unmet needs and service gaps - local community...
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Unmet Needs and Service Gaps
Door-Through-Door Level of Service – Publicdemand response systems are not able toprovide assistance to riders with heavy bags orwho need additional support getting from thecurb into their destinations. Some nonprofit andprivate providers do provide this level of service,but some counties lack a provider able to assistdoor-through-door.
Unmet Needs and Service Gaps
Employment Transportation – For manyindividuals, public transportation is not an optionfor work. The issue is primarily the hours ofoperation; most public transportation begins toolate to accommodate early shifts and/or ends tooearly to accommodate later shifts.
Non-Medicaid Medical Trips – If individuals donot qualify for Medicaid or are not clients oforganizations that provide or sponsortransportation, transportation options are verylimited.
Unmet Needs and Service Gaps
Regional Medical Trips – Trips to Rochester,Syracuse, Buffalo, and other nearby urbancenters can be very difficult to serve, especiallyfor non-Medicaid populations.
Staff Time/Funding – Carving out time to focuson coordinating transportation is difficult tonearly impossible for most county staff.
Summary of Strategies
The following summarizes potentialstrategies that will help improve mobility forolder adults, persons with disabilities and
persons with low income.
Strategy Strategy Overview
Strategy Strategy Overview
The Advantage of ManagingMultiple Funding Sources
Allow providers to spread over head andadministrative costs
Share capital costs, operating expenses
Ride share opportunities for efficiency
Lower trip costs
Sustainability – not all eggs in one basket
Medical Motor Service
Employs 200 people as drivers, dispatchers, calltakers, mechanics and support personnel
Fleet of 140 vehicles
Serves approximately 15,000 people a year;550,000+ one way trips
Medical Motor Service
Door to door serviceand wheelchairaccessible services
Service is provided 7days a week and manyholidays
70% of trips are non-medical
Medical Motor ServiceAn Example of Funding Diversity
Over 40 Different FundingSources
Public Contracts/Funding
Federal Transit Administration for vehicle capitalpurchases
30% of our fleet funded by FTA
Federal Transit Administration for MobilityManagement Servicesthrough local transitauthorityMonroe County Officefor the Aging – 14 seniorcenters
Public Contracts/Funding
Medicaid
Child and family services
Foster care
Office of People with Developmental Disabilities
ACCES-VR State Education Department
Rochester Psychiatric Center
Not-For-Profit
Jewish Home of Rochester & St. Ann’sCommunity
Nursing Homes & Adult Day Facilities
Lifespan: Senior Developmental DisabilitiesProgram
United Way: Individual trips for seniors living inthe community
Settlements Houses
Foster Grandparent/Senior Companion Program
Not-For-Profit
Association for the Blind and Visually Impaired Support groups, vision clinics
Faith based Senior Transportation Group
Cerebral Palsy Association
Hillside Work Scholarship Program
The ARC of Monroe County
Learning Disability Association
Rochester General – ElderONE
Trillium (AidsCare)
Catholic Family Center
For Profit/Commercial
Grocery Shopping Shuttles
Wegmans & IGA stores
Senior Living Centers
Legacy
Nursing Homes
Hurlbut
Regulatory Issues to Consider forMobility Management Coordination
Categorical funding carries specific and oftenrestrictive requirements
NYSDOT Operating Authority requirements
NYSDMV requirements
Multiple and contradictory funding rules
Web Transportation ResourcesNational Center for Mobility Management www.nc4mm.org
Genesee Transportation Council www.gtcmpo.org
The Community Transportation Association of America www.ctaa.org
AARP Public Policy Institute www.aarp.org/ppi
United We Ride – Framework for Action www.unitedweride.gov
New York State Department of Transportation www.dot.ny.gov
National Center on Senior Transportation www.seniortransportation.net
National Association of Area Agencies on Aging www.N4a.org
Easter Seals Project ACTION www.projectaction.org