Waianae District Comprehensive Health And Hospital Board Inc

THE HEALTH CENTER PROVIDES ACCESSIBLE AND AFFORDABLE MEDICAL AND HEALING SERVICES.

MEDICAL CARE: PRIMARY CARE MEDICAL SERVICES (PEDIATRICS, WOMEN'S, ADULT MEDICINE AND INTERNAL MEDICINE) ARE PROVIDED THROUGH A MAIN CLINIC SITE AND FOUR SATELLITE CLINICS SERVING THE LEEWARD AREA ON THE ISLAND OF OAHU. FOR ADDITIONAL INFORMATION SEE SCHEDULE O.

EMERGENCY MEDICAL SERVICES: TWENTY-FOUR HOUR EMERGENCY MEDICAL SERVICES ARE PROVIDED TO THE COMMUNITY THROUGH THE HEALTH CENTER'S MAIN CLINIC SITE ON THE WAIANAE COAST. FOR ADDITIONAL INFORMATION SEE SCHEDULE O.

PHARMACY: THE HEALTH CENTER OPERATES FOUR 340B PHARMACIES ON SITE WHICH REDUCES THE BARRIERS FOR PATIENTS WITHOUT DRUG COVERAGE BENEFITS OR HAVING TO MAKE AN ADDITIONAL STOP AT AN OFF-SITE PHARMACY TO PICK UP A PRESCRIPTION. THE PHARMACIES ARE LOCATED AT THE MAIN HEALTH CENTER IN WAIANAE, THE KAPOLEI HEALTH CARE CENTER IN KAPOLEI, THE JAMES AND ABIGAIL CAMPBELL CLINIC IN NANAKULI AND IN THE TAMURA SUPER MARKET IN WAIANAE.

