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Healthy Hawaiʻi Strategic Plan 2030 Objectives

The Healthy Hawaiʻi Strategic Plan 2030 (HHSP) objectives strive to create sustainable change that will transform our communities, schools, health care, and worksites to support the health of the people of Hawaiʻi. Stakeholders developed the HHSP objectives to shape policy, systems and environmental change in the four sector areas: Community Design and Access; Education; Health Care; and Worksite. The objectives are showcased by sector area and include key strategies, baseline, and target measures.

 

Objectives with this icon are being worked on by multiple program areas.

The HHSP is meant to be a living document that is reviewed and updated throughout the plan’s timeframe. Implementation of the plan will be a collective effort by individuals and organizations across the state.

All HHSP Objectives
Community Design & Access Sector Objectives
Community Design & Access Sector
ASTHMA - 01
MET

Develop and deliver at least one promotional activity to increase awareness of asthma education resources for non-clinical professionals.

Strategies
  • Identify stakeholders to establish a communications workgroup
  • Convene communications workgroup regularly to develop messages tailored for targeted audience (e.g., coaches and/or caregivers)
  • Identify media outlets that will reach targeted audience
  • Disseminate messages through promotional activities (e.g., social media messages, posters, brochures, or other printed materials) and evaluate messages
Baseline : 0 Target : 1 Status as of 07/01/2023 : 1
Date Met : 04/29/2022
Strategies
  • Provide written support and/or meet with the Director of Health to document the need of a State Asthma Control Program
  • Provide written support/testimony to legislature to fund the Asthma Control Program Coordinator position
Baseline : 0 Target : 1 Status as of 07/01/2023 : 1
Date Met : 04/12/2022
Strategies
  • Identify stakeholders such as Hepatitis Program and Hawaiʻi Comprehensive Cancer Coalition's (HCCC) Vaccine-Preventable Cancer Workgroup to establish a communications workgroup to develop a small media campaign
  • Identify and secure resources for the campaign
  • Evaluate the effectiveness of the campaign
Baseline : 0 Target : 2 Status as of 07/01/2023 : 2
Date Met : 10/27/2022
Strategies
  • Collaborate with cancer partners like the University of Hawaiʻi Cancer Center and Kokua Mau, the Hawaii Genomics Program, and the HCCC Quality of Life Action Team to establish a communications workgroup to develop a small media campaign
  • Identify and secure resources to develop the campaign
  • Evaluate the effectiveness of the campaign
Baseline : 0 Target : 6 Status as of 07/01/2023 : 5
Strategies
  • Establish a working group to develop the cancer survivorship resource guide in partnership with the HCCC Quality of Life Action Team
  • Evaluate the validity and value of the cancer survivors and caregivers' resource guide
  • Identify and secure resources to develop and update the guide
Baseline : 0 Target : 1 Status as of 07/01/2023 : 1
Date Met : 05/31/2022
Strategies
  • Address barriers to clinical trial participation and increase promotion of counter messages through outlets such as print, broadcast, and web-based media
  • Integrate clinical trials into the training curriculum of academic institutions
  • Identify and implement strategies to improve efficiency and resources related to clinical trials coordination for physicians
  • Support access to clinical trials for neighbor island residents diagnosed with cancer
Baseline : 4.8% Target : 5.8% Status as of 07/01/2023 : Pending
Strategies
  • Support new organization(s) with the capacity to deliver the Diabetes Prevention Program (DPP) virtually or via telehealth by facilitating and maintaining access to necessary technology
  • Provide technical assistance to organizations in obtaining distance and hybrid National Diabetes Prevention Program (NDPP) CDC recognition
  • Connect referring organizations to distance learning DPP sites
Baseline : 0 Target : 1 Status as of 07/01/2023 : 3
Date Met : 07/31/2022
Strategies
  • Support new organizations seeking recognition or accreditation by covering the application fees on a once-in-a-lifetime basis and providing technical assistance
