“Hulihia i ke ola kino o na kanaka”

to turn around the health of Hawaiians

KOKO’s Vision Statement:

KOKO is a Department of Hawaiian Home Land
beneficiary-led organization that is committed to serve Native Hawaiians living in North Hawai’i with the highest quality comprehensive healthcare from prenatal to the end of life.

KOKOʻs Mission Statement:

KOKO provides cultural, spiritual, medical, and
psychological services to all residents of North Hawaiʻi
with a special emphasis for the Kānaka Maoli. This mission is our Kuleana. KOKO provides culturally informed direct services, actively collaborates with Hawaiian agencies and
associations in order to meet their needs and is led by the community it serves.

Board-Governed Leadership
KOKO is proudly governed by a Board of Directors, all of whom are Native Hawaiian Homestead beneficiaries, ensuring authentic representation and alignment with the community's needs.

Native Hawaiian Representation

  • Patient Panel: Native Hawaiians make up 43% of KOKO’s patient community, reflecting our commitment to serving our people.

  • Team Composition: Native Hawaiians comprise 60% of KOKO’s providers, support staff, and administration, underscoring our dedication to fostering representation within our organization.

INDEPENDENT RURAL HEALTH CLINIC

In 1977, Congress passed the Rural Health Clinic Services Act (PL 95-210), marking a significant milestone in health care policy. The legislation had two main goals: to significantly improve access to essential primary health care services in rural, underserved communities across the nation; and to promote a collaborative model of health care delivery that effectively utilizes the skills of physicians, nurse practitioners, and physician assistants to provide comprehensive care. (Health Resources and Services Administration) As of March 2017, KOKO proudly achieved federal accreditation as the first Independent Rural Health Clinic in the beautiful State of Hawaiʻi! This remarkable achievement not only ensures that our practice standards are of the highest quality, but it also allows us to serve our Medically Underserved community more effectively, particularly benefiting individuals who rely on Medicaid and Medicare insurances. An "Independent" Rural Health Clinic signifies that KOKO’s governance is self-determining, which means that we are not owned or directed by a hospital, nursing home, or home health agency, allowing for greater flexibility and responsiveness to community needs. The rigorous accreditation process required KOKO to successfully demonstrate that its facility and various organizational practices met and/or exceeded an extensive host of National Standards, which included evidence of high performance across all of the following critical domains: Corporate Compliance Administration, Human Resources, Quality Improvement, Risk Management, Equipment Management, Infection Control, Patient Services and Instruction, Pharmaceutical Services, Diagnostic Services, and Regulatory Standards. KOKO has consistently demonstrated operational and programmatic excellence, earning the prestigious Exemplary Provider Status designation from the Centers for Medicare and Medicaid Services federal accreditation evaluators for an impressive seven consecutive years!

OUR ROOTS RUN DEEP

Kipuka o ke Ola is situated within the town of Waimea, Hawai’i, home to:

  • A population of 14,000, 41% of which are Native Hawaiian, marking the second-highest concentration of Native Hawaiians per capita throughout Hawai’i.

  • A diverse agricultural landscape rooted in Hawaiian farming methods with fertile soil, favorable farming conditions, crop variety, sustainable water sources, and deep integration into the local community and economy.

  • Waimea Nui Homestead Region, comprised over 40% of the homestead lands designated by the Prince Kūhiō Act, housing over 500 Native Hawaiian leasees under the Department of Hawaiian Home Lands (DHHL).

Due to Waimea’s attractive location, featuring close proximity to the Golden Coast, temperate conditions, and protection from natural disasters felt elsewhere on the island, an influx of wealth is threatening the gentrification of the community.

  • Purchase of large land parcels and real estate by billionaires are driving up costs of homeownership.

  • The inequitable investment and development of expensive private education, while the public school system is fully eligible for free/reduce lunch prices, meaning that 70% of each school’s student population is beneath the federal poverty line.

  • Limited local economic opportunities for local residents, many of whom commute to either side of the island for employment and socioeconomic resources.

In an effort to better support our Native Hawaiian community, the Waimea Nui Regional Community & Economic Development Program was born, a beneficiary-driven initiative aimed at establishing essential infrastructure to foster a flourishing, self-reliant community rooted in traditional Hawaiian principles.