 WEEK RECOMMENDATION AS THAT SEEMS TO BE THE CONSENSUS AT THAT POINT.

IT IS IMPORTANT TO MAKE SURE YOU GET THAT FULL IMMUNITY.

TO THAT 95% AS WELL.

YOU DON'T WANT TO PUT THAT AT RISK.

I THINK CONTINUING TO GO TO THE 3 WEEK, 3 TO 4 WEEK TIME FRAME DEPENDING ON THE TYPE OF VACCINE IS IMPORTANT THING TO FOLLOW.

>>Yunji: WE HAVE SOME QUESTIONS COMING IN FROM THE AUDIENCE.

WE WELCOME YOU TO CALL OR TWEET OR EMAIL US YOUR QUESTION.

I WANT TO ASK YOU THIS SINCE YOU ARE A MEDICAL DOCTOR WHAT DOES THE VACCINE ACTUALLY DO IN DOES IT CONTAIN ANY TYPE OF STEROID?

CAN YOU TALK ABOUT WHAT IS ACTUALLY HAPPENING TO YOUR BODY ONCE THE YOU GET THE SHOT?

>> SURE.

I THINK ONE OF THINGS WE WILL LOOK BACK AT THIS VACCINE DEVELOPMENT AND VACCINE ITSELF AND SPEED WHICH IT CAME TO MARKET AND THE SCIENCE BEHIND THIS ABSOLUTELY FASCINATING.

SO THERE IS NO STEROID IN THE VACCINE.

THE VACCINE IS RNA.

IT'S SYNTHETIC RNA THAT YOUR BODY THEN GENERATES PROTEIN THAT IS PART OF VIRUS.

THEN REACTS TO IT.

>> IT'S THE FIRST TIME WE'VE OF USED VACCINE LIKE THIS.

AND AGAIN, SCIENCE IS ABSOLUTELY FASCINATING.

AS FAR AS WE CAN TELL, IS VERY EFFICACIOUS.

90 PERCENTILE FOR THE VACCINE.

IT'S REALLY WONDERFUL SCIENCE.

>>Yunji: MARTHA, YOU MENTIONED KAUAI.

I WANTED TO ASK, I'LL OPEN THIS UP TO THE BROADER PANEL AS WELL.

C.J.

ON MAUI, WHAT IS THE MAIN REASON VACCINATIONS ARE DEPLOYED IN IN MAUI COUNTY?

HOW IS DISTRIBUTION GOING FOR THE NEIGHBOR ISLANDS AND HOW TO WE MAKE SURE THAT THOSE IN OR MORE RURAL COMMUNITIES HAVE EQUAL ACCESS?

>> WELL, I CAN TELL YOU WITH THE HEALTH CARE ASSOCIATION, WE TALK AS A GROUP.

WE TRY TO PORTION IT OUT BASED ON THE POPULATION SIZE, AND MAKING SURE EVERYBODY GETS THEIR SHARE.

LET'S SAY TEN TRAYS COME IN, THAN THEY PORTION IT OUT BASED ON POPULATION SIZE.

I KNOW SOME THINGS BEEN SOME DIFFICULTIES WITH COORDINATING ON NEIGHBOR ISLANDS.

>> EVEN ON OAHU.

IN TERMS OF WHO GETS WHAT WHEN.

BUT WE REALLY HAVE TRIED TO MAKE IT AS EQUITABLE AS POSSIBLE.

AS WE WORK TOGETHER AND WITH THE DEPARTMENT OF HEALTH TO MAKE SURE THAT THE VACCINE IS GETTING DISTRIBUTED APPROPRIATELY.

>>Yunji: SAM.

>> I SEE YOU NODDING THERE.

>> YEAH.

VERY VALID QUESTION.

ALL SORT OF IMPLICATIONS WITH HOW THIS HAS BEEN GOING OUT.

NICE HOW THESE DIFFERENT ORGANIZATION COME TOGETHER TO PROVIDE OPPORTUNITIES FOR FOLKS.

GOING TO THE BIG ISLAND, PARTNERING WITH THOSE COMMUNITY HOSPITALS AS WELL AS CLINICS TO GET MODERNA VACCINES IN PARTICULAR BECAUSE THEIR STORM SURGE REQUIREMENTS ARE SIGNIFICANTLY LESS STRENUOUS THAN THE INDIVIDUALIZE VACCINE.

AS THOSE MODERNA DOSES HAVE OPENED UP, WE HAVE BEEN HAVING THOSE SENT TO BIG ISLAND, KAUAI, MAUI, IN ORDER TO GIVE TO FOLKS THERE.

BIG ISLAND, TWO HOSPITALS ON EACH SIDE, TREMENDOUS OPENING THINGS UP FOR THE WHOLE COMMUNITY.

>> WE'RE GOING TO START TO OPEN UP VACCINE CLINICS ON OUR TWO CLINICS ON THE DIFFERENT SIDES HILO AND KONA TO DO AT LEAST 50 A DAY.

SAME THING WITH PARTNERING WITH MAUI HEALTH SYSTEM.

LOOKING UP MASS VACCINATION CENTER.

DEDICATEING OUR KIHEI CLINIC TO BE A VACCINATION SITE.

MHS IS ECSTATIC ABOUT THE CHANCE TO START GETTING THOUSANDS OF PEOPLE LINED UP FOR VACCINES.

>> THE THING ABOUT SOME OF THESE INTERISLANDS SITES, OBVIOUSLY, YOU HAVE PEOPLE THAT ARE GOING TO TRAVEL LONG DISTANCES.

DO YOU ENVISION A TIME, LIMITATIONS AS FAR AS THE STORAGE.

DO WE ENVISION A TIME THERE WOULD BE MOBILE CLINICS.

WAY TO ACTUALLY BRING THIS CLOSER TO THE COMMUNITY WHERE IS THEY ARE NEEDED?

>> IF YOU TAKE A STEP BACK, THINK ABOUT THE BEGINNING OF THIS PANDEMIC, A YEAR AGO, WE WERE TALKING ABOUT 12 TO 18 MONTHS BEFORE VACCINE WOULD BE READY.

HERE WE ARE IN JANUARY AND THERE IS ALREADY TENS OF THOUSANDS OF PEOPLE CROSS ALL ISLANDS.

ALREADY RECEIVING THEIR VACCINE.

>> OUR KUPUNA HAVE ALREADY STARTED LINING UP.

ESSENTIAL WORKERS ARE STARTING TO LINE UP.

IT IS SLOWER THAN WE LIKE.

BUT THIS IS REALLY EARLY IN THE PROCESS.

THERE'S A PLETHORA OF ADDITIONAL VACCINE CANDIDATES THAT ARE STILL GOING THROUGH THE PROCESS.

SOME FROM JOHNSON AND JOHNSON.

ASTRAZENECA.

ORAL VACCINES THAT ARE GOING THROUGH THEIR CLINICAL TRIALS.

SO AS THESE VACCINES CONTINUE TO DEVELOP AND AS THE DATA COMES BACK SHOWING THAT THEY ARE SAFE AND EFFECTIVE, THEY'LL COME TO MARKET.

EVERY ADDITIONAL VACCINE THAT COMES TO MARKET IS GOING TO EXPAND EXPONENTIALLY ACCESS FROM PHARMACIES, FROM RETAIL PHARMACIES, TO PRIVATE DOCTORS OFFICE CLINICS TO YOUR POINT, TO MOBILE VACCINATION CENTERS.

RIGHT NOW, AGAIN, WE'RE IN A VERY FORTUNATE SPOT TO BE VACCINATING AS EARLY IN THE PROCESS AS WE ARE.

IT'S JUST GOING TO GET BETTER FROM HERE.

>>Yunji: I WANT TO ASK YOU, A QUESTION ON FACEBOOK.

ASKING ABOUT THE DOSES THAT MIGHT NOT BE ASSIGNED AND THAT MIGHT BE EXPIRING TOWARDS THE END OF THE DAY.

HOW DO WE MAKE SURE THAT THOSE AREN'T WASTED?

