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Implementation of a non-emergent medical transportation programme at an integrated health system

BMJ health & care informatics, 2021-09, Vol.28 (1), p.e100417 [Peer Reviewed Journal]

Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. ;2021 Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. 2021 ;ISSN: 2632-1009 ;EISSN: 2632-1009 ;DOI: 10.1136/bmjhci-2021-100417 ;PMID: 34489322

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Title:
Implementation of a non-emergent medical transportation programme at an integrated health system
Author: Lyons, Patrick G ; Ramsey, Brett A ; Welker, Michael ; Guinn, Megan ; Ernest, Janice K ; Kosydor, Ali ; Maddox, Thomas M
Subjects: Coronaviruses ; Cost control ; COVID-19 ; Health care policy ; Health informatics ; Health Insurance Portability & Accountability Act 1996-US ; health services accessibility ; Hospitals ; Implementer Report ; Medicaid ; patient care ; Patients ; Rural areas ; Scheduling ; Software ; Stakeholders ; Success ; Wheelchairs
Is Part Of: BMJ health & care informatics, 2021-09, Vol.28 (1), p.e100417
Description: ObjectivesTo implement a unified non-emergency medical transportation (NEMT) service across a large integrated healthcare delivery network.MethodsWe assessed needs among key organisational stakeholders, then reviewed proposals. We selected a single NEMT vendor best aligned with organisational priorities and implemented this solution system-wide.ResultsOur vendor’s hybrid approach combined rideshares with contracted vehicles able to serve patients with equipment and other needs. After 6195 rides in the first year, we observed shorter wait times and lower costs compared with our prior state.DiscussionEssential lessons included (1) understanding user and patient needs, (2) obtaining complete, accurate and comprehensive baseline data and (3) adapting existing workflows—rather than designing de novo—whenever possible.ConclusionsOur implementation of a single-vendor NEMT solution validates the need for NEMT at large healthcare organisations, geographical challenges to establishing NEMT organisation-wide, and the importance of baseline data and stakeholder engagement.
Publisher: London: BMJ Publishing Group Ltd
Language: English
Identifier: ISSN: 2632-1009
EISSN: 2632-1009
DOI: 10.1136/bmjhci-2021-100417
PMID: 34489322
Source: BMJ Open Access Journals
PubMed Central
ProQuest Central
DOAJ Directory of Open Access Journals

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Implementation of a non-emergent medical transportation programme at an integrated health system

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