Rising National Debt
Aid Relief (for domestic disasters, Storm Sandy, etc.)
When "I" is replaced by "we", even illness becomes wellness!
When everyone is in charge, no one is really in charge
Sometimes the questions are complicated and the answers are simple. Dr. Seuss
“Don't cry because it's over, smile because it happened.”
― Dr. Seuss
It is easier to build strong children than to repair broken men.
|Fees for Patient Advocate Services:
|When you request help from a patient
advocate, you should expect the advocate to charge you for the
services he or she performs on your behalf. Health insurance
does not ordinarily cover the cost of patient advocate fees, although
some employers will assist with payment.
Advocates use different kinds of fee structures, depending on the kind
of advocacy services they perform. Here are some ways advocates
may charge you.
Not all advocates will charge all fees.
||Initial assessment fees (to get
to know the patient and to determine the scope of work and
||Deposit to an hours bank (when
total amount of time needed will be unknown, patient will pay
for a number of hours upfront, and amount will be reconciled
throughout the relationship)
||Retainers (a certain number of
hours per week or month, depending on your needs)
||Percent of savings (example:
review of hospital billings)
|Asking about the cost of services is part of
advocate interview process. Be sure to get a good idea of
what the work will cost before you hire your patient advocate.
When Sharon Gauthier heard that one of her elderly clients was about to be
sent from a convalescent facility, where he was recovering from surgery, to
the local emergency room due to blood pressure issues, she responded
"Because he hadn't been formally entered into the registration system
at the facility yet, the on-call physician couldn't intervene," she
explains. "When I got there, we realized he had taken his blood pressure
medications at the wrong time. We made the adjustment, and he didn't need to
go anywhere. If I hadn't been there, he would have been sent to the ER
unnecessarily, with a post-surgical wound."
These are the situations Gauthier manages as the founder of Patient
Advocate for You, a Hartford-based company she began two and a half years ago.
A registered nurse with a background in emergency medicine, case management,
and other specialties, Gauthier says she thrives working outside of the
healthcare system, where she can focus entirely on her clients' needs.
"Within the system, there are so many agendas to abide by," she
says. "It can make it difficult to strictly advocate. Now I work directly
for patients and families."
Gauthier charges an hourly fee for her services, which focus on helping
patients transition from one phase of care to another, such as moving from a
hospital or rehabilitation facility to a return home. Once a client is
settled, she offers a flat fee maintenance plan to keep tabs on any medication
regiments or to assist with follow up appointments. Her goal is to educate
patients and their families, so that these transitions go smoothly.
"When a patient is discharged, they are handed a sheet of
instructions, but they aren't often asked important questions," she says.
"Like, Do you understand your meds plan? Can you afford these meds? We
cover all of this, so the patient isn't just nodding blankly at a piece of
Family members often seek out Gauthier's services to gain peace of mind
knowing that their loved one's healthcare needs are being closely monitored by
a compassionate professional. Patient Advocate for You operates
24-hours-a-day, seven-days-a-week, and is listed as the Lifeline and emergency
contact for each of their patients.
"Families feel better knowing we are there," she says. "They
know they won't get the 2 a.m. emergency phone call from across the country,
because we will get it."
With a current case load of 22 patients — 10 active and 12 maintenance
— Gauthier has a skilled staff ready to manage the steadily increasing
demand. Patient Advocate for You employs four nurses, two of whom are part
time and can add hours as needed. In addition, Gauthier is also developing the
Everybody Needs an Advocate foundation, a nonprofit arm of the company
established just this year. Future plans are also in the works to grow beyond
post-acute patient transitions.
"I am networking with physician groups to promote the idea of case
managing within medical practices to reduce readmission rates, which are
driven back to primary care physicians," she says. "I'm also looking
to expand to memory care units to help coordinate care for dementia patients,
who often need help to avoid mis-medicating or missing rehab
To help steer her company, Gauthier has an advisory board in place which
represents several facets of the healthcare industry, including clinical
social work, pharmaceuticals, hospice care, elder care, healthcare law and
others. She says the knowledge she gains from her board helps her address the
overall goal of advocating exclusively for patients.
"I am wrapped in people who understand that it's a systems
issue," she says. "With their input, I can work quickly to make sure
my patients are treated within the community so they can avoid being
Whether caring for her patients, promoting her business, or standing her
ground in a room full of colleagues, Gauthier's passion for patient advocacy
is unmistakable to anyone who sees her in action.
