Hawaii – Medical Homes
In May 2011, Hawaii Governor Neil Abercrombie announced his administration’s intent to secure medical homes for Hawaii’s 270,000 Med-QUEST (Medicaid) beneficiaries. Integrating behavioral health and social services with primary care will be a major goal of the state’s medical home efforts.
Hawaii is currently working to develop and obtain approval for a health homes state plan amendment (SPA). A State Plan Option Collaborative has been meeting to select chronic conditions to focus on, define what “health home” will mean in Hawaii, reach consensus on culturally competent health home service definitions, agree on a payment methodology, and identify key measures to track. The state is now carrying out a workplan for developing the health homes SPA.
In addition, a public-private partnership—known as the Hawaii Healthcare Project— between the Office of the Governor and Hawaii’s health care industry identified development of “Accountable Care-Like (ACO-like) Organizations” as health system transformation priorities in 2012. To learn more about accountable care activity in Hawaii, visit the Hawaii page of NASHP’s State Accountable Care Activity Map.
Federal support: Hawaii County is the recipient of a $16.1 million Beacon grant intended to improve quality, promote efficiency, and increase capacity through the use of health information technology. There are many potential synergies with medical homes and heath homes. Further information is available online.
Last Updated: April 2014
| Forming Partnerships |
The following groups are represented on Hawaii’s Health Homes State Plan Option Collaborative:
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For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 























































































































































