Presentation on theme: " The trends in health care are evolving. In the early part of the 20 th Century, the doctor had the mobility role making house calls In the last half."— Presentation transcript:
The trends in health care are evolving. In the early part of the 20 th Century, the doctor had the mobility role making house calls In the last half of the 20 th century, the patient and the doctor met at the hospital and long hospital stays became common.
Today, the patient is the mobile one › Outpatient surgery › Outpatient treatment › Outpatient rehabilitation
Persons are living longer with more infirmities The average hospital stay is much shorter The population is aging Obesity is becoming epidemic bringing with it many health related issues
Addiction and the need for treatment is increasing Dialysis treatment is growing Mental health treatment is more acceptable and therefore increasing
Our troops are coming home with critical mental and physical health issues › Traumatic Brain Injury › Loss of limbs › Stress related disorders
Aging is requiring increased medical care Aging is requiring increased assistance in transportation
Increased difficulty in travel to seek medical treatment Increased difficulty in travel to employment in the medical industry
Of 29 rich nations, the United States has the highest rate of ‘amenable mortality’ before the age of 75 The U.S. is falling further behind Nolte,McKee, London School of Hygiene and Tropical Medicine
The emerging transportation need of the twenty first century
Volunteers in Medicine Institute
Older adults Veterans Persons with disabilities Children Healthcare employees persons who are “fuel challenged”
One in five persons over 65 does not drive Compared with older drivers, older non-drivers in America make 15% fewer trips to the doctor Men can expect to spend the last six years of their lives dependent on others for transportation. For women the time is 10 years. Lack of transportation was named the No. 3 problem in the lives of seniors, ahead of both Medicare and Social Security issues.
Rising fuel costs have resulted in “fuel challenged” riders Persons who have never thought of using public and community transportation are new customers
America has some of the best medical facilities with the best medical care in the world. This is no better than a third world country if the person cannot access the health care.
Total statewide benefit to Florida of more than a billion dollars (number of trips x.1x average cost of one day hospital stay Florida Transportation Disadvantaged services: Return on Investment Study
Many older adults are not comfortable driving in the metropolitan area Income and or disability may dictate the need for transportation assistance Medical community does not consider transportation in land use planning
Across the US › Average distance for medical/dental care was 10.2 miles › Rural trips average 17.5 miles vs. 8.3 miles for urban residents Nationwide average medical trip took 22 minutes
How will people be able to get to the health care they need?
Medical transportation has worked its way to the forefront of public and community transportation Historically, private transportation has provided medical transportation
Brokerages manage non-emergency Medicaid transportation Ambulance handles emergency transportation a emergencies and Medicare
Medical transportation need is so great it will require a variety of modes and levels of transportation Incorporating these modes into coordination plan will take effort
Think outside of the box Work with new people Don’t discount volunteers, donated labor Work with family members of riders to see what they can offer to your system Create unusual partnerships
Introduce your system to the medical community Invite the medical community into the transit community › Learn each others language › Identify each others assets › Identify each others needs
Work with state chapters of national medical associations Work with veterans’ associations to identify their needs Plan overlapping conferences and share common training
Help them to help you
Educate your transit community about CMS Follow proposed rule changes Be educated---Be vocal
When dealing with Medicaid › Keep accurate records › Be able to justify your cost from a third party vantage point › Insure that Medicaid is not paying for any costs not pertaining to Medicaid service
Medical transportation is the new focus › Keep good data on numbers of medical trips, miles, mode of travel
Transportation is the difference between life and living
Community Transportation Association of America Medical Transportation Specialist