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Health Care and Transportation

New! Transportation to Healthcare Destinations: How A Lifeline for Patients Impacts the Bottom Line for Healthcare Providers. This document provides transportation providers with an understanding of the many ways in which the healthcare industry is affected when patients lack transportation to appointments. The companion document, Resource Guide for Conversations Between Transportation Professionals and Healthcare Professionals, supports transportation professionals in starting those conversations.

Resources

Safe Harbor Regulation and NEMT (February 2017  NCMM webinar). Discussed updated rules from the U.S. Department of Health and Human Services, Office of the Inspector General affecting non-emergency medical transportation (NEMT). The rules provide opportunities for healthcare providers and institutions to support patient transportation. Read the new ruling and the Community Transportation Assn. of America's review of the rule, as well as the archived recording and transcript of the webinar.

"Rides to Wellness" Listening Session Implementation Guide (National Center for Mobility Management 2017). A guide to help states, regions, and local communities implement Rides to Wellness events and facilitate connections between mobility and healthcare professionals. We would love your feedback and examples of your local rides to wellness activities.

View the archived presentations and handouts from the Improving Healthcare Outcomes: The Mobility Management Connection Symposium (May 23 & 24, 2016 in conjunction with the CTAA EXPO in Portland, Ore.)

View the archived presentations and handouts from the Improving Healthcare Outcomes: The Mobility Management Connection Symposium (May 23 & 24, 2016 in conjunction with the CTAA EXPO in Portland, Ore.)

Rides to Wellness homepage. In 2015, the FTA launched its Rides to Wellness initiative, a key piece of the agency’s implementation of the administration’s Ladders of Opportunity. Learn more about the initiative.

Virtual Conference: Rides to Wellness Healthcare Transportation Summit. On March 11, 2015, a dedicated group of healthcare and transportation professionals gathered to explore strategies to eliminate one of the largest barriers to healthcare access for millions of Americans: the lack of transportation. Listen to the presenters and view their presentations.

Non-Emergency Medical Transportation: A Vital Lifeline for a Healthy Community (National Conference of State Legislatures, 2015). Provides an overview of the different ways states are dealing with increasing numbers of individuals, who because of age, income or persistent chronic conditions are in need of transportation to medical services.  The brief provides guidance for consideration by state lawmakers people who need transportation to medical services because of  age, chronic conditions or income. It is intended to provide guidance for state lawmakers to consider regarding transportation's role in achieving positive health outcomes.

Expanding Specialized Transportation: New Opportunities under the Affordable Care Act (AARP Public Policy Institute, 2015). The Affordable Care Act (ACA) provides new but limited opportunities to promote or fund specialized transportation services for older people and adults with disabilities. This paper explains how states can use these largely untapped options to expand services for targeted low-income populations with mobility needs. It also presents two case studies illustrating how the Atlanta region and the state of Connecticut are making this work.

Community Connections: Ideas & Innovations for Hospital Leaders (American Hospital Association, Jan. 2015). This report highlights ten innovative human service programs that address specific challenges faced in rural communities, including transportation access.

Transportation for Dialysis Patients (Ride Connection 2015).  A short, powerful video that speaks to the importance of having reliable transportation to dialysis. Message in the video is applicable to any community.

Transportation Disadvantaged Populations: Nonemergency Medical Transportation not Well Coordinated, and Additional Federal Leadership Needed (Government Accountability Office, Dec. 2014). An analysis of coordination among the federal programs that fund NEMT found coordination to be limited and fragmented, potentially leading to duplication across programs. GAO recommends that the Secretary of Transportation, in his capacity as the chair of CCAM, issue a cost sharing plan, make public a new strategic plan and address challenges in coordinating Medicaid and VA NEMT programs with other federal NEMT programs.

Charting Medical Transportation (CT Digital Magazine, Spring 2014). Includes articles, commentary, and podcasts on the impact of major health care provision changes and trends on transit systems of all sizes and in all types of communities. Trends include the increase of chronic health care conditions, including dialysis.

Medicaid Expansion and Premium Assistance: The Importance of Non-Emergency Medical Transportation (NEMT) To Coordinated Care for Chronically Ill Patient (MJS & Company, 2014). Examines the impact of changing health care trends on Medicaid-supported non-emergency medical transportation. Includes a forward by the Community Transportation Association of America. (PDF)(1.56 MB)

Related Presentation by Dale Marsico, Executive Director, Community Transportation Association of America, Washington, D.C.
Related Presentation by Mary Leary, Vice President, Easter Seals Transportation Group, Washington, D.C.
County Health Rankings & Roadmaps. A Robert Wood Johnson Foundation program.

Improving Transportation for Patients Receiving Dialysis Treatments: A Report on Findings (Ride Connection, Portland, Ore., January 2014).

Study of Paratransit Services for Dialysis in Maryland. (Maryland Transit Administration, by KFH Group, 2013). Looks at demand for dialysis-related transportation in Maryland, asking 1) How many dialysis patients rely on public transit currently? 2) How many additional trips would be provided now, and in the future, if additional funding/resources were available? Researchers surveyed dialysis providers and public transportation providers. Resulting data may be used by other states as peer comparison and as indication of trending in demand for dialysis transportation.

NEMT Coordinators in Minnesota: A Survey of How Minnesota Counties Use Coordinators to Deliver Non-Emergency Medical Transportation (Minnesota Council on Transportation Access, 2013). Report surveys and examines how select Minnesota counties utilize transportation coordinators in providing and administering NEMT under the state’s fee-for-service medical assistance program. Focuses on the role of coordinators in delivering the most common type of NEMT service in Minnesota, known as access transportation service. (PDF)(1.8 MB)

Planning for Transportation after Medical Services Pocket Guide (Easter Seals Project ACTION, 2013). Provides information and tips to help patients and their caregivers talk with physicians and health care providers about transportation options and needs.

The Health Transportation Shortage Index: The Development and Validation of a New Tool to Identify Underserved Communities (Children’s Health Fund, 2012). Presents a health planning tool to help communities improve transportation access to health care services.

Technology and Psychological Well-Being. Chapter 7: Commuting and Well-Being (Cambridge University Press, 2011). Looks at commuting stress and its impact on physical health and psychological adjustment.

Healthy Community Design Checklist Toolkit (Centers for Disease Control and Prevention, 2013). This toolkit connects you to health data, gives you presentations and tools for incorporating health into transportation and land use decisions, and enables you to get a health profile of your area.

Transportation and Health Toolkit (Convergence Partnership, 2011). Designed to help health advocates better understand transportation issues and their related health connections, and help inform transportation advocates on the importance of health in their work.

Recommendations for Improving Health Through Transportation Policy, with companion toolkit (Centers for Disease Control, 2010). Discusses how transportation policies can have a profound, positive impact on health.

Medicaid’s Medical Transportation Assurance: Origins, Evolution, Current Trends, and Implications for Health Reform (George Washington University, School of Public Health and Health Services, 2009). Reviews the origins and evolution of the assurance and presents the results of a survey of state Medicaid programs, with a focus on Medicaid’s unique capacity to not only finance medically necessary health care but also the services and supports that enable access to health care by low-income persons, such as non-emergency medical transportation.

 

Training

Mobility Management Basics, Module 6: Transportation for Medical Purposes. Self-paced, on-line training module exploring healthcare-related transportation issues.