Transcript Title Master - Project ACTION

Health and Transportation –
Partners in Wellness &
Affordable Healthcare
Mary Leary, Vice President, Easter Seals Transportation Group
National Center on Mobility Management Webinar
3-27-2014
WWW.PROJECTACTION.ORG
Outline
• Statistics underscoring growing needs for human
services populations to get healthcare rides
• Chronic conditions driving increased levels of disability
and cost
• How Accessible Communities Can Help
• Trends and key concepts for building bridges with
healthcare systems
• Value proposition for the intersection of health and
transportation
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Disability and Aging Demographics
37,326,100 of in
US reported
one or more
disabilities
(12.1%)
11M Older
Adults have
over 5 chronic
conditions
51.5% of
Older Adults
over 75 have
disabilities
(28M people
are 70 or
older)
Potential
Need for
Ride
14% of people
with
disabilities
have
conditions
that affect
mobility (5M)
70M Older
Adults 50+
have one or
more chronic
condition
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Greater the number of Chronic Conditions
the greater the cost
Arthritis
Heart Disease
Cancer
Depression
High Blood Pressure
High Cholesterol
Diabetes….growing
significantly
Stroke
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Major Formal and Informal Transportation
Options for Community Health Needs
Department of Health and Human Services estimates range from $ 3B
- $ 4B in human services transportation primarily associated with
Medicaid Transportation Estimates
Federal Transit Administration Overall Approximately $ 10B with 5310
grants over $ 257M 2013
Families (caregiver transportation), taxis and volunteer driver
programs
Veterans Administration $ 824M Medical Transportation Benefits 2011
according to AARP 2013 report
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Livable Communities with Accessible
Transportation Options Can Mitigate Chronic
Conditions
Provides
access to
preventive
care
Helps people
convalesce at
home
Reduces
unnecessary
hospital
readmission
Helps people
self-manage
their chronic
conditions
For those who
are mobile,
safe and
accessible
streets and
transit
increase and
maintain
fitness
Less cars
reduce
harmful
emissions
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Trends and key concepts for
building bridges with healthcare
systems
WWW.PROJECTACTION.ORG
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Centers for Medicare and Medicaid
Innovation Healthcare
Transformation AIMS
Improve
access
to care
Improve
patient
outcomes
Reduce
value
based
costs
8
Centers for Disease Control Framework
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Examples of Business Case –
Approaches to Quantifying
Need and Benefit for Access to
Transportation Options
WWW.PROJECTACTION.ORG
Personal Health Mobility (PHM) Measure
Quantify estimates for individuals’ health
access needs - # of appointments they require
per year
• How many can they get to today
• How many do they really need
• Example, need 4/month today only have 2 or
50% PHM, add one more we increase PHM
by 25%
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Reduce Unnecessary Hospital
Readmission
First suggested in
2008 by Florida
State University
• 1% of trips help
clients avoid a
hospital stay
saving on
average $
7,900/stay
Partner with local
hospital systems to
quantify costs
• to find their readmissions rates
and average cost per
re-admission
• apply recent
research suggesting
that 11% of these
are preventable
• apply an agreed
upon average for
what % of these
were related to lack
of transportation
Example: Local
Hospital has 11%
unnecessary readmissions
associated with
approximately
2000 patients (220
patients) costing
them an average
of $ 5,000 per readmission or
$ 1.1M
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Summary – Mobility Managers Can Be Key
in Improving Health and Wellness for their
communities
•
Learn about the health/wellness needs and stakeholders in your community
–
–
–
Connect with people with disabilities and older adults to understand their preferences
and concerns regarding healthcare access
Build relationships with public health, mental health, long term services/supports,
medical care and other healthcare services providers to identify issues and cost
pressures
Apply your expertise and teach them about multi-modal resources, help them connect
into your coordinated transportation work
•
Much more information is available on healthy behaviors and health indicators at the county
level
•
For more assistance or help with quantifying need, just call the NCMM - 866-846-6400
•
Also, check out the Easter Seals Project ACTION Brochure on planning for
transportation after a medical procedures are:
http://www.projectaction.org/Initiatives/HealthTransportation.aspx
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Resources/Sources
•
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
•
MIT Technology Review. 2013. “Where do the Healthcare Dollars Go?.” Retrieved 10-31-2013 from URL:
http://www.technologyreview.com/news/519981/infographic-most-expensive-health-care-technology/
•
Lynott, J. Fox-Grange, W. Guzman, S. 2013. “Weaving It Together, A Tapestry of Transportation Funding
for Older Adults”. AARP Public Policy Institute. April 2013. P. 15
•
Tinetti, Mary E., Fried, Terri R., Boyd, Cynthia M. 2012. “Designing Health Care for the Most Common
Chronic Condition – Multimorbidity.” JAMA, June 20,2012-Vol. 307, No. 23 p. 2493. Article referenced these
statistics from another researcher noted in references as Anderson, G. Chronic care: Making the Case for
Ongoing Care. Princeton, NJ: Robert Wood Johnson Foundation, 2010.
•
Farber, N. Rall, J. 2010. “Human Services State Transportation Coordination Profile: Florida”. National
Conference of State Legislatures. September 2010.
•
CMS. 2012. “Chronic Conditions among Medicare Beneficiaries Chartbook 2012 Edition. P. 22. Retrieved
10-31-2013 from URL: http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-andReports/Chronic-Conditions/Downloads/2012Chartbook.pdf
•
“Chronic Conditions among older Americans.” P. 12. Retrieved 10-31-2013 from URL:
http://assets.aarp.org/rgcenter/health/beyond_50_hcr_conditions.pdf
•
State and County Health Rankings: http://www.countyhealthrankings.org/
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