Hawaii

Hawaii's Healthcare Innovation Plan, includes several catalysts for change to achieve the "Triple Aim." The plan focuses on primary care redesign and aims to have 80 percent of the population enrolled in medical homes by 2017. Additionally, the plan aims to implement Health Homes for Medicaid recipients with an existing diagnosis of Severe and Persistent Mental Illness or Serious Mental Illness will qualify for the Health Home. Additionally, Medicaid recipients with at least two of the following conditions will also be eligible: Diabetes, Heart Disease, Obesity, Chronic Obstructive Pulmonary Disease, and Substance Abuse. 

The Healthcare Innovation Plan will also establish Community Care Networks (CCN) to provide extra support to patients and practices with needs not readily addressed by PCMHs. CCNs will be modeled after the Health Home, with similar population criteria, provider standards, aligned quality metrics, technology tools, and services, but they will target Employer-Union Trust Fund and commercial insurance patients.

The implementation of this Healthcare Innovation Plan, however, will not be possible without legislative action, significant stakeholder engagement, and the use of existing policy levers. The state’s efforts will build on the existing assets and opportunities for healthcare transformation to ensure statewide, multi-payer implementation of reforms that are effective and sustainable.

CHIPRA: 
No
MAPCP: 
No
Dual Eligible: 
No
2703 Health Home: 
No
CPCi: 
No
SIM Awards: 
Yes
PCMH in QHP: 
No
Legislative PCMH Initiative: 
No
Private Payer Program: 
Yes
State Facts: 
Population:
1,369,900
Uninsured Population:
5%
Total Medicaid Spending FY 2013: 
$1.6 Billion 
Overweight/Obese Adults:
55.4%
Poor Mental Health among Adults: 
27.5%
Medicaid Expansion: 
Yes 
CPC+: 
CPC+

Pharm2Pharm, A Formal Hospital Pharmacist to Community Pharmacist Collaboration

In June 2013, the University of Hawaii at Hilo and its College of Pharmacy, in partnership with Hawaii Health Systems Corporation and Hawaii Pacific Health, community pharmacies in rural counties of Hawaii, the Hawaii Health Information Exchange, and Hawaii Health Information Corporation, was awarded a $14.3M CMS Innovation Grant to improve medication reconciliation and management for the elderly in three rural counties of Hawaii.

Hawaii Patient Reward and Incentive Program to Support Empowerment (HI-PRAISE)

Hawaii was awarded a five-year grant through the Medicaid Incentives for the Prevention of Chronic Disease program.  HI-PRAISE is a collaboration of the state Medicaid office; the University of Hawaii (UH) John A. Burns School of Medicine; the UH Center for Disability Studies, private providers, and 14 community health centers (CHCs) across the state. Program goals include: improve early detection of diabetes among high risk individuals and improve diabetes self-management among individuals with diabetes

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