Accessing Neurological Funding in Hawaii's Islands
GrantID: 75013
Grant Funding Amount Low: $300,000
Deadline: Ongoing
Grant Amount High: $300,000
Summary
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Awards grants, Health & Medical grants, Individual grants, Research & Evaluation grants, Science, Technology Research & Development grants.
Grant Overview
Hawaii's island geography creates distinct barriers to neurological specialist access that differ sharply from mainland states. Oahu holds 70 percent of the state's neurologists while the Neighbor IslandsKauai, Maui, and Hawai'i Islandrely on periodic outreach or air transport for advanced diagnostics such as EMG and EEG. Average wait times for movement-disorder evaluations exceed 120 days on Kaua'i compared with 45 days in Honolulu County.
Residents on the Neighbor Islands face compounded obstacles. Native Hawaiian and Pacific Islander populations, which comprise 25 percent of the outer-island census, show higher prevalence of epilepsy and Parkinson's disease yet lower rates of specialist follow-up. The state's 1.4 million residents are spread across six major islands served by only two level-I trauma centers, both located on Oahu. Inter-island commercial flights add $150–$300 per trip, a cost rarely covered by Medicaid plans that enroll 28 percent of Neighbor Island residents.
The three-year, $300,000 early-career researcher award directly targets these access gaps. Funds may cover salary support for investigators developing telehealth protocols that link community health centers on Maui and Kaua'i with Honolulu-based movement-disorder specialists. Allowable expenses include encrypted platform licensing, remote monitoring devices, and stipends for local health workers who coordinate follow-up. Unlike Colorado or California applications, Hawaii reviewers require documented inter-island transport cost modeling and proof of neighbor-island institutional review board coordination.
Eligibility requires the applicant to hold a faculty appointment at a Hawaii-based research institution and to demonstrate at least one established telehealth site on a Neighbor Island. Budget justifications must allocate no less than 35 percent of direct costs to outer-island operations. Data-sharing agreements with the Hawaii Health Information Exchange are mandatory to track outcome metrics such as reduced air-evacuation rates for seizure patients.
Successful proposals have historically paired early-career neurologists with the Pacific Basin Rehabilitation Research and Training Center and the John A. Burns School of Medicine's telehealth division. These collaborations supply the required letters of support from the Hawaii Department of Health and county health centers on Maui and Kaua'i. Applicants must also submit letters confirming broadband upgrade commitments from local providers, reflecting the state's current 18 percent of rural households lacking 25 Mbps service.
Hawaii's unique configurationeight main islands, no land borders, and a single statewide Medicaid managed-care contractmeans reviewers penalize proposals that treat telehealth as a simple urban-to-rural extension. Only applications that model specialist time across multiple islands and incorporate cultural liaisons for Native Hawaiian communities advance past the first review round.
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