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{ timecode: 0, handler: 'blob', id: 1, data: {text: 'DAVID WHITE: The next panel is going to be talking about senior transportation issues and the moderator of that panel is a good friend of mine. I’ve known Jane for a number of years now. Jane is '}},
{ timecode: 14, handler: 'blob', id: 2, data: {text: 'the Coordinator of all the Senior Transportation Programs at CTAA and I’m sure many of you know Jane and have gotten to know her over the years so I’m not going to spend a lot of time '}},
{ timecode: 27, handler: 'blob', id: 3, data: {text: 'going over her bio. I will point out that again this is being videotaped. It will be on the website in a couple of weeks and also I believe any of the handouts that normally would come with this is on '}},
{ timecode: 45, handler: 'blob', id: 4, data: {text: 'your flash drive. So, you can check that out. It came in your registration package. But I do want to point out on behalf of Jane that she comes with many, many, many years of experience working on '}},
{ timecode: 62, handler: 'blob', id: 5, data: {text: 'social issues as a community organizer and she is an attorney and has worked at AARP for over ten years before coming to CTAA. She is also an extremely esteemed graduate of one of the finest '}},
{ timecode: 85, handler: 'blob', id: 6, data: {text: 'universities in the country and a much more esteemed graduate than the graduate who happened to be our last president, which is Yale University, of course which is in my home town of New Haven. She went to George Washington University Law Center so with that I\'m going to turn it over '}},
{ timecode: 109, handler: 'blob', id: 7, data: {text: 'to Jane to moderate our next panel. JANE HARDIN: Thank you, David. Our approach today is to speak very little about the actual agencies from which our panelists come because that information is available on web sites. '}},
{ timecode: 134, handler: 'blob', id: 8, data: {text: 'They are going to discuss a particular need or challenge they saw in their service area and how they with limited funds managed to meet that challenge. We would like this to be interactive and we hope '}},
{ timecode: 154, handler: 'blob', id: 9, data: {text: 'that if you have a question as we’re talking you can raise your hand and when we come to an end of the sentence or a paragraph, we will ask you because we assume that you also are having similar '}},
{ timecode: 168, handler: 'blob', id: 10, data: {text: 'challenges in your communities and that you are working to meet them, and we would like to hear about that. Dale is my boss so it sounds a little cheap to say, "Isn\'t he great?" (laughter) '}},
{ timecode: 184, handler: 'blob', id: 11, data: {text: 'But he is and we are so fortunate to come immediately after his presentation when he showed the broad issues to give us a national perspective as we look at issues in local communities of meeting '}},
{ timecode: 208, handler: 'blob', id: 12, data: {text: 'transportation. I took notes as he was talking and in one of the slides he wrote after talking about the national issues and the photograph of Einstein, that the solutions will come from the local '}},
{ timecode: 227, handler: 'blob', id: 13, data: {text: 'experience and I think that helps to show the importance of the panels we will be hearing in the next two days. I will begin with the first person on my left. Mary DeRoo, R.N., M.S. is from Elder '}},
{ timecode: 247, handler: 'blob', id: 14, data: {text: 'Services of Merrimack Valley in Lawrence, Massachusetts. I\'ve actually introduced her before, the second time I get a little excited here. Mary runs a program called the Medical Advocacy Program and she will describe that. Then Elaine Wells, whom many of you know. She is the CTAA delegate for her state of Oregon and she is '}},
{ timecode: 276, handler: 'blob', id: 15, data: {text: ' one of the preeminent people in the country in community transportation, senior transportation and coordination. So, we will begin now with Mary. MARY DEROO: Okay. Thank you very much, Jane. Hi, everybody. The Medical Advocacy'}},
{ timecode: 293, handler: 'blob', id: 16, data: {text: 'Program that we developed at Elder Services is a program where we utilize volunteers, and we train them on medical issues, not complex but just simple medical issues; '}},
{ timecode: 306, handler: 'blob', id: 17, data: {text: 'and also on how to take somebody to a doctor\'s appointment. It\'s a little bit different because the need arose out of, what we saw was that, people, '}},
{ timecode: 311, handler: 'blob', id: 18, data: {text: 'we could get them transportation - case managers and nurses could order up transportation but our elders could not get down that flight of stairs and into the taxi or into the '}},
{ timecode: 330, handler: 'blob', id: 19, data: {text: 'transportation. Or, they needed help putting their coat on, tying their shoes. So what we did was: we developed this as through the door. So, through the door to assist on how to get an elder'}},
{ timecode: 343, handler: 'blob', id: 20, data: {text: 'up and be ready. The other part is, they would sit down for the first 15 or 20 minutes, and then ask what questions that the person may want to ask the doctor today. Then medical advocate/volunteer driver will write out the list of questions.'}},
{ timecode: 345, handler: 'blob', id: 21, data: {text: 'disability) for the first 15 or 20 minutes sit with the elder, or disabled adult, and say "What is it that you have questions that you want to ask the doctor today?" The medical advocate will write out the list of questions.'}},
{ timecode: 358, handler: 'blob', id: 22, data: {text: 'So they take the elder to the doctor\'s appointment. The elder can have their appointment and then usually the doctor will call in the medical advocate. Just to back up a little '}},
{ timecode: 371, handler: 'blob', id: 23, data: {text: 'bit...in the doctor\'s office what we would do is - I teach the advocate to go with the elder to the receptionist and say who you are. And don\'t say you\'re an advocate because'}},
{ timecode: 382, handler: 'blob', id: 24, data: {text: 'there is something a little adversarial about that, but just say you\'re here to help Mrs. Jones today with her appointment and to write down the answers to the questions she has.'}},
{ timecode: 389, handler: 'blob', id: 25, data: {text: 'So, once the doctor would meet with the elder after the exam, and sit down, they will sometimes call in the medical advocate to be with the elder. And what was really kind of neat is that the elder would'}},
{ timecode: 408, handler: 'blob', id: 26, data: {text: 'be a bit unorganized, the medical advocate can be the extra pair of eyes and ears for the elder. you know how you are when you go to the doctor. I even forget all the questions.'}},
{ timecode: 412, handler: 'blob', id: 27, data: {text: 'They just ramble on, they go so fast that you just don\'t think of what you really want to ask and not only that, when you are asking a question, and listening to'}},
{ timecode: 421, handler: 'blob', id: 28, data: {text: 'the answer, you can\'t really be taking notes. You can\'t actively listen and take notes at the same time. So what was great about this was that extra set of eyes and ears for the person, the elder. The medical advocate will write down all the'}},
{ timecode: 438, handler: 'blob', id: 29, data: {text: 'answers to the questions and we even taught them how to be a little assertive and how to say, you know, "Remember, Mrs. Hardin, you wanted to tell the doctor about the pain in your stomach." And'}},