"When I was in the system, I was always getting in trouble for
speaking out," she says. "Now I have people pull me aside and tell
me I'm doing exactly what I should be doing."
solely on what you can potentially do better than any other organization
is the only path to greatness. … The only way to remain great is to
keep applying the fundamental principles that made you great.
Collins, Good to
Great: Why Some Companies
Make the Leap and Others Don’t
No one cares how much you know, until they know how much you care!
Sept 9, 2001 911 When the tragedy occurred, most people were fleeing
the scene while "Emergency Responders" were seen rushing to
When people observe a problem/negative situation, what are the options:
- Flee the scene
- Report the problem
- Approach to view better
- Assisting safely
- Risk their life, assisting
In a community/neighborhood situation, what are the options?
- Flee the scene (Move)
- Report the problem (Call the authorities)
- Observe (Spectataor)
- Approach to view better
- Assisting safely
- Risk their life, assisting
The person needs help, getting help! Pastor Flick Grezel
Hurt people, hurt people.
No one thinks they are to blame "no single snowflake thinks it
is responsible for the avalanche"
Too much time taken on administration, what is needed is more
"boots on the ground" concept. Trouble is is that this type of
work is dirty, and unpredictable and very difficult. But,.. if we
reassigned people for admin positions to face-to-face, more would be
Trouble is, the "Big Picture' is too big for 99.999% of people.
Is this poor management? We need a "the buck stops here" environment
Why are Christians less effective that they should be? Afraid
to put Truth into action?
Home Visits are key, hand-holders, whatever it takes! (WIT)
The disparity between good paying jobs and benefits are widening.
Bureaucrats might become "less in touch" with those they
are serving if they don't understand what true needs are.
doubt that a small group of thoughtful, committed citizens can change
the world; indeed, it's the only thing that ever does”
"Prayer is the greatest power God has put into our
hands for service -
praying is harder than doing, at least I find it so, but
the dynamic lies
that way to
advance the Kingdom."
"Nothing tends more to cement the hearts of
Christians than praying
Never do they love one another so well as when they witness the
each other's hearts in prayer."
“Prayer does not just fit us for the greater work.
Prayer is the greater
“Prayer projects faith on God, and God on the world.
Only God can move
faith and prayer moves God.”
"Prayer is the mighty engine that is to move the
Visioning, Vision Casting
“The Rock” - Every other week
Vernon School Readiness Collaborative
ECHN’s Family Resource Center
The importance of wisely utilizing different skill groups
Body of Christ
Roles and Responsibilities
Standing in two canoes out in a lake
All migrating to someone’s area who is successful,
painting, raking leaves, shoveling snow, picking weeds.
Needs to be created...
Improving our communities by looking at the BIG
Start with a vision, what do we really want? How
do we get there?
Create major prominent "topics" or
sectors, show how they can be conquered, what needs to be done by
Create the vision
provide basic research, present both sides, the criticisms,
compare the effects of research and
1- changing ones own lifestyle
2- helping others
3- working together
Very few programs and initiatives are understood by those outside
the social services or educational domains. If we really want
"Common Sense" to prevail, we need to make them understandable
by many more people. By definition, if our programs are understood and
embraced by common people, then they must contain common sense. One
statement often heard is, we do it that way because it's always been
done that way. Let's change "that way" as soon as possible.
Sent from my Verizon Wireless BlackBerry
individuals who have issues
them into categories or sectors (Agree on common terms such as
what are the various sectors?)
out what certain overarching issues exist and why?
Maybe they can be solved with simple procedural changes.
technology and efficiency to assist, "One Stop" Resource
and truly “BELIEVE” that
prevention is much less expensive than remediation.
the client with assistance, “Whatever it Takes”.
sector has a varied function and mission.
They need to specialize, or else we’d all be jack of all
trades”, master of none. Hence,
the name Kingdom Solutions and the logo, of a castle, turrets or
“silos” conned together as by castle walls.
I don’t need to know everything you know, I just need to know
you, what yor area of expertise is and how to best work with you.
within a community, who does what best and support them.
is incredibly interesting , can or should this situation be resolved at
this level, or a more intimate level or higher level?
is the 800 pound gorilla and is hurting our communities.
is perhaps one of the best ways to escape the cycle of generational
poverty but w/o proper conditions to "visualize" breaking
free, attempts are often futile. Circumstances are often overwhelming
for those in poverty to have.
vision and focus on the "hope" of the escape of poverty.
