T h e O f f i c i a l N e w s l e t t e r

Issue 1 Volume 1First Quarter, 2014

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I. In My Humble Opinion 2 Message from the President and CEO

II. The Gold Seal 3

III. The Beginning of a Dream 4

An interview with the Founding Chair Dr. Jorge Garcia on how the dream of getting the JCIA Seal began

IV. Go for Gold! 7

Anecdotes from doctors and staff on the activities leading to the JCIA survey week.

V. Leading the Patient Safety Culture 11

Insights on Patient Safety by Dr. Steve Almeda, Chair of Patient Safety Committee.

VI. The Golden Day 12

Getting the JCIA Seal and What it means

VII. Centers of Excellence 15

“With All our Hearts - The Cardiac Team in Focus”

VIII. New Services in Focus 18

“The Breast Center”

“Chemo Infusion Unit”

IX. Alerts 20

Health Alert: All about Measles

Safety Alert: Code Orange

X. News and Announcements 22

WHAT’S INSIDE? Editor-in-ChiefAndres M. Licaros, Jr.

Associate Editors

Sharon Hernandez Noli Garcia

Editorial StaffKris Yabes

Marivic Romualdez Ronald Yacat, Jr.

Ana Maria Jimenez Ronnie Buenaventura

Sarah Jemah Cristobal Orly Torres

Albert Henoguin

Contributing WritersSteve Almeda, MD

Nicolo Andrei Anonuevo Nephetali James Baesa

Leilani Joy Igarta

Photo CreditsAlbert Henoguin

Victor Michael Peria Glenn Yosores

Secretariat

Precious Bautista Rodel Morales

I Am Asian is the official newsletter

of the Asian Hospital and Medical

Center. The term “I Am Asian”

embodies the new paradigms

defining the organization — its

aspirations, commitment, sense

of pride, uniqueness and intrinsic

character. The newsletter reflects

this philosophy and provides

insights on what it means to be

part of the Asian Hospital family.

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“Being Both”Man’s ability to discover and pursue new knowledge has been the key to our survival and ability to live a better quality of life than each preceding generation. Yet if we take a close look at the living conditions of the great majority of the populations in two of the biggest continents namely Asia and Africa, access to basic needs such as food, shelter and healthcare remain extremely difficult. As gifted and learned we have all become, these glaring issues remain a huge challenge. As we moved in huge numbers to urban centers thus creating mega-cities, these issues became even more magnified. The closer we lived with each other, the more we seemed to ignore each other. We have lost our sense of community.

From the moment I first learned to recognize a human being’s face, I have always marveled at this paradox called life. Why all of us have to live only to surely die. Each face has his/her own story. Not always ugly, sometimes beautiful. Why then can’t it be both?

If you are a doctor with thousands of patients in your list, do you always make each patient’s Quality of Life improve or be better as you make all of them well?

If you are a nurse doing work at a critical care unit, do you always make each patient feel that Asian Mother’s touch as you care for them and relieve all their pains and discomfort?

If you are a son or daughter of sickly parents, do you give them more time and touch or you simply send the money to take care of all their healthcare bills?

The world we live in is a finite element yet the possibilities looming at the horizon remain infinite. As often as man has erred and destroyed the earth, it continues to regenerate and grow. The more we say our situation is hopeless, the more many of us become complacent. The more one sets a limit to what can be done no sooner does someone come up with a simple yet innovative solution to the problem.

I have a lifetime dream. I look forward to that day in man’s history when everybody gives the very best of himself so that most of us can live in happiness and comfort. To my mind it is possible to create a healthier community where each member is responsible for himself while sharing the very best of himself to make life easier for others. It takes selfless leadership to inspire excellence. It requires fierce determination to pursue the goal at all costs.

Doing both simply means being able to embrace what is difficult to understand and commit one’s self to a common goal. Writing the algorithm of life that makes every possibility a reality, this is how it can be done. This is how the world as we know it in our own time manages to change in close partnership with the new generation. The more we want things and the way we do things to change, the more everyone wants to keep it where it is.

Being both also means you can become both: Dead and Forgotten.

Life is too short to be spent sitting down. A few good men are being called to think, act and inspire others to stand up and make a difference.

Failure is not an option. Being both is only for the strong willed, committed and selfless. Not all of us can do it, but if you firmly believe you can... join me and let’s get it done.

In My Humble Opinion by Andres Licaros, Jr.

President and CEO

THE GOLD SEAL

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What does a Joint Commission International Accreditation (JCIA) mean?

Some Facts about JCIA:

The Joint Commission, formerly known as the Joint Commission on Accreditation of Healthcare Organizations, and still known more commonly by the acronym, JCAHO, is an independent, not-for-profit organization that evaluates and accredits more than 15,000 healthcare organizations in the United States. It was founded in 1951. It is the oldest and most prestigious healthcare accreditation body in the world.

JCAHO’s Joint Commission International (JCI) was founded in the late 1990s to survey hospitals outside of the United States. JCI, which is also not-for-profit, currently accredits facilities in Asia, Europe, the Middle East, and South America. A count of the JCI-accredited hospitals worldwide shows more than 500 hospitals in 47 countries.

In order to be accredited, an international healthcare provider must meet the rigorous standards set forth by the JCI. Those who get the accreditation have reasons to be proud, for it means they have demonstrated very high quality of patient care and services at par with international standards.

JCI accredited hospitals all over the world experience:

• Improvedpatientcarewithfewercomplications

• Moresatisfied,engagedstaff

• Betterteamworkamongdoctors,nursesandotherhealthcareprofessionals

• Morecosteffectiveclinicalandadministrativeprocesses

• Bettersafetymanagementandlowerexposuretorisksandliabilities

• Bettercorporateimageandbrandingespeciallywiththeinternationalmarket

There are only 6 JCI accredited hospitals in the Philippines --- and Asian Hospital is one of them!