{ timecode: 450, handler: 'blob', id: 30, data: {text: 'really help the elder to remember…not to take over. Never to take over but to coach and empower the elder; never to take over for them. What we have found is that the doctors really like to '}},
{ timecode: 469, handler: 'blob', id: 31, data: {text: 'have this extra set of eyes and ears because they knew that this person is going to come home with the correct instructions. The nurses in the doctors’ offices found that by having this extra'}},
{ timecode: 482, handler: 'blob', id: 32, data: {text: 'person, there were less follow-up phone calls about what to do. We would also let the medical advocate take the elder to chemo or any x-rays in the hospital. Anything they had to do and even after an'}},
{ timecode: 496, handler: 'blob', id: 33, data: {text: 'exam of some sort. The other part of it would be that they would go to the pharmacy and help them pick up their prescriptions if there is a new prescription, bring them back to the house, settle them'}},
{ timecode: 507, handler: 'blob', id: 34, data: {text: 'back in, help them get their coat and shoes off, and get them some water if that is what they needed or would like. Just make sure they are all settled before they leave. Am I going on too long? JANE'}},
{ timecode: 519, handler: 'blob', id: 35, data: {text: 'HARDIN: Keep on going. MARY DEROO: The other part of it is at the doctor\'s office, when there would be – you know how one doctor\'s appointment always is now three more? Or, you know, now you have to go to an x-ray, and to the lab?'}},
{ timecode: 532, handler: 'blob', id: 36, data: {text: 'The medical advocate is right there with their book, their calendar. And they\'d say, well, "No, Mrs. Hardin, I can\'t do that Tuesday,'}},
{ timecode: 540, handler: 'blob', id: 37, data: {text: 'but I could do Wednesday." So now my job of coordination is even getting done. So, in my notes, when a medical advocate would write out notes to us about what happened at that appointment, they would say – I had a '}},
{ timecode: 552, handler: 'blob', id: 38, data: {text: 'line that said \'follow-up\' and they would say \'I can do the follow-up.\' It almost became a little bit like primary nursing – primary nursing in the days, I don\'t know if '}},
{ timecode: 562, handler: 'blob', id: 39, data: {text: 'anyone remembers, but you used to have one nurse and not a team of nurses and it became that primary kind of care. One-on-one with the medical advocate and the client. I could'}},
{ timecode: 573, handler: 'blob', id: 40, data: {text: 'keep going… . JANE HARDIN: Well, I do want you to keep going but, first, I want to stop and ask you a question so you will keep going more. Since you were using me as the example, let’s '}},
{ timecode: 586, handler: 'blob', id: 41, data: {text: 'say I have heard about this program because I have come to AAA and I am signing up, or I\'m signed up, but then in the next 3 or 4 days you get a call from me. "Hi, Mrs. DeRoo. I really think it is a great program and I'}},
{ timecode: 600, handler: 'blob', id: 42, data: {text: 'want to be a part of it but you know, I talked to my daughter in California over the weekend and she said, "Mom, what right do these people have to ask to get involved in your medical? How are'}},
{ timecode: 618, handler: 'blob', id: 43, data: {text: 'you sure they are going to do the right thing? Will they talk to me?” MARY DEROO: Absolutely. We actually started this program out of the Family Caregiver money that we got. This was really '}},
{ timecode: 634, handler: 'blob', id: 44, data: {text: 'specifically to help the caregivers, that son or daughter who just can’t take another day off from work to take Mom or Dad to the doctor’s and especially for long distance caregivers. We'}},
{ timecode: 646, handler: 'blob', id: 45, data: {text: 'certainly would talk to anybody on the phone. I have spoken to sons and daughters. The other thing that is really good is we have a chart that I would mail out to the client and in the chart it would '}},
{ timecode: 668, handler: 'blob', id: 46, data: {text: 'Advocacy stuff. If anybody wants to replicate anything, feel free to just take it and put your own agency name on the top. JANE HARDIN: Why don’t you run through the form and the purpose? MARY '}},
{ timecode: 691, handler: 'blob', id: 47, data: {text: 'DEROO: Okay. The very first part of this folder that we mail off to the elder says welcome to our Medical Advocacy Program – I thought it was easier to read, but that was six years ago – what happened? This program is basically designed to coach, support, and empower an elder.'}},
{ timecode: 708, handler: 'blob', id: 48, data: {text: 'That is basically just my little note to the elder. Although, if you do copy this, just so you know, I found out I used to put on the outside of the chart the elder’s name and they would cancel '}},
{ timecode: 719, handler: 'blob', id: 49, data: {text: 'appointments all the time. You know how that is. Their rides get cancelled so don’t write the name on the outside of the chart and then the medical advocate can use it for the next person. Just a'}},
{ timecode: 729, handler: 'blob', id: 50, data: {text: 'little helpful hint. There is a whole medical advocacy training that is in here that we can talk about after but the other thing that is kind of important too is the consent form. This is what'}},
{ timecode: 742, handler: 'blob', id: 51, data: {text: 'that daughter in California probably would want and it is exactly what the doctors ask for. \'Who are you,\' they say, \'to listen to this information?\' I would put two consent forms in here. One is to'}},
{ timecode: 756, handler: 'blob', id: 52, data: {text: 'give the doctor that the medical advocate will have the elder sign and one is for the patient or the client to keep in their folder that is just saying I authorize my medical advocate to hear this '}},
{ timecode: 767, handler: 'blob', id: 53, data: {text: 'information about me. Simple as that. Then also, in the chart there is another form called Medical Advocacy Request in case any of you want it. I am sure you all have your own intake forms but there '}},
{ timecode: 783, handler: 'blob', id: 54, data: {text: 'were some special things in here you know…for those of you who do transportation, you know that special considerations like does this person can they ambulate up and down the stairs? Do they '}},
{ timecode: 793, handler: 'blob', id: 55, data: {text: 'need one arm assist? Those kinds of things. There is a whole side that says it is a list of medications and what Dale had referred to as medical jargon… information about things you should ask your pharmacist. This'}},
{ timecode: 814, handler: 'blob', id: 56, data: {text: 'is really for the elder to have because this is their chart, remember. This medication just says, "that the doctor may prescribe a drug for your condition. Make sure you know the name of the drug and'}},
{ timecode: 826, handler: 'blob', id: 57, data: {text: 'understand why it has been prescribed for you. If you are taking other medications make sure the doctor knows so he or she can prevent harmful drug interactions. Use the chart on the following page to '}},
{ timecode: 836, handler: 'blob', id: 58, data: {text: 'write down what you are taking and show it to the doctor." And then it says what questions to ask. Like, what are common side effects? What should I pay attention to? What should I do if I miss a dose?'}},
{ timecode: 847, handler: 'blob', id: 59, data: {text: 'Underneath is common abbreviations p.r.n., as needed, q.d., every day, things like that. I remember when I first got married I wrote a note to my husband and everything was in medical jargon. It is a '}},
