Honoring Physician for Excellence in Kupuna Care

Preventive Care and Screenings

Congratulations to Kimberly Lund, DO, and Maria Ilar-Revilla, MD, who have been honored as the winner of a 2018 Excellence in Kupuna Care award for ensuring their patients undergo Medicare-recommended mammograms and colonoscopies.

The U.S. Preventative Services Task Force (USPSTF) found that breast cancer screening reduces mortality from breast cancer in women over 40 years of age, with women over 60 benefiting the most from routine screenings.  Similarly, the USPSTF found convincing evidence that screening for colorectal cancer in adults aged 50 to 75 years reduces colorectal cancer mortality.

Currently, two-thirds of all new cases of colorectal cancer are in people aged 65 years and older. Screening tests have been shown to reduce colorectal cancer mortality.

Additionally, almost half of all new cases and nearly two-thirds of deaths from breast cancer occur in women 65 years of age and older. Mammography screening every two years for women aged 65 to 74 has been shown to reduce mortality.

Throughout 2018, a group of physicians received MDX Hawai`i Excellence in Kupuna Care awards based on select components of high-quality primary care, including metrics which reward preventative care, care coordination and convenient access to care.

A recent study estimated the number of deaths that could be prevented each year by increasing the use of nine recommended services, all of which pertain to older adults: influenza and pneumococcal vaccination; screening for breast, cervical and colorectal cancer; screening for blood pressure and lipid disorders; aspirin use; and smoking cessation counseling.

Helping patients stay on top of their health through preventive services and screenings will ensure that providers have the best chance at helping keep acute health emergencies at bay, and patients are satisfied that their physicians are working to improve or maintain long-term health.


MDX Hawai`i encompasses over 650 primary care physicians, 2,400 specialists and a full complement of health systems and ancillary providers across the Hawaiian Islands.  MDX Hawai`i assists physicians by providing wellness services and support programs for patients with complex medical conditions.