WE'VE HEARD ABOUT SITUATIONS ON THE MAINLAND WHERE HUNDREDS OF DOSES ARE JUST THROWN OUT BECAUSE THEY EXPIRED AND DON'T HAVE THE PEOPLE THERE.

READY FOR.

HOW DO WE ENSURE THAT IS NOT HAPPENING HAWAII?

>> YEAH, SO WE MAKE SURE WE'RE MIXING APPROPRIATE AMOUNT OF VACCINE EVERY SINGLE DAY BASED ON APPOINTMENTS WE HAVE.

PART OF THE REASON WHY ALL OF OUR ORGANIZATIONS ARE TAKING APPOINTMENTS VERSUS WALK INS TO PLAN APPROPRIATELY FOR THE NUMBER OF PEOPLE YOU'RE GOING TO BE SEEING.

NOW, OF COURSE, THERE ARE SITUATIONS WHERE THERE ARE NO SHOWS.

AS A RESULT, WE ARE KEEPING A STAND BY LIST OF INDIVIDUALS THAT YOU WILL CALL LATE IN THE DAY OF YOUR VACCINE CLINIC TO BE ABLE TO SAY, WE HAVE FIVE DOSES LEFT OVER.

HAVE YOUR TEAM START CALLING INDIVIDUALS TO MAKE SURE THAT'S VACCINE DOES NOT GO TO WASTE.

THAT HAPPENS EVERY SINGLE DAY.

BECAUSE CAN'T PREPARE FOR IT.

GREAT NEWS IS AT LEAST FROM OUR ORGANIZATION, WE HAVEN'T HAD TO WASTE ANYTHING BECAUSE WE'VE BEEN ABLE TO GET A HOLD OF PEOPLE TO BE ABLE TO COME IN REALLY AT THE LAST MINUTE TO COME AND GET THE VACCINE.

>> IF I CAN TAG ON TO RYAN REAL QUICK.

SO THIS IS, I THINK PRETTY UNIQUE SITUATION HERE IN OUR STATE.

WHERE OUR HEALTH CARE ORGANIZATIONS ARE WORKING TRULY LIKE A COMMUNITY.

SO MARTHA MENTIONED THREE TIMES PER WEEK WE COME TOGETHER.

WE TALK ABOUT THESE KIND OF THINGS.

SHARE THESE KIND OF PRACTICES TOGETHER.

SO WE'RE ABLE TO LEARN FROM EACH OTHER.

WHICH HELPS OUR COMMUNITY AT LARGE.

NOT WASTING ANY, WE HAVEN'T WASTED SINGLE DOSE EITHER BECAUSE WE DO THE EXACT SAME PRACTICE WITHSTAND BY LIST.

KIND OF A LAST CALL WHERE IF THERE TWO DOSES LEFTS IN A VIAL, NOT GOING TO WASTE THOSE.

PEOPLE WHO ARE READY TO RECEIVE THOSE.

SO I THINK THAT OUR COMMUNITY IS ACTUALLY BEING VERY FAVORABLY POSITIONED BECAUSE OF SOME OF THIS COORDINATION BETWEEN THE DIFFERENT FACILITIES.

IT'S BEEN WONDERFUL EXPERIENCE TO BE ABLE TO PARTNER WITH THESE ORGANIZATIONS LIKE CASTLE AND HBH AND QUEEN'S.

>>Yunji: MICHAEL HAS A QUESTION.

HOW MANY PEOPLE ACTUALLY NEED TO GET THE VACCINE FOR IT TO BE EFFECTIVE IN OUR COMMUNITY.

KIND OF GUESSING AROUND THAT NUMBER.

HE WANT TO KNOW WHY DO WE HAVE TO GUESS IF POPULATION IS A MILLION PEOPLE, LET'S SAY, NOT COUNTING CHILDREN.

WON'T A MILLION PEOPLE NEED IS?

HOW MANY PEOPLE NEED TO GET THIS VACCINE TO PROTECT OUR COMMUNITY?

>> OUR VIEW EVERYONE NEEDS TO GET THE VACCINE TO PROTECT THE COMMUNITY.

THIS IS VERY IMPORTANT AND PEOPLE TALK ABOUT HERD IMMUNITY.

THERE'S A CRITICAL MASS AND THEN YOU DON'T NEED TO WORRY ABOUT IT, BUT OUR VIEW IS WE WOULD LIKE EVERYONE TO GET THE VACCINE.

IT'S SAFE.

IT'S GREAT SCIENCE.

AND IT WILL KEEP US ALL SAFE.

>>Yunji: I SAW YOU NODDING THERE.

AS WELL.

WHAT IS YOUR TAKE ON THAT?

IS THERE A MAGIC NUMBER?

I KNOW WE'RE TRYING TO GET TO EVERYONE.

AT WHAT LEVEL DO WE ACTUALLY FEEL LIKE, OKAY, WE'RE IN A GOOD PLACE?

>> JUST TO REITERATE WHAT YOU SAID.

CLEARLY WANT EVERYONE TO GET THE VACCINE.

BECAUSE THE VIRUS IS KILLING PEOPLE.

BUT HERD IMMUNITY, THE ESTIMATES ARE SOMEWHERE 70 TO 80%.

BUT AGAIN, THE EXPERIENCE WITH THIS VIRUS IS ONLY A YEAR.

SO WE DON'T KNOW.

WE KNOW WHAT HERD IMMUNITY IS WITH OTHER DISEASES.

SO THE ESTIMATIONS OF 70, 80% MAY BE TOO CONSERVATIVE.

>>Yunji: LET'S TALK ABOUT THE PEOPLE WHO MIGHT BE RELUCTANT TO GET THE SHOT.

I KNOW THAT TODAY, THERE WAS A HEADLINE IN THE PAPER SAYING, THAT SURVEY HAD SHOWN THAT UP TO HALF OF OR COMMUNITY WAS RELUCTANT TO GET THE VACCINE.

FOR FULL CONTEXT, THAT SURVEY WAS TAKEN I BELIEVE IN NOVEMBER.

AND DECEMBER.

SO THAT WAS BEFORE PEOPLE HAD ACTUALLY STARTED TO GET THE SHOT.

AND HAD FIRSTHAND EXPERIENCE.

NEVERTHELESS, THERE IS SOME RELUCTANCE IN OUR COMMUNITY.

HOW DO WE WHAT ARE YOU DOING ALLAY THE FEARS OF PEOPLE WHO MIGHT HAVE SOME CONCERNS?

LET'S START WITH YOU.

>> SURE.

ONE.

THINGS OUR HOSPITALS DID WHEN THEY GOT VACCINATED IS THEY ALL MADE A LITTLE SIGN ABOUT WHY THEY GOT VACCINATED.

PUT IT IN SOCIAL MEDIA.

MOST OF THE REASONS THEY PUT THAT THEY WANTED TO GET VACCINATED WAS TO PROTECT THEIR FAMILIES, TO PROTECT THEMSELF, PROTECT THE COMMUNITY, SO I APPEAL TO THE PUBLIC IS WE'RE ALL, WE ALL HAVE FEARS.

VACCINE APPEARS TO BE SAFE.

AND IT'S NOT ONLY HELPING YOURSELF.

BUT IT'S REALLY HELPING YOUR COMMUNITY AND YOUR FAMILY.

THAT'S THE BIGGEST REASON I WOULD PUT OUT ON WHY PEOPLE SHOULD GET VACCINATED.

>>Yunji: SAM, WHAT KIND OF CONCERNS DO YOU HEAR FROM PEOPLE WHO MIGHT HAVE SOME RELUCTANCE WITH GETTING THE SHOT?

>> YEAH, IT VARIES A LOT.

UNFORTUNATE HOW DIFFICULT IT IS TO FIND RELIABLE DATA, RELIABLE INFORMATION AND IT'S REALLY UNFORTUNATE JUST TO PUT IT BLUNTLY, THIS ISSUE HAS BEEN POLITICIZED SO MUCH.

THE QUESTIONS VARY FROM HOW FAST THE VACCINE WAS DEVELOPED TO IT'S A NEW VACCINE.

WE DON'T KNOW ANYTHING ABOUT IT.

TO CONCERNS THAT STEPS OF THE PROCESS WERE SKIPPED.

