December 23, 2009

Scheduling: Dispatching Made Easy 2.0

NEMT SCHEDULING, DISPATCH, & INVOICING - Dispatching for Dollars is an ebook/training manual for dispatchers and schedulers. Developed by the same people who produced the How To Build A Million Dollar Medical Transportation Company ecourse, this publication likewise shares the knowledge and experience gained from efficiently and profitably managing the logistics of a successful ambulette/non-emergency medical transportation (NEMT) company.

Dispatching Made Easy 2.0 is an online web-based application that allows owners and users to view, operate, and manager their dispatch, logistics, and invoicing from any computer with internet access. In the following video tutorials, Joel Davis gives us an extensive and practical walk-through of the features and functionality of DME 2.0. Because of his many years operating a successful NEMT company, as well as mentoring others: Joel is able to point out and show how it's various features can be used in a real operating environment to provide better cost-effective service.






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Find more blog posts and directory pages that deal primarily with non-emergency medical transportation on the NEMT Index.

December 1, 2009

Health Care and the Future of NEMT

HEALTH CARE AND THE FUTURE OF NON-EMERGENCY MEDICAL TRANSPORTATION - In the following video, Joel Davis author of How To Build A Million Dollar Medical Transportation Company, talks with Dr. Richard Terry about how current and proposed changes within the Health Care System will mean more reliance upon non-emergency medical transportation in the future. The segment of the population (65+) that uses NEMT the most will grow at a rate of 2.8% annually between 2010 and 2030. Plus, people are living longer in their own homes. The trend towards continued and expanded health care delivery through outpatient care means there will be an increased demand for NEMT. According to a recent U.S. Department of Health & Human Services study: "Procedures that once were performed only on an inpatient basis are increasingly performed in a variety of outpatient care settings." And finally, the cost to the Health Care System of not providing NEMT is greater than the cost of providing it. As stated in the 2005 report - Cost Benefit Analysis of Providing Non-Emergency Medical Transportation: "3.6 million Americans miss or delay non-emergency medical care each year because of transportation issues. This target population of 3.6 million persons was found to have a higher prevalence of chronic diseases and and a higher rate of multiple chronic conditions ... for all these conditions, the researchers found that providing additional NEMT is actually cost saving - additional investment in transportation leads to a net decrease in total costs when both transportation and healthcare are examined." For more information read - Medicaid's Medical Transportation Assurance: Origins, Evolution, Current Trends, & Implications for Health Reform - a 2009 policy report underscoring the need for continued use of State Medicaid NEMT for low income persons.
Other posts in the Start Your Own Non-Emergency Medical Transportation Business Series:

- Interview with Carlos Banks of The Wheelchair Taxi, North Carolina

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Find more blog posts and directory pages that deal primarily with non-emergency medical transportation on the NEMT Index.

November 28, 2009

NEMT Case Study: The Wheelchair Taxi

CASE STUDY - Joel Davis, author of "How to Build a Million Dollar Medical Transportation Company" in conversation with Carlos Banks, owner/operator of The Wheelchair Taxi located in North Carolina. Carlos describes how he used Joel's ebook, and online support network to help him establish and grow a successful Non-Emergency Medical Transportation Business. He had been a UPS driver for 20 years and had no previous experience in business. Today his income is 4 times that of what he earned as a courier, and as he say's in the interview: "I went from taking orders from management, to giving orders." Since the time of this interview, Carlos has attended Joel's Million Dollar Seminar and has applied that new knowledge to improve his non-emergency medical transportation business. Here are some of the practical applications that he has employed: 1. diversifying your NEMT operation by offering a courier service. 2. improving business management practices. 3. the value of networking with other entrepreneurs in the non-emergency medical transportation industry by using such services as Joel's MDTVIP service.

November 8, 2009

H1N1 Flu Preparedness

2009 FLU PANDEMIC - Many of the clients transported by paratransit and non-emergency medical transportation providers are particularly vulnerable to the effects of Swine Flu: people with conditions such as asthma, arthritis or lupus, diabetes, cancer, and heart or kidney disease. See PandemicFlu.gov for more information. To help stop the spread of the virus to clients, personnel, and the public; some organizations have developed/implemented a preparedness plan. For example, here is some of what Sacramento's Paratransit,Inc. is doing:

1. Educate staff to recognize and report any information that may be vital in preventing the exposure of viruses to passengers and each other.
2. Encourage among employees and passengers an increased use of hand sanitizer, gloves, and dust masks.
3. Buses and facility are disinfected daily with particular attention to common areas.
4. If feeling ill, passengers and employees are asked to refrain from traveling or going to work.

