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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 TransitionCo-Director, National Ctr for Mobility
ManagementEasterseals ,Chicago, IL
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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
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“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_chronic_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 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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What is Mobility Management?
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Why Does Mobility and Transportation Pose a Barrier to
Access to Health Care?
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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
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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
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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
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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 ?
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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
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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
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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.
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.
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-HospitalizationFranklin, 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.
DialysisAtlanta Regional Commission, DeKalb, GA
Reimbursed private rides. Focus in on identifying 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.
A Conversation with the Field
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Mary Gordon, Missouri Rural
Health Association
Doris Boeckman, Community Asset
Builders, LLC
Crystal Green, Primaris
“If you always do what you’ve always done, you’ll always get
what you’ve always got.”
In Fierce Conversations, By Susan Scott
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Tap into Mobility Management Systems & Mobility Managers in Your
Community…It’s aboutBreaking Down Siloes
The Difficulty in Finding Mobility Management Practices
How to Identify a Mobility Manager or Mobility Management Network in Your
Community Local transit agency or transit authority
State DOT
Metropolitan Planning Organization
Google…Local Coordinated Transportation plan, transportation advisory committee
Local human service agency (AAA, CIL, ADRC)
National Center for Mobility Management
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The National Center for Mobility Management
Can Help you Make Connections
The mission of the National Center for Mobility Management (NCMM) is to facilitate communities to adopt transportation strategies and mobility options that empower people to live independently and advance health, economic vitality, self-
sufficiency, and community.
www.nationalcenterformobilitymanagement.org
About the NCMM
• National Technical assistance center
• Launched in early 2013
• Jointly operated by three national organizations:– Easterseals
– American Public Transportation Association
– Community Transportation Association of America
• Through a cooperative agreement with the Federal Transit Administration (FTA), U.S. DOT
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Take Advantage of Our Resources
Webinars, Newsletters, Products
Mobility Management & Information Practices Database (MMIP)
Technical Assistance – ask your liaison– Link to Liaisons
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Tap into Resources
National Center for Mobility Management
National Aging and Disability Transportation Center
National Rural Transit Assistance Program
ACL Project Transit Planning for All
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Questions & Discussion
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Improving the lives of 10 million older adults by 2020 | © 2017 National Council on Aging 35
Next Webinar
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Medication Management: Tools for Success
Feb. 7, 2017 @ 3-4:30 p.m. ET
Adults aged 65+ are more likely to have chronic conditions, take multiple medications, and experience adverse drug reactions that result in a fall, a visit to the emergency department, or hospitalization. Attend this webinar to learn more about the new Falls Risk Reduction Toolkit developed by NCOA and the American Society of Consultant Pharmacists. Presenters will also share information about the evidence-based program, HomeMeds, an intervention to improve medication safety.
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