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Hawai‘i
Cancer Plan 2030
The Hawaiʻi Cancer Plan (HCP) 2030 is a ten-year strategic plan for collective action in cancer prevention and control across the state. The plan provides program leaders, policy makers, and researchers a vision, goals, strategies, and resources needed to reduce the burden of cancer across the state.
Cancer remains the second leading cause of death in our state and affects every individual, family and community. Certain populations, such as Native Hawaiians, Filipinos, Other Pacific Islanders, and those who are socioeconomically disadvantaged, continue to experience higher cancer rates and health disparities. Partners and stakeholders remain committed to planning, improving and expanding cancer prevention and treatment services, including the promotion of healthy lifestyle choices that can reduce cancer risks for all ethnic, geographic, and socioeconomic populations of Hawaiʻi.
Vision: No More Cancer.
Goals:
- Identify and eliminate cancer disparities.
- Prevent future cancers by reducing exposure to known risk factors.
- Increase early detection to decrease late stage cancer.
- Provide all Hawaiʻi residents, including the most vulnerable and the medically underinsured populations, access to state-of-the-art cancer prevention, screening, and treatment.
- Improve the quality of life for survivors and loved ones battling the effects of cancer.
CANCER Priority Populations
- Native Hawaiians
- Other Pacific Islanders
- Filipinos
As a state that ranks second nationally in the number of diverse racial and ethnic groups, Hawaiʻi’s cancer leaders and advocates have prioritized engaging underserved groups to identify specific, cultural strategies that effectively reduce cancer risks. Subgroups disproportionately affected by cancer include Native Hawaiians, Filipinos, Other Pacific Islanders, and people who are socio-economically disadvantaged. These subgroups are more likely to lack insurance, encounter long distances to health services, or experience culturally inappropriate health care.22
The HCP 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.
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 HCP 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.
Hawai‘i
Cancer Plan 2030 Objectives
Community Design & Access Sector Objectives
Community Design & Access Sector
CANCER - 01
MET
Develop at least one multi-island, small media campaign and/or promotional activity to promote Hepatitis B virus vaccination to prevent cancer.
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
Community Design & Access Sector
CANCER - 02
Develop at least one multi-island, small media campaign and/or promotional activity to increase awareness about each of the following topics: cancer as a chronic disease; the importance of family history for cancer; clinical trials; palliative care and hospice; prostate cancer; and cancer survivorship and issues faced by cancer survivors.
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
Community Design & Access Sector
CANCER - 03
MET
Develop at least one cancer survivorship and caregiver resource guide that will include follow-up care, lifestyle, psychosocial, and financial information.
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
Community Design & Access Sector
CANCER - 04
Increase by 20%, the proportion of adults who are diagnosed with cancer and participated in a cancer-related clinical trial.
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
Education Sector Objectives
Education Sector
CANCER - 05
Increase by five, the number of schools that implement 1 to 2 of the recommended CDC Sun Protection Guidelines.
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
Education Sector
CANCER - 06
100% of eligible school-based clinics become Vaccines for Children providers.
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
Health Care Sector Objectives
Health Care Sector
CANCER - 07
Increase by ten, the number of health care systems that use Health Information Technology(HIT) to address Hepatitis B vaccination.
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
Health Care Sector
CANCER - 08
MET
Increase by ten, the number of new community pharmacies that implement activities to increase Hepatitis B vaccination.
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
Health Care Sector
CANCER - 09
Increase the proportion of adults receiving lung, breast, cervical, and colorectal cancer screenings.
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 Date- 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% |
Health Care Sector
CANCER - 10
Increase the proportion of cancer survivors who have an Advance Health Care Directive.
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%
Health Care Sector
CANCER - 11
Increase the proportion of cancer survivors who have received treatment summaries and cancer survivorship care plans.
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 Date- 07/01/2023 | |
|---|---|---|---|
| Treatment Summaries | 43.8% | 49.5% | 49.0% |
| Cancer Survivorship Care Plans | 32.1% | 33.1% | 27.5% |
Worksite Sector Objectives
Worksite Sector
CANCER - 12
Increase by five, the number of employer groups that adopt a policy that allows time off for cancer screenings.
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
Worksite Sector
CANCER - 13
ASTHMA - 11
•
CANCER - 13
•
Diabetes - 07
•
Heart Disease and Stroke - 09
•
Physical activity and nutrition - 19
•
TOBACCO - 12
Implement a statewide, comprehensive worksite wellness recognition program that at least 10 very small-, 15 small-, 10 medium-, and 5 large-employers will participate in.
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 | Status Date- 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 |
Long-Term Measures & Trackers
The long-term measures are broad measures that help assess progress toward achieving the Healthy Hawaiʻi Vision 2030.