COMMUNITY HEALTH
IMPROVEMENT PLAN
2020-2022

Pali Momi Medical Center’sCommunity Health Improvement Plan for 2020‐2022
Pali Momi Medical Center (Pali Momi) is pleased to share its Community Health Improvement Plan (CHIPlan), also called an “Implementation Strategy,” which follows the development of the 2019 Hawai‘iCommunity Health Needs Assessment (CHNA). This Community Health Improvement Plan was approvedby the Board of Directors for Pali Momi Medical Center on September 18, 2019.
Pali Momi is part of the Hawai‘i Pacific Health (HPH) system, a not‐for‐profit network of hospitals, clinics,physicians and care providers dedicated to the mission of creating a healthier Hawai‘i.

2019 Community Health Needs Assessment for the People and Islands of Hawai‘i
Nineteen not‐for‐profit hospitals across the state of Hawai‘i, including Pali Momi, jointly conducted aCommunity Health Needs Assessment. This collaboration was led by the Healthcare Association ofHawai‘i. Pali Momi’s 2019 CHNA may be viewed on HPH’s website at:
HawaiiPacificHealth.org/About‐Us/Community
When Hawai‘i residents are asked to describe a healthy life, few think that the absence of illness and theextension of life years are the only aspects of health. Diet, exercise and doctors are essential – thoughinsufficient – to improve health, but they alone are far from capable of providing the sense of meaning,
security, loving relationships, sense of home, happiness, quality time and other aspects of health thatpeople want and deserve.
The participants in the 2019 CHNA wrote a new “community prescription for health” in Hawaiʻi, one
derived from people’s own definitions of health and the factors that contribute to attaining andmaintaining that health. These 12 factors make us healthy when we have them and unhealthy when wedon’t. To be healthy, we all need: security, justice, love, hope, time, food, place, community, healthykeiki, healthy kūpuna, care, and available healthcare. By seeing the full picture, we can begin to envisiona strategy for community health that addresses the important gaps and takes advantage of our greatest
opportunities in order to help our people live healthy, fulfilling lives.

Statewide and Island Community Health Priorities
Evaluating the health of Hawai‘i’s people and communities from the perspectives of these 12 factors,
the 2019 CHNA identified three significant health issues, three corresponding health goals, and 11
priorities that apply statewide. Almost all of these are focused on what one might call “upstreamfactors” or “social determinants” of health.
Three major issues inhibit people’s abilities to achieve a truly healthy life:
1) A lack of foundation for health that includes the basic things that every human being needs;
2) Loss of community, including the aspects of place, values, culture, and practices; and3) A poor relationship to the healthcare system, which is seen as lacking in humanity, empathy,
and availability.
Recommended goals and priorities related to these three major health issues are summarized in thefollowing table.

Pali Momi Medical Center’s Community Health Improvement Plan, September 2019, Page 1

STATEWIDE COMMUNITY HEALTH PRIORITIES

Hawaiʻi

MauiMolokaʻi

LānaʻiOʻahu

Kauaʻi

●

●

●

●

●

●

●

●

From the 2019 Hawai‘i Community Health Needs Assessment
GOAL 1 ‐ FOUNDATIONS: Provide the basic foundations so that people can have more control over their own health
1.1

Address financial insecurity. Create coordinated and systemic
opportunities for communities and families to make good foodand housing realistically accessible, develop workforce skills,
create new economic opportunities, build financial assets, andreestablish active lifestyles.

1.2Work together for equality and justice. Work alongside affected
populations to address inequitable treatment and opportunity.

1.3

Strengthen families. Create the conditions and opportunities forfamilies to be healing forces for its own members, including
addressing financial stress that will enable more healthy time
together.

1.4

Prepare for emergencies. Mitigate future health impacts byengaging people, increasing understanding of the mostvulnerable populations, building food systems, andstrengthening relationships and community cohesion.

1.5

Build good food systems. Establish access to nutritious food sothat it is available to all.

●

●

●

●
●

●

●

●

●
●

●

GOAL 2 ‐ COMMUNITY: Preserve, nurture, expand, and employ the healing properties of community
2.1

Restore environment and sense of place. Better protect
Hawaiʻi’s natural resources, prepare adequately for climatechange, develop good design and integration of the built
environment, and reduce the negative environmental impacts ofthe visitor industry.

2.2

Nurture community identity and cohesiveness. Support
community led efforts through shared activities and events,
active organizing around shared purposes, and instilling
community pride to foster greater trust and connectivity.

2.3

Invest in teenagers and healthy starts. Invest in health andeducation at the earliest stages of life. Support school‐based
structures, community‐based activities, and youth
empowerment for pre‐teens and teens.

2.4

Shift kūpuna care away from “sick care.” Build a new paradigmof aging so that healthy aging is available to more. Combat thegrave threats of boredom, loneliness, purposelessness, inactivity,and other social and emotional hardships of aging.

●

●

●

●

●

●

●

●

●

●

●

●

●

GOAL 3 ‐ HEALTHCARE: Improve the relationship between people and the healthcare system
3.1

Strengthen trust in healthcare. Rebuild and strengthen trust
through listening, empathy, compassion, and treating the wholeperson, while also paying attention to the use of language andcultural nuances.

