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April 12, 2024

Hospice Marketing and Communications

Summary

The conversation begins with technical difficulties and the host explaining the benefits of recording conversations.

They discuss the usefulness of recording meetings and conversations for transcription and summaries. They then delve into the topic of social media posting and the importance of meaningful content.

The conversation shifts to the potential of Red Oak, an organization focused on caregiver roles, to provide valuable information and support through podcasts or other digital platforms.

They also discuss the misconceptions and stigma surrounding hospice care and the comprehensive benefits it provides.

The conversation ends with a discussion on the history and importance of hospice as a Medicare benefit.

The conversation explores the importance of educating the population about end-of-life care and the need to shift the focus from prolonging life to improving quality of life.

It discusses the challenges of the medical system's obsession with the cult of cure and the reluctance of doctors and families to have conversations about end-of-life care.

The conversation also highlights the unique approach of Red Oak Hospice, which prioritizes personalized care and community involvement.

There is a potential for Red Oak to collaborate with the Bridgeton Beacon for marketing and content creation to support their cause.

The conversation explores the potential of using podcasts as a marketing and educational tool for Red Oak Hospice.

The idea is to create a podcast that features interviews with experts in the field, such as elder care attorneys and primary care physicians, to provide valuable information to the community.

The podcast can serve as a sales and marketing tool, as well as a way to establish relationships with foundations and nonprofits.

The conversation also touches on the role of The Beacon, a nonprofit media company, as a potential partner for Red Oak.

Overall, the conversation highlights the importance of leveraging podcasts and other media platforms to reach a wider audience and drive meaningful conversations.

 

Takeaways

  • Recording conversations can be useful for transcription and summaries
  • Meaningful content is more important than posting every day on social media
  • Red Oak has the potential to provide valuable information and support through podcasts or other digital platforms
  • There are misconceptions and stigma surrounding hospice care
  • Hospice care is a comprehensive Medicare benefit that provides support and comfort Educating the population about end-of-life care is crucial to improve quality of life.
  • The medical system's obsession with the cult of cure hinders conversations about end-of-life care.
  • Red Oak Hospice offers a unique approach with personalized care and community involvement.
  • Collaboration with the Bridgeton Beacon for marketing and content creation could support Red Oak's cause. Podcasts can be a powerful marketing and educational tool for organizations like Red Oak Hospice.
  • Interviewing experts in the field, such as elder care attorneys and primary care physicians, can provide valuable information to the community.
  • Podcasts can serve as a sales and marketing tool, as well as a way to establish relationships with foundations and nonprofits.

 

  • Partnering with organizations like The Beacon can provide a platform to reach a wider audience and drive meaningful conversations.
  • The Benefits of Recording Conversations

 

  • Hospice Care: A Comprehensive Medicare Benefit Red Oak Hospice: A Unique Approach to End-of-Life Care
  • The Challenges of the Cult of Cure in the Medical System Using Podcasts as a Sales and Marketing Tool
  • Partnering with The Beacon: Reaching a Wider Audience
  • "If we come up with anything good"
  • "Get off of Zoom and get on Riverside"
  • "Yeah, that's amazing"
  • "If we can educate the population to help them understand the point at which this isn't getting better, OK? We could."

 

  • "But the hospice movement was saying, but should we? OK, we can, but should we?"

 

  • "There's no dignity in being a pin cushion."

 

  • "Sell a little project, you guys do a little curriculum one time through the beacon which makes the whole thing a charitable contribution because you're doing good things for the community."

 

  • "I think the funding opportunities arise either someone in your group might know exactly who to call who would support this message in terms of an association or a foundation in New Jersey who'd be like, yes, that's what we're trying to get people to know. You guys are going to do YouTube videos. Hell yeah, we'll pay for that."
  • "Have you ever heard of Tipa Snow? Tipa Snow is a dementia care guru. She, I believe, started as an occupational therapist and now she has a whole series on YouTube of silly little things to help caregivers of people with dementia kind of navigate the challenges of that caregiving role."

