State Profile: Hawaii Selected State Background Characteristics Population Total Pop. (millions) 1.3 293.7 Pop. 60+ (thousands) 230.9 48,883.4 % 60+ 18.3 16.6 National Ranking 60+ 10 % White (60+) 23.2 81.4 % African American (60+) 0.5 8.5 % Hispanic/Latino (60+) 2.6 6.1 % Asian (60+) 60.4 2.9 % Native Hawaiian/ Pacific Islanders (60+) % American Indian/ Alaska Native (60+) 5.8 0.1 0.1 0.5 % Two or More Races (60+) 7.4 0.6 Pop. 65+ (thousands) 172.0 36,294.0 % Pop. 65+ 13.6 12.4 National Ranking 65+ 11 Pop. 85+ (thousands) 25.3 4,859.6 % Pop. 85 2.0 1.7 National Ranking 85+ 8 Economic Indicators Per Capita Income $32,606 $33,041 Median Household Income $53,123 $44,473 Total State Expenditures Per Capita $6,298 $4,009 % Pop. 65+ Below Poverty 8.3 9.4 % Pop. 50+ Who Did Not Visit Doctor Due to Cost 8.1 Socio-Demographics Average Household Size 2.9 2.6 Average Family Size 3.4 3.1 % Pop. in Rural Area 28.8 16.9 Households with Persons 65+ (millions) % Persons Age 65+ Living Alone 0.12 25.2 20.3 29.8 % Pop. 65+ in Major Cities 41.3 40.1 % Households with Internet Access Informal Caregivers 54.9 54.7 # of Caregivers 106,000 34,000,000 # of Caregiving Hours (millions) Value of Caregiving (millions) % Grandparents Living with Grandchildren % with Responsibility for the Grandchildren 114 36,720 $1,250 $350,000 6.4 3.4 1.9 1.4 Where to Call to Arrange Help in the Home for Elderly Relatives or Friends % Relative or Friend 27.0 21.5 % Self 23.5 17.2 % Medical Support 19.8 21.6 % Religious Support 0.1 0.4 % Area Agency on Aging 2.7 2.0 % Other 1.2 4.5 % Don t Know 25.7 32.7 Updated November 2007. Data sources for selected characteristics are available at http://www.giver.org/giver/jsp/content_node.jsp?nodeid=1185 1
Selected State Background Characteristics Long-Term Care Medicaid Spending on Long-Term Care % Spending on Nursing % Spending on Home Health & Personal Care # of Certified Nursing % of Certified with Family Councils # of Certified Nursing Facility Beds (thousands) Certified Nursing Facility Occupancy Rate Average Cost Per Day in a Nursing Home Average Assisted Living Monthly Cost Average Daily Cost for Adult Day Services Average Hourly Cost for Home Health Care Average Hourly Cost for Personal/Home Care Nursing Facility Residents as % of 65+ Pop. # of Licensed Adult Day 61.1 46.0 36.4 37.3 32 15,209 53.1 43.2 2.8 1,579.9 94.6 85.5 $271 $213 $3,753 $2,969 $58 $61 $23 $19 $20 $18 1.6 3.8 27 3,407 Care Receivers % Pop. 21-64 Years w/disability 10.0 12.1 % Pop. 65+ w/disability 35.9 39.6 % 65+ by Type of Disability Sensory 13.9 16.0 Physical 24.4 30.2 Self-Care 8.4 9.3 Mental 10.8 10.9 Difficulty Going Outside Home 17.0 16.3 Medi Prescription Drug Plans # of Companies Offering PDPs 12 # of PDP 29 # of Companies Offering Medi Advantage Drug Plans 4 # of Home Health Aides 1,780 751,480 Median Hourly Wage Certified Nursing Assistant $12.53 $10.67 Home Health Aide $11.75 $9.34 Personal Care/Home Care Aide $8.35 $8.54 Updated November 2007. Data sources for selected characteristics are available at http://www.giver.org/giver/jsp/content_node.jsp?nodeid=1185 2
State System of Home and Community-Based Services (HCBS) Legislation Enacted Within the Last Three Years (2001-2003) that Addresses Family Caregiving Issues Task Force or Commission Specifically to Examine Family Caregiver Issues Name of Task Force: Single Point of Entry for State System of HCBS Single Point of Entry Includes Access to State s Caregiver Support Program Uniform Assessment Tool for All HCBS Programs for the Elderly and Adults with Disabilities Assessment Includes Caregiver Component At Least One State Program with Consumer-Directed Option for Family Caregivers HB 389 (Enacted 2003) Allowed givers during working hours to attend to a child, parent, spouse, or reciprocal beneficiary with a serious health condition. Employers