Welcome to Kōkua Mau

Kōkua Mau is Hawaii’s trusted resource for accurate information on advance care planning (ACP) as well as hospice and palliative care. (Kōkua Mau means ‘Continuous Care‘ in Hawaiian.)

Collaborating since 1999, we are a network of organizations and individuals we bring to the forefront meaningful, thoughtful and sensitive conversations on improving care and support for those with serious illness. We are viewed as a thought leader working to ensure that every individual has the right to quality care throughout their lives, especially at the end of life. We advocate for quality palliative and hospice care within the medical and legislative communities in Hawaii.

Our goal is to create a community in which advance care planning conversations are the norm. We are fostering a movement to change social norms in Hawai‘i regarding conversations and decisions around serious illness and end-of-life care, and to provide all individuals and communities with greater choice and control regarding their quality of life. We do not focus on the end of life, but rather the quality of life. Advance care planning can take place years before an illness or crisis occurs and is the first part of the continuum of planning for one’s legacy wishes.

We hope that you will find useful Hawaii-focused information and resources on hospice, palliative care, end-of-life care, POLST and Advance Care Planning for yourself, your loved ones and those you care for. All Kōkua Mau materials in one place (PDF files) are in the Tool Kit.


Kōkua Mau’s vision is a community where: the people of Hawai‘i are treated with dignity, compassion and love throughout their lives.

To make that vision a reality, Kōkua Mau’s mission is: 
to weave a lei of caregiving and support so that the people of Hawai‘i facing serious illness can live in the place of their choice, with relief of pain and suffering and according to their values, beliefs and traditions.


– What’s New? –

Kōkua Mau awarded 2nd year of funding from Stupski Family Fund

We are very pleased to announce that Kōkua Mau has been awarded a second year of funding for “Improving Care and Support for those with Serious Illness” from the Stupski Family Fund of the Hawaii Community Foundation.  We are very grateful to the Stupski Family Fund for their vote of confidence in the work of Kōkua Mau. The grant allows us to build on the work that we collectively have accomplished over the last 18 years, and further expand our reach and impact across the state.

We have heard from you, our members, and others in the community that there is a unfilled need for more advance care planning conversations to occur long before people develop a serious illness or are in a crisis. We will be using the grant to reach out to the community where people work, live and pray with the support of Hope Young, our Advance Care Planning Coordinator, and our Let’s Talk Story Program (Speakers Bureau).

We are using the baseline research that Kōkua Mau commissioned last year to better understand and validate attitudes on advance care planning to inform our work. Read more about the results, including the PDF file. One of our key projects will be developing a brand new, innovative workplace wellness module to facilitate conversations in the workplace and in faith communities.

The grant also allows us to create a fund development campaign so that we can increase funding for greater impact and reach. Finally, with the support of various partners, we are researching meaningful and relevant data to further assess our impact in the community.  Please let us know if you have any questions or want to be involved.

March 2018: Research Completed: Hawaii Resident Perceptions of Advance Care Planning

We contracted with Ward Research to conduct telephone surveys and focus groups of Hawaii residents to learn about their attitudes towards conversations with doctors, families and completion of advance care documents. This research was made possible with a grant from the Stupski Family Fund at the Hawaii Community Foundation. The results are very interesting, showing people in Hawaii are having conversations but there is a long way to go. More and PDF files of both reports

Kōkua Mau Membership Drive 2018

Your support is what makes Kōkua Mau possible. Thank you for your membership. Now is a good time to renew or join Kōkua Mau and support the movement to improve care for people facing serious illness.

January 2018: We are happy and honored to welcome two new Board Members

Tori Abe Carapelho, President and CEO, Hospice Hawaii and Holly Davis, Executive Director, St. Francis Hospice. Read more about these new members.

