Chief Business Office

Veterans Transportation Program (VTP)

Veterans Transportation Service

Veterans Transportation Program

2

VTS VTS

Rural

Grants

Sect. 307

Rural

Grants

Sect. 307

Beneficiary

Travel

Beneficiary

Travel

Veterans Transportation Program

Mission

Improve the quality of life for veterans by increasing access

to health care through integrated and cost effective

transportation solutions

Vision

Overcome barriers to care by assuring effective and

efficient transportation

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VTS Program Objectives

Provide Veterans with convenient and timely access to

transportation services and overcome access barriers to

increase transportation resources and options for all Veterans.

Focus on Rural and Highly Rural areas.

Establish a network of community transportation service

providers

Partner and integrate with Veteran Service Organizations

Create a state of the art system using 21st Century ride share

software.

Apply transportation best practices/ strong practices.

Support facility and VISN leadership VTS objectives

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VTS Phase I

5

Phase I Pilot Sites:

Temple, TX

Muskogee, OK

Salt Lake City, UT

Ann Arbor, MI

VTS Phase II

(Current State)

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Phase II - Track A

Alexandria, Louisiana

VISN 6 – Fayetteville, NC

Battle Creek, Michigan

VISN 5 – Perry Point

VISN 5 – Cambridge

VISN 1 - Boston

VTS PHASE III - B

PHASE III – TRACK B

Puget Sound, Washington

VISN 2 – Upstate NY (5 sites)

West Texas (Big Spring)

Northern Arizona (Prescott)

Portland, Oregon

Tucson, Arizona

VISN 5 – Washington DC

VISN 5 – Baltimore

Montana (Ft. Harrison)

Iron Mountain, Michigan

Phoenix, Arizona

Amarillo, Texas

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VTS PHASE IV

PHASE IV – CURRENT

Bedford

Connecticut

Augusta, ME

Hudson Valley

Coatsville

Tomah, WI

Augusta, GA

Dublin, GA

Tuscaloosa, AL

Bay Pines

Louisville (Robley Rex)

Lexington

Huntington, WV

Memphis, TN

Mountain Home, TN

Tennessee Valley

Cleveland

San Diego

Wichita, KS

Minneapolis

Chillicothe, OH

Dayton, OH

Jessie Brown (Chicago)

Indianapolis, Indiana

Northern Indiana

Danville (Illiana)

Eastern Kansas/Leavenworth

SE Louisiana

Shreveport, LA

Albuquerque NM

Sheridan, WY

Honolulu, Hawaii

Northern CA

Palo Alto CA

Las Vegas, Southern Nevada

Black Hills

Iowa, Nebraska

North Florida/South GA

Salisbury, NC

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VTS Locations

Phase II sites

Phase III sites

Pilot sites

VTS Site Map – 83 sites

Phase IV sites

VTS Implementation Timeline

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VTS Pilot program phased implementation

begins

Temple, TX

Muskogee, OK

Salt Lake City, UT

Ann Arbor, MI

Phase III

Solicitation (20 sites)

26 VTS sites

Implemented

Phase IV Solicitation

40 sites

86 VTS sites

157 VTS

sites

VTS Program Office Structure

VTS

Director

VTS

Deputy

Director

Beneficiary

Travel

Lead

Rural Grants

Program

Sect. 307

VTS National

Program

Coordinator

Admin

Assistant

Regional

Coordinator

(4)

Program Analyst

(Infomatics) (2)

Management

Analyst

Beneficiary

Travel

Analyst

Typical VTS Operational

Structure

VAMC Director

Responsible Office

Mobility Manager

Scheduler Dispatcher Driver

Driver

Driver

Escort

Escort

Escort

VSO Representative

Board of Directors

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VTS Keys to Success

Customer Centric Service

Convenience Factor

Positive ride environment

Franchise Concept

Board of Directors

Mobility Manager

Partnerships (VSO & Community)

Cost effective (ROI)

Operations Business Model (Growth)

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Mobility Management

Focus on transportation service diversity and a family of

transportation services

Focus on individual and community partnerships

Uses multiple transportation providers to offer the most efficient and

effective service to individuals

Mobility Managers serve as policy coordinators, operations service

brokers and customer travel navigators

Mobility Managers disaggregates service planning and markets in order

to better serve individuals and the community

Mobility Manager acts as a travel agent/service coordinator/advocate to

find the most effective individual transportation needs

VSO Partnerships

2 sites have integrated VSO vehicles/drivers

20 VSO vehicles in the VTS program

70 VSO drivers in the VTS program

2 VSO support staff (non-drivers) working VTS

Volunteer drivers find RouteMatch Mobile Data Computers easy to use

Community Partnerships

United We Ride

Community Transportation Association of America (CTAA)

FTA Veterans Transportation & Community Living Initiative grant

• Prescott, Arizona is partnering with Northern Area Council of Governments,

Central Yavapai Metropolitan Planning organization and Chino Valley Transit

• Muskogee hosted a regional meeting with multiple transit organizations and

Native American representatives

Temple, Texas partnerships

• “The Hop” local bus transit system

• VetRides partnership (VTS bus meets VetRide bus to cut 150 mile ride in half)

