Three Times a Week:

Mapping the Transportation of Dialysis Patients in the Greater Dayton Area

Ambreen Hasan and Langdon SandersMasters of Public Administration

Wright State UniversityMay 15, 2013

Purpose:• Examine current transportation system for

dialysis patients in Montgomery, Miami & Greene co.

• To Inform Decision Makers:– Identify Target Areas, Issues & Challenges

Towards Improving Service, Reducing Cost

Limitations:• Data used includes patients who use services

provided by RTA, Anton’s, Greene CATS, MCPT and Fairborn Sen. Center.

• Straight lines distance used instead of actual distance.

• Different date ranges of data.

• Observed only two centers (both in Montgomery County).

Methodology• Transit records, Field observation, Secondary

data analysis, and Patient survey.• The usual (and unusual) obstacles:

IRB (HIPAA) & Dialysis Center Approval.

Raw Data Entered to Master Sheet (Excel)

Addresses + Data Mapped (Geocoding)

Mapping Analysis

Direct Observation Findings

Personal Vehicle

RTA (Project mobility)

Ambulette (E.M.T., America,

Medcorps)

GreeneCATS Taxi/Van

51%

10%16%

1%

22%

How People Travel to Dialysis (n=77)

*Observations done at the two centers located in Dayton*Data includes both arriving and departing vehicles from the center

Dayton YellowAir CityAll AmericaEagle OneNubta TransMedmobileAnton’s Trans.

Upper Valley Medical Center

Fresenius Medical Care

DaVita Dialysis

DaVita Dialysis

DaVita Dayton North

DaVita South

DaVita Dayton East

Fresenius Medical Care

Huber Heights

Fairborn

Centerville

Patient Distance to Dialysis Center

All Patients Within 5 miles

85.7%

Others 4.3% Miami County

Travelers10.0%

Percent of Patients LivingWithin 5 Miles of a Dialysis Center

Nearest Center Results:• 40% not going to nearest center

– Weighted by GDRTA with 111 trips

Greene CATS (n=17)

MCPT (n=51)

Anton's Transportation (n=30)

Greater Dayton RTA (n=111)

88%

86%

53%

45%

12%

14%

47%

55%

Percent Travelling to Nearest Center;by Provider (n=210)

Yes No

Dayton

Troy

Xenia

Centerville

Huber Heights

Fairborn

Dayton

Where do we go from here?

Patients

• Educate & empower of options available (such as where other centers are located & rideshare opportunities)

Transit Providers• Further study

• Show mismatch of service duplication and inefficiencies

• Avoid trip duplication

• Promote rideshare

• Talk with other providers

Medical Community• Work with

patients to ID willingness to change

• Explain dialysis center assignment process - include transportation in decision

• ID where changes can/cannot be made

Further Study• Solicit Feedback from Trans Providers and Medical

Community– Ask for Additional Direction and Research Questions

• Sort by destinations, look for neighbors, opportunities to coordinate/ride share

• Leverage incentives for choosing closer centers

Thank you• Mr. Bob Steinbach, Dir. of Regional Initiatives,

MVRPC• Dr. Myron Levine, Faculty, Wright State

University• Mr. Martin Kim, GIS Instructor & Dir. of

Regional Planning, MVRPC• Ms. Nancy Barr, Nephrology Social Worker,

DaVita Dayton• Transit Providers:

•Ms. Regan Snider, MCPT• Ms. Susan Eason, GDRTA• Mr. Ken Collier, Greene CATS • Mr. Anthony Smith, Anton’s Transportation• Mr. Jim Adams, Fairborn Senior Center