In health care, innovation has transformed so much that was once a painful, protracted experience. Brain surgery can now be done with beams of radiation instead of knives. Some colonoscopies with the swallow of a vitamin-size, camera-enhanced capsule. Knee replacement without slicing the quadriceps muscle.
But what often remains tortuous, time-consuming, and far from reliable is patient transportation for the underprivileged and the elderly.
For many, getting to a chemotherapy treatment or an appointment with a cardiologist or wound specialist, for instance, is out of their control. They are often dependent on a Medicaid-brokered ride, SEPTA’s CCT Connect, or a lift from a relative, friend, or volunteer from a group such as the American Cancer Society. Sometimes, the ride never comes. In all, an estimated 3.6 million Americans miss medical appointments each year because of transportation problems, according to the Community Transportation Association.
On the medical provider’s end, it’s frustrating or disruptive, especially for hospital social workers, whose mountain of responsibilities include patient transportation. For some, that might mean arranging a dozen or more rides a day, a process that involves many minutes on the phone, often on hold. It also requires tracking down patients who don’t arrive, attempting to find out when they might, trying to rearrange physicians’ schedules to accommodate them when they finally make it in, and then getting them home. That’s in between arranging for hospice care, advanced directives, and other patient needs.
In this cauldron of inefficiency and ineffectiveness, Mark Switaj saw “opportunity to really advance the industry to the 21st century.” Given this digitally addicted age, it should come as little surprise that his answer was an app.
The former emergency medical technician has founded RoundTrip, a Philadelphia-based start-up, to “rewrite the playbook” on patient transportation. Its solution after “many months and multiple iterations” is a web-based application by which rides – by sedan, wheelchair van, or nonemergency ambulance – can be scheduled in advance or requested on-demand and tracked.
When first launched in 2016, RoundTrip was a portal that allowed a nurse, social worker, or care manager to log in and order a ride. Last May, at the request of hospitals interested in rideshare options, RoundTrip integrated with the Lyft system, enabling “a different user experience” from one made through the Lyft app that the general population uses.
“That driver [secured through RoundTrip] may need to provide a little more TLC or assistance to that rider, that driver may need to wait a little bit longer in order to get to that patient who’s maybe frail or elderly,” Switaj said, adding that Lyft now accounts for about 50 percent of RoundTrip rides.
The collaboration is “really important for us as a business. We want to make health care more accessible … want to drive down health-care costs,” said Andrew Woolf, general manager of Lyft in Pennsylvania. Although the company has so-called nonemergency medical transportation relationships with many providers, insurers, and transportation brokers nationwide, including Blue Cross Blue Shield, RoundTrip is Lyft’s first such partner in Philadelphia.