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The Hawaiʻi Asthma Plan (HAP) 2030 represents a coordinated effort between stakeholders and partners throughout the state who worked together to develop objectives and strategies that utilize data, best practices, and evidence-based science. The resulting HAP 2030 reflects a common vision for managing asthma to help the people of Hawaiʻi, especially those most at-risk, lead healthy lives.
Asthma is a chronic condition that intermittently inflames and narrows the airways in the lungs. Asthma affects people of all ages and often starts during childhood. Symptoms of an asthma attack include shortness of breath, wheezing, and chest tightness. Asthma attacks can be triggered by allergens (such as dust mites, pet dander, and mold), irritants (such as secondhand smoke and vog), and respiratory infections (such as the flu). These exacerbations drive emergency department visits and hospitalizations, and their associated costs to the health care system, as well as negatively impact school and work attendance and quality of life. Although there is no cure for asthma, symptoms can be controlled with proper clinical treatment, appropriate use of medication, self-management education, and limited exposure to environmental triggers.
- Native Hawaiians
Despite ongoing and targeted public health efforts to reduce the burden of asthma in Hawaiʻi, asthma-related health disparities persist. According to an analysis of 2018 BRFSS data, 15% of Native Hawaiians adults reported having current asthma, compared to the state average of 9%.15
The HAP 2030 incorporates principles of the Social Ecological Model and is organized into four sector areas: Community Design and Access, Education, Health Care, and Worksite. The plan prioritizes goals, objectives, and strategies that lead to policy, systems, and environmental change. Objectives were developed using current data, best practices, and evidence-based science, and reflect one or more cross-cutting themes.
The HAP 2030 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.
- 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
- 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
Increase by 10%, the number of sites implementing CDC-recommended school- and/or community-based Asthma Self-Management Education programs.
- 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
Increase by 10%, the number of facilitators delivering CDC-recommended school- and/or community-based Asthma Self-Management Education.
- Expand the number of ASME programs by connecting potential volunteers
- Promote volunteer opportunity with new and existing partners
Establish coverage of Asthma Self-Management Education programs by Medicaid.
- Identify existing literature/guidance/cost benefit analysis on ASME coverage
- Collaborate with Medicaid and provide guidance on ASME coverage and eligibility
By 2025, identify six Health Information Technology priorities to enhance population health.
- 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
Meet 50% of identified Health Information Technology priority goals.
- 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)
By 2025, identify five measurable outcomes indicative of team-based care and monitor over time.
- 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
Improve identified measurable team-based care outcomes by 5%.
- 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)
- 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
- Identify stakeholders and convene an advisory group to develop a Hawaiʻi-specific, evidence-based worksite wellness recognition program that includes the following areas:
- Heart Disease and Stroke
- Physical Activity and Nutrition
- Pilot the recognition program with a group of diverse employers and modify the program based on their feedback