HomeMy WebLinkAboutRES 651 Draft 01 2024-2026 ......
COUNTY OF HAWAI`I ; --'- i 1• STATE OF HAWAI`I
;
OF�H.'�
RESOLUTION NO. 651 26
A RESOLUTION AUTHORIZING THE MAYOR TO ENTER INTO AN
INTERGOVERNMENTAL AGREEMENT WITH THE STATE OF HAWAII,
DEPARTMENT OF HEALTH,TO RECEIVE A GRANT FOR THE HAWAII FIRE
DEPARTMENT COMMUNITY PARAIVIEDICINE PROGRAM.
WHEREAS, Section 46-7 of the Hawai`i Revised Statutes requires the consent of the
Council in order for the County to enter into an agreement with the federal government or any
other public body respecting action to be taken pursuant to any of the powers granted to the
County by law and furnish, expend, and receive any funds or other assistance in connection with
projects being or to be undertaken pursuant to those powers; and
WHEREAS,the State of Hawai`i,Department of Health,Emergency Medical Services
and Injury Prevention Systems Branch, has authorized approximately$2,355,000 in federally
derived funds to be provided to the County as a grant for the Hawai`i Fire Department
Community Paramedicine Program(hereinafter,the"Program"); and
WHEREAS,the Hawai`i Fire Department wishes to enter into an agreement with the
State of Hawai`i,Department of Health,to receive these grant funds; and
WHEREAS,the County's rural health landscape faces many challenges, such as:
1. 911 overuse among frequent callers and underuse among isolated residents;
2. Behavioral health crises that result in costly emergency transport and delayed care;
3. Limited primary care, specialty care, and behavioral health resources,particularly in
remote areas; and
4. Strained Emergency Medical Services (hereinafter, "EMS")resources, causing
increased response times for emergencies; and
WHEREAS,the Program expands EMS beyond emergency response by proactively
identifying and engaging high utilizers and vulnerable residents; and
WHEREAS,since 2016,the Program has been operating informally without dedicated
funding, sustained by EMS Captains who devoted time beyond their assigned duties; and
WHEREAS,funds from this grant will be used to fund personnel,telehealth equipment
and software, and provide training,travel, and program implementation materials; and
WHEREAS,the grant period runs from October 2026 through September 2027 and is
anticipated to continue for a period of five years, subject to federal approval; and
WHEREAS, over the span of five years,the program aims to:
1. Expand proactive care provider home visits and case management;
2. Deploy telehealth kits and integrate with the Hawai`i Fire Department's data
dashboard for case tracking and reporting purposes;
3. Begin dispatch-driven case selection for high utilizers and vulnerable populations;
4. Procure and deploy two Alternate Response Vehicles to divert low-acuity and
behavioral health calls from emergency medical services island-wide;
5. Hire a Licensed Clinical Social Worker to address behavioral health needs; and
6. Formalize referral agreements with Federally Qualified Health Centers,hospitals,
and behavioral health agencies;now,therefore,
BE IT RESOLVED BY THE COUNCIL OF THE COUNTY OF HAWAII that,
pursuant to Section 46-7 of the Hawai`i Revised Statutes,the Mayor is hereby authorized to enter
into an intergovernmental agreement with the State of Hawai`i,Department of Health, for the
purposes hereinabove described.
BE IT FINALLY RESOLVED that the County Clerk shall transmit a copy of this
resolution to the Honorable C. Kimo Alameda,Mayor of the County of Hawaii;Diane T.
Nakagawa,Director of Finance; and Daniel Volpe,Acting Fire Chief.
Dated at ,Hawai`i,this day of , 20 .
INTRODUCED BY:
MATTHEW KANEALI`I- T EINFELDER
Council Me ber
BY REQUEST OF THE:
Fire Chief
COUNTY COUNCIL ROLL CALL VOTE
County of Hawai`i AYES NOES ABS EX
Hilo,Hawai`i GALIMBA
HUSTACE
I hereby certify that the foregoing RESOLUTION was by INABA
the vote indicated to the right hereof adopted by the COUNCIL of the KAGIWADA
County of Hawai`i on
KANEALI`I-KLEINFELDER
KIERKIEWICZ
A MST: KIMBALL
ONISHI
VILLEGAS
Reference: C-1030/FC
COUNTY CLERK CHAIRPERSON&PRESIDING OFFICER RESOLUTION NO. 651. 26
IN�IIII�001� HE_ I
2 LRB 26-014 HFD