On the Road to Transforming Health on Hawai‘i Island

2011 Summary Annual Report A collaborative project administered through:

Table of Contents

Milestones & Measures

Critical Actions/Milestones 3

Financial Projections 5

Performance Metrics 7

Clinical Interventions 9

the Way ForWard

Unique Challenges 11

Improving Access to Care 13

Averting Onset/Advancement 15 of Chronic Diseases

Reducing Health Disparities 17

Achieving EHR Adoption & Meaningful Use 19

Changing our CoMMunity

Healthy Eating and Active Living Grants 21 North Hawai‘i Health Information Exchange 25

Aloha,

Hawai‘i Island Beacon Community (HIBC) is one of 17 Beacon Communities established across the country by The Office of the National Coordinator for Health Information Technology. Our vision for Hawai‘i Island is to create an interconnected system of health care delivery, supported by technology, collaboration and engagement, that improves the quality of care and the health of our residents and results in reduced overall costs.

HIBC’s goal is to serve as a catalyst for long-term change and innovation, and our pilot efforts are designed as a foundation that can be replicated elsewhere around the state. Through our three major initiatives— 1) technology, 2) clinical transformation and 3) outreach—we are committed to improving residents’ health and empowering them to be more actively involved in their health.

Health information technology is key to clinical transformation, and we are pleased to report that the adoption of electronic health records (EHR) on Hawai‘i Island continues to grow. As of September 30, 2011, EHR adoption among primary care physicians reached 70 percent. In December, HIBC awarded a $680,000 contract to North Hawai‘i Community Hospital to implement a health information exchange system throughout North Hawai‘i—a region that has achieved a nearly 95 percent EHR adoption rate that is one of the highest of any community nationwide.

Our efforts also reach beyond the traditional health care system to engage and inspire community members to take greater ownership of their health. In October, we held several community “talk story” sessions to share with residents about what HIBC is doing and to hear their thoughts and concerns about health issues. In November, we released $300,000 to be awarded to Hawai‘i Island nonprofit and for-profit community-based projects as Healthy Eating and Active Living (HEAL) Grants that support positive changes in healthy eating, physical activity or tobacco use prevention.

We are privileged to partner with many organizations, health care providers, government agencies and other stakeholders who share our commitment to transforming health and health care on Hawai‘i Island. We look forward to an exciting year ahead of continued innovation, teamwork and collaboration.

Sincerely,

Karen L. Pellegrin, Ph.D., M.B.A. Susan B. Hunt, M.H.A. Principal Investigator Chief Executive Officer & Project Director

CRITICAl ACTIOnS/MIleSTOneS

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4

Fiscal 2011 (Apr 1 11 – Mar 31 12) Fiscal 2012 (Apr 1 12 – Mar 31 13)

Health IT

Clinical Transformation

Community Engagement

Evaluation

GovernanceAnd

Sustainability

Apr 1 2011 Apr 1 2012 Apr 1 2013

10/1 - 1/1Sustainability Contracting

4/13Master

Budget / Plan Approved

5/29Executive

Director Hired

2/11Strategy Retreat

1/31501c3 Status

7/31Project

Sustainability Decisions

10/14North Hawaii

HIE Contracted

12/22North Hawaii

HIE Live!

3/11North Hawaii

HIE Added Early Adopters

4/1Governance

ReorganizationFor Sustainability

5/28North Hawaii HIE

Added FQHC, Outbound Feed,

Late Adopters

6/16Clinical Data Repository

Pilot Feeds in Production

11/15Clinical Data Repository

Contracted2/18

Clinical Data RepositoryPilot Testing Begins

1/23 - 10/22Clinical Transformation Learning Collaborative

1/2312 Month Work Plan

Established6/1

60% PCP Meaningful Use

3/1Specialty Referral

Pilot Begins

3/1Standard Discharge Summary

Tool Implemented

2/1Boost Training

Begins

12/1Case Study

Presentations

10/1Social Media Live

1/15 - 1/3135 Heal Grants In Process

10/20Talk Story Sessions Kicked Off

1/4Community Wellness

Directory Implemented

1/3Program Evaluation

Manager Hired

1/16Evaluation Plan Approved 4/11

Q1 Posting

2/1 - 4/30Geographic Outreach by Community

3/10 - 12/15Practice Redesign Learning Collaborative

7/10Q2 Posting

10/9Q3 Posting

1/8Q4 Posting

1/3First Patients in Care Coordination

“ ”The Hawai‘i Island Beacon Community plays a much-needed role at a critical time in the transformation of health care. The outreach, community building and planning that have taken place set an exemplary standard for the rest of our state.

loretta J. Fuddy, a.C.s.W., M.P.h.