More information can be found here: Planning for 2009 H1N1 Influenza (A Preparedness Guide for Small Business). The following video shows what the Minnesota Valley Transit Authority been doing during this, the second wave of the pandemic.




October 11, 2009

Partnerships for Wellness Conference: Introduction

PARTNERSHIPS FOR WELLNESS - The 2009 Partnerships for Wellness Conference was hosted by the Community Transportation Association of America. It brought together transportation professionals, health care advocates, and researchers to discuss current challenges facing the delivery of non-emergency medical transportation (NEMT). Videos, transcripts, and other materials from the Wellness Conference are now online. There is a lot of interesting, informed, and relevant presentations and discussion that delve into such topics as funding, integration of services, and specialized care for older adults and children. The conference took place during a time of economic uncertainty and political change. Participants in the presentations and panel discussions address this and make a point of viewing that as an opportunity for positive change within the NEMT Industry.

1. Introduction - The 2009 Partnerships for Wellness Conference brought together transportation professionals, health care advocates, and researchers to discuss current challenges facing the delivery of non-emergency medical transportation.
2. Keynote Address - The executive director of CTAA discusses the history of health care and non-emergency medical transportation in America.
3. The Challenge of Medicaid Transportation - The panel discusses the different forces that are impacting Medicaid non-emergency medical transportation.
4. Health Care, Mobility, and ADA Paratransit - This presentation demonstrates non-emergency medical transportation and the ADA Paratransit service can be blended to increase efficiency and make medical care more accessible.
5. Health Care, Mobility, and Medical Centers - The panel participants discuss hospital transportation contracting.
6. Health Care. Mobility, and Collaboration - The panel discusses collaborating with different agencies to provide non-emergency medical transportation.
7. Health Care, Mobility, and Children - This presentation reviews the issues in providing non-emergency medical transportation to children.
8. Health Care, Mobility, and Elders - The panel participants discuss best practices and issues involved in transporting elders for non-emergency medical care.
9. Non-Emergency Stretch Transport - The panel discusses issues involved with Non-Emergency Stretcher Transportation
10. Challenges and the Way Forward - This presentation discusses the challenges in non-emergency medical transportation in light of current and proposed reforms to Health Care, Medicare, and Medicaid.


September 13, 2009

Lift Restraint Belts

LIFT RESTRAINT BELTS - Manufacturers such as Braun and Ricon offer a wide selection of commercial lifts designed for use in a variety of settings. Some of these lifts have a restraint belt, such as the Ricon S-Series while others (such as the Braun Millennium shown in the video below) do not. Those that don't can be retrofitted using the Access-AriZe Belt, a new product developed to improve safety on such lifts. Watch the following promotional video to learn more.

August 8, 2009

Drive Cams

DRIVE CAMS - Over the summer, MV Transportation entered into an agreement with DriveCam Inc. to convert MV's entire fleet of 5000+ vehicles (including paratransit and medicaid contracted) to DriveCam's Managed Services Program. More than a camera, it's what Edmunds.com calls the "automotive equilavent of the 'black box' data recorder". It should be noted, that within days of this news, MV furthered their commitment to safety by announcing that they would be partnering with Avatar Management Services to implement a new company-wide driver training & safety program. MV is looking to duplicate the success that Veolia Transportation has seen in it's North American operations, where the company has had a 38% reduction in collisions within a one-year period and lowered costs associated with risky driving since transitioning their fleet to DriveCams's program.

VIDEO - Bus Driver Texting Crash: San Antonio, Texas


June 21, 2009

Bus Manufacturers

BUS MANUFACTURERS - Probably the best site to go to for paratransit statistics is the American Public Transportation Association (APTA). One of the things they keep track of are the types of buses that providers are buying. Here (with some revision due to recent industry consolidation) are the most popular manufacturers: Thor Industries | Coach & Equipment | Ford Fleet | Startrans Bus | Braun Ability | Starcraft Bus | Turtle Top

And if you want to see what goes into manufacturing a bus, then check out this video from Quebec's Giradin Minibus:


May 10, 2009

NEWS: MV-1 Taxi In Dallas

MV-1 TAXI IN DALLAS - KDFW Fox 4 News - August 24, 2009 - Dallas, Texas - What was once the Standard Taxi is now the MV-1. Like it's predecessor, it is built to meet or exceed ADA guidelines for accessibility, with room for up to 2 wheelchairs. Probably the biggest design change, apart from the new look, is the introduction of an optional compressed natural gas powertrain system. The following video features T. Boone Pickens, one of the MV-1's backers and a proponent of natural gas use. For more information see: T. Boone Pickens, Dallas Mayor Tom Leppert Hail Green Taxicab Prototype (Dallas News).

