Sutter Health
Kahi Mohala
2013 – 2015 Implementation Strategy
Responding to the 2013 Community Health Needs Assessment
91-2301 Old Fort Weaver Road; Ewa Beach, HI 96706
Table of Contents
Introduction ........................................................................................................................ 3
About Sutter Health ........................................................................................................... 3
2013 Community Health Needs Assessment Summary .................................................. 4
Definition of Community Served by the Hospital ....................................................... 4
Significant Health Needs Identified ........................................................................... 4
2013 – 2015 Implementation Strategy ............................................................................... 5
Mental Health & Mental Disorders/Substance Abuse & Lifestyle............................... 6
Needs Kahi Mohala Plans Not to Address ................................................................ 7
Approval by Governing Board .......................................................................................... 8
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[Kahi Mohala Implementation Strategy 2013 - 2015
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) published by the
hospital on October 25, 2013. The document describes how the hospital plans to address identified
needs in calendar (tax) years 2013 through 2015.
The 2013 CHNA and this implementation strategy were 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 of hospitals, 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-forprofit 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 www.kahimohala.org
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Kahi Mohala Implementation Strategy 2013 - 2015
2013 Community Health Needs Assessment Summary
The full 2013 Community Health Needs Assessment report conducted by Kahi Mohala is available at
http://www.kahimohala.org/about/2013CHNA-Kahi-Mohala.pdf
Definition of Community
Served by the Hospital
The state of Hawaii
Significant 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
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Kahi Mohala Implementation Strategy 2013 - 2015
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.
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Kahi Mohala Implementation Strategy 2013 - 2015
Mental Health & Mental Disorders/Substance Abuse & Lifestyle
Name of Program, Initiative
or Activity
Crisis Response Pilot Project for Emergency Room Patients
Description
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 Kahi Mohala 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 Program
Description
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 from Kahi 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.
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Kahi Mohala Implementation Strategy 2013 - 2015
Needs Kahi Mohala 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:
1. Cancer
2. Diabetes
3. Disabilities
4. Economy
5. Education
6. Environment
7. Family Planning
8. Heart Disease & Stroke
9. Immunizations & Infectious Diseases
10. Injury Prevention & Safety
11. Older Adults & Aging
12. Oral Health
13. Respiratory Diseases
14. Social Environment
15. Transportation
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Kahi Mohala Implementation Strategy 2013 - 2015
Approval by Governing Board
This implementation strategy was approved by the Governing Board of Kahi Mohala on December 13,
2013.
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Kahi Mohala Implementation Strategy 2013 - 2015