AGAIN, WHEN YOU LOOK AT THE RELIABLE DATA, WHEN YOU LOOK AT WHAT WAS PUT OUT AND THE DUE DILLIGENCE, THAT PFIZER WENT THROUGH, MODERNA WENT THROUGH, OTHER COMPANIES ARE GOING THROUGH NOW, THIS IS A SAFE VACCINE.

WHEN I TALK TO MY INFECTIOUS DISEASE PROVIDERS, TALK TO OUR VIROLOGIST, VARIOUS FOLKS WHO REALLY LOOK INTO THE SCIENCE OF THIS VACCINE, LIKE DR. BRUNO TALKED ABOUT, INCREDIBLE.

MOST IMPORTANT THING WE CAN DO IS TO TALK ABOUT IT AND TALK ABOUT OUR EXPERIENCES.

FOUR OF US ON THIS CALL HAVE BEEN VACCINATED.

MY EXPERIENCE WAS OUTSTANDING.

I HAVE RECEIVED BOTH DOSES AND THE FEELING OF HOPE AND RELIEF THAT CAME FROM THOSE DOSES HAS BEEN JUST INCREDIBLE.

I HAVE A YOUNG FAMILY.

I HAVE A WIFE WHO IS 38 WEEKS PREGNANT THE.

AND TO KNOW THAT NOW, THEY'RE A LITTLE BIT MORE PROTECTED BECAUSE I GOT THE VACCINE, BRINGS IMMENSE AMOUNT OF COMFORT AND PEACE.

SO I WANT EVERYBODY TO EXPERIENCE THAT.

>>Yunji: I WOULD LOVE TO HEAR EACH OF YOUR EXPERIENCES.

LET'S HEAR FROM YOU.

AS WELL.

WHAT BEEN YOUR EXPERIENCE GETTING THE VACCINE?

>> SIMILAR TO SAM.

I MEAN, HONESTLY, UNEVENTFUL.

LITTLE BIT OF SORE ARM AND THAT WAS ABOUT IT.

WAS ABLE TO GO ON WITH NORMAL LIFE AND IT'S GREAT TO BE ABLE TO HAVE THAT HOME.

AND TO KNOW THAT YOU KNOW, I AM IN POSITION TO KEEP MY FAMILY SAFE, OUR COWORKERS SAFE AND ORGANIZATION SAFE.

ONE OF THE OTHER STORIES THAT I WOULD JUST WANT TO HIGHLIGHT ABOUT FOR THOSE RELUCTANT GETTING THE VACCINE ON ONE OF THE FIRST COUPLE OF NIGHTS THAT WE OPENED OUR VACCINE CLINIC, I MYSELF HAD A LITTLE BIT OF HESITANCY ABOUT GETTING IT.

SIMILAR TO SOME OF THE ISSUES THAT SAM HAS BROUGHT UP.

ALMOST EVER ONE OF OUR MEDICAL STAFF, WHERE THEY'RE GETTING VACCINATED, THEY'RE THE PEOPLE THAT REALLY UNDERSTAND IT.

THEY KNOW THAT INS AND OUTS WHAT GOES ON, WHAT IS MRNA, FOR SOMEBODY LIKE MYSELF DOESN'T HAVE A CLINICAL BACKGROUND.

I DON'T UNDERSTAND WHAT THOSE THINGS ARE.

TO SEE THE MEDICAL STAFF TALK SO HIGHLY ABOUT IT AND BE THE ONES THAT WERE THERE, AT THE FRONT OF LINE WANTING TO GET IT TO, ME, THAT WAS A VERY POWERFUL STATEMENT TO KNOW THAT OUR PHYSICIANS THAT ARE THE EXPERTS IN THIS FIELD, THAT KNOW THE INS AND OUTS OF IT, THEY'RE THE ONES THAT WANT TO GET IT, TO ME, THAT MADE ME FEEL MUCH SAFER TO BE TO GET IT.

MANY OTHERS WITHIN OUR ORGANIZATION HAD THEIR MINDS CHANGED AFTER SEEING THE TREMENDOUS AMOUNT OF PHYSICIANS THAT WANTED TO GET THIS VACCINE.

AND WERE THE ONES THAT WERE SUPPORTING IT AND SAYING THAT'S SAFE.

>>Yunji: MARTHA, WHAT WAS YOUR EXPERIENCE IN GETTING THE VACCINE.

>>Steve: >> I TOO HAD NO SIDE EFFECTS.

I DIDN'T EVEN FEEL IT GOING IN EITHER TIME.

BUT I THOUGHT IT WAS ALSO IMPORTANT AS A LEADER IN THE HOSPITAL, BEING OUT AND ABOUT QUITE A BIT, VISITING WITH PATIENT AND FAMILIES WORKING WITH OUR DOCTORS, IT WAS IMPORTANT THAT I GET VACCINATE THE TO PROTECT MYSELF, TO PROTECT PEOPLE AROUND ME.

I WOULD ALSO LIKE TO SAY THAT THERE IS A LOT OF RELUCTANCE, NOT JUST FROM THE COMMUNITY, BUT EVEN FROM OUR STAFF.

MANY OF THEM JUST WANTED TO SEE WHAT HAPPENS TO THE PEOPLE THAT GOT IT FIRST.

BEFORE THEY WOULD COME FORWARD.

WE'RE SEEING MORE ADOPTION AND MORE, LESS RELUCTANCE TO GET THE VACCINE.

ALSO, WHAT WE'VE TRIED TO DO IS HAVE FROM HE CANY ASKED QUESTIONS FREQUENTLY ASKED QUESTION AND ANSWERS.

MODIFY THEM AS DIFFERENT TYPES OF QUESTIONS COME IN.

WE'VE GOT THEM AVAILABLE ON OUR WEBSITE.

SO PEOPLE CAN SEE THAT.

AND BECAUSE A LOT OF PEOPLE HAVE THE SAME TYPE OF QUESTIONS ABOUT THE VACCINE.

I THINK LASTLY, WE WORKED WITH INFORMAL LEADERS.

SOMETIMES THEY CAN HAVE THE MOST INFLUENCE AND CERTAINLY, WITH THE DIVERSE POPULATION THAT WE HAVE, SOME OF THOSE INFORMAL LEADERS OR LEADERS OF THOSE GROUPS CAN REALLY MAKE A DIFFERENCE, AND HELP THOSE GROUPS UNDERSTAND WHY IT IS SO IMPORTANT TO GET THE VACCINE.

THAT HAS MADE A DIFFERENCE AS WELL.

THEY'VE GONNA HEAD AND GOTTEN IT AND TOLD PEOPLE IT'S OKAY AND IT'S SAFE.

AND THAT HAS MADE A DIFFERENCE IN PEOPLE WANTING TO GO AHEAD AN TAKE THE VACCINE.

>>Yunji: I'M CURIOUS.

JUST BECAUSE SO MANY OF US ARE ABLE TO STAY HOME, BUT OBVIOUSLY, EMERGENCY ROOM PHYSICIAN YOU HAVE TO INTERACT WITH PATIENTANT I'M INTERESTED TO HEAR YOUR FIRSTHAND EXPERIENCE, HOW HAS IT IMPACTED YOUR DAY TO DAY LIFE WORKING WITH PATIENTS?

>> GREAT QUESTION.

I ACTUALLY GOT A LITTLE BIT FLU LIKE ILLNESS AFTER THE SECOND, 12 TO 14 HOURS AFTERWARD.

FRIEND AND COLLEAGUES SAYS THAT'S BECAUSE MY IMMUNE SYSTEM WORKS REALLY WELL.

WHO KNOWS WHAT IT MEANT.

WASN'T SOMETHING I COULDN'T WORK.

SO YOU MAY FEEL A LITTLE FLU LIKE ILLNESS SPECIFICALLY AFTER THE SECOND SHOT.

BUT YOUR QUESTION ABOUT HOW HAS THAT CHANGED WHAT WE'RE DOING IN THE EMERGENCY DEPARTMENT, REST OF THE HOSPITALS, STAFF SAFETY.

PATIENT SAFETY.

IS THE MOST IMPORTANT THING.

