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Chief Business Office
Veterans Transportation Program (VTP)
Veterans Transportation Service
Veterans Transportation Program
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VTS VTS
Rural
Grants
Sect. 307
Rural
Grants
Sect. 307
Beneficiary
Travel
Beneficiary
Travel
Veterans Transportation Program
Mission
Improve the quality of life for veterans by increasing access
to health care through integrated and cost effective
transportation solutions
Vision
Overcome barriers to care by assuring effective and
efficient transportation
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VTS Program Objectives
Provide Veterans with convenient and timely access to
transportation services and overcome access barriers to
increase transportation resources and options for all Veterans.
Focus on Rural and Highly Rural areas.
Establish a network of community transportation service
providers
Partner and integrate with Veteran Service Organizations
Create a state of the art system using 21st Century ride share
software.
Apply transportation best practices/ strong practices.
Support facility and VISN leadership VTS objectives
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VTS Phase I
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Phase I Pilot Sites:
Temple, TX
Muskogee, OK
Salt Lake City, UT
Ann Arbor, MI
VTS Phase II
(Current State)
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Phase II - Track A
Alexandria, Louisiana
VISN 6 – Fayetteville, NC
Battle Creek, Michigan
VISN 5 – Perry Point
VISN 5 – Cambridge
VISN 1 - Boston
VTS PHASE III - B
PHASE III – TRACK B
Puget Sound, Washington
VISN 2 – Upstate NY (5 sites)
West Texas (Big Spring)
Northern Arizona (Prescott)
Portland, Oregon
Tucson, Arizona
VISN 5 – Washington DC
VISN 5 – Baltimore
Montana (Ft. Harrison)
Iron Mountain, Michigan
Phoenix, Arizona
Amarillo, Texas
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VTS PHASE IV
PHASE IV – CURRENT
Bedford
Connecticut
Augusta, ME
Hudson Valley
Coatsville
Tomah, WI
Augusta, GA
Dublin, GA
Tuscaloosa, AL
Bay Pines
Louisville (Robley Rex)
Lexington
Huntington, WV
Memphis, TN
Mountain Home, TN
Tennessee Valley
Cleveland
San Diego
Wichita, KS
Minneapolis
Chillicothe, OH
Dayton, OH
Jessie Brown (Chicago)
Indianapolis, Indiana
Northern Indiana
Danville (Illiana)
Eastern Kansas/Leavenworth
SE Louisiana
Shreveport, LA
Albuquerque NM
Sheridan, WY
Honolulu, Hawaii
Northern CA
Palo Alto CA
Las Vegas, Southern Nevada
Black Hills
Iowa, Nebraska
North Florida/South GA
Salisbury, NC
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VTS Locations
Phase II sites
Phase III sites
Pilot sites
VTS Site Map – 83 sites
Phase IV sites
VTS Implementation Timeline
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VTS Pilot program phased implementation
begins
Temple, TX
Muskogee, OK
Salt Lake City, UT
Ann Arbor, MI
Phase III
Solicitation (20 sites)
26 VTS sites
Implemented
Phase IV Solicitation
40 sites
86 VTS sites
157 VTS
sites
VTS Program Office Structure
VTS
Director
VTS
Deputy
Director
Beneficiary
Travel
Lead
Rural Grants
Program
Sect. 307
VTS National
Program
Coordinator
Admin
Assistant
Regional
Coordinator
(4)
Program Analyst
(Infomatics) (2)
Management
Analyst
Beneficiary
Travel
Analyst
Typical VTS Operational
Structure
VAMC Director
Responsible Office
Mobility Manager
Scheduler Dispatcher Driver
Driver
Driver
Escort
Escort
Escort
VSO Representative
Board of Directors
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VTS Keys to Success
Customer Centric Service
Convenience Factor
Positive ride environment
Franchise Concept
Board of Directors
Mobility Manager
Partnerships (VSO & Community)
Cost effective (ROI)
Operations Business Model (Growth)
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Mobility Management
Focus on transportation service diversity and a family of
transportation services
Focus on individual and community partnerships
Uses multiple transportation providers to offer the most efficient and
effective service to individuals
Mobility Managers serve as policy coordinators, operations service
brokers and customer travel navigators
Mobility Managers disaggregates service planning and markets in order
to better serve individuals and the community
Mobility Manager acts as a travel agent/service coordinator/advocate to
find the most effective individual transportation needs
VSO Partnerships