{ timecode: 864, handler: 'blob', id: 60, data: {text: 'different world. That is just for the client to have. The other page is all the medications that the medical advocate will sit down and will write out or the son or daughter could do it a head of time '}},
{ timecode: 879, handler: 'blob', id: 61, data: {text: 'for the elder. JANE HARDIN: We touched on medical jargon. Maybe I would say if I were thinking about running a program that I know how to train volunteers to be drivers, but I am very much concerned '}},
{ timecode: 899, handler: 'blob', id: 62, data: {text: 'about training volunteers to do this kind of work. First of all, most of all, I do not want them to harm the elder. Second of all, there is my agency’s liability. Why don’t you go with the '}},
{ timecode: 918, handler: 'blob', id: 63, data: {text: 'first. MARY DEROO: As far as the training goes, it is pretty extensive. It is about eight hours. It’s four hours twice. I review all the aging process and all the related health changes in an '}},
{ timecode: 935, handler: 'blob', id: 64, data: {text: 'aging process. I go over vision. What signs of vision problems would be that should lead to a doctor’s appointment? I will go over the hearing, the touch, taste, smell. All the different systems '}},
{ timecode: 947, handler: 'blob', id: 65, data: {text: '--from cancer to kidney and bladder problems, incontinence. Then we touch upon that in the event that your elder has an incontinence episode. What do you do? How do you handle it? I continue with '}},
{ timecode: 962, handler: 'blob', id: 66, data: {text: 'bone, adult diabetes, and all of that stuff is spelled out in my flash drive, which you can have. I talk about infection control. I talk about that single, that one thing you can do is wash your hands '}},
{ timecode: 976, handler: 'blob', id: 67, data: {text: 'and how you should wash your hands constantly--before and after and the right way now to cough. We learned this way [demonstrating hand over mouth], but now it is this way [demonstrating a cough into '}},
{ timecode: 987, handler: 'blob', id: 68, data: {text: 'forearm]. Then we go into the role of the support caregiver and symptoms of caregiver burnout so that if volunteers are in a house helping a caregiver that they know what signs and symptoms to look '}},
{ timecode: 998, handler: 'blob', id: 69, data: {text: 'for that maybe this caregiver is heading towards burn out and what they can do. Not necessarily they have to be the expert but so that they can bring it back to us. My agency is a private nonprofit '}},
{ timecode: 1000, handler: 'blob', id: 70, data: {text: 'for maybe there\'s some trouble, that this caregiver is heading towards burnout and what they can do. Not necessarily they have to be the expert but so that they can bring it back to us. My agency is a private nonprofit'}},
{ timecode: 1011, handler: 'blob', id: 71, data: {text: 'social service agency. So we work with case managers who are licensed and registered nurses. So they don’t have to be the experts. They just to know when something is not normal. Ten'}},
{ timecode: 1023, handler: 'blob', id: 72, data: {text: 'principles of good listening: How to be an active listener. (You know it’s amazing the people who do not listen when you talk.) How to let the elder know that you are listening to them. How to '}},
{ timecode: 1036, handler: 'blob', id: 73, data: {text: 'nod your head and maybe repeat back what they are saying. Also how to be assertive and I just have to say one little assertive thing. I had a medical advocate interrupt a doctor who kept talking to '}},
{ timecode: 1051, handler: 'blob', id: 74, data: {text: 'her and not to the elder. The medical advocate said, “Excuse me, Doctor, but she is your patient.” I thought that was awesome. I was so proud of her. After I heard that story I added this '}},
{ timecode: 1065, handler: 'blob', id: 75, data: {text: 'little piece of assertiveness: Make sure they [the doctors] are talking to the elder and that they don’t ignore them or talk about them like they are not there and only'}},
{ timecode: 1065, handler: 'blob', id: 76, data: {text: 'little piece of assertiveness to tell the volunteer: Make sure they [the doctors] are talking to the elder and that they don’t ignore them or talk about them like they are not there and only '}},
{ timecode: 1073, handler: 'blob', id: 77, data: {text: 'have the dialogue with you, the advocate. Then there is a whole other part about the medical advocacy procedure which is what I explained to you in the beginning about what they do, go into the house, '}},
{ timecode: 1083, handler: 'blob', id: 78, data: {text: 'introduce themselves, write down the questions, and so forth. Then there are the do’s and don’ts for reducing risk on assignments – issues of confidentiality and ethics and the HIPAA '}},
{ timecode: 1095, handler: 'blob', id: 79, data: {text: 'and what the HIPAA is about and why you really can’t talk about. For example, using a client’s whole name in an elevator. You can’t have those kinds of conversations in public '}},
{ timecode: 1108, handler: 'blob', id: 80, data: {text: 'places. To be really careful about that. Also we talk about how to minimize the risk of falls because believe it or not, unless you’ve been taught you don’t know how to ambulate someone '}},
{ timecode: 1120, handler: 'blob', id: 81, data: {text: 'using a walker or a cane. What side to stand on. What arm to take. To take the arm or not or how to get up and down the stairs so we go through all of that with our medical advocates. Liability '}},
{ timecode: 1136, handler: 'blob', id: 82, data: {text: 'insurance is a little outside my expertise. I depend on our CFO for that. He has said we have liability insurance. Our case managers and nurses technically are not supposed to transport people in '}},
{ timecode: 1149, handler: 'blob', id: 83, data: {text: 'their cars but I know we tell them they really should not do it and they don’t do it as common practice but we have insurance for it because we know some do occasionally do it. All of our '}},
{ timecode: 1160, handler: 'blob', id: 84, data: {text: 'volunteers are covered under the same umbrella policy as our employees. JANE HARDIN: I see a big grin on Dave White’s face about insurance and would you like to come in with any comments? DAVE '}},
{ timecode: 1173, handler: 'blob', id: 85, data: {text: 'WHITE: They probably carry it on their own insurance. Their own insurance probably plays some role in that. Are they reimbursed for mileage? Mary DeRoo: Yes. Medical advocates are reimbursed. We '}},
{ timecode: 1188, handler: 'blob', id: 86, data: {text: 'follow the IRS rate. DAVE WHITE: IRS rate. Okay. JANE HARDIN: I did speak with your Executive Director a few years ago about insurance because I was interested in writing up this program and I was '}},
{ timecode: 1200, handler: 'blob', id: 87, data: {text: 'very curious. Liability is an issue that we are almost, quite understandably, asked about. And Roseanne?" MARY DEROO: Yes. JANE HARDIN: Roseanne went through with me the insurance they offer, but she said, Jane, that\'s a very small part '}},
{ timecode: 1216, handler: 'blob', id: 88, data: {text: 'of our planning to do any program. I try to have the best possible run agency I can. I hire staff I respect and '}},
{ timecode: 1235, handler: 'blob', id: 89, data: {text: 'trust, and I have high standards, and they meet them. And then I feel comfortable with the liability issue because I know they are running programs our community needs and they are'}},