  • Collaborate with American Diabetes Association, Association of Diabetes Care and Education Specialists, and local Diabetes Self-Management Education and Support (DSMES) sites to provide training and mentoring to new organizations
Baseline : 19 Target : 22 Status as of 07/01/2023 : 17
Strategies
  • Identify stakeholders to establish a communications workgroup
  • Convene communications workgroup regularly to develop messages tailored for targeted audience
  • Identify media outlets that will reach targeted audience
  • Disseminate messages through promotional activities (e.g., social media messages, posters, brochures, or other printed materials) and evaluate messages
Baseline : 0 Target : 2 Status as of 07/01/2023 : 2
Date Met : 05/06/2023
Strategies
  • Secure long-term funding for Hawaiʻi’s Double Up Food Bucks program, which matches Supplemental Nutrition Assistance Program (SNAP) food stamp dollars spent on Hawaiʻi-grown produce
  • Implement a statewide Produce Prescription Program, which enables participants to redeem "prescriptions" for produce at participating markets and grocery stores
Baseline : 62 Target : 93 Status as of 07/01/2023 : 62
Activities Responsible Parties Completed By
1. Secure long-term funding for Hawai‘i’s DA BUX program American Heart Association (AHA); Hawaii Public Health Institute (HIPHI); The Food Basket 2024
2. Provide technical assistance to support the implementation of Produce Prescription Programs Kokua Kalihi Valley (KKV); University of Hawaii (UH) Department of Human Nutrition, Food and Animal Sciences 2023
3. Implement Local Institutional Purchasing Hui Oahu Good Food Purchasing Program (Act 175,176) in schools and hospitals Department of Education (DOE); Department of Health (DO Department of Public Safety (DPS); Department of Defense (DOD); UH Ongoing
4. Work with Good Food Alliance to identify a platform where the same technology can be used to accept Supplemental Nutrition Assistance Program (SNAP) and WIC Electronic Benefit Transfer (EBT) Maui Nui Food Alliance (MNFA); DOH; DOH, Women, Infants and Children (WIC) 2024
Strategies
  • Enact a fee on sugar-sweetened beverages, where revenue is allocated to obesity prevention initiatives
  • Establish long-term, state funding for a Double Up Food Bucks SNAP incentive program
Baseline : 0 Target : 2 Status as of 07/01/2023 : 0
Activities Responsible Parties Completed By
1. Implement Healthy by Default policy across all counties DOH 2023-2024
2. Support DOH SSB counter-marketing campaign AHA; HIPHI 2023
3. Educate networks on need to reduce SSB consumption and the health risks associated with consumption HIPHI; DOH; AHA 2025
4. Support School Garden Coordinator to enhance nutritious food options in schools DOE; HIPHI; DOH 2025
5. Support the establishment of Medicaid coverage for Produce Prescription Programs AlohaCare; Anti-Hunger Coalition 2025
Strategies
  • Food access coalitions will create and implement county-level action plans aimed at increasing access to, and consumption of, healthy food
  • Secure county funding to support the activities of the coordinator and food access coalition
Baseline : 0 Target : 4 Status as of 07/01/2023 : 3
Activities Responsible Parties Completed By
1. Food access coalitions will create and implement county level action plans aimed at increasing access to and consumption of healthy food DOH; Non-profit county agencies that house Food Access Coordinators (e.g., HIPHI, City and County, Malama Kaua‘i) 2024
2. Secure county funding to support the activities of the coordinator and food access coalition Non-profit county agencies that house Food Access Coordinators (e.g., HIPHI, City and County, Malama Kaua‘i) 2025
3. Conduct a needs assessment Non-profit county agencies that house Food Access Coordinators (e.g., HIPHI, City and County, Malama Kaua‘i); Evaluator 2023
Strategies
  • Assess statewide resources and capacity to fund and establish state-level Breastfeeding Coordinator position
  • Develop scope and position description to include knowledge of indigenous cultures and breastfeeding support needs
  • Identify gaps and strategically integrate the breastfeeding coordinator position in a way that bridges these gaps
Baseline : 0 Target : 1 Status as of 07/01/2023 : 0
Activities Responsible Parties Completed By
