The Hawaii Health Care Forums grew out of the 2013 Hawaii Hospitals Community Health Needs Assessment. This statewide initiative was triggered by a new hospital community benefit requirement under the Affordable Care Act.
These gatherings represent the start of community conversations and collaborations, and they are part of the process that will inform the Hawaii State Department of Health’s State Health Improvement Plan.
Starting this year, non-profit hospitals are required by the IRS to conduct a CHNA every three years, select priority community health needs identified in the assessment, and develop plans to address them through community benefit programs. The Healthcare Association of Hawaii (HAH) led a collaborative effort between 26 local hospitals that included the analysis of community health and hospital data, key informant interviews on all islands, and findings detailed in five reports by state and county. This occurred between October 2012 and March 2013. The State Department of Health (DOH) worked closely with HAH, lent expertise, and contributed information to the final reports. In July 2013, the DOH and HAH held a joint press conference to release CHNA findings.
This new requirement provides a great opportunity for local organizations to improve population health through collaboration, sharing expertise, ideas, and plans, and leveraging resources. Stakeholders include those beyond the traditional healthcare or public health arena because community health affects us all.
The Federal Reserve Bank of San Francisco (FRBSF) is the third sponsor of these Forums, and it makes the connection between community health and healthy communities. Our colleagues at the FRBSF bring knowledge of financial institutions and their Community Reinvestment Act initiatives in housing and workforce development, built environments, and community development.
In June 2013, the FRBSF and HAH co-sponsored a first community meeting to introduce CHNA findings and hospital priorities to a broad gathering of stakeholders. Participants included state agencies, financial institutions, foundations, hospitals, universities, health plans, healthcare providers, Native Hawaiian groups, and nonprofit health organizations. This gathering provided individuals with the opportunity to network and brainstorm about different community health indicators, including behavioral health, heart disease & stroke, chronic disease, physical activity and nutrition, education, transportation, and more. An identified next step was to convene meetings in local communities to continue this process.
In September and October, the DOH, FRBSF and HAH co-hosted a series of seven meetings on three islands that centered on local hospitals’ top community health priorities and brought together varied stakeholders to brainstorm solutions and commit resources and actions.
The regional gatherings addressed the following indicators:
New participants included representatives from federal agencies (HUD, USDA, HHS), schools (DOE, universities, and community colleges), Federally Qualified Health Centers, Mayors’ Offices, and community-based organizations (rural health associations, Chambers of Commerce, food/agriculture agencies, etc.).
On November 20, 2013, HAH the DOH and FRBSF held a statewide summit to present a recap of the community gatherings and their outcomes, provide the space for new partners to learn about this locally-driven statewide effort, and officially launch the State Health Improvement Plan.
Community Development & The Affordable Care Act:
A presentation by the Federal Reserve Bank of San Francisco
Download PDF slides
Summary of Community Gatherings and Hospital Priorities:
A presentation by the Healthcare Association of Hawaii
Download PDF Slides