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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
07/01/2024 : 1
Date Met : 04/29/2022
Community Design & Access Sector
ASTHMA - 02
MET
Establish and sustain a funded, statewide Asthma Control Program Coordinator position to address the burden of asthma in the State of Hawaiʻi.
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
07/01/2024 : 1
Date Met : 04/12/2022
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
07/01/2024 : 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
07/01/2024 : 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
07/01/2024 : 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
07/01/2024 : no change
Community Design & Access Sector
Diabetes - 01
MET
Establish at least one fully recognized National Diabetes Prevention Program site in the State of Hawaiʻi that provides online or distance learning.
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
07/01/2024 : 3
Date Met : 07/31/2022
Community Design & Access Sector
Diabetes - 02
Establish at least three new American Diabetes Association recognized or Association of Diabetes Care and Education Specialists accredited Diabetes Self-Management Education and Support sites.
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
07/01/2024 : 17
Community Design & Access Sector
Heart Disease and Stroke - 01
MET
Develop and deliver at least two promotional activities to increase awareness of the preventability of heart disease and stroke.
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
07/01/2024 : 2
Date Met : 05/06/2023
Community Design & Access Sector
Physical activity and nutrition - 01
Increase by 50%, the number of food outlets that participate in a statewide healthy food incentive program(s).
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
07/01/2024 : 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 |
Community Design & Access Sector
Physical activity and nutrition - 02
Enact at least two statewide policies to increase access to healthy food and/or decrease access to unhealthy food/beverages.
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
07/01/2024 : 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 |
Community Design & Access Sector
Physical activity and nutrition - 03
Establish and sustain a funded Food Access Coordinator in each county to facilitate an active coalition.
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
07/01/2024 : 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 |
Community Design & Access Sector
Physical activity and nutrition - 04
Establish and sustain a funded, statewide Breastfeeding Coordinator to facilitate efforts supportive of breastfeeding exclusivity and duration.
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
07/01/2024 : 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 |
Community Design & Access Sector
Physical activity and nutrition - 05
Develop guidelines to promote healthy food donations and purchase of healthy food to be adopted by 100% of Hawaiʻi food banks.
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
07/01/2024 : 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 |
Community Design & Access Sector
Physical activity and nutrition - 06
Increase by 50 miles, the total miles of low-stress pedestrian infrastructure including, but not limited to, sidewalks and trails.
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
07/01/2024 : 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 |
Community Design & Access Sector
Physical activity and nutrition - 07
Increase by 100 miles, the total miles of low-stress bicycle infrastructure including, but not limited to, protected bike lanes and off-street paths.
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
07/01/2024 : 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 |
Community Design & Access Sector
Physical activity and nutrition - 08
The state and each county will identify and adopt mode-share goals and measurements that prioritize walking and wheelchairs, bicycling, and transit use.
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- 07/01/2024 | |
|---|---|---|---|
| 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 |
Community Design & Access Sector
Physical activity and nutrition - 09
Increase by 10%, the proportion of existing urbanized land that is zoned to support walkable communities.
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
07/01/2024 : 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 |
Community Design & Access Sector
TOBACCO - 01
Enact at least five more county or state policies to decrease access to all tobacco products, including electronic smoking devices or other novel, emerging tobacco products.
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
07/01/2024 : 1
Community Design & Access Sector
TOBACCO - 02
Establish at least two more statewide policies that increase access to cessation services.
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
07/01/2024 : 0
Community Design & Access Sector
TOBACCO - 03
Establish at least two more county or state policies that eliminate exposure to secondhand smoke.
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
07/01/2024 : 0
Education Sector Objectives
Education Sector
ASTHMA - 03
Increase by 10%, the number of sites implementing CDC-recommended school- and/or community-based Asthma Self-Management Education programs.
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
07/01/2024 : 7
Education Sector
ASTHMA - 04
Increase by 10%, the number of facilitators delivering CDC-recommended school- and/or community-based Asthma Self-Management Education.
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
07/01/2024 : 13
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
07/01/2024 : Pending assessment of schools that have implemented guidelines.
Education Sector
CANCER - 06
MET
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
07/01/2024 : 9
Date Met : 07/01/2024
Education Sector
Heart Disease and Stroke - 02
Adopt a wellness policy designed to provide access to blood pressure cuffs and blood pressure education at public college campuses.
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
07/01/2024 : 0
Education Sector
Physical activity and nutrition - 10
Adopt at least one policy to require annual courses in Health Education and Physical Education from grades K-8, in the Department of Education, that are aligned with national recommendations for instructional time and teacher licensing.
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- 07/01/2024 | |
|---|---|---|---|
| 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 |
Education Sector
Physical activity and nutrition - 11
Develop a system to monitor and support implementation of the Early Childhood Care and Education Wellness Guidelines.
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
07/01/2024 : 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 |
Education Sector
Physical activity and nutrition - 12
50% of public non-charter schools participating in the Safety and Wellness Survey will meet at least 90% of the wellness guidelines.
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
07/01/2024 : 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 |
Education Sector
Physical activity and nutrition - 13
Establish and sustain a funded statewide Food Systems Education Coordinator position to support ʻāina-based education, which promotes healthy eating in preschool through grade 12 (P-12) education settings.
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
07/01/2024 : 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 |
Education Sector
TOBACCO - 04
All colleges and universities in the State of Hawaiʻi will provide tobacco-free education and offer cessation services to their students, staff and faculty.