Chapters

00:00 Introduction and Technical Difficulties

09:01 Red Oak: Providing Valuable Information and Support

24:47 Educating the Population about End-of-Life Care

31:59 The Importance of Having Conversations about End-of-Life Care

39:14 Red Oak Hospice: A Unique Approach to End-of-Life Care

49:06 Selling Projects and Curriculum for Funding

56:25 The Impact of Conversations and Interviews

01:04:50 The Beacon: A Potential Partner

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Transcript

I record everything or every conversation I have simply because this software, Riverside, just as something for you to put in your holster. If you ever have important meetings or board meetings or meetings where it would be incredible to have a secretary, 10 minutes later, give everyone a full transcript, a summary,

and a list of takeaways, get off of Zoom and get on Riverside. Because I literally, even if it's only just to have, like I'm having a buddy of mine is trying to adopt. And he's like, hey, we're doing an adoption website. We wanna get it found. He and I are gonna talk about it, because I'm good at that stuff. And I'm gonna record it, because if we come up with anything good,

Tara (01:45.42)
I'm sorry.

Tara (02:01.387)
Yeah.

Tom (02:08.15)
10 minutes after the conversation, I can give him a list of action items. So it's, it's unbelievable. It is in terms of like artificial intelligence, I'm using probably around a dozen artificial intelligence tools, not counting chat GPT. And the one that's affected my business the most is just that clerical aspect of this particular software. Because if I'm pitching somebody, they get a full

Tara (02:11.499)
Yeah, that's awesome.

Tara (02:37.739)
Yeah.

Tom (02:38.358)
Lowdown 10 minutes later, or if I'm having a meeting with Meg Horner, who's the Bridgeton Beacon Founder and we're talking about well, we need to set this up and we need to set this up for fundraising 10 minutes after the call. I've got the whole damn outline so it's oh if I can recommend one thing it Riverside is like I Think there's a free version

Tara (02:55.723)
Yeah, that is amazing.

Tom (03:05.078)
where you get a couple hours a month. And so just as like a sneaky managerial tool, oh, those, and then I dropped those summaries into a Dropbox folder or a Google Drive folder, which makes them searchable by keyword or by participant or topic. It's like building your own sort of knowledge base, but that's...

Tara (03:13.546)
Mm -hmm. Yeah.

Tara (03:31.146)
Yeah, that's amazing.

His need to go to class with this and then they'll have a full outline and all the notes and all of the, you know, the whole lecture, right? That would be brilliant.

Tom (03:34.774)
And then, uh...

Tom (03:43.894)
Oh my God, you're right. Oh my God, you're right. Yeah, and I've been running around telling other nonprofits, I'm like, start recording your virtual board meetings with this and you'll have the best secretary in the world for those meetings. Oh my, yeah, and I think even the paid version's only like $19 or $29 a month. I get that value out of one.

Tara (04:00.233)
It costs a whole lot less than a salary of a secretary.

Tara (04:08.649)
Oh, that's nice.

Yeah.

Tom (04:12.086)
hour long conversation. No, that would cost me so much more than that to have somebody break down an hour long conversation. What am I talking about? Yeah, it's neat. And that's kind of, that's essentially that's what my career is right now is an arbitrage where,

Tara (04:19.016)
Good job. Absolutely.

Tom (04:33.334)
I just happen to know all these tools and some of them are for video production, some of them are like that for creating content, text, summaries, just valuable information. But just knowing if you know 15 tools, then you've got something to sell a nonprofit or you've got something to sell a law firm or whatever. And so that's kind of what I do is just find neat things like that and figure out, you know, that would easily be for someone.

Maybe that's all they need for their social posts for the next month. Just to pull stuff out of that text and throw it into a cool image post on LinkedIn or Twitter or something like.

Tara (05:02.92)
Right.

Tara (05:10.503)
That's really smart, because I struggle with that. Because I'm in charge of the social media, and I'm supposed to post every day. I don't. Probably three or four times a week, I would say, I post.

Tom (05:23.446)
Nobody posts every day who's not being paid to be an influencer or some shit like that. Forget it.

