SCR201 SD1

WHEREAS, the Legislature finds that virtually all of Hawaii's senior citizens want to age at home rather than in a care home or institution, yet many will need a more intensive care giving environment in their later years; and

WHEREAS, Medicaid long-term care costs for the State have been increasing steadily and financial projections portend significantly greater costs, especially with baby boomers starting to retire; and

WHEREAS, public policy goals for long-term care are as follows:

(1) Creating a continuum of care, up to and including the terminal phase of life;

(2) Coordinating referral and case management through single-entry contact;

(3) Building a family caregiver support system to encourage care of disabled elderly;

(4) Expanding the capacity of long-term care service providers;

(5) Stimulating and coordinating research, education, and training on aging issues; and

(6) Developing a cost-effective service delivery and financial assistance approach for long-term care services; and

WHEREAS, the Legislature further finds that co-locating key parts of a long-term care system would encourage holistic and integrative thinking, stimulate creativity and pilot programs, enhance cost efficiencies, centralize access to services, and focus public attention on aging issues; and

WHEREAS, Leahi Hospital has begun the process of developing a master plan to address the State's long-term care public policy goals; and

WHEREAS, opened in 1902, Leahi Hospital is the State's oldest and largest long-term care facility and has had no major construction since 1951; and

WHEREAS, Leahi Hospital is centrally located in the east Honolulu urban region and has one hundred seventy-nine skilled nursing facility/intermediate care facility beds and eleven tuberculosis beds spread among five buildings on a 6.7 acre campus, which is adjacent to ten acres of state property of which parts are vacant and others contain aging buildings; and

WHEREAS, Kapiolani Community College, with its family caregiver training program, is also located next to Leahi Hospital; and

WHEREAS, the process of developing a master plan for Leahi Hospital will offer an opportunity to create innovative and effective models of long-term care services, including residential care; now, therefore,

BE IT RESOLVED by the Senate of the Twenty-fourth Legislature of the State of Hawaii, Regular Session of 2008, the House of Representatives concurring, that the Oahu regional board of the Hawaii Health Systems Corporation is requested to convene a task force to assist in developing a long-term care master plan for Leahi Hospital and adjacent state lands, totaling 16.4 acres; and

BE IT FURTHER RESOLVED that the task force is requested to consist of seventeen members as follows:

(1) Five members shall be appointed by the Governor;

(2) Five members shall be appointed by the President of the Senate;

(3) Five members shall be appointed by the Speaker of the House of Representatives;

(4) One member shall be the Administrator of Leahi Hospital or the Administrator's designee;

(5) One member shall be the Chairperson of the regional board in which Leahi Hospital is located or the Chairperson's designee; and

(6) One member shall be a representative from the University of Hawaii System; and

BE IT FURTHER RESOLVED that members serve a term of two years and have a background in one or more of the following areas:

(1) Long-term care or aging services;

(2) Leahi Hospital clinical operations;

(3) Research or education;

(4) Aging or disability advocacy;

(5) Residential care facilities development;

(6) Architecture or interior design; and

(7) Project planning and supervision; and

BE IT FURTHER RESOLVED that the task force select its chair, who is requested to commence task force meetings, and a vice chair, and adopt rules for the conduct of its work; and

BE IT FURTHER RESOLVED that the task force conduct its business in a collaborative manner and include interested stakeholders who wish to contribute to the master plan; and

BE IT FURTHER RESOLVED that the master plan:

(1) Provide guidance for future development of the Leahi campus and other parcels, by improving the hospital's facilities while addressing the State's long-term care goals;

(2) Provide the conceptual framework for Leahi Hospital's role in developing a continuum of care system in Hawaii;

(3) Articulate the principles, goals, and strategies for development;

(4) Update Leahi Hospital's mission and vision;

(5) Recommend an implementation plan in phases, over a ten-year period, and near-term actions, to include a financial feasibility study;

(6) Include the following tax map keys: 3‑2‑30:1, 3‑2‑31:1, 3‑2‑31:15, 3‑2‑32:1, 3‑2‑33:1, and 3‑2‑33:3 in the description of its master plan;

(7) Provide programs that may include:

(A) Long-term care and family caregiver education and training;

(B) Innovative models of residential care;

(D) Community-based programs such as adult day care and day health, respite care; assistive technology; University of Hawaii Center on Aging Research and Education programs; and Aging and Disability Resource Center programs;

(8) Include resources to enable Leahi Hospital to become a teaching center on "best practices" in long-term care for service providers and facilities managers throughout the State;

(9) Provide an inventory of lands and facilities;

(10) Identify issues regarding land tenure and identify action steps and make recommendations necessary to implement the master plan;

(11) Address administration of lands and facilities by an independent authority to be established; and

(12) Recommend options for governance of lands and facilities; and

BE IT FURTHER RESOLVED that the task force is requested to complete the master plan by December 31, 2010, and that the task force is requested to submit preliminary and final reports of findings and recommendations, including any necessary proposed legislation, not later than twenty days prior to the convening of the Regular Sessions of 2009 and 2010, respectively; and

BE IT FURTHER RESOLVED that certified copies of this Concurrent Resolution be transmitted to the Governor, the President of the Senate, the Speaker of the House of Representatives, the Administrator of Leahi Hospital, the Chairperson of the regional board in which Leahi Hospital is located, Hawaii Health Systems Corporation, the Chancellor of Kapiolani Community College, the Director of Health, the Director of the Executive Office on Aging, and the President of the University of Hawaii.

Report Title:

Leahi Hospital; Long-Term Care; Health; Task Force

THE SENATE	S.C.R. NO.	201
TWENTY-FOURTH LEGISLATURE, 2008		S.D. 1
STATE OF HAWAII