1. Assess statewide resources and capacity to fund and establish state-level breastfeeding coordinator position DOH; HIPHI; Statewide Breastfeeding Workgroup; Breastfeeding Hawai‘i 2023-2025
2. Develop scope and position description to include knowledge of indigenous cultures and breastfeeding support needs DOH; HIPHI; Statewide Breastfeeding Workgroup; Breastfeeding Hawai‘i; Hawai‘i Indigenous Breastfeeding Collaborative; Papa Ola Lokahi 2023-2024
3. Identify gaps and strategically integrate the breastfeeding coordinator in a way that bridges these gaps DOH; HIPHI; Statewide Breastfeeding Workgroup; Lactation Access Transforming Communities in Hawai‘i (LATCH) 2023-2024
Strategies
  • Convene a working group with representation from Hawaiʻi's foodbank network, to develop guidelines for healthy food donations
Baseline : 0 Target : 5 Status as of 07/01/2023 : 3
Activities Responsible Parties Completed By
1. Convene a work group, with representation from Hawai‘i’s foodbank network, to develop guidelines for healthy food donations DOH; HIPHI 2023
2. Develop Healthy Food Bank Guidelines toolkit for Healthy Keiki Pantry HIPHI, Healthy Eating Active Living (HEAL) Coalition Coordinators 2024
3. Distribute Healthy Food in Hawai‘i: Guidelines for Food Banks, Pantries, Schools and Communities HIPHI; AHA; MNFA 2024
Strategies
  • Incorporate the specifications for "desirable" level of service described in the Hawaiʻi Department of Transportation’s Pedestrian Toolbox into the development of low-stress pedestrian infrastructure
  • Increase Safe Routes to Schools and Safe Routes to Parks programs and projects
  • Develop policies to encourage shade tree planting, to increase canopy cover, on high volume pedestrian corridors and trails
  • Increase share of state and county transportation budgets dedicated to pedestrian infrastructure
  • Implement Vision Zero and Complete Streets policies to increase safety and comfort of pedestrian experience
Baseline : 0 Target : 50 Status as of 07/01/2023 : Pending
Activities Responsible Parties Completed By
1. Increase Safe Routes to Schools (SRTS) and Safe Routes to Parks (SRTP) programs and projects DOH; HIPHI; AlohaCare (SRTS Working Group) 2023-2025
2. Develop policies to create environments where trees can thrive, increasing and preserving canopy cover on high volume pedestrian corridors and trails DOH; Department of Land and Natural Resources (DLNR); National Park Service (NPS) 2024
3. Identify and update county-specific tree management plans DLNR 2023-2025
4. Provide accountability and evaluate Complete Streets and Vision Zero (VZ) implementation of Environmental Impact Statement (EIS)/ Environmental Assessment (EA) applications and other project proposals DOH; HIPHI; AlohaCare (SRTS Working Group) 2025
5. Establish a pipeline of projects from the pedestrian master plans, add to the Transportation Improvement Program (TIP), Statewide Transportation Improvement Program (STIP) and complete necessary planning and environmental reviews for a few projects each year Metropolitan Planning Organizations (MPOs); Department of Public Works; Planning Department; Department of Transportation 2025
Strategies
  • Increase Safe Routes to Schools and Safe Routes to Parks projects
  • Develop policies to encourage shade tree planting, to increase canopy cover, on high volume bicycle corridors and trails
  • Increase share of state and county transportation budgets dedicated to bicycle facilities
  • Implement Vision Zero and Complete Streets policies and projects to increase safety and comfort of bicyclist experience
Baseline : 0 Target : 100 Status as of 07/01/2023 : Pending
Activities Responsible Parties Completed By
1. Increase Safe Routes to Schools (SRTS) and Safe Routes to Parks (SRTP) programs and projects DOH; HIPHI; AlohaCare (SRTS Working Group) 2023-2025
2. Develop policies to create environments where trees can thrive, increasing and preserving canopy cover on high volume pedestrian corridors and trails DOH; Department of Land and Natural Resources (DLNR); National Park Service (NPS) 2024
3. Identify and update county-specific tree management plans DLNR 2023-2025
4. Provide accountability and evaluate Complete Streets and Vision Zero (VZ) implementation of Environmental Impact Statement (EIS)/ Environmental Assessment (EA) applications and other project proposals DOH; HIPHI; AlohaCare (SRTS Working Group) 2025
