Sutter Health
KahiMohala
2013 – 2015 Implementation Strategy
Responding to the 2013 Community Health Needs Assessment
91-2301 Old Fort Weaver Road; Ewa Beach, HI 96706
1KahiMohala Implementation Strategy 2013 - 2015
Table of Contents
Introduction
About Sutter Health
2013 Community Health Needs Assessment Summary
Definition of Community Served by the Hospital
Significant Health Needs Identified
2013 – 2015 Implementation Strategy
Mental Health & Mental Disorders/Substance Abuse & Lifestyle
Needs Kahi Mohala Plans Not to Address
Approval by Governing Board
Introduction
This implementation strategy describes how Kahi Mohala, a Sutter Health affiliate, plans to address significant needs identified in the Community Health Needs Assessment(CHNA) publishedby the hospitalonOctober 25, 2013. The documentdescribeshow the hospital plans to address identified needs in calendar (tax) years 2013 through 2015.
The 2013CHNA and this implementation strategywere undertaken by the hospital to understand and address community health needs, and in accordance with proposed Internal Revenue Service (IRS) regulations pursuant to the Patient Protection and Affordable Care Act of 2010.
This implementation strategy addresses the significant community health needs described in the CHNA that the hospital plans to address in whole or in part. The hospital reserves the right to amend this implementation strategy as circumstances warrant. For example, certain needs may become more pronounced and merit enhancements to the described strategic initiatives. Alternately, other organizations in the community may decide to address certain community health needs, and the hospital may amend its strategies and refocus on other identified significant health needs. Beyond the initiatives and programs described herein, the hospital is addressing some of these needs simply by providing health care to the community, regardless of ability to pay.
About Sutter Health
Kahi Mohala is affiliated with Sutter Health, a not-for-profit network ofhospitals, physicians, employees and volunteers.
The hospital’s mission is ‘dedicated to caring for people in need by providing innovative, quality, and effective behavioral health services’
At Sutter Health, we believe there should be no barriers to receiving top-quality medical care. We strive to provide access to excellent health care services, regardless of ability to pay. As part of our not-for-profit mission, Sutter Health invests millions of dollars back into the communities we serve – and beyond. Through these investments and community partnerships, we’re providing and preserving vital programs and services, thereby improving the health and well-being of the communities we serve.
In 2012, our network of physician organizations, hospitals and other health care providers invested $795 million (compared to $756 million in 2011) in health care services for low-income people, community health improvement services, and other community benefits.
For more facts and information about Kahi Mohala, please visit
2013 Community Health Needs Assessment Summary
The full 2013 Community Health Needs Assessmentreport conducted by Kahi Mohalais available at
Definition of Community Served by the Hospital / The state of HawaiiSignificant Health Needs Identified / The following significant health needs were identified by the 2013 CHNA.
Significant Community Health Need / Intends to Address
Cancer / No
Diabetes / No
Disabilities / No
Economy / No
Education / No
Environment / No
Exercise, Nutrition, & Weight / No
Family Planning / No
Heart Disease & Stroke / No
Immunization & Infectious Diseases / No
Injury Prevention & Safety / No
Mental Health & Mental Disorders/Substance Abuse & Lifestyle / Yes
Older Adults & Aging / No
Oral Health / No
Respiratory Disease / No
Social Environment / No
Transportation / No
2013 – 2015 Implementation Strategy
This implementation strategy describes how Kahi Mohala plans to address significant health needs identified in its 2013 Community Health Needs Assessment and consistent with its charitable mission. The strategy describes:
- Actions the hospital intends to take, including programs and resources it plans to commit;
- Anticipated impacts of these actions and a plan to evaluate impact; and
- Any planned collaboration between the hospital and other organizations.
Mental Health & Mental Disorders/Substance Abuse & Lifestyle
Name of Program, Initiative or Activity / Crisis Response Pilot Project for Emergency Room PatientsDescription
/ The pilot project will provide an experienced behavioral health professional to Leeward and Central Oahu hospitals and emergency rooms, such as Wahiawa General Hospital, Pali Momi Medical Center and others, to assess, evaluate and de-escalate psychiatric patients in crisis. The behavioral health evaluator will be a ‘community connector’ to recommend community resources and placement.The behavioral health professional will also provide training to emergency room staff in de-escalation techniques and management of behavioral health patients. Training topics may include how to recognize signs, symptoms, and engage in practical techniques for patients exhibiting behavioral health issues (such as substance abuse, suicidal ideation, and trauma). The trainings will be offered at the most convenient location for emergency room staff, either at their hospital or on the KahiMohala campus.
Anticipated Impact and Plan to Evaluate
/ The pilot program is expected to reduce average length of time that a patient who is presenting a primary psychiatric condition is in the emergency room; accelerate the response time for an emergency room patient to be evaluated by a psychiatric professional; deliver 40 hours of capacity building training; produce positive outcomes for 500 behavioral health patients in crisis over the course of a 12 month period.Name of Program, Initiative or Activity
/ Community Health Center Care Coordination ProgramDescription
/ Establish a single point of contact between a Kahi Mohala case manager and Waianae Coast Comprehensive Health Center (WCCHC) aftercare coordinator to improve communication with the patient’s primary care physician, to more effectively schedule aftercare appointments, and to ensure a seamless discharge fromKahi Mohala.Anticipated Impact and Plan to Evaluate
/ We anticipate that the program will result better coordination of care between our hospital and the WCCHC primary care provider. We will monitor the impact by jointly tracking the percentage of patients who receive a medication management consultation within 30 days of discharge from Kahi Mohala and tracking the 30-day readmission rate for Leeward Medicaid patients.Needs KahiMohala Plans Not to Address
No hospital can address all of the health needs present in its community. Kahi Mohala is committed to serving the community by adhering to its mission, using its skills and capabilities, and remaining a strong organization so that it can continue to provide a wide range of community benefits. This implementation strategy does not include specific plans to address the following significant health needs that were identified in the 2013 Community Health Needs Assessment:
- Cancer
- Diabetes
- Disabilities
- Economy
- Education
- Environment
- Family Planning
- Heart Disease & Stroke
- Immunizations & Infectious Diseases
- Injury Prevention & Safety
- Older Adults & Aging
- Oral Health
- Respiratory Diseases
- Social Environment
- Transportation
Approval by Governing Board
This implementation strategy was approved by the Governing Board of Kahi Mohala on December 13, 2013.
1KahiMohala Implementation Strategy 2013 - 2015