Waimanalo Health Center

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - THE WAIMANALO HEALTH CENTER (WHC) IS REQUESTING $600,000 TO SIGNIFICANTLY ENHANCE ITS CAPACITY TO ADDRESS THE NEEDS OF THE UNDERSERVED PATIENT POPULATIONS OF WAIMANALO AND THE KO’OLAUPOKO AREA BY EXPANDING BEHAVIORAL HEALTH SERVICES TO THE COMMUNITY. THE COMMUNITY OF WAIMANALO IS LOCATED ON THE EAST SIDE OF THE ISLAND OF OAHU AND IS NOT ONLY DEFINED BY ITS GEOGRAPHICAL FEATURES BUT ALSO BY THE CHALLENGES AND OPPORTUNITIES THAT ARISE FROM ITS UNIQUE POPULATION. ALTHOUGH WHC SERVES PATIENTS REPRESENTING ALL AREAS OF THE ISLAND, COMMUNITY-BASED EFFORTS FOCUS ON THE LARGE NATIVE HAWAIIAN POPULATION OF WAIMANALO. THIS AREA INCLUDES 7,249 WAIMANALO RESIDENTS WHO ARE NATIVE HAWAIIAN OR PART-HAWAIIAN, APPROXIMATELY 66% OF THE POPULATION OF WAIMANALO. WAIMANALO REPRESENTS ONE OF THE MOST CONCENTRATED AREAS OF HAWAIIANS IN THE STATE. FUNDING WILL SUPPORT THE HIRING OF AN ADDITIONAL BEHAVIORAL HEALTH (BH) PROVIDER, WHO WILL ASSIST WHC’S MOBILE MEDICINE TEAM IN SERVING THOSE WHO ARE HOUSELESS AT SHELTERS, PARKS, CAMPS TO DELIVER BEHAVIORAL HEALTH SERVICES ON-SITE. THE BH PROVIDER WILL ALSO EXPAND BEHAVIORAL HEALTH SERVICES BY ADDING EVENING HOURS ON FOUR WEEKDAYS. WHC’S CURRENT PSYCHIATRY SERVICES ARE AT FULL CAPACITY, AS PATIENTS ARE NEEDING TO WAIT A MONTH OR LONGER FOR A NEW PATIENT APPOINTMENT. WHC PLANS TO HIRE AN ADDITIONAL PSYCHIATRIST FOR 8 HOURS A WEEK TO REDUCE WAIT TIMES AND INCREASE ACCESS, AS THERE ARE LIMITED PSYCHIATRISTS ACCEPTING MEDICARE AND MEDICAID INSURANCE PLANS. THE PSYCHIATRIST WILL ALSO FUNCTION AS A CONSULTANT TO THE INTEGRATED PRIMARY CARE TEAM, THEREBY IMPROVING THE SKILLS IN PRESCRIBING PSYCHIATRIC MEDICATIONS FOR PRIMARY CARE PROVIDERS. FUNDING WILL ALSO SUPPORT THE HIRING OF A BEHAVIORAL HEALTH ADMINISTRATIVE ASSISTANT, WHO WILL ASSIST WITH SCHEDULING BEHAVIORAL HEALTH APPOINTMENTS, COORDINATING WITH PRIMARY CARE TEAM MEMBERS, COLLABORATING WITH INTENSIVE DRUG TREATMENT PROVIDERS AND PSYCHIATRIC HOSPITALS, AND ASSISTING WITH R EFERRALS. WHC WILL ALSO HIRE ANOTHER PRIMARY CARE PROVIDER WHO IS ABLE TO PROVIDE FDA APPROVED MEDICATIONS FOR THE TREATMENT OF ADDICTION, SUCH AS BUPRENORPHINE, NALOXONE AND NALTREXONE. THE ADDITIONAL PRIMARY CARE PROVIDER WILL HELP WITH INCREASING ACCESS TO PRIMARY CARE SERVICES AND BEHAVIORAL HEALTH SERVICES. DURING PRIMARY CARE SERVICES, WHC ROUTINELY SCREENS FOR MENTAL HEALTH AND SUBSTANCE USE DISORDERS AND THERE IS AN AUTOMATIC WARM HAND-OFF TO BEHAVIORAL HEALTH SERVICES FOR POSITIVE SCREENS. WHC WILL ALSO HIRE A CARE MANAGER, WHO WILL ASSIST PATIENTS WITH MENTAL HEALTH AND SUBSTANCE USE DISORDERS BY REDUCING BARRIERS TO CARE. THIS WILL INCLUDE HELPING WITH UNSTABLE HOUSING, FINANCIAL STRAIN, LIMITED ACCESS TO TRANSPORTATION, AND COORDINATING WITH WHC STAFF AND COMMUNITY PROVIDERS TO DEVELOP AN INTEGRATED AND COMPREHENSIVE PLAN OF CARE FOR OUR MOST COMPLEX PATIENTS.