DirectorState of Hawai‘i Department of Health

The following chart represents important achievements to date and milestones to be accomplished in the coming months regarding Governance and Sustainability, Health IT, Clinical Transformation, Community Engagement and Evaluation.

fInAnCIAl pROjeCTIOnS

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This chart represents the projected spend down of HIBC dollars for the remainder of the project period. As of December 31 2011, $2,661,998 has been expended, which represents 17 percent of the total funds available. A steep spending curve is anticipated from February to July as clinical, technology and community projects are fully implemented. Expenditures during this time are expected to be in excess of $1 million monthly.

In addition to the 17 percent of funds spent but not depicted in the chart are the 23 percent of total funds that are committed to contracts currently in process – consulting, the Amalga clinical data repository, and the North Hawai‘i Wellogic HIE. Fifteen percent of total funds comprise the full time equivalent (FTE) costs necessary to complete projects. Approximately 55 percent of remaining funds are allocated to specific projects which are ready to launch in January and February 2012 including Clinical Transformation (Care Coordination, Patient Engagement, Hospital Discharge Planning and PCMH Coaching) and awarding of the HEAL Grants.

Daily operations management is achieved through Project Manager Jeff Jendrysik; Community Engagement Manager Jessica Yamamoto; Care Redesign Manager Ali Bairos, M.D.; Health Information Technology (HIT) Manager Laurie Bass; Patient Ombudsman Andy Levin; Fiscal & Administrative Services Administrator Paula Chun; and newly hired Program Evaluation Manager Walter Thistlewaite.

Two Community Outreach Facilitators report to the Community Engagement Manager. Four Health Information Technology Analysts report to the HIT Manager. The Beacon Project is supported by two Administrative Office Assistants. Staff to be added in 2012 include one additional Community Outreach Facilitator and two Clinical Program Managers, thus bringing the total staff to twenty full time individuals.

Based on the number of man hours required to complete the menu of Beacon initiatives compared to the number of staff actually hired and assigned, the Beacon project is adequately staffed to complete work requirements for each initiative.

peRfORMAnCe MeTRICS

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Our goal is to dramatically improve the quality of the Big Island’s health care and, more importantly, the health of our community. By applying 21st century technology, we believe we can begin to solve the escalating problems of affordability, chronic disease care, and delivery of personalized care. In our interdependent community, person-to-person connection is the key to effecting change. We have begun to build those connections. Now, we will demonstrate how tools such as HIE will dramatically improve the linkages between providers and patients. It’s not only about equipping people with the latest tools – it’s about inspiring them and empowering them to succeed.

ed Montell, M.d.

Board President, HIBC Co-Owner and Practicing Physician,

Gastroenterology Associates, Inc.

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The Hawai‘i Island Beacon Community routinely assesses key performance metrics related to overall population health. Together, these critical benchmarks illustrate overall health and wellness of our Island and will continue to be tracked to evaluate improvements in health and health care.

AvoidAble emergency room visits

9.4% of Emergency Room visits were avoidable.

The avoidable ER visit rate is defined as the percentage of ER visits that involved care or treatment for an ambulatory-sensitive condition such as headache, or conditions for which treatment at a PCP office should be rendered. Data further indicated that urinary tract infections, headache, acute pharyngitis, and lumbago were the most frequent ambulatory- sensitive conditions treated via the ER.

PotentiAlly AvoidAble HosPitAlizAtions

667 per 100,000 chronic disease-related hospitalizations are potentially avoidable.

The Potentially Avoidable Hospitalization measures are one of several used to assess the HIBC program’s impact on averting disease onset and advancement. A chronic disease composite and risk-adjusted rate involves conditions for which effective outpatient care or early intervention potentially prevents the need for hospitalization.

