Rural Health Clinic

Independent Rural Health Clinic

"In 1977, Congress passed the Rural Health Clinic Services Act (PL 95-210). The legislation had two main goals: improve access to primary health care in rural, underserved communities; and promote a collaborative model of health care delivery using physicians, nurse practitioners and physician assistants."
(Health Resources and Services Administration)

As of March 2017, KOKO is proud to have achieved Federal accreditation as the first Independent Rural Health Clinic in the State of Hawaiʻi! This ensures that our practice standards are of the highest quality and allows us to more effectively serve our Medically Underserved community, especially those individuals with Medicaid and Medicare insurances.  An "Independent" Rural Health Clinic is one that is not owned by a hospital, nursing home, or home health agency.  

The accreditation process consisted of KOKO successfully demonstrating that its facility and organizational practices met and/or exceeded a host of Standards that included evidence of high performance in all of the following domains:
Corporate Compliance  Administration, Human Resources, Quality Improvement, Risk Management, Equipment Management, infection Control, Patient Services & Instruction, Pharmaceutical Services, Diagnostic Services, and Regulatory Standards.

​All RHCs must:

  • Employ a Nurse Practitione (NP) or Physicianʻs Assistant (PA)

  • Have a NP, PA, or CNM working at the clinic at least 50 percent of the time the RHC operates 

  • Directly furnish routine diagnostic and laboratory services 

  • Have arrangements with one or more hospitals to furnish medically necessary services that are not available at the RHC 

  • Have available drugs and biologicals necessary for the treatment of emergencies 

  • Furnish all of these laboratory tests on site: Chemical examination of urine by stick or tablet method or both; Hemoglobin or hematocrit; Blood sugar; Examination of stool specimens for occult blood; Pregnancy tests; Primary culturing for transmittal to a certified laboratory​

Broad services provided at KOKO:
- Primary Care Services (including Pediatric Services)
- Womenʻs Health Services
- Individual, Couple, and Family Psychotherapy Services

- Acupuncture/Lomilomi Massage
​- Psycho-Educational Trainings for Community & Organizations

Phone: 808-885-5900

Address: 64-1035 Māmalahoa Hwy, Suite F, Kamuela, HI 96743

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© 2018 by Kū-A-Kanaka LLC