Rural Health
Resources by State: Hawaii
HCR95 SD1 Report on Availability of Long-Term Care Beds and its Impact on Wait Times for Acute Care Hospital Beds
Responds to a resolution from the Hawaii legislature requesting an examination of the impact of long-term care bed availability on acute care bed wait times. Reports regionally on challenges from community hospitals across the state, including Critical Access Hospitals and sole community hospitals. Identifies social, economic, and psychiatric factors impacting the ability of hospitals to discharge patients to long-term care and discusses the effects on hospital capacity. Highlights a pilot project planned for the Oahu Region.
Date: 12/2018
Sponsoring organization: Hawaii Health Systems Corporation
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Responds to a resolution from the Hawaii legislature requesting an examination of the impact of long-term care bed availability on acute care bed wait times. Reports regionally on challenges from community hospitals across the state, including Critical Access Hospitals and sole community hospitals. Identifies social, economic, and psychiatric factors impacting the ability of hospitals to discharge patients to long-term care and discusses the effects on hospital capacity. Highlights a pilot project planned for the Oahu Region.
Date: 12/2018
Sponsoring organization: Hawaii Health Systems Corporation
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Ke A'o Mau: Strengthening Cultural Competency in Interdisciplinary Education
Summarizes an interprofessional cultural competency course focused on Native Hawaiians. Offers recommendations for designing other courses focused on training interdisciplinary teams in cultural competency to address health disparities.
Author(s): Theresa M. Kreif, Shayne Kukunaokala Yoshimoto, Noreen Mokuau
Citation: Hawai'i Journal of Medicine and Public Health, 77(12), 333-336
Date: 12/2018
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Summarizes an interprofessional cultural competency course focused on Native Hawaiians. Offers recommendations for designing other courses focused on training interdisciplinary teams in cultural competency to address health disparities.
Author(s): Theresa M. Kreif, Shayne Kukunaokala Yoshimoto, Noreen Mokuau
Citation: Hawai'i Journal of Medicine and Public Health, 77(12), 333-336
Date: 12/2018
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The Validation of a School-Based, Culturally Grounded Drug Prevention Curriculum for Rural Hawaiian Youth
Details a study of a school-based drug prevention curriculum designed to be relevant to rural Native Hawaiian youth. Bases findings on faculty interviews. Breaks down the data by participants' sex, age, and position within the school.
Author(s): Scott K. Okamoto, Susana Helm, Lindsey K. Ostrowski, Lucille Flood
Citation: Health Promotion Practice, 19(3), 369-376
Date: 05/2018
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Details a study of a school-based drug prevention curriculum designed to be relevant to rural Native Hawaiian youth. Bases findings on faculty interviews. Breaks down the data by participants' sex, age, and position within the school.
Author(s): Scott K. Okamoto, Susana Helm, Lindsey K. Ostrowski, Lucille Flood
Citation: Health Promotion Practice, 19(3), 369-376
Date: 05/2018
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The Electronic Health Literacy and Utilization of Technology for Health in a Remote Hawaiian Community: Lana'i
Examines the use of communication technology by community, staff, and board members of Lanai Community Health Center in Hawaii. Evaluates their level of electronic health literacy and offers recommendations for rural communities regarding the use of technology-enabled care.
Author(s): Nash AK Witten, Joseph Humphry
Citation: Hawai'i Journal of Medicine and Public Health, 77(3), 51-59
Date: 03/2018
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Examines the use of communication technology by community, staff, and board members of Lanai Community Health Center in Hawaii. Evaluates their level of electronic health literacy and offers recommendations for rural communities regarding the use of technology-enabled care.
Author(s): Nash AK Witten, Joseph Humphry
Citation: Hawai'i Journal of Medicine and Public Health, 77(3), 51-59
Date: 03/2018
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An Interim Evaluation Report of the Innovative Projects Portfolio of the Medicare Flex Grant Program
Provides background on the Flex Program and the Integration of Innovative Health Care Models (Innovative Projects) program area. Evaluates the impact of the Innovative Projects program area across seven participating states, focusing on activities involving the transition to value-based care, telehealth, care coordination, quality improvement, and system delivery in rural communities. Final implementation results are described in Implementation and Early Results of the Flex Program's Innovative Models Program Area: Final Evaluation Report.
Author(s): Sara Kahn-Troster, John Gale, Anush Hansen, Andrew Coburn
Date: 01/2018
Sponsoring organization: Flex Monitoring Team
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Provides background on the Flex Program and the Integration of Innovative Health Care Models (Innovative Projects) program area. Evaluates the impact of the Innovative Projects program area across seven participating states, focusing on activities involving the transition to value-based care, telehealth, care coordination, quality improvement, and system delivery in rural communities. Final implementation results are described in Implementation and Early Results of the Flex Program's Innovative Models Program Area: Final Evaluation Report.
Author(s): Sara Kahn-Troster, John Gale, Anush Hansen, Andrew Coburn
Date: 01/2018
Sponsoring organization: Flex Monitoring Team
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Preventable Tooth Loss in Hawai'i: The Role of Socioeconomic Status, Diabetes, and Dental Visits
Results of a study examining association of tooth loss with health risk, dental care access, and sociodemographic factors including income level in 13,371 adults from 4 racial and ethnic groups in Hawaii. Features demographic statistics including breakdowns by residence in a city center, outside a city center, or a nonmetropolitan area.
