1. HealthTran Get Link’d Presentation October 14, 2015

2. Why HealthTran Exists…  Increase access to healthcare.  Demonstrate that access to public transportation can improve patient health outcome.  Maximize public transportation.  Minimize unnecessary healthcare expenditures.  Improve patient experience and quality of life.

3. HealthTran - The Big Picture Gather quality data to support the theory that transportation, does in fact, improve patient health. Use data to advocate for increased transportation funding at the state & federal levels to improve healthcare access and patient outcomes. Create a sustainable & duplicable program.

4. HealthTran Region (10 counties)  Christian  Douglas  Howell  Oregon  Ozark  Shannon (added)  Taney  Texas  Webster  Wright

5. 5 Over 20% of population is over age 64

6. Original Partners MO Public Transit Assn MO Rural Health Assn SMTS OATS Ozarks Medical Center (OMC) Southern Missouri CHC MO Ozarks Community Health Jordan Valley CHC New Partners OMC 21 Rural Clinics City of West Plains Transit South Howell County Ambulance Ozark County Ambulance District Burton Creek Clinic (private practice) Cox Health System/Skaggs Memorial Hospital Licking Bridge Builders Transit Texas County Memorial Hospital

7. Where Are We Now?  Transit trips average $3.00 for “in-city” to $81- $150 round trip for specialty services depending on distance.  Mid-September 2015  Half way through the 3 year grant period  Nearly 3,500 ride referrals  Planning Grant partner – Health Care Collaborative of Rural Missouri (Lafayette County)

8. Barriers  Lack of rural healthcare providers.  Lack of transportation services/routes.  Cost and distance of travel.  Hard to navigate transit schedules/systems.  Lack of funding.  Public awareness / stigma.  Medical cost (copays) and insurance changes.  Silos among systems.

9. Opportunities  Model the Federal Rides to Wellness Summit  Develop a Missouri Approach as a National Model  Leverage Resources  Support Enhanced Funding for Public Transportation  Reduce Hospital Re-admissions  Decrease the Burden of Chronic Disease  Increase Quality of Life

10. Sustainability  Health Access is a VIABLE selling point for funding transportation providers.  Transportation is a VIABLE option to reduce the cost of healthcare and improve health outcomes for health care providers.  TOGETHER Health & Transit can be a strong VOICE FOR CHANGE!

11. Design Challenge GOAL: Creating a sustainable transportation coordination model for Missouri APPROACH 1: Engage providers to develop a subscriber fee

12. 12 APPROACH 2: Train volunteers about transportation options Design Challenge

13. Funding to Date  Missouri Foundation for Health: $499,906  Missouri Foundation for Health: MO Rides to Wellness Summit: $25,203  National Center for Mobility Management: Design Challenge: $25,000  Missouri Department of Transportation: Section 5310 Contract: $203,469 NCMM & MoDOT Programs are funded by the Federal Transit Administration

14. What Next? 14 Missouri Rides to Wellness Summit – October 14 - State leadership engagement - Communication / dialogue for change Expansion / Additional Data Collection - Technology- Additional Pilot Areas - EMR Flagging

15. Questions? Contact HealthTran c/o: Missouri Rural Health Association 2412 Hyde Park, Suite B Jefferson City, MO 65109 573-632-2700 mgordon@cabllc.com mrha@cabllc.com