WE'RE STILL USING FULL PPE PROTOCOLS.

>> WE'RE MAKING SURE ALL PATIENTS ARE TESTED AS THEY GET ADMITTED.

WHAT I NOTICED WORKING CLINICALLY, THERE'S HOPE.

A LITTLE BIT LIGHTER ATMOSPHERE THAN I WOULD SAY THREE TO SIX MONTHS AGO, WHEN A A LOT MORE COVID PATIENTS IN THE HOSPITAL, BUT ALSO, THERE WASN'T VACCINE.

SO I HAD A SIMILAR EXPERIENCE WHERE THE PHYSICIANS, CAREGIVERS, WHO ARE ON THE FRONT LINES, WERE AS SOON AS POSSIBLE, LET ME GET VACCINATED.

FOCUS ON TAKING CARE OF PATIENTS, SEEN TRAGEDY IS THAT VIRUS BRINGS WANT TO GET VACCINATED AND APPEAL TO THE COMMUNITY FOR THE SAME.

>>Yunji: I WANT TO STAY WITH YOU FOR THIS QUESTION.

I'M SORRY?

>> I WAS GOING TO SAY TO TAG ON TO THAT, DR. BRUNO MENTIONED EARLIER THAT EVERYTHING WE KNOW ABOUT COVID WE LEARNED IN THE LAST NINE MONTHS.

I CAN TELL YOU WE'VE SEEN TREATMENT AND I'M NOT A CLINICIAN.

I'VE SEEN THE TREATMENT OF THIS REALLY CHANGE.

I THINK OUR DOCTORS HAVE LEARNED A LOT.

AND THEY CHANGED THE WAY THEY'RE TREATING COVID.

IT HAS MADE A HUGE DIFFERENCE IN THE PATIENTS' COURSE AS WELL AS IN THEIR RECOVERY.

FASCINATING TO SEE THAT HAPPEN.

>>Yunji: MICHAEL IS SAY IF YOU SURVIVE COVID, DO YOU STILL GET TO TAKE THE VACCINE?

>> WHAT YOUR THOUGHT ON PEOPLE WHO HAVE SURVIVED COVID, NOW GETTING THE VACCINE?

>> RECOMMENDS IS THAT YOU STILL GET VACCINATED.

AND WE BELIEVE THAT IF YOU GET COVID LIKE MOST VIRUSES YOU'RE PROBABLY IMMUNE.

WE'RE STILL LEARNING ABOUT VACCINE.

RECOMMENDATION IS EVEN IF YOU HAD COVID, THAT YOU STILL SHOULD BE VACCINATED.

>>Yunji: YOU TALK ABOUT THE LACK OF INFORMATION AND CREDIBLE INFORMATION ON THIS.

I HEARD A COUPLE OF PEOPLE DIED AFTER TAKING THE VACCINE.

IS THAT TRUE?

>> I WOULD DEFER TO DR. BRUNO WHO IS GOING TO KNOW A LOT BETTER THAN ME.

I AM NOT AWARE OF ANY CIRCUMSTANCES LIKE THAT.

I WILL SAY WE DOCUMENT, WE'VE DONE ALMOST 20,000 VACCINE.

WE'VE DOCUMENT EVERY SINGLE REACTION THAT OCCURS.

AND NONE OF THEM HAVE BEEN SEVERE.

WE'VE HAD A FEW PEOPLE WHO HAVE HAD REACTIONS THAT NEED SOME IMMEDIATE ATTENTION AND JUST HELP FROM MEDICAL PROFESSIONALS.

BUT NOTHING HAS EVER BEEN SEVERE FROM OUR EXPERIENCE.

I DON'T KNOW IF YOU HEARD OTHERWISE.

>> I THINK PEOPLE ARE LOOKING NATIONALLY TO SEE NOW THAT WE'RE IN INTO SEVERAL WEEKS TO MONTH, VACCINE IS THE SIDE EFFECT PROFILE HIGHER IN THIS VACCINE THAN OTHER VACCINES.

THE GENERAL FEEDBACK WE'RE GETTING IS THAT THIS VACCINE IS SAFE WITHIN AN ACCEPTABLE RANGE FOR VACCINES.

EVERYBODY IS KEEPING PATIENTS 15 MINUTES OR SO AFTER THE VACCINATED BECAUSE MOST OF THE ANAPHYLACTIC OR ALLERGIC REACTION ANY VACCINE CAN CAUSE WERE SEEN WITHIN 15 MINUTES OR SO.

SO WE'RE ALL BEING VERY CAREFUL.

I HAVE NOT HEARD OF EXTREME REACTIONS HERE IN HAWAII.

NATIONALLY, AGAIN, WITHIN AN ACCEPTABLE RANGE FOR VACCINES.

>>Yunji: GETTING SOME QUESTIONS ABOUT JUST THE SORT OF NUTS AND BOLTS WHAT IT TAKES TO SIGN UP.

WALK US THROUGH THAT.

WHAT IS THE PROCESS FOR SIGNING PEOPLE UP?

IS THAT SYSTEM WORKING AND CAN IT BE IMPROVED?

CAN YOU TAKE US THROUGH JUST THE BASICS OF OKAY, I WANT TO GET VACCINATED.

OVER 75 OR I AM ESSENTIAL WORKERS.

WHAT HAPPENS NOW?

>> CAN I WALK THROUGH OUR PROCESS.

I THINK IT'S SIMILAR TO THE OTHERS.

BUT LOG ON TO OUR WEBSITE.

ADVENTIST HEALTH CASTLE.ORG VACCINE.

ON THERE, LINK THAT YOU CLICK ON.

YOU HAVE TO FILL IN SOME INFORMATION TO TALK ABOUT WHICH GROUP THAT YOU'RE IN A.

THERE IS A VALIDATION PROCESS THAT WE GO THROUGH JUST TO ENSURE THAT YOU ARE IN THOSE RESPECTIVE GROUPS THAT ARE APPROVED FOR THE VACCINE.

AT THAT POINT IN TIME.

AT THAT POINT, WE WILL ACCEPTED YOU A LINK THAT SENDS YOU TO OUR APPOINTMENTS SCHEDULING SYSTEM.

THEN YOU GO IN THERE AND YOU ARE ABLE TO SELECT THE TIME THAT IS AVAILABLE.

AND YOU COME IN AND GET YOUR VACCINE FROM US.

IT DOES SOUND SIMPLE.

BUT WE DO RECOGNIZE THAT FOR SOME OF OUR KUPUNA, IT'S NOT ALWAYS THAT EASY TO BE ABLE TO DO.

WE DO ENCOURAGE FAMILY AND FRIENDS AND OTHERS TO BE ABLE TO HELP THEM THROUGH YOU THAT PROCESS.

BUT OVERALL, IT'S BEEN RELATIVELY SEAMLESS.

I THINK ONE OF THE THINGS THAT WAS TALKED ABOUT BY THIS GROUP EARLIER IS WE'RE CONSTANTLY ADAPTING AND CHANGING.

THESE WEREN'T CLINICS THAT WERE BUILT VERY QUICKLY.

WE'RE LEARNING THINGS IN THIS PROCESS TO MAKE IT MORE USER FRIENDLY TO OUR COMMUNITY.

WILL CONTINUE TO DO SO.

FRIENDLY TO OUR COMMUNITY.

>>Yunji: FOR THOSE FOLKS NOT TECH SAVVY, IS THERE ANOTHER MECHANISM TO SCHEDULE APPOINTMENT, LIKE PHONE ONLY.

YOU DON'T NECESSARILY WANT TO WALK IN CLINICS BECAUSE YOU DON'T WANT CROWDING OR ELDERLY PEOPLE WAITING OUTSIDE, POTENTIALLY CATCHING THE DISEASE YOU'RE TRYING TO ERADICATE.

ARE THERE OTHER MECHANISMS PUT IN PLACE FOR PEOPLE WHO DON'T HAVE GREAT INTERNET ACCESS CAN ACTUALLY TAKE PART?

>> WE ARE LOOKING AT STARTING A CALL CENTER.

FOR INDIVIDUALS TO BE ABLE TO CALL IN AND BE ABLE TO DO THAT.