5. Establish a pipeline of projects from the pedestrian master plans, add to the Transportation Improvement Program (TIP), Statewide Transportation Improvement Program (STIP) and complete necessary planning and environmental reviews for a few projects each year Metropolitan Planning Organizations (MPOs); Department of Public Works; Planning Department; Department of Transportation 2025
Strategies
  • Develop context-appropriate county-level Transportation Demand Management (TDM) Plans to establish mode baselines
  • Develop more inclusive and comprehensive metrics for measuring active transportation beyond work and school commutes
  • Support development of community Safe Routes to School (SRTS) plans, funding of SRTS infrastructure, free transit for minors, etc
Baseline Target Status as of- 07/01/2023
State 0 1 0
County 0 4 1
Activities Responsible Parties Completed By
1. Develop more inclusive and comprehensive metrics for measuring active transportation beyond work and school commutes DOH; MPOs; Hawaii State Energy Office (HSEO) 2022-2025
2. Conduct statewide and county-specific technical assistance (TA) and workshops on mode share transportation management DOH; HSEO; HIPHI; O‘ahu MPO 2022-2025
3. Develop context-appropriate county-level Transportation Demand Management Plans to establish goals and baselines All Counties 2025
Strategies
  • Promote Equitable Transit Oriented Development (ETOD), town centers, mixed-use development, and upzoning for new development and zoning updates
  • Adopt parking policy reforms to reduce parking oversupply, unbundle residential parking, reduce or eliminate parking minimums, and/or shift costs
  • Change Level-of-Service to Vehicle Miles Traveled (VMT) in environmental review of new development
Baseline : Pending Target : Increase by 10% Status as of 07/01/2023 : Pending
Activities Responsible Parties Completed By
1. Develop a communications campaign to promote Equitable Transit Oriented Development (ETOD), town centers, mixed-use development, and up zoning for new development and zoning updates AlohaCare; HIPHI 2025
2. Adopt parking policy reforms to reduce parking oversupply, unbundle residential parking, reduce or eliminate parking minimums, shift costs Ulupono Initiative; AARP 2025
3. Convene stakeholders at Hawai‘i Congress of Planning Officials to bring planners together and discuss zoning Planning Department; AlohaCare; DOH Annually
Strategies
  • Establish regulatory parity for cigarettes, electronic smoking devices (ESDs), and emerging products, etc (e.g. impose taxes, licensing/permitting/restricting online sales, etc)
  • Prohibit the sale of all flavored tobacco products including menthol
Baseline : 0 Target : 5 Status as of 07/01/2023 : 1
Strategies
  • Establish a MedQUEST policy that requires health plans to offer expanded evidence-based cessation service options
  • Establish a policy to formally coordinate services between the Hawaiʻi Tobacco Quitline (HTQL), community cessation providers, and a private or public insurance provider to promote access to services to consumers
  • Establish a policy that requires insurance companies to expand reimbursement for youth cessation
Baseline : 0 Target : 2 Status as of 07/01/2023 : 0
Strategies
  • Enact a smoke-free multi-unit housing ordinance in all four major counties
  • Establish policies that increase resources for smoke-free policy enforcement (at parks, beaches, public housing, etc)
Baseline : 0 Target : 2 Status as of 07/01/2023 : 0
Education Sector Objectives
Strategies
  • Expand the number of Asthma Self-Management Education (ASME) programs by facilitating partnerships with school- and community-based organizations
  • Promote ASME programs with the new and existing partners
Baseline : 7 Target : 8 Status as of 07/01/2023 : 7
Strategies
  • Expand the number of ASME programs by connecting potential volunteers
  • Promote volunteer opportunity with new and existing partners
Baseline : 13 Target : 14 Status as of 07/01/2023 : 13
Strategies
  • Conduct an assessment of the readiness of one or more schools to implement one or more of the recommended Sun Protection Guidelines
  • Partner with cancer partners such as the Hawaiʻi Skin Cancer Coalition to promote the recommended Sun Protection Guidelines
Baseline : Pending Target : Increased by 5 Status as of 07/01/2023 : Pending
Strategies
