Neponset Valley Medical Transportation HESSCO and the Neponset Valley Regional Coordinating Council (NVRCC) are conducting this survey to identify gaps in the region's transportation system, especially related to medical transportation. Results will inform a forum on medical transportation being planned for early March.Thanks very much! Question Title * 1. How would you describe your organization? Medical Center Hospital VA Medical Clinic or Hospital Municipal Health Department Dialysis/Kidney center Mental Health Facility/Outpatient Counseling Rehabilitation Services Hospice Services Council on Aging Human Service Agency Other (please specify) Question Title * 2. To your knowledge, what percentage of patient appointments are missed or cancelled due to lack of transportation? Less than 10% 10-20% 21-30% More than 30% Not applicable Question Title * 3. What barriers affect your patients' and consumers' access to transportation to medical appointments? Check all that apply: Transportation services are not affordable Patients/consumers are not aware of transportation services Transportation services are unreliable Patients/consumers need extra assistance, not just a driver Transportation services are inconvenient Please elaborate: Question Title * 4. Does your organization provide transportation directly to patients/consumers (for example, a shuttle between medical campuses)? Yes No If so, please describe: Question Title * 5. Does your organization contract for transportation services for patients/consumers? Yes No If so, please describe: Question Title * 6. Does your organization pay for any transportation for patients/consumers (for example, offering taxi vouchers)? Yes No If so, please describe: Question Title * 7. Have you coordinated with other organizations to provide transportation to patients/consumers? Yes No If so, please list the organizations you have coordinated with: Question Title * 8. Do you provide information on transportation services to patients/consumers? Check all that apply: Yes, we have pamphlets in the office and/or information posted on an office bulletin board Yes, we have staff on hand to help patients learn about transportation options Yes, we have staff on hand who refer patients to organizations that can help them find rides Yes, we have staff on hand who make transportation arrangements for patients Yes, we help patients screen for eligibility for THE RIDE, MassHealth transportation, or other transportation services Yes, we refer patients to travel training services to help them learn to ride public transit If your staff help patients with transportation, please specify which staff do this (e.g. social workers, schedulers, etc.) Question Title * 9. Would you like to provide information about available transportation services to your patients/consumers? Yes No Question Title * 10. Are you familiar with the online, searchable, transportation database Ride Match www.massridematch.org? Yes, I use it regularly Yes, I've heard of it but don't use it very often No Question Title * 11. What medical transportation services in your community are you aware of? Please list them: Question Title * 12. Are you interested in attending a forum on medical transportation? If so, please share your contact information: Name Title Organization Email Phone Question Title * 13. Please share any additional thoughts or questions you have related to medical transportation in the Neponset Valley/Southwest Metro area. Thank you! Done