The National Academies Press

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From page 51... ... Introduction The healthcare industry is changing, with an evolving shift from the traditional volume-based, fee-for-service model to one where government payments are linked to the performance of healthcare providers. This includes an increased focus on healthcare quality, following many years' experience with cumulative efforts to address quality. Read the entire page →
From page 52... ... This includes the coordination of care "across the full range of clinical and nonclinical support services and across providers and settings" (30) Read the entire page →
From page 53... ... delay appointments, which may lead to poorer management of the disease and thus poorer health outcomes (32) Read the entire page →
From page 54... ... participants varied in their reported use or interest in waivers, transportation was one of the most frequently used. Staff at ESCOs in rural locations found the waiver for transportation particularly helpful, reporting limited public transportation in their areas (33) Read the entire page →
From page 55... ... provided, but it is not yet clear the extent to which trips for ongoing dialysis treatment are provided. TNCs have recognized the large market for non-emergency medical trips, and their role in serving medical trips including those with chronic diseases will likely grow. Read the entire page →
From page 56... ... mobility devices who cannot transfer to a sedan may not be able to use TNC service. TNC trips for those with cognitive disabilities may not be appropriate, and state credentialing requirements for Medicaid NEMT service may limit the use of typical TNC drivers (38) Read the entire page →
From page 57... ... The hospital social workers booked the trips for the patients using SPLT, which in turn arranged the trips. Previously, dialysis access patients were responsible for their own transportation. Read the entire page →
From page 58... ... patients dialyze at home, while as many as 25% could potentially do so (12) Read the entire page →
From page 59... ... Indian Health Service Division of Diabetes Treatment and Prevention: Special Diabetes Program for Indians is low. Among the reasons is a lack of adequate education for ESRD patients about renal replacement treatment options. Read the entire page →
From page 60... ... Communities developed and implemented local diabetes treatment and prevention programs that acknowledged their own community concerns and needs, with training and support provided by the Indian Health Services Division of Diabetes (49) Read the entire page →
From page 61... ... Excerpt from Medicare Diabetes Prevention Program (MDPP) Expanded Model, "MDPP 101 Orientation Webinar," A Read the entire page →
From page 62... ... patients who face barriers to accessing care. Nevertheless, a few examples stand out to illustrate ways that transportation can be incorporated into care delivery. Read the entire page →
From page 63... ... Courtesy of the National PACE Association services. On average, these grants represent about 18% of total health center revenues. Read the entire page →
From page 64... ... Courtesy of the National PACE Association Within about a decade, the Medicare and Medicaid programs took note of On Lok's success in managing chronically ill residents in community-based settings. With funding from the Robert Wood Johnson Foundation, a demonstration program was initiated to replicate and evaluate the intervention in other sites, building on multidisciplinary team management and more �lexible spending to address the social, cultural, clinical, and community needs of patients. Read the entire page →
From page 65... ... any relevant changes to the patient's condition. In this way, transportation staff become part of the PACE care team (60) Read the entire page →
From page 66... ... one of the case management-related covered services. Likewise, states often include optional preventive, rehabilitative, and habilitative care, which could lead to coverage of transportation where access to those services was a facilitator to that type of care. Read the entire page →

From page 51...

... Introduction The healthcare industry is changing, with an evolving shift from the traditional volume-based, fee-for-service model to one where government payments are linked to the performance of healthcare providers. This includes an increased focus on healthcare quality, following many years' experience with cumulative efforts to address quality.