Blythe Wellness Express A Rides to Wellness Demonstration
Blythe Wellness Express A Rides to Wellness Demonstration Project 1
What we’re talking about today Program Overview Hitting the Ground Running Who’s Riding the BWE Measuring Health Outcomes Challenges & Lessons Learned 2
R 2 W Demonstration Project Overview R 2 W and the BWE 3
2016 Ride to Wellness Grant Program: Project overview Riverside County Transportation Commission. Direct Recipient Palo Verde Valley Transit Agency - Operator Program Goals: Improve ACCESS to care IMPROVE health outcomes Reduce healthcare COSTS 4
Project overview Non-emergency medical bus service from Blythe to Coachella Valley • Deviated fixed route service ØDestinations: 3 hospitals, pharmacies deviations upon request • 265 miles round trip • 3 days per week • Riders register and reserve trip in advance 5
R 2 W Demonstration Project Hitting the Ground Running Service launched July 2017 6
How the BWE works 7
Our progress Service Provided Registered Riders: 66 Trip Surveys completed: 42 Total One-way Passenger Trips: 119 Total Revenue Hours: 149 Total Vehicle Miles: 7, 520 Total Service Hours: 294 8
Our progress Performance Indicators Actual Service Days: 29 Scheduled days of service: 39 Cost per Mile: $2. 02 Subsidy per Passenger: $73. 92 Total Program Cost per Passenger: $116. 98 Total Program Fare Recovery Ratio: 4. 5% 9
R 2 W Demonstration Project Who’s Riding the BWE 10
Rider characteristics 11
Rider characteristics Do you have health insurance? N=66 Yes: 85% No: 8% 12
Rider characteristics Do you drive? N=66 Yes: 54% No: 44% 13
R 2 W Demonstration Project Measuring Health Outcomes 14
Measuring health outcomes Three-tiered evaluation process 1. Registration form 2. Trip survey 3. Year 1 assessment Heath status survey Analysis of transit data Rider focus groups 15
What we’re measuring and why Improved Access to Care Registration/ Trip Survey Questions Access to a car How else would you have made this trip? Did you need to see a Dr. but couldn’t due to lack of transportation? Trip purpose 16
Establishing baselines Improved Access to Care In last six months, did you need to go to the dr. , but couldn’t due to lack of transportation? N=66 Yes: 38% No: 45% Don’t know: 3% 17
What we’re seeing Improved Access to Care 39 surveys completed for health-related trips 3 routine appointments 8 dental appointments 28 specialist appointments 18
What we’re seeing Improved Access to Care If no BWE, how would you make this trip? Don’t know N= 40 14 35% Not make the trip 10 25% Have family drive 6 15% Rider Greyhound 4 10% Find volunteer driver 4 10% Drive myself 1 2. 5% Other 1 2. 5% 19
Measuring health outcomes Reduced Healthcare Costs Registration/ Trip Survey Questions 1. Hospitalizations since last routine appt. 2. ER visits since last appt. 3. Number of routine appointments Reporting on change over time; hypothesize we’ll see reductions in #2 and #3 20
Establishing baselines Reduced Healthcare Costs Emergency Dept. visits in the last 12 months? N=66 None: 50% 1: 9% 2: 18% 3+: 18% Hospital admissions in last 2 years? N=66 None: 61% 1: 11% 2: 9% 3+: 11% 21
Measuring health outcomes Improved Heath Outcomes Registration/ Trip Survey Questions Self-reported health status registration vs trip survey 22
Self Reported Health Status: Change over Time* 59% 16 N= 27 Riders NO CHANGE What we’re seeing Improved Health Outcomes Poor 1 Fair 8 Good 3 Excellent 4 IMPROVEMENT 7 Very poor to poor 2 Poor to fair 1 Poor to Excellent 1 Fair to good 2 Fair to very good 1 DECLINE 4 Excellent to very good 1 Good to fair 2 Fair to poor 1 *Registration to most recent trip 25% 14% 23
What we’re seeing Improved Health Outcomes Self Reported Health Status: Change over Time N= 1 Rider DATE HEALTH STATUS CHANGE FROM BASELINE Registration Good July 17 Fair _ August 14 Good same August 21 Fair _ August 23 Good same August 30 Excellent + September 8 Good same October 2 Good same 24
R 2 W Demonstration Project Challenges & Lessons Learned 25
Challenges Operational Institutional Communications Reporting 26
Challenges Operational Deviated fixed route challenges Long trip and day Additional trips Riders waiting on vehicles Dwindling Ridership as health Improves 27
Challenges Institutional Securing MOUs with partners Engagement from local doctors 28
Challenges Communications Partner & Community Education Language in Brochures “Shopping” concerns: Sun. Line transfer location at Westfield Mall 29
Challenges Reporting Communicating with riders First Ride Free Promotion Encourage trying BWE and thank-you for registering. 30
Contact Valerie Mackintosh: Valerie@Amma. Transit. Planning. com 31
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