1. Barclay Shepard Virginia Assistive Technology System (VATS) AT Reuse: Partnership and Funding Opportunities: Healthcare, Aging, Veterans and VR!

2. Funding Tight: Partnerships Key Find common elements in missions Where are there potential opportunities? Can you get a foot in the door? In Virginia, DME Medical Model Aligns with: –Healthcare –Aging –Veterans –VR

3. Funding and Partnership Opportunities: Healthcare High volume of uninsured, underinsured Acute care – not receiving equipment Result: Increased ER visits; hospitalizations F.R.E.E. Outcome Surveys – With Equipment

5. Economic Impact When individuals don’t have appropriate equipment and at risk fall, the resulting costs are numerous and dramatic: Increased hospital staysIncreased hospital stays More emergency room visitsMore emergency room visits More doctor’s office visitsMore doctor’s office visits More or longer stays: Rehab/SNFMore or longer stays: Rehab/SNF Lost wages of individuals who cannot return to workLost wages of individuals who cannot return to work Lost wages of family members forced to leave jobs to become caregiversLost wages of family members forced to leave jobs to become caregivers Source: The FREE Foundation

6. Healthcare Continued Partnership Opportunities: –Volunteers –Space –Equipment/Parts Funding Opportunities: –Makes business sense –Community/Healthcare Foundations –Monroe E. Trout Premier Cares Award (2013) “Innovative programs help medically underserved” Demonstrated: Health Improvement Outcomes / Replication with positive results

7. Veterans VA Hospitals: Central Point for HC Less concerned with reuse for Veterans Foot In Door! Surplus of DME-What to do? (Reuse) AT Program Surplus (Open Ended Loan) –Adaptive computer equipment –IPods

8. Aging Mission: Foster independence and well being… AAAs Title V: Work F.R.E.E.’s Outcomes Data Demonstrates Need Various Commissions and Boards Partnership Opportunities: –Marketing Reuse Program –Donations –Space –Connect with Underserved areas

9. VR: Making It Rain! Partnership and Funding Happenings!

10. 2011PIOC Survey of VR Agencies: What amount of funds did your agency spend in FY 2011 on AT devices & DME? Under $100,0008.7% $100,000 - $499,00017.4% $499,000 - $999,00026.1% $1,000,000- $1,999,00021.7% Over $2,000,00026.1% Do you believe your agency would conserve case service funds if it had a well- crafted system in place to reclaim, safely reutilize, and reassign AT and DME that clients no longer needed? 82.6% said “Yes” Does your agency currently reclaim, reuse, reassign AT/DME? 78.3% said “Yes” What are the barriers to reclaiming, reutilizing and reassigning AT/DME? –Lack of storage; No consistent system; Clients lost to follow- up

11. Virginia VR & Reuse Preliminary funding through ARRA Pilot; Continued funding through VR Problem: Informal relationships between VR and Reuse Programs – 1 or 2 individuals; Poorly accessed; No provider of “Back-Up DME” Market & educate VR staff about the benefits of reuse. VR Participants access to “back-up” DME to support employment goals. Formalize the process of VR Clients or their families donating gently used AT/DME to reuse programs

12. VR / Reuse Results! VATS & FREE Foundation presented to RD, VR field office, Rehab Technology Service meetings statewide (391) VR Participants served by Reuse Programs since January 2010  2010= 14  2011= 20  2012= 40  2013= 35  2014= 150  2015= 132 (Through 1 st Three Qtrs.) Cost Savings to VR Participants = Over $120K Increased donations from VR Participants!

13. VRCSI Virginia: VR Closure Scene Investigation Reuse Solutions Revealed and Closed!

14. Ode to Joy: “The case of the missing toilet” Solution: VR program OTs & Rehab Engineers access Reuse program for temporary equipment while bathroom being re-modeled.

15. The Sack Files: “Want the Job…Look the Part!” VR Purchased scooter for Participant while in College Scooter was functional but “ratty looking” Accessed VRN for a newer / more professional looking scooter for interview Client got the job! Solution: VR program Counselors access Reuse program for back-up DME!

16. The Persaud Effect: “DME…or not to DME?” Individual with MH/SA Change in condition (cancer) Services Interrupted (SI) Family needs WC for medical appointments Taken out of SI moving forward –to working toward Vocational Goals Good Re-gifting! Solution: VR Counselors access the Reuse program to help a Client get equipment not in the Employment Plan!

17. Scherer’s Rally: “Sturgis Munchies” Solution: Made a cart for selling candy that attached to the front of the consumers power wheelchair

18. Left Coast Custom… Solution: Custom bathroom equipment not covered by insurance…

19. Buzzell fo’ Shizzel: Quest for a 26! Solution: Custom library cart for a VR Client!

20. “Golden Acres” AgrAbility Success! Solution: Engineers use reused sling to allow more personal face-to- face interaction with customers!

21. Golden Acres Continued! Solution: Engineers use motors from reused scooters to design a custom tractor lift!

22. Sonja’s Journey: “If I Only had a…Part!” Solution: Rehab Engineers access the Reuse program for specialized parts to refurbish Client equipment!

23. Other VR/ Reuse Examples… We Need Back-Up! Power Chairs for back-up at work or home Wheelchairs, bathroom safety equipment, and ambulatory assistive devices to use for assessments or waiting for equipment to be delivered. State Rehab Center needing AT for instruction (Voc Eval and Nurse’s Aide)

24. Virginia Reuse Network Locations