{ timecode: 1253, handler: 'blob', id: 90, data: {text: 'running them well. Although that was years ago,I have used her words as a framework whenever talking about insurance and liability. You begin with what’s the mission of your agency, what are the '}},
{ timecode: 1267, handler: 'blob', id: 91, data: {text: 'needs of your community, and how you meet them, and provide quality general management. Are there any comments or questions? DAVE WHITE: You have one there. AUDIENCE MEMBER: I have to apologize '}},
{ timecode: 1286, handler: 'blob', id: 92, data: {text: 'because I am trying to follow along with what you are saying but I have a head injury so I am looking on the flash drive trying to see if what you’re saying is on the flash drive. Is it on the '}},
{ timecode: 1297, handler: 'blob', id: 93, data: {text: 'training and stuff like that and questions? MARY DEROO: Yes. It should be. CHARLES DICKSON: If I can say, don’t forget we are putting up a website with all of the information from the conference '}},
{ timecode: 1313, handler: 'blob', id: 94, data: {text: 'so if it is not on the flash drive, it will be on the web site. JANE HARDIN: Thank you, Charlie. Elaine? Elaine Wells from Ride Connection? ELAINE WELLS: Well, I was asked to talk about a small '}},
{ timecode: 1334, handler: 'blob', id: 95, data: {text: 'program that we have started this last fiscal year in partnership with the American Cancer Society in the Portland, Oregon area. Our service area is made up of about a little over 3,000 square miles '}},
{ timecode: 1350, handler: 'blob', id: 96, data: {text: 'incorporating three different counties, one large city, Portland, Oregon, and then some small suburban and rural communities as well. The American Cancer Society for the last several years has not had '}},
{ timecode: 1368, handler: 'blob', id: 97, data: {text: 'a Road to Recovery Program. How many of you have a Road to Recovery Program in your community? Okay. That is not many. I am surprised. We used to have one in the Portland area and we coordinated with '}},
{ timecode: 1385, handler: 'blob', id: 98, data: {text: 'them at the time but due to funding issues that program went away and we took on all of the ride requests for chemo and radiation treatment for them. But now they have been wanting to start a program '}},
{ timecode: 1401, handler: 'blob', id: 99, data: {text: 'again and instead of duplicating what we were already doing they came to us and said let’s work together. Let’s partner. We will recruit the volunteers if you schedule the rides for us and '}},
{ timecode: 1415, handler: 'blob', id: 100, data: {text: 'provide the service. So, we have a centralized service center where normally all of our calls come in. What our partnership is with the American Cancer Society is that they recruit the volunteers. '}},
{ timecode: 1432, handler: 'blob', id: 101, data: {text: 'They provide their training. We provide ours because we have a very extensive driver-training program for both our volunteer and paid drivers. We’ve combined our training programs and then all '}},
{ timecode: 1447, handler: 'blob', id: 102, data: {text: 'the rides are scheduled through our service center. So if they are able to go on one of our accessible vehicles or grouped for going to the hospital or to a medical center it’s done that way. The volunteer'}},
{ timecode: 1461, handler: 'blob', id: 103, data: {text: 'drivers pick up the remainder rides that don’t fit in a coordinated system. People are able to get more rides than they normally would. The other benefit to working together is that typically '}},
{ timecode: 1481, handler: 'blob', id: 104, data: {text: 'the Road to Recovery Program provides transportation for chemo and radiation but not the auxiliary rides that often come with that and so of course we are able to provide that for the customer. It is '}},
{ timecode: 1497, handler: 'blob', id: 105, data: {text: 'a real win-win situation. They support, recognize, coordinate their volunteers. We provide the service. It’s bringing together the two skill sets that we are strongest at doing and it is working '}},
{ timecode: 1514, handler: 'blob', id: 106, data: {text: 'very well. We are very excited about it. We wanted to share that with you today. JANE HARDIN: When you say you provide auxiliary trips, would you give some examples of what those are? ELAINE WELLS: '}},
{ timecode: 1528, handler: 'blob', id: 107, data: {text: 'Like to the pharmacy, to shopping. The other trips that people may not feel well enough to drive to we are able to do that. Where with the Road to Recovery Program is pretty limited to chemo and '}},
{ timecode: 1543, handler: 'blob', id: 108, data: {text: 'radiation at least in the Portland area. JANE HARDIN: You already had a relationship with the American Cancer Society? ELAINE WELLS: We did because of their elimination of their formal Road to '}},
{ timecode: 1556, handler: 'blob', id: 109, data: {text: 'Recovery Program about eight years ago due to funding cuts. They eliminated it in the State of Oregon, which was really a very unfortunate situation, and now they are trying to resurrect that again '}},
{ timecode: 1571, handler: 'blob', id: 110, data: {text: 'throughout the State. In the Portland area they are building upon and working with us to provide that service. I really recommend looking at that type of system of you are able to do that with your '}},
{ timecode: 1590, handler: 'blob', id: 111, data: {text: 'American Cancer Society because it really has been a win-win situation. MALE VOICE: Jane, we have a question here. AUDIENCE MEMBER: I would just be really curious about your program and could you '}},
{ timecode: 1603, handler: 'blob', id: 112, data: {text: 'explain it in more detail like are you an ADA Para transit service provider, are you responsible for the vehicles, you know, it sounds like you are. Just how does it all work? ELAINE WELLS: Okay. I '}},
{ timecode: 1615, handler: 'blob', id: 113, data: {text: 'was told not to go into it. I think I talk too much about our program so I was told just to talk about this program. JANE HARDIN: Well, now you are free. ELAINE WELLS: Now you’ll have to shut me '}},
{ timecode: 1628, handler: 'blob', id: 114, data: {text: 'up. Right Connection is a network of social service agencies that provide transportation. Twenty years ago actually our transit agency, Tri-Met in the Portland area, created the concept and hired a '}},
{ timecode: 1648, handler: 'blob', id: 115, data: {text: 'consultant and we became a private nonprofit in 1988. So, we bring together all, well, not all, but many, many of the social services agencies in the Portland area and we have trained them how to '}},
{ timecode: 1665, handler: 'blob', id: 116, data: {text: 'provide transportation. Many of them kind of backed in to transportation over the years. They could not get rides for their clients so they created a small transportation program. When Tri-Met saw '}},
{ timecode: 1678, handler: 'blob', id: 117, data: {text: 'that if they brought them together, built a foundation under them, gave them the skills to be a transit provider that the community would benefit from that and so we have centralized all the common '}},
{ timecode: 1693, handler: 'blob', id: 118, data: {text: 'types and elements of the transportation program like training and screening, owning the vehicles -- to answer your question. We own a fleet of 100 vehicles that are assigned to the various social '}},
