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Overview of Community Health Centers in Hawai‘i: Legislative Briefing Insights

This presentation covers the essential role of Community Health Centers (CHCs) in Hawai‘i during the April 7, 2010 legislative briefing by Beth Giesting from the Hawai‘i Primary Care Association. The briefing emphasizes CHCs' commitment to serving underserved communities and vulnerable populations, illustrating demographic data regarding uninsured rates and patient trends. It highlights the systemic challenges faced by health care in light of economic factors, Medicaid reforms, and the critical need for transformation towards patient-centered medical homes. Partnerships and policy support are crucial for sustained health care innovation.

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Overview of Community Health Centers in Hawai‘i: Legislative Briefing Insights

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  1. COMMUNITY HEALTH CENTERS Widescreen Presentation IN Hawai‘i Legislative Briefing – April 7, 2010 Tips and tools for creating and presenting wide format slides BETH GIESTING, HAWAI‘I PRIMARY CARE ASSOCIATION

  2. OVERVIEW • Federally-recognized • Non-profit • Underserved communities • Vulnerable populations • Community governed

  3. DEMOGRAPHICS UNINSURED (24%) MEDICAID (47%) PRIVATE (22%) MEDICARE (7%) Coverage

  4. DEMOGRAPHICS RURAL (71%) URBAN (29%) Location

  5. DEMOGRAPHICS CAUCASIAN (25%) ASIAN (18%) NATIVE HAWAIIAN (27%) PACIFIC ISLANDER (17%) OTHER (13%) Ethnicity

  6. DEMOGRAPHICS 84% 200% Federal Poverty Level

  7. DEMOGRAPHICS CAUCASIAN (25%) UNINSURED (24%) NATIVE HAWAIIAN (27%) ASIAN (18%) PACIFIC ISLANDER (17%) RURAL (71%) MEDICAID (47%) URBAN (29%) PRIVATE (22%) 84% OTHER (13%) MEDICARE (7%) Poverty

  8. TRENDS +10% Patients

  9. TRENDS +26% Medicaid Patients

  10. TRENDS +46% Mental Health

  11. TRENDS +7% Rural Oahu: +29% Homeless

  12. TRENDS +46% +26% +7% Rural Oahu: +29% Medicaid Mental Health Homeless

  13. ENVIRONMENT • Poor Economy • Uninsured Population • Increased Demand for Services • Fragmented System • Potential Medicaid Surge (HCR)

  14. STATERESPONSE • AMHD decimated • COFA benefit reduction • Eligibility worker cuts • Payment lag • Proposed Cuts to Med-QUEST Benefits • Mass DHS Layoffs

  15. SYSTEM IN CRISIS Support Need

  16. TRANSFORMATION • Focus on Quality, Cost, Information Technology • CHCs as Medical Homes • Medicaid Modernization & Health Care Reform

  17. PATIENT-CENTERED MEDICAL HOME • Principles • Cost Effectiveness • Quality Dividends

  18. PCMH IN PRACTICE • National priority • Improved outcomes • Legislative initiatives

  19. CHCs AS MEDICAL HOMES • Quality Culture • Evidence-Based Care • Comprehensive, Integrated Services • Partnerships

  20. HAWAI‘I MEDICAL HOME PILOTS Kalihi-Palama Health Center Waimanalo Health Center West Hawai‘i Community Health Center Waianae Coast Comprehensive Health Center AlohaCare Hawai‘i Primary Care Association HMSA UHA

  21. LONG TERM SOLUTIONS • Essential to meet future demand • Innovation to transform safety net • Proving ground for entire system

  22. MEDICAID • CHCs are proven innovators • Savings from CHCs: $64.5 million • Proposed cuts disproportionately affect health centers

  23. MED-QUEST MODERNIZATION • Projected deficit: $160m • Innovation versus Cuts • Medical home incentives (90% FMAP)

  24. SUMMARY • CHCs are essential • System transformation • Partnerships • Policy support

  25. COMMUNITY HEALTH CENTERS Widescreen Presentation IN Hawai‘i Legislative Briefing – April 7, 2010 Tips and tools for creating and presenting wide format slides BETH GIESTING, HAWAI‘I PRIMARY CARE ASSOCIATION

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