• Austin CARTS rural transit system (bus stop use and free vet rides)

• Texas Department of Transportation

• Texas Veterans’ Commission

Ann Arbor partnership with Meijers Corporation

Return on Investment

Reduced Beneficiary Travel costs

Reduced FEE

Reduced Special Mode costs

Reduced Clinic No Shows

Increased VERA

Reduced Bed Day of Care

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Acute Bed Day of Care

Average Cost of Care/ day

Medicine $1760.00

Surgery $2728.00

Psychiatry $1416.00

Variance Days

0

2

4

6

8

10

12

14

16

Oct Nov Dec Jan Feb Mar Apr May Jun Jul

Utilization Management Variance Days Patients with No Transportation

Before VTS After VTS

Bed Day of Care

Feb Mar Apr May Jun Jul August 19th

SURG Transport Savings $7,856.64 $7,201.92 $9,220.64 $18,332.16 $18,414.00 $15,058.56 $15,004.00

MED Transport Savings $16,051.20 $16,473.60 $16,931.20 $30,412.80 $35,640.00 $32,524.80 $29,040.00

Psych Transport Savings $18,408.00 $22,656.00 $12,744.00 $16,992.00 $15,576.00 $14,160.00 $15,576.00

$-

$5,000.00

$10,000.00

$15,000.00

$20,000.00

$25,000.00

$30,000.00

$35,000.00

$40,000.00

BED DAY OF CARE COST AVOIDANCE

Total

$604,111.17

Authorized Care – Fee Basis

Basic Ambulance $500 plus $8 per mile

• Most veterans qualify for Bene -Travel

VTS has Wheel Chair and Lie Down capabilities.

Van $30 plus $3 per mile

Fee for Service transported via Ambulance

• Example:

o Dialysis

o Radiation

o Podiatry

o Cardiac Rehab

Fee Basis

Jan Feb Mar Apr May Jun Jul Aug

Series1 $1,856.00 $- $1,768.00 $6,572.00 $1,240.00 $12,244.00 $12,036.00 $81,608.00

$-

$10,000.00

$20,000.00

$30,000.00

$40,000.00

$50,000.00

$60,000.00

$70,000.00

$80,000.00

$90,000.00

Purchased Care Ambulance Avoidance Costs

Total

$120,862.04

Ambulance Transport

Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug

Ambulance Costs $20,425. $8,316.0 $9,323.0 $6,547.4 $6,632.0 $18,380. $18,447. $10,324. $9,681.0 $14,735. $9,659.0

$-

$5,000.00

$10,000.00

$15,000.00

$20,000.00

$25,000.00

Ambulance Transport Costs FY11

After VTS Before VTS

Missed Opportunity

Basically two types (for our purposes)

• Patient leaves without being seen

• Patient does not show

A basic Clinic Visit that is missed costs $186!

Reasons for Missed visits:

• Scheduling

• Forgot

• Transportation

Missed Opportunity Rates - PT

(Feb FY11) (Mar FY11) (Apr FY11) (May FY11) (Jun FY11) (July FY11)

Series1 $1,860.00 $2,046.00 $13,950.00 $17,298.00 $42,222.00 $25,854.00

$-

$5,000.00

$10,000.00

$15,000.00

$20,000.00

$25,000.00

$30,000.00

$35,000.00

$40,000.00

$45,000.00

Physical Therapy Missed Opportunity Cost Avoidance

Total

$103,230.00

Missed Opportunity Rate

(Oct FY11) (Nov FY11) (Dec FY11) (Jan FY11) (Feb FY11) (Mar FY11) (Apr FY11) (May FY11) (Jun FY11) (July FY11)

Series1 11.79% 13.71% 14.63% 10.15% 13.37% 12.42% 11.82% 10.29% 9.94% 8.52%

6.00%

7.00%

8.00%

9.00%

10.00%

11.00%

12.00%

13.00%

14.00%

15.00%

16.00%

Physical Therapy Missed Opportunity Rate

Before VTS After VTS

Decrease 4.85%

Beneficiary Travel

Feb Mar Apr May Jun Jul Aug

TOTAL $2,034.35 $2,704.25 $2,247.56 $2,322.87 $2,107.40 $1,286.27 $1,424.40

$-

$500.00

$1,000.00

$1,500.00

$2,000.00

$2,500.00

$3,000.00

Beneficiary Travel Saved on Trips not Captured in other Data

TOTAL $13,634.29

Summary of Total Savings

AREA COST AVOIDANCE

Bed Day of Care – Medical/Surgical $418,331.97

Bed Day of Care – Psychiatry $185,779.20

Fee Basis $120,862.04

Missed Opportunity Costs $103,230.00

Beneficiary Travel $13,634.29

TOTAL $841,837.50

The Brand

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Our Customer

"A nation without heroes is nothing."

Roberto Clemente

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