{ timecode: 1708, handler: 'blob', id: 119, data: {text: 'service agencies in the community. We oversee all of the common elements of a transportation provider and then they are free to provide the service. They are free to do what they do best which is to '}},
{ timecode: 1724, handler: 'blob', id: 120, data: {text: 'serve their client. It has been a very successful program over the years. We have grown from first year of providing around 12,000 trips to providing over 372,000 this last fiscal year and we’ll '}},
{ timecode: 1739, handler: 'blob', id: 121, data: {text: 'exceed that I think this fiscal year. So we are always looking for ways to coordinate and to be more efficient. This is a wonderful partnership with the American Cancer Society where we can provide '}},
{ timecode: 1757, handler: 'blob', id: 122, data: {text: 'the service on our vehicles if that is the most efficient way to do it or to partner with a volunteer through the American Cancer Society to provide that one on one trip. Yes? CONNIE GARBER: I was '}},
{ timecode: 1775, handler: 'blob', id: 123, data: {text: 'very interested to hear about what you were saying about working ACS and the Road to Recovery. We had a relationship in York County, Maine with ACS and had been working with them in a partnership '}},
{ timecode: 1792, handler: 'blob', id: 124, data: {text: 'until about two years ago when they explained that there were some new requirements that were handed down from the National Office that meant that we would need to ask each person that we were '}},
{ timecode: 1807, handler: 'blob', id: 125, data: {text: 'transporting to medical services about their diagnoses, when they were diagnosed, how long they were in treatment, and a number of other questions that we felt were inappropriate. We made a decision '}},
{ timecode: 1823, handler: 'blob', id: 126, data: {text: 'that we were not going to continue to partner with ACS because of that requirement and I am curious as to whether or not that was a National requirement or something that we just experienced in Maine. '}},
{ timecode: 1837, handler: 'blob', id: 127, data: {text: 'ELAINE WELLS: No, that is a national requirement, I believe, because that was one of the real sticking points for us as we were negotiating this partnership because we felt very strongly as you do '}},
{ timecode: 1849, handler: 'blob', id: 128, data: {text: 'that it was not information that we needed in order to provide a quality, safe, customer-focused ride. It was almost a deal breaker for us. We have worked out an agreement where they ask those '}},
{ timecode: 1869, handler: 'blob', id: 129, data: {text: 'questions. We do not. So we still follow our same intake and then if it is a ACS or a chemo or radiation trip we will refer them to ACS but we don’t and we will not either collect that '}},
{ timecode: 1891, handler: 'blob', id: 130, data: {text: 'information. That was almost a deal breaker so during the section where we were going to talk about replication I was going to actually bring that up. Thank you, Connie. It is an issue and you need to '}},
{ timecode: 1905, handler: 'blob', id: 131, data: {text: 'be able to work with your American Cancer Society unit to negotiate those aspects. DAVE WHITE: Let me just ask a question if I could. Not to put them on the spot, is anyone here from the American '}},
{ timecode: 1924, handler: 'blob', id: 132, data: {text: 'Cancer Society? Great. I think you might like to respond I am sure. MICHELLE HANSON: Hello? My name is Michelle Hansen and I am with the American Cancer Society. Being able to track how we serve the '}},
{ timecode: 1940, handler: 'blob', id: 133, data: {text: 'patients that we work with is very important and is very critical in justifying our allocation of funds illustrating how we work with the public and the populations. However, there has been a lot of '}},
{ timecode: 1955, handler: 'blob', id: 134, data: {text: 'work done in terms of how we process that information and how we track that. And so I would hope that in that situation there could be a negotiation. Our patient call centers are 1-800 number – '}},
{ timecode: 1969, handler: 'blob', id: 135, data: {text: 'that is how we usually come in contact with a patient and that issue is addressed first. So there are some ways in terms of how we refer patients. Do we refer them through ACS to an outside resource? '}},
{ timecode: 1981, handler: 'blob', id: 136, data: {text: 'And we certainly use a lot of external resources to address our constituents and our patient’s needs. We rely very much on community transportation. I would hope there might be a way we could '}},
{ timecode: 1994, handler: 'blob', id: 137, data: {text: 'work with how to process or the experience of the patient is directed to your organization. There are lots of opportunities there. DAVE WHITE: Can I ask a question? Are you with National or are you '}},
{ timecode: 2005, handler: 'blob', id: 138, data: {text: 'with a local chapter? MICHELLE HANSON: I’m with a local chapter. I am with the Midwest Division. I work very closely with National on a lot of issues but I think everyone appreciates the fact of '}},
{ timecode: 2017, handler: 'blob', id: 139, data: {text: 'being able to understand your constituents and working closely with them and really tracking how your service is delivered. DAVE WHITE: That’s great. Okay. JANE HARDIN: Would you have any '}},
{ timecode: 2027, handler: 'blob', id: 140, data: {text: 'specific suggestions to a transportation provider on approaching the local chapter? Just some helpful tips on maybe which staff position to look for to speak with and how to frame the question? '}},
{ timecode: 2044, handler: 'blob', id: 141, data: {text: 'MICHELLE HANSON: Well, I am presenting at 1:30 p.m. (laughter) I would definitely say that some of the volunteer recruitment staff they have different titles in each division so that can get tricky '}},
{ timecode: 2060, handler: 'blob', id: 142, data: {text: 'but there is definitely a lot of…the people who work and train the volunteers there is also a lot of…oh, I would say…what is a general term…volunteer directors might be a '}},
{ timecode: 2073, handler: 'blob', id: 143, data: {text: 'really great place to start. People who are very aware of that resource because we do have some strong transportation programs and we always looking to see how we can apply some of the things we do '}},
{ timecode: 2084, handler: 'blob', id: 144, data: {text: 'best such as volunteer recruitment, volunteer training, and then allocation. AUDIENCE MEMBER: I would like to make a comment and that is that the CTAA outreach ambassadors are working with the American'}},
{ timecode: 2098, handler: 'blob', id: 145, data: {text: 'Cancer Society Directors and this would be a perfect time for them to approach that situation so I would encourage this to be a perfect time for the ambassadors to work on that. DAVE WHITE: We have '}},
{ timecode: 2113, handler: 'blob', id: 146, data: {text: 'one more question here. AUDIENCE MEMBER: I believe Elaine brought up that you started off as a coalition of nonprofit organizations. Where do you get your funding from? ELAINE WELLS: Well primarily it '}},
{ timecode: 2133, handler: 'blob', id: 147, data: {text: 'is public funding. It is State funding and then also from Tri-Met or our volunteer program. Tri-Met has supported our volunteer transportation component of our program for the last twenty years. We do '}},
{ timecode: 2150, handler: 'blob', id: 148, data: {text: 'have State funding that supports elderly and disabled transportation. Then of course we do a lot of fundraising. We are looking at because of declining revenue, some social venture programs. We are '}},