HosPitAl reAdmissions (All-cAuse, diAbetes-relAted, cArdiovAsculAr-relAted)

Of the 9,619 discharges that were at risk for readmission for any condition, 5.6% actual readmissions occurred within 30 days.

Of the 83 diabetes-related discharges at risk for readmission, 4.8% readmissions occurred within 30 days.

Of the 788 cardiovascular-related discharges at risk for readmission, 10.4% readmissions occurred within 30 days.

Readmissions measures are used to assess direct impact on access to care and averting disease onset/advancement: readmission for any condition, readmission for diabetes condition, and readmission for cardiovascular condition. The 30-day hospital readmissions measures identify return hospitalization for any condition within 30 days that is clinically related to the initial hospital admission.

Source: Hawai‘i Health Information Corporation

statistics presented here are based on data collected in calendar year 2010.

diAbetics tHAt HAve APProPriAte screenings And outcomes

5,957 Hawai‘i County payor members ages 18-75 had Type 1 or Type 2 diabetes.

87.9% of these members received at least one HbA1c test and, of those, 36.3% had poor HbA1c control as indicated by >9%.

85.7% of payor members received at least one LDL-C screening, and of those, 44.8% had a controlled LDL-C level of <100 mg/dL.

Clinical process and clinical outcomes measures are used to assess impact on access to care and averting disease advancement specifically for the diabetic population.

individuAls witH A cArdiovAsculAr condition tHAt HAve APProPriAte screenings And outcomes

1,477 Hawai‘i County payor members ages 18-75 had a cardiovascular condition such as ischemic vascular disease.

91.7% of these members received at least one LDL-C screening, and of those, 48.9% had a controlled LDL-C level of <100 mg/dL.

Similar to the diabetes care measures, clinical process and clinical outcomes measures are also used to assess impact on access to care and averting disease advancement for individuals with a cardiovascular condition.

Source: Health Plan Claims Data

eHr AdoPtion And meAningful use

69.9% of 196 PCPs have adopted an EHR System as of October 2011.

To evaluate the impact of HIBC’s efforts, the EHR Adoption/Meaningful Use measures are used to quantify the Primary Care Providers (PCPs) targeted by HIBC that have adopted EHRs and initiated progress towards achieving Meaningful Use as part of the CMS EHR Incentive Program.

Source: Hawai‘i Island Beacon Community

ClInICAl InTeRvenTIOn STRATegy

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“”

As a catalyst for innovative improvements in the health and health care for Hawai‘i Island’s people, the Hawai‘i Island Beacon Community serves as a focal point of collaboration and partnership that drives progress. UH Hilo College of Pharmacy is proud to be a part of the Beacon Community and fully supports its groundbreaking initiatives in technology, clinical transformation and outreach.

John M. Pezzuto, Ph.d. Dean of the College of Pharmacy

University of Hawai‘i at Hilo

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Milestones & Measures

HIBC’s aim is to build an interconnected system of care delivery through technology, collaboration and engagement that improves quality of care, improves the health of our population, and results in reduced costs.

Primary drivers:

Clinical Transformation

Patient and Community

Engagement

Health Information

Exchange

secondary drivers:

Leadership

Reliable Processes

Provide Care in Appropriate Setting

Delivery System Design

Community, Patient and Family Voice

Communication

Decision Support

interventions:

Practice Redesign - PCMH Coaching - EHR/MU Stage I - Care Coordination

Care Transitions - Hospital Discharge - PCP/Specialist

Communication - Enabling Services - Healthy Lifestyles HEAL Grants - Smart Card/PHR

Amalga - Population Health Monitoring

Wellogic - Office Decision Support

haWai‘i island BeaCon CoMMunity CliniCal intervention strategy

UnIqUe CHAllengeS Hawai‘i County Districts & Health Care Providers

North Kohala District

SouthKohala District

NorthKona

District

SouthKona

District Ka‘ū District

PunaDistrict

SouthHilo

District

NorthHilo

District

HamakuaDistrict

‘

‘ū

‘

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Kaua‘iO‘ahu

Moloka‘iMaui

Lānai

Kaho‘olawe

Hawai‘i

Ni‘ihau

HIBC faces several unique challenges, the primary being our geographic isolation as an island community. Access to health care providers is limited by geography, lack of consistent transportation and severe health professional shortages. The Hawai‘i Island population has substantial health and economic disparities. Several populations in Hawai‘i County are at higher risk for disease and adverse health outcomes, including Native Hawaiians, other Pacific Islanders, the under– and uninsured and the elderly. Ethnic and cultural diversity create special opportunities for more effectively engaging patients in their care. Death rates and chronic illness rates for diabetes and cardiovascular disease for Hawai‘i County are the highest in the state.