Find more blog posts and directory pages that deal primarily with wheelchair accessible, assisted ambulatory, and shared-ride taxi services on the Taxi Index.

April 26, 2009

Start Your Own NEMT Business

START YOUR OWN NON-EMERGENCY MEDICAL TRANSPORTATION BUSINESS - Compared to opening a franchise or buying an existing business, starting up your own NEMT company is probably the most affordable way for entrepreneurs or existing businesses to enter the industry. Many successful NEMT operations have begun as home based businesses with 1 or 2 vans run by individuals, families, or partnerships. For established companies, NEMT is a lucrative area to diversify into, especially if they are already in a related business such as home health care products or services, taxi, or ambulance services. Every business has it's unique aspects. One proven method entrepreneurs have of acquainting themselves with a business opportunity is finding a mentor or industry expert to help guide and inform them in making the right choices. One of the leaders in the NEMT industry is Joel Davis. In the following video, he shares his straight forward and balanced approach to starting up your own successful non-emergency medical transportation company.



How To Build A Million Dollar Medical Transportation Company is an e-course that guides entrepreneurs towards establishing a successful non-emergency medical transportation service. Besides the 320 page e-book, the package also includes an ambulette drivers manual,employee handbook, and other bonus materials including the 135 page e-book:Secrets Strategies For Building Wealth & Independence (a $49.95 value). The program has been developed by entrepreneur, Joel Davis who shares the knowledge and experience gained from having starting his own successful NEMT service: Safe & Direct Transportation Services in New York City. The following are links to a series of videos (on this site) featuring Joel Davis in conversation with owner/operators who have used the How To Build A Million Dollar Medical Transportation Company e-course to start their own successful NEMT service:

- Interview with Steffon Liford of Loving Touch Transportation, Michigan
- Interview with Robert Hall of Basic Life Support, Arizona
- Interview with Carlos Banks of The Wheelchair Taxi, North Carolina
- Interview with Howard Berkowitz & Danny Hester of Tropical Transportation, Fl.

- RELATED -
NEMT Business Opportunities - Introduction to NEMT
Buying an Existing NEMT Business featuring The Tenney Group
Opening a NEMT Franchise featuring Express Medical Transporters
Interview with Dr. Richard Terry discussing Health Care & the Future of NEMT
NEMT Scheduling, Dispatch, and Invoicing: DME 2.0 and Dispatching For Dollars

April 12, 2009

Non-Emergency Medical Transportation (NEMT) / Ambulette Service Providers

Links to providers of Non-Emergency Medical Transportation (NEMT) services in the United States and Canada; also known as Ambulette, Ambucab, Cabulance, Medi-Bus, Medi-Van, or Medi-Car Services. For more information see the NEMT Resources Page and the NEMT Index. My other website, The Paratransit Watch -EXTRA has numerous articles to help users of NEMT services become better informed about the service they should expect from NEMT Providers.



NEWS: Rural Kentucky Medicaid Bus Service Shuts Down

TELEVISION NEWS:
2007

After two decades of service, Kentucky River Foothills Development Council will stop providing it's Foothills Express bus service to Medicaid recipients in Richmond Kentucky. The service will now be available through the LKLP Community Action Council.

April 8, 2009

University Paratransit Services

Links to paratransit services available on college and university campuses.


California - Paratransit Services - California State University Northridge
Georgia - Para Transit - Georgia College & State University
Georgia - Para-Transit Service - Emory University
Illinois - ADA Paratransit Service - Western Illinois University
Illinois - Paratransit Service - University of Illinois at Chicago
Iowa - Bionic Bus - University of Iowa

Maryland - Paratransit Service - Towson University
Maryland - Paratransit Services - University of Maryland
Michigan - Paratransit Service - University of Michigan
Minnesota - Paratransit Service - University of Minnesota
North Carolina - Accessible Para-Transit - Duke University
Ohio - Handivan - Ohio State University

Ohio - Paratransit Services - University of Toledo
Oklahoma - Paratransit Services - Oklahoma State University
Pennsylvania - CATARIDE - Pennsylvania State University
Texas - Paratransit Services - Texas A&M University
Virginia - DART - University of Virginia
Wyoming - TransPark Paratransit - University of Wyoming


April 6, 2009

NEMT Business Opportunities

What is non-emergency medical transportation? It "involves getting a patient to and from the source of medical care when the conditions are not life threatening." The client may need to take the trip in a wheelchair, stretcher, or be ambulatory.