Education therefore isn't a simple attainable step when their daily
lives are in turmoil.
+ Jesse Jackson quote" muck in the bottom"
need to create the "conditions" of a better future and empower
+ support those attempting to progress forward and rise above their
is not just a lack of money, but becomes a culture that often holds
entire families back. Resources to remediate current circumstances are
often plentiful, but due to inefficient coordination of solutions are
often applied inefficiently.
to assistance "seems" abundant but there is a regressive
situation that develops due to the fact that the more a
"client" is in need, especially for multiple streams of help,
the more difficult navigating "the system" becomes.
Bottom-line, we need to change the system. Instead of requiring the
"client" to register once with one entity to help, we require
them to connect with multiple agencies, each often wit multiple
anecdotal experiences point out the necessity for such drastic reform of
the social services safety net.
for the elimination of poverty are vital and need to be a major weapon
in this fight. Without a strong push to improve public sentiment toward
practical solutions for poverty, the "political will" will not
be sufficient to make the necessary changes.
form of prejudice + discrimination undermines many efforts to help those
who need it. With the proper information being disseminated to the
public at large.
the agencies and most importantly the funders, a new paradigm can be
created to battle poverty + it's effects. The bottom-line is that
poverty is not only detrimental to those "in" poverty, but to
the community at large. Diminishing fiscal resources and a less than
rosy future outlook requires immediate attention to this arena.
present system is wrought with abuse and waste, but the problem is so
large and extremely complicated, that systemic change is viewed as
improbable. Every part of it is so intertwined with every other part so
there is resistance to change. This interconnectedness between these
entities is both a benefit in some ways and the problem. Almost everyone
involved is aware of problems and could make suggestions for change, but
"the system" is so large and unwieldy that no single effort
has taken on this vital mission, until now.
to the extremely vital mission of "Kingdom Solutions"
toward a more efficient humane model for our social service needs"
- to make the problems and solutions understood and embraced to shape
future policies and standard operating procedures.
- making the most efficient use if our resources so that less resources
need to be spent on basic administration + more resources on helping
those in need.
- helping efficiently where needed.
at the big picture.
2020 vision -
Dissemination of existing information into
Perhaps a database of searchable information???
wisely utilizing existing resources with a focus
on prevention and long-term solutions. A penny saved is a penny earnerd
and an ounce of prevention is worth a pound of cure.
Fair-Broker for existing competing entities and
Filling in the "gaps in service delivery to
benefit the community as a whole
Acting as the Fiduciary agent/
Advocacy for issues that are often necessary but
not "politically correct" or politically expedient. The old adage,
"we don't have a dog in the fight". What's RIGHT is RIGHT. If
no one else is brave enough to advocate for truth, Kingdom Solutions
Match needs with volunteers.
Most not-for-profits have a mission statement
that focuses on a specific problem for a specific area. They soon find
out that success is not easy to come by and they have
mission-creep. They tend to go become fluid in their mission
because their plans become outdated as new threats appear. they
continually require larger budgets to fund more programs and more staff.
Without prevention being the primary purpose, the problem always will
Since Kingdom Solutions mission is to serve
where needed and fill in the gaps in service in each specific community,
there will always more than enough staff and funding available because
existing resources are sought after first. Much funding is spent
on dealing with immediate needs, Kingdom Solutions resources will be
focused on preventative matters. All partners will agree on a
focus on prevention, but only K. S. will have that as their overarching
|Considerations: To be aware that most of the issues in the modern world are
based on conditions that are affected by outside forces that are not easily
rectifiable by those immediately involved. Many of today's problems
are caused by a slow, ever-changing set of conditions in our modern
culture. Very few changes rapidly occur but take place over longer
periods of time.
Frog in the pan of water
quantify and qualify solutions on a scale; good,
A Board of Directors and officers
An Executive Director to handle daily administration
many volunteers to assist in areas of interest.
What is the most efficient scale to work
Community Town/City County
|Geographic area: Greater
Hartford, (CT) area. This was one of the two most time-consuming
and thought-provoking concepts to deal with when formulating plans for
Kingdom Solutions. It was important to have the a broad enough
vision to effect major change that would be noticeable, but a narrow
enough focus to make sure we weren't going off in all different
directions with no results evident.