The Asian Hospital and Medical Center’s Vision, Mission, and Values

Our Vision

We will be the Center of Global Expertise in caring for the unique needs of our patients and the communities that we serve.

Our Mission

We deliver accessible, world class, compassionate and integrative healthcare services to every individual.

Our Values

Fairness (“Pantay-pantay na pagtingin, Patas at Walang Kinikilingan”)

Integrity (“Paninindigan, Katapatang Loob, Pagpapakatotoo at Pagkamatuwid”)

Teamwork (“Pagmamalasakit, Bayanihan at Pagkakaisa”)

Excellence (“Kahusayan”)

Respect (“Paggalang”)

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The Beginning of a DreamAn interview with our Founding Chair, Dr. Jorge M. GarciaArticle by Kris YabesPhotos by Glenn Yosores

To uplift the healthcare standards in the Philippines and build a hospital at par with the world’s best—that was his dream. He knew it would not be easy, but he was willing to run the extra miles, to climb every mountain, and pour all the love he could give.

Dr. Jorge Mance Garcia, more popularly known as Dr. G, the founding chairman of the Asian Hospital and Medical Center (AHMC), was just like any ordinary boy you would see on the streets of Binan, Laguna . He grew up in a traditional family, played with his friends, had to be home by 6:00pm for the Angelus, kissed the hands of the elders, and was even spotted in cock-fighting arenas selling ‘palamig’ and slices of tropical fruits like pineapple and watermelon.

Little did he know that someday, he would make it big in the field of heart surgery, not only because of various global recognitions but also because of the way he would change the paradigms in the Philippine healthcare industry.

Dr. G got his degree in medicine at the University of Santo Tomas where he was trained and inspired by Dr. Benjamin Belmonte, a pioneering, Filipino heart surgeon in the 1960’s. He himself specialized in cardiovascular surgery, and would go to the United States to practice heart surgery. It was during those times that he saw the stark contrast between healthcare practices in the United States and a developing country like the Philippines. He realized the limitations of facilities and healthcare in the Philippines.

“There was no hospital built for the past 25 years,” as Dr. G recalls. Heart surgery in the Philippines during that time was not fully supported. The country was not yet ready for complex technology.

And then, in 1989 in one of Dr. G’s trips back to his homeland, he and his colleagues set up an instant heart surgery program in Makati Medical Center. “It was very successful,” he says. “We were doing a good job despite the facilities and environment that

we had. But, in order for us to be more efficient and be able to say that we were at par with developed countries in terms of the delivery of heart care we were providing, we finally thought of building a hospital.”

Building a hospital at par with international standards! Dr. G’s experience in the United States became the benchmark for the hospital that he was dreaming about.

To uplift the healthcare standards in the Philippines and build a hospital at par with the world’s best—that was his dream.

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“I’m a doctor with no capability and mindset on how to go about it,” Dr. Garcia humbly admits. Luckily, three important people motivated and inspired Dr. G. to relentlessly pursue his dream to put up a hospital: Mr. P. Lim, the owner of Manila Peninsula Hotel, former President Fidel Ramos, and former Bangko Sentral Governor, Mr. Gabby Singson. All of them had a common push --- for Dr. G to build his own hospital comparable to US standards: modern, hotel-like, bigger and providing better hospital care.

That did not come easy. Fortunately, he met the dynamic businesswoman, Ms. Evelyn Singson, over dinner and started the discussion about the hospital dream. Dr. G also told his close friend, Dr. Floro, about his endeavor. That was where the road to his dream became more crystallized.

Dr. Floro was so thrilled about the idea and organized a meeting in the United States. They presented the plan to both Filipino and foreign doctors and were just overwhelmingly pleased with the support and interest of their colleagues. They put their funds together and thanks to Ms. Singson’s perseverance, got more investors such as Unilab, Vista Healthcare and Insular Life. And in 1998, the ground breaking of the soon-to-rise tertiary healthcare institution finally came about.

It was not always blissful. In the late 1990’s, the Philippines was hit hard by the Asian Economic crisis. They experienced a lot of construction delays. The peso deteriorated and dissuaded investors from putting in more money. Despite the problems , the group of believers persisted, Dr. G recalls, “Everyone of us wanted to see this hospital succeed, not just because of me. They saw that we really needed a good hospital.” With resolute determination and unbending will, Dr. G. and the rest of the board found ways to keep the dream alive and vibrant.

In 2002, after a lot of ardent struggle and great challenges the birth of Asian Hospital and Medical Center finally took place. “We were able to do it! The board really did a fantastic job.” Dr. G proudly declares, candidly admitting that he almost cried during the inauguration.

They invited their foreign partners from the United States and were just so delighted with the result. To complete the operations of the hospital, Dr. G. modestly requested assistance from his retired CEO friend from the US to run the hospital for a few months at no cost. This only showed that the dream was meant to happen, pushing through against all odds.

More spacious doctors’ clinics, comfortable waiting lounges for patients and guests, bigger and more equipped patients’ rooms with a more comfortable healthcare experience in a modern facility, and even a grand lobby that welcomes you as if you are entering

‘If you like what you are doing, if you have a passion for it, chances are you will achieve your heart’s desire.”

Dr. G with the AHMC Thoracic Cardiovascular Surgery Team

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a 5-star hotel. All these features of the Asian Hospital set a new paradigm in the Philippine healthcare industry. It suddenly transformed the mindset of the hospital owners and administrator, and paved the road for others to follow. It is the pride of Asian Hospital to have spearheaded such transformation from the usual drab hospital atmosphere to a warm, inviting, world-class healthcare facility.

But the dream was not yet complete. The journey of excellence never stops.

When the MPIC Group acquired the hospital in December 2011, Dr. G continued pursuing his dream of excellence. He relentlessly advocated the quest for the Gold Seal—the Joint Commission International (JCI) accreditation. With the full support of the Board and the Management, Dr. G found strong allies in his quest for that dream of excellence.

