How ANCHOR uses MAV
MAV is ANCHOR's field presence.
The network lets ANCHOR take access, coordination, equipment, training and selected connected services outward from permanent sites—then bring unresolved work, local knowledge and service-gap evidence back into the statewide system.
What ANCHOR learns from the field
MAV turns individual access failures into statewide planning data without turning people into a registry.
Transportation failure
No provider nearby; no public transit; NET not eligible; accessible vehicle unavailable; missed pickup; route does not match appointment.
Provider failure
No adult pathway, closed waitlist, referral rejected, provider not accepting coverage, specialist too far away.
Communication failure
Phone-only intake, no AAC/writing option, insufficient processing time, interpreter/language problem, inaccessible forms.
Environment failure
Noise/light/crowd/waiting/touch or uncertainty prevents access even when the nominal service exists.
Handoff failure
Person was “referred” but never scheduled, could not complete paperwork, could not get transportation or did not know what happened next.
Capacity signal
Repeated demand in the same cluster informs future Dock capacity, partner recruitment, mobile route frequency, training and procurement.
Public reporting should aggregate these patterns and suppress identifying details. The point is to show Arkansas where access repeatedly breaks, not to create a disability registry.
Regional Docks + MAV
Docks anchor the network. MAV extends their reach.
Statewide ANCHORstandards · scheduling · training · data/privacy · resource systems · quality improvement
↓
Regional Docklocal public front door · navigator follow-up · storage/lending · partner coordination · recurring site
↓
MAV routeMobile Access Visits · tools · field support · event/community deployment · telehealth link
↓ ↑
Community + systemspeople · families · schools · clinics · employers · libraries · parks · providers · agencies
Six ways ANCHOR uses the network
Move access outward and system learning back inward.
Partners
Partners add capability. ANCHOR keeps ownership clear.
Host partners
Provide space, local connection, accessibility information and community reach.
Referral partners
Accept defined handoffs and return enough status to know whether the connection worked.
Clinical partners
Own licensed care, clinical records, supervision, billing and clinical decisions when a healthcare service is delivered.
Transportation partners
Support routes, vehicle access or defined mobility functions without turning transportation into the owner of the MAV service model.
Community guides + volunteers
Extend visibility, event support, resource awareness and welcoming access. They do not become unsupervised case managers, clinicians or holders of protected records.
Regional specialists
SLP/AAC, OT/sensory, adult autism, geriatric, waiver, bilingual and other expertise can rotate, connect remotely or join targeted route days.
Operating ownership
The core public function should remain simple and accountable.
Core ANCHOR responsibilities
- route priorities and public schedule;
- service menu and field standards;
- navigator/peer/mobile-team supervision;
- privacy, consent and secure records handling;
- equipment inventory and mobile kit standards;
- Regional Dock follow-up;
- referral-loop tracking and service-gap reporting;
- public complaints, safety events and quality review.
Defined partner responsibilities
- host space or vehicle access;
- licensed/regulated service when contracted or scheduled;
- specific referral acceptance;
- transportation or technical infrastructure;
- local outreach and event coordination;
- specialist consultation and training;
- other narrow functions with named ownership.
What ANCHOR learns
Count whether access improved—not how many brochures moved.
Completed handoffs
Did the person actually reach the next service?
Travel burden
What distance/time did the mobile route avoid or reduce?
Service deserts
Which counties/ZIP areas repeatedly lack a usable route?
Waitlist + eligibility failure
Where does the person still have nowhere to go after referral?
Communication/access failure
Which public or clinical systems repeatedly break down because they cannot communicate accessibly?
User trust + return
Did people understand the plan, feel respected and know how to reconnect?
Staffing model
A core field team with rotating capability.
Resource navigator / case manager
Benefits, scheduling, warm handoff, Passport support, follow-up and system navigation.
Certified peer specialist
Lived-experience support, education, peer connection and lower-pressure de-escalation within clear boundaries.
Mobile operations / driver
Vehicle, site safety, equipment, route logistics and emergency procedure; EMT/community-paramedic capability only where the operating model calls for it.
Licensed clinical lead when required
Triage/risk screening and clinical functions only within license scope and the actual service configuration.
Rotating or telehealth specialists can include AAC/SLP, OT/sensory, adult autism, geriatric, waiver and bilingual expertise. Not every route requires every specialist.