Tara (05:30.023)
Well, I mean, that's my thing, like, that's not... And we have maybe eight followers. Like, I'm like, Cassie, I don't know why you're so focused on us posting. The only people who follow us are our employees. They know what we're doing. But I do struggle with that. And that's a super great idea, as you're right. Little snippets, little quotes that, you know...

then I'm a very visual person. So if it is something that could then be like, this is the itinerary of your meeting or the agenda of your meeting, then I could pull them out that way. But I would think to just make a quote and then add that quote.

Tom (06:05.334)
And that sure.

Tom (06:09.878)
But even for your employees it would then also allow you guys to have sort of a structured either section on your website or again a folder in Dropbox where you're like hey The weekly meeting folder You know the March 3rd meeting the March 10th meeting And if you dropped it in there, I mean, I'll put it to you this way Nobody'd ever be able to tell you. Oh, I didn't know about that

Tara (06:26.661)
Yeah, yeah.

Tara (06:34.437)
That's so, I love that.

Tom (06:37.526)
But it could also drive like a lot of big organizations are very concerned with internal communications. And so things like podcasting or blogging or any of those things, they do them like just for their sales team or just for their service people or just for the people who make contact with the outside world by phone, that kind of thing. They'll run an internal podcast where weekly, you know, they're having conversations and it's, um,

Tara (06:52.933)
Mm -hmm.

Tom (07:06.486)
That kind of stuff works. So I think it's even if the only people who are following your social or a particular social, like maybe it's your Twitter, it's all employees following you. Well, hell, use that for the employee communications board then. And I wouldn't worry about posting everywhere all the time. It's like, find one of them that starts to matter and then really dig into that one. And then you might get a recipe for...

Tara (07:10.34)
Yeah.

Tara (07:20.132)
Right, right.

Tara (07:30.116)
Mm -hmm.

It's me.

Tom (07:36.342)
you know, Twitter and LinkedIn based on that, but it's like just posting everywhere, just to post everywhere doesn't really, it's almost less impressive when I go to a business LinkedIn page that posts every day and nobody gives a shit.

Tara (07:50.563)
Yeah, yeah, and I try to make it be meaningful, which is why I don't post every day because sometimes it's like, what am I posting about? Because I want it to be more meaningful. So yeah, those are all really good points. Now, we only do Facebook currently. I'm thinking that we need to do Instagram as well, but we don't have Twitter or LinkedIn. I mean, we're such a small program and the goal isn't ever for us to be.

enormous. We're not like Bayotta or Atlantic Care that we're looking to be in, you know, several states. I would say we're probably in as many counties as we can get to, as they're willing to grow to. Now, of course, we've had all this change in leadership and management and all that good stuff, but I still don't think that the owners themselves are looking for us to be a multi -state anything.

Tom (08:47.67)
No, fair. And I wouldn't say, it's so niche. Like I would think the opportunity would be like, frankly, and this is a huge leap from don't worry about posting everywhere to what I'm about to say is, but like, I think the opportunity for Red Oak using media or using digital, whatever, call it podcasting, call it YouTube, call it Instagram.

Tara (09:01.378)
Hahaha!

Tom (09:17.686)
whatever, would be if you were to establish some sort of vein of value where, and it's not gonna be, you know, oh, everybody needs us, hire us now. Like that's, you're not a car wash. But if it were something that perhaps in line with, there's a real conversation out there and there's a real whole,

Tara (09:32.545)
Right.

Tom (09:47.094)
in our cultural perception of the shift in caregiver roles. And I'm not an expert, you are, but like just from producing podcasts, I have a lawyer podcast where it regularly comes up that the caregiver role, she has shifted the caregiver role with her mother. Her guests, half the guests she mentions that to, then have the same story.

Tara (10:07.489)
Mm -hmm.

Tom (10:14.07)
And every single one of these people is always like, I had no idea that when it happens, it happens like that. And so that's sort of like prep conversation. And I've also, I'm working with a company in California that does in -home senior care. And there's such demand and her ask of me is basically like, we need to start something that,

Tara (10:21.505)
Yeah.

