Hawaii Long Term Care Association - Ho'omalu: to care for and protect...

Hawaii Long Term Care Association
1188 Bishop Street, Suite 3105
Honolulu, HI 96813


Email: dokumura@hltca.org
Phone: (808) 394-0810

Community-Based Alternatives

The continuum of care provides various venues for the provision of care services, all dependent on the needs, choice, financial capabilities of the individual requiring care and services, and the availability of such services.

Of the myriad of setting available, HLTCA members provide the following, which includes a very critical component of care coordination:

1. Care in own home setting with care provided by:

  1. Home care services which would include some personal care and chore services (transportation, housekeeping, shopping, etc.)
  2. Home Health services which would include skilled nursing and/or rehabilitative services (physical, occupational, or speech therapy)
  3. Hospice service agency providing hospice or end of life care/services.

2. Outside of home assistance for working families or for respite:

  1. Adult Day Health Care which is an organized day program of therapeutic, social, and health services provided to adults with physical, or mental impairments, or both, which require nursing oversight or care, for the purpose of restoring or maintaining, to the fullest extent possible, their capacity for remaining in the community.
  2. Adult Day Care services for a person who requires minimal assistance in the activities of daily living and does not need the professional health services of an intermediate, skilled nursing, or acute care facility and needs the oversight and supervision of an organized setting during the hours that the family is not available or at work.

3. Independent Living Retirement Housing:

These complexes are designed for people who are able to live on their own, but want the convenience of a comprehensive service package. Meals, housekeeping, activities, transportation and security are provided to active older adults.

4. Residential settings:

  1. Adult Residential Care Home (ARCH) provide twenty-four hour living accommodations, for a fee, to adults unrelated to the family, who require at least minimal assistance in the activities of daily living, personal care services, protection, and health care services, but who do not need the professional health services provided in an intermediate, skilled nursing or acute care facility.
  2. Expanded Adult Residential Care Home means any facility providing twenty-four hour living accommodations, for a fee, to adults unrelated to the family, who require at least minimal assistance in the activities of daily living, personal care services, protection, and health care services, and who may need the professional health services provided in an intermediate care or skilled nursing facility.

5. Hospice:

These services can be provided in-home, at residential or nursing facility or in a hospice setting, which includes a program of palliative and supportive care for terminally ill persons and their families or caregivers.