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IWASHITA:So the license entities you€re talking about are Tripler, or Kapiolani, or <br />some of those that you mentioned earlier? <br />LINTON:Yes, those would be the ones that, of course, are appropriately licensed <br />and governed to provide the surgical services and things like that. If during the convalescent <br />period a child might, let€s say, get a cold, or run a fever, or something like that, we have <br />relationships with local pediatricians, and there are clinics to take care of the children. And so <br />we would basically take them to a licensed provider to provide a licensed type of service. The <br />services we provide are not licensed services, mostly recovery, or convalescent is a good term <br />for that. <br />ALAMEDA:Madam Chair? <br />SPRINGER:Commissioner Alameda. <br />ALAMEDA:In follow-up to that as well, licensed people can come on the property and <br />providetheirservices,correct? <br />LINTON:Yes.Anexampleofthatwouldbeifwefeltachilddidnotnecessarily <br />need to be transported or required some care, let€s say, over, let€s say three visits a week, we <br />would then work with a local licensed home care provider agency to provide that in the actual <br />home. But we would not be providing those services ourselves. <br />ALAMEDA:On the property? <br />LINTON:It could be on the property through -. In this case, the location would <br />probably be the home health agency that€s based on North Hawaii Community Hospital. <br />ALAMEDA:Okay, got you. <br />SPRINGER:Commissioners, any further questions? I have a question. Mr. Linton, the <br />patients who come to convalesce with you, are they coming from the State of Hawaii, from the <br />Island of Hawaii, or from some place abroad from here? <br />LINTON:Well, it€s interesting, another one of our strategic partnerships is an <br />international, a very established medical missionary organization called Operation Smile, which <br />helps to do cleft palate and cleft lip, restorative procedures, through missions that they do in the <br />home countries. In some cases they run into cases, however, that cannot be done safely and they <br />are more intense, and so those cases need to be done in a different kind of facility. And so far we <br />have, that€s where Tripler comes into play, because they have the level of service that is able to <br />take care of those more intense type of operative procedures. In this case, it€s called an <br />encephalo (phonetic) seal removal procedure and they get tremendous professional training out <br />of it; and their staff volunteers a lot of their time but in return they€re getting a lot of exposure to <br />cases you don€t normally see. In this case, the two groups that we€ve had so far have been <br />children from the Philippines; but we€re very interested in, because we can only do two or three <br />of those kinds of groups a year, we have some additional time, and so we€re developing <br />relationships with local providers so we can do more with local children as well. <br />6 <br /> <br />