aiMs, goals and CliniCal interventions HIBC is creating a future where hospitals, clinicians and patients are meaningful users of Health IT and, together, the community achieves measurable improvements in health care quality, safety and efficiency as well as population health. Collectively, these initiatives are intended to lower the cost of health care, increase quality, and ultimately improve the health of Hawai‘i Island residents. Pilot efforts are designed as a scalable foundation that can be duplicated in other communities around the state.

To address the unique challenges Hawai‘i County faces, the following objectives were developed and continue to be the driving force behind HIBC’s work: 1) Improve access to primary care, specialty care and behavioral health care. 2) Avert the onset and advancement of diabetes, hypertension and hyperlipidemia. 3) Reduce health disparities for Native Hawaiians and other at-risk populations. 4) Achieve Electronic Health Records (EHR) Adoption and Meaningful Use for >60% of Primary Care Providers (PCPs).

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the Way ForWard

“”

Health information technology is transforming health care across our country, and Hawai‘i County is in a good position to serve as a leading example of the value of Health IT that is powered by a committed community. Collaboration between the public, private and nonprofit sectors, as well as the health care community and island community, is key to improving the health of all of our people, including those who are most vulnerable.

By bringing people, organizations, technologies and systems together, under a shared vision, and building upon our island’s strengths, Hawai‘i Island Beacon Community is creating a solid foundation for positive change in our community.

Billy KenoiHawai‘i County Mayor

“ ”

IMpROvIng ACCeSS TO CARe

Working together with Beacon’s expert staff, our Hawai‘i Pacific Regional Extension Center program is equipped to support the operational and technical Health IT challenges of local physicians in recognition of the unique health care situations of Hawai‘i Island’s diverse communities.

Christine sakuda Executive Director

Hawai‘i Health Information Exchange 13

intervention: PraCtiCe redesign

Care Coordination • HIBC will conduct a 12-month pilot project designed to improve care coordination for complex, chronically ill patients – with a single or combination diagnosis of diabetes, cardiovascular disease and mental health conditions – through a care delivery initiative focused on utilizing care coordinators and patient navigators within the Patient Centered Medical Home (PCMH). Care Coordinators within the PCMH will be proficient in the use of patient registries for identifying high-risk patients, developing care plans, monitoring medications, conducting patient and family education, engaging patients in self-management, making referrals to community-based resources and monitoring individual and population clinical outcomes.

PCMh Coaching • HIBC will partner with TransforMED to bring a structured approach to achieving transformation across the participating provider network. This Rapid Adoption Transformation Model combines adult learning principles, interactive training methods and skill-focused learning through collaborative meetings, targeted assessments and site visits. Physicians will learn how to lead practice-based teams. Practices will utilize care coordinators as part of the patient-centered team base approach to care and use clinical data from their EHRs and the HIE for decision support and facilitation of care transitions.

ehr adoption/stage 1 Meaningful use • HIBC will provide technical support, education and training to physicians, in conjunction with Hawai‘i Pacific Regional Extension Center (HPREC) efforts, to increase EHR adoption and achieve Stage 1 Meaningful Use.

