CONTENTS

The new Plan Development Committee (PDC) of the Statewide Health Coordinating Council is elbow deep in overhauling the mandated Hawaii State Health Services and Facilities Plan (HSFP). The HSFP is the guidebook for Hawaii's health care system for the private and public sectors. The Plan also sets the benchmarks by which the certificate of need planning "tool" is implemented.

The PDC is examining how to change the document so that it incorporates the philosophical foundations of an integrated health systems approach that allows the Plan to appropriately address a managed care health environment and move beyond its sole focus on a fee-for-service environment.

*    The Plan Development Committee (PDC) discussed the "talking points" draft of the HSFP and formed an ad hoc committee to revise the philosophical approach of the document. The PDC will be meeting monthly. Input from all the SACs is an integral part of overhauling this document.

The following are updates from the SAC chairpersons of their activities since the July SHPDA Update News.

Hawaii County SAC Update -- Marni Herkes, Chairperson

*    Hawaii State Services and Facilities Plan (HSFP): Members reviewed the draft "talking points" for the plan and made specific suggestions for inclusion at the next PDC meeting.

*    CON: Punahele Associates for a freestanding surgicenter in Hilo (recommend approval), Hawaii Island Catholic Charities with St. Francis Healthcare System for a mobile health care project (recommend approval), Hawaii Center for Children for special treatment facilities (The applicant did not show up at the meeting. Review re-scheduled for October.)

*    Hawaii SAC representation: Patrick Linton on the Plan Development Committee and Kathy Mishina on the CON Review Panel.

*    Mental Health/Substance Abuse Committee: Met with Center for Children, Kapiolani Home Health and received an overview of the Children and Adolescent Mental Health Division's managed care project. The Committee is also reviewing potential legislative issues. In addition, they wrote to Senator Levin regarding the psychiatric unit at Kona Hospital.

Tri-Isle SAC Update -- Catherine Nobriga-Kim, Chairperson

*    Hawaii State Health Services and Facilities Plan: The SAC reviewed the "talking draft" of this document and contributed their comments.

*    Telemedicine update: Grant from County of Maui for $100,000 to hookup Molokai, Lanai, Maui and Oahu thanks to Sol Kahoohalahalo. Continuing with efforts for other grant resources for the project.

*    Project: Youth focus on physical and mental health through utilization of the Hokulea, which represents achievement, caring and pride. Provide an opportunity for the youth to "talk story" -- people taking care of themselves.

*    Mental Health Services: Updating this section of their Needs Assessment document.

*    CON: Hawaii Center for Children for special treatment facilities (recommend disapproval).

*    Tri-Isle SAC representation: Sarajean Tokunaga on the Plan Development Committee and Shirley Takahashi on the CON Review Panel.

Waianae SAC Update -- Bette Larrabee, Chairperson

*    Hawaii Health Services and Facilities Plan: Members individually commented on the "talking draft" of this document.

Windward SAC Update -- Ron Hayashi, Chairperson

*    Hawaii Health Services and Facilities Plan: Members discussed and voted unanimously to accept the revised planning document with the recommendation to incorporate managed care concepts/ principles such as outcomes measures and integrated delivery systems.

*    CON: Marimed/Hale Kipa for a special treatment facility (recommend approval), Poailani for a special treatment facility (recommend approval).

*    The SAC wrote to Councilperson Felix to support a resolution to establish an Emergency Medical Services Task Force.

Honolulu SAC Update -- Lane Uchimura, Chairperson

*    Hawaii Health Services and Facilities Plan: Members reviewed the "talking draft" and forwarded their specific suggestions to the PDC.

Central Oahu SAC Update -- Jake Ng, Chairperson

*    Hawaii Health Services and Facilities Plan: Members reviewed the "talking draft." Several suggestions were made. These were forwarded to the PDC.

*    Emergency Medical Services: The SAC developed testimony to present at the City Council regarding the Council's resolution to "evaluate options regarding the Emergency Services System."

Kauai SAC Update -- Debbie Aipoalani, Chairperson

*    Hawaii Health Services and Facilities Plan: Members recommended the following to the PDC -- increase the emphasis on how the plan relates to children and youth; separate the EMS section from the acute care section.

*    CON: Kauai Hospice to become a medicare certified hospice (recommend approval). Hawaii Center for Children for special treatment facility (recommend approval).