  • Conduct an assessment of eligible schools to determine their ability to become Vaccines for Children (VFC) providers
  • Partner with the HCCC's Vaccine Preventable Cancers Workgroup to promote the importance of making vaccines (e.g., HPV) available
Baseline : Pending Target : 100% Status as of 07/01/2023 : Pending
Strategies
  • Leverage partnerships within the University of Hawaiʻi system to identify campus wellness/health services coordinator
  • Explore potential partnerships and link available resources at American Heart Association
Baseline : 0 Target : 1 Status as of 07/01/2023 : 0
Strategies
  • Support a Board of Education policy change to require annual courses in Health Education in grades K-8 in Department of Education (DOE) public non-charter schools
  • Support a Board of Education policy change to require annual courses in Physical Education in grades K-8 in DOE public non-charter schools
Baseline Target Status as of- 07/01/2023
Health Education courses 0 1 0
Physical Education courses 0 1 0
Activities Responsible Parties Completed By
1. Review and prepare National PE Standards for adoption Department of Education (DOE), Office of Curriculum and Instructional Design (OCID) 2024- 2027
2. Investigate the development of an advertisement/education campaign about the importance of PE and Health Education and that targets parents and families DOE; DOH; AHA 2023
3. Update Wellness Guidelines to incorporate Safe Routes to School and Farm to School initiatives DOE School Food Services Branch (SFSB); DOH; State Wellness Committee; HIPHI 2025
Strategies
  • Convene both public and private early learning community stakeholders to determine barriers to implementation of Hawaiʻi’s Early Childhood Care and Education (ECE) Wellness Guidelines
  • Collaborate with ECE stakeholders to create a physical activity and nutrition ECE setting focused training curricula developed from the Hawaiʻi ECE Wellness Guidelines
  • Partner with leaders in the early learning community to identify and implement incentives to support provider implementation of the ECE Wellness Guidelines
Baseline : 0 Target : 1 Status as of 07/01/2023 : 0
Activities Responsible Parties Completed By
1. Convene both public and private early learning community stakeholders to determine barriers to implementation of Hawai‘i’s Early Childhood Care and Education (ECE) Wellness Guidelines DOH; Early Childhood Action Strategy (ECAS) 2023
2. Create an action plan to identify strategies and leads/stakeholders of those strategies DOH; ECAS 2023
3. Establish a policy to require monitoring and implementation of ECE Wellness Guidelines AHA 2025
Strategies
  • Create a toolkit to share with all participating public schools that highlights resources for the four lowest scoring wellness guidelines
  • Create a social media campaign to educate families and community stakeholders on the DOE safety and wellness guidelines and opportunities to support wellness in schools
  • Conduct a study to evaluate qualities/characteristics/infrastructure/resources that contribute to the schools with the lowest Safety and Wellness Survey (SAWS) score and the highest SAWS score
Baseline : 30% Target : 50% Status as of 07/01/2023 : Pending
Activities Responsible Parties Completed By
1. Update Wellness Guidelines DOH; DOE; HIPHI, Farm to School Hui 2024
2. Create a toolkit to share with all participating public schools that highlights resources for the four lowest scoring Wellness Guidelines DOH; DOE; HIPHI, Farm to School Hui 2024
3. Develop and implement targeted training and technical assistance for Wellness Guidelines DOH; DOE; HIPHI, Farm to School Hui 2025
Strategies
  • Assess statewide resources and capacity to fund and establish state-level Food Systems Education Coordinator position
  • Develop scope and position description to include knowledge of ʻāina-based education
  • Identify gaps and strategically integrate the Food Systems Education Coordinator position in a way that bridges these gaps
Baseline : 0 Target : 1 Status as of 07/01/2023 : 0
Activities Responsible Parties Completed By
1. Develop scope and position description to include knowledge of ‘aina-based education HIPHI, Farm to School Hui 2023
2. Support policy and legislation to establish and fund the Food Systems Education Coordinator HIPHI, Farm to School Hui 2024
