Tuesday, June 10, 2008

"When is the next bus?"

http://www.telegraph.co.uk/news/newstopics/howaboutthat/2071319/Fake-bus-stop-keeps-Alzheimer's-patients-from-wandering-off.html

Fake bus stop keeps Alzheimer's patients from wandering off

By Harry de Quetteville in Berlin

The [Kent, UK] Daily Telegraph

Last updated: 11:11 PM BST 03/06/2008

German nursing homes are using a novel strategy to stop Alzheimer's
patients from wandering off: phantom bus stops.

The idea was first tried at Benrath Senior Centre in Düsseldorf, which
pitched an exact replica of a standard stop outside, with one small
difference: buses do not use it.

The centre had been forced to rely on police to retrieve patients who
wanted to return to their often non-existent homes and families.

Then Benrath teamed up with a local care association called the "Old
Lions". They went to the Rheinbahn transport network which supplied
the bus stop.

"It sounds funny but it helps," said Franz-Josef Goebel, the chairman
of the "Old Lions" association.

"Our members are 84 years old on average. Their short-term memory
hardly works, but the long-term memory is still active.

"They know the green and yellow bus sign and remember that waiting
there means they will go home."

The result is that errant patients now wait for their trip home at the
bus stop, before quickly forgetting why they were there in the first
place.

"We will approach them and say that the bus is coming later and invite
them in for a coffee," said Richard Neureither, Benrath's director.
"Five minutes later they have completely forgotten they wanted to leave."

The idea has proved so successful that it has now been adopted by
several other homes across Germany.

Monday, June 09, 2008

MPC - Survey of Implementation Strategies by Rural Paratransit Agencies Using Low Cost Software (MPC-04-161)

MPC - Survey of Implementation Strategies by Rural Paratransit Agencies Using Low Cost Software (MPC-04-161): "Survey of Implementation Strategies by Rural Paratransit Agencies Using Low Cost Software"

This article is a treasure. It provides an overview of small system operations (such as ourselves) and the benefit of utilising some form of scheduling software
Here is one passage that finally provides a concise explanation of the increased demand for service we experience in the era of short hospital stays and "care in the community:

1.7 External Influences
Over the years, coordinated transportation professionals have observed a significant impact on their service related to the changes in the health care field in the '80s and '90s. A single medical "episode of care" would involve a ride to the hospital for admission, and a ride home following discharge - two one-way trips.

Today that same episode may involve as many as 16 or 18 one-way trips

  • to the hospital for pre-admissions testing, then home
  • to the hospital for "same day surgery," then home
  • a return to the hospital the following day for an appointment with the surgeon, and home
  • to the primary care physician's office weekly, for four weeks, for check-ups, then home
  • to the surgeon one month later for a check-up, then home

Changes in our health care delivery systems have impacted the demand for coordinated transportation service, as well as the levels of service that we offer.


Finally an explaination for something we've been trying to explain to policy makers over the past few years.

This is one of the excellent studies available at the Mountain-Plains Consortium (MPC)

Monday, June 02, 2008

Big Hill Seniors Activity Society adds new Handi-bus to fleet

Cochrane Times, Cochrane, AB: "Big Hill adds new Handi-bus to fleet

by James Emery
Wednesday May 28, 2008

Cochrane’s Big Hill Senior Citizens Activity Society welcomed the newest member of their family when a brand new 2008 Ford Handi-bus was delivered May 14.

The new bus, decked out with the latest safety features and conveniences, will provide seniors in Cochrane and parts of the M.D. of Rocky View more freedom and independence that they may not of had otherwise."


See the full article at: Cochrane Times, Cochrane, AB