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7 Connecting Patients to Transportation: Incentives and Return on Investment
Pages 75-88

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From page 75...
... Alex Page, the lead transportation planner for Ride Connection in Portland, Oregon, discussed a dialysis transportation pilot project as an example of linking accessible, responsive transportation with individual and community needs. David Riley, the director of the Veterans Transportation Program at the U.S.
From page 76...
... Section 5311 rural public transit providers and almost 90 FTA Section 5310 (seniors and individuals with disabilities) public transportation providers, and numerous challenges to mobility were identified.
From page 77...
... Liberty Now is an advanced centralized call center staffed by mobility managers using intelligent transportation systems. Liberty Connect Liberty Connect is designed for agencies providing transportation service under FTA Section 5311 and 5310 programs and also for nonprofits.
From page 78...
... , nonmedical transportation, statewide and regional mobility management, and community hospital access to care centers. It is a centralized call center with dedicated mobility managers who search for the best solu
From page 79...
... Local Liberty mobility managers conduct local driver recruitment, screening, and training; follow up on customer service interventions if concerns are reported; and provide customer service and education. They gather constant business intelligence about mobility options.
From page 80...
... and providing vehicles owned by Ride Connection. Dahlia Dialysis Transportation Pilot Page described the Dahlia Dialysis Transportation Pilot project as an example of a Ride Connection program.
From page 81...
... VETERANS TRANSPORTATION PROGRAM The Veterans Transportation Program includes the Beneficiary Travel program, the Veterans Transportation Service, and the Highly Rural Trans
From page 82...
... One way to demonstrate value is to show how the Veterans Transportation Program offset costs from the $850 million Beneficiary Travel program. Costs are offset by intercepting some of the rides that would otherwise go to community providers.
From page 83...
... On an individual level, patients with high missed opportunity rates may be more likely to miss appointments because of transportation difficulties than patients with low missed opportunity rates, and perhaps the transportation program should be targeted at them. Patient satisfaction is also used as a metric, and internal controls are used to demonstrate that the payments made are correct and that the services offered are for the appropriate population.
From page 84...
... He added that the inclusive planning pilot project allowed Ride Connection to test its outreach capabilities and its ability to collaborate with multiple stakeholders and different interests and to work toward defining the shared value in the shared investment. Lefler agreed with the importance of establishing shared goals at the start of a partnership and defining the population being served and the
From page 85...
... Riley added that the Veterans Transportation Service also engages stakeholders in transportation to help guide the program. Social Versus Economic Arguments in Demonstrating the Returns to Health from Investments in Transportation There is stiff competition for limited transportation resources, Ed Christopher said, and Congress requires justification for the spending of public money to ensure that the money spent achieves a positive return.
From page 86...
... He noted the general aversion to viewing transportation to health care as a business model, but he asserted that there are financial savings to be realized when, for example, a child with asthma is well controlled in the primary care setting. One can compare the primary care visit and medication costs spent to the ED and hospitalizations avoided and demonstrate the return on investment.
From page 87...
... Riley also highlighted the need for a shared vocabulary and shared metrics that address concrete issues (i.e., established costs that can be intercepted or prevented)


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