1. 1 Dialysis Transportation Solutions Presented by: Lisa Sanders, MTM, Florida Program Director July 31, 2012

2. Crisis in Martin County  In January 2011, 85% of TD funding was consumed by dialysis members  Only 15% was available to the remaining TD population  TD members complained to LCB-TD members, Commissioners, MPO, and MTM about lack of transportation

3. TD Steering Committee Members: MTM, FDOT,MPO and SFCS  The committee developed a list of alternatives to increase capacity:  Partner with nursing homes with available transportation  Transition dialysis members to public transit  Work with dialysis center  Implement a dialysis carpool program  Reach out to family members  None of these initiatives were successful

4. Action  Removed several dialysis members from transportation on July 1, 2011  The LCB-TD ruled that only 50% of TD funding can be used for recurring or dialysis transportation  Nine dialysis members were removed from transportation and placed on a “Wait List”  This action sent a strong message to the community that they needed to partner with us and become part of the solution

5. Newly Developed Partnership  Nursing Homes  Provides transportation twice weekly for their residents  Removes 64 trips monthly from the TD system  Working to increase transportation budget which will allow for a full-time driver  Working on purchasing a wheelchair accessible vehicle

6. Newly Developed Partnership  Dialysis Center  Worked with MTM on changing member chair times which resulted in the creation of four routes  Hobe Sound to Stuart  Palm City to Stuart  Indiantown to Stuart  Stuart to Stuart

7. Newly Developed Partnership  Dialysis Center (Continued)  Renegotiated rates offering transportation providers a multi-loaded/group rate  Reduced transportation costs by $3.00/per trip  Transportation is coordinated by the PM and social worker, then provided to the member  Fresenius provides $50/annually to each dialysis member - $1700 or 425 Trips

8. Newly Developed Partnership  Family Members  Transport members whenever possible  MTM worked with local cab company on fair rate for those that are able to pay  Only call for transportation when absolutely necessary  Vacation  Vehicle break-down  Work schedule

9. Newly Developed Partnership  Multi County Steering Committee  MTM  FDOT  Martin MPO  St. Lucie TPO  St. Lucie Community Transit  Palm Beach MPO  Palm Tran 9

10. Where Are We Now?

11. New Initiatives  Gas Mileage Reimbursement  Volunteer Driver Program  Taxi Voucher Program  FDOT/CUTR Dialysis Study  Rent-a-Car Program  Red Coach Bus

12. Contact MTM  MTM’s Toll Free Number: 866-836-7034  Lisa Sanders, Program Director  772-266-4971  lusanders@mtm-inc.net lusanders@mtm-inc.net  www.mtm-inc.net/martincounty

13. Questions?