Addressing Transportation Barriers at the Community Level Connect With Us! Addressing Transportation Barriers at the Community Level Chelsea Heflin, Patient Transport Coordinator & Sean Harris, DNP

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?

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

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- 2017 Numbers

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%

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

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

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

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?

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

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

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

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

Chelsea Heflin, Patient Transportation Coordinator cheflin@your-chc.org Sean Harris, COO sharris@your-chc.org Contact Information