The program objectives include: 1. Increase knowledge of and skills in practice leadership. 2. Increase implementation of team-based care including care coordinators and patient navigators. 3. Improve scheduling and access to the practice. 4. Improve ability to use registries for monitoring population health within the practice. 5. Improve ability to use EHR for clinical decision support. 6. Increase achievement of PCMH status. 7. Increase readiness for NCQA Certification. 8. Increase achievement of EHR Meaningful Use Stage 1.

inPuts

HIBC Project Participants

Targeted Patients

ProJeCts

Care Coordination

PCMH Practice Redesign

EHR Adoption & Meaningful Use Stage 1 Technical Support

Measures

access • Usual Source of Care Clinical Process • Diabetes Care:

HbA1c Testing

• Cardiovascular Care: LDL-C Screening

Utilization • ER Visit • Avoidable ER Visits • Potentially Preventable

Readmissions

goal outCoMe

Improve access to primary, specialty, and behavioral health care

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the Way ForWard

AveRTIng OnSeT/AdvAnCeMenT Of CHROnIC dISeASeS

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intervention: Care transitions

hospital discharge Planning • HIBC will conduct a pilot project designed to facilitate care transition initiatives with the three acute care hospitals in Hawai‘i County. Activities are focused on standardization of a patient discharge summary tool to be utilized across all three facilities. Hospitals will also participate in a training and mentoring program involving Project BOOST® methodology designed to improve hospital discharge processes and communications with PCPs through their care coordinators, long-term care facilities, hospice, home health, support/enabling services for populations at risk, patients and their families.

PCP/specialist Communication • HIBC will pilot an online tool called Doc2Doc to facilitate the referral process and transition of patients from PCPs to specialists. Care transitions include any movement of a patient from one care provider or level of care to another, including from emergency departments to PCPs, from doctors to home health, and from inpatient settings to long-term care. The Doc2Doc platform will be evaluated for a more broadly based application as it can be used to initiate, coordinate and manage patient care transitions to completion and can do this securely from any “point A” to “point B.”

The program objectives include: 1. Establish a standardized discharge summary tool which can be converted to a hospital EHR template for automated data capture at each facility. 2. Provide consistent training and mentoring in the use of standardized discharge tools for hospitalists, case management and discharge planning staff across regions. 3. Integrate trained, practice-based care coordinators into the transition process to ensure a smooth handoff out of the hospital and ensure feedback is coming back into the hospital. 4. Identify and implement an appropriate electronic solution for tracking complex patients as they move throughout the health care system.

inPuts HIBC Project Participants

Targeted Patients

ProJeCts Hospital Discharge Planning

PCP/Specialist Communication

Care Coordination

Enabling Services for Populations At Risk

Measures Clinical Process • Diabetes Care:

HbA1c Testing

• Cardiovascular Care: LDL-C Screening

Clinical outcome • Diabetes Care: HbA1c

Poor Control (>9%)

• Cardiovascular Care: LDL-C Control (<100mg/dl)

• Diabetes & Cardio Care: BP Control (<140/90 mm Hg)

utilization • Potentially Preventable

Hospitalizations

goal outCoMe Avert onset/advancement of diabetes, hypertension, and hyperlipidemia

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the Way ForWard

“”

Smooth care transitions are critical in preventing chronic conditions from worsening. Building tools and systems that standardize and coordinate the discharge process and flow of information is vital in supporting patients and their families as they move from one level of care to the next – whether from home to hospital, to long-term care or back home, or anywhere in between. Equally important are the training, communications and family involvement that take place along the care continuum.

ali Bairos, M.d.Care Redesign Manager, HIBC

Board Chair, Kona Community Hospital

RedUCIng HeAlTH dISpARITIeS

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intervention: Patient and CoMMunity engageMent

enabling services • HIBC will facilitate this care delivery initiative that is focused on strategies for providing patients with resources (e.g., education, self-management skills, transportation, financial assistance, translation) that are culturally appropriate. Care coordinators and hospital discharge planners may engage these services to assist patients with accessing programs that patients may need to effectively manage their chronic illnesses. Educational programming is focused on diabetes and hypertension management, behavioral health, physical activity and nutrition.

heal grants • HIBC will fund individual community projects focused on reducing behavioral risk factors, improving nutrition and physical activity, and preventing tobacco use to promote better health and increase wellness in communities throughout Hawai‘i County. These unique, community-based programs will feature community-driven strategies to address prevention and health behaviors. They will also provide care coordinators with options for increasing patient engagement in prevention and management of chronic illnesses.

smart Card/Phr • HIBC will facilitate the implementation and distribution of patient identification cards for health care consumers. Cards will serve as portable Personal Health Records (PHRs) allowing individuals to track/monitor their own health status indicators. The cards will hold up-to-date demographic information for each patient, resulting in improved operating efficiencies of health facilities’ registration processes. These cards will also allow important clinical information to be shared with other providers as patients move around the health care system.

