Exploring Data and Metrics of
Value at the Intersection of
Health Care and Transportation
Proceedings of a Workshop
Theresa Wizemann and Alina Baciu, Rapporteurs
Board on Population Health and Public Health Practice
Health and Medicine Division
Transportation Research Board
THE NATIONAL ACADEMIES PRESS
Washington, DC
www.nap.edu
THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001
This project was supported by Contract No. DC-26-7392-00 between the National Academy of Sciences and the Federal Transit Administration, U.S. Department of Transportation. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.
International Standard Book Number-13: 978-0-309-44935-9
International Standard Book Number-10: 0-309-44935-9
Digital Object Identifier: 10.17226/23638
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Copyright 2016 by the National Academy of Sciences. All rights reserved.
Printed in the United States of America
Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2016. Exploring Data and Metrics of Value at the Intersection of Health Care and Transportation: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23638.
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PLANNING COMMITTEE FOR THE WORKSHOP ON EXPLORING DATA AND METRICS OF VALUE AT THE INTERSECTION OF HEALTH CARE AND TRANSPORTATION1
YSELA LLORT (Chair), Miami-Dade Transit (ret.), Miami, FL
RICH GARRITY, RLS & Associates, Inc., Dayton, OH
PAUL HUGHES-CROMWICK, Altarum Institute, Ann Arbor, MI
JUDITH KELL, Mercy Health, Muskegon, MI
CATHERINE T. LAWSON, State University of New York at Albany, Albany, NY
PERRY MEADOWS, Geisinger Health Plan, Danville, PA
MICHELLE PROSER, National Association of Community Health Centers, Washington, DC
MARSHA REGENSTEIN, George Washington University, Washington, DC
ELAINE WELLS, Ride Connection, Portland, OR
NIGEL H. M. WILSON, Massachusetts Institute of Technology, Cambridge, MA
Staff
ALINA BACIU, Project Director
STEVE ANDRLE, Project Director
HOPE HARE, Administrative Assistant
CLAIRE RANDALL, Program Officer
___________________
1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.
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Reviewers
This Proceedings of a Workshop has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published Proceedings of a Workshop as sound as possible and to ensure that the Proceedings of a Workshop meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We wish to thank the following individuals for their review of this Proceedings of a Workshop:
Barry Barker, Transit Authority of River City
Sharon Edgar, Michigan Department of Transportation
Commander Kent Forde, Health Resources and Services Administration
Ricardo Martinez, Adeptus Health, Inc.
Although the reviewers listed above have provided many constructive comments and suggestions, they did not see the final draft of the Proceedings of a Workshop before its release. The review of this Proceedings of a Workshop was overseen by Ned Calonge, The Colorado Trust. He was responsible for making certain that an independent examination of this Proceedings of a Workshop was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this Proceedings of a Workshop rests entirely with the rapporteurs and the institution.
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Contents
Organization of the Workshop and Proceedings
2 TRANSPORTATION TO HEALTH-RELATED DESTINATIONS
FTA-Supported Transportation Efforts
Environmental Scan of Other Transportation Efforts
3 CROSS-SECTOR COLLABORATION TO PROVIDE TRANSPORTATION SERVICES IN URBAN SETTINGS
Telemedicine to Supplement In-Person Visits
The Value of Relationships in Providing Services
Transportation Planning to Improve Access to Primary Care
Strategic Planning and Development
Overview of the TRB Study Between Public and Private Mobility
Protocol to Respond to and Assess Patient Assets, Risks, and Experiences
5 REPORT BACK FROM BREAKOUT GROUPS
6 DATA SOURCES AND TOOLS FOR UNDERSTANDING AND ADDRESSING HEALTH-RELATED TRANSPORTATION NEEDS
Health Transportation Shortage Index
National Health Interview Survey
National Core Indicators-Aging and Disabilities
Bureau of Transportation Statistics
7 CONNECTING PATIENTS TO TRANSPORTATION: INCENTIVES AND RETURN ON INVESTMENT
Veterans Transportation Program
D BIOSKETCHES OF SPEAKERS AND DISCUSSANTS
E STRUCTURED ANNOTATED BIBLIOGRAPHY*
__________________
* Appendix E is only available online at https://www.nap.edu/catalog/23638.
Acronyms and Abbreviations
| ACA |
Patient Protection and Affordable Care Act |
| ADA |
Americans with Disabilities Act |
| APTA |
American Public Transit Association |
| BTS |
Bureau of Transportation Statistics (U.S. DOT) |
| CCAM |
Coordinating Council on Access and Mobility |
| CDC |
Centers for Disease Control and Prevention |
| CEO |
chief executive officer |
| CHIP |
Children’s Health Insurance Program |
| CMS |
Centers for Medicare & Medicaid Services |
| COPD |
chronic obstructive pulmonary disease |
| CTAA |
Community Transportation Association of America |
| DOT |
U.S. Department of Transportation |
| ED |
emergency department |
| EHR |
electronic health record |
| EPA |
U.S. Environmental Protection Agency |
| FAST |
Fixing America’s Surface Transportation Act |
| FHC |
Family Health Center |
| FHWA |
Federal Highway Administration (U.S. DOT) |
| FQHC |
federally qualified health center |
| FTA |
Federal Transit Administration (U.S. DOT) |
| GAO |
Government Accountability Office |
| GIS |
geographic information system |
| HHS |
U.S. Department of Health and Human Services |
| HIPAA |
Health Insurance Portability and Accountability Act |
| HMD |
Health and Medicine Division (of the National Academies of Sciences, Engineering, and Medicine) |
| HRSA |
Health Resources and Services Administration (HHS) |
| HUD |
U.S. Department of Housing and Urban Development |
| n4a |
National Association of Area Agencies on Aging |
| NACHC |
National Association of Community Health Centers |
| NASUAD |
National Association of States United for Aging and Disabilities |
| NCHS |
National Center for Health Statistics (CDC) |
| NCI-AD |
National Core Indicators-Aging and Disabilities |
| NEMT |
nonemergency medical transportation |
| PRAPARE |
Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences |
| RTAP |
National Rural Transit Assistance Program (FTA) |
| TRB |
Transportation Research Board (of the National Academies of Sciences, Engineering, and Medicine) |
| USDA |
U.S. Department of Agriculture |
| VA |
U.S. Department of Veterans Affairs |
| VHA |
Veterans Health Administration (VA) |