THE WAIANAE COAST COMPREHENSIVE HEALTH CENTER SERVES THE MEDICALLY UNDERSERVED AND ECONOMICALLY DISADVANTAGED COMMUNITY OF WAIANAE AND SURROUNDING COMMUNITIES IN THE WEST OAHU AREA ON THE ISLAND OF OAHU IN THE STATE OF HAWAII. SERVING THE COMMUNITY SINCE 1972, THE HEALTH CENTER CELEBRATED ITS 50TH ANNIVERSARY IN THE FALL OF 2022. FROM ITS START AS A ONE DOCTOR OFFICE, THE HEALTH CENTER IS THE SECOND LARGEST, AND OLDEST, OF THE FOURTEEN COMMUNITY HEALTH CENTERS IN THE STATE OF HAWAII. THE STRENGTH OF THE HEALTH CENTER LIES IN THE STRONG FOUNDATION SET BY ITS FOUNDERS, THE VISION AND EXPERTISE OF ITS BOARD OF DIRECTORS, THE SENSE OF OWNERSHIP BY ITS STAFF, PATIENTS AND COMMUNITY, THE YEARS OF SERVICE AND COMMITMENT OF ITS MANAGEMENT TEAM, AND THE RELATIONSHIPS FORGED AT THE COMMUNITY, STATE AND NATIONAL LEVEL. THROUGHOUT THE COVID PANDEMIC, THE HEALTH CENTER'S PRIMARY SERVICE AREA OF THE WAIANAE COAST EXPERIENCED THE HIGHEST COVID+ RATES AND THE LOWEST COVID IMMUNIZATION RATES IN THE STATE. COMMUNITY RELUCTANCE TO ACCEPT VACCINATIONS CONTINUES TO BE A SIGNIFICANT HURDLE THAT REQUIRES A MULTI-PRONG APPROACH OF OUTREACH, MULTI-MEDIA, AND USING CULTURAL LEADERS TO INTERVENE AND EDUCATE THE COMMUNITY.THE HEALTH CENTER HAS CONTINUED MANY OF THE SERVICES ESTABLISHED EARLY IN 2020 TO ADDRESS COVID INCLUDING CURBSIDE PHARMACY PICKUP AND DELIVERIES, DISTRIBUTING PREPARED AND PACKAGED FOODS TO RESIDENTS OF THE WAIANAE COAST, PROVIDING OUTREACH TO HIGH RISK PATIENTS, THE ELDERLY AND HOMELESS, ELEVATING USE OF SOCIAL MEDIA, TV AND PRINT FOR ADVERTISING, INFORMATION AND EDUCATION, REPURPOSING STAFF TO ADDRESS COVID RELATED NEEDS, ETC. TELEHEALTH IMPLEMENTATION WAS A MAJOR TRANSFORMATION FOR THE HEALTH CENTER IN 2020 TO ADDRESS PATIENT CARE DURING A PANDEMIC. PATIENTS HAVE RETURNED FOR FACE-TO-FACE VISITS BUT TELEHEALTH REMAINS AN OPTION FOR MANY PATIENTS. FOR PRIMARY CARE, THE HEALTH CENTER AVERAGES 71% IN-PERSON, 22% TELEVIDEO, AND 7% VISITS BY TELEPHONE. BEHAVIORAL HEALTH VISITS CONTINUE TO AVERAGE THE MAJORITY OF VISITS AS TELEHEALTH WITH 56% BY TELEVIDEO AND 23% BY TELEPHONE. THE POST-PANDEMIC HEALTHCARE DELIVERY PARADIGM HAS MOVED THE HEALTH CENTER TO CONTINUE TO REVAMP/RE-EVALUATE ITS OPERATIONS TO ASCERTAIN THE RIGHT MIX OF TELEHEALTH VS FACE-TO-FACE VISITS TO ACCOMMODATE THIS NEW REALITY. REALIZING THAT A NEW SKILL SET IS NECESSARY TO MOVE INTO THE FUTURE, WE ARE HIRING AND TRAINING STAFF IN A NEW WAY. CLINICAL ASSISTANTS, WHO COME FROM THE COMMUNITY, ARE BEING TRAINED TO PERFORM A SERIES OF BACKGROUND OPERATIONS THAT ALLOW PROVIDERS TO BE KEPT UP TO DATE ON PATIENT NEEDS AND GAPS IN FULFILLING QUALITY MEASURES. AMBULATORY CARE REGISTERED NURSES ARE ALSO BEING HIRED AND TRAINED TO ASSIST PROVIDERS IN TASKS THAT REQUIRE A HIGHER DEGREE OF MEDICAL KNOWLEDGE SUCH AS PRESCRIPTION REFILLS, PATIENT CALL-BACKS FOR NORMAL STUDIES AND FILLING OUT FORMS NECESSARY FOR PATIENT CARE. WITH THESE TASKS FULFILLED, OUR MEDICAL ASSISTANTS ARE FREE TO ENGAGE PATIENTS ON A PERSONAL LEVEL CHECKING THEM IN FOR VISITS BOTH IN CLINIC AND VIRTUALLY, AND PERFORM VACCINATIONS, TESTING, ETC. IN THIS WAY, PROVIDERS WILL BE BETTER INFORMED AND MORE ABLE TO SEE THE INCREASING NUMBER OF PATIENTS WHO NEED ASSISTANCE AS WE EXIT FROM THE PANDEMIC.IN 2022, THE HEALTH CENTER SERVED 34,800 PATIENTS, WHICH IS STILL SLIGHTLY BELOW OUR PRE-COVID ANNUAL PATIENT LEVEL. THE MAJORITY OF PATIENTS SERVED ARE NATIVE HAWAIIAN (49%), FOLLOWED BY ASIAN & OTHER PACIFIC ISLANDERS (26%), AND CAUCASIANS (10%). DATA SHOWS 71% OF PATIENTS ARE AT 100% OF THE FEDERAL POVERTY LEVEL OR BELOW (2% MORE THAN 2021), 4% ARE