About HHTI
The Hawaii Healthcare Transformation Initiative is a public-private partnership that aims to engage stakeholders in identifying strategies that will result in a significant, positive change in how we deliver and pay for care, use information for continuous improvement, and shape public policy and programs to support these changes. Specifically, the four-point strategy focuses on:
- Identifying changes needed in our healthcare delivery system to improve coordinating care for patients with the greatest and most expensive needs;
- Identifying innovative payments models that reimburse for outcome improvements in our healthcare delivery system, which reduce costs while improving quality and satisfaction;
- Making better use of health information technology (including electronic health records and exchange of health information), and using health data to improve care and reduce medical errors, waste and abuse.
- Leveraging state government’s status as healthcare purchaser for one-third of the state’s population to rapidly achieve the innovations outlined above.

In addition to a 15-member Executive Committee, five working groups (known as “domains”) have been established to focus on various aspects of healthcare transformation:
- Delivery System
- Payment Innovation
- Transformative Health IT
- Government Policy and Purchasing
- Affordable Care Act (ACA) and Prepaid Health Care Act (PHCA) Coordination
HHTI is also supported by a 60-member Transformation Council, which includes representatives of state and county government, labor unions, businesses and various healthcare organizations, including hospitals, service providers, and advocacy groups.
Our goal is to have a draft plan that outlines our Roadmap for Transformation later this summer. We are committed to embarking on a robust public education campaign to solicit and gather input on our plan.