Tara (10:25.729)
Mm -hmm.

Tom (10:44.022)
gets out there earlier to people who are about to get smacked with this education about the shift in caregiver roles because apparently there's just a vacuum for and maybe there's information about there and I've seen that information presented and there's people who give speeches but nobody's making a huge dent because every time I turn around on this other lawyer podcast she's telling somebody she's now taking care of her mom and they're all like oh my god me too it's crazy so

Tara (11:12.447)
Oh, absolutely. It is crazy. And for me, a conversation that I have a lot with people is, you know, you finally get to the point where you get your children raised and they're independent enough to do their own thing. You don't have to worry about cooking dinner and driving them here, there and everywhere. And no sooner do you get them to that point than your parents begin to fail. And then you do, you shift that caregiver role from parenting to your children to essentially

Tom (11:15.766)
Even -

Tara (11:41.727)
navigating your parents through their golden, supposedly golden years. And it's interesting.

Tom (11:50.614)
That's just one idea, by the way. Where I'm going with that is Red Oak has a position of authority in a conversation like that to some extent. If you don't ever want to sit down on a Monday morning and be like, what am I going to post this week? I could get you probably scheduled as a guest.

Tara (11:53.567)
I like that idea.

Tom (12:20.598)
Or if it's not you, if there's somebody in your organization that you love to put out as a speaker, like I don't want to make any assumptions, but if it's, yeah, I had a feeling, would be to get on maybe that podcast in California. And then I give you a bunch of clips and then for the next, I don't know, if you spoke to this woman for an hour or an hour and a half, that's going to be 20 or 30 clips or something like that.

Tara (12:25.087)
That's me.

Tara (12:36.604)
Mm -hmm.

Tara (12:48.284)
Yeah. And I would absolutely love to have that conversation. Is she an elder care attorney?

Tom (12:54.646)
No, she owns a home, senior, but one of the other people I'm talking to and having the exact same conversation I'm having with you is, hey, you're an elder care attorney and I'm working with this podcast in California that's talking that really should be pushing information out.

Tara (12:57.564)
Oh, that's written at home.

Tom (13:18.998)
sort of pre -sale, sort of like pre -college admission to the education you're about to get on, you know, and, and yeah, kind of like it should be, you should, like the government should send it out with your, your fricking voter registration renewal. It should be like, oh, by the way, your parents are about to get really old. You better be ready. You know?

Tara (13:24.284)
Yeah, yeah. This is your official prerequisite. Yeah.

Tara (13:35.676)
Couldn't agree with you more.

And I say that we plan, right? We plan, we plan, we plan, we plan for college, we plan to get married, we plan to have children, we plan for our children to go to college, we plan for our retirement, and then we stop planning. But we all know what's next, right? But it's like the big pink elephant in the room that nobody wants to approach that topic. But when you think about how you shop for your

Internet service and your car insurance and your cell phone service, right? We oh we compare and we this that the other thing but then we're in the heat of crisis in the hospital, we've just gotten terrible news and we say, okay Whoever you send us home, whatever. It's fine. Whatever No, oh my gosh. This is the most intimate

experience that you're going to have with a medical team. So whoever isn't an option.

Tom (14:39.766)
Yeah, that and so in real quick, just for the for the sake of the fact that the conversations recorded, let's take one step back and sort of give because a huge percentage of people were talking about hospice is like one piece of the pie that we're discussing, which is like these people should probably have a legal plan. They should probably have a health plan. They should probably have a death plan. Like in and, you know, those are all different ingredients in different.

Tara (14:59.93)
Absolutely.

Tom (15:08.79)
prospective relationship. So elaborate a bit or introduce the hospice piece of the pie to those who might be uninitiated. To the luckily uninitiated, I should say.

