Dialysis Impacts: Urban Para-Transit Eligibility: –Dialysis: medical and variable –Para-transit: functional and stable Service: –Dialysis: Subscription rides fill schedules –Independent Living: Rides scarcer Budget/Funding -- No health care $$$ –Property tax base bears health care costs
Dialysis Impacts: Rural Community Transportation Long distances, frequent trips Multiple service models Volunteer resources mobilized e.g.: –Red Cross, Kidney Foundation, VON, United Way, Long-term Care facilities No reliable health care $$$ –CCAC/LTC funds in some communities –Charitable dollar stretched by health care
Dialysis Patient on Para-Transit Weak and sick Long wait Long time on board Uncomfortable ride Is this good health care?
Other Medical Impacts on Transit Long-Term Care day programs Stroke recovery and rehabilitation programs Hospital patient transfers
Divergent Businesses: Para-Transit, Medical Transport
You are in the Health Transport business when: The passenger is met at both ends by a caregiver; Timeliness is an issue affecting health and safety; Complaints come from a caregiver.
Building a Medical Transport System Health Care Dollars Hospital and Long Term Care Budgets Purchase of Service from: –Transit, Para-transit, Brokerage –Private or Non-Profit Sector Transit Advantages: –Reduced inappropriate demand on para-transit –OR Increased revenues to broker rides –Takes pressure off property tax base.