The program objectives include: 1. Provide culturally sensitive programs and services, which fall outside the traditional practice setting, designed to engage patients in self-management of their chronic illness in a manner that meets their needs. 2. Integrate enabling services into the overall care coordination and transition process. 3. Engage individuals in understanding their involvement in creating a healthier community. 4. Identify the usefulness and practicality of a card-style, portable PHR.

inPuts

HIBC Project Participants

Targeted Patients

ProJeCts

Enabling Services for

Populations At Risk

HEAL Grants

Smart Card/PHR

Care Coordination

Hospital Discharge Planning

Measures

Clinical Process, Clinical

Outcome, and Utilization measure stratifications by:

• age (18-64, 65+ years)

• race/ethnicity (Native Hawaiian, Non-Native Hawaiian)

• insurance type (Commercial, Medicare, Medicaid, Other, None)**

goal outCoMe

Reduce health disparities

among Native Hawaiians and other populations at risk

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the Way ForWard

ACHIevIng eHR AdOpTIOn & MeAnIngfUl USe

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“”

The Beacon Community has been a great help to physicians. It is providing doctors with IT advice and assistance, at no cost, to support their decisions to invest in and use electronic medical record systems. In that way, the Beacon Community has been a great facilitator for physicians.

Pradeepta Chowdhury, M.d.

intervention: health inForMation eXChange (hie) HIBC is assisting local physicians with integrating Health IT into their practices through PCMH coaching and technical support for their EHR functionality. The Hawai‘i Pacific Regional Extension Center (HPREC) is ensuring that physicians are able to attest appropriately as meaningful users in order to achieve Meaningful Use Certification.

HIBC is assisting with pilots of two HIE software products: Amalga and Wellogic. amalga is a clinical and claims data repository that will provide longitudinal understanding of population health, patient care and improved analysis to support assessment of the impact of care interventions over time. Wellogic is a cloud-based model capable of exchanging clinical lab and prescription orders, results of the orders (lab results or dispensed drugs), secure messaging between participants, workflow presentation via a Web-based portal interface, and other decision support capabilities.

The program objectives include: 1. Develop the ability to manage and enhance the quality of care in large populations. 2. Connect physicians/providers and hospitals to a secure electronic network that provides them with a way to view and share information including procedures performed and services accessed. 3. Improve ability of providers to make decisions at the time of a patient’s visit through computerized decision support tools. 4. Create a broad-based, quality improvement reporting and feedback system.

inPuts

HIBC-Targeted Providers

ProJeCts

PCMH Practice Redesign

EHR Adoption & Meaningful Use Stage 1 Technical Support

Measures

• PCPs Adopt EHR

• PCPs Initiate Meaningful Use Certification

• PCPs Obtain Meaningful Use Certification

goal outCoMe

Achieve >60% PCPs

EHR Adoption & Meaningful Use

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the Way ForWard

“”

Over the past six months, our rural community health center has had to address a large number of issues and changes with our electronic medical record system. We are deeply indebted to the incredible support and competent assistance we have been fortunate to receive from the IT staff of the Hawai‘i Island Beacon Community. They have helped us with contract review, connectivity planning with telecom vendors, facilitating regional health information exchange discussions with other providers, and being regular members of our upgrade implementation team. Their many contributions are sincerely appreciated.

Patrick linton Chief Executive Officer

Hamakua Health Center

HeAlTHy eATIng And ACTIve lIvIng (HeAl) COMMUnITy gRAnTS

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“ ” Many people have a lack of education regarding their health. Luckily, we have community agencies to supplement the care we get from our doctors and help teach us parents and our children how to live healthier lifestyles. leenal Castro Hilo Resident

eMPoWering PeoPle to healOctober 2011 marked an incredible month in HIBC’s involvement with the community. After a week of five consecutive “talk story” events promoting our Healthy Eating and Active Living (HEAL) Grants, we achieved successes that attest to community support and enthusiasm for a shared vision of improved health and health care.

