Hawai‘i Island Beacon Community(HIBC) developed a comprehensive, integrated approach to changing clinical practice on Hawai‘i Island with four fundamental, patient-centered initiatives - Medical Practice Redesign, Care Coordination, Care Transitions, and Patient Engagement.
Adapting the framework of the Care Model developed by Ed Wagner, HIBC is transforming a fragmented and reactive system of health care. Instead of responding mainly when a person is sick, the system is now proactive and organized across three inter- and intra-regional networks of collaboration. Each region has an acute care hospital as a hub partnering with a Federally Qualified Health Center (FQHC), the Native Hawaiian Healthcare System (Hui Malama Ola Na ‘Oiwi), physician offices, private practice care coordination services, and community based enabling and outreach services.
HIBC’s change package for clinical transformation contains four elements: 1) community commitment to improve care coordination and transitions; 2) organized practice teams to support patients and families; 3) relationship development with physicians, hospitals and community agencies; and 4) electronic information transfer.
A clinical Transformation Steering Committee is the core team leading the transformation effort focused on the complex, chronically ill. The Committee is comprised of senior leaders and front line clinical staff from HIBC’s key community partners and stakeholders island-wide.
HIBC also partnered with TransforMED, a subsidiary of the American Academy of Family Practice; Hawai‘i Medical Services Association (HMSA), a Blue Cross/Blue Shield health plan; and the National Kidney Foundation of Hawai‘i on practice redesign methods for private practice physicians to achieve Patient Centered Medical Home status and electronic health record Meaningful Use Stage 1.