who provide sick leave must permit employees to use up to 10 days of accrued and available sick leave for these family leave purposes. SB 597 (Enacted 2001) Established support for family givers of adults with disabilities as a long-term goal of the state. Yes Hawaii Family Caregiver Network Hawaii Caregiver Coalition (in development) Yes State Program Information Administrative Structure Program Name Family Caregiver Support Nursing Home Without Kupuna Care (SC) Program (FCSP) (FC) Walls (NHWW) (MC) Administering State Agency Executive Office on Aging Department of Human Services Executive Office on Aging Organizational Unit or Person Yes Yes Yes Specifically Designated for Caregiving Programs or Activities Geographic Region Served Statewide Multi-county Statewide Local Program Administrative AAA Medicaid agency AAA Responsibility Contracted service providers Funding & Caseload Major Sources of Program Funding Client contribution OAA, Title III-E State general fund Medicaid HCBS waiver FY 2001 Expenditures $564,300 $239,675 (respite only) n/a State general fund Feinberg, L. F., Newman, S. L.., Gray, L., & Kolb, K. N. (2004). The state of the states in family giver support: A 50 state study. San Francisco, CA: Family Caregiver Alliance. 3
Funding & Caseload (cont d) FY 2002 Expenditures $644,212 $236,106 (respite only) n/a FY 2003 Expenditures $705,756 $18,497,541 (total waiver) n/a FY 2001 A/D Waiver 57 Respite Participants FY 2002 A/D Waiver Respite Participants 56 Eligibility Caregiver Age Requirement 60+ None Care Receiver Age Requirement 60+ None 60+ Care Receiver Functional Status OAA guidelines Nursing home level of Other Requirement Client Population Both family giver and Care Care Assessment Program Assesses Both family giver and Both family giver and Care Uniform Assessment Tool No Yes Yes Includes Caregiver Assessment Yes Yes Areas Addressed by Caregiver Assessment Ability of giver to provide Care duration Care frequency Caregiver demographic information Caregiver mental health/depression Caregiver physical health Caregiver strain If family givers are providing long-distance giving Willingness of giver to provide Ability of giver to provide Care frequency Caregiver demographic information Emergency plan Type of (provided) Services All Caregivers Eligible for Program Have Access to Same Package of Services No Yes No Feinberg, L. F., Newman, S. L.., Gray, L., & Kolb, K. N. (2004). The state of the states in family giver support: A 50 state study. San Francisco, CA: Family Caregiver Alliance. 4
Services (cont d) Services Provided Specifically to Family Caregivers Counseling Respite Types of Respite Care Offered Assistive technology Care mgt. Cash grant Consum. supplies Counseling Educ. & training Emerg. response Family consult. Family meetings Home modification/ repairs Homemaker/chore/ personal Info. & assistance Legal and/or financial consultation Respite Support groups Transportation Overnight Weekend/camp Overnight Weekend/camp Caregiver Must Live with Care Yes Receiver to Receive Respite Respite Cap No cap No cap No cap Uniform Respite Cap Across Program Sites Entity that Formulates the Respite Cap Care mgt. Homemaker/chore/ personal Respite Transportation Consumer Direction Consumer-Directed Options A menu of services from which Families have a choice of None givers can choose A voucher or budget for respite and/or supplemental services Direct payments to family members for the purchase of goods or services Families have a choice of respite providers respite providers Family Members Can Be Paid to No Yes No Provide Care Types of Services Families Can Be Paid to Provide Personal Feinberg, L. F., Newman, S. L.., Gray, L., & Kolb, K. N. (2004). The state of the states in family giver support: A 50 state study. San Francisco, CA: Family Caregiver Alliance. 5