The HEAL Grants will support Hawai‘i Island nonprofit and for-profit projects that promote positive changes in healthy eating, physical activity and/or tobacco use and prevention. HIBC has allocated $300,000 to the HEAL Grant initiative, and will award contracts up to $20,000 to collaborative projects that meet established criteria. HIBC received 300 requests for the RFP by interested parties and 168 submissions, and expects to award approximately 35 contracts in total.

local-style outreach and Community BuildingOver 300 people attended the five “talk story” sessions that took place around the island, providing an invaluable opportunity for HIBC to hear about districts’ special needs. For example, people shared their concerns on limited exercise activities for senior citizens, the limited food choices their community offered and the benefits of gardening on both physical activity and nutrition. Community members shared a diverse array of thoughtful and solution-oriented ideas surrounding a variety of themes including:

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Changing our CoMMunity

• $300,000 in funding for COMMUNITy WELLNESS

• 400+ email addresses

COLLECTED

• 300+ community MEETING PARTICIPANTS

• 168 grant applications RECEIVED

We will continue to offer opportunities for the community to share their concerns and provide information on HIBC’s initiatives. We will also work hard to understand what people feel are their biggest barriers, and what their communities can do to improve their health. By working together, we can help to ensure that patients have continuous access to quality care and maintain healthy lifestyles. Our success as a community hub depends on us being able to highlight partnerships and relationships that help to strengthen a place where people feel connected—a place they can become more invested in each other, in the community and in their own health.

Agriculture TrainingAquaponicsBike PathsCommunity ClinicsCommunity GardensConnect People and ResourcesEducate YouthEmpower IndividualsFarmers MarketsFitness Programs

Growing Food at HomeHawaiian Cultural PracticesHawaiian FestivalsHealth Advocacy GroupsHealth CoachingHealth Fairs Health Screenings at EventsHolistic, Alternative MedicineLocally Grown FoodLow-Cost Urgent Care Clinics

Mobile Health ServicesMobility and AccessibilityParent Education Programs for the UninsuredSkate ParksTransportation AccessWalking/Jogging PathsWellness Through Arts

“”

The clinics and hospitals are creating a care plan by working with the people. When people don’t understand what doctors are saying, they can go to community organizations to get more understanding of their care. As people get more education, it helps to stop visits to the ER and also helps people save money because they don’t have to pay the co-payments. Electronic health care gets our people educated and gives us a voice in decisions about our health so we can live better.

auntie Pele hanoaKa‘ū Resident

HeAlTHy eATIng And ACTIve lIvIng (HeAl) COMMUnITy gRAnTS

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Changing our CoMMunity

the Beginnings oF a MoveMent

HEAL Grants make up just one step toward HIBC’s larger goal of

empowering people to take control of their health and wellness.

In 2012, the HIBC Community Outreach Facilitators will promote

an island-wide wellness online resource directory, searchable

by geographic region in Hawai‘i County and by a variety of

categories and keywords. The directory will assist in building

capacity for health improvement by providing a helpful tool

for residents to access information that benefits their health

and well being. The launch will include widespread outreach

to individuals and organizations that provide services for

the community.

nORTH HAwAI‘I HeAlTH InfORMATIOn exCHAnge (HIe)

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“”

The ability for this HIE to be launched in such a short timeframe is a direct result of the vision and dedication of North Hawai‘i Community Hospital and their staff, as well as the strong collaboration between the Hospital, the Hawai‘i Island Beacon Community and vendor Wellogic. It’s an exciting time when we’re seeing vision and planning translate to direct improvements in both the quality of information available for physician decision making and the patient experience.

Jeff JendrysikProject Manager, HIBC

Changing our CoMMunity

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a CoMMunity ConneCted and uniFied

A $680,000 contract from HIBC has enabled the launch of the North Hawai‘i Health Information Exchange (HIE), a

community-led, collaborative initiative that is the very first HIE in the state of Hawai‘i. Championed by North Hawai‘i

Community Hospital, the North Hawai‘i HIE connects the EHRs of more than 32,000 patients served by 20 provider

groups and organizations across four districts in Hawai‘i County. Implementation, made possible by the Beacon

contract, has already begun. Training for all participating providers will continue through 2012.