{ timecode: 2166, handler: 'blob', id: 149, data: {text: 'getting into less advertising and that kind of thing. It’s a myriad of options and it is ever evolving. There was one other question. AUDIENCE MEMBER: On Ride Connection, does your central '}},
{ timecode: 2184, handler: 'blob', id: 150, data: {text: 'service center schedule the auxiliary rides with drivers and vehicles? ELAINE WELLS: Yes as part of our regular service. AUDIENCE MEMBER: Forgive me. I’m from a DOT. Can you tell us a little '}},
{ timecode: 2204, handler: 'blob', id: 151, data: {text: 'more specifically if you know it about the funding sources for both the presenters. That would be helpful. ELAINE WELLS: Okay. As I said, we have the local Tri-Met, our transit district, and then our '}},
{ timecode: 2217, handler: 'blob', id: 152, data: {text: 'State funding is a combination of flexible highway funds for transit and then cigarette tax. We also have revenue from the ID badges that people can get when they can no longer drive. Instead of a '}},
{ timecode: 2238, handler: 'blob', id: 153, data: {text: 'driver’s license we have a picture ID card that someone can purchase and the revenue from that goes to elderly and disabled transportation. So there are several different small pots that come '}},
{ timecode: 2251, handler: 'blob', id: 154, data: {text: 'together called the Special Transportation Fund and those funds are allocated around the State on a percentage basis. Then we have what’s called Business Energy Tax Credit that citizens can '}},
{ timecode: 2270, handler: 'blob', id: 155, data: {text: 'direct their taxes for a tax credit for environmental savings and for our group trips and that kind of thing we are eligible for Business Energy Tax Credit dollars. We submit an application and '}},
{ timecode: 2288, handler: 'blob', id: 156, data: {text: 'someone who wants to purchase those tax credits can do that and send a donating into us. That has been a very successful part of our funding. It is very unstable so we use it for emergency situations. '}},
{ timecode: 2308, handler: 'blob', id: 157, data: {text: 'We do not budget it as part of our regular budget because we are afraid the legislature is going to take it away but it is an opportunity for us. I think that is, oh, we have of course 5311, Job '}},
{ timecode: 2327, handler: 'blob', id: 158, data: {text: 'Access, and those kinds of funds. JANE HARDIN: Your funding for Merrimack? MARY DEROO: It’s free --No. It was initially started to pay just for me and that was out of the Family Caregiver money '}},
{ timecode: 2340, handler: 'blob', id: 159, data: {text: 'in the Older Americans Act. Then talk about replication. I mean how do you just keep going into the well. What Jane and Elaine and I were talking about a little bit earlier was what do you do if you '}},
{ timecode: 2357, handler: 'blob', id: 160, data: {text: 'have no money? If your funding runs out right away just suddenly dries up what do you do and one of the things that I was working on was using my volunteers. When they would come in, I would say to '}},
{ timecode: 2370, handler: 'blob', id: 161, data: {text: 'them what did you used to do? What did you do for a job? If you are retired what did you used to do and try to find the ones that had any type of skill that could maybe be my part time coordinator or '}},
{ timecode: 2384, handler: 'blob', id: 162, data: {text: 'come in to the office and help me do data entry or any of that coordinating? What I tried to do was get the volunteers in to help me run this program if the funding stopped tomorrow. Actually, we '}},
{ timecode: 2401, handler: 'blob', id: 163, data: {text: 'really have no funding right now. We are coming out of our admin money. We do the state, federally, and private. We raise money all the time. We do fundraisers and stuff but it is basically looking at '}},
{ timecode: 2416, handler: 'blob', id: 164, data: {text: 'the people we have and asking them\' \'What do you have for skills? Would you be willing to do anything inside? What Karen and I were talking about earlier today – Does anybody have a hard time keeping volunteers? Do you find you have a volunteer come and then they just'}},
{ timecode: 2433, handler: 'blob', id: 165, data: {text: 'after a year they are gone? They are not interested? Yes. I see heads nodding. Something I tried with them is when I would get a new volunteer the first thing I would ask them is what is it that you '}},
{ timecode: 2445, handler: 'blob', id: 166, data: {text: 'want to get out of this experience? Why are you here and what do you want to get? I would periodically check in with them every couple of months and say is it still meeting your needs? Are you happy? '}},
{ timecode: 2457, handler: 'blob', id: 167, data: {text: 'Are you getting that sense of satisfaction? If not, then I would tweak whatever it is that I am doing in order to give them some feedback. Then you just end up knowing which ones you really need to '}},
{ timecode: 2469, handler: 'blob', id: 168, data: {text: 'pay a little bit more attention to or go into a different direction. Some people will volunteer and they are often running and don’t need you to check in with them but then there are the others '}},
{ timecode: 2478, handler: 'blob', id: 169, data: {text: 'who do want you to say, “Great job. Good story.” In those cases, I link up those people with the case managers of the clients they are helping. The case manager will call and say thanks so '}},
{ timecode: 2489, handler: 'blob', id: 170, data: {text: 'much. This is an appointment coming up and this is what we really need the client to come back, to provide that particular information. But then the other thing I was telling Karen today sitting in '}},
{ timecode: 2501, handler: 'blob', id: 171, data: {text: 'the audience is I will write down notes about my advocate. I remember I had one lady and her husband was going to have eye surgery. I would write that down so the next time I called him and asked if '}},
{ timecode: 2515, handler: 'blob', id: 172, data: {text: 'he could do a ride for me the first thing I would say is how is your husband doing with his eye surgery? How did it all go? How are your kids doing in school? You have vacation coming up. I really '}},
{ timecode: 2526, handler: 'blob', id: 173, data: {text: 'engage them and let them know I value them as a person not just a volunteer that is serving my need. That is my little hint. DAVE WHITE: We have a lot of questions here. SANTO GRANDE: Not to go back '}},
{ timecode: 2541, handler: 'blob', id: 174, data: {text: 'and being mercenary about this, but in the liability insurance that you were talking about earlier, especially you, Mary you were talking about that. For your company your nonprofit organization, does'}},
{ timecode: 2553, handler: 'blob', id: 175, data: {text: 'that also kind of go with say workman’s comp or Door through Door liability? Is that all picked up under your umbrella? Not the workman’s comp would be but the other side--the Door through '}},
{ timecode: 2566, handler: 'blob', id: 176, data: {text: 'Door issues, etc. or if someone is helping someone lift something and their back goes out. You know. Have you had those problems? MARY DEROO: First of all, we are a community-based agency in the first '}},
{ timecode: 2577, handler: 'blob', id: 177, data: {text: 'place so just by virtue of what we do we are case managers and nurses that go into homes. So I think that has to be written into our policy. Right, Jane? JANE HARDIN: Roseanne [the Director], as I '}},
