{"id":1529,"date":"2017-03-27T08:57:42","date_gmt":"2017-03-27T12:57:42","guid":{"rendered":"http:\/\/sites.nd.edu\/innovation-and-design-thinking\/?p=1529"},"modified":"2017-03-27T08:59:13","modified_gmt":"2017-03-27T12:59:13","slug":"guiding-principles-4","status":"publish","type":"post","link":"https:\/\/sites.nd.edu\/innovation-and-design-thinking\/2017\/03\/27\/guiding-principles-4\/","title":{"rendered":"Guiding Principles"},"content":{"rendered":"

Guiding Principle 1: \u00a0Make Transportation Resources Known to Me and Easy to Understand \u00a0<\/b><\/p>\n

Insights:<\/p>\n\n\n\n\n
Improve Marketing <\/span><\/td>\nImprove Simplicity <\/span><\/td>\nMake Resources known to SJHS Staff and Patients <\/span><\/td>\nMake Resources Bilingual <\/span><\/td>\n<\/tr>\n
\u201cThere is not enough marketing for the resources available and when people find they have a problem they often don\u2019t know where to look for a solution\u201d<\/b><\/p>\n
    \n
  • Obi Madukoma, Care Coordinator Population Health<\/span><\/li>\n<\/ul>\n

    On Lack of Technology to research resources :<\/span>\u201cMost of my clients do not even have cell phones and if they do they are flip phones\u201d<\/b> – Kaley Kubiac, Transportation Coordinator Riverbend. <\/span><\/td>\n

Due to Medicaid restrictions, <\/b>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.<\/b><\/p>\n
    \n
  • Obi Madukoma, Care Coordinator Population Health<\/span><\/li>\n<\/ul>\n<\/td>\n
\u201c <\/span>People and staff in house don\u2019t know about the resources. There is a communication gap\u201d<\/b><\/p>\n
    \n
  • Obi Madukoma, Care Coordinator Population Health, <\/span><\/li>\n<\/ul>\n<\/td>\n
\u201cSome inefficiencies arise when there is a language barrier between the patients and the center\u2019s workers.\u201d<\/b><\/p>\n
    \n
  • Erik, \u00a0Volunteer Receptionist at the Sister Maura Brannick Health Center<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

    Guiding Principle 2 : Make Transportation Services Flexible\u00a0<\/strong><\/p>\n

    Insights:<\/span><\/p>\n\n\n\n\n
    \n

    Make it flexible as appointments often run behind schedule <\/span><\/h3>\n<\/td>\n

    		\n

    Make it flexible in case I have to bring children with me <\/span><\/h3>\n<\/td>\n

    		\n

    Make it flexible in case I have to pick up medication or other necessities on the way home<\/span><\/h3>\n<\/td>\n

    		\n

    Have late night and weekend hours \u00a0<\/span><\/h3>\n<\/td>\n<\/tr>\n

    \n

    \u201cScheduling one single ride might take 7 separate phone calls and conversations\u201d<\/b><\/h3>\n
      \n
    • \n

      Kaley Kubiak, Riverbend Transportation Services<\/span><\/h3>\n<\/li>\n<\/ul>\n<\/td>\n

    		\n

    \u201cI usually walk, which is more difficult carrying 3 kids and I\u2019m 9-months pregnant.\u201d<\/b><\/h3>\n
      \n
    • \n

      Kate, client at Mishawaka Medical Center<\/span><\/h3>\n<\/li>\n<\/ul>\n

      \u201cAll my kids go to different schools…every day is different.\u201d<\/b><\/h3>\n
        \n
      • \n

        Laura, client at SJHS Mishawaka Medical Center\u2019s Pediatrics<\/span><\/h3>\n<\/li>\n<\/ul>\n<\/td>\n

    		\n

    \u201cWhile REAL Services does transport patients, our transportation services operate within a very specific time frame which leaves some patients without transportation help.\u201d<\/b><\/h3>\n
      \n
    • \n

      Julie, Director of Client Services at REAL Services, Inc<\/span><\/h3>\n<\/li>\n<\/ul>\n<\/td>\n

    		\n
    In a phone interview with <\/span>Michelle Peters, Director of Community Health and Wellbeing for St Joseph\u2019s Health Systems<\/b>, she mentioned that South Bend transpo lacks in weekend and late night routes. \u00a0The current routes also do not go to all of the SJHS facilities. <\/span><\/h5>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

     <\/p>\n

    Guiding Principle 3 : Make it time efficient and Cost Efficient\u00a0<\/strong><\/p>\n

     <\/p>\n\n\n\n\n
    Make it cost efficient for Patient <\/span><\/td>\nMake it cost efficient for Organization <\/span><\/td>\nMake it as time efficient as possible <\/span><\/td>\n<\/td>\n<\/tr>\n
    \u201cUber requires a credit card. I don\u2019t have a credit card\u201d<\/b><\/p>\n

    -Kate, client at Mishawaka Medical Center<\/span>
    \n\u201cI think we spend around $550-600 on transportation a month\u201d<\/b><\/p>\n

