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RESOLUTION NO. 496 14
A RESOLUTION REQUESTING THE HAWAII STATE ASSOCIATION OF
COUNTIES TO INCLUDE IN ITS 2015 LEGISLATIVE PACKAGE A BILL TO FUND
THE HAWAII HEALTH SYSTEMS CORPORATION PRIMARY CARE TRAINING
PROGRAM.
WHEREAS, the State of Hawai`i is facing a severe shortage of health care providers,
especially in primary care; and
WHEREAS, access to quality health care on Hawai`i Island is a critical and growing
problem; and
WHEREAS, the Hawai`i Physician Workforce Assessment Project reported to the 2014
Legislature that in 2013 the physician supply fell short of the physician demand by 37 percent on
Hawai`i County; 35 percent on Kaua`i County; 27 percent on Maui County and 15 percent in the
City and County of Honolulu; and
WHEREAS, the Hawai`i Health Systems Corporation Primary Care Training Program is
a statewide program administered by Hilo Medical Center; and
WHEREAS, the Primary Care Training Program includes the Hawai`i Island Family
Medicine Residency Program and training for advanced practice nurses from the School of
Nursing and Dental Hygiene at the University of Hawai`i at Manoa and the School of Nursing at
the University of Hawai`i at Hilo, clinical pharmacists from the Daniel K. Inouye College of
Pharmacy, and post-doctoral fellows from I Ola Lahui, an organization that trains psychologists
to meet the needs of those living in rural areas; and
WHEREAS, on July 1, 2014, the three-year Hawai`i Island Family Medicine Residency
Program achieved full accreditation and began training its first class of four resident physicians;
and
WHEREAS, continued access to quality health care in Hawai`i is dependent on the
success of programs like the Hawai`i Health Systems Corporation Primary Care Training
Program; now, therefore,
BE IT RESOLVED BY THE COUNCIL OF THE COUNTY OF HAWAII that the
Hawai`i State Association of Counties is requested to include in its 2015 legislative package a
bill appropriating $2,800,000, or funds as may be necessary, out of the general revenue of the
State of Hawai`i for a primary care training program at Hilo Medical Center as provided in the
bill attached hereto.
BE IT FINALLY RESOLVED that the County Clerk shall forward copies of this
resolution to the Honorable Mayor William P. Kenoi and to the President and the Secretary of
the Hawai`i State Association of Counties.
Dated at Kona , Hawai`i, this 20th day of August , 2014 .
INTRODUCED BY: 0 7 •
COUNCIL MEMBER, COUNTY OF HAWAII
COUNTY COUNCIL ROLL CALL VOTE
County of Hawai`i AYES NOES ABS EX
Hilo, Hawai`i EOFF X
FORD X
I hereby certify that the foregoing RESOLUTION was by ILAGAN X
the vote indicated to the right hereof adopted by the COUNCIL of the KANUHA
County of Hawaii on Atigitst 20, 2014 X
KERN X
ONISHI X
ATTEST: POINDEXTER X
WILLE X
/ YOSHIMOTO X
9 0 0 0
Reference: C-990/Waived GREDC
COUNTY CLERK CHAIRPERSON & PRESIDING OFFICER RESOLUTION NO. 496 14
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JUSTIFICATION SHEET
PROPOSER: Hawai`i State Association of Counties
TITLE: RELATING TO THE HAWAII HEALTH SYSTEMS
CORPORATION PRIMARY CARE TRAINING PROGRAM.
PURPOSE: This proposed Bill for an Act appropriates operating funds for
the Hawai`i Health Systems Corporation Primary Care Training
Program.
MEANS: Appropriates funds out of the general revenues of the State of
Hawai`i.
JUSTIFICATION: Access to health care is a critical issue in Hawai`i, especially on
the Neighbor Islands. A medical residency program based at
Hilo Medical Center will help to ease this shortage by training
physicians and providing access to critical rural underserved
areas of Hawai`i.
.B . NO.
A BILL FOR AN ACT
RELATING TO THE HAWAII HEALTH SYSTEMS CORPORATION PRIMARY CARE
TRAINING PROGRAM.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII :
1 SECTION 1 . The legislature finds that the State faces a
2 severe shortage of healthcare providers . This shortage is
3 particularly acute in the field of primary care, in which most
4 of the healthcare cost savings in prevention and early
5 intervention occur.
6 The legislature further finds that the Hawaii health
7 systems corporation primary care training program is an
8 effective way to reduce the impact of the shortage of primary
9 care providers and improve access to healthcare throughout the
10 State, especially on the neighbor islands . Administered by Hilo
11 medical center, this interdisciplinary program is centered at
12 the Hawaii island family health center, which serves as a
13 training site for family medicine physicians and medical
14 students through the Hawaii island family medicine residency;
15 advanced practice nurses from the school of nursing and dental
16 hygiene at the University of Hawaii at Manoa and the University
17 of Hawaii at Hilo; registered nursing students from the
18 University of Hawaii at Hilo; pharmacy students in clinical
19 pharmacy practice from the University of Hawaii at Hilo ' s Daniel
20 K. Inouye college of pharmacy; health psychologists from I Ola
21 Lahui, an organization that trains psychologists to meet the
22 needs of residents of Hawaii ' s rural areas; and baccalaureate
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1 nursing students from the school of nursing at the University of
2 Hawaii at Hilo.
3 This interdisciplinary training model can be expanded to
4 other neighbor island health facilities to generate
5 interdisciplinary teams capable of caring for four times as many
6 patients as independent practicing physicians could
7 alone . Hawaii will benefit greatly as the Hawaii health systems
8 corporation program contributes to training primary care
9 providers in the emerging model of primary care and patient-
10 centered medical homes, and attracts healthcare providers to
11 practice in rural Hawaii, including the neighbor islands .
12 The purpose of this Act is to address the shortage of
13 primary care providers in the State by appropriating funds for
14 the interdisciplinary Hawaii health systems corporation primary
15 care training program at Hilo medical center.
16 SECTION 2 . There is appropriated out of the general
17 revenues of the State of Hawaii the sum of $2, 800, 000 or so much
18 thereof as may be necessary for fiscal year 2015-2016 for the
19 interdisciplinary Hawaii health systems corporation primary care
20 training program at Hilo medical center.
21 The sum appropriated shall be expended by the Hawaii health
22 systems corporation for the purposes of this Act .
23 SECTION 3 . This Act shall take effect on July 1, 2015 .
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