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
07/01/2024 : 1
Education Sector
TOBACCO - 05
Develop and adopt at least one "alternative to suspension" Examples: American Lung Association; Stanford Toolkit
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
07/01/2024 : 0
Education Sector
TOBACCO - 06
All colleges and universities in the State of Hawaiʻi will have a 100% smoke-free or tobacco-free campus policy.
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
07/01/2024 : 10
Education Sector
TOBACCO - 07
Conduct at least ten more educational campaigns for parents or youth influencers to provide information about tobacco/vaping prevention or cessation statewide.
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
07/01/2024 : 2
Health Care Sector Objectives
Health Care Sector
MULTIPLE PROGRAM AREAS
ASTHMA - 06
• Diabetes - 03
• Heart Disease and Stroke - 06
By 2025, identify six Health Information Technology priorities to enhance population health.
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 07/01/2024 :0
Health Care Sector
MULTIPLE PROGRAM AREAS
ASTHMA - 07
• Diabetes - 04
• Heart Disease and Stroke - 07
Meet 50% of identified Health Information Technology priority goals.
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 07/01/2024 :0
Health Care Sector
MULTIPLE PROGRAM AREAS
ASTHMA - 08
• Diabetes - 05
• Heart Disease and Stroke - 03
By 2025, identify five measurable outcomes indicative of team-based care and monitor over time.
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 07/01/2024 :0
Health Care Sector
MULTIPLE PROGRAM AREAS
ASTHMA - 09
• Diabetes - 06
• Heart Disease and Stroke - 04
Improve identified measurable team-based care outcomes by 5%.
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 07/01/2024 :0
Health Care Sector
ASTHMA - 05
Establish coverage of Asthma Self-Management Education programs by Medicaid.
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
07/01/2024 : 1
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
07/01/2024 : 2
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
07/01/2024 : 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 as of- 07/01/2024 | |
|---|---|---|---|
| Lung | 8.5% | 9.5% | 7.8% |
| Breast | 87.0% | 97.4% | 78.5% |
| 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
07/01/2024 : 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 as of- 07/01/2024 | |
|---|---|---|---|
| Treatment Summaries | 43.8% | 49.5% | 52.7% |
| Cancer Survivorship Care Plans | 32.1% | 33.1% | 27.5% |
Health Care Sector
Heart Disease and Stroke - 05
Establish coverage for medication therapy management and/or self-measured blood pressure monitoring by Medicaid.
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
07/01/2024 : 0
Health Care Sector
Physical activity and nutrition - 14
Increase by 5%, the number of people enrolled in nutrition and physical activity programs that are offered by health system payers.
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
07/01/2024 : 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 |
Health Care Sector
Physical activity and nutrition - 15
Implement a Hawaiʻi-specific hospital recognition program to incentivize promotion of exclusive breastfeeding through adoption of best practices that 100% of maternity care hospitals will participate in.
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
07/01/2024 : 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 |
Health Care Sector
Physical activity and nutrition - 16
Establish comprehensive coverage for lactation consultation services and lactation supplies by all health insurance companies in the State of Hawaiʻi.
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
07/01/2024 : 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 |
Health Care Sector
TOBACCO - 08
Implement at least five more health systems change policies or projects for tobacco cessation per the Clinical Practice Guidelines and Million Hearts Tobacco Cessation Change Package..
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
07/01/2024 : 0
Health Care Sector
TOBACCO - 09
Integrate brief intervention education into at least five more health professional training programs as a graduation requirement, and into at least two health specialty organizations (e.g. American Academy of Pediatrics, American College of Surgeons, American Physical Therapy Association) as continuing education offerings.
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- 07/01/2024 | |
|---|---|---|---|
| Professional training programs | Pending | 5 | 0 |
| Health specialty organizations | Pending | 2 | 0 |
Worksite Sector Objectives
Worksite Sector
MULTIPLE PROGRAM AREAS
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 | Staus as of - 07/01/2024 | |
|---|---|---|---|
| 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 |
Worksite Sector
ASTHMA - 10
Establish at least one statewide policy designed to increase access to evidence-based chronic disease prevention and management programs that address asthma at worksites.
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
07/01/2024 : 0
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
07/01/2024 : 0
Worksite Sector
Heart Disease and Stroke - 08
Establish at least one statewide policy designed to increase access to evidence-based chronic disease prevention and management programs that address heart disease and stroke at worksites.
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
07/01/2024 : 0
Worksite Sector
Physical activity and nutrition - 17
Establish at least two statewide policies designed to increase physical activity and/or healthy food options in government worksites.
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
07/01/2024 : 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 |
Worksite Sector
Physical activity and nutrition - 18
Establish at least one statewide policy that supports breastfeeding exclusivity and duration.
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
07/01/2024 : 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 |
Worksite Sector
TOBACCO - 10
At least five more large employers (including the State and Counties) will offer health plans that promote tobacco treatment coverage per U.S. Preventive Task Force recommendations.
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
07/01/2024 : 0
Worksite Sector
TOBACCO - 11
At least fifteen more worksites in the State of Hawaii will have 100% tobacco-free policies.
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
07/01/2024 : 0
Long-Term Measures & Trackers
The long-term measures are broad measures that help assess progress toward achieving the Healthy Hawaiʻi Vision 2030.