Addressing adoption barriers to patient transportation services

解决患者运输服务的采用障碍

• 批准号: 10549484
• 负责人: WILLIAM Z TAN
• 金额: $ 1.74万
• 依托单位: TRANSCENDENT INTERNATIONAL, LLC
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-22 至 2022-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10549484
• 关键词: Address; Adherence; Administrator; Adopted; Adoption; Appointment; Attention; Budgets; California; Caring; Cellular Phone; Characteristics; Clinic; Communication; Complex; Computational algorithm; Computerized Medical Record; Data; Decision Making; Development; Discipline; Educational Status; Equation; Evaluation; Familiarity; Federally Qualified Health Center; Fees; Financial Hardship; Financial cost; Foundations; Geography; Health; Health care facility; Healthcare; Hour; Human; Industry; Information Technology; Insurance; Insurance Carriers; Interview; Investments; Kickback; Language; Laws; Legal; Location; Logistics; Medicaid; Medical; Modeling; Online Systems; Patient Appointment; Patient Self-Report; Patients; Personal Satisfaction; Persons; Phase; Policies; Policy Analysis; Price; Process; Program Evaluation; Provider; Questionnaires; Recommendation; Regulation; Reporting; Research; Research Personnel; Resources; Role; Sampling; Schedule; Secure; Services; Side; Site; System; Technology; Text Messaging; Time; Training Support; Transportation; Transportation of Patients; Underserved Population; Urban Health; Vendor; Visit; Wages; Work; base; beneficiary; cohort; community clinic; compliance behavior; cost; design; digital; experience; health care economics; health plan; improved; innovation; interest; knowledge base; medical appointment; member; negative affect; operation; patient oriented; payment; phase 1 testing; programs; prototype; research and development; safety net; success; tool; transportation access; uptake; web-based tool

PROJECT SUMMARY/ABSTRACT Among many problems that impede medical appointment attendance, access to transportation is a national issue. Appointment attendance is crucial for patients’ health and wellbeing. Additionally, no-shows are a significant financial burden for healthcare facilities. Non-emergency medical transportation programs have been utilized to get Medicaid beneficiaries to their appointments when no other option is available. Recently, ride-hailing services such as Uber and Lyft have launched their own transportation services for patients. While these programs and services have been beneficial, uptake by healthcare facilities has been hindered by financial, legal, and operational barriers. Our proposal seeks to create a decision-support platform called Transportation 360 (T360) for healthcare facility administrators to formulate a transportation strategy that is patient-centered, financially viable and aligned with existing workflow. This digital tool will generate recommendations for patient transportation options and an implementation roadmap based on state and federal legal and regulatory requirements (such as the Federal Anti-Kickback Statute the Civil Monetary Penalty Rules Regarding Beneficiary Inducements) as well as a healthcare facility’s budget and patient characteristics (obtained through data securely transmitted via electronic medical records or self-reported by an administrator in a questionnaire). Factors taken into account in the recommendations will include each transportation service’s geographic availability, pricing model, cancellation fees, experience working with safety-net healthcare facilities, implementation support, ability to integrate with electronic medical records, reporting capabilities, modes of communication with patients, languages supported, and technical support provided. Characteristics of the healthcare facility (e.g., location, number of sites, target metrics of success, hourly wages of relevant staff), patients (e.g., familiarity with texting or smartphones, no-show rates) and payers (proportion of patients with each type of insurance and reimbursement rates offered by those insurers) will also be considered. Our team will compile a knowledge base to be used with features including a return on investment calculator, an interactive compliance checklist, and an operations planner. A state-by-state reimbursement claims form helper will be available to assist healthcare facility managers with navigating the Medicaid claims reimbursement process to reduce payment denials and errors. In Phase I, we will a) Conduct JTBD interviews with a diverse sample of healthcare administrators and staff members who are representative of our intended end-users; b) Develop a proof-of-concept prototype that is capable of showcasing the key system functions (ROI Calculator, Compliance Checklist, and Operations Planner) and reflects the end-user requirements gathered from the JTBD interviews; and c) Demonstrate the feasibility of using T360 to support staff’s decision-making regarding transportation offerings. In Phase II, we will expand T360 into a minimum viable product (MVP), implement a 12-month rollout at participating facilities, and assess the impact on patient attendance, NEMT claim submission, and successful NEMT reimbursement.

项目摘要/摘要 在阻碍医疗约会出勤的许多问题中 是一个国家问题。预约出勤对于患者的健康和福祉至关重要。 此外，未分享是医疗机构的重大财务燃烧。非紧急性 医疗运输计划已被用来使医疗补助受益人加入其 当没有其他选择时，约会。最近，乘车服务，例如Uber Lyft为患者推出了自己的运输服务。这些程序以及 服务是有益的，医疗机构的吸收受到财务的阻碍， 法律和操作障碍。我们的建议旨在创建一个名为的决策支持平台 运输360（T360）供医疗机构管理员组成运输工具 以患者为中心的策略在财务上可行，并且与现有工作流程保持一致。这个数字 工具将为患者运输选择和实施提供建议 基于州和联邦法律和监管要求的路线图（例如联邦 反回扣法规关于受益人诱使的民事货币罚款规则） 以及医疗机构的预算和患者特征（通过数据安全获得 通过电子病历传输或由管理员自我报告 问卷）。建议中考虑的因素将包括每个因素 运输服务的地理可用性，定价模型，取消费用，经验 与安全网络医疗机构合作，实施支持，与 电子病历，报告功能，与患者的沟通方式， 支持的语言和提供的技术支持。医疗机构的特征 （例如，位置，站点数量，成功的目标指标，相关人员的小时工资）， 患者（例如，熟悉发短信或智能手机，未表演率）和付款人（比例 这些保险提供的每种类型的保险和报销率的患者将 也可以考虑。我们的团队将编译一个知识库，以包含在内的功能 投资计算器的回报率，交互式合规清单和操作 计划者。将提供一个逐个州的报销要求，可以提供帮助医疗保健 设施经理在导航的医疗补助索赔报销过程以减少 付款否认和错误。在第一阶段，我们将a）与潜水员进行JTBD采访 代表我们预期的医疗保健管理员和工作人员样本 最终用户； b）开发能够展示钥匙的概念验证原型 系统功能（ROI计算器，合规清单和操作计划者），并反映 从JTBD访谈中收集的最终用户要求；和c）演示 使用T360来支持员工关于运输产品的决策的可行性。在 第二阶段，我们将将T360扩展到最低可行产品（MVP），实施12个月 NEMT声称，在参与设施上推出并评估对患者出勤的影响 提交和成功的尼姆报销。