Veterans Transportation Service Chief Business Office Veterans - - PowerPoint PPT Presentation

Chief Business Office Veterans Transportation Program (VTP)

Veterans Transportation Service

Veterans Transportation Program

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VTS VTS Rural Grants

• Sect. 307

Rural Grants

• Sect. 307

Beneficiary Travel Beneficiary Travel

Veterans Transportation Program Mission Improve the quality of life for veterans by increasing access to health care through integrated and cost effective transportation solutions Vision Overcome barriers to care by assuring effective and efficient transportation

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VTS Program Objectives

Provide Veterans with convenient and timely access to transportation services and overcome access barriers to increase transportation resources and options for all Veterans. Focus on Rural and Highly Rural areas. Establish a network of community transportation service providers Partner and integrate with Veteran Service Organizations Create a state of the art system using 21st Century ride share software. Apply transportation best practices/ strong practices. Support facility and VISN leadership VTS objectives

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VTS Phase I

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Phase I Pilot Sites: Temple, TX Muskogee, OK Salt Lake City, UT Ann Arbor, MI

VTS Phase II (Current State)

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Phase II - Track A Alexandria, Louisiana VISN 6 – Fayetteville, NC Battle Creek, Michigan VISN 5 – Perry Point VISN 5 – Cambridge VISN 1 - Boston

VTS PHASE III - B

PHASE III – TRACK B Puget Sound, Washington VISN 2 – Upstate NY (5 sites) West Texas (Big Spring) Northern Arizona (Prescott) Portland, Oregon Tucson, Arizona VISN 5 – Washington DC VISN 5 – Baltimore Montana (Ft. Harrison) Iron Mountain, Michigan Phoenix, Arizona Amarillo, Texas

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VTS PHASE IV

PHASE IV – CURRENT

Bedford Connecticut Augusta, ME Hudson Valley Coatsville Tomah, WI Augusta, GA Dublin, GA Tuscaloosa, AL Bay Pines Louisville (Robley Rex) Lexington Huntington, WV Memphis, TN Mountain Home, TN Tennessee Valley Cleveland San Diego Wichita, KS Minneapolis Chillicothe, OH Dayton, OH Jessie Brown (Chicago) Indianapolis, Indiana Northern Indiana Danville (Illiana) Eastern Kansas/Leavenworth SE Louisiana Shreveport, LA Albuquerque NM Sheridan, WY Honolulu, Hawaii Northern CA Palo Alto CA Las Vegas, Southern Nevada Black Hills Iowa, Nebraska North Florida/South GA Salisbury, NC

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VTS Locations

Phase II sites Phase III sites Pilot sites

VTS Site Map – 83 sites

Phase IV sites

VTS Implementation Timeline

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VTS Pilot program phased implementation begins Temple, TX Muskogee, OK Salt Lake City, UT Ann Arbor, MI Phase III Solicitation (20 sites) 26 VTS sites Implemented

Phase IV Solicitation 40 sites 86 VTS sites 157 VTS sites

VTS Program Office Structure

VTS Director

VTS Deputy Director

Beneficiary Travel Lead Rural Grants Program

• Sect. 307

VTS National Program Coordinator

Admin Assistant

Regional Coordinator (4)

Program Analyst (Infomatics) (2) Management Analyst Beneficiary Travel Analyst

Typical VTS Operational Structure

VAMC Director Responsible Office Mobility Manager Scheduler Dispatcher Driver Driver Driver Escort Escort Escort VSO Representative Board of Directors

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VTS Keys to Success

Customer Centric Service Convenience Factor Positive ride environment Franchise Concept Board of Directors Mobility Manager Partnerships (VSO & Community) Cost effective (ROI) Operations Business Model (Growth)

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Mobility Management

Focus on transportation service diversity and a family of transportation services Focus on individual and community partnerships Uses multiple transportation providers to offer the most efficient and effective service to individuals Mobility Managers serve as policy coordinators, operations service brokers and customer travel navigators Mobility Managers disaggregates service planning and markets in order to better serve individuals and the community Mobility Manager acts as a travel agent/service coordinator/advocate to find the most effective individual transportation needs

VSO Partnerships

2 sites have integrated VSO vehicles/drivers 20 VSO vehicles in the VTS program 70 VSO drivers in the VTS program 2 VSO support staff (non-drivers) working VTS Volunteer drivers find RouteMatch Mobile Data Computers easy to use

Community Partnerships

United We Ride

Community Transportation Association of America (CTAA) FTA Veterans Transportation & Community Living Initiative grant

• Prescott, Arizona is partnering with Northern Area Council of Governments,

Central Yavapai Metropolitan Planning organization and Chino Valley Transit

• Muskogee hosted a regional meeting with multiple transit organizations and

Native American representatives Temple, Texas partnerships

• “The Hop” local bus transit system
• VetRides partnership (VTS bus meets VetRide bus to cut 150 mile ride in half)
• Austin CARTS rural transit system (bus stop use and free vet rides)
• Texas Department of Transportation
• Texas Veterans’ Commission