After the ardent struggle through all those years, Dr. G achieved his heart’s desire. In November 2013, the Asian Hospital earned the Gold Seal—the JCI accreditation.

“Joint Commission International (JCI) Accreditation is just like a feather on the cap. But it’s like Board Certification. It’s nice to have. However, it’s not the only means of telling the world that you are providing the best care in the country,” Dr. G shares. “It is just one of the many ways to tell the world how much we value patient safety.”

As we move forward, Dr. G can only think of well wishes and hopes that the healthcare industry would continue to improve in terms of overall patient care. That is how he envisioned Asian Hospital to be—offering first-rate compassionate care to every patient.

In more than 12 years of journeying with Asian Hospital, Dr. G. has learned to keep an open-mind. He always listens especially to ideas from the younger generation. “Just because you’re successful and you’re well-known doesn’t mean that everything you do and everything you say will be the rule. You don’t do that. That will be the end of progress if you start thinking that way,” Dr. G wisely ponders.

After all the battles and struggles, after all the mountains he had climbed, after all the miles he had travelled, after all the monuments he had built, Dr. G knows it all. Dreams do come true. ‘If you like what you are doing, if you have a passion for it, chances are you will achieve your heart’s desire.”

Dr. G with Family

Dr. G with Dr. Rodrigo Floro

Dr. G with Kris Yabes

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Go for Gold! The Journey of Excellence - A Retrospect By Albert Henoguin & Leilani Igarta

In a nutshell, such was the drama that everyone might have experienced during the JCIA Survey Week last November 2013. It was harrowing to some, nerve wracking, maybe. But one thing is certain, it was one-of-a-kind and a very great learning experience.

Here, we want to share the personal glimpses and insights of some of the staff, the doctors, and the management as they travelled along the challenging road - training blitz, fire drills, VMV cascades, mock surveys and all other fun activities leading to the survey week.

“With blue penetrating eyes, the elegant lady glanced at me and asked, “Who is the newest addition to your staff here?”

Dumbfounded by the presence of the guest standing in front of me, my world stopped for about three seconds. I felt the blood in my face drain as my heart sank to the pits. At that point, I wished the ground would swallow me so I could disappear without a trace.

Regaining my senses, I uttered with a squeak, “ Miss Norton, I am the newest staff.”

With bated breath, I waited for the first bomb to drop. Miss Norton, the JCI surveyor, and everyone in the room were looking at me. My entrails squirmed with tension. The pressure was overwhelming. I felt I was very close to getting diarrhea.

After that , things went so fast—folders and documents passing from hands to hands, one question after another. Thank God, my colleagues were at the sidelines giving me moral support, motivating me like a band of cheering squad. If not for them, I would have sank to the depths of the earth.”

Kristine Laurilla Nurse, Cardiac Catheterization Laboratory

“During the JCI Survey Week, I had many sleepless nights. Waiting for my turn to be audited was nerve-wracking. I was really nervous. Just seeing the surveyors made me tremble. But when I finally met them, all the tensions vanished. I was able to answer and give the surveyors what they needed. The preparations made it all easy.”

Alnie Medina Center for Women’s Health

Memorable Encounters

“The most memorable part of the JCIA experience was when I was able to learn and apply the words “ Keep Moving Forward.” There were lots of hurdles that we encountered but people learned how to understand, accept, and keep moving forward towards one goal. It was an amazing feeling and until now, I keep those little words close to my heart, “ Keep Moving Forward.”

Ma. Trixia Kay Mahusay Assistant, Human Resources Department

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“The many months of preparation , the teamwork and camaraderie along the way and everyone working for a common goal was amazing.”

Elfie Novela Supervisor, Hearing and Dizziness Unit

“I was privileged to meet and talk with the whole team of JCI surveyors last November.

They were very friendly yet tough. I learned a lot from the surveyors—they acknowledged the good points that they observed in our unit and also made valuable suggestions for Improvement.”

Kristine Joy Palacpac Nurse, Heart Station

“When my patient’s chart was chosen for the audit, it was truly unforgettable. It felt as if the fate of the hospital getting the JCI accreditation was on my shoulders. Every doctor in the hospital did not want to drag the whole organization down.”

Dr. Juan Dionisio Foronda Cardiology Department

“Our whole Department was humbly touched when Ms. Ott, one of the surveyors, gave us a cake. She did not have any cash and had to borrow money from someone just to give us that cake! The simple gift was unexpected and we felt truly appreciated. She must have seen something wonderful in what we were doing for the hospital!”

Avel Bathan Manager, Facilities Management Group

“The conversation with Ms. Ott meant a lot to me. With her sincerity, she opened my eyes to a lot of possibilities for our unit and the entire hospital.”

Noel de Leon Radiology Administrative Supervisor

Challenges and Sacrifices Along the Road

“I had a new born baby during the survey week but I had to leave my daughter to be in the office as early as I could to prepare for the requirements of our unit.”

Elfie Novela Supervisor, Hearing and Dizziness Unit

“During the preparation, we had to always go home late at night.”

Realyn Shane Aspuria EEG Technician

“We had to work beyond our duty hours to comply with the requirements. We had to study and master the JCI handbook .”

Kristine Joy Palacpac Nurse, Heart Station

“Going out of our way to assist our superiors for the paper works, helping the unit in every way we could.”

Anne Millette Soledad Path Lab

“I was enrolled in a post graduate course and I had to miss some classes in order to join the preparatory meetings in our department.”

Conrad Ferolino Staff, Heart Station

“I had to make hospital rounds either very early or very late in the day. “

Dr. Juan Dionisio Foronda Cardiology

“I had to attend several seminars; I had to complete my requirements as a consultant.”

Dr. Lemuel Del Rosario Occupational and Family Medicine

AHMC staff during the training blitz AHMC staff & officers during the VMV cascade

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“I attended JCI Trainings regularly, edit Fire Plan in our department. We adjusted to using new forms. We practiced everyday to use the new guidelines.”