UNINSURED, AND 60% ARE RECEIVING COVERAGE UNDER QUEST, THE STATE OF HAWAII'S MEDICAID PROGRAM. THE WAIANAE COAST IS AN ECONOMICALLY DISTRESSED COMMUNITY WITH A POPULATION OF 50,000. TWENTY-THREE PERCENT (23%) OF THE POPULATION HAS AN ANNUAL INCOME LESS THAN 100% OF THE FEDERAL POVERTY LEVEL, WHICH IS THE 2ND HIGHEST LEVEL IN THE CITY AND COUNTY OF HONOLULU AND 2ND HIGHEST IN THE STATE OF HAWAII. THIRTY-FOUR PERCENT (34%) OF WAIANAE COAST HOUSEHOLDS ARE RECEIVING SNAP/CASH OR OTHER FORMS OF PUBLIC ASSISTANCE. THIS IS THE 2ND HIGHEST RATE IN THE CITY AND COUNTY OF HONOLULU AND IN THE STATE OF HAWAII. THE AVERAGE PER CAPITA INCOME IS $21,084 MAKING IT THE THIRD LOWEST IN THE CITY AND COUNTY OF HONOLULU AND THE STATE OF HAWAII. ALMOST 12% OF THE POPULATION IS UNEMPLOYED, THE SECOND HIGHEST IN THE CITY AND COUNTY OF HONOLULU AND FOURTH HIGHEST IN THE STATE. THE HEALTH STATISTICS OF THE WAIANAE COAST PARALLELS THE ECONOMIC SITUATION IN THE COMMUNITY. THE INFANT MORTALITY RATE (9.6 PER 1,000) IN WAIANAE IS 2ND HIGHEST IN THE CITY AND COUNTY OF HONOLULU AND IN THE STATE. BIRTHS TO MOTHERS UNDER AGE 18 (2.7 PER 1,000) IS THE SECOND HIGHEST IN THE CITY AND COUNTY OF HONOLULU AND IN THE STATE. MORBIDITY AND MORTALITY INDICATORS SHOW THAT THE WAIANAE COAST RANKS HIGHEST IN THE CITY AND COUNTY OF HONOLULU AND IN THE STATE FOR OBESITY (46.8%); ADULTS WHO SMOKE (22%); ADULTS WITH DIABETES (15%); AND CANCER (187.9 PER 100,000). THE HEALTH CENTER ACHIEVES ITS MISSION BY NOT ONLY SERVING PATIENTS WHO SEEK SERVICES, BUT ALSO BY INCORPORATING THE GOAL OF IMPROVING THE OVERALL HEALTH STATUS OF THE COMMUNITY IT SERVES. THE VISION OF THE FOUNDERS TO OFFER COMPREHENSIVE HEALTH SERVICES HAS GUIDED THE DEVELOPMENT OF SERVICES AND ACTIVITIES OF OUR PATIENT CENTERED HEALTH CARE HOME, WHICH INCLUDES:PRIMARY CARE CLINICS (ADULT MEDICINE, PEDIATRIC HEALTH, WOMEN'S HEALTH), DENTAL, 24-HOUR EMERGENCY MEDICAL SERVICES, 24-HOUR LABORATORY, 24-HOUR IMAGING, SCHOOL-BASED CENTERS, WALK-IN CLINICS, BEHAVIORAL HEALTH, SUBSTANCE USE DISORDER TREATMENT, PHARMACY, MAMMOGRAPHY, VISION CARESPECIALISTS: CARDIOLOGY, DERMATOLOGY, ENDOCRINOLOGY, GASTROENTEROLOGY, GENERAL SURGERY, NEPHROLOGY, OBSTETRICS/GYNECOLOGY, ORTHOPEDICS, OPHTHALMOLOGY, PAIN MANAGEMENT, PODIATRY, PSYCHIATRY, WOUND CARE COMMUNITY HEALTH SERVICES, CASE MANAGEMENT/CARE COORDINATION, CHRONIC DISEASE MANAGEMENT, HOMELESS OUTREACH, FAMILY PLANNING, PERINATAL CASE MANAGEMENT, HEALTH EMERGENCY LIAISON, HEALTH PROMOTION PROGRAMS, INTEGRATIVE WEIGHT MANAGEMENT, MAKEKE FARMERS & GREEN MARKETS, HEALTH EDUCATION, COMMUNITY WELLNESS, NUTRITION COUNSELING, NATIVE HAWAIIAN TRADITIONAL HEALING, CULTURAL EDUCATION, INSTITUTIONAL REVIEW BOARD FOR RESEARCH, PATIENT ASSISTANT SERVICES, PATIENT FINANCIAL SERVICES, WALKING TRAILS, HEALTHY DINING RESTAURANT, TRANSPORTATION, HEALTH CAREER/PROFESSIONAL TRAINING, WOMEN, INFANT, CHILDREN PROGRAM (WIC), LGBTQ+ HEALTH, AND OSTEOPATHIC MANIPULATIVE TREATMENT THE HEALTH CENTER IS A MAJOR ECONOMIC PROVIDER IN THE COMMUNITY, EMPLOYING OVER 700 INDIVIDUALS, THE MAJORITY OF WHOM RESIDE ON THE WAIANAE COAST.THE HEALTH CENTER IS GOVERNED AND GUIDED BY A BOARD OF DIRECTORS THAT INCLUDES UP TO 10 MEMBERS ELECTED FROM THE SERVICE AREA WHO ARE PATIENTS OF THE HEALTH CENTER, AND UP TO 10 MEMBERS APPOINTED FOR EXPERTISE IN BUSINESS, MEDICINE, LAW, OR COMMUNITY AFFAIRS. THE HEALTH CENTER HAS MAINTAINED A POSITIVE FINANCIAL POSITION BY CONTINUOUSLY INCREASING PRODUCTIVITY, DEVELOPING REVENUE GENERATING SERVICES, INITIATING TECHNOLOGICAL INNOVATIONS AND PROMOTING COMMUNITY INVOLVEMENT. SEE PART III, LINE 4D CONTINUATION BELOW.