    -Laura, client at SJHS Mishawaka Medical Center\u2019s Pediatrics <\/span><\/td>\n

    		\u201c<\/span>Patient no-shows can be very costly..up to $300\u201d<\/b><\/p>\n

    –<\/b>Geoff Zimpelman, Population Health<\/span>
    \n\u201cVolunteers could do more to assist transportation\u201d<\/b><\/p>\n

    -Rob, SJHS Volunteer <\/span><\/td>\n

    		\u201c<\/span>I\u2019ve been waiting one hour for the Medicaid shuttle\u201d<\/b><\/p>\n

    -Kate, client at Mishawaka Medical Center<\/span>
    \n\u201c1.5 hour bus ride is usually around a 20 minute drive\u201d<\/b><\/p>\n

    -Geoff Zimpelman, Population Health<\/span><\/td>\n

    		<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

     <\/p>\n

    Guiding Principle 4 : Create continuity for patient transportation within all medical offices and facilities\u00a0<\/b><\/p>\n

    Insights: <\/span><\/p>\n\n\n\n\n
    Improve communication between all offices<\/span><\/td>\nFind one company, like uber, that will be certified by medicaid throughout all regions<\/span><\/td>\nLessen criteria to increase amount of people who can utilize services<\/span><\/td>\n<\/tr>\n
    \u201cNothing is centralized. Each clinic and office does different things and they don\u2019t work together on things such as transportation\u201d<\/b>
    \n–<\/span>Obi Madukoma, Care Coordinator Population Health<\/span><\/td>\n    		\u201cMedicaid 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.\u201d<\/b>
    \n-Ranae, Receptionist at Family Medical Office<\/span><\/td>\n    		\u201cVarious organizations will provide transportation for patients, but each organization will only deal with people who meet specific criteria.\u201d<\/b>
    \n-Geoff Zimpelman, Population Health<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

     <\/p>\n

    Guiding Principle 5 : Solution needs to work on a large scale and handle large influx of volume<\/b><\/p>\n

    Insights:<\/span><\/p>\n\n\n\n\n
    Use Resources Efficiently <\/span><\/td>\nStandardize Method of Transportation<\/span><\/td>\nFrequent and Flexible <\/span><\/td>\n<\/tr>\n
    \u201cWith many different services currently being offered, it is important for SJHS to make sure that certain resources are not being unnecessarily duplicated.\u201d <\/b><\/p>\n

    \u00a0<\/b><\/p>\n

      \n
    • Geoff Zimpelman, Population Health <\/span><\/li>\n<\/ul>\n<\/td>\n
    		\u201cA transportation service that provides \u2018door-to-door\u2019 transportation would work best to accommodate all kinds of patients with varying levels of functionality.<\/b>\u201d <\/span><\/p>\n
      \n
    • Julie, Director of Client Services at REAL Services, Inc<\/span><\/li>\n<\/ul>\n<\/td>\n
    		\u201cTransportation must be able to accommodate different patient\u2019s schedules and availability for doctor appointments.\u201d – <\/b><\/p>\n
      \n
    • Erik, \u00a0Volunteer Receptionist at the Sister Maura Brannick Health Center <\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

       <\/p>\n","protected":false},"excerpt":{"rendered":"

      Guiding Principle 1: \u00a0Make Transportation Resources Known to Me and Easy to Understand \u00a0 Insights: Improve Marketing Improve Simplicity Make Resources known to SJHS Staff and Patients Make Resources Bilingual \u201cThere is not enough marketing for the resources available and when people find they have a problem they often don\u2019t know where to look for […]<\/p>\n","protected":false},"author":2412,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[187337],"tags":[],"class_list":["post-1529","post","type-post","status-publish","format-standard","hentry","category-st-joseph-health-systems"],"_links":{"self":[{"href":"https:\/\/sites.nd.edu\/innovation-and-design-thinking\/wp-json\/wp\/v2\/posts\/1529","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sites.nd.edu\/innovation-and-design-thinking\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sites.nd.edu\/innovation-and-design-thinking\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sites.nd.edu\/innovation-and-design-thinking\/wp-json\/wp\/v2\/users\/2412"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.nd.edu\/innovation-and-design-thinking\/wp-json\/wp\/v2\/comments?post=1529"}],"version-history":[{"count":2,"href":"https:\/\/sites.nd.edu\/innovation-and-design-thinking\/wp-json\/wp\/v2\/posts\/1529\/revisions"}],"predecessor-version":[{"id":1531,"href":"https:\/\/sites.nd.edu\/innovation-and-design-thinking\/wp-json\/wp\/v2\/posts\/1529\/revisions\/1531"}],"wp:attachment":[{"href":"https:\/\/sites.nd.edu\/innovation-and-design-thinking\/wp-json\/wp\/v2\/media?parent=1529"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sites.nd.edu\/innovation-and-design-thinking\/wp-json\/wp\/v2\/categories?post=1529"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sites.nd.edu\/innovation-and-design-thinking\/wp-json\/wp\/v2\/tags?post=1529"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}