About the Organization
A culturally responsive cancer navigation and education nonprofit serving an underserved community with extensive outreach and survivorship support.
The Challenge
Prior to CalAIM, this organization was not required to comply with HIPAA requirements. Contracting with managed care plans to offer their clients more benefits required the agency to function as a covered entity — necessitating compliance infrastructure they did not have. In addition, their data was disorganized (e.g., different data points stored in single fields), making billing nearly impossible. Without change, they risked losing revenue and the ability to serve their niche population sustainably.
Ohana HCP’s Approach
Ohana HCP began with a comprehensive technology assessment, evaluating enterprise applications, infrastructure, data practices, and security to align systems with strategic goals. Using diagnostic tools and stakeholder interviews, the team identified gaps in compliance and operational readiness. Human-centered design sessions brought executives and frontline staff together, ensuring empathy for each other’s pain points and alignment around solutions. This collaborative process guided policy development, CRM reconfiguration, and ETL-driven data transformation (avoiding hundreds of hours of manual reentry) to support CalAIM participation.
Impact
Within months, secure infrastructure was established and connected with a third-party biller — allowing them to generate revenue from services that previously would have gone uncompensated. Outreach campaigns, program, privacy, and cyber security policies. Quality assessments and care plans are now in place, positioning the organization to deliver community-based cancer care that is compliant, trackable, and financially sustainable.