System

Hui No Ke Ola Pono
Hui No Ke Ola Pono (HNKOP) is the Native Hawaiian Health Care System for the island of Maui. It has offices in the county seat of Wailuku and in Hana. HNKOP also operates a café during lunch hours Monday-Friday in Wailuku.

Target Population
The estimated 20,000 Native Hawaiians residing on the island of Maui. Services Provided: HNKOP has a strong emphasis on preventive programs relative to the most common health issues among Native Hawaiians:

• Native Hawaiian Traditional Healing (lomilomi, hooponopono)
  
• Nutritional Education and Counseling (Mea `Ai Pono and Hele Mai `Ai teach participants to healthy diet modifications including eating the traditional Hawaiian diet)
  
• Simply Healthy Café (serves healthy lunches)
  
• Case management (individualized counseling to improve health and referral to other needed services)
  
• Wellness Classes and Programs (covering such health concerns as diabetes, hypertension, asthma, exercise, breast and cervical cancer, health monitoring)
  
• Community Health Screenings (blood pressure, blood sugar, cholesterol, otitis media)
  
• Perinatal classes (nutrition and exercise during and after pregnancy, preparing for delivery, breast feeding, caring for babies from birth to 18 months, gestational diabetes, child-proofing the home)
  
• Oral Health

Major Health Issues
Chronic diseases related to lifestyles and healthy pregnancies and parenting are major issues. Geographic barriers to timely and continuing care is a problem addressed by services in Hana.

Staffing
HNKOP staff includes a full-time physician, registered dietician, and chef.

Federal Designation
Hui No Ke Ola Pono is authorized through the Native Hawaiian Health Care Act of 1988 and reauthorized in the Native Hawaiian Health Care Improvement Acts of 1992 and 2000.

Other
HNKOP's health enhancement programs are CARF accredited.

Contact
Hui No Ke Ola Pono
95 Mahalani Street
Wailuku, HI 96793
Phone: (808) 244-4647
Fax: (808) 242-6676

Executive Director: John A. H. Tomoso, MSW, ACSW, LSW.
Medical Director: Daniel Garcia, M.D.

Website: www.huinomaui.org

Back to top >>

CLINICS

Community Clinic of Maui

Overview
Founded in 1993 to meet the community demand for health services for the homeless, poor and underserved, Community Clinic of Maui (CCM) has expanded to its main site in Kahului and opened a part-time clinic in Lahaina. CCM is the fastest-growing health center in the state and so is the population of Maui, with a 28% increase in population between 1990 and 2000. Maui is an island with a land base of 727 square miles and a total population nearing 120,000. There is no public transportation system to link the many sparsely populated rural communities of the island to resources in central Maui.

Services
CCM provides a comprehensive range of health services for all life cycles: perinatal services, family planning, pediatric, general and family practice medicine, and internal medicine. Urgent care is provided as is preventive medicine, patient education, and nutritional services. Social services include substance abuse services, crisis and short-term counseling, group therapy and case management. Interpreter services are available in Tagalog, Ilocano, Tongan, and Spanish. WIC (Women Infant and Children Supplemental Food Program) is offered onsite, while CCM has outreach programs at Lahainaluna and Baldwin High Schools, and participates in the County Ice Program and the Breast and Cervical Cancer Control Project. It also has agreements with Hui No Ke Ola Pono (Maui's Native Hawaiian Health Care System), Aloha House, Salvation Army, and the Maui Family Recovery Center.

Special Populations/Health Issues
Undocumented Hispanic laborers; migrants from the Freely Associated States; generally transient and uninsured population; large HIV caseload. Maui county has the highest substance abuse rate in Hawaii, and the highest tuberculosis rate in the nation. It also has a high incidence of hepatitis B, diabetes, hypertension, gout, asthma, bronchitis/emphysema, and family violence. CCM sees a large number of patients with chronic disease such as diabetes and hypertension, substance abuse and its resultant health problems, high-risk pregnancies, inadequately immunized children and others with acute and episodic conditions and infections. Thirty-five percent of CCM's patients suffer social or behavioral problems that require professional intervention.


Staffing
CCM has on its professional staff physicians in family practice, internal medicine, pediatrics and obstetrics/gynecology, nurse practitioners, nurses and medical assistants, social workers, outreach workers, and case managers.

Contact
Community Clinic of Maui
48 Lono Avenue
Kahului, HI 96732
Phone: (808) 871-7772
Fax: (808) 872-4029

Ka Hale A Ke Ola Resource Center
670-A Waiale Drive
Wailuku, HI 96793

Lahaina Comprehensive Health Center
1830 Honoapiilani Highway
Lahaina, HI 96761

Executive Director: Dana Alonzo-Howeth
Medical Director: Jeffrey Lin, M.D.
Chief Financial Officer: B.J. Ott

Back to top >>

Hana Community Health Clinic

Overview
Hana Medical Center was built in 1964 at the site of the community's old plantation hospital and, until recently, was licensed as a four-bed hospital under the auspices of Maui Memorial Hospital. Hana Community Health Center (HCHC) was incorporated in late 1994. Hana is one of the more isolated areas in the state, separated from the rest of the island by a two-hour drive over a winding two-lane road, subject to wash-outs during periods of torrential rains. The area has approximately 3,000 residents in small settlements scattered over 233 square miles, including the Hawaiian homesteads Kahikinui and Keanae/Wailua. Not all homes have electricity, telephones or running water. As the fourth poorest community in the state, 41% of families fall below federal poverty guidelines; however only 6.2% are receiving public assistance as the many farmers and fishers practice a subsistence lifestyle.

Special Populations/Health Issues
Native Hawaiians; the geographically isolated community. HCHC's health concerns reflect those of the predominant Native Hawaiian population: hypertension, heart disease, diabetes, and cancer. Urgent care services are utilized most heavily for open wounds, asthma, fractures, and abdominal pain. Many of the worst health indicators throughout the islands are found in Hana. For example, the rate for inadequate prenatal care is almost 42%, nearly twice the County and State averages.

Services
HCHC provides prevention-oriented health care, acute and chronic care, urgent care, dental care, and limited laboratory testing and x-ray services. As the only medical facility in the district, HCHC assists with traumatic injury or illness stabilization 24 hours a day in collaboration with Maui Memorial Hospital and American Emergency Response. Seniors and patients with mobility limitations are provided home health care. In place of a full pharmacy, Hana Community Health Center distributes pre-packaged medications.

Staffing
HCHC employs two family practice physicians, one registered nurse and a dentist.


Contact
Hana Community Health Center
4590 Hana Highway Health Center
Hana, HI 96713
Phone: (808) 248-8294
Administration: (808) 248-7515
Fax: (808) 248-7223

Executive Director: Cheryl Vasconcellos
Operating Director: Peter Metz
Center Manager: Brenda Pua
Interim Medical Director: David Gorchoff, MD

Back to top >>