Tara (15:17.946)
So, it's a benefit if we break it down to its most basic...

part is it's a benefit, just like unemployment is a benefit, just like veterans have benefits, just like we have a disability benefit. And certainly we wouldn't lose our job and not seek the unemployment benefit. We'd be like, oh crap, I lost my job. I need to get unemployment because this is the benefit that's available for me at that unexpected, unplanned time. It's there for me. Same thing. You become disabled. You get in a terrible car accident.

Of course, you're going to seek that disability benefit, but we're not seeking our end of life benefit or our advanced illness benefit because end of life is a chapter, not a page. So I feel that if we are...

If we're bringing it down to that most basic level, it's a benefit and we're entitled to it. If you look at your paycheck, every paycheck we ever get, Medicare takes money out of it, right? So from 16 years old, we have been paying for this program for people who want to say, oh, you're cheating the system. But are you cheating the system? Oh, they were on hospice for eight months. That's ridiculous. Why is that ridiculous? Why is that the least bit ridiculous?

Tom (16:27.702)
So,

Tom (16:37.206)
You want to say, oh, you're cheating the system. You're cheating the system. Oh, they were on hospice for eight months. That's ridiculous.

Tom (16:48.982)
That's also when people understand what hospice is. The sentence, somebody was on hospice for eight months and that's ridiculous, is borderline grotesque and I think I'm being generous. And actually, well, that might be a segue then. That's an interesting thought and I wasn't even thinking that when I was saying introduce, but it makes sense and you do pay into it.

Tara (17:13.367)
I'm

Tom (17:19.03)
But I still, for those who don't know, what are we talking about? What is the service itself? Because I think that's what people, a lot of people, yeah, I think a lot of people are gonna be like, wait, that exists? I had no idea that exists. And it's...

Tara (17:24.407)
So like the attributes of the service itself. Yeah. So overall, when I say to families, you know, here I'm here to talk to you about hospice, I say, no, no, no, no, I don't want that. And I usually start by saying, okay, what do you think that you need? What are you most concerned about in the coming months of this disease progression? And they say,

I really need a nurse to help me out with medications. I'm not sure. They're constantly changing. Someone to come and help me get him dressed and showered in the morning. He's too much for me anymore. I can't do it. You know, we're struggling to pay for medications and those incontinence products are so very expensive. And they go on and on and on. And I say to them, you just asked me for hospice. No, no, I told you I don't want that. No, you don't want the word.

Tom (18:14.71)
just ask me for hospice. No, no, I told you I don't want the word. No, you don't want the word. Just like the unemployed guy doesn't want the stigma of that guy. So you don't have to go up to him. Right?

Tara (18:21.591)
Just like the unemployed guy doesn't want the stigma of that guy sitting on the couch collecting unemployment, right? But you want the benefit, you just asked me for it. So it's nurses, social workers, counselors, chaplains, home health aides, medical equipment, medical supplies, medications. We're providing all of that for that family who's struggling to pay, how can I afford his medicine and his supplies and his -

Tom (18:31.062)
So it's nurses, social workers, counselors, childless, home health aides, medical equipment, medical supplies, medications. We're providing all of that for that family who's struggling to pay. How can I afford his medicine and his supplies and his -

Tara (18:51.127)
food, well, you don't have to worry about the food anymore. You can pay for that easily because we have all of the medications, all of the equipment and all the supplies covered under your Medicare hospice benefit, which by the way is a 100 % covered benefit is the only benefit in the Medicare spectrum that is at a 100 % rate. The majority of Medicare benefits are 80 -20. So,

Tom (19:04.278)
benefit which by the way is a 100 %

benefit in the Medicare spectrum, it is at a hundred percent rate. The majority of Medicare benefits are 80 -20. So, so many times people are taking less benefit than they're entitled to because they don't know, because they're scared to death of the word, or because someone has them believing that hospice is a brink of death service rather than an end -of -

Tara (19:19.607)
So many times people are taking less benefit than they're entitled to because they don't know, because they're scared to death of the word, or because someone has them believing that hospice is a brink of death service rather than an end of life service. And there is a tremendous difference. As I said, it's a chapter, it's not a page. But...