Rhyzzalyn Reyes Center for Women’s Health

“We worked long hours to improve the system of our unit and accomplish many requirements.”

Dr. Marissa Garcia Occupational and Family Medicine

“I had to contact my friends abroad whose hospital was JCI accredited. I got useful information on what and how to prepare the data. This helped me a lot in answering the questions.”

Dolores Pambid Manager Radiology Department

Lessons Learned, Insights Gained

“The experience made me appreciate better the value of Teamwork to achieve one goal.”

Edrian Narvadez Radiology CT & MRI Supervisor

“As a doctor, the JCI experience helped me to be a more competent doctor and become more aware of the policies and procedures of the hospital.”

Dr. Marissa Garcia Department of Occupational and Family Medicine

“The JCIA journey instilled in me a sense of self-discipline, adherence to excellence. The process resulted in the improvement of our different systems in the hospital.”

Kristine Joy Palacpac Nurse, Heart Station

“I became more aware of policies concerning my department and the hospital. It also developed familiarity among the employees within each department. This strengthened my sense of belongingness to the group.”

M. Del Rosario Staff, Cath Lab

“I became more observant and curious about all the improvements we made to comply with the JCI requirements. I wanted to make sure that we consistently maintain what we have and ensure that we will continue to align with requirements. “

Dolores Pambid Manager Radiology Department

Winners: Ms. Fattie Hornilla. Manager Adult & Pedia Care AHMC Chorale during the “Feeling Gold Ka Na Ba?” Party

Training BlitzDoctors & Consultants having a good time during the “Feeling Gold Ka Na Ba?” party

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“We should know by heart all the things that we do and we should practice what we preach. There are no excuses.”

Noel de Leon Radiology Administrative Supervisor

“ The experience made me more focused in my work.”

EV Larics Center for Women’s Health

“The experience boosted my self-confidence.”

Mary Ann Villones Pathlab

“Now, I need to do a lot of hand washing.”

Dr. Cecilia Reyes Center for Women’s Health

“I realized , I need to sign more documents.”

Dr. Juan Dionisio Foronda Cardiology

The year 2013 will be etched forever in the

history of Asian Hospital and Medical Center.

For those who had been at the battlefronts

during the JCIA Survey Week, there were

many unforgettable memories and personal

stories to be told. For those who cheered at

the sidelines, there were equally memorable

tales to tell. There were personal sacrifices that

had to be endured .The lessons learned and

insights gained from the whole process are

truly valuable. It was an enriching experience,

personally and as a team. Everybody was

following the beat of the same drum. Indeed,

it was the collective journey of everybody,

the journey of the Asian Hospital and Medical

Center in its Quest for the JCIA seal, the

affirmation of excellence.

“As a staff of AHMC, it made me

more hardworking, passionate and

job-centered.”

Mark Calundre

Staff, Cath Lab

Mr. Licaros during one of the Kamustahan with the Boss Mr. Licaros during the JCIA closing meeting

Our CEO with some AHMC staff during the “Feeling Gold Ka Na Ba?” party

Mr. Licaros with Mr. Arman Mamaclay, one of the Service Excellence Awardees

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Leading the Patient Safety CultureBy Dr. Steve Almeda, FPCEM

From the EDITORS:

Dr. Steve Almeda is the Head of Asian Hospital’s Patient Safety Committee and Chair of the Emergency Services Department. He has been an active AHI staff since its humble beginnings in 2002.

I do not recall the exact date when I was unexpectedly made Asian Hospital’s head for patient safety. I was summoned to the office of the Chief Medical Officer where Dr. Rosas was meeting with Dr. Acuin and Dr. Adiviso. I somehow had an inkling that this was in connection with our quest for JCI accreditation, which at that time, had just gotten off the starting line. I was invited to join them and was told right away that we needed someone to take charge of patient safety and that they were as one in thinking that I was the right man for the job. “Why me”, I asked. All I had was a rudimentary idea on what patient safety meant though of course, it meant the safety of all patients at AHMC or something like that. The three were quite insistent and convincing so I said “Yes Sir!” full in the notion that I had no notion of what I had gotten myself into. So to speak.

In the months that followed, we inspired the principles of quality care and patient safety into the hearts and minds of every member of our AHMC family. And motivated those among us to religiously attend the seemingly endless meetings to learn and eventually teach to the other members of our staff the JCI standards that, in less than a year, became common parlance in our corridors. We had clinched the GOLD, though I felt that patient safety was still not fully understood by the majority of our staff. So what is it?

Quoting the World Health Organization (WHO), “Patient safety is the absence of preventable harm to a patient during the process of health care.”

We as health care providers need to ensure our patient’s safety. We need to understand that the concept of patient safety is focused on preventing medical errors. But before we can prevent them, we need to know what they are and why they occur. Easy to say, but very complex once you start to really think about it and try to consciously apply it.

Most health care professionals are drawn to health care out of a desire to help others. We undergo rigorous training and screening processes to make sure we have what it takes. Harm from medical errors is not in our nature to inflict but it happens never the less. Majority of these errors go unnoticed and are not reported because no real harm had reached the patient. The six International Patient Safety Goals we adopted, target the root causes of these medical errors. It is my firm belief that we must make these six goal and others, inherent in our culture. There must be no gray area, no “pwede na” mentality, no budgetary constraints in complying with these safety standards. We need to change how we view medical errors and refrain from seeking to blame the providers involved but rather examine the systems that may have failed. Every member of our Asian Hospital community can make a difference in improving patient safety by internalizing four behaviors, fully under one’s control. These are:

1. Follow safety protocols - (using 2 identifiers, safe surgery check list)

2. Speak up when you have concerns - (seeing liquid or debris that may lead to a fall, or a co-worker fails to do hand hygiene)

3. Communicate effectively (Situation, Background, Assessment, Recommendation – SBAR)

4. Take care of yourself - (do not work when you are exhausted, lacking sleep, or feeling sick)

Keeping these four (4) basic behaviors in mind will help any one of us to realize that patient safety and quality care are not difficult to achieve. Medical errors will always crop up now and then because it is in our nature as humans to err, but as providers of health care, we all adhere to this very familiar phrase, “First do no harm.”

