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Transcript of Facilitating Transportation Access to CDSME and Falls Prevention · PDF file 2019. 2....

  • Improving the lives of 10 million older adults by 2020

    Facilitating Transportation Access to CDSME and

    Falls Prevention Programs through Participation in

    Mobility Management Networks

    January 24, 2017

    • Judy Shanley, Easterseals, Inc., National Center for Mobility Management

    • Carol Wright Kenderdine, Easterseals, Inc., National Aging and Disability Transportation Center

    • Doris Boeckman, Community Asset Builders, LLC

    • Mary Gordon, Missouri Rural Health Association

    • Crystal Green, Primaris

  • Improving the lives of 10 million older adults by 2020 | © 2017 National Council on Aging 3

    Welcome!

    Judy Shanley

    Vice President

    Easterseals, Inc. & National Center

    for Mobility Management

  • Facilitating Transportation Access to CDSME and Falls Prevention Programs through Participation in Mobility Management

    Networks

    Judy L. Shanley, Ph.D. Asst. VP, Education & Youth Transition Co-Director, National Ctr for Mobility

    Management Easterseals ,Chicago, IL

    4

  • Agenda

     Learn about ways to engage in mobility and transportation innovations through mobility management

     Hear about examples of health and mobility partnerships

     Leverage community and national resources to improve mobility options to support access to healthcare

    5

  • “The healthcare industry in the United States is being reshaped by a dramatic shift away

    from acute care and toward chronic care. By 2020, it is expected that half of the U.S.

    population will suffer from chronic disease that the management of these conditions

    will represent 80% of healthcare spending.”

    Singh, Mahender. 2008. “Chronic Care Driving a Fundamental Shift in Health Care Supply Chains.” MIT Center for Transportation & Logistics. Retrieved 10-31-2013 from URL: http://esd.mit.edu/staging/research/vignette/wp_singh_chr onic_care.pdf

  • Why Focus on Creating Partnerships between Health Care and Transit?

     Preventable hospital readmissions are a significant avoidable cost in the U.S. health care system, costing an estimated $25 billion annually.

     Why? Due to poor discharge procedures and inadequate follow-up care, nearly one in every five Medicare patients discharged from the hospital is readmitted within 30 days.

     Across all insured patients, the preventable readmission rate is 11 percent, while the rate for Medicare patients is 13.3 percent.

  • Some More Whys…

     Too often people cannot access preventative services, may stay in a hospital longer than necessary, or rehabilitate in an expensive institutional setting due to lack of transportation.

     A holistic approach to wellness emphasizes access to all elements of community living that give an individual life satisfaction – connecting socially, taking advantage of recreation/leisure activities, education, employment, housing, community services and supports along with healthcare.

  • What is Mobility Management Mobility 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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  • What is Mobility Management?

    10

  • Why Does Mobility and Transportation Pose a Barrier to

    Access to Health Care?

    11

    Type Your Responses in the Chat Box

  • What Transportation Issues Affect Access to Health Care?

     People lack knowledge and skills regarding using public transit

     Fear related to using transportation

     Health care personnel may lack connections with public transportation and mobility management

     Transit may lack connections with health care

     Lack of transportation options

     Inconvenience of transportation options

     Cost of transportation

    6

  • Trends and Opportunities to Move Us along the Pathway to Building

    Partnerships

     Requirements for Coordinating Council on Access and Mobility (CCAM)

     Recognition of social determinates of health (transit may knock on your door)

     Focused on increased efficiencies through Mobility Management

    13

  • Examples of Mobility Management Strategies

     Professional development to discharge planners, federally qualified health centers (FQHCs), centers for independent living

     Transit-health care voucher programs

     Community health meetings with transit & mobility providers

     Integrating appointment scheduling with ride scheduling

     Partnerships with shared ride services

     Volunteer driver programs

     Grant writing and administering cooperative programs

    14

  • 15

     Partnership of Easterseals and National Association of Area Agencies on Aging (n4a)

     Promotes the availability & accessibility of transportation options that serve the needs of older adults, people with disabilities, and caregivers

     Has a focus on Federal Transit Administration Section 5310 Formula Grant Funding

    Carol Wright Kenderdine,

    Assistant Vice President of Mobility and

    Transportation

  •  Promote the use of accessible public transportation for employment, health care, education, recreation, and to support independent living.

     Increase the effectiveness, efficiency, and quality of coordinated human service transportation.

     Ensure transportation planning is done in conjunction with broader planning activities at all levels.

     Highlight and assist in developing promising practices to solve transportation challenges, maximizing the effectiveness of federal investments in specialized transportation.

    www.nadtc.org16

    Goals of the NADTC

  • What is Section 5310 ?

    17

     The Enhanced Mobility for Seniors and People with Disabilities Program – Section 5310 – is a state-managed program funded by the Federal Transit Administration (FTA) that connects seniors and individuals with disabilities to their communities.

     It purpose is to improve mobility for seniors and individuals with disabilities throughout the country by removing barriers to transportation services and expanding the transportation mobility options available.

  • Things that can be funded under Section 5310

    18

     Activities to support the provision of transit services to meet the specialized needs of older adults and people with disabilities when public transit is insufficient, inappropriate, or unavailable.

    In addition:

     Mobility Management  Travel Training  Volunteer Driver Programs  One Call/One Click (One Stop) Transportation Ride Reservation Centers  Accessible Taxis  Ridesharing Programs  Van Pool Programs

  • Section 5310 & Health Care Partnership

    19

    Volunteer Assisted Transportation Program (VAT)

    Knoxville – Knox County Community Action Committee, Knoxville, TN

    Partner agencies include: Covenant Health, AAA of East Tennessee, Patricia Neal Rehabilitation Center, & Pilot Travel Centers

    Program provides volunteer drivers who use agency-owned hybrid sedans and w/c accessible minivans to provide door-through-door transportation services; transportation counseling/mobility management.

  • Dialysis Sandusky, 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.

  • Readmission

    Ada, Gem, & Canyon Counties, 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-Hospitalization Franklin, Jackson, Perry, and Williamson

    Counties, Illinois  Proactive Identification of At-Risk Patients: Patients would be

    referred to mobility management services. Mobility managers would create relationships 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.

  • Dialysis Atlanta Regional Commi