2 sites have integrated VSO vehicles/drivers
20 VSO vehicles in the VTS program
70 VSO drivers in the VTS program
2 VSO support staff (non-drivers) working VTS
Volunteer drivers find RouteMatch Mobile Data Computers easy to use
Community Partnerships
United We Ride
Community Transportation Association of America (CTAA)
FTA Veterans Transportation & Community Living Initiative grant
• Prescott, Arizona is partnering with Northern Area Council of Governments,
Central Yavapai Metropolitan Planning organization and Chino Valley Transit
• Muskogee hosted a regional meeting with multiple transit organizations and
Native American representatives
Temple, Texas partnerships
• “The Hop” local bus transit system
• VetRides partnership (VTS bus meets VetRide bus to cut 150 mile ride in half)
• Austin CARTS rural transit system (bus stop use and free vet rides)
• Texas Department of Transportation
• Texas Veterans’ Commission
Ann Arbor partnership with Meijers Corporation
Return on Investment
Reduced Beneficiary Travel costs
Reduced FEE
Reduced Special Mode costs
Reduced Clinic No Shows
Increased VERA
Reduced Bed Day of Care
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Acute Bed Day of Care
Average Cost of Care/ day
Medicine $1760.00
Surgery $2728.00
Psychiatry $1416.00
Variance Days
0
2
4
6
8
10
12
14
16
Oct Nov Dec Jan Feb Mar Apr May Jun Jul
Utilization Management Variance Days Patients with No Transportation
Before VTS After VTS
Bed Day of Care
Feb Mar Apr May Jun Jul August 19th
SURG Transport Savings $7,856.64 $7,201.92 $9,220.64 $18,332.16 $18,414.00 $15,058.56 $15,004.00
MED Transport Savings $16,051.20 $16,473.60 $16,931.20 $30,412.80 $35,640.00 $32,524.80 $29,040.00
Psych Transport Savings $18,408.00 $22,656.00 $12,744.00 $16,992.00 $15,576.00 $14,160.00 $15,576.00
$-
$5,000.00
$10,000.00
$15,000.00
$20,000.00
$25,000.00
$30,000.00
$35,000.00
$40,000.00
BED DAY OF CARE COST AVOIDANCE
Total
$604,111.17
Authorized Care – Fee Basis
Basic Ambulance $500 plus $8 per mile
• Most veterans qualify for Bene -Travel
VTS has Wheel Chair and Lie Down capabilities.
Van $30 plus $3 per mile
Fee for Service transported via Ambulance
• Example:
o Dialysis
o Radiation
o Podiatry
o Cardiac Rehab
Fee Basis
Jan Feb Mar Apr May Jun Jul Aug
Series1 $1,856.00 $- $1,768.00 $6,572.00 $1,240.00 $12,244.00 $12,036.00 $81,608.00
$-
$10,000.00
$20,000.00
$30,000.00
$40,000.00
$50,000.00
$60,000.00
$70,000.00
$80,000.00
$90,000.00
Purchased Care Ambulance Avoidance Costs
Total
$120,862.04
Ambulance Transport
Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug
Ambulance Costs $20,425. $8,316.0 $9,323.0 $6,547.4 $6,632.0 $18,380. $18,447. $10,324. $9,681.0 $14,735. $9,659.0
$-
$5,000.00
$10,000.00
$15,000.00
$20,000.00
$25,000.00
Ambulance Transport Costs FY11
After VTS Before VTS
Missed Opportunity
Basically two types (for our purposes)
• Patient leaves without being seen
• Patient does not show
A basic Clinic Visit that is missed costs $186!
Reasons for Missed visits:
• Scheduling
• Forgot
• Transportation
Missed Opportunity Rates - PT
(Feb FY11) (Mar FY11) (Apr FY11) (May FY11) (Jun FY11) (July FY11)
Series1 $1,860.00 $2,046.00 $13,950.00 $17,298.00 $42,222.00 $25,854.00
$-
$5,000.00
$10,000.00
$15,000.00
$20,000.00
$25,000.00
$30,000.00
$35,000.00
$40,000.00
$45,000.00
Physical Therapy Missed Opportunity Cost Avoidance
Total
$103,230.00
Missed Opportunity Rate
(Oct FY11) (Nov FY11) (Dec FY11) (Jan FY11) (Feb FY11) (Mar FY11) (Apr FY11) (May FY11) (Jun FY11) (July FY11)
Series1 11.79% 13.71% 14.63% 10.15% 13.37% 12.42% 11.82% 10.29% 9.94% 8.52%
6.00%
7.00%
8.00%
9.00%
10.00%
11.00%
12.00%
13.00%
14.00%
15.00%
16.00%
Physical Therapy Missed Opportunity Rate
Before VTS After VTS
Decrease 4.85%
Beneficiary Travel
Feb Mar Apr May Jun Jul Aug
TOTAL $2,034.35 $2,704.25 $2,247.56 $2,322.87 $2,107.40 $1,286.27 $1,424.40
$-
$500.00
$1,000.00
$1,500.00
$2,000.00
$2,500.00
$3,000.00
Beneficiary Travel Saved on Trips not Captured in other Data
TOTAL $13,634.29
Summary of Total Savings
AREA COST AVOIDANCE
Bed Day of Care – Medical/Surgical $418,331.97
Bed Day of Care – Psychiatry $185,779.20
Fee Basis $120,862.04
Missed Opportunity Costs $103,230.00
Beneficiary Travel $13,634.29
TOTAL $841,837.50
The Brand
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Our Customer
"A nation without heroes is nothing."
Roberto Clemente
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