{ timecode: 2588, handler: 'blob', id: 178, data: {text: 'remember it, said she got as much insurance as she could get and she does have the large general policy that would cover for instance a volunteer who slipped and broke her leg walking in to say hello '}},
{ timecode: 2603, handler: 'blob', id: 179, data: {text: 'to Mary. So, yes. They have as full of coverage that they can get. DAVE WHITE: Question right here. AUDIENCE MEMBER: I’m sorry to ask another question but the question for the Ride Connection '}},
{ timecode: 2618, handler: 'blob', id: 180, data: {text: 'lady is if a person has dual eligibility like Medicaid non-emergency medical trip eligibility and eligibility with you because they use, you know, your agency services, do you actually provide the '}},
{ timecode: 2633, handler: 'blob', id: 181, data: {text: 'trip or do you refer them to the Medicaid broker? ELAINE WELLS: No. We’re not the Medicaid broker. We encourage people to call Medicaid if they are a Medicaid client. We don’t refuse '}},
{ timecode: 2652, handler: 'blob', id: 182, data: {text: 'service. It’s kind of a sore point with me I guess you might say because I don’t want to use my precious funding for someone who has a Medicaid resource somewhere else but the bottom line '}},
{ timecode: 2673, handler: 'blob', id: 183, data: {text: 'is that people will say we want to ride with so and so because they provide a quality trip. We do encourage people to call the Medicaid brokerage but we do not deny trips and I cannot believe I am '}},
{ timecode: 2695, handler: 'blob', id: 184, data: {text: 'saying this publically. (laughter.) MARY DEROO: What we will do is we’ll send the medical advocate with the medicaid transportation not to save the medical advocate any mileage. It’s just '}},
{ timecode: 2711, handler: 'blob', id: 185, data: {text: 'sometimes that is the best route for them to take. They\'re only acting as, not the transportation but just the eyes and ears. DAVE WHITE: Let me ask a question. On the dual eligible or the Medicare'}},
{ timecode: 2723, handler: 'blob', id: 186, data: {text: 'patient do you guys run into the Medicare HMOs, the Medicare advantage plans? Because some of them are now starting to pay for transportation or transportation related services. I’m wondering if '}},
{ timecode: 2745, handler: 'blob', id: 187, data: {text: 'any of that has come across your desk. MARY DEROO: No it hasn’t. DAVE WHITE: Have you looked at that as a way to pay for service? ELAINE WELLS: We haven’t but I will as soon as I got back. '}},
{ timecode: 2754, handler: 'blob', id: 188, data: {text: 'MARY DEROO: It’s making me think it would be a great idea to approach them and say we’ll be partners with you and help your members. DAVID WHITE: That is starting to pop up as a potential'}},
{ timecode: 2766, handler: 'blob', id: 189, data: {text: 'revenue. Medicare does not pay for nonemergency medical transportation services. Only ambulance services, however, the Advantage Plan which are primarily for-profit companies as a marketing advantage '}},
{ timecode: 2785, handler: 'blob', id: 190, data: {text: 'are paying, (some of them…not all of them) for transportation services. So you have to check it out. They are not everywhere. Some of them in care giving might look at a volunteer program very '}},
{ timecode: 2803, handler: 'blob', id: 191, data: {text: 'positively. I don’t know if anyone else has heard of that? You might check that out. AUDIENCE MEMBER: Mary, do you have an RSVP organization in your area? MARY DEROO: Yes as a matter of fact we '}},
{ timecode: 2819, handler: 'blob', id: 192, data: {text: 'do. AUDIENCE MEMBER: Do you utilize their volunteers? MARY DEROO: Yes. I don’t specifically run this program any more but yes I used to call RSVP and we would share each other’s '}},
{ timecode: 2835, handler: 'blob', id: 193, data: {text: 'volunteers. AUDIENCE MEMBER: Right because RSVP does provide free insurance coverage for their volunteers, which would be helpful to you. MARY DEROO: Yes. Thank you. The other thing too would be the '}},
{ timecode: 2846, handler: 'blob', id: 194, data: {text: 'American Cancer Society. I would call my lady who is at the Road to Recovery and we would say we have this patient and we have five rides. Every day we have to get that covered. We would take turns. I '}},
{ timecode: 2858, handler: 'blob', id: 195, data: {text: 'would take Monday, Wednesday, and Friday. She would do Tuesday and Thursday. I think that the partnerships…so many partnerships out there that can be helpful, and, Elaine, what you have done '}},
{ timecode: 2868, handler: 'blob', id: 196, data: {text: 'with American Cancer Society is phenomenal. AUDIENCE MEMBER: In terms of funding and volunteers, do you use volunteer time as matching funds? MARY DEROO: No. I haven’t thought of that. Does '}},
{ timecode: 2884, handler: 'blob', id: 197, data: {text: 'anybody? AUDIENCE MEMBER: Do any of you have any experience with or even any thoughts on using volunteers for transportation around the employment issues specifically for folks with developmental '}},
{ timecode: 2897, handler: 'blob', id: 198, data: {text: 'disabilities who work so it is consistent? MARY DEROO: We have programs in Massachusetts called like Opportunity Workshop when a disabled adult can go out and work for the day and they all have their '}},
{ timecode: 2919, handler: 'blob', id: 199, data: {text: 'own vans and transportation. AUDIENCE MEMBER: We don’t really participate too much in sheltered type enclave situations. We’re more the supported employment, customized employment where '}},
{ timecode: 2932, handler: 'blob', id: 200, data: {text: 'individuals have customized jobs and so they are all over the place. In terms of partnering in the community anybody have any thoughts? For volunteers? MARY DEROO: For volunteers? Do you have RSVP in '}},
{ timecode: 2950, handler: 'blob', id: 201, data: {text: 'your area? AUDIENCE MEMBER: I actually don’t know. MARY DEROO: You probably could Google it and see. JANE HARDIN: Does everyone know what RSVP is? Give me vigorous shakes of the head. Why '}},
{ timecode: 2973, handler: 'blob', id: 202, data: {text: 'don’t you go ahead and describe it quickly? AUDIENCE MEMBER: RSVP does stand for Retired Senior Volunteer Programs. It’s for older adults, 55 and older. We recruit volunteers to serve '}},
{ timecode: 2988, handler: 'blob', id: 203, data: {text: 'wherever they want, whatever they want to do. We provide free liability insurance for them from their door back to their door when they are volunteering and it is a great program. It’s '}},
{ timecode: 3002, handler: 'blob', id: 204, data: {text: 'nationwide so you should be able to find one in your area. Transportation is a big issue for us too. Finding transportation for our volunteers. MARY DEROO: The other thing we did was to link up with a '}},
{ timecode: 3019, handler: 'blob', id: 205, data: {text: 'couple of the local churches and I would go to the churches and speak at nighttime with their members and try to get them to know that this is what we’re doing and I volunteered to train anyone '}},
{ timecode: 3033, handler: 'blob', id: 206, data: {text: 'to be medical advocate. The Council on Aging has an incredible outreach and volunteer base. So that was the other thing. We offered to do training so that their volunteers could be medical advocates. '}},
{ timecode: 3049, handler: 'blob', id: 207, data: {text: 'JANE HARDIN: How are we doing on time? DAVE WHITE: About 10 minutes. MARY DEROO: Boy that went fast. I hope you’re feeling that way. (laughter.) JANE HARDIN: The issue of funding is a huge issue '}},
