Guiding Principles

Guiding Principle 1:  Make Transportation Resources Known to Me and Easy to Understand  

Insights:

Improve Marketing Improve Simplicity Make Resources known to SJHS Staff and Patients Make Resources Bilingual
“There is not enough marketing for the resources available and when people find they have a problem they often don’t know where to look for a solution”

  • Obi Madukoma, Care Coordinator Population Health

On Lack of Technology to research resources :“Most of my clients do not even have cell phones and if they do they are flip phones” – Kaley Kubiac, Transportation Coordinator Riverbend.

Due to Medicaid restrictions, A lot of the burden to schedule transportation sits on the patient who might be unable to do so or not know how to do it.

  • Obi Madukoma, Care Coordinator Population Health
People and staff in house don’t know about the resources. There is a communication gap”

  • Obi Madukoma, Care Coordinator Population Health,
“Some inefficiencies arise when there is a language barrier between the patients and the center’s workers.”

  • Erik,  Volunteer Receptionist at the Sister Maura Brannick Health Center

Guiding Principle 2 : Make Transportation Services Flexible 

Insights:

Make it flexible as appointments often run behind schedule

Make it flexible in case I have to bring children with me

Make it flexible in case I have to pick up medication or other necessities on the way home

Have late night and weekend hours  

“Scheduling one single ride might take 7 separate phone calls and conversations”

  • Kaley Kubiak, Riverbend Transportation Services

“I usually walk, which is more difficult carrying 3 kids and I’m 9-months pregnant.”

  • Kate, client at Mishawaka Medical Center

“All my kids go to different schools…every day is different.”

  • Laura, client at SJHS Mishawaka Medical Center’s Pediatrics

“While REAL Services does transport patients, our transportation services operate within a very specific time frame which leaves some patients without transportation help.”

  • Julie, Director of Client Services at REAL Services, Inc

In a phone interview with Michelle Peters, Director of Community Health and Wellbeing for St Joseph’s Health Systems, she mentioned that South Bend transpo lacks in weekend and late night routes.  The current routes also do not go to all of the SJHS facilities.

 

Guiding Principle 3 : Make it time efficient and Cost Efficient 

 

Make it cost efficient for Patient Make it cost efficient for Organization Make it as time efficient as possible
“Uber requires a credit card. I don’t have a credit card”

-Kate, client at Mishawaka Medical Center
“I think we spend around $550-600 on transportation a month”

-Laura, client at SJHS Mishawaka Medical Center’s Pediatrics

Patient no-shows can be very costly..up to $300”

Geoff Zimpelman, Population Health
“Volunteers could do more to assist transportation”

-Rob, SJHS Volunteer

I’ve been waiting one hour for the Medicaid shuttle”

-Kate, client at Mishawaka Medical Center
“1.5 hour bus ride is usually around a 20 minute drive”

-Geoff Zimpelman, Population Health

 

Guiding Principle 4 : Create continuity for patient transportation within all medical offices and facilities 

Insights:

Improve communication between all offices Find one company, like uber, that will be certified by medicaid throughout all regions Lessen criteria to increase amount of people who can utilize services
“Nothing is centralized. Each clinic and office does different things and they don’t work together on things such as transportation”
Obi Madukoma, Care Coordinator Population Health
“Medicaid will cover transportation costs for its patients, but this can get complicated because only certain cab companies are certified to pick up patients. Depending on where you live, there may not be a viable cab company to use.”
-Ranae, Receptionist at Family Medical Office
“Various organizations will provide transportation for patients, but each organization will only deal with people who meet specific criteria.”
-Geoff Zimpelman, Population Health

 

Guiding Principle 5 : Solution needs to work on a large scale and handle large influx of volume

Insights:

Use Resources Efficiently Standardize Method of Transportation Frequent and Flexible
“With many different services currently being offered, it is important for SJHS to make sure that certain resources are not being unnecessarily duplicated.”

 

  • Geoff Zimpelman, Population Health
“A transportation service that provides ‘door-to-door’ transportation would work best to accommodate all kinds of patients with varying levels of functionality.

  • Julie, Director of Client Services at REAL Services, Inc
“Transportation must be able to accommodate different patient’s schedules and availability for doctor appointments.” –

  • Erik,  Volunteer Receptionist at the Sister Maura Brannick Health Center