By 1984, Sia had begun to implement the Medical Home concept in Hawaii, first by persuading the Hawaii legislature to authorize the Hawaii Healthy Start Home Visiting Program for the prevention of child abuse and neglect.
By 1984, Sia had begun to implement the Medical Home concept in Hawaii. As chairman of an ad hoc state legislative task force on child abuse, he persuaded Hawaii lawmakers to authorize the Hawaii Healthy Start Home Visiting Program for the prevention of child abuse and neglect.