1. Addressing Transportation Barriers at the Community Level
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Addressing Transportation Barriers at the Community Level
Chelsea Heflin, Patient Transport Coordinator & Sean Harris, DNP

2. Who is Your Community Health Center?
Your Community Health Center serves >5,000 patients in Phelps, Dent, Maries, Crawford, and Pulaski counties.
Family Practice and Dental Clinic and School- based Health Care Clinic.
The mission of Your Community Health Center is to provide access to high quality, compassionate, patient-centered healthcare to everyone regardless of financial, cultural or social barriers.
Who is Your Community Health Center?

3. Population Description as of 2018
Total Patient’s Served 5,880
>70% Adults (>6% over age 65)
>90% NH White Patients
>35% Uninsured
~54% Medical
~54% Dental
~10% MH Patients
Population Description as of 2018

4. Missouri Unemployment Rate Statics
Employed
75, 833
Unemployed
3,363
Missouri Unemployment Rate
3.8%
United States Employment Rate
4.4%
Source: Missouri Department of Economic Development Numbers

5. DRVS PRAPARE Clinic Results
YCHC DRVS PRAPARE PATIENT RESULTS
Isolation (access to resources)
60%
Need of Transportation to Medical Appointments
70%
Need of Transportation to Non-Medical (Basic Needs: grocery store, church, etc. )
40%

6. What do you think are barriers to transportation for rural Missouri Patients? Please respond using Mentimeter

7. Financial hardships
Creates gas money concerns
Reliable transportation from family and friends
Distance between home and clinic
No pharmacy pick up included. Example: extra cost with taxi service due to additional stop
Barriers of Transportation Reported by Patients and Observed By Office Staff

8. Transportation Outlets in Phelps and Surrounding Counties for Patients
No routed public transportation system offered- no city bus routes
Logisticare for Medicaid patients
We team up with local transportation companies such as SMTS (Southeast Missouri Transportation Service), Licking Bridge Builders, and OATS Transit (Operating Above the Standard Transit)
Local taxi services are utilized
Transportation Outlets in Phelps and Surrounding Counties for Patients

9. So YCHC’s Plan? We Identified a Need (Transportation) Options:
To partner with community organizations
Buy vehicles
Contract with a ride share service
YCHC chose the third option.
So YCHC’s Plan?

10. So YCHC’s Plan? Funding? HealthTran
SUD and BH non-allocated funding sources
HealthTran
So YCHC’s Plan?

11. YCHC Health Tran Program
Program Launch in February 2019
Services Phelps county and surrounding 5 counties
Average 40 scheduled rides per month
1.73% drop in cancellations from last year
Perks:
Pharmacy stop available after appointment
Same day transportation available
YCHC Health Tran Program

12. YCHC Homework Better Tracking in EMR of Patient Cancellation/No Shows
Add Registry into DRVS for Tracking of Health Tran Patients
To help track quality measures on patients (ex: complaint with medications, attending follow up appointments with provider)
Marketing
Recruitment of Volunteer Drivers
YCHC Homework

13. We will now take questions until the end of our presentation time.
Thanks so much for your attention today!
Questions?

14. Chelsea Heflin, Patient Transportation Coordinator
Sean Harris, COO
Contact Information