3. Sustain funding for the School Garden Coordinator DOE; HIPHI, Farm to School Hui 2025
Strategies
  • Provide tobacco prevention and cessation information at incoming student orientation sessions
  • Support student health groups to conduct peer-led tobacco cessation and prevention promotion throughout all campuses
  • Create linkages between community tobacco treatment specialists, the Hawaiʻi Tobacco Quitline and universities to tailor promotions to students and increase access to cessation services for young adults
Baseline : Pending Target : All colleges and universities in Hawai'i Status as of 07/01/2023 : 1
Strategies
  • Develop and adopt best practice enforcement responses/guidelines for youth vaping/tobacco offenses to guide law enforcement or Department of Education (DOE) school officials
  • Pilot test a model alternative to suspension policy at a public or private school in Hawaiʻi and use results to inform expansion into other schools
Baseline : 0 Target : 1 Status as of 07/01/2023 : 0
Strategies
  • Conduct outreach to universities and colleges without tobacco-free policies to provide education and information about the benefits of implementing a tobacco-free campus
  • Provide technical support to individual private colleges and universities to encourage adoption of tobacco-free campus polices
Baseline : Pending Target : All colleges and universities in Hawai'i Status as of 07/01/2023 : 10
Strategies
  • Develop culturally appropriate educational campaigns for use in school systems such as, the "Hawaiʻi Association of Independent Schools" and "Hawaiʻi State Department of Education"
  • Develop education campaigns that can be used in a variety of media types (radio, television, mall ads, social media, etc)
Baseline : 0 Target : 10 Status as of 07/01/2023 : 2
Health Care Sector Objectives
Strategies
  • Identify key Health Information Technology (HIT) stakeholders to establish a HIT workgroup
  • Convene HIT workgroup regularly to identify the HIT priorities to enhance population health
Baseline : 0 Target : 6 Status as of 07/01/2023 :0
Strategies
  • Implement priorities identified by the HIT workgroup (e.g., implement bidirectional referral systems between health care organizations and self-management education programs or create a GIS map of chronic disease cases to inform targeted health communication and resource utilization)
Baseline : 0 Target : 50% Status as of 07/01/2023 :0
Strategies
  • Identify key stakeholders to establish a team-based care workgroup
  • Convene team-based care workgroup regularly to identify measurable outcomes indicative of team-based care
  • Report identified outcomes at least annually
Baseline : 0 Target : 5 Status as of 07/01/2023 :0
Strategies
  • Implement priorities identified by the team-based care workgroup (e.g., increase use of pharmacists in medication management to increase physical patient panels, increase use of non-physician telehealth for Asthma Self-Management (ASME), or increase use of Community Health Workers (CHW) in patient care coordination)
Baseline : Pending Target : Increase by 5% Status as of 07/01/2023 :0
Strategies
  • Identify existing literature/guidance/cost benefit analysis on ASME coverage
  • Collaborate with Medicaid and provide guidance on ASME coverage and eligibility
Baseline : 1 Target : 5 Status as of 07/01/2023 : 1
Strategies
  • Identify key stakeholders to establish a HIT workgroup
  • Convene HIT workgroup regularly to identify the HIT priorities to enhance Hepatitis B vaccination rates
  • Assess capacity of partner Federally Qualified Health Centers (FQHCs) to track and remind providers about Hepatitis B immunization rates
  • Compile best practice models to increase immunization rates using HIT at FQHCs
  • Identify and secure resources to implement HIT at partner FQHCs
Baseline : Pending Target : Increase by 10 Status as of 07/01/2023 : 1
Strategies
  • Identify pharmacies that serve communities at risk for Hepatitis B (e.g., Asian and Pacific Islander populations)
  • Develop a workplan for increasing patient recruitment and reimbursement
  • Identify and secure resources to implement the workplan
Baseline : 0 Target : 10 Status as of 07/01/2023 : 13
Date Met : 6/30/2023
Strategies
  • Partner with the Hawaiʻi Primary Care Association to increase and implement evidence-based interventions(EBI) at FQHCs.