Tom (19:39.286)
No, you're on a roll. No, you're this is this is absolutely valuable.

Tara (19:45.879)
All of that, did I answer that question with regard to the attributes? Because I'm about to soapbox about something else now. Okay.

Tara (19:57.079)
So I hope I don't lose my train of thought because I'm really good at that. If you look at the word hospice, the Latin root of the word hospice is hospa, from which we derived hospitality and we derived hospitable and even a hostel, a place for weary people, travelers to rest. End of life is a journey.

And that weary place for travelers to rest is hospice. That place for caregivers to get a little break so that they can be family members. Stop worrying about changing sheets and changing diapers and picking up medicine and how are you going to pay for this and pay for that. And get out your photo albums, cuddle up next to them and read a book. You know, put on music.

Do something that enriches the psychological aspect of the dying process and stop doing things, right? They're tasks and you feel you need to do them. But hospice does all of that so that you can then be the spouse or you can then be the child and have more time really doing.

Tom (21:00.886)
and stop doing things.

Tom (21:11.126)
Yeah, that's a great selling point to the sort of loved one caretakers.

Tara (21:21.399)
what you need to do because when they're gone, we're the ones who live with the, did I get it all in? You know?

Ahem.

Tom (21:42.774)
But what if you just renamed it like family resources and in -home support? It would be like, oh my god, that's exactly what I was looking for. But if they think that hospice is, well, that's just for people who are right on death's door, right? That's for just people who are full blown.

Tara (21:50.007)
Right.

Tara (22:04.791)
Right. That means I'm going to die. That's what I hear all the time. Hospice means I'm going to die. And I usually respond by, can I get to show hands of who is not going to die in this room when I do it? And they all look at me and I'm like, hospice doesn't mean that you're going to die. You're mortal. That's what means you're going to die, right? Hospice means that you have the opportunity to do that with dignity, with assistance, with comfort, with all of those crazy freaking things are now managed. So,

The, I call what you just said, the Grim Reaper effect, right? Somebody says, hospice, I'm going down, right? This is the end. We in hospice prefer angel of death. That's a little joke, prefer over, you know, Grim Reaper, but there's a reason for all of that. And it goes back to the very beginning of the hospice benefit in this country, which by the way, is still quite young. It was introduced in the late seventies and didn't become a.

Medicare benefit until the 80s. So we're talking about a very young benefit in terms of these types of social benefits. So when this first became a benefit, it was a six -month benefit and it was only six months. So if you lived six months and three days,

The six month part, your nurses, I'm sorry, you're discharged and out went your bed and out went your oxygen and whatever pain medicine you had left. Well, good luck. I hope it lasts you because you exhausted your Medicare hospice benefit. So that resulted in doctors waiting and waiting and waiting until they knew their patient would not outlive that benefit, which then resulted in the Graham -Reefer effect. Right?

Tom (23:27.254)
discharge and act with your bed and act with your oxygen and the good of your life.

Tom (23:35.03)
because you exhausted your motor care. So that resulted in doctors waiting and waiting and waiting until they knew the patient would not.

Which then was going to change the value of the value of the code.

Tara (23:53.303)
Thank you.

It sure does. Yes. So statistics in the early 90s when I started in hospice, mid 90s, basically were that only about 30%. Now that's even high. I want to say, I don't know the percentage, but a very, very low percent of eligible people were ever getting the hospice benefit. And it is the most comprehensive benefit that Medicare offers.

So Medicare's taken a look at this going, this doesn't make any sense. And the reason that Medicare likes hospice and the reason that hospice became a Medicare benefit after lots of education and legislation and, you know, tons of meetings with Congress is that it saves Medicare money. So that's when Medicare was like, wait a second, what? What? Because for a while they're like, death has nothing to do with the government. Well, that has nothing to do with us.

Tom (24:47.318)
So that's when Medicare was like, wait a second, what? What? Because for a while they were like, yeah, death has nothing to do with it. Yeah, death has nothing to do with us. But it does. Because if we can educate the population to help them understand the point at which this isn't getting better, OK? We could.

