After a rigorous six-month planning process made possible by a federal grant from the Center for Medicare and Medicaid Innovation, the state announced on Thursday the release of its healthcare transformation plan.
Under CMMI's State Innovation Model initiative, Beth Giesting, the state’s healthcare transformation coordinator, convened more than 100 stakeholders from across the state to design Hawaii's roadmap to achieve the "Triple Aim" of better care, better health and lower costs.
"Transforming our state’s healthcare system is a high priority of my administration, and under the leadership of Beth Giesting, we’ve made substantial progress since her appointment two years ago," Gov. Neil Abercrombie said. "This healthcare transformation plan outlines clear, tangible steps we can take to improve the quality and cost-effectiveness of health care in Hawaii."
"The resources that accompanied the SIM planning grant came at just the right time to allow us to take our efforts to the next level," added Giesting. "We firmly believe that the priorities outlined in our plan will improve the quality of care and outcomes for all residents, while addressing the long-term fiscal sustainability of our healthcare system. In addition, it will bring greater equity by reducing geographic and cultural barriers to care."
As part of its roadmap for transformation, the state's plan identifies the following six essential catalysts for transformation:
1. Primary Care Practice Redesign: Enrolling at least 80 percent of Hawaii residents in a patient-centered medical home by 2017 and exploring strategies to integrate behavioral health services into the primary care setting
2. Care Coordination: Implementing programs to help high-risk/high-need individuals receive the services they need in part by establishing Medicaid Health Homes and Community Care Networks
3. Payment Reform: Transitioning all payers to value-based purchasing by aligning reimbursement strategies
4. Health Information Technology: Improving connectivity and capability across the healthcare ecosystem by accelerating adoption of electronic health records and increasing utilization of health information exchange
5. Workforce Development: Expanding capacity for team-based care, addressing workforce shortages and improving cultural competency of providers
6. Policy Strategies and Levers: Aligning state resources to drive policy changes, including the creation of a permanent transformation structure within state government
The plan is now available in its entirety for review at www.hawaiihealthcareproject.org.
In addition to Hawaii, 15 other states were announced as awardees of the SIM planning grant. Each state had six months to design and submit its own healthcare transformation plan, which will now be eligible for anticipated implementation awards later this year. CMMI expects to issue up to five such awards to the states to implement their plans, with each award valued between $20 and $60 million.