Veterans Transportation Service Chief Business Office Veterans Transportation Program (VTP)
Veterans Transportation Program VTS VTS Rural Rural Beneficiary Beneficiary Grants Grants Travel Travel Sect. 307 Sect. 307 2
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 3
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 21 st Century ride share software. Apply transportation best practices/ strong practices. Support facility and VISN leadership VTS objectives 4
VTS Phase I Phase I Pilot Sites: Temple, TX Muskogee, OK Salt Lake City, UT Ann Arbor, MI 5
VTS Phase II (Current State) Phase II - Track A Alexandria, Louisiana VISN 6 – Fayetteville, NC Battle Creek, Michigan VISN 5 – Perry Point VISN 5 – Cambridge VISN 1 - Boston 6
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 7
VTS PHASE IV PHASE IV – CURRENT Chillicothe, OH Bedford Dayton, OH Connecticut Jessie Brown (Chicago) Augusta, ME Hudson Valley Indianapolis, Indiana Northern Indiana Coatsville Danville (Illiana) Tomah, WI Eastern Kansas/Leavenworth Augusta, GA SE Louisiana Dublin, GA Shreveport, LA Tuscaloosa, AL Albuquerque NM Bay Pines Sheridan, WY Louisville (Robley Rex) Lexington Honolulu, Hawaii Huntington, WV Northern CA Memphis, TN Palo Alto CA Mountain Home, TN Las Vegas, Southern Nevada Tennessee Valley Black Hills Cleveland Iowa, Nebraska San Diego North Florida/South GA Wichita, KS Salisbury, NC Minneapolis 8
VTS Locations VTS Site Map – 83 sites Pilot sites Phase II sites Phase III sites Phase IV sites
VTS Implementation Timeline VTS Pilot Phase III Muskogee, OK program phased Temple, TX Salt Lake City, Solicitation implementation (20 sites) UT begins Ann Arbor, MI Phase IV 157 VTS Solicitation 26 VTS sites 86 VTS sites sites 40 sites Implemented 10
VTS Program Office Structure VTS Admin Director Assistant Beneficiary Rural Grants Travel Program Lead Sect. 307 VTS Program Analyst Deputy (Infomatics) (2) Beneficiary Director Travel Analyst VTS National Management Program Analyst Coordinator Regional Coordinator (4)
Typical VTS Operational Structure VAMC Director Board of Directors Responsible Office Mobility Manager VSO Scheduler Dispatcher Driver Escort Representative Driver Escort Driver Escort 12
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) 13
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 17
Acute Bed Day of Care Average Cost of Care/ day Medicine $1760.00 Surgery $2728.00 Psychiatry $1416.00
Variance Days Utilization Management Variance Days Patients with No Transportation 16 Before VTS After VTS 14 12 10 8 6 4 2 0 Oct Nov Dec Jan Feb Mar Apr May Jun Jul
Bed Day of Care BED DAY OF CARE COST AVOIDANCE $40,000.00 Total $35,000.00 $604,111.17 $30,000.00 $25,000.00 $20,000.00 $15,000.00 $10,000.00 $5,000.00 $- 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
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: o Dialysis o Radiation o Podiatry o Cardiac Rehab
Fee Basis Purchased Care Ambulance Avoidance Costs $90,000.00 $80,000.00 Total $70,000.00 $120,862.04 $60,000.00 $50,000.00 $40,000.00 $30,000.00 $20,000.00 $10,000.00 $- 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
Ambulance Transport Ambulance Transport Costs FY11 $25,000.00 After VTS Before VTS $20,000.00 $15,000.00 $10,000.00 $5,000.00 $- 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
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 Physical Therapy Missed Opportunity Cost Avoidance $45,000.00 $40,000.00 Total $35,000.00 $103,230.00 $30,000.00 $25,000.00 $20,000.00 $15,000.00 $10,000.00 $5,000.00 $- (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
Missed Opportunity Rate Physical Therapy Missed Opportunity Rate 16.00% After VTS Before VTS 15.00% 14.00% Decrease 13.00% 4.85% 12.00% 11.00% 10.00% 9.00% 8.00% 7.00% 6.00% (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%
Beneficiary Travel Beneficiary Travel Saved on Trips not Captured in other Data $3,000.00 $2,500.00 $2,000.00 $1,500.00 TOTAL $1,000.00 $13,634.29 $500.00 $- 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
Summary of Total Savings AREA COST AVOIDANCE $418,331.97 Bed Day of Care – Medical/Surgical $185,779.20 Bed Day of Care – Psychiatry $120,862.04 Fee Basis $103,230.00 Missed Opportunity Costs $13,634.29 Beneficiary Travel TOTAL $841,837.50
The Brand 29
Our Customer " A nation without heroes is nothing." Roberto Clemente 30
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