December 2017: Kupuna Caregivers Program – Unique in the Country

Working caregivers who pay for services to support their kupuna may now be eligible for financial help of up to $70 per day to cover the cost of adult day care, chore services, home-delivered meals, homemaker services, personal care, respite, or transportation. – Read more

Congratulations to Adventist Health Castle for winning the 2017 Malcolm Baldrige National Quality Award

Castle is the first hospital in Hawaii, or the first organization of any kind in Hawaii, to receive this distinction. Adventist Health Castle is one of only five 2017 recipients and a long time Kōkua Mau member and supporter. – more

Nov, 2017 Let’s Talk Turkey

Not cooking advice, but here are 5 great resources to get you started to talk about advance care planning over the holidays, starting with Thanksgiving gatherings. – Read more

October 2017: Farewell to Ken Zeri who will retire from Hospice Hawaii- more 

– – – – – – –

⇒ Kōkua Mau has been awarded a two-year grant for “Improving Care and Support for those with Serious Illness” from the Stupski Family Fund of the Hawaii Community Foundation. We are very grateful to the Stupski Family Fund for their vote of confidence for the work of Kōkua Mau which all of you have made possible over the last 17 years. With this grant we will be able to expand our reach and impact across the state and we’ll need your continued support and engagement to make that happen. More

⇒ Aloha United Way Campaign just started, which supports important organizations in our community. You can make contribution specifically to Kōkua Mau – by using our designation number 80410

⇒ Let’s Talk Story Program: Kōkua Mau wants to get our community talking about wishes for care at the end of life. Our new Let’s Talk Story Program – more – will go out to community organizations, churches and temples with our free, 2-hour interactive sessions facilitated by Kōkua Mau’s trained experts. Option 2 is a free screening of ‘Being Mortal’.

⇒ Translations of key Kōkua Mau Advance Care Planning materials are now available and free for you to download. 

The multilingual resources are intended as tools to help members of our community with limited English proficiency. As is common with such complicated issues, these documents do not replace a one-on-one conversation, sometimes with the help of an interpreter, to walk people through the decisions they have to make for themselves or their loved ones. All multilingual resources PDF files can be found by clicking on the languages” menu in the top right corner. You can chose between two ways to access the multilingual PDF files:

  • By Language: Click on the language link for all resources available in that language. We will add selected materials in the language (such as the Conversation Starter Kit) when we become aware of it.
  • By Document: Just click on the “multilingual” link for e.g. POLST and you find all the languages available for POLST on one webpage.

We want to thank all the volunteers who have dedicated countless hours reviewing documents and giving us feedback. It has been a herculean task but our community project is finally a reality thanks to all of you that helped us with your expertise.

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Other Current Events:

 — Past Announcements —

May 26, 2016: Op-ed Honolulu Star-Advertiser’s Island Voices: “Palliative and hospice care a critical need at end-of-life stage” by Daniel Fischberg, Jeannette Koijane and Rae Seitz. Kōkua Mau’s Op-ed, Page A11. PDF or link to the Honolulu Star-Advertiser (access for subscribers only).

Nov. 2015: Two new documents:

Sept. 2015: POLST: Doing it Better – a free POLST Video (7 Min 22 sec) from the National POLST office.

The Hawaii Advance Health Care Directive has been updated.

Aug. 2015: The 16-page Kōkua Mau bookletA Guide to Advance Care Planning: Making Life Decisions” has been re-printed and is available in large quantities.

July  2015:  Kōkua Mau hosted ‘Clinical Advances in the Art and Science of Care’, a virtual conference.

March 2015: POLST Training for professionals in Hawai‘i conducted by Kōkua Mau.

Sept. 2014, Hawaii Public Radio aired an interview with Jeannette Koijane on Kōkua Mau.

Kōkua Mau has been honored with the 2013 Trailblazer Award by the National Hospice and Palliative Care Organization (NHPCO).


Kōkua Mau Materials:

  •  Register here to receive free Kōkua Mau e-Newsletters with local and national updates and events.

Kōkua Mau’s vision is a community where: the people of Hawai‘i are treated with dignity, compassion and love throughout their lives.

To make that vision a reality, Kōkua Mau’s mission is: to weave a lei of caregiving and support so that the people of Hawai‘i facing serious illness can live in the place of their choice, with relief of pain and suffering and according to their values, beliefs and traditions.


Join Kōkua Mau
Kōkua Mau depends on donations and annual membership fees to carry on with our work. Please help us improve quality of life for people living with serious illness or at the end of life here in Hawaii. This is a community wide effort that needs everyone’s support.
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