Hawaii Primary Care Association

Programs: Training and technical assistance - the objective of the training and technical assistance (tta) component of the hawaii primary care association (hpca) is to provide consistent, timely, and relevant support to the community health centers (chc) in their ongoing efforts to attain excellence in all aspects of their healthcare delivery system. In order to provide relevant tta support, the hpca conducts yearly tta assessments with all chcs. The most recent assessment was completed in january 2017. The assessment findings are used to revise the hpca's tta work-plan to assure that tta services provided are aligned with chcs needs. Tta accomplishments are measured and tracked through hpca's receipt of the hawaii performance profile report from the bureau of primary health care on an annual basis. This report contains chc performance metrics that allows hpca to monitor/track progress toward its goals. According to the 2016 hawaii performance profile report, the hpca had achieved 92. 9% on its clinical performance improvement goals which require chcs to meet or exceed performance on one or more health people (hp) 2020 performance measurement goal(s). At the time of this report, hpca achieved 64% (9 of 14 chcs) of its chcs being recognized by ncqa compared to 0% in 2012. Lastly, hpca has worked to provide tta to impact financial sustainability and have maintained 28. 6% of chcs with an annual cost percentage increase per patient that is less than the national average.

communications and advocacy- the objective of the communications and advocacy component of the hawaii primary care association (hpca) is demonstrating the value of hawaii's community health centers (chc) and the hpca in improving health equity for hawaii's vulnerable populations and bringing to light the impact of social factors on individual and community health. A major strategy employed by the hpca to this end is fostering strong partnerships with stakeholders outside of membership. The hpca has already realized significant accomplishments in partnership development. For example, the hpca has a strong relationship with the hawaii department of health (doh) on a number of collaborations related to diabetes, hypertension, cardiovascular disease, asthma, oral health, child behavioral health and obesity. In addition, the hpca continues to expand its partnership with the university of hawaii (john a. Burns school of medicine, office of public health studies, center on aging), and the hawaii public health institute. In addition, the hpca has strong relationships with the private sector as well. For example, the hpca is continuing its partnership with the kaiser permanente community benefit program and alohacare on a number of initiatives.

health it - the objectives of the hawaii primary association's (hpca) work in health information technology (via the hawaii health center controlled network - hihccn) with community health centers (chc) include three areas: (1) adopt/implement meaningful use (mu) certified electronic health record (ehr), (2) attaining mu, and (3) clinical quality improvement. The hpca has accomplished the following in the three areas. 100% (9 out of 9 chcs) have successfully adopted and implemented mu certified ehr within their clinic sites. Regarding mu, 68% (85 out of 124) of eligible providers attested in 2016 and received federal payment. Regarding quality improvement, 89% of hihccn chcs met or exceeded at least one healthy people 2020 goal, 67% of hihccn chcs attained ncqa pcmh recognition, and 78% of hihccn chcs are currently contributing clinical quality data to the hpca data warehouse.

special projects - nti upstream - this project was completed in january 2017. The objective of the project was to develop screening, brief intervention, and referral to treatment (sbirt) programs for pregnant women in maui county. The specific aim of the project was to provide training and technical assistance to health care providers in private/public practices, public health nurses and federally qualified community health centers (chcs) across maui county that would impact practice in three arenas: prevention, identification, and intervention related to use of alcohol, tobacco, or drugs during pregnancy. The following project goals and objectives were either met or surpassed: (1) 75% of prenatal care providers and clinical personnel in the targeted sites will participate in the training and technical assistance activities of this project, (2) 75% of participants will demonstrate a significant increase in knowledge regarding alcohol, tobacco and illicit drug use in pregnancy and its impact on the child, (3) 90% of women enrolled in prenatal care will be screened for substance use, (4) 90% of pregnant women who have a positive screen for substance use will receive a brief intervention in the prenatal care setting. Hawaii dental service dental interface project - the objective of the hawaii dental service (hds) dental interface project is to integrate patient dental information with clinical (medical) information. Using existing health information technology (hit) platforms already in use at the federally qualified health centers (fqhc) and hawaii primary care association (hpca), the project will build and implement interfaces between the platforms to allow dental data to merge with clinical data in order to provide clinicians with a more complete picture of the patient's health at the point-of-care, which increases the likelihood of improving individual health outcomes and population health, including oral health. Two hawaii fqhcs, malama i ke ola on the island of maui, and kokua kalihi valley comprehensive family services (kkv) on the island of oahu, are participating in this project. As of 3/31/17, malama i ke ola completed step 1 of their plan, which was to relocate the i2i tracks data base from the malama i ke ola health center on maui to the alliance of chicago (chicago), so that it is located besides the ehr.