The National Academies


Guidebook and Research Plan to Help Communities Improve Transportation to Health Care Services

Posted Date: 6/5/2017

  Project Data
Funds: $200,000
Contract Time: 18 months
(includes 1 month for TCRP review and approval of the interim report and 3 months for TCRP review and for contractor revision of the final report)
Authorization to Begin Work: 10/1/2017 -- estimated
Staff Responsibility: Dianne S. Schwager
   Phone: 202/334-2969
   Email: dschwager@nas.edu
RFP Close Date: 7/27/2017
Fiscal Year: 2017


Health care professionals seek to ensure access to health care services in a manner that meets the standards set out in the Institute for Healthcare Improvement’s Triple Aim (
http://www.ihi.org/Engage/Initiatives/TripleAim/Pages/default.aspx): by improving the patient experience of care, improving the health of populations, and reducing the per capita cost of health care. The transportation sector seeks to improve mobility and access for many trip purposes, including work, shopping, social, and, importantly, health care. Effective transportation to health care services addresses the patient experience in traveling to and from health care and helps to ensure patient access to services that lead to better health outcomes.
Recent federal and local community initiatives have sought to leverage the commonalities shared by the health care and transportation sectors and facilitate their working together toward the ultimate goal of improving health care outcomes. Federal initiatives of note include the Federal Transit Administration’s Rides to Wellness grants, the work of the Coordinating Council on Access and Mobility (CCAM) (https://www.transit.dot.gov/ccam/about/initiatives and https://www.transit.dot.gov/ccam), and the Centers for Medicare & Medicaid Services’ (CMS) Accountable Health Communities. This CMS initiative aims to “encourage partner alignment to ensure that community services, including transportation, are available and responsive to the needs of the beneficiaries.”
Successful collaborations between the health care and transportation sectors have emerged in communities across the country. Better understanding of these collaborations may benefit other communities. However, the complexities intrinsic to the transportation and healthcare sectors make collaboration between the sectors challenging. Complexities include
  • Funding opportunities, requirements, and sources—whether public or private;
  • Accountability procedures [e.g., Health Insurance Portability and Accountability Act (HIPAA) and  performance metrics];
  • Service frameworks; and
  • Communication differences (e.g., industry jargon, lexicon, and acronyms).
To assist in overcoming these challenges, research is needed to develop (1) a guidebook that discusses solutions that have integrated the healthcare and transportation sectors and helps improve transportation to health care services and (2) a research plan that outlines future research needs and priorities.  

The objectives of this research are to
  1. Develop a guidebook to help communities improve transportation to health care. The guidebook should serve three important audiences—the healthc are sector, the transportation sector, and other stakeholders—and help them lay the foundation for building effective relationships to improve customer-focused mobility services. The guidebook should
    • Make the case for building relationships and forming partnerships to improve transportation to health care services;
    • Analyze examples of strategies that seek to develop transportation and health care sector relationships to improve patient experience in traveling to and from health care services, patient access to health care services, and health outcomes in communities of different sizes and locations;
    • Develop and recommend collaborative processes to design and implement solutions that include healthcare sector, transportation sector, and other stakeholders; and
    • Address emerging opportunities and challenges that may affect transportation for health care services. 
  2. Develop a research plan that outlines future research priorities, such as
    • How transportation barriers affect patient health outcomes and the delivery of health care services;
    • Technology to facilitate transportation access to health care services;
    • Funding for health care transportation; and 
    • Meaningful, cross-cutting performance metrics that can be used to monitor and evaluate patient experience in traveling to and from health care services, patient’s access to health care services, and health outcomes.
 The research is underway.

Proposals (20 single-bound copies) are due not later than 4:30 p.m. on 7/27/2017.

This is a firm deadline, and extensions are not granted. In order to be considered for award, all copies of the agency's proposal accompanied by the executed, unmodified Liability Statement must be in our offices not later than the deadline shown, or the proposal will be rejected. Proposers may choose any carrier or delivery service for their proposals. However, proposers assume the risk of proposal rejection if the carrier or delivery service does not deliver all the required documents by the deadline.

Delivery Address:

ATTN: Christopher J. Hedges
Director, Cooperative Research Programs
Transportation Research Board
500 Fifth Street, NW
Washington, DC 20001

Liability Statement

The signature of an authorized representative of the proposing agency is required on the unaltered statement in order for the TCRP to accept the agency's proposal for consideration. Proposals submitted without this executed and unaltered statement by the proposal deadline will be summarily rejected. An executed, unaltered statement indicates the agency's intent and ability to execute a contract that includes the provisions in the statement.

Here is a printable version of the Liability Statement (pdf). A free copy of the Adobe Acrobat PDF reader is available at http://www.adobe.com.

General Notes

1. According to the provisions of Title 49, Code of Federal Regulations, Part 21, which relates to nondiscrimination in federally assisted programs, all parties are hereby notified that the contract entered into pursuant to this announcement will be awarded without discrimination on the grounds of race, color, religion, sex, national origin, or disability.

2. The essential features required in a proposal for research are detailed in the current brochure entitled "Information and Instructions for Preparing Proposals" (updated August 2016). Proposals must be prepared according to this document, and attention is directed specifically to Section V for mandatory requirements. Proposals that do not conform with these requirements will be rejected. This brochure is available here.

3. The total funds available are made known in the project statement, and line items of the budget are examined to determine the reasonableness of the allocation of funds to the various tasks. If the proposed total cost exceeds the funds available, the proposal is rejected.

4. All proposals become the property of the Transportation Research Board. Final disposition will be made according to the policies thereof, including the right to reject all proposals.

5. Potential proposers should understand that follow-on activities for this project may be carried out through either a contract amendment modifying the scope of work with additional time and funds, or through a new contract (via sole source, full, or restrictive competition).

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