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The Golden Day – Sealing the SealGetting the JCI Accreditation and What It Really MeansBy Noli B. Garcia

The Conference Room was filled with silence. The world stood still as the people inside the crowded room awaited the verdict. Some folded their hands and invoked the heavens, praying for a favorable outcome. Some had their doubts but remained resolute. As they waited, the flashbacks raced in everyone’s mind—the months of ardent preparation and hard work, the sleepless nights, the nerve-wracking encounters with the surveyors, the personal and emotional investments of each one, the anxieties and the skepticism, the hope and the fears.

“Are we going to get the Gold Seal or not? Will all our efforts for the past months pay-off or not? Will the dream be realized or not?” The questions lingered. But behind the doubts was the unwavering belief that everything would be alright. The dream ,nurtured by the founders for the past eleven years and fuelled by the deep passion of the top management, must not fail.

Then Ms. Norton, the spokeswoman of the JCI surveyors, spoke with a stoic face. She enumerated the four decision criteria that served as the basis of their evaluation. She looked at the people crowding the room and uttered without blinking, “ Now for the fourth and most difficult decision criterion….” She paused like a judge about to give the verdict. The moments ticked so painfully slow. Then she continued with a stern voice, “ We believe Asian Hospital has successfully met the requirements of the four decision criteria.” Ms. Norton finally smiled, “ And you know what that means! Congratulations! ”

The room suddenly burst with applause, with shouts of relief and joy. “ We’ve made it! We’ve made it!”

Amidst the jubilation, people hugged each other, congratulated each other. Tears flowed from the eyes. There was a sense of oneness, a kinship strengthened by a singular goal and a common struggle. The Asian Hospital—the staff, the doctors, the management—like one big family rejoiced.

That was how it felt on that golden day, November 29th, 2013, when Asian Hospital and Medical Center earned the JCIA Seal.

What does the JCIA Seal mean to you? We asked the AHMC staff, doctors, and patients about their insights.

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“The Gold Seal means so much to every single individual in AHMC. It was the hallmark of ten months of preparation and eleven years of aspirations. We were inspired by our Kapitan and was driven by one common desire. We don’t just deserve the Gold Seal. We earned it!”

Aimee Martinez HR Senior Manager

“This is the fulfillment of my dream for Asian Hospital, we now belong to an elite group, we are one of the best hospitals in the world.”

Noel Ligaya Pain Resource Nurse

“The Gold Seal means prestige and we are globally competitive.”

Baby John Napa Center for Executive Health

“Having the Gold Seal means quality patient care, better reputation , and more local and international patients.”

Ellen Santiago Staff Nurse Breast Center

“It is a proof of quality and competency in all aspects of Asian Hospital care.”

Ana Sario Supervisor, Lifestyle Medicine Center

“The Gold Seal for me is the start of a never ending commitment in serving our internal and external customers with unique quality service.”

Marvin Dellagas Assistant Manager, Housekeeping

“It means a big boost for my self-esteem knowing that as a JCIA frontliner, I am doing something really good.”

Maureen Arriola Staff Nurse

“I am proud to be a nurse in AHMC.”

Joie Ballo-Allo Nurse, Center for Executive Health

“Pride and Confidence! It made me feel proud to be part of the AHMC family and confident that we are giving excellent quality service to our patients.”

Anne Millette Soledad Path Lab

Voices of the AHMC Staff:

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The voices resonate loud and clear—resolute, triumphant, confident, proud. But the Asian Hospital’s journey of excellence does not end with the JCIA Seal. Rather, it is just the beginning. The search for excellence never ends. The JCIA Gold Seal is the symbol of the institution’s accomplishment , but most of all it is the testament of our continuing effort to strive for excellence and ensure the well-being of all the patients that enter our doors.

We are living the dream. But that is not enough. The dream must be nurtured , nourished by the commitment and dedication from every one. While we savor the moment, let us look forward to 2016 and beyond!

Voices of Our Patients:

“As a regular patient at Asian Hospital for the past eight years, I believe the JCI Seal is the testament that the Hospital has consistently delivered the highest standards of patient care. It is one of the few healthcare facilities in the Philippines providing world class health care.”

Aileen Archibald, Muntinlupa City

“It assures me that I am receiving world-class health care that adheres to strict international standards.”

Astrid De Leon Parañaque City

“The JCI Accreditation made me more confident in availing the medical services of Asian hospital. “

Nestor Tolentino Las Piñas City

“It means , at Asian Hospital, I am safe and will get well at the soonest possible time, and at the least possible costs.”

Nelson Zaragoza Calamba City, Laguna

“ It means patients are taken cared of very well, medically and personally.”

Rey Jamora San Pablo City

Voices of Our Doctors:

“Getting the JCI Seal confirms my belief that Filipinos are capable , not just of individual greatness but also of building amazing organizations if given the opportunity and support.”

Dr. Jose Acuin Quality Director, AHMC

“It means we are truly driven to make Asian Hospital a safe and patient-centered institution.”

Dr. Esteban Almeda Chairman Emergency Department

“It means that Asian Hospital provides the level of quality healthcare that I would want for my own family.”

Dr. Antonio Javellana Chairman Utilization Committee

“I see it as a challenge for us to step up and show our commitment to provide world-class, holistic , and humane patient care. It is time for us to show how Filipinos care for our patients. Let the Filipino hospitality shine through.”

Dr. Lionel Baniqued Medicine Department

“The Gold Seal gives me so much honor and pride as a doctor working in a hospital, interacting with fellow professionals who share the same goals and commitment. It gives me confidence that my patient will have a high quality care at par with international standards.”