How do ambulette service providers make money? These services are paid for by clients directly, or by third parties such as State Medicaid, Worker's Compensation, or Veterans Affairs.

What is the potential of this industry? The segment of the population (65+) that uses NEMT the most will grow at a rate of 2.8% annually between 2010 and 2030. As well, the trend toward more cost effective Health Care means increased reliance on NEMT -"Procedures that once were performed only on an inpatient basis are increasingly performed in a variety of outpatient care settings."
Read
Interview with Dr. Richard Terry for more information.

How can entrepreneurs take advantage of this opportunity?


What next?

I have lots of resources available on this website to help you get started: Entrepreneur Interviews, Industry Resource Links, Service Provider Profiles, and Service Provider Database. Finally, below is a list of all blog posts that deal specifically with starting a NEMT company:

- Interview with Robert Hall of Basic Life Support, Arizona.
- Interview with Carlos Banks of The Wheelchair Taxi, North Carolina



Find more blog posts and directory pages that deal primarily with non-emergency medical transportation on the NEMT Index.

April 4, 2009

NEMT Case Study: Tropical Transportation

CASE STUDY - Joel Davis, author of "How to Build a Million Dollar Medical Transportation Company" in conversation with Howard Berkowitz and Danny Hester from Tropical Transportation located in South Florida. Howard and Danny describe how they have used Joel's ebook and his logistics training manual: Dispatching For Dollars to help them start and grow a successful Non-Emergency Medical Transportation Business. Even though Howard had an extensive business background and Dan had 20 years experience in the industry, they found Joel's resources invaluable to their success. They started running their company as a home based business - run out of Dan's garage, and now they have offices in both Ft. Lauderdale and Palm Beach.

- Interview with Carlos Banks of The Wheelchair Taxi, North Carolina

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Find more blog posts and directory pages that deal primarily with non-emergency medical transportation on the NEMT Index.

March 29, 2009

Opening a NEMT Franchise

OPENING A NON-EMERGENCY MEDICAL TRANSPORTATION FRANCHISE - Bernard Squitieri started Express Medical Transporters with one vehicle back in 1995. Today EMT is the largest for-profit non-emergency medical transportation provider in the state of Missouri with 150 vehicles and thousands of trips per year. In 2007, EMT began offering franchising opportunities to prospective investors. Franchise owners are provided these supports to open and operate: 1. Extensive start-up and ongoing training. 2. Comprehensive operators manual. 3. Access to latest technologies for vehicles, logistics, and management functions. 4. Assistance with client outreach, local networking, and national organizations. 5. Guidance on working with government agencies, brokers, equipment & vehicle suppliers.

CASE STUDY - One such Express Medical Transporters franchise opened for business in June 2009 to serve the non-emergency medical transportation needs of Mobile, Alabama. It is owned by Bob McBride and his son, Justin. They already owned a Wheelchair Getaways franchise (see franchise list below), which offers daily/weekly wheelchair accessible van rentals; so they were able to utilize some of their existing assets to offset start-up costs. By the end of the 2009 they had expanded operations and hired 6 more drivers, with plans for further growth in the coming years. They estimate their initial investment "somewhere between $187,000 & $243,000" - Reliable Rides: Father, Son Provide Transportation You Can Count On. According to Entrepreneur Starts EMT Franchise: State Systems Founder Rolls Out Another Business, "franchisees are required to pay a $45,000 franchise fee and a 5% royalty fee based on gross revenue." To find other examples, go to the NEMT Franchises page of my supplement website: Paratransit Watch - EXTRA.



