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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
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
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
Strategies
  • Identify stakeholders such as DOH 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
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
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
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%
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
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
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
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
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
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
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
Strategies
  • Convene a working group with representation from Hawaiʻi's foodbank network, to develop guidelines for healthy food donations
Baseline : 0 Target : 5
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
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
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
State 0 1
Country 0 4
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%
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
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
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
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
Strategies
  • Expand the number of ASME programs by connecting potential volunteers
  • Promote volunteer opportunity with new and existing partners
Baseline : 13 Target : 14
Strategies
  • Conduct an assessment of the readiness of one or more schools to implement one or more of the recommended CDC Sun Protection Guidelines
  • Partner with cancer partners such as the Hawaiʻi Skin Cancer Coalition to promote the recommended CDC Sun Protection Guidelines
Baseline : Pending Target : Increase by 5
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%
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
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
Health Education courses 0 1
Physical Education courses 0 1
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
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%
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
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
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
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
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
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
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%
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
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%
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
Strategies
  • Identify key HIT 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
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
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
Lung 8.5% 9.5%
Breast 87.0% 97.4%
Cervical 82.7% 92.6%
Colorectal 75.1% 84.1%
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 : 36.7% Target : 41.1%
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
Treatment Summaries 43.8% 49.5%
Cancer Survivorship Care Plans 32.1% 33.1%
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
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%
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 : 12
Strategies
  • Engage lactation consultants and other breastfeeding stakeholders to:-Develop reimbursement models for Medicaid and commercial payers-Pilot coverage processes
Baseline : 0 Target : 6
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
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
Professional training programs Pending 5
Health specialty organizations Pending 2
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
Very Small 0 10
Small 0 15
Medium 0 10
Large 0 5
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
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
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
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
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
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
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
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.