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

HEALTH CENTER INFRASTRUCTURE SUPPORT

WAIMNALO HEALTH CENTER SEEKS TO PERPETUATE THE PLANTING AND GROWTH OF NATIVE PLANTS WITH THE WAIMNALO COMMUNITY TO ADDRESS THE IMPACT OF CLIMATE CHANGE ON HEALTH AND WELLNESS. THIS PROJECT WILL FOCUS ON THE KAPAPAHULIAU PROGRAM PRIORITY AREA OF CREATING OPPORTUNITIES FOR INNOVATION, TRANSFORMATION, AND SYSTEMIC CHANGE (TRANSFORMATIONAL). ALIGNED WITH THE TITLE OF THIS PROPOSAL, A HEALER IN EVERY HOME, A GARDEN IN EVERY HOME. THE COMMUNITY OF WAIMNALO IS LOCATED ON THE EAST SIDE OF THE ISLAND OF OAHU IS NOT ONLY DEFINED BY ITS GEOGRAPHICAL FEATURES BUT ALSO BY THE CHALLENGES AND OPPORTUNITIES THAT ARISE FROM ITS UNIQUE LANDSCAPE. THE FEATURES OF THE REGION CONTRIBUTE TO ITS CULTURAL AND COMMUNITY IDENTITY, WHICH WAIMNALO HEALTH CENTER AIMS TO ASSIST IN PRESERVING AND PERPETUATING. THE AUDIENCE TO BE SERVED BY THIS PROJECT INCLUDES THE COMMUNITY OF WAIMNALO AND STUDENTS ATTENDING THREE ELEMENTARY SCHOOLS IN WAIMNALO.DESPITE SOCIOECONOMIC CHALLENGES TO THE LARGELY NATIVE POPULATION, THE COMMUNITY OF WAIMNALO PERSEVERES TO SUSTAIN ITS NATURAL ENVIRONMENT. THIS COMMUNITY IS SITUATED BETWEEN THE PICTURESQUE KOOLAU MOUNTAINS TO THE SOUTH AND THE VAST EXPANSE OF THE PACIFIC OCEAN TO THE NORTH. THESE NATURAL BOUNDARIES DEFINE THE PHYSICAL LIMITS OF THE AREA.IN AN EFFORT TO ADDRESS THE CLIMATE IMPACT ON THE CULTIVATION OF NATIVE PLANTS, FOOD AS MEDICINE, WHC WILL WORK TO PERPETUATE AND PRESERVE THE PLANTING OF NATIVE PLANTS CONDUCIVE TO THE GEOGRAPHY AND CLIMATE IN WAIMNALO. THROUGH A SERIES OF SPECIAL COMMUNITY ACTIVITIES AND EVENTS, WHC WILL PROVIDE WAIMNALO ELEMENTARY SCHOOL CHILDREN, THEIR FAMILIES, AND COMMUNITY MEMBERS AN OPPORTUNITY TO LEARN ABOUT LAU LAPAAU, CULTIVATING AND NURTURING THEIR OWN FAMILY KNOWLEDGE AS HEALERS WITH THEIR OWN GARDENS.THE WHC CAMPUS WILL BE USED AS A HUB OF LEARNING TO CULTIVATE NATIVE PLANTS AND TREES, DEMONSTRATE THE REMOVAL OF INTRODUCED PLANTS SUCH HAS KOA HAOLE AND TRAIN STAFF AMBASSADORS FOR CARING OF NATIVE GARDENS. NATIVE PLANTS WILL BE GROWN ON THE WHC CAMPUS WILL BE SHARED WITH PATIENTS AND USED BY CULTURAL PRACTITIONERS TO TREAT PATIENTS. BASED ON THE LELO NOEAU MA KA HANA KA IKE, WHC WILL DEVELOP A LAU LAPAAU KKOO TRAINING PROGRAM CURRICULUM TO PERPETRUATE THE VALUES AND IDEALS OF THE PROJECT ON THE ROLE OF NATIVE PLANTING TO ADDRESS THE IMPACTS OF CLIMATE CHANGE.

ARRA - CAPITAL IMPROVEMENT PROGRAM

WAIMANALO HEALTH CENTER YOUTH ANTI-DRUG PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM