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    Executive Director, Hawaiʻi Healthcare Task Force

    I measure Hawaiʻi's health system from the record. Then I publish the corrections.

    Federal, state, and carrier data reconciled into figures that carry a source, a retrieval date, and a label: measured, direct, field-verified, or modeled. Nothing modeled is presented as measured.

    Credentials

    MPH · MAOL · PMP · SPHR · LSSBB · CySA+

    Affiliations

    • Hawaiʻi Healthcare Task Force
    • Hawaiʻi Healthcare Intelligence Platform
    • Mohala Health
    • ISEI Consulting
    • U.S. Air Force veteran

    The RHTP Clock

    $188.9M awarded for Budget Period 1

    $58.0M announced to date (30.7%)

    30 October 2026

    Budget Period 1 obligation deadline: 30 October 2026

    1 January 2027

    CMS-0057-F prior authorization API compliance date: 1 January 2027

    20 January 2027

    Hawaiʻi Legislature convenes: 20 January 2027

    How the money should be judged

    State of the System

    What the record shows

    Physician shortage, statewide

    DIRECT

    644 FTE

    832.6 FTE island-adjusted

    Source: JABSOM Area Health Education Center, Hawaiʻi Physician Workforce Assessment 2025 · retrieved September 6, 2026

    Preliminary 2026 figures were expected 12 September 2026; this row is flagged for update when they are published.

    Insurer directory overstatement of primary care, statewide

    MEASURED

    +107%

    Listed clinicians against a verified truth set of 1,994 practicing primary care clinicians (Cut B, the milder accurate figure; the physician-only cut is +180%)

    Source: HHIP over HMSA Report 403 (DHS UIPA), DCCA PVL, NPPES · retrieved May 5, 2026

    Adult civil acute psychiatric beds

    MEASURED

    147

    10.2 per 100,000 residents, net of forensic and youth-only beds; consensus minimum benchmark 30 per 100,000

    Source: SHPDA 2023 Healthcare Utilization Report, Table 8; Census Vintage 2024 denominator · retrieved August 2, 2026

    RHTP funds announced to date

    DIRECT

    $58M

    $45M to JABSOM HOME RUN workforce awards and $13M to the Department of Health for ambulances and emergency communications

    Source: Office of the Governor release, 1 September 2026 · retrieved September 10, 2026

    See the full dashboard Corrections published: 6 · Latest: Hawaiʻi APCD named as a source

    Work

    Built in Hawaiʻi, for Hawaiʻi.

    A statewide intelligence engine and the tools around it.

    See the work

    Field Notes

    • DIRECT

      ACHE panel at the HAHRM and ACHE Risk Management Leadership Conference

      David Isei moderated the panel on Friday 18 September, 9:30 to 11:00, at the Imin Center, with Esther Y. Smith, MD, Scott Grosskreutz, MD, a...

    • FIELD-VERIFIED

      The RHTP program office reports 597 HOME RUN applications at the Hawaiʻi Health Workforce Summit

      On a panel at the summit, the state program office and the initiative leads gave the first public status figures. HOME RUN education and tra...

    • DIRECT

      Governor Green, on Medicare reimbursement and primary care

      In a conversation with Nadine Tenn Salle, MD, at the summit, Governor Green said Hawaiʻi's Medicare reimbursement sits near the bottom of th...

    All field notes

    Public Voice

    Shaping the conversation

    Engaging policymakers, media, and the public on the structural forces reshaping Hawaiʻi's healthcare system. Direct, evidence-backed, on the record.

    ▶ Featured Video · ISEI InsightsThe Federal Data Behind Hawaiʻi's Provider Shortage
    Watch on YouTube

    Get the corrections first

    Occasional notes when a figure is published, sourced, or corrected. No spam.

    Selective distribution · Decision-makers only

    Contact

    For Task Force matters, write to david.isei@hawaiihealthcaretaskforce.org. For everything else, davidisei@iseiconsultingllc.com or (808) 489-2924.