{ timecode: 3067, handler: 'blob', id: 208, data: {text: 'now. It’s always big but even more painful issue now and the reason why I am talking to both of you before you came up here was because you face the human effects of these funding cuts and you '}},
{ timecode: 3087, handler: 'blob', id: 209, data: {text: 'are providing a program and there are obviously older people who depend on it -- cancer patients who depend on you. How will you handle the personal impact? Or how are you thinking about that – facing that there may be budget cuts and for somebody like me, it\'s just dollars on a piece of paper, but for you it\'s someone in your community who is depending on you. How are you facing that and working on that?'}},
{ timecode: 3126, handler: 'blob', id: 210, data: {text: 'ELAINE WELLS: Well, we’ve been working on this for a number of years because we have been experiencing declining revenue in some areas in the State and it is a little bit of a sore point for me '}},
{ timecode: 3143, handler: 'blob', id: 211, data: {text: 'because we keep being more and more and more efficient in trying to do more with less and at some point you just max out. We need additional funding to provide transportation for the tsunami of aging '}},
{ timecode: 3162, handler: 'blob', id: 212, data: {text: 'population that is going to be coming down the road. We just can’t keep doing more with less. At some point we reach a point of no return and we are always, continually looking at where we can '}},
{ timecode: 3182, handler: 'blob', id: 213, data: {text: 'create shuttles instead of one-on-one service, and still maintain a customer focus agency. I think we are doing a phenomenal job of looking at that and I know we can always do better but at some point '}},
{ timecode: 3199, handler: 'blob', id: 214, data: {text: 'we have got to really rally together to get additional funding to provide transportation services. People don’t realize the life-altering effect that the lack of transportation has on a '}},
{ timecode: 3218, handler: 'blob', id: 215, data: {text: 'community until it is gone. It is not viewed as a basic human need like food and shelter, but you all know it is. Without transportation, people cannot access very common, daily living activities. We '}},
{ timecode: 3241, handler: 'blob', id: 216, data: {text: 'just have to go to work together to bring more funding into community transportation. MARY DEROO: I have a question for all of you. I don’t know if I dreamt this or read it somewhere a long time '}},
{ timecode: 3254, handler: 'blob', id: 217, data: {text: 'ago or think its my own idea. Has anyone ever though of taking a volunteer and having them kind of bank hours so if I volunteered for 20 hours at some point in time that goes into a bank so that when '}},
{ timecode: 3271, handler: 'blob', id: 218, data: {text: 'I am no longer able to volunteer I can turn around and get a ride for some of those hours? ELAINE WELLS: Could I comment on that? One of my concerns about that concept, I mean, I think in theory it '}},
{ timecode: 3286, handler: 'blob', id: 219, data: {text: 'sounds great but you’ve got to have when that volunteer is ready for service, you still have to have the money to provide the ride. Even if you operate on a donation basis, it’s not a free '}},
{ timecode: 3301, handler: 'blob', id: 220, data: {text: 'ride. I worry that at some point all these volunteers will have banked their hours and there won’t be funds available to provide the ride. The funding still has to be addressed. AUDIENCE MEMBER: '}},
{ timecode: 3319, handler: 'blob', id: 221, data: {text: 'It’s called time dollars. A virtual bank on-line. JANE HARDIN: There are some programs around the country doing that now around senior transportation and one is Partners for Care. They recently '}},
{ timecode: 3351, handler: 'blob', id: 222, data: {text: 'did a webinar offered by the National Center on Senior Transportation so you could probably find that on their web and I think it’s Partners in Care. I can help you with that later. I think I '}},
{ timecode: 3371, handler: 'blob', id: 223, data: {text: 'have the lady’s name in my Blackberry. ELAINE WELLS: It doesn’t provide rides but it is called the Silver Scholarship that if you volunteer a certain number of hours over a certain period '}},
{ timecode: 3388, handler: 'blob', id: 224, data: {text: 'of time it is money that is transferrable to your children or grandchildren that they can use for education. It’s a nice incentive. DAVE WHITE: I think we’re getting close to lunch if you '}},
{ timecode: 3404, handler: 'blob', id: 225, data: {text: 'want to do 1 or 2 more questions and then make a summary. Summarize your thoughts. JED JOHNSON: Jane, this is Jed. I just want to say it is Partners in Care. They are out of Pasadena, Maryland. '}},
{ timecode: 3421, handler: 'blob', id: 226, data: {text: 'It’s Barbara Houston who is their President and CEO and we do have information on the NCST website about the whole time banking concept as it relates to senior transportation. It will be posted '}},
{ timecode: 3437, handler: 'blob', id: 227, data: {text: 'in another couple of weeks. There will be a whole transcript of that webinar if you did not get a chance to participate. It is seniortransportation.net. JANE HARDIN: This is Jed Johnson from National '}},
{ timecode: 3447, handler: 'blob', id: 228, data: {text: 'Center on Senior Transportation. One of the sponsors of this conference. CONNIE SIPE: I just want to go back real quick before we break, because I know probably most people have this, but I don\'t think there\'s any state in the country where the general liability insurance we have for our employees can cover a volunteer driving their own vehicle. The problem is automobile insurance in – and I, anybody who has, an insurance expert would be better than I – In most states the'}},
{ timecode: 3478, handler: 'blob', id: 229, data: {text: 'automobile insurance first coverage is always the owner of the vehicle. Our insurance, our liability insurance can be the umbrella policy when their limits are expired but I think that is really '}},
{ timecode: 3491, handler: 'blob', id: 230, data: {text: 'important that volunteers know this. A lot of them may be willing to say fine I pay for insurance why shouldn’t I use my insurance? I think that is important because that is the way the '}},
{ timecode: 3502, handler: 'blob', id: 231, data: {text: 'insurance industry is set up around automobile liability insurance. MARY DEROO: We do say that to our volunteers. Their insurance is primary, is first, and we kick in second. JANE HARDIN: Well, I '}},
{ timecode: 3511, handler: 'blob', id: 232, data: {text: 'thank the panel and I thank the audience and all the people who were helping to get the microphones to them but I especially come back to what Elaine said because this audience like this panel are '}},
{ timecode: 3534, handler: 'blob', id: 233, data: {text: 'problem solvers. You are finding creative solutions to the problems in your community and you are doing a great job but even great problem solvers come up against a wall. That wall is insufficient '}},
{ timecode: 3556, handler: 'blob', id: 234, data: {text: 'funds. I think, Elaine, you said we have to rally, and I think that is right. People who are working so hard in their communities for these solutions have to rally to say if we are going to go on '}},
{ timecode: 3573, handler: 'blob', id: 235, data: {text: 'doing this for more and more older people that are coming we need more support. Help us to get that support. DAVE WHITE: Thank you, Jane.'}},
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