Tara (24:54.135)
But it does, because if we can educate the population to help them understand the point at which this isn't getting better, okay? We could last longer with all of this medical treatment, but we are not living longer. But take into point that in the 80s, when the Medicare hospice benefit was kind of blossoming, it was the same time that technology

Tom (25:14.358)
taken to play that in the 80s when the medical hospice benefit was...

Tom (25:22.134)
was the same time that technology was exploding in what they call the cult of cure. So now we're fighting against doctors who are like, yeah, but we...

Tara (25:23.351)
was exploding in what they call the cult of cure. So now we're fighting against doctors who were like, yeah, but we could do this and yeah, but we could do that. But the hospice movement was saying, but should we? OK, we can, but should we? So for example, and this was an experience that I had very, very new into the medical field.

Tom (25:40.278)
Okay, we can, but we should be. So for example, and this was an experience that I had very, very new and didn't know before.

Tara (25:52.247)
woman who had cancer all over her body and she was having some cognitive issues and the family wanted her to have a CAT scan of her brain to see if the cancer had spread to her brain. Listen folks, it's everywhere else and now she's having some cognition issues. We can believe that it has spread. Why are we putting her in medical transport and putting her in a CAT scan machine and you know,

Tom (25:56.246)
And she was having some cognitive issues, and the family wanted her to have a cascade of her brain to see if the cancer could spread to her brain. Listen, folks, it's everywhere else. And now she's having some cognition issues. We can believe that it has spread.

to a care machine. And how is that going to change the care plan at this point, right?

Tara (26:21.879)
How is that going to change the care plan at this point, right? So what happened with this woman is that she died in the CAT scan machine. I was very young and it was very impressionable for me. So the whole idea of the movement was to say, stop, there's no dignity in being a pin cushion. These people are dying in hospital rooms with beeping monitors and sterile ...

Tom (26:28.182)
So what happened with this woman is that she died in the cat scale.

Tom (26:34.998)
And it was very impressionable for me. So the whole idea of the movement was to say, there's no dignity in being a pan -pish. And these people are dying in hospital rooms with beeping monitors and sterile linens and strangers all around them with listening eyes from, you know, no, no. So it was really a struggle. But so the night care started listening because this culture of cure was lost.

Tara (26:50.775)
linens and strangers all around them with visiting hours from you know no no so it was really a struggle but so then medicare started listening because this cult of cure was costing medicare an awful lot of money right because we're testing this and testing that why are we doing that again it's through 90 of their body yeah it's probably in the brain too so

Tom (27:06.07)
Yeah, what are we trying to get grandma ready for the next Olympics? That makes no sense.

Tara (27:16.215)
Like what? So a lot of education that I do in the field is living longer versus lasting longer and benefit versus burden of treatment. Okay? If you go to dialysis today and you are wiped out, today's done, you're sitting in that chair for eight hours, you're coming home, you feel like hell, you're gonna sleep, tomorrow morning you're gonna feel like hell, you're gonna just start feeling better tomorrow night, maybe have a nice dinner, watch something on TV.

Sure enough, Wednesday morning you're going back and you're going to feel like hell. So what are we doing? Meanwhile, and this is very harsh and I apologize for it, but you're losing your body limb by limb. Because despite your dialysis, this isn't quite working. So I work with people to help them understand you. Sure, you live three more years like that. But if we were to say,

the 10 things that you find most enriching about living. How many of those 10 are you willing to sacrifice that you still feel like you're living, like you're alive, like you're participating in your life?

Tom (28:27.254)
Mm -hmm.

Tara (28:31.206)
And then people started saying, oh, there were death panels. That's not a death panel. We're talking about looking deeper into quality of life and dignity. You know?

Tom (28:44.054)
So, real quick, you could give a couple very explicit examples. What you're talking about is, and I'll give an example where somebody would have to say, okay, well, but it's like some point you have to take the mindset of, yeah, well, if our loved one or grandmom or grandpa has a cardiac event and boy, they're run down.