Other related transportation franchises:


1. SuperShuttle - Shared-ride door-to-door airport shuttle service. Includes accessible service upon request. Operating in over 50 U.S. cities, transporting 8 million passengers per year. Read More...
2. Wheelchair Getaways - Wheelchair accessible van rentals agency. The article: "Entrepreneur Starts EMT Franchise" discribes how one father and son partnership started with a Wheelchair Getaways franchise and then successfully expanded their business with a Express Medical Transporters franchise (see 'Case Study' above). Read More...
3. Driving Miss Daisy - Driving and attendant service for seniors. Ambulatory clients are driven to appointments, outings etc.; and staff can act as attendant to the client. Franchise based in Alberta, Canada.
4. Dignity Transportation - Wheelchair accessible transportation service in the Greater Toronto Area, Ontario, Canada. Operating since 1990. Fleet of 50 accessible vehicles. Currently offering Franchise Opportunities.
5. NEPAT Mobile Transport - NEMT company based in North Carolina. Started by Dr. Joe White, it is a national franchisor of non-emergency medical transportation. See Video #2. Read More...
6. Caliber Patient Care - National franchised provider of local and long distance non-emergency medical transportation services. Read More...

VIDEO #2: NEPAT Mobile Transport Franchise


- RELATED POSTS -

- NEMT Business Opportunities - Introduction to NEMT
- Diversifying a NEMT Company - Introduction
- Interview with Carlos Banks of The Wheelchair Taxi, North Carolina
- Interview with Robert Hall of Basic Life Support, Arizona.
- Interview with Dr. Richard Terry discussing Health Care & the Future of NEMT.

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Find more blog posts and directory pages that deal primarily with non-emergency medical transportation on the NEMT Index.

Smart Para-Transit

SMART PARA-TRANSIT - Among the recent additions to the directory are two items that describe how a workable demand response transport (DRT) system could be implemented effectively and affordably using existing technology. In Using Information Technology to Achieve a Breakthrough in Transportation in New York City, LimeWire founder, Mark Gorton explains how such a system (which he calls Smart Para-Transit) could work in New York. While the video below: Transit On Demand (Have Cell Will Travel), produced by Peak Moment Television, serves as a good introduction to the concept. See also: "LimeWire Creator Brings Open-Source Approach to Urban Planning" (Wired Magazine).


Buying An Existing NEMT Business

BUYING AN EXISTING NEMT BUSINESS - For those with the means, buying an existing company can be an profitable, and relatively quick way to enter an industry or market. There are a number of 'Business For Sale' sites on the internet, such as GlobalBX, Business Broker, BizBuySell, BizBen, Merger Network, or BizQuest (Searches display results for "non-emergency medical transportation" - keying in the search term: "ambulette" will yield added results especially companies for sale in the northeastern states.). Another route to go is to consult a Business Broker. The Tenney Group is unique among brokers in that they specialize in transportation. In business since 1973, one of their specialties is non-emergency medical transportation. Visit www.ambulancebusinessforsale.net for more information.

VIDEO #1 - The Tenney Group


VIDEO #2 - Selling Your Medical Transportation Company



EXAMPLES - To give you an idea of the numbers involved, here are some examples of recent (2011) Ambulette/NEMT businesses for sale:

1. Los Angeles - Asking Price: $1,600,000. One of the three largest NEMT companies in Southern California. 18 years in business. 32 wheelchair vans, 4 passenger cars. Medi-Cal and Cal-Optima service provider in good standing, Private contracts with hospitals, nursing homes, school districts.

2. Palm Beach, Florida - Asking Price: $500,000 - $1,000,000. Gross Revenue: $920,000., Cash Flow: $275,000. Inventory: $210,000 including 14 passenger vans. Established 1997. Employees: 10-19

3. San Jose, California - Asking Price: $25,000. Santa Clara County, Bay Area. Inventory: 1998 Ford Windstar with automatic wheelchair ramp, Owner will provide training.

4. New York Metro Area - Asking Price: $900,000. Business has a license to operate in all 5 Boroughs of NYC, Nassau, and Suffolk Counties. Owner retiring. Licensed Medicaid Provider. Database of over 50,000 clients. Contracts in place with many large institutions and HMO's. Conditions: Owner is willing to provide financing to qualified buyer. Prospective buyers must be able to put down at least 50%. Owner will also stay to train new owner. Partnership considered.

5. Gulf Coast Region (2011) - Asking price: $585,000, preferred Medicaid provider in 14 counties in the Central Gulf Coast Region, 30 vehicles including some wheelchair vans, price includes all equipment plus accounts receivable that average about $40,000.


- RELATED POSTS -

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Find more blog posts and directory pages that deal primarily with non-emergency medical transportation on the NEMT Index.