1.    Gumapac & Associates - Free standing surgery center (Big Island)

2.    DASH - methadone clinic in W. Hawaii. (Big Island)

3.    EffiCare - home health agency. (Maui)

4.    Elder Spa ARCH - convert ARCH to SNF. (Kauai)

5.    Black Konishi & Nishimura - air ambulance service between Big Island and Oahu.

6.    Upcountry Medical Clinic - Methadone/rehabilitation maintenance type clinic. (Maui)

7.    Wailua Care Home -- to increase from a 24-bed care home to a 40-bed intermediate care facility. (Kauai)

8.    The Queen's Health System -- for a 32 ring PET scan. (Oahu)

Undergoing CON Completeness Review

1.    #96-43: Wilcox Hospital for MRI services (Kauai)

2.    #96-46: Lanikila Education and Development Services, Inc.     ICF/MRC for DD/MR adults. (Maui)

3.    #96-49: Metecon, Inc. with Kauai Veterans Memorial Hospital for a mobile MRI. (Kauai)

4.    #96-50: Aloha Certified Home Health Services, Inc. to establish a home health care agency. (Oahu)

5.    #96-51: Kauai Veterans Memorial Hospital for CT services.     (Kauai)

6.    #96-52A: Leeward Nursing Home to convert ICF beds to SNF/ICF.     (Oahu)

7.    #96-53: Kahi Mohala/Sutter Health/CHS for a special treatment facility (Maui)

8.    #96-54: Mercy Air and Ambulance/Robert's Hawaii joint venture. (Statewide)

Scheduled for Review

1.    Kauai MRI CON applications are batched for SAC review on October 25, 1996 at 1:00 pm at the Kauai Community College. These are #96-43 from Wilcox Hospital and #96-49 from Metecon/ Kauai Veterans Memorial Hospital. In November, review will continue at the CON Review Panel and SHCC.

2.    #96-48 Center for Children for special treatment facilities statewide. This application is at its final review meeting with the SHCC set for October 24, 1996 at 9:00 am, 335 Merchant Street, room 365; Honolulu, Hawaii.

Review Completed

1.    #96-05: Kapiolani Medical Center's Pediatric MRI, $4,090,850.

    Oahu-wide CON Committee: recommend approval

    CON Review Panel: recommend approval.

    HSHCC: recommend approval

    Administrator's decision: approved

2.    #96-16: Tomscott, Inc. for the establishment of a free-standing surgicenter on Maui.

    Tri-Isle SAC: no recommendation

    CON Review Panel: recommend disapproval

    SHCC: no recommendation

    Administrator's decision: pending

3.    #96-22: Pacific Limited Partnership for a mobile lithotripter (Oahu)

    Oahu-wide SAC: recommend approval

    CON Review Panel: recommend approval

    SHCC: recommend approval

    Administrator's decision: pending

4.    #96-27: Punahele Associates, Inc. for a freestanding surgicenter in Hilo

    Hawaii SAC: recommend approval

    CON Review Panel: recommend approval

    SHCC: recommend approval

    Administrator's decision: pending

5.    #96-28A: Kauai Hospice to become a medicare certified hospice (Kauai).

    Kauai SAC: recommend approval

    Administrator's decision: approved

6.    #96-30A: Marimed/Hale Kipa for a special treatment facility (Oahu).

    Windward SAC: recommend approval

    Administrator's decision: approved

7.    #96-32: Kaiser Permanente Medical Care Program to establish a Kihei Clinic (Maui).

    Tri-Isle SAC: recommend approval

    CON Review Panel: recommend approval

    SHCC: waived review

    Administrator's decision: approved

8.    #94-44A: Poailani, Inc. bed expansion (3 beds) (Oahu).

    Windward SAC: recommend approval

    Administrator's decision: approved

9.    #96-47A: Hawaii Island Catholic Ministries/St. Francis for a mobile health care program (Big Island).

    Hawaii SAC: recommend approval

    Administrator's decision: approved

Reconsiderations

    1.    Request from Hale Nani Partners regarding CON #96-18A the Plastic Surgery Center of Maui (Dr. Leonard Yu).

        Request for reconsideration: disapproved

    2.    Request from American Medical Response West regarding CON #96-09 for surface non-emergency ambulance service (Maui & Molokai).

        Request for reconsideration hearing: approved

        Result of reconsideration hearing: conditional approval

    3.    Request from CASHA Resources Home Health Inc. for state-wide home health services CON #95-24.

        Request for reconsideration hearing: disapproved

Other CON Matters

SURF the world wide web to our Web page at:

         http://www.hawaii.gov/health/index.htm

*     Home Health Care In Hawaii: 1995 Utilization and Estimation of Need, May 1996

*     A Home Health Care Data Table

*    State of Hawaii Utilization of Inpatient Facilities by County

*    State of Hawaii Certificate of Need

*    The Health Services and Facilities Plan for the State of Hawaii

*    Big Island Health Care Needs Assessment and Recommendations

*    Central Oahu Health Care Needs Assessment and Recommendations

*    Garden Island Health Care Needs Assessment and Recommendations

*    Tri-Isle Health Care Needs Assessment

*    Acute Care Bed Projections for Years 1995 - 2010

*    Long Term Care Bed Projections 1995 - 2010

*    Certificate of Need - A Hawaii Review

Copies of the above publications are available for purchase or loan from the SHPDA office.

Confused by all the acronyms?

SHCC or HSHCC: The Hawaii Statewide Health Coordinating Council

SAC: The Subarea Health Planning Council

PDC:     The Plan Development Committee -- a standing committee of the SHCC.

CON: Certificate of Need

SHPDA: The Hawaii State Health Planning and Development Agency