Exploring Data and Metrics of Value at the Intersection of Health Care and Transportation Proceedings of a Workshop (2016) / Chapter Skim
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3 Cross-Sector Collaboration to Provide Transportation Services in Urban Settings
3 Cross-Sector Collaboration to Provide Transportation Services in Urban Settings
Pages 21-36
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From page 21... ...
, offered the perspective of a major health insurer, and described telemedicine as one solution to linking patients to care.1 Perry Meadows, the medical director for government programs at Geisinger Health Plan, shared several real-life examples of where transportation and health care intersect. Yahaira Graxirena, a transportation planner at the Central Massachusetts Regional Planning Commission, and Xavier Arinez, the chief executive officer of the Worcester Family Health Center (FHC)
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(Lundy) • elationships enhance the ability to provide quality service to patients (e.g., R a relationship between a case manager and a health plan member or be tween a community health worker and a local transportation service provider)
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THE VALUE OF RELATIONSHIPS IN PROVIDING SERVICES Meadows shared several examples from his experience at Geisinger Health Plan of cases where transportation and health care intersected. The first example involved a 65-year-old patient with chronic obstructive pulmonary disease (COPD)
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The Medical Assistance Transportation Program in Pennsylvania will not cross county lines, and taking the shortest route to Philadelphia would require this patient to cross five county lines. This would have required this 3-monthold member and his mother to stand on a street corner, waiting for the next county service to pick them up, Meadows said (if they were picked up at all)
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TRANSPORTATION PLANNING TO IMPROVE ACCESS TO PRIMARY CARE The Central Massachusetts Regional Planning Commission handles all of the planning for the Worcester Regional Transit Authority, Graxirena said. Through the National Center for Mobility Management design challenge and the Community Transportation Association of America (CTAA)
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From page 26... ...
Department of Health and Human Services; MRTA = Montachusett Regional Transit Authority; PBSTN = Paratransit Brokerage Services, Transit Management, Inc.; WRTA = Worcester Regional Transit Authority. SOURCE: Graxirena presentation, June 6, 2016.
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From page 27... ...
In reducing missed appointments and increasing patient access to care, it will be important to also consider how to manage the increased burden on doctors and to avoid such problems as burnout and reduced quality of care. STRATEGIC PLANNING AND DEVELOPMENT The Atlanta Regional Commission is both a metropolitan planning organization, which is responsible for transportation planning, and an area agency on aging, Blumberg said.
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FTA Section 5310 Program Blumberg shared some data regarding the Atlanta Regional Commission's FTA Section 5310 program.3 The Atlanta region has about 4.5 million people in 10 counties, but only three counties are covered by major train or bus systems, and many of the outlying counties have large gaps in transportation services. The Section 5310 program operates primarily through vouchers and serves 1,274 unduplicated riders per month.
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Dialysis centers benefit greatly from patients having reliable transportation, yet federal rules prohibit the Atlanta Regional Commission from approaching patients to be reimbursed for transportation services. Blumberg also highlighted the importance of designing programs at the outset to address predefined research questions and capture the necessary data.
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OVERVIEW OF THE TRB STUDY BETWEEN PUBLIC AND PRIVATE MOBILITY In December 2015, TRB released its findings from an 18-month study of shared mobility services in Special Report 319, Between Public and Private Mobility: Examining the Rise of Technology-Enabled Transportation Services (TRB, 2016)
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population have neither bank accounts nor credit cards. There is a lot of overlap between the vulnerable populations that need these transportation services and those who do not have smartphones or bank accounts.
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. Transportationrelated data include such factors as speed limits, transportation-related injuries and fatalities by neighborhood, the environmental footprint and adverse health effects of transportation, near-roadway pollution, healthy and safe transportation options, the availability of public transportation services, state support for volunteer driver programs, coordinated human services transportation, and enhanced mobility for older adults and people with disabilities.
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From page 33... ...
Graxirena said that the Worcester Division of Public Health, through the Community Health Improvement Plan, is leading the conversation between the transit agency and the health care facilities, health care providers, and other community organizations. Gomez said that hospitals now have standardized community benefit requirements,7 and he suggested approaching hospitals to consider transportation as part of their community benefit efforts.
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. He highlighted the need for transportation network companies to work with the health care sector to reduce the risk of lawsuits in contracting patient transport services to Uber or Lyft.
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Arinez said that the Worcester FHC is collocating services in one building, including dental, radiology, vision, behavioral health, and pharmacy services. An outcome of this that insurance companies should be aware of is that when the patient cannot make it to the office, he or she is missing six appointments, not one, and it is a significant financial loss.
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