  • Identify resources and secure funding for implementation
  • Evaluate the effectiveness of the implementation of the EBI
Baseline Target Status as of- 07/01/2023
Lung 8.5% 9.5% 13.9%
Breast 87.0% 97.4% 83.7%
Cervical 82.7% 92.6% 80.2%
Colorectal 75.1% 84.1% 77.1%
Strategies
  • Develop an educational and promotional program that emphasizes the importance of advance care planning and having an Advance Health Care Directive
  • Provide education to health professionals about the benefits of advance care planning that includes sensitivity to culturally diverse patient needs
  • Educate employers on the importance of advance care planning, especially Advance Health Care Directive
Baseline : 65.8% Target : 70.5% Status as of 07/01/2023 : 65.8%
Strategies
  • Conduct an assessment of Commission on Cancer accredited cancer programs in the state on their methods of providing treatment summaries and cancer survivorship care plans
  • Develop a plan in partnership with the HCCC Quality of Life Action Team members to educate cancer survivors on the benefits of treatment summaries and cancer survivorship care plans
  • Develop a training for health care providers on ways to increase utilization of treatment summaries and cancer survivorship care plans
Baseline Target Status as of- 07/01/2023
Treatment Summaries 43.8% 49.5% 49.0%
Cancer Survivorship Care Plans 32.1% 33.1% 27.5%
Strategies
  • Identify and review existing literature/guidance on Medication Therapy Management (MTM) and Self-Measured Blood Pressure Monitoring (SMBPM) reimbursement
  • Collaborate with Medicaid and provide guidance on reimbursement for MTM and/or SMBPM
Baseline : 0 Target : 1 Status as of 07/01/2023 : 0
Strategies
  • Expand coverage for Diabetes Prevention Programs (DPPs), or evidence-based DPP-like programs (e.g., Pili 'Ohana Department of Native Hawaiian Health)
  • Work with providers, health system payers, and worksites to increase awareness of and referrals to covered PAN programs
  • Participate in Health Information Technology (HIT) workgroup to discuss potential referral options between health care organizations and self-management education programs related to physical activity and nutrition
Baseline : Pending Target : Increase by 5% Status as of 07/01/2023 : Pending
Activities Responsible Parties Completed By
1. Expand coverage for and increase enrollment in Diabetes Prevention Programs (DPPs) or evidence-based DPP-like programs (e.g., Pili ‘Ohana Department of Native Hawaiian Health, bike, park, and/or produce prescriptions) HIPHI; DOH; AlohaCare; Hawaii Primary Care Association (HPCA) 2025
2. Work with providers, health system payers, and worksites to increase awareness of, and referrals to, covered DPPs HIPHI; DOH; AlohaCare; HPCA 2024
Strategies
  • Develop a statewide maternity care hospital recognition program, which sets policies and standards to support exclusive breastfeeding
  • Convene a Hawaiʻi hospital recognition program workgroup to create, administer, and evaluate the program
Baseline : 0% Target : 100% Status as of 07/01/2023 : 0%
Activities Responsible Parties Completed By
1. Convene a Hawai‘i hospital recognition program work group to develop a statewide maternity care hospital recognition program which incentivizes the adoption of policies and standards to support exclusive breastfeeding DOH; HIPHI; Hawai‘i Maternal Infant Health Collaborative; Breastfeeding Hawai‘i 2024
2. Administer and evaluate the statewide maternity care hospital recognition program DOH; HIPHI; Hawai‘i Maternal Infant Health Collaborative; Breastfeeding Hawai‘i 2025
Strategies
  • Engage lactation consultants and other breastfeeding stakeholders to:-Develop reimbursement models for Medicaid and commercial payers-Pilot coverage processes
Baseline : 0 Target : 6 Status as of 07/01/2023 : 0
Activities Responsible Parties Completed By
1. Take an inventory of lactation support services that are currently covered by health insurance companies Early Childhood Action Strategy (ECAS); Hawai‘i Association of Health Plans 2024
2. Conduct a sunrise study to assess the needed structural changes Auditor’s Office; Breastfeeding Coalition 2025
3. Incorporate Community Health Workers (CHWs), doulas, Native Hawaiian health care providers into lactation care (e.g., Federally Qualified Health Centers (FQHCs) and Community Health Centers (CHCs)) FQHCs; Hawai‘i Association of Health Plans 2025
Strategies
  • Integrate assessment, referral, and treatment interventions for tobacco/ nicotine use in routine care in health care systems using electronic health records.
  • Provide staff and clinician education about cessation services to increase referral to treatment after identifying patients with tobacco/nicotine addiction.