Up River analogy - If you were to solve the
issues for one geographical area, you would eventually draw peole from
all over the region because you would have a better solution for
problems. "If you build it, they will come' syndrome.
Floor moppers versus knob-turners - Some
people are quick to start cleaning up the "mess', other look up to
see that the water faucets need to be shut down ASAP
This was not an easy concept to grasp until
various , very specific "issues' were studied. Then it became
apparent that you can't alleviate a problem in a specific area if it's
gains volume from outside
the geographical area you are proposing to address. To illustrate this
point, let's look a a few specific issues
Homelessness - The current situation
|Faith-based vs. secular
foundation: Was the United States formed as a Christian nation or as
a nation Was it formed for Christians or by Christians?
Process: The proper mixture of these two often opposing forces.
|Castle with Rainbow
This was one of the first pieces of graphic
design I worked with. The castle represents perhaps the most
successful forms of government, a monarchy. A benovolent Monarch is
often said to be the best form of government. A Good King would
protect his people from all external threats and allow them to live
thier life in freedom.
The castle is where the monarch lives, but not
where his people live. They live outside the castle walls and are
free to enter the castle to conduct business, to have a
"appearance" before the king or his administrators. This
approximates the differences in our political parties at this time in
One side claims that government interferes with
our rights too much and taxes us to only take away our per4onal fortunes
and then they re-distribute it to those who aren't as enterprising or
heaven-forbid just plain lazy and willing to live on the public dole.
They think of the government as "Big Brother" always spying on
us and trying to take away our God-given rights and liberties!
The other side believes that government does
have to be our "Big Brother" and has the Biblical duty of
being our "brother's keeper" in many matters. They need to
watch out for us and protect us provide services for those who are
unable to do for themselves.
Even many in the faith-communities have a wide
varying degree of "political" animosity toward those
with the other viewpoint. For this reason, it might not only be more
prudent, but perhaps necessary to work to open the dialogue of the
varying points of view.
One side believes that government has gone way
past it's role and made America a nanny state, and one side beleives
that the goverment has only filled in when and where the traditional
social service providers such as the faith-community and the community
organiztions have pulled back form serving and opened the door, in fact
invited the government in.
There is a belief, perhaps
O. J. Simpson Trial
The rainbow was a sign mentioned in the Old Testament
of the Bible and represents the Creator's covenant with us.
|Mascot; The 800 pound
gorilla! His name is Poverty
|Advisory Board members:
Laurie Morrison - Crossroads Church
Ann Scharin - Vernon School Readiness Council
Rich Diebolt, Roy Brendle, , - Rockville Church of the Nazarene
"The Rock" workers
Todd Schneider - "The Rock" Rockville Church of the Nazarene
Barbara Tyszka - "The Rock" Rockville Church of the Nazarene
Chris Van Scoy - "The Rock" Rockville Church of the Nazarene
Laura Corliss - School Psychologist @ Maple Street School
Mark Summers - CNC Software
Michelle Arn -
Gary Moore - Men on A Mission
Area Churches -
Former profession, visited a lot of elementary schools and was bothered by
the discrepancy between the physical resources.
The most critical thing a child can do to improve their chance of
success in life, is to carefully choose the right (family to be born in.) set of
parents to be born to."
I used to go to 20 meetings, now I go to 20 collaborative
research, advocacy, leadership, and collaboration.
To facilitate programs with other entities that
might not be in the position to create a new non-profit
Acting as the Fiduciary Agent for other charitable
|Starting an NPO —
Five tips and a warning
(A more extensive and detailed version of this
discussion appears in Chapter 14 of The
Idealist Guide to Nonprofit Careers for Sector Switchers. That
chapter and this shorter version were both written by Idealist staff
member Putnam Barber.)
The world is in the midst of what one observer
has called an "associational revolution." New nonprofits are
being formed for every sort of purpose on every continent at the fastest
rate in history. If you are thinking of joining this vast worldwide
movement by starting—or helping to start—a nonprofit, here are some
crucial things to think about.
Tip #1: All nonprofits are local.
Even the globe-spanning, household-name organizations that operate in
hundreds or thousands of places must learn about, and live with,
complicated rules that differ greatly from place to place. Almost
certainly, the second thing you will do when starting a nonprofit is to
register with the local government agency that handles new
"nongovernmental organizations" in the community where the
organization will operate.
