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Rides to Wellness
Judy Shanley, Ph.D.Asst. Vice President, Education & Youth Transition
Co-Director, National Center for Mobility ManagementEaster Seals, Chicago, IL
Learning Objectives
Understand Rides to Wellness and Social Determinant Model
Review of FTA multi-prong approach and Challenge Grant Solutions
Leverage community and national resources from NCMM
Social Determinants of Health as a Framework
Why Does Mobility and Transportation Pose a Barrier to
Access to Healthcare?
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What Transportation Issues Affect Access to Healthcare?
People lack knowledge and skills regarding using public transit
Fear related to using transportation Healthcare personnel may lack connections with public
transportation and mobility management Transit may lack connections with healthcare Lack of transportation options Inconvenience of transportation options Cost of transportation
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Federal Transit Administration InitiativeSupported by National Center for Mobility
Management
Mobility Management Applied to Healthcare - Rides to Wellness…
Have you Heard of Mobility Management?
Yes, I am involved in providing mobility management services.
Somewhat. Not engaged in any mobility management activities.
No, never heard of mobility management.
What is Mobility ManagementMobility management is an approach to designing and delivering
transportation services that starts and ends with the customer. It begins with a community vision in which the entire transportation network—public transit, private operators, cycling and walking, volunteer drivers,
and others—works together with customers, planners, and stakeholders to deliver the transportation options that best meet the community’s
needs.
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Why Mobility Management? Customer - person-focused Emphasis on coordination and collaboration Innovative and flexible Technology-driven Expectation of continuous assessment – data collection
Healthcare Access Mobility Design Challenge Grant
Program
About the Design Challenge 16 community-level teams total Competitively selected Teams will work during 6 months to design a
ready-to-launch responsive and sustainable solution
NCMM provides teams with Guidance and support, and Up to $25,000 in grant dollars
During the 6-month Design ChallengeEach selected team will work through a 2-phase process
Goal: Prepare 1 healthcare access solution for implementation
Phase 1: May to July -- Begin with 2 proposed solutions
Learn about each solution through conversations with partners and potential customers
Strengthen each solution using results from feedback and other research
Phase 1 concludes with the team forming a single solution to take into Phase 2
Phase 2: August through October -- Begin with single solution
Learn about the solution through conversations with partners and potential customers Strengthen the solution using results from conversations and other researchPrepare a business plan that provides a roadmap for customer outreach and marketing, operations, and financial sustainabilityPrepare and deliver a presentation – a pitch – describing the solution
Grantees may be testing the solution with actual customers
Each community gains confidence that it has crafted a solution that:
Goal 1: Will be wanted and used by customers
Goal 2: Can be operationally and technologically feasible
Goal 3: Can be financially launch and sustained
Purpose of Two Phases
How do you Solve Problems?
What processes do you use to develop solutions?
What are the pros and cons of the processes you use?
Think About…
Do any of the proposed solutions make sense for your setting?– Why or why not?
Have you implemented or could you implement these solutions?
Have you heard any themes?
Four Challenge Areas
1. Access to preventive care, primary care, and/or health education opportunities
2. Access to ongoing dialysis treatment
3. Access to post-hospitalization medical appointments, rehabilitation therapy, and other services to help people avoid re-hospitalization
4. Access to behavioral health treatment
Prevention – Birmingham, ALPrevention- Primary Care
Multi-Modal Access Guides. Guides would include maps and other information on access by people with disabilities to a particular destination, including availability of transit and taxi services, and the quality of walking conditions.
Non-transit-based demand-response services. Use private service providers (i.e. Uber) and ensure private providers have polices in place to support people with disability and incentivize accessible vans to participate in the service.
Increase use of fixed-route service. Using universal design principles, develop improved fixed-route transportation services users.
PreventionSouth Central Missouri (9 counties)Train-the-trainer curriculum. Volunteers from the hospital auxiliary, senior center, and other – trained regarding transportation options, Healthtran.
Healthcare providersubscription service to transportation.
Prevention-Worcester, MA
Web-based application that would facilitate scheduling appointments.Bus for patients going to healthcare appointments. Bus would travel from 5-6 different regions on different days of the week. Scheduling of the appointments at a hospital can be done based on which day the bus is running in the patient’s respective neighborhood.
PreventionBuffalo Moms
Transportation Navigator at OB clinic. Provide personalized trip planning and education program to provide low-income, pregnant women with information on access to alternative transportation options.
Building Savings Behaviors. Use existing Individual Development Accounts (IDAs) or voucher savings programs to enable EITC-eligible young families & pregnant mothers to afford unlimited monthly transportation passes.
DialysisSandusky, OH
Sustainable volunteer driver program. Transport dialysis patients when transportation requests are outside of service hours, the public transit provider is at capacity, or public transit is closed for the day.
Scheduling and delivery model. It involves setting up a communication system between the dialysis center staff, patients, and the transportation provider.
ReadmissionAda, Gem, & Canyon Cos., Idaho
Coordinated Programmatic and Information Support. Use the current one-call center to provide web based reservation system, traveler orientation services, and coordinated marketing. Clinic workers would be trained to easily assess patients’ transportation needs.
First/last mile solutions. Coordinate solutions that provide first-and last-mile solution for patients fitting top 5 diagnoses for hospital readmission.
Re-HospitalizationFranklin, Jackson, Perry, and Williamson Cos.,
Illinois Proactive Identification of At-Risk Patients: Patients would be
referred to mobility management services. Mobility managers would create relationship with these patients to ensure they make their appointments.
Education of Patients and Health Care Providers: Employ a comprehensive education strategy, which targets both those patients who are most at-risk of re-hospitalization, as well as those health care providers that most commonly treat these patients to inform them about MedTrans mobility management services.
DialysisAtlanta Regional Commission, DeKalb, GA
Reimbursed private rides. The project proposes to identify ways to both train more drivers and increase ridership.
Expanding volunteer driver pool. Tap into ARC’s robust Retired Senior Volunteer Program consisting of 179 volunteers and exploring other options to recruit additional driver volunteers to boost capacity.
What’s Next?
Extension of investment programs Identify promising practices Provide forums for exchange and learning
– Coordinating Council on Access & Mobility Encourage sustainability and replicability
The Difficulty in Finding Mobility Management Practices
Not Sure if a Practice is Appropriate?
Not Enough Information to Make a Decision?
Mobility Management Information and Practices (MMIP) Database
Identify descriptions of mobility management practices – State and county levels
Descriptive information about practices – context, demographics
Facilitate interactivity via searchable database features Flexible tool - Update content continuously
Practice Descriptions Innovation Knowledge base Stakeholder engagement Monitoring and evaluation Efficiency Impact
Share Your Practices
http://nationalcenterformobilitymanagement.org/share-your-practices/
Tap into Resources
www.projectaction.org
www.nationalcenterformobilitymanagement.org
http://webbuilder.nationalrtap.org/
Transitplannning4all.org