Author(s): Mikako Deguchi, Marjorie K. Leimomi Mala Mau, James Davis, Richard Niederman
Citation: Preventing Chronic Disease, 14
Date: 11/2017
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Results of a study examining association of tooth loss with health risk, dental care access, and sociodemographic factors including income level in 13,371 adults from 4 racial and ethnic groups in Hawaii. Features demographic statistics including breakdowns by residence in a city center, outside a city center, or a nonmetropolitan area.
Author(s): Mikako Deguchi, Marjorie K. Leimomi Mala Mau, James Davis, Richard Niederman
Citation: Preventing Chronic Disease, 14
Date: 11/2017
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Potentially Preventable Medication-Related Hospitalizations: A Clinical Pharmacist Approach to Assessment, Categorization, and Quality Improvement
Examines pharmacist-led quality improvement practices, implemented across rural and urban counties in Hawaii, to identify and categorize potentially preventable medication-related hospital admissions. Describes how data collected during the investigation is used to improve pharmacist interventions focused on reducing medication-related readmissions.
Author(s): Karen L. Pellegrin, Elizabeth Lee, Reece Uyeno, Chris Ayson, Roy Goo
Citation: Journal of the American Pharmacies Association, 57(6), 711-716
Date: 06/2017
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Examines pharmacist-led quality improvement practices, implemented across rural and urban counties in Hawaii, to identify and categorize potentially preventable medication-related hospital admissions. Describes how data collected during the investigation is used to improve pharmacist interventions focused on reducing medication-related readmissions.
Author(s): Karen L. Pellegrin, Elizabeth Lee, Reece Uyeno, Chris Ayson, Roy Goo
Citation: Journal of the American Pharmacies Association, 57(6), 711-716
Date: 06/2017
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Housing Needs of Native Hawaiians: A Report From the Assessment of American Indian, Alaska Native, and Native Hawaiian Housing Needs
Report of housing conditions and needs for Native Hawaiians as part of a larger Native American housing study mandated by Congress in 2009. Includes discussion of population growth and distribution; demographic, social, and economic conditions; housing conditions and needs; circumstances of Native Hawaiians residing on Hawaiian Home Lands and those on the waiting list; and housing policy and programs. Rural and urban comparisons, particularly in the Home Lands discussion, are available.
Date: 05/2017
Sponsoring organization: U.S. Department of Housing and Urban Development
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Report of housing conditions and needs for Native Hawaiians as part of a larger Native American housing study mandated by Congress in 2009. Includes discussion of population growth and distribution; demographic, social, and economic conditions; housing conditions and needs; circumstances of Native Hawaiians residing on Hawaiian Home Lands and those on the waiting list; and housing policy and programs. Rural and urban comparisons, particularly in the Home Lands discussion, are available.
Date: 05/2017
Sponsoring organization: U.S. Department of Housing and Urban Development
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Promoting Optimal Native Outcomes (PONO) by Understanding Women's Stress Experiences
Examines psychosocial stressors in women, aged 18-35, living in a rural Hawaiian community with a large Native Hawaiian and Pacific Islander population to promote optimal native outcomes (PONO). Analyzes information from 36 women participating in focus groups and identifies seven stressor themes: intimate relationships; family and home life; child rearing; time for self; neighborhood environment; workplace; and finances.
Author(s): May Okihiro, Lisa Duke, Deborah Goebert, et al.
Citation: The Journal of Primary Prevention, 38(1-2), 159-173
Date: 04/2017
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Examines psychosocial stressors in women, aged 18-35, living in a rural Hawaiian community with a large Native Hawaiian and Pacific Islander population to promote optimal native outcomes (PONO). Analyzes information from 36 women participating in focus groups and identifies seven stressor themes: intimate relationships; family and home life; child rearing; time for self; neighborhood environment; workplace; and finances.
Author(s): May Okihiro, Lisa Duke, Deborah Goebert, et al.
Citation: The Journal of Primary Prevention, 38(1-2), 159-173
Date: 04/2017
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Establishing Successful Patient-Centered Medical Homes in Rural Hawai'i: Three Strategies to Consider
Provides recommendations for effectively developing Patient-Centered Medical Homes (PCMHs) based on phone interviews with healthcare providers on Hawaii's islands and data from the state Area Health Education Center (AHEC). Includes strategies specific to improving care in rural Hawaii.
Author(s): Melissa Nelson Scriber, Kasey Kehoe
Citation: Hawai'i Journal of Medicine and Public Health, 76(3 Suppl 1), 18-23
Date: 03/2017
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Provides recommendations for effectively developing Patient-Centered Medical Homes (PCMHs) based on phone interviews with healthcare providers on Hawaii's islands and data from the state Area Health Education Center (AHEC). Includes strategies specific to improving care in rural Hawaii.
Author(s): Melissa Nelson Scriber, Kasey Kehoe
Citation: Hawai'i Journal of Medicine and Public Health, 76(3 Suppl 1), 18-23
Date: 03/2017
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