For advice about which government agencies will
be involved in the U.S., try a nearby nonprofit support organization
that you can probably find using the advice in the page
that offers ways of looking for one. In other countries, there may be
similar organizations or you may want to talk to an established
nonprofit organization about the rules and the agencies that enforce
Tip #2: Local supporters are necessary.
No one starts a nonprofit alone. No nonprofit operates in isolation. All
"outside funders"—foundations, government agencies,
corporate contributors, major donors—will want to see evidence that
the community is involved in, and supports, the plan for the new
organization. Big gifts and grants get a lot of buzz, but even in the
countries where organized philanthropy is a major factor in the
nonprofit sector, big gifts and grants amount to less than 15 percent of
the funding that supports nonprofits' work. So, the first thing you will
do when starting a nonprofit is to identify the circles of friends who
know your work and develop a strategy for earning income from people who
can help pay for the services they receive.
There are a lot of different ways nonprofits
raise money. See
a list with some hints about which method fits best in various
Tip #3: Nonprofits can be — in fact,
have to be — "businesslike." If
"businesslike" means keeping good records, watching revenues
and expenditures carefully, and being committed to thoughtful planning
about when and how to grow, then every successful nonprofit has been
businesslike at the heart of its operations – alongside its dedication
to the community and to the people and causes being served. Without
financial and service records, it is impossible to provide the community
and other stakeholders with reliable information about the scope and
value of the organization's work.
For an introduction to these questions, check
Management 101 discussion.
Tip #4: Often not starting a nonprofit
at all is the best way to serve. In many communities, a full
range of nonprofits are already hard at work. Finding a way to extend
and support the work already being done may well yield greater benefit
more quickly and at lower cost. The details will be different, of
course, but spending time thinking about alternative paths toward the
goal is an essential part of the planning for any new organization.
In some places, there are organizations devoted
to fostering community service work by providing shared administrative
services. In the United States, "fiscal sponsors" help out in
this way. Wikipedia
offers an explanation of how it works; one way to find out about similar
arrangements in other countries is to ask existing NGOs for advice.
Sometimes the best idea is to find an
organization whose work you admire and volunteer to help extend it.
Center can help.
Tip #5: Plan for the long term.
If your goal is to do something that can be done quickly, that's all the
more reason to avoid creating a new organization (see Tip #4).
Providing a permanent service or tackling a big problem, though, will
require an organization that can be sustained for years, even
generations. It's essential to have a clear plan for how the work will
be carried on once the initial enthusiasms, and founding organizers, are
no longer on the scene. This plan must include both solutions to
governance questions (Who will be on the board? Who will lead the
staff?) and management issues like where the money will come from and
how new services will be designed and implemented. Answering the
question, "But what would happen if you were hit by a bus?"
isn't fun, but it's really necessary.
A brief sketch of the "nuts and bolts"
of starting a new nonprofit organization in the U.S. is at Startup
Nuts and Bolts. http://www.idealist.org/info/Nonprofits/Startup2
Clear mission statements and good strategic
planning are the foundation for long-term success. There's advice about
these topics at What
should a mission statement say? and The
basic idea of strategic planning.
And the warning: In every part
of the world, nonprofits are subject to regulation, scrutiny, and
sometimes outright hostility. Great things have been accomplished by
people working together to solve problems, meet community needs, and
create valued institutions. But rivalries, suspicions, and limited
resources have blocked many a good plan. After the initial difficulties
have been surmounted, of course, there are further challenges involved
in keeping an organization going. Even under the most favorable
conditions, nonprofit leaders are often discouraged by how much of their
energy is drawn away from "program work" into the tasks
necessary for running an organization—any sort of organization—and
dealing with external pressures and demands. In spite of the gratitude
we all owe to the people who have built the nonprofits that sustain and
enhance our communities, there are no general sources of assistance for
that work and no guarantees of success.
The decision to found a nonprofit organization
is not one to take lightly.
If you do decide to proceed, we hope you will
find the offerings at Idealist.org a big help. You can list your
organization for free, announce events, seek volunteers, describe
publications, and recruit interns and staff (organizations in the United
States pay a fee for job announcements). There are lots of ways to link
up with supporters and draw on networks of colleagues and advisors. You
can also use Idealist to identify other organizations working in your
community, who may be tackling related issues or working toward
complementary goals. Idealist's Resource Centers (see list at the bottom
right on this page) offer discussions of many of the pressing questions
you will encounter; they also point to many rich online sources of
information, advice, and techniques available on the Internet. Good luck
from all of us at Idealist.