Health & Wellness

Hawaii deserves access to care that can maintain and improve our quality of life and keeps our ohana safe and thriving.

The Data

The CHANGE framework is a curated set of statewide data that begins to identify the gaps where help in our community is needed, opportunities where help will do the most good, and areas where sustainable data need to be gathered. By working from a common set of sustainable data, our community can create shared goals and consistently and reliably track the progress of our collective efforts over time.

Affordable and Effective Healthcare Delivery Systems

Affordable & Effective Healthcare Delivery Systems

The data for this subsector is calculated through three major indicators:

Health Cost Burden

  • HI State Baseline Data Point: Average of 14.7% of a worker's income was spent on healthcare premiums in Hawaii
  • Reference Data Point: 2005: 10.2%
  • Source: Department of Commerce and Consumer Affairs (DCCA) Hawaii
    Insurance Division: The Common Wealth Fund (2015)

Access to Healthcare Providers

  • HI State Baseline Data Point: 23% physician shortage, which equates to 797 full-time physicians
  • Reference Data Point: Not available
  • Source: University of Hawaii, Annual Hawaii Physician Workforce
    Assessment Report to the Legislature (2018)

Quality of Care

  • HI State Baseline Data Point: Hawaii ranks #1 for healthcare and healthcare quality in the U.S.
  • Reference Data Point: Not available
  • Source: U.S. News & World Report (2019)
Improvement in Social Determinants of Health

Improvement in Social Determinants of Health

The data for this subsector is calculated through five major indicators:

Food Insecurity Rate

  • HI State Baseline Data Point: 11.3% of residents experience food insecurity
  • Reference Data Point: U.S.: 12.5%
  • Source: Feeding America, Map the Meal Gap (2019)

Adverse Childhood Experiences

  • HI State Baseline Data Point: Under construction
  • Reference Data Point: Under construction
  • Source: Under construction

Social Safety Net - Children in Foster Care

  • HI State Baseline Data Point: 2,597 children in foster care
  • Reference Data Point: Not available
  • Source: Hawaii State Department of Human Services, Annual Databook (FY 2016)

Seniors and Long-Term Care

  • HI State Baseline Data Point: Estimated 4,318 beds in nursing homes and 5,200 spaces in assisted living and residential care facilities for seniors
  • Reference Data Point: By 2030: Estimated 37,930 seniors will need long-term care
  • Source: AARP, Across the States Profiles of Long-Term Services and Supports (2018)

Homelessness

  • HI State Baseline Data Point: 2,668 sheltered and 3,683 unsheltered homeless persons
  • Reference Data Point: Since 2016: 20% decrease
  • Source: Hawaii Statewide Homeless Point in Time Count (2019)
Access to Quality Mental and Behavioral Healthcare

Access to Quality Mental & Behavioral Healthcare

The data for this subsector is calculated through three major indicators:

Access to Mental Health Providers

  • HI State Baseline Data Point: 1 mental health professional for every 430 individuals
  • Reference Data Point: U.S.: 1 for every 440
  • Source: County Health Rankings, Hawaii (2019)

Access to Mental Health Treatment

  • HI State Baseline Data Point: 23% of children who received or needed mental healthcare had a problem obtaining it & 45.4% of adults with a serious mental or behavioral condition did not receive the needed treatment or counseling
  • Reference Data Point: Children - U.S.: 47% Adults & U.S.: 34.1%
  • Source: National Survey of Children's Health (NSCH) (2016-2017)
    National Survey on Drug Use and Health (2015)

Youth Well-being

  • HI State Baseline Data Point: 29.5% of high school students experienced depression in the past 12 months & 83.1% of high school students and 82.1% of middle school students have adult support at home or school
  • Reference Data Point: 2005: 31.8%, 2009: 86.4% high school students, & 2011: 81.5% middle school student
  • Source: Hawaii Youth Risk Behavior Survey (2015)

Related Links

Hawaii Business Change Reports

Hawaii Business Magazine CHANGE Report: Health & Wellness

CHANGE Brochure

CHANGE Brochure

2019 HCF Annual Report

Annual Report - Partnering for CHANGE

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