FOR US, SPECIFICALLY, IT'S A STAFFING LIMITATION.

ALWAYS MIGHT IMAGINE, WHEN YOU HAVE AT LEAST ON WINDWARD SIDE, IT'S 130,000 PEOPLE.

OBVIOUSLY NOT EVERYBODY IS IN THOSE APPROVED CATEGORIES RIGHT NOW.

BUT THE PHONE RING A LOT.

EVEN RIGHT NOW.

SO JUST TRYING TO BE ABLE TO STAFF THAT APPROPRIATELY, TO ENSURE THAT WE'RE ABLE TO RESPOND TO PEOPLE, IS CHALLENGING AND WE'RE LOOKING TO STAFF UP FOR THAT BUT WE'RE NOT QUITE AT THAT POINT RIGHT NOW.

>>Yunji: SINCE YOU HAVE THE POD SYSTEMS IN PLACE, WHICH ARE OBVIOUSLY CAN TAKE LARGER GROUPS ARE YOU ANTICIPATING DOING ANY KIND A WALK IN AT ANY POINT OR DOING SOMETHING THAT IS NOT, SOMETHING THAT DOESN'T NEED A COMPUTER TO SIGN UP?

>> NOT AT THIS TIME.

RIGHT NOW, OURS IS WEBSITE AS WELL.

WE DO HAVE PEOPLE, ONCE THEY SIGN UP, WILL GET A CALL BACK FROM APPOINTMENT.

BUT WE LEARNED UNFORTUNATELY, WHEN HE WE HAVE SET UP THE PHONE LINES THEY CRASH BECAUSE PEOPLE ARE SO ANXIOUS ABOUT THIS.

WE'RE TRYING TO BALANCE THAT AND COME UP WITH A LOT EASIER WAYS TO ACCESS WEBSITE.

SELF SCHEDULE THEMSELVES.

WE TWEAK THIS DAILY.

WORK WITH OUR IT TEAM TO TWEAK THIS AND MAKE SURE WE MAKE IT AS EASY AS POSSIBLE.

WE ENCOURAGE FAMILY MEMBERS TO HELP OUR KUPUNA BECAUSE IT IS DIFFICULT FOR SOME PEOPLE THAT DON'T HAVE ACCESS.

WE DO HAVE A CALL CENTER.

WE DO HAVE FOR APPOINTMENTS.

SOME PEOPLE CALLED CALL CERTAIN.

TRIED TO HELP THEM THROUGH THAT AS WELL.

WE PREFER THAT THEY USE ON LINE SYSTEM JUST BECAUSE THERE'S SO MANY REQUESTS AND WE DON'T WANT PEOPLE TO GET UPSET WITH US.

WHEN PHONE I MEAN OUR OWN EMPLOYEES WHEN WE OPENED OUR APPOINTMENTS FOR EMPLOYEES WE CRASHED SYSTEM AND WE DID NOT ANTICIPATE THAT.

WE HAD TO REGROUP AND FIGURE OUT HOW TO DO IT AND MAKE SURE IT WAS USER FRIENDLY AS POSSIBLE.

IT'S HARD.

THERE'S SO MUCH DEMAND.

PEOPLE ARE SO ANXIOUS ABOUT THIS.

>>Yunji: CONCERNED ABOUT FOLKS MIGHT NOT HAVE PRIMARY CARE PROVIDER.

PEOPLE WHO ARE NOT NECESSARILY PART OF A HEALTH CARE SYSTEM ALREADY.

HOW ARE YOU REACHING THOSE FOLKS?

ARE WE ANTICIPATING COMMUNITY CLINICS BEING GIVEN OUT VACCINES OR WHERE DO YOU SEE THAT GOING?

>> I THINK, I WON'T SPEAK FOR ALL THE HEALTH SYSTEMS I THINK WE ARE SAME.

IN RIGHT NOW, IF GO TO OUR WEBSITE, YOU DON'T HAVE TO BE A MEMBER OF A QUEEN'S HEALTH PLAN.

ANYBODY CAN SIGN UP.

WE ARE FORTUNATE, BEEN ABLE TO STAND UP CONTACT CENTER, 691 2222.

WE CAN HELP PEOPLE SCHEDULE.

I DON'T THINK OF THE HEALTH DEPARTMENT SYSTEMS ARE TURNING AWAY PEOPLE WHO ARE NOT MEMBERS OF THEIR HEALTH PLANS.

I THINK RIGHT NOW, THE GOAL WAS TO STAND UP LARGE CENTERS.

HEALTH CARE WORKERS, KUPUNA AND THEN EVENTUALLY, HAVE MORE OUTREACH INTO THE COMMUNITIES.

PROBABLY KNOW, SKILLED NURSING FACILITIES, THERE ARE PEOPLE GOING INTO THE SKILLED NURSING FACILITIES VACCINATE NOW.

I THINK THAT'S IS ONE OF THE FIRST ATTEMPTS TO REACH OUT TO THE COMMUNITY.

AND THEN COLLECTIVELY, HOW DO WE ALL REACH OUT INTO THE COMMUNITIES TO REACH THOSE WHO CAN'T COME IN.

TO GET VACCINATED.

>>Yunji: NEXT QUESTION, WE HAVE CALLER FROM KAHULUI WRITEENING ASKING, IF THE VACCINE IS EFFECTIVE, WHY WE STILL HAVE TO WEAR OUR MASK AND SOCIAL DISTANCED?

ONCE YOU GOTTEN SECOND SHOT, WHAT ARE BEST PRACTICES AT THAT POINT?

>> OUTSTANDING COMMON QUESTION RIGHT NOW.

WE KNOW IN OTHER VIRUSES, THAT EVEN IF YOU'RE A MINOR, VACCINATED FOR THE VIRUS, YOU CAN CARRY THE VIRUS IN YOUR NOSE AND TRANSMIT IT TO OTHER PEOPLE.

NOT KNOWING HOW LONG VACCINE GIVES US PROTECTION FOR, HOW LONG, RECOMMENDING EXACTLY WHAT YOU HEAR ON TV.

WEAR A MASK, SOCIAL DISTANCED, SOCIAL GATHERINGS, STAY OUT OF LARGE GROUPS.

SPECIFICALLY INDOOR LARGE GROUP.

SAME THING WE'VE BEEN SPEAKING ABOUT FOR THE LAST YEAR, PLEAD, THAT PLEASE CONTINUE DO THAT.

THE CASES ARE STILL ABOVE 100.

STILL PATIENTS IN THE HOSPITALS.

SO ALL THE GOOD THINGS THAT PEOPLE IN HAWAII HAVE BEEN DOING TO CONTINUE.

>>Yunji: ASK THIS ONE FOR YOU.

LINDA WANTS KNOW, DO WE NEED TO TAKE THE VACCINE EVERY YEAR IN AND FROM HAWAII, I GUESS THIS WOULD BE FOR EACH OF YOU, HOW MANY PEOPLE HAVE HAD A SEVERE REACTION?

FROM WHICH VACCINE?

I THINK THERE'S SOME PEOPLE WANTING TO KNOW, SHOULD I ASK FOR THE MODERNA?

SHOULD I ASK FOR THE PFIZER?

PRESUMABLY YOU DON'T HAVE A CHOICE.

ARE THERE RISKS ASSOCIATED ONE VERSUS THE OTHER AND DO YOU ANTICIPATE HAVING TO GET A VACCINE EVERY YEAR LIKE WE DO A FLU SHOT?

>> ANOTHER GREAT QUESTION.

UNFORTUNATELY, THE ANSWER IS STILL DON'T KNOW.

COMPANIES STARTED TESTING VACCINES LESS THAN A YEAR AGO.

SO WE DON'T SIMPLY HAVE ENOUGH OBSERVATION TIME TO UNDERSTAND HOW LONG IT'S GOING TO LAST AND HOW LONG ANTIBODIES WILL BE THERE.

AT THIS POINT IN TIME, ALL OF THAT WOULD BE A GUESS.

SO WE'RE GOING TO LEARN MORE AS TIME GOES FORWARD.

