Waianae District Comprehensive Health and Hospital Board

“The health center has a corporate membership. Corporate members are defined as an individual, 18 years or older, who resides in the service area and uses the health center as a primary care facility or who has an interest in the field of health. Members who are eligible to vote participate in contributing names to be on the ballot and voting in the annual election. This process takes place annually in march/april.”

“The health center has a corporate membership. Corporate members are defined as an individual, 18 years or older, who resides in the service area and uses the health center as a primary care facility or who has an interest in the field of health. Members who are eligible to vote participate in contributing names to be on the ballot and voting in the annual election. This process takes place annually in march/april.”

“Senior management is responsible for the timely preparation of the form 990. The completed form 990 is provided to the finance committee of the board of directors in advance of the filing deadline. After all questions and concerns of the finance committee have been addressed and changes incorporated into the form 990 as appropriate, all members of the board of directors are invited to review the completed form 990 in advance of the filing deadline via a dedicated wcchc website. After all questions and concerns of the board of directors have been addressed and changes incorporated into the form 990 as appropriate, senior management files the final form 990 as required.”

“Covered under the health center's conflict of interest policy are the board of directors and any non member of the board of directors that serves on a board committee. Determinations on whether a conflict of interest exists is made by 1) reviewing annual disclosure forms completed by board members and non-board members who sit on a board committee; and 2)conducting a discussion and holding a vote by board members when a board member/other member discloses a conflict during a board and or board committee meeting. Conflicts of interest are reviewed at the following levels: 1) an annual statement is completed by board members and or non-board members who sit on a board committee. 2) disclosure is made at a board and/or board committee meeting.”

“The health center utilizes numerous health care-related resources and/or contracts for services to conduct pay studies on employee and key management positions. The ceo's compensation is determined by the board of directors. The board establishes a ceo evaluation committee to review his performance, completed objectives and any compensation studies. Once completed the committee prepares their recommendations on compensation and bonuses and presents it to the board of directors for final approval. This process was last completed december 2, 2013. The health center utilizes numerous health care-related resources and/or contracts for services to conduct pay studies on employee and key management positions. The health center participates in the nachc (national association of community health centers) health center compensation & benefit study each year. The health center started participating in 2004. The health center completed its last center-wide compensation study in february 2013 and an executive management compensation/benefit study was completed june 2013. The health center utilizes the nachc compensation studies and the hawaii employers council pay scales to determine compensation.”

“Governing documents, conflict of interest policy, and financial statements, although not publicized, is made available upon request.”

“The waianae coast comprehensive health center serves the medically underserved and economically disadvantaged community of waianae and surrounding communities in the leeward area on the island of oahu in the state of hawaii. Serving the community since 1972, the health center celebrated its 40th anniversary in 2012. From its start as a one doctor office, the health center is the largest, and oldest, of the fourteen community health centers in the state of hawaii. The strength of the health center lies in the strong foundation set by its founders, the vision and expertise of its board of directors, the sense of ownership by its staff, patients and community, the years of service and commitment of its management team, and the relationships forged at the community, state and national level. In 2014, the health center served 34,781 patients, the majority being native hawaiian (49%), followed by asian & other pacific islanders (27%), and caucasians (17%). Data shows 70% of patients are at 100% of the federal poverty level or below, 11% are uninsured, and 58% are receiving coverage under quest, the state of hawaii's medicaid program. The waianae coast is an economically distressed community with a population of 48,519. Almost 19% of the population has annual income less than 100% of the federal poverty level which is the highest level in the city and county of honolulu and the third highest in the state of hawaii. Twenty-nine percent of waianae coast households are receiving snap/cash or other forms of public assistance. This is the highest rate in the city and county of honolulu and the state of hawaii. The average per capita income is $17,300 making it the lowest in the city and county of honolulu and the state of hawaii. Almost 9% of the population is unemployed, the highest in the city and county of honolulu and third highest in the state. The health statistics of the waianae coast parallel the economic situation in the community. The infant mortality rate in waianae is the highest in the city and county of honolulu and second highest in the state. Teen births are also the highest in the city and county of honolulu and third highest in the state. Morbidity and mortality indicators show that the waianae coast ranks highest in the city and county of honolulu and in the state for obesity (43.5%); adults who smoke (26%); adults with diabetes (13.7%); diseases of the heart (260.4 deaths per 100,000); and cancer (197 per 100,000). The health center's mission just begins to tell our story: "the waianae coast comprehensive health center is a healing center that provides accessible and affordable medical and traditional healing services with aloha. The health center is a learning center that offers health career training to ensure a better future for our community. The health center is also an innovator, using leading edge technology to deliver the highest quality of health care services." the health center achieves its mission by not only serving patients who seek services, but also by incorporating the goal of improving the overall health status of the community it serves. The vision of the founders of the health center, to offer comprehensive health services, has guided the development of the services and activities of a patient centered health care home, which includes: - adult day care in nanakuli, pearl city, mililani and wahiawa - behavioral health in waianae, kapolei and waipahu - case management - chronic disease management (diabetes self management education, asthma education, etc.) - dental in waianae and kapolei - emergency room services (24 hours, 365 days/year) - exercise/fitness training & walking trails - family planning - health education - health emergency liaison program - homeless outreach - institutional review board of research - integrated healing (weight management, pain management and more) - laboratory - native hawaiian healing (lomilomi, ho'oponopono, la'au lapa'au, pale keiki, ha ha) - nutrition counseling - p”