PubNub Case Studies Fewer Missed Rides, More Healthy Patients
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Fewer Missed Rides, More Healthy Patients

PubNub
Analytics & Modeling - Machine Learning
Application Infrastructure & Middleware - API Integration & Management
Platform as a Service (PaaS) - Connectivity Platforms
Healthcare & Hospitals
Business Operation
Logistics & Transportation
Fleet Management
Predictive Maintenance
Remote Asset Management
Software Design & Engineering Services
System Integration
Healthcare transportation is an inefficient, archaic system. 3.6 million Americans miss medical appointments every year due to lack of reliable transportation. $6 billion is spent on healthcare-related transportation every year. Missed medical appointments cost the U.S. healthcare system more than $150 billion per year, and $10 billion of this is caused by avoidable transportation problems. One Call saw the problem with existing healthcare transportation solutions: a combination of patient, dispatcher, and contracted vehicle services manually communicating through a number of channels led to a massive number of missed rides, incorrect pick-up and drop-off locations, penalties, and fees. One Call knew that using emerging technologies, the entire experience could be streamlined to provide a more cost-effective and positive experience for patients.
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One Call is a leader in medical cost management for workers’ compensation. Delivering benefit management, from diagnostics, to physical therapy, to transportation and translation, One Call has revenue of over $1.6B/year, and 2,800 employees. SourceFuse builds custom, full-scale web and mobile SaaS products, and has deployed over 1000 apps and solutions since their founding in 2005. Transportation may seem like a relatively small subset of the overall healthcare landscape, but it can have a dramatic impact on medical costs. And that’s exactly what One Call, with SourceFuse, set out to solve by building RelayRIDE. RelayRIDE delivers safe and reliable healthcare transportation, featuring an Android/iOS app for patients, a realtime control dashboard for administrators, and direct integration with Lyft for drivers.
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Realtime communication and functionality is the key to getting patients to their appointments on time. Every step of the way, patients, drivers, and administrators need to be kept up-to-date on what is happening and be immediately notified if anything changes. Realtime gives the agents the ability to take immediate corrective action if anything goes wrong and accurately confirms that the patient has arrived at their appointment. To build a reliable, realtime communication layer between each connected user, SourceFuse chose PubNub. PubNub’s realtime platform is mission-critical for delivering reliable communication across every application in the product. This includes sending push and in-app notifications, streaming geolocation data from the Lyft API to the control dashboard, keeping the status of all rides up-to-date and synced on the control dashboard, and tracking links via SMS. SourceFuse had tried open source solutions in the past for similar MVPs, but ran into issues with scaling and didn’t want to have to deal with the complexities of security for realtime messaging. From message encryption, to authentication, to provisioning – these security considerations require substantial development time to build and maintain, drawing resources away from the core functionality SourceFuse needed to deliver. In choosing PubNub, SourceFuse was confident that security was solved, which would open up bandwidth for innovation and improve the user experience itself.
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RelayRIDE has already seen a 10% improvement in schedule adherence, which has led to substantial cost savings as transportation providers no longer need to charge penalties for patient no-show.
Considering that as many as 3.6 million patients miss appointments each year due to lack of transportation, this is a major improvement.
Before PubNub, 40% of calls from administrators were to confirm that patients were dropped off where and when they needed to be. Staffing this process required both headcount and financial resources. Since implementing PubNub to send a realtime alert for variance issues, confirmation calls have dropped substantially.
10% improvement in schedule adherence.
Reduced average cost of trips by 40% compared to traditional models.
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