Addressing adoption barriers to patient transportation services

项目摘要/摘要 在阻碍预约就诊的许多问题中，交通便利 是一个全国性的问题。预约出勤对患者的健康和福祉至关重要。 此外，缺勤对医疗机构来说是一个巨大的财政负担。非紧急情况 医疗运输计划已经被用来将医疗补助受益人送到他们的 在没有其他可用选项的情况下进行预约。最近，优步等叫车服务 Lyft和Lyft已经推出了自己的患者交通服务。虽然这些计划和 服务是有益的，医疗机构的接受受到了财政、 法律和操作上的障碍。我们的提案旨在创建一个决策支持平台，称为 交通360(T360)，供医疗机构管理员制定交通工具 以患者为中心、财务可行并与现有工作流程保持一致的战略。这是一种数字 该工具将为患者运送选项和实施生成建议 基于州和联邦法律和法规要求的路线图(如联邦 反回扣法规关于受益人诱因的民事货币处罚规则)为 以及医疗机构的预算和患者特征(通过安全的数据获得 通过电子病历传播或由管理员在 问卷)。建议中考虑的因素将包括每个 运输服务的地理可用性、定价模式、取消费用、体验 与安全网络医疗设施合作，实施支持，能够与 电子病历、报告功能、与患者的沟通方式、 支持的语言，并提供技术支持。医疗机构的特点 (例如，地点、站点数量、成功的目标指标、相关工作人员的时薪)、 患者(例如，熟悉短信或智能手机、缺勤率)和付款人(比例 每种保险类型的患者和这些保险公司提供的报销费率)将 也要考虑。我们的团队将编制一个知识库，用于以下功能 投资回报计算器、交互式合规性检查表和运营 规划师。将提供各州的报销申请表帮手来帮助医疗保健 设施经理通过导航医疗补助报销流程来减少 拒绝付款和错误付款。在第一阶段，我们将a)与不同的 代表我们的预期目标的医疗保健管理员和工作人员样本 最终用户；b)开发能够展示密钥的概念验证原型 系统功能(ROI计算器、合规性核对表和运营规划器)和反映 从联合技术开发访谈中收集的最终用户要求；以及c)展示 使用T360支持员工有关交通产品的决策的可行性。在……里面 第二阶段，我们将T360扩展为最低可行产品(MVP)，实施为期12个月的 Nemt声称，在参与设施推出，并评估对患者就诊的影响 提交，并成功偿还NEMT。

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.