Dr. Hermogenes Villareal Chairman Department of Dentistry

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CENTERS OF EXCELLENCE

With All Our HeartsThe Asian Hospital’s CARDIAC TEAM -- In Focus

By Noli B. Garcia

How do you fix a broken heart? How do you prevent the heartstrings from tearing apart?

Look no further. Here at the Asian Hospital and Medical Center, we have the Cardiac Team that can mend or soothe the wayward hearts. Our dedicated team of heart care experts is committed to provide the personalized care you deserve. Using a comprehensive, multi-disciplinary approach, we offer state-of-the-art procedures performed by highly-skilled cardiologists, surgeons, and cardiology staff. They will be glad to assist you and respond to your unique needs from diagnosis, treatment, recovery, and return to total wellness.

Our Cardiac Team of highly-experienced professionals is specially trained in the care of cardiovascular patients. We provide expertise as well as compassionate care by listening to your concerns, offering encouragement or by simply giving a warm smile or a comforting hug.

Personalized Care: We Know It By Heart

While you are at the Asian Hospital and Medical Center (AHMC) your physician and members of the Cardiac Team will prepare a customized plan of care for you. This plan will be shared in detail to you and your family. You will fully know what to expect regarding your stay, medications, dietary needs and physical activity after you leave the hospital. The individualized treatment is designed to ensure your total well-being.

Our Cardiac team includes:

Cardiologists.

Renowned and vastly experienced specialists who are experts in preventing, diagnosing and treating heart disease and other conditions that affect the heart and blood vessels.

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Interventional Cardiologists.

Specialists who have received advanced training in prestigious institutions, and experts in using minimally-invasive, catheter-based procedures to diagnose heart and vascular conditions like blocked arteries or damaged heart valves.

Catheter-based techniques such as balloon angioplasty and stent placement are examples of interventional cardiology.

Electrophysiologists.

Cardiologists who have taken additional training to become board certified in electrophysiology will help arrhythmia and heart failure patients maintain a healthy heart rate and rhythm, with implantation of pacemakers and other heart devices.

Cardiothoracic Surgeons and Vascular Specialists.

Our surgeons and specialists offer the highest quality care from diagnosis, through surgery and on to recovery. Our surgeons have extensive years of experience and you can count on their expertise, innovation and compassionate care.

Cardiovascular Technologists and Cardiac Nurses.

Together with our doctors, these highly specialized technologists and advanced practice nurses have received specialized training to support in the diagnosis and caring for the unique needs of patients with cardiovascular diseases.

1. Diagnostic Services (Non-Invasive)

To accurately diagnose heart disease, Asian Hospital offers a comprehensive range of state-of-the-art services including:

Cardiac Stress Test. The patient walks on a treadmill to monitor the heart, pulse and blood pressure during exercise and detect the presence of coronary artery disease.

Computed Tomography (CT Scan). A painless, sophisticated procedure that uses radiation and computer technology to create a detailed, cross-sectional picture of the heart and blood vessels.

Echocardiogram. With the use of ultrasonic waves , images of the heart’s valves and chambers are produced to diagnose heart function and structural abnormalities.

Electrocardiogram (EKG). A quick, non-invasive test that records the electrical activity of the heart, shows abnormal rhythms and detects signs of heart attack or heart damage.

Holter Monitor. A small, portable, battery-powered EKG machine worn by a patient to record heartbeats over a 24- to 48-hour period.

Magnetic Resonance Imaging (MRI). A powerful magnetic field, radio waves and a computer are used to produces clear, detailed images of the heart and surrounding tissues.

Nuclear Stress Test. Designed to measure blood flow to the heart both while at rest and during exercise. This test involves the patient being injected with a small dose of radioactive dye and then walking on a treadmill.

Cardiac and Vascular Ultrasound. Sound waves are used to examine blood vessels and detect signs of a dilatation or blockage.

All of these tests are performed on an outpatient basis.

What We Offer: Excellence in “Matters of the Heart”

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2. Cardiac Catheterization Laboratory

Patients come to our Cardiac Catheterization Laboratory to help restore the pathway to the heart. Our team is recognized for their expertise in the following procedures:

Angiogram – This procedure uses a special dye and x-rays to see how blood flows through the heart, measure a person’s oxygen levels and examine whether arteries are open or blocked.

Angioplasty – the repair of a blood vessel, done by inserting a balloon-tipped catheter to unclog it or replacing part of the blood vessel with either a piece of the patient’s own tissue or a prosthetic device: coronary angioplasty to widen an artery blocked by plaque.

Balloon Valvuloplasty – dilation of narrowed cardiac valves (usually mitral, aortic or pulmonary).

Procedures for congenital heart disease – insertion of occluders for ventricular or atrial septal defects

Emergency stenting of occluded coronary vessels.

Pacemaker Implantation – These small devices, inserted under the skin in the chest, help arrhythmia and heart failure patients maintain a healthy heart rate and rhythm.

3. Cardiovascular Thoracic Surgery

If someone has a serious heart or vascular condition that requires complex or emergency surgery, our expert cardiothoracic and vascular surgeons provide world-class heart and vascular care, such as :

• CoronaryArteryBypassGraft(CABG)

• Treatment of conditions such as blockagesof the carotid (neck) artery or renal (kidney) arteries, peripheral artery disease (PAD) in leg arteries. In some situations, lifestyle modification and medication can reduce serious leg pain and damage caused by PAD.

At Asian Hospital , vascular care is provided by a collaborative, multidisciplinary team made up of experienced, board-certified cardiologists, radiologists and surgeons. Patients with vascular disease are treated with a combination of medication management, diagnostic ultrasound, imaging and cardiac catheterization; and, when needed, vascular surgery.

4. Critical Care for Patients

We also provide comprehensive Critical Care for patients with serious cardiovascular disorders and complications, specially those who undergo cardiovascular thoracic procedures like coronary artery by-pass, angioplasty, or those recovering from heart attack. Our specialists provide meticulous care to ensure quick recovery.

