• 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

• Identify partners 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

• Work with cancer partners on feedback for cancer topic small media campaigns
• Identify and secure resources to develop the campaign
• Evaluate the effectiveness of the campaign

• 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

• 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

• 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

• 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

• Identify partners 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

• 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

• 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

• 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

• 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

• Convene a working group with representation from Hawaiʻi's foodbank network, to develop guidelines for healthy food donations

• 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

• 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

• 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

• 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

• 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

• 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

• 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)

Engage young adults who use electronic nicotine delivery system (ENDS) or other nicotine products and who perceive them as low-risk or harmless.

Reduce prohibited online sales and improper handling of all ENDS products by enforcing Hawai‘i and federal laws and regulations.

• 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

• Expand the number of ASME programs by connecting potential volunteers
• Promote volunteer opportunity with new and existing partners

• 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

• 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

• 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

• Convene both public and private early learning community partners to determine barriers to implementation of Hawaiʻi’s Early Childhood Care and Education (ECE) Wellness Guidelines
• Collaborate with ECE partners 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

• 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 partners 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

• 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

• 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

• Implement behavioral health interventions—such as My Life, My Quit, the Stanford Medicine Tobacco Prevention Toolkit, and the American Lung Association INDEPTH program—as supportive options for students who violate Department of Education school policies on tobacco use or possession.

• 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

• 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)

Develop culturally and linguistically appropriate education campaigns using preferred media formats for parents and adult influencers of elementary level children.

• Identify existing literature/guidance/cost benefit analysis on ASME coverage
• Collaborate with Medicaid and provide guidance on ASME coverage and eligibility

• Identify key partners 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

• 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

• 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

• 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

• 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

• 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

• 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

• 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

• Engage lactation consultants and other breastfeeding partners to:-Develop reimbursement models for Medicaid and commercial payers-Pilot coverage processes

• 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.

• 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

1. Provide staff and clinician education on preventing, assessing, and treating ENDS use in pediatric populations, particularly elementary aged children.
2. Integrate ENDS prevention and assessment into routine pediatric care using electronic health records within healthcare systems.

• In collaboration with Objective Asthma-11, identify partners to establish an advisory group to develop a Hawaiʻi-specific worksite wellness recognition program
• Convene workgroup regularly to draft a policy

• 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

• In collaboration with Objective Heart Disease and Stroke-09, identify partners to establish an advisory group to develop a Hawaiʻi-specific worksite wellness recognition policy
• Convene workgroup regularly to draft a policy

• 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

• 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

• 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

• Develop and define criteria for 100% tobacco-free worksite campuses
• Develop tobacco-free campus policies for state and county departments