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Improving Access to Care for Cancer Patients
Presented by:Iowa Cancer Consortium
Iowa Transportation Coordination CouncilAmerican Cancer Society
You can offer the best cancer treatment options in the world,
but what does it matter if the patient can’t get there?
Kelly AngellMission Program ManagerAmerican Cancer Society
MOBILITY AND TRANSPORTATION
R O A D T O R E C O V E R Y ®
Road To Recovery volunteers provide one-on-one support by providing transportation to and from treatment and related medical appointments.
• Volunteer driver program to support cancer patients• For cancer-treatment related appointments only• Users must be ambulatory• Curb to curb• 3 business days advanced notice• Free, volunteer drivers donate their time and miles• American Cancer Society provides Lyft ride when
volunteer not available (residents of Polk/Dallas counties)
R O A D T O R E C O V E R Y ®
Iowa• Last year 4,780 free rides to 242 pts in Iowa.• Currently 173 volunteer drivers across state• So far in 2018, 218 Iowans have been provided
5,501 free rides.
• Last year 1,028 free rides provided to 44 pts.• So far in 2018, 50 patients received 920 free
rides. • 51% increase in patients, and 48% in rides
provided YoY thru September.
Des Moines
MORE THAN JUST A PLACE TO STAYHope Lodge® and Hotel Partners Program Getting the best care sometimes means cancer patients must travel away from home for outpatient treatment. This can place an extra financial burden on patients and caregivers during an already challenging time.
Hotel Partners Program
• 5 business days notice• Sunday-Thursday stays• Credit Card/Address required
Hope Lodge®
• 30 locations• provided over 550,000
nights nationwide in 2017• Omaha – opened Jan 2018
Data from 2014
ACS Lodging Support: Hope Lodge and
Hotel Partners Program
• So far in 2018, 360 Iowans have been provided 12,186 complimentary or greatly reduced nights of lodging through our Hope Lodge or the Hotel Partners Program, saving people an estimated out of pocket cost of $1,218,600.
• 56% increase in patients served by Hotel Partners Program YoY in Iowa
Data from 2014
Iowa
Des Moines• So far in 2018, 28 patients provided
241 nights through HPP program. • 21% increase in patients YoY• 47% increase in nights provided
• 50 drivers in the Des Moines area• 89% of Road requests met by vol YTD• 111 rides unmet so far by Road
volunteers • 10 rides funded by ICC via Lyft (UZURV)• Rides soon to be provided via HIRTA,
funded by ICC
• 20 Hotels in the Des Moines area• 97% of lodging requests met YTD• 7 nights unmet so far this year
The logistical challenges for people undergoing cancer treatment….
• Advanced notice• Changing mobility status• Compromised immune system• Frequent, or daily trips• Long appointments for chemo (time)• Distance• Cost• Wellness• Ability to drive• Nature support system burden• Communication• Eligibility
Trends/Insights in Healthcare Transportation
• Access to health care does not equal access to quality of life. • If patients are getting NEMT rides through Medicaid, are they getting rides to other
places like the pharmacy, grocery store, social events, or entertainment which all contributes to their quality of life?
• It is very hard to quantify missed appointments into hard data to support the impacts of transportation and healthcare. Are healthcare providers asking about how a patient got to their appointment? Generally no.
• Healthcare patients are becoming more interested in app-based on-demand transportation (similar to uber, lyft) or transportation involving a call center
• Patients want to arrange transportation at the time they make the appointments –scheduling offices could hold a key to reshaping the health of those impacted with transportation issues.
Goal 1: Increase collaboration among organizations, coalitions, businesses and individuals to maximize cancer control resources and efforts.Goal 10: Increase access to quality cancer care and services.Goal 13: Increase access to and awareness of quality-of-life services available to cancer patients during and after cancer treatment.Goal 14: Improve the health equity of cancer control interventions and services.Goal 15: Increase access to cancer related data, and educate Iowans on ways to apply data to cancer control activities.
#1Increase the number of cancer patients served with transportation through increased transportation options and volunteers.• Improve resource knowledge• Find regional vendors who can
meet patient needs at low cost
Project Objectives
Project Objectives#2 Engage stakeholders in the design of solutions for sustainable transportation resources, through meetings, education, training, and data collection.• Work with cancer centers to
understand transportation issues• Build relationships and
understanding and education• HOP Quality Improvement Toolkit
Transportation to serve patients needs
• Iowa City, IA• 160 rides unmet via Road To
Recovery in 2017• Long distances and Rural
populations
• Des Moines, IA• 210 rides unmet via Road To
Recovery in 2017• High Volume, short notice• Rural populations
Transportation Quality Improvement Toolkit
Bringing together experts…
Patient-centered transportation
solutions
Transportation Providers
Cancer TreatmentCenter Providers
Human/Community Services
What does Access to Care success look like? Increase of: • Patients successfully served
with transportation/lodging• Resource sharing• Introductions between
providers• Knowledge and confidence
in available resources• Investments in patient
transportation/lodging• Policies promoting Access
appropriations and protecting Medicaid transportation
Decrease of: • Patients missing appts or
delaying treatment• Unmet ride/lodging
requests• Time spent on
transportation/lodging arrangement
Ultimately –Better health outcomes
Future Steps
• Continue to build relationships• Education and training – understanding
our resources• Data evaluation, reporting, additional
funds• Explore public policy and Federal Grants
to protect and improve healthcare transportation
Q & A