Baseline : 0 Target : 5 Status as of 07/01/2023 : 0
Strategies
  • Identify relevant "health professional training programs" - such as pharmacy, nursing, medicine, dental hygiene, respiratory therapists, psychology, and other related allied health programs, where brief intervention education can be incorporated
  • Coordinate brief intervention trainings with the behavioral health and substance use treatment communities
Baseline Target Status as of- 07/01/2023
Professional training programs Pending 5 0
Health specialty organizations Pending 2 0
Worksite Sector Objectives
Strategies
  • Identify stakeholders and convene an advisory group to develop a Hawaiʻi-specific, evidence-based worksite wellness recognition program that includes the following areas:
    • Asthma
    • Cancer
    • Diabetes
    • Heart Disease and Stroke
    • Physical Activity and Nutrition
    • Tobacco
  • Pilot the recognition program with a group of diverse employers and modify the program based on their feedback
Baseline Target Staus as of - 07/01/2023
Very Small 0 10 0
Small 0 15 0
Medium 0 10 0
Large 0 5 0
Activities Responsible Parties Completed By
1. Convene an advisory group to develop a Hawai‘i specific, comprehensive WSW recognition program that will include all aspects of health HIPHI; AlohaCare; HMSA; Kaiser; UHA Health Insurance; DOH 2024
2. Pilot recognition program with a group of diverse employers HIPHI; AlohaCare; HMSA; Kaiser; UHA Health Insurance; DOH 2025
3. Establish infrastructure for program at the DOH, statewide DOH 2025
Strategies
  • In collaboration with Objective Asthma-11, identify stakeholders to establish an advisory group to develop a Hawaiʻi-specific worksite wellness recognition program
  • Convene workgroup regularly to draft a policy
Baseline : 0 Target : 1 Status as of 07/01/2023 : 0
Strategies
  • Assess the employer groups ability to establish a policy that allows time off for cancer screenings
  • Partner with selected employer groups to develop a policy
  • Implement the policy and evaluate the effectiveness of the policy
Baseline : Pending Target : Increase by 5 Status as of 07/01/2023 : 0
Strategies
  • In collaboration with Objective Heart Disease and Stroke-09, identify stakeholders to establish an advisory group to develop a Hawaiʻi-specific worksite wellness recognition program
  • Convene workgroup regularly to draft a policy
Baseline : 0 Target : 1 Status as of 07/01/2023 : 0
Strategies
  • Establish a comprehensive worksite physical activity policy
  • Establish a policy that requires nutrition standards for worksite vending machines and for meetings/events where food is served
Baseline : 0 Target : 2 Status as of 07/01/2023 : 0
Activities Responsible Parties Completed By
1. Establish a comprehensive worksite physical activity policy DOH 2024
2. Establish a paid family leave policy DOH; ECAS; HIPHI 2025
3. Establish and sustain a Worksite Wellness (WSW) position at the Department of Health DOH 2025
Strategies
  • Establish a statewide Paid Family Leave policy, which will support mothers' ability to breastfeed by providing leave time for mothers to care for their newborns
  • Encourage employers to adopt an Infant at Work policy, which allows employees the option of bringing their infants into the workplace and can support exclusive breastfeeding
  • Encourage employers to adopt a Work from Home policy, which provides telecommuting options for breastfeeding mothers
Baseline : 0 Target : 1 Status as of 07/01/2023 : 0
Activities Responsible Parties Completed By
1. Establish the provision of a breastfeeding pump as a benefit from health insurance companies that are not already compliant with Affordable Care Act (ACA) HI CalMED; Breastfeeding Hawai‘i 2024
2. Explore provision of workplace lactation consultation benefits DOH; HIPHI; Breastfeeding Hawai‘i 2024
3. Establish breastfeeding coordinator position at DOH to provide expertise and coordination across all sectors DOH 2025
Strategies
  • Engage unions to make changes to provide cessation coverage with no co-pay in insurance plans
  • Facilitate employers' capacity to offer programs or insurance plans that incentivize cessation or offers cessation services with no co-pay
Baseline : 0 Target : 5 Status as of 07/01/2023 : 0
Strategies
  • Develop and define criteria for 100% tobacco-free worksite campuses
  • Develop tobacco-free campus policies for state and county departments
Baseline : 0 Target : 15 Status as of 07/01/2023 : 0
Long-term-measures
Long-Term Measures & Trackers

The long-term measures are broad measures that help assess progress toward achieving the Healthy Hawaiʻi Vision 2030.