AND THAT WILL TEACH US A HOT MORE ABOUT HOW LONG IT LASTS, WE HAVE LITTLE BIT OF INFORMATION ABOUT HOW QUICKLY THE VIRUS MUTATES.

BUT EVEN THAT, IT'S NOT ENOUGH TO KNOW HOW FREQUENTLY.

I DON'T HAVE INFORMATION ON SPECIFIC TO HAWAII.

HOW MANY REACTIONS THERE HAVE BEEN.

I DON'T KNOW IF SOMEBODY ELSE MAY HAVE THAT INFORMATION.

>>Yunji: WHAT HAS BEEN THE EXPERIENCE OF YOUR ORGANIZATION WHEN IT COMES TO THE REACTIONS?

>> WE'VE HAD A FEW REACTIONS.

NONE OF THEM HAVE BEEN SERIOUS REQUIRING HOSPITALIZATION.

COUPLE REQUIRED EMERGENCY VISITS BUT DISCHARGED HOME.

BUT HAVE BEEN A FEW.

ALLERGY TYPE REACTION.

HIVES.

NOT ANY LIFE THREATENING REACTIONS.

>> IMPORTANT TO MAKE SURE THAT FOLKS HERE AS WELL.

IN THE EXPERIENCE THAT HAWAII PACIFIC HEALTH HAS IN KAISER AND QUEEN'S, HEARING FEW PEOPLE HAVING REACTION.

THIS OUT OF THOUSANDS AND THOUSAND OF VACCINATIONS GIVEN.

SO IT'S SHOWING TO BE A VERY, VERY SAFE VACCINE.

BECAUSE AGAIN, IT'S THE VAST MAJORITY HAVE EXPERIENCED LIKE THE FOUR OF US HAVE DESCRIBED MINIMAL SIDE EFFECTS, IF ANY.

>>Yunji: CAN YOU ANSWER IF YES.

WHY AREN'T KIDS UNDER THE AGE OF 18 GETTING VACCINATED?

ARE WE ANTICIPATING GIVING VACCINATIONS TO MINORS?

>> HAVE TO KICK THAT ONE OVER.

FROM MY UNDERSTANDING, THEY WERE NOT INCLUDED IN THE CLINICAL TRIALS I BELIEVE.

THAT'S PART REASON THAT RECOMMENDATION IS NOT THERE.

THAT IS JUST FROM MY OWN READING AND RESEARCH.

DEFER TO RICK ON MAYBE SOME OF THE SPECIFICS.

>> WE TRIED TO GET THE VACCINE TO PUBLIC SO FAST, THAT CHILDREN WERE NOT INCLUDED IN THE ORIGINAL STUDIES.

THAT MAY CHANGE THE INDICATION.

WE'RE FORTUNATE THAT CHILDREN TEND TO BE LESS AFFECTED AS FAR AS SEVERITY OF ILLNESS.

AND BUT THAT IS THE REASON AT THIS POINT, PEDIATRIC PATIENTS ARE NOT INCLUDED.

>>Yunji: SPENT THE BULK OF THE TIME TALKING ABOUT VACCINES.

I WANT TO SHIFT GEARS A LITTLE BIT AND TALK ABOUT HOW YOUR ORGANIZATION ARE DOING.

WE SEE THESE HOSPITALS ON THE MAINLAND, IN CALIFORNIA, ADMINISTRATORS AND DOCTORS THERE HAVING TO MAKE SOME REALLY TOUGH CHOICES IN TERMS OF PRIORITIZING CARE.

HOW DO WE MAKE SURE THAT WE DON'T GET INTO THAT SITUATION HERE IN HAWAII AND MARTHA, WHAT ARE THE CONTINGENCIES YOU PUT IN PLACE TO TRY TO KEEP THAT AT BAY?

>> WHEN THE COVID 19 WHOLE THING HIT HAWAII, AND STARTED, WE NOT ONLY AT HAWAII PACIFIC HEALTH, ALL THE HEALTH CARE SYSTEMS TO MAKE SURE THAT WE HAD SPECIFIC WHAT WE CALL SURGE PLANS FOR DISASTER.

WE DO A LOT OF DISASTER PLANNING.

FOR THE STATE OF HAWAII.

THIS WAS A DIFFERENT TYPE OF DISASTER.

BUT THAT IS THE PLAN THAT WE USED.

SO WE HAVE A SYSTEMATIC WAY THAT WE SAY WE WILL BE ABLE TO ACCOMMODATE PATIENTS, DIFFERENT ROOMS WHERE ACCOMMODATE OR ADAPTED TO BE ABLE TO MANAGE COVID PATIENTS.

AREAS MAYBE IN SOME OF THE HOSPITALS THAT HAVE NOT BEEN UTILIZED STOOD OUT.

IF WE COULD GET THE STAFF TO FILL THOSE, TWO PATIENTS, IF THEY FILLED THOSE BEDS, THAT WOULD HAPPEN.

WE'VE BEEN VERY FORTUNATE, I THINK, WHEN WE HAD THE BIG SURGE ORIGINALLY EARLIER THIS SUMMER, IN FALL, THAT WE ALL GOT STRETCHED.

I THINK IT WAS EASY TO SAY THAT HE WE ALL WERE THINKING, IF THIS GETS MUCH WORSE, WE'RE GOING TO HAVE A PROBLEM.

WE ALL TALKED TOGETHER AS HOSPITALS.

REPORT OUR BED NUMBERS EVERY DAY.

CENSUS EVERY DAY.

IF PEOPLE NEEDED EQUIPMENT, WHO CAN HE COULD LOAN EQUIPMENT TO.

AND THEN SINCE THEN, HAVEN'T SEEN THE SURGE LIKE THEY HAVE ON THE MAINLAND.

WE'VE BEEN VERY FORTUNATE.

WE DO HAVE PLANS FOR THAT.

AT EVERY STEP OF THE WAY, WE KNOW HOSPITAL MAYBE AT TIPPING POINT.

CANNOT TAKE ANY MORE PATIENTS.

WE'RE VERY COMFORTABLE WITH THE PLAN THAT WE PUT TOGETHER.

FOR THAT.

WE'RE FORTUNATE RIGHT NOW IN THAT THE HOSPITALS WE'RE BUSY.

BUT I CAN TELL YOU HBH FACILITIES ARE BUSY.

THIS IS A NORMALLY BUSY TIME OF YOU'RE FOR HOSPITALS, JANUARY, FEBRUARY, WINTER EX AS WE CALL IT, THIS IS A BUSY TIME OF YEAR.

OUR HOSPITALS MUCH BUSIER WITH OTHER PATIENTS AS OPPOSED TO COVID 19 PATIENT.

WE FEEL VERY FORTUNATE FOR THAT.

WE ARE WELL EQUIPPED TO MANAGE COVID PATIENTS.

IF THERE IS ANOTHER BIG SURGE.

I BELIEVE WE'RE WELL EQUIPPED TO HANDLE THAT IN OUR HOSPITAL.

WE WORK TOGETHER AS A TEAM, MAKE SURE THE EQUIPMENT, STAFF, SUPPLIES EVERYTHING THEY NEED ARE GOING TO BE AVAILABLE.

>>Yunji: I THINK THAT A LOT OF PEOPLE WITH THE VACCINE HERE IN NOW DO FEEL LIKE THEY CAN KIND OF BREATHE A SIGH OF RELIEF EVEN IF THEY DON'T HAVE THE SHOT THEMSELVES.

FEELING LIKE WE SAW WHEN THE PANDEMIC WAS FIRST STARTING, SAW THOSE YELLOW, I DON'T KNOW WHAT THEY'RE CALLED, TENTS OUTSIDE OF THE QUEEN'S MEDICAL CENTER.

FEELING LIKE THAT COULD BE SOMEPLACE WHERE YOU COULD SEE COVID PATIENTS OVERLOADING LIKE CENTRAL PARK IN NEW YORK.

WE NEVER GOT THERE.

COULD HAWAII STILL GET THERE?

>> I THINK BASED ON PAST EXPERIENCES, WE COULD GET THERE.

IF WE STOP DOING ALL THE GOOD THINGS THAT PEOPLE ARE DOING.

