Hawaii Physician Workforce Summit was held June 29, 2010 at the Waikiki Beach Marriott. A total of 144 guests attended, representing the legislature, the University of Hawaii, the John A. Burns School of Medicine, the University of Hawaii School of Nursing, physicians and physician groups, hospitals, health insurers, rural health associations, physician assistants, nurse practitioners, the business community and medical students. The ten top solutions identified by the working groups to address most urgently are listed below:

• Change System of Care
• Create Community Integration for recruitment, retention and health improvement
• Expedite Administrative Simplification (Standard Paperwork)
• Implement Statewide Electronic Health Record System
• Increase and Publicize Pipeline Programs
• Increase Net Physician Income
• Increase Non-Physician Clinicians (Nurse Practitioners, Physician Assistants, etc)
• Increase Targeted Training
• Introduce Rural Payment Differential
• Introduce Tort reform

On June 30, 2010, a follow up meeting was held to better outline the priorities identified by the Hawaii Physician Workforce Summit. The group identified the need for collaboration to address the growing physician/healthcare provider workforce shortage in Hawaii. In order to improve the supply and decrease the demand of physicians, the group outlined three major categories that describe the prioritized activities:

Hawaii Physician Workforce Summit Recommendations for Interventions to be implemented by 6/2011:

1. Growing the Healthcare Workforce
   1. Increase and disseminate information on Pipeline Programs
      1. Increase targeted healthcare training
   2. Enhance Practice Sustainability
      1. Medical malpractice reform
      2. Rural payment differential
      3. Reimbursement reform
   
   
2. Engage Consumers & Communities
   1. Community Integration in recruitment and retention
   
   
3. Redesign Healthcare Delivery System
   1. "Team approach" to care that includes the full spectrum of providers (particularly NP and PAs )
   2. Administrative Simplification
   3. Electronic Health Records statewide