3.2

Provide accessible, proactive support for those with high needs.
Identify, develop, and strengthen outreach, early intervention,
free healthcare services, mental health, and oral health for those
who are struggling with houselessness, mental illness, andaddiction.

●

●

●

●

●

●

●

●

●

All statewide priorities are significant on all islands. Important island priorities marked with “●”. Highest need areas on island in RED.

Pali Momi Medical Center’s Community Health Improvement Plan, September 2019, Page 2

Pali Momi Medical Center’s Community Health Priorities for 2020‐2022
Pali Momi selected the following four priorities from the 11 identified in the 2019 CHNA to address in its
2020‐2022 Community Health Improvement Plan.
Priority 1: Strengthen families.
People of Hawaiʻi value their families, but ﬁnancial pressures and stress take their toll. We need tocreate the conditions and opportunities for families to be healing forces for their own members —preventing domestic violence and trauma before it happens, eating healthy together, spending
adequate time with one another, being the primary role models for keiki and primary caregivers ofthose in need.
Priority 2: Build good food systems.
Hawaiʻi has the ingredients to ensure that nutri ous food is available and consumed by all. Farming,subsistence expertise, grocery stores, farmers markets, cultural practices, culinary arts, prices, time,
food waste — all of these factors must be thoughtfully organized to disrupt unhealthy aspects of ourfood consumption and establish access to good food, particularly for those whose health will benefit themost.
Priority 3: Invest in teenagers and healthy starts.
With almost all of the adults tied up with work, too many of Hawaiʻi’s children are ill‐equipped to leadhealthy lives. Investment in health and education at the earliest stages of life needs to expand. But inaddition, there is a large void of support for pre‐teens and teens who are not getting enough physicalactivity, sleep, healthy food, positive relationships with adults, and positive social engagement with one
another. Many spend more waking hours at school or with their peers than they do with their parents.
Therefore, school‐based structures, community‐based activities, and youth empowerment are threecritical targets for investment of time and resources.
Priority 4: Provide accessible, proactive support for those with high needs.
People with great needs, including those who are struggling with houselessness, mental illness, andaddiction, as well as those who are physically distant from healthcare, require more proactive services,
including outreach, early intervention, free healthcare services, mental healthcare, oral healthcare, andother preventative services.
Pali Momi Medical Center used the following criteria to select its priorities: alignment with Pali Momi’sresources and expertise, opportunity to leverage planned and existing HPH community partnerships andinitiatives, alignment with HPH systemwide community partnership priorities, and potential to make ameasurable impact in collaboration with partners. The other significant health issues identified in theCHNA, as listed in the above table, will not be specifically addressed in this Community Health
Improvement Plan because they did not meet these criteria.

Pali Momi Medical Center’s Community Health Improvement Plan, September 2019, Page 3

Pali Momi Medical Center’s Community Health Improvement Plan for 2020 ‐ 2022
Community Health
Improvement Strategies

Pali MomiResources

Planned Activities

Planned Partners

Address obesity among
vulnerable children andyouth

Deliver Healthy Weight andYour Child, a family‐basedlife‐style change program forhigh BMI youth atcommunity locations acrossO‘ahu

YMCA of Honolulu
Wahiawa Center forCommunity HealthCastle Medical Center
Kapi‘olani Medical Center
Straub Medical Center

Operational funding
Communications tophysicians
Referral support

Increase access to clinicalservices and improvehealth literacy for under‐served families andindividuals

Provide health and wellness
programming at Kahauiki
Village, a supportive rental
housing community forformerly homeless families

Kahauiki Village
Institute for HumanServices
Kapi‘olani Medical Center
Straub Medical Center

Expertise
Staff time
Supplies
Clinical services
Volunteers

Increase age‐appropriate
services that support
healthy development andresilience among
vulnerable children andyouth
Support affordable
financial services andother economic
empowerment programs
for low‐income working
families

Support RYSE, a youth‐
specific shelter on O‘ahu
providing assistance to help
homeless youth achieve
housing and self‐sufficiency

RYSE: Residential Youth
Empowerment andServices

Financial donation
Expertise

Support development ofFinancial Opportunity
Centers on O‘ahu and Kaua‘i

Hawaiian Community
AssetsKamehameha Schools
Kapi‘olani Medical Center
Straub Medical Center
Wilcox Medical Center

Financial donation

Increase access to healthy
foods for food insecurefamilies

Support the statewide
Double Up Bucks SNAP
Incentives program

Hawai‘i Good Food Alliance
Hawai‘i Food Basket
Hawai‘i Public HealthInstituteFinancial and in‐kind
donations

Partner with Aloha Harvest
to reclaim excess hospitalcafeteria food

Aloha Harvest

Support the Farm toPreschool program at O‘ahupreschools that serve low‐income families

Bennett Foundation
Seagull Schools
Farm to School HuiPali Momi Medical Center’s Community Health Improvement Plan, September 2019, Page 4