WEARING MASKS, SOCIAL DISTANCING, I THINK WE SHOWN THAT GO WE'RE NOT CAREFUL, IF OPEN UP TOO QUICKLY, WE'LL GET A SURGE.

HERD IMMUNITY.

WHAT HE WENT THROUGH YOU THIS SUMMER WE COULD GO THROUGH AGAIN.

COUPLE OF DAYS THAT I BELIEVE THE HOSPITAL, STATE GOVERNMENT, STARTING TO SWEAT IT A LITTLE BIT.

ALL WORKING VERY CLOSELY TOGETHER.

MOVING PATIENTS BETWEEN FACILITY.

ENSURE SURE WE HAD CAPACITY.

MOST OF US HAD SHUT OFF ELECTED CASES.

CLOSED SOME OF OUR AMBULATORY CLINICS.

IT'S POSSIBLE IT COULD HAPPEN AGAIN, WE DON'T COLLECTIVETY IN HAWAII DON'T DO WHAT WE SHOULD BE DOING.

WEARING MASKS, SOCIAL DISTANCING, GETTING THROUGH THIS.

TELL MY DAUGHTER, WE'RE IN THE 7TH INNING RIGHT NOW.

STILL GOT A COUPLE MORE INNINGS BEFORE WE'RE DONE.

I THINK THERE'S, WE STILL, CASES ON THE MAINLAND ARE STILL OVER 150,000 CASES A DAY.

>>Yunji: ONE.

THING THAT OBVIOUSLY KEEPING THE PANDEMIC AT BAY IS PPE.

WE LEARNED AT SOME POINT, IN VERY SHORT SUPPLY.

QUITE EXPENSIVE.

HOW ARE OUR PPE STORES, PPE STORES DOING?

DO WE HAVE WHAT WE NEED AS A STATE?

>> I BELIEVE THAT WE DO.

I KNOW THAT IS THERE A STATE STOCKPILE THAT IS IN PLACE THROUGH THE HEALTH CARE ASSOCIATION BEEN BENEFICIAL TO ALL OF OUR ORGANIZATIONS EARLIER ON IN THE PANDEMIC.

IF WE'RE RUNNING SHORT ON THINGS, ABLE TO LEVERAGE SOME OF THE SUPPLIES.

COLLABORATION AMONG OUR ORGANIZATIONS.

IF ONE ORGANIZATION IS SHORT, WE GET IN CONTACT WITH OTHER ORGANIZATION AND THERE'S A WILLINGNESS TO BE ABLE TO SHARE.

>> WE'RE ALL IN THIS TOGETHER.

WANT TO MAKE SURE THAT WE'RE SUCCESSFUL.

I KNOW FOR US HERE AT CASTLE, HAD TO STOCK UP ON THE SUPPLIES WE HAVE.

SOME OF THE AREAS THAT WERE PREVIOUSLY USED FOR DIFFERENT PURPOSES ARE NOW SUPPLY ROOMS TO ENSURE THAT IF THERE IS ANOTHER SUPPLY KLAIN DISRUPTION, THAT WE ARE IN A POSITION TO BE ABLE TO EFFECTIVELY RESPOND TO THAT WITH SUPPLY SHORTAGES THAT THEY COULD OCCUR.

IT HAPPENS ANY MOMENT.

FACTORY, AT SOME PLACE, HAS A COVID OUTBREAK AND THEY HAVE SHUT DOWN.

OR IF THEY HAVE TO START DIVERTING SUPPLIES TO OTHER HOTSPOTS, IN THE MAINLAND, WE'VE GOT TO MAKE SURE WE HAVE ENOUGH HERE ON THE ISLAND.

WELL POSITIONED FOR THAT.

SHOULD WE EXPERIENCE ANOTHER SURGE.

>>Yunji: GOT A QUESTION FROM JAY ON FACEBOOK.

IS THIS VACCINE EFFECTIVE AGAINST THE NEW STRAINS OF COVID.

HEARING ABOUT NEW STRAINS OTHER PARTS OF WORLD.

SOME ARE HERE.

IN THE UNITED STATES.

IF NOT IN HAWAII.

IS THE VACCINE EFFECTIVE?

>> EARLY DATA, ANSWERING QUESTION DIRECTLY, EARLY DATA SHOWING IT IS EFFECTED.

I WOULD ANSWER IT DIFFERENTLY.

VACCINES ARE ULTIMATELY EFFECTIVE AGAINST NEW STRAINS BECAUSE THE MORE OF US THAT GET THE VACCINE, THE LESS THE VIRUS IS GOING TO MUTATE.

NATURE OF THE VIRUS IS THAT EVERY TIME IT REPLICATES IT HAS THE RISKS AND POTENTIAL TO MUTATE IT IN SOME WAY.

THE ONLY WAY TRULY TO REALLY OVERCOME THIS AND BEAT THE VIRUS AND STOP THESE DIFFERENT STRAINS AND MUTATIONS FROM COMING, IS BY GETTING THE VACCINE AND STOPPING SPREAD.

TWO ANSWERS TO IT.

YES, AND YES.

>>Yunji: WILL HAWAII ACHIEVE NATURAL HERD IMMUNITY DUE TO THE POPULATION ALREADY BEING INFECTED?

>> AT THE RATE WE HAVE INFECTIONS WE WILL NOT GET NATURAL HERD IMMUNITY FOR A LONG TIME UNLESS THE CASES GO WAY UP.

THE PROBLEM WITH THAT SEEN MORTALITY RATE FROM THE VIRUS.

SO THAT MEANS PEOPLE WILL DIE.

SO THE REASON TO GET VACCINATED IS WE DON'T WANT NATURAL HERD IMMUNITY.

WE WANT VACCINATE TO PREVENT PEOPLE FROM GETTING THE DISEASE.

>>Yunji: I'M NOT 75.

I'M NOT ESSENTIAL WORKERS.

HOW DO I GET ON WAITING LIST?

THERE ARE A LOT OF PEOPLE WANT TO KNOW, HOW WILL I KNOW WHEN IT IS MY TURN?

DEPARTMENT OF HEALTH HAS A PLAN.

AND IT GOES ALL THE WAY DOWN TO THROUGH GETTING DOWN TO THE 16 YEAR OLDS AT THE RIGHT TIME OR THE 18 YEAR OLDS.

BUT THERE IS A PLAN FOR WHEN WE WILL VACCINATE OUR POPULATION.

SO WE'RE WORKING VERY CLOSELY WITH THEM.

FOR EXAMPLE, FIRST WE STARTED WITH THE 75 PLUS.

WITH THE KUPUNA.

THEN NEXT GROUP IS THE ESSENTIAL WORKERS.

STARTING TO SEE VACCINATE TEACHERS NOW.

AND WHAT HAPPENS IS DEPARTMENT OF HEALTH SENDS US LISTS.

WE START REACHING OUT TO THOSE INDIVIDUALS THROUGH EMAIL AND OTHER MEANS.

TO SAY, YOU KNOW, GO AHEAD AND GET ON LINE AND IT'S TIME FOR YOU TO GO AHEAD AND SCHEDULE YOUR VACCINE.

WE WILL GET TO THOSE OTHER GROUPS.

WE ARE, WORKING CLOSELY WITH DEPARTMENT OF HEALTH.

SEND US NAMES BY ZIP CODE.

DISTRIBUTE THEM TO ALL OF OUR FACILITIES.

THEN WE MAKE SURE THAT WE REACH OUT AND GET THOSE PEOPLE APPOINTMENTS SO THEY CAN GET THE VACCINE.

GOING TO BE A WHILE.

BUT EVERYBODY WILL HAVE THEIR TURN.

>>Yunji: WHEN DO YOU THINK THAT WILL HAPPEN?

RATE WE'RE GOING, WHEN YOU DO YOU THINK EVERYONE WHO WANTS A SHOT WILL ACTUALLY GET ONE?

>> I THINK BY THE FALL OR TOWARDS END OF THE YEAR, BASED ON THE WAY DEPARTMENT OF HEALTH MAPPED OUT.

THE DISTRIBUTION.

AND AS LONG AS WE CONTINUE TO GET THE VACCINE.