5. Cardiac Rehabilitation

AHMC’s outpatient Cardiac Rehabilitation program provides support, education and medically supervised exercise to patients recovering from:

• HeartAttack,CoronaryBypassSurgery,HeartValve Replacement, and Stable Angina

Programs are designed to help patients return to normal, daily activities as quickly and safely as possible. This 6- to 12-week program is customized to meet each patient’s individual needs, providing:

• AddedKnowledgeaboutHeartDisease

• ClearerUnderstandingofYourPersonalRisk Factors and How to Reduce Them

• ImprovedPhysicalFitnessandWell-Being

• EncouragementandEmotionalSupport

Stress management techniques are also discussed during group education and individual counseling sessions.

Treatment Success

Teamwork, strict compliance to protocols, dedication to duty, and a strong work ethic have enabled the Asian Hospital’s Cardiac Team to achieve a high level of successful treatment outcomes and patient safety. Each member takes pride in their contribution to the goal of the hospital — delivering excellent and safe care to patients in need. The Team is committed to continuous quality improvement.

Indeed at Asian Hospital, our Cardiac Team takes good care of your hearts. We become better when you get better. This we can say from the bottom of our hearts!

The Key Members of the Cardiac Team:

Dr. Jorge Garcia Thoracic & Cardio Vascular Surgery

(Founding Chairman)

Dr. Benjamin Luna, Jr. Section Chief, Non-Invasive Cardiology

Dr. Ernesto Chua Section Chief, Interventional Cardiology

Dr. Roger Michael Lim Section Chief, Thoracic & Cardio Vascular Surgery

Dr. Gary Lopez Section Head, Critical Care

Dr. Patrick Carpo Head, Heart Station

Mr. Albert Henoguin Senior Manager, Cardiac Center

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NEW SERVICES

Keeping Abreast of Breast Care

The Asian Hospital’s Breast Center Has It AllBreast cancer is a menace—lurking like a monster , ready to overpower the unsuspecting.

In the Philippines, breast cancer is the most prevalent and the leading cause of cancer-related deaths. It has alarmingly overtaken lung cancer . In Southeast Asia, the Philippines has the highest incidence of breast cancer.

To effectively fight this monster called Breast Cancer, the collective effort of several hands, working in a well-orchestrated manner is needed. This means a multi-disciplinary approach, a multi-disciplinary team: breast surgeon, pathologist, radiologist, medical oncologist, radiation oncologist, plastic surgeon, the allied medical staff, and more importantly, the patient herself. Together, they must discuss and decide the battle plan.

With this philosophy, the Asian Hospital and Medical Center has opened its Breast Center, designed as a “one-stop shop”, a facility solely dedicated to care for breast patients and personalized treatment of breast problems. From screening, diagnosis and treatment , the Breast Center, located on the 4th floor Tower 2, is fully equipped to provide efficient and effective multidisciplinary care. The quality of care adheres to strict international standards .

The multi-disciplinary team of physicians at the Breast Center is headed by Dr. Aldine Basa, a Breast Surgery Specialist who was trained in prestigious international institutions, including Italy, the Breast Center capital of the world. To crystallize the essence of the new Breast Center, Dr. Basa states it lucidly, “Every time you visit us,

you are assured of high-quality care and convenience. If you have a lump, we can have the imaging done here, you can see the doctor right then and there, we can have the biopsy also on the same consult, and if it’s benign... and you want to have it removed on that same day, we can also do all of that in one place.”

The Asian Hospital’s Breast Center, the biggest of its kind in the country, takes pride in having a dedicated, highly trained team of doctors, nurses, and technologists ready to provide the following services :

• Consultationwithabreastsurgeon

• Mammography

• Breastultrasound

• Biopsyproceduresincludingfineneedleaspiration,core needle biopsy, stereotactic breast biopsy and vacuum-assisted core biopsy

Consultations with breast care experts are held from 8:00 a.m. to 5:00 p.m., from Monday through Saturday, and walk-in patients are accepted.

The Breast Center is part of the Asian Hospital and Medical Center’s continuing commitment to provide the best breast health facilities in the south and win our war against the dreaded monster called breast cancer.

Dr. Aldine Basa (center) with the Staff of the AHMC Breast Center

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Therapy with the Comforts of Home

AHMC’s Infusion Unit Is Open to Serve

Patients who need infusion therapy, especially those with cancer, no longer have to stay overnight in a hospital and can now receive quick treatments with the comforts of home at the Asian Hospital and Medical Center’s newly opened Infusion Unit located on the 4th floor, AHMC Tower 2.

AHMC’s Infusion Unit is open to patients 18 years old and above who need therapies that last for less than 12 hours. It works with patients with different types of health conditions including blood diseases, cancer, immune disorders, genetic abnormalities, gastrointestinal problems, and rheumatologic disorders.

“Usually, infusion therapy requires hospital stay. With AHMC’s Infusion Unit, the therapy would be more economical as patients can go home after a few minutes or hours of treatment. The Infusion Unit aims to deliver safe, efficient and effective therapy through our competent, experienced and well-trained healthcare providers,” said Dr. Eunice Cutillar, Head of the Infusion Unit.

The Infusion Unit has been designed to make patients feel comfortable. It has reclining chairs, beds, IV pole

with infusion pump, CBG machine, emergency cart, pass box connecting to the pharmacy, nebulizer, hot and cold water dispenser. To make one feel more at home, the Unit has a refrigerator, microwave and televisions with DVD.

“We see to it that the unit is well maintained to avoid contamination and unnecessary exposures. We have biomedical technicians and preventive maintenance teams who check the unit and 24/7 housekeepers who ensure its cleanliness,” Dr. Cutillar said.

AHMC’s Infusion Unit team is composed of a senior manager, a supervisor and six highly trained nurses who specialize in oncology care. The nurses are all certified in giving chemotherapy and biotherapies while some are certified in pediatric oncology.