Ann Arbor partnership with Meijers Corporation

Return on Investment

Reduced Beneficiary Travel costs Reduced FEE Reduced Special Mode costs Reduced Clinic No Shows Increased VERA Reduced Bed Day of Care

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Acute Bed Day of Care Average Cost of Care/ day

Medicine $1760.00 Surgery $2728.00 Psychiatry $1416.00

Variance Days

2 4 6 8 10 12 14 16 Oct Nov Dec Jan Feb Mar Apr May Jun Jul

Utilization Management Variance Days Patients with No Transportation

Before VTS After VTS

Bed Day of Care

Feb Mar Apr May Jun Jul August 19th SURG Transport Savings $7,856.64 $7,201.92 $9,220.64 $18,332.16 $18,414.00 $15,058.56 $15,004.00 MED Transport Savings $16,051.20 $16,473.60 $16,931.20 $30,412.80 $35,640.00 $32,524.80 $29,040.00 Psych Transport Savings $18,408.00 $22,656.00 $12,744.00 $16,992.00 $15,576.00 $14,160.00 $15,576.00 $- $5,000.00 $10,000.00 $15,000.00 $20,000.00 $25,000.00 $30,000.00 $35,000.00 $40,000.00

BED DAY OF CARE COST AVOIDANCE

Total $604,111.17

Authorized Care – Fee Basis

Basic Ambulance $500 plus $8 per mile

• Most veterans qualify for Bene -Travel

VTS has Wheel Chair and Lie Down capabilities. Van $30 plus $3 per mile Fee for Service transported via Ambulance

• Example:
• Dialysis
• Radiation
• Podiatry
• Cardiac Rehab

Fee Basis

Jan Feb Mar Apr May Jun Jul Aug Series1 $1,856.00 $- $1,768.00 $6,572.00 $1,240.00 $12,244.00 $12,036.00 $81,608.00 $- $10,000.00 $20,000.00 $30,000.00 $40,000.00 $50,000.00 $60,000.00 $70,000.00 $80,000.00 $90,000.00

Purchased Care Ambulance Avoidance Costs

Total $120,862.04

Ambulance Transport

Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Ambulance Costs $20,425. $8,316.0 $9,323.0 $6,547.4 $6,632.0 $18,380. $18,447. $10,324. $9,681.0 $14,735. $9,659.0 $- $5,000.00 $10,000.00 $15,000.00 $20,000.00 $25,000.00

Ambulance Transport Costs FY11

After VTS Before VTS

Missed Opportunity

Basically two types (for our purposes)

• Patient leaves without being seen
• Patient does not show

A basic Clinic Visit that is missed costs $186! Reasons for Missed visits:

• Scheduling
• Forgot
• Transportation

Missed Opportunity Rates - PT

(Feb FY11) (Mar FY11) (Apr FY11) (May FY11) (Jun FY11) (July FY11) Series1 $1,860.00 $2,046.00 $13,950.00 $17,298.00 $42,222.00 $25,854.00 $- $5,000.00 $10,000.00 $15,000.00 $20,000.00 $25,000.00 $30,000.00 $35,000.00 $40,000.00 $45,000.00

Physical Therapy Missed Opportunity Cost Avoidance Total $103,230.00

Missed Opportunity Rate

(Oct FY11) (Nov FY11) (Dec FY11) (Jan FY11) (Feb FY11) (Mar FY11) (Apr FY11) (May FY11) (Jun FY11) (July FY11) Series1 11.79% 13.71% 14.63% 10.15% 13.37% 12.42% 11.82% 10.29% 9.94% 8.52% 6.00% 7.00% 8.00% 9.00% 10.00% 11.00% 12.00% 13.00% 14.00% 15.00% 16.00%

Physical Therapy Missed Opportunity Rate

Before VTS After VTS

Decrease 4.85%

Beneficiary Travel

Feb Mar Apr May Jun Jul Aug TOTAL $2,034.35 $2,704.25 $2,247.56 $2,322.87 $2,107.40 $1,286.27 $1,424.40 $- $500.00 $1,000.00 $1,500.00 $2,000.00 $2,500.00 $3,000.00

Beneficiary Travel Saved on Trips not Captured in other Data

TOTAL $13,634.29

Summary of Total Savings AREA COST AVOIDANCE

Bed Day of Care – Medical/Surgical

$418,331.97

Bed Day of Care – Psychiatry

$185,779.20

Fee Basis

$120,862.04

Missed Opportunity Costs

$103,230.00

Beneficiary Travel

$13,634.29

TOTAL $841,837.50

The Brand

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Our Customer

"A nation without heroes is nothing."

Roberto Clemente

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