By connecting the information systems of the hospital; affiliated physician groups; two statewide labs; the region’s

pharmacies, radiology and imaging centers; a national database of dispensed prescriptions; and a Federally Qualified

Health Center, the HIE will streamline operations and improve patient care in a region that, like the rest of Hawai‘i Island,

deals with the challenges of geographical distance and rural outreach. The software provides quicker and more secure

communication electronically between providers, more efficient office management and reporting, and support for

clinical decision-making.

Provider Collaboration and information integration

North Hawai‘i Community Hospital was the ideal choice for the North Hawai‘i HIE point organization because of its

leadership in the region’s Health IT efforts. The hospital pioneered the use of EHRs by North Hawai‘i providers. Today,

the region has a nearly 95 percent adoption rate—one of the highest in the nation. And, over the last two years, the

hospital and other collaborating organizations have been working with software vendor Wellogic to lay the technical

foundation for the HIE.

Change Continues

The North Hawai‘i HIE marks the first step towards an island-wide and, ultimately, a statewide HIE. HIBC has planned

similar HIE rollouts for the other communities of Hawai‘i Island over the next year-and-a-half. Through the realization

of this first significant milestone in the North Hawai‘i region, local residents will begin to see and experience the

remarkable transformation in health care that is sweeping the nation.

nORTH HAwAI‘I HeAlTH InfORMATIOn exCHAnge (HIe)

“”

It’s an exciting breakthrough for health care in North Hawai‘i. We have built up to a smooth launch. Through access to comprehensive, up-to-date patient information for providers and, eventually, patients themselves, care will be more efficient, more easily coordinated and more holistic.

William Park, M.d.Chief Medical Officer and General Surgeon

North Hawai‘i Community Hospital Kamuela, HI

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PARTICIPATING PROVIDERS

Along with 15 private practitioners in the Waimea community, these organizations will be

connected through the North Hawai‘i HIE:

E-Prescription Network

Surescripts

Physician Groups

Hawai‘i Emergency Physicians Associated

North Hawai‘i Community Hospital

North Hawai‘i Hospitalist Physicians

North Hawai‘i Medical Group

Federally Qualified Health Center

Hāmākua Health Center

Labs

Clinical Laboratories of Hawai‘i

Diagnostic Laboratory Services

Radiology

Cleveland Clinic radiologists at North Hawai‘i Community Hospital

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Changing our CoMMunity

1437 K ī lauea Ave. , Suite 105 • H i lo, HI 96720 • (808) 933-8559 • h ibeacon.org

Hawai‘i IslandBEACONCOMMUNITY

OFFICERS

Ed Montell, M.D. Board President Co-Owner and Practicing Physician Gastroenterology Associates, Inc.

Brian Panik, M.D. Board Vice President Emergency Room Physician Hawai‘i Health Systems Corporation

Karen Teshima Board Vice President Executive Assistant Office of the Mayor

Sharon Vitousek, M.D. Board Vice President Director, North Hawai‘i Outcomes Project

Toby Taniguchi Board Treasurer Vice President of Store Operations KTA

DIRECTORS

Howard Ainsley Chief Executive Officer Hilo Medical Center

Craig Feied

Kenny Fink Administrator Med-QUEST Division State of Hawai‘i Department of Human Services

Michelle Hiraishi Executive Director Hui Mālama Ola Nā ‘Ōiwi

William “Billy” P. Kenoi Mayor County of Hawai‘i

Jay Kreuzer Chief Executive Officer Kona Community Hospital

Randy Kurohara Director Department of Research and Development County of Hawai‘i

Richard Lee-Ching, M.D. President East Hawai‘i Independent Physicians Association

John McComas Chief Executive Officer AlohaCare

Christine Sakuda Executive Director Hawai‘i Health Information Exchange

Lyric Santiago, M.D. Physician Hilo Urology Clinic

Paul Strauss Executive Director Bay Clinic, Inc.

Richard Taaffe Executive Director West Hawai‘i Community Health Center

Ken Wood Chief Executive Officer North Hawai‘i Community Hospital

Elisa yadao Community Affairs Marketing and Communications Hawai‘i Medical Service Association

BOARD OF DIRECTORS