AHMC’s Infusion Unit is open from Mondays to Saturdays, 8 a.m. to 5 p.m. For more information, please call Asian Hospital and Medical Center at (+632) 771-9000 local 8461 to 62 or visit our website at www.asianhospital.com.

NEW SERVICES

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DID YOU KNOW THAT?

If you have ALL of the following, you may consider yourself as a Suspected Measles Case – DO NOT PANIC, you may consult your Doctor for management.

PREVENTION is important:

1. Always Wash Your Hands

2. Wear Mask or Follow “Cough” Etiquette

Measles (Rubeola) is a HIGHLY CONTAGIOUS

RESPIRATORY DISEASE. It is spread through the

air by breathing, coughing, or sneezing. It is also

contagious to anyone who is exposed to it and is not

properly vaccinated.

In the Philippines, the Department of Health (DOH)

via the Philippine Integrated Disease Surveillance

and Response (PIDSR) with its integrated disease

surveillance has a process of coordinating,

prioritizing, and streamlining of multiple disease

surveillance systems – public health surveillance

and action. With this framework, in 2012, it was

reported that in the National Capital Region, there

were 239 reported cases of measles. Within the

nearby areas of the Asian Hospital and Medical

Center (AHMC), 11 cases were reported in Las

Piñas, 9 in Muntinlupa, and 13 in Parañaque. Asian

Hospital and Medical Center through the Infection

Prevention and Control Committee (IPCC) actively

participates in the PIDSR reporting. In 2013, there

were 66 cases of measles admitted at AHMC, and

out of this, 31 (47%) were positive for Measles IgM

– the confirmatory test done FREE of charge to

determine present infection to Measles virus.

In Focus:

MEASLES

There are 3 Easy Steps to know if you have Measles:

Step 1: Know if you have fever of 38 °C or more or hot to touch; and

Step 2: Know if you have rashes

Step 3: Know if you have at least 1 of the following: cough, runny nose, or red eyes

Ask your doctor about the MMR Vaccine

Some Health Alert tips and updates. Symptoms and Prevention that you must know.

By Nicolo Andrei Añonuevo, RN, MAN

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CODE ORANGE

Why Evacuate? During an emergency, all must recognize the need for and be able to participate in the effective, rapid, and safe evacuation of patients and their employees while protecting themselves. This is especially important as the level of the hazard increases. Here are several guidelines:

● DO NOT PANIC.

● Know your Safety Representative.

● Follow instructions given by your Safety Representative.

● Check possible evacuation routes at once and be certain that there is a free access.

● Wrap ambulatory and non-ambulatory patients in blankets and lead to the nearest fire exit away from the HAZARD.

● For helpless patients, use stretchers. If stretcher is not available, wrap in blanket and carry the patient by using the various techniques.

● Do not use the elevators

● Do not go through closed magnetic doors

● Ambulatory people shall proceed to designated evacuation area

● Non-Ambulatory people shall be assisted to designated triage area

● Keep a list of STAFF, PATIENTS AND GUESTS and ensure that all are accounted for.

● Do not leave the assembly area unless otherwise instructed.

● Wait for further announcement

Every day, we always go about our business In Asian Hospital as an employee, patient, visitor or a contractor. But have we ever wondered what we will do in case something unexpected happens: for example if an earthquake, fire, chemical spill, act of terrorism or some other disasters occur.

Our routines change drastically, and we are suddenly faced with questions of the fragility of our lives. We should always be ready to confront these situations.

As a JCI accredited organization, the hospital has a response procedure in case this happens. CODE ORANGE is the hospital’s response to emergency evacuation. Emergency evacuation is the immediate and rapid movement of people away from the threat or actual occurrence of a hazard.

SAFETY ALERTS

Updates on Issues that concerns patient and staff safety.

By Nephetali Baesa

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ANNOUNCEMENTS AND EVENTS

Doctor’s Recognition Corner

Cecilia A. Ladines Llave, MD, PHD, Chief of Gynecologic Oncology Unit of the the Department of Obstetrics and Gynecology for garnering two (2) national awards in 2013:

The Most Outstanding Oncologist of 2013 given by the Philippine Society of Oncology

The Ramon Lopez Memorial Award of Merit for Community Service by the Philippine Obstetrical and Gynecologic Society

Dr. Hermogenes P. Villareal, DMD, Chair of the Department of Dentistry, for being re-appointed by the International Congress of Oral Implantologist (ICOI) for their Ambassador’s Circle. The ICOI Ambassadors’ Circle includes several world leaders in the field of implant dentistry who are taking the extra step to help promote not only implant education, but also membership in ICOI and commitment to its goals. Further, Dr. Villareal was also awarded the title of Master of the International College of Dentists (MICD), a worldwide organization of dentists during the ICD International Council held in Mexico. This is one of ICD’s highest recognitions.

Evangeline Handog, MD, Chair of the Department of Dermatology for having been elected as President of the prestigious International Society of Dermatology during its general assembly at the 11th International Congress in Delhi, India.

MVP Olympics 2014

The annual MVP Olympics of the First Pacific Group of Companies was held last March 15 to 21, 2014 at the Meralco Grounds.

Dr. Marc Reyes, Vice Chair of our Emergency Services Department won Bronze Medal for Asian Hospital in the Individual Executive Golf Tournament.

Our Dodgeball Athletes trained by our Supervisor for Human Performance and Sports Rehabilitation, Arman Bajacan and Manager for Rehabilitation Medicine Amrie Cootauco, also competed in the week-long competition.

Ms. Maren Tarlengco, Staff Nurse at the Emergency Services Department graced the event as the gorgeous and very smart Ms. Asian Hospital Muse.

Congratulations!

2205 Civic Drive, Filinvest CityAlabang, Muntinlupa City 1780 Philippines www.asianhospital.com ● Facebook/AsianHospitalOfficial ● Twitter/@asianhospital