THE GROUP CAN CORRECT ME IF I'M WRONG.

I'M THINKING PLANNING BY THE END OF THE YEAR THAT WE WOULD PROBABLY HAVE MOST OF IT COVERED.

IF WE GET THE VACCINE.

AS SAM MENTIONED EARLIER, SOME OF THESE NEWER ONES COMING OUT.

ONE TIME SHOT.

SO THERE MIGHT BE REAL OPPORTUNITIES AGAIN TO WORK WITH THE PHARMACIES, THE CVS AND WALGREEN'S.

MUCH FAST AND WIDER DISTRIBUTION.

>> DEPEND ON THE VACCINE AVAILABILITY.

>>Yunji: TIME IS RUNNING OUT.

I WANT TO MAKE SURE THAT I GET TO EACH OF YOU.

SUCH A TOUGH TIME FOR SO MANY OF US.

ESPECIALLY YOU GUYS ON THE FRONT LINES.

I WOULD LOVE TO HEAR FROM EACH OF YOU WHAT GOOD THAT YOU HAVE SEEN DURING THIS TIME.

STORY OF HOPE IF YOU WILL.

SAM, LET'S START WITH YOU.

WHAT LIFTS YOUR SPIRITS AND WHAT GETS THROUGH THIS TIME?

>> YOU KNOW, THIS LAST YEAR HAS BEEN I MEAN, CERTAINLY HARDEST THAT I'VE EXPERIENCED.

>> THERE HAVE BEEN IMMENSE TRAGEDIES.

EVERY ONE OF US HAS BEEN IMPACTED BY COVID 19 ONE WAY OR ANOTHER.

LOVED ONES FAMILY MEMBERS.

FRIENDS.

BUT EVEN AMONG THE THAT, THERE HAS BEEN A LOT OF GOOD THAT HAS COME FROM IT.

WHEN I GO INTO HOSPITAL, AS AN EXAMPLE, WE HAVE ASKED PHYSICIANS NURSES ENVIRONMENTAL SERVICE TECHNICIANS, STAFF IN THE HOSPITAL, TO BE EXTRAORDINARILY FLEXIBLE.

THESE PEOPLE CHOSEN HEALTH CARE INDUSTRY FOR A REASON.

THEY WANT TO HELP PEOPLE.

WANT TO DO GOOD.

TO SEE THEM COME TOGETHER AND PROBLEM SOLVE AND PUT THEMSELVES INTO SITUATIONS WHERE THEY ARE HELPING VULNERABLE PEOPLE HAS BEEN SO UPLIFTING.

REALLY, SHOWS YOU WHAT THE POWER OF OUR SOCIETY IS.

WHAT THE POWER OF OUR COMMUNITY IS WHEN WE COME TOGETHER.

I'VE SEEN THAT HAPPEN AT THE EMPLOYEE LEVEL.

SEEN IT HAPPEN AT THE COMMUNITY LEVEL.

SEEN THAT HAPPEN AT THE ORGANIZATIONAL LEVEL.

AGAIN, SAID THIS A FEW TIMES, BUT OUR VARIOUS HOSPITALS WORKS WE'RE NOT COMPETING RIGHT NOW.

WE'RE PARTNERING.

WE'RE PARTNERING IN WAY THAT WE HAVE NEVER DONE BEFORE.

IT'S INCREDIBLY UPLIFTING.

I HOPE THAT'S A NEW PRECEDENT FOR THE FUTURE.

>>Yunji: WE HAVE 3 MINUTE.

I WANT TO GET EACH OF YOU.

IF YOU COULD AT THE US SAME.

WHAT IS GIVING YOU HOPE RIGHT NOW?

>> I GOT AGREE WITH WHAT SAM HAS SAID.

THE STAFF THAT AND THE WORK THAT THEY HAVE DONE, HAS BEEN AMAZING.

I'M NOT SURE THAT THERE IS WORDS TO REALLY DESCRIBE THE WORK THEY'VE DONE.

REMEMBER THE BEGINNING OF THE PANDEMIC, WHEN WE HAD OUR FIRST PUBLIC PATIENT COME IN, THERE WASN'T A FEAR AMONGST OUR STAFF.

THERE WAS, I WANT TO JUMP IN AND TAKE CARE OF THIS PERSON.

OUR JOB IS CARE FOR THE COMMUNITY.

THAT'S BEEN THE SITUATION ALL THROUGHOUT THE PANDEMIC.

I THINK IN SHORT, WHAT GIVES ME HOPE ARE THE PEOPLE THAT WORK ON THE FRONT LINES IN OUR HOSPITALS.

AND AMAZING WORK THAT THEY DO EVERY DAY.

BECAUSE THEY'RE THE REASON WHY ALL OF US ARE ABLE TO STAY SAFE AND CONTINUE TO LIVE OUR LIVES IN THE WAY WE WOULD LIKE TO.

>>Yunji: MARTHA?

>> THIS PANDEMIC HAS JUST BROUGHT OUT THE BEST IN SO MANY PEOPLE.

I CAN SAY HAWAI'I PACIFIC HEALTH, OUR TEAM JUST LIKE RYAN AND SAM SHARED, HAS JUST BEEN AMAZING.

IT'S FOREVER CHANGED THE WAY WE RUN OUR BUSINESS.

I BELIEVE THAT.

LEARNED A LOT OF REALLY GOOD THINGS FROM THIS PANDEMIC.

WHETHER IT'S HOLDING VIRTUAL CLINICS AND REALLY RAMPING UP TELEMEDICINE, TO WORKING TOGETHER AS HOSPITALS TO MAKE SURE THAT WE TAKE CARE OF OUR COMMUNITY.

OUR COMMUNITY, I WOULD LIKE TO SHOUT OUT TO THEM, HAS BEEN SO SUPPORTIVE WHETHER IT'S BRINGING MEALS TO THE STAFF, MAKING DONATIONS, I HAVE NEVER SEEN PEOPLE BE MORE GENEROUS THIS PAST YEAR THAN A LONG TIME.

EVERYONE WANT TO SUPPORT THE HOSPITALS.

SO WE CAN MAKE SURE OUR COMMUNITIES STAY SAFE AND HAWAII AS A WHOLE STAYS SAFE.

WE'LL GIVE YOU LAST WORD.

>> EVERYBODY COVERED IT.

STAFF AT ALL THE HOSPITALS AMAZING JOB FROM THE RESPIRATORY THERAPISTS TO THE NURSES TO THE AIDS.

AMAZING PEOPLE LOOKING OUT FOR EACH OTHER.

REMINDING EACH OTHER WEAR THE RIGHT PPE.

DO THE RIGHT THING.

ALSO, THANK EMS, POLICE, FIRE, AMAZING JOB.

AS MARTHA SAID, PUBLIC JUST BEEN REALLY SUPPORTIVE OF ALL THE HOSPITALS AND EFFORTS.

INITIALLY, IT WAS OUTPOURING OF FOOD AND WHATNOT.

JUST GENERAL SUPPORT THAT I THINK WE FEEL IN THE COMMUNITY.

>>Yunji: THANK YOU SO MUCH FOR ALL OF WHAT EACH OF YOU DO.

WE THANK YOU FOR JOINING US TONIGHT AND WE WANT TO THANK OUR GUESTS... DR. RICK BRUNO FROM THE QUEEN’S MEDICAL CENTER... MARTHA SMITH FROM HAWAII PACIFIC HEALTH... KAISER PERMANENTE’S SAM BALUKOFF... AND RYAN ASHLOCK FROM ADVENTIST HEALTH CASTLE.

NEXT WEEK ON INSIGHTS, THOUSANDS OF HAWAII RESIDENTS WHO LOST THEIR JOBS BECAUSE OF THE PANDEMIC ARE IN A DIRE SITUATION, STRUGGLING TO AFFORD BASIC NEEDS LIKE RENT.

WE’LL HEAR WHAT HELP IS AVAILABLE IN... COVID 19: PAYING THE RENT.

PLEASE JOIN US THEN.

I’M YUNJI DE NIES FOR INSIGHTS ON PBS HAWAI`I, ALOHA!

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