You know, they're not living well already. For them to recover, it's going to be just awful. Here's the option. Not only is it not going to be great, but it's really going to be exacerbated and not great because we're going to have to break all their ribs.

Tara (29:31.878)
Right, it's not like it looks on TV. You're not having tea four hours later.

Tom (29:35.414)
Yeah, we're gonna break all of grandmom's ribs to resuscitate her when she has a heart attack. So what you're simply saying is, hey, now's the time to have a conversation about, do we want to say, wait, wait, wait, do not resuscitate because all you're really doing then is breaking an elderly person's ribs and prolonging their suffering. And that's a real pragmatic approach that most people

Tara (29:56.006)
Prolonging

Right. And what you're bringing them back to.

Tom (30:04.854)
aren't prepared to take themselves or are nowhere near taking that leap. But that's just a way to illustrate. That's all you're saying is there's a way for you to think about this. And there's points along the path where you thinking more sort of about comfort as opposed to just keeping busy with stuff. Oh, we're still working on this project. Like, I think that's way more for the family than anybody else. Well, and.

Tara (30:08.774)
Yeah.

Tara (30:20.838)
Well.

Tara (30:29.286)
Absolutely. Absolutely.

Tom (30:31.702)
anybody who's collecting a copay and you know I'm not saying that would be their only motivation. It's really the family who shouldn't be wheeling them in there to begin with.

Tara (30:36.486)
I don't know.

Tara (30:40.294)
Correct. And, you know, unfortunately, chemotherapy and those doctors make a lot of money off of your hope. I'm not saying all of them do, but it's just dreadful. It truly is.

Tom (30:54.486)
Well, and what you're saying is families aren't educated enough to be the ones who step in and say, no, now we need to start thinking about comfort and dignity. Like that's, that's.

Tara (31:00.963)
They're waiting for the doctors. They're waiting for the doctors to say enough is enough. But the reality is the doctors are waiting for them to say it. The doctors don't want to bring it up. And I see this is your primary care doctor is waiting for the specialist to say it. The specialist is like, I'm only looking at the heart. Primary care doctor has the whole body. The families are waiting for the doctors to bring it up. The doctors are waiting for the families to bring it up. And generally what happens is somebody ends up in the hospital.

Tom (31:10.934)
Yeah, I -

Tara (31:31.106)
And a hospitalist, that's a new specialty, like a cardiologist and a pulmonologist, a hospitalist, is the specialist within the hospital for acute advanced chronic illnesses. They're the ones having this conversation, a complete stranger, which I guess maybe is better. But why wouldn't your family doctor of 20 years be like, Tom, let's really look at what we're doing here. And if the choice is still yours.

But I think we need to step back and take a different look at this fight that we're fighting.

Tom (32:06.646)
How much time does Hospice or Red Oak, your organization spend communicating with those primary care types in any direct fashion?

Tara (32:18.114)
So it's part of my job to visit these doctors' offices, have conversations with the decision makers, inspire them to make, have these conversations sooner. I really believe that, you know, you go, you have your physical and they have to ask you certain questions, silly things like, do you wear your seatbelt, right? Or like they have to ask you those things. Why isn't one of those...

Do you have an advanced directive in place? Why is it?

Tom (32:50.07)
Yeah, yeah, that's what that's what i'm getting at like it almost seems to me like You'd have There's a more likely avenue to reach more people if you did it through Somebody who's already a partner to these people in the process and got got their buy -in and just said hey You know what we we know you hey mister primary care, you know what you're not very good at Drawing that uncomfortable line in the sand. What if you had somebody you could sort of dump?

Tara (33:05.57)
Yes.

Tom (33:19.158)
that on us in the terms of like a package or a pamphlet or a program.

Tara (33:19.874)
Yes. And I do, and I offer all the time if you would like me to speak to your patients. I'd be more than happy to have that conversation. That doesn't mean that...

Tom (33:31.862)
Well, you have to understand that's a tough sell for them. That's like a mechanic calling me and saying, hey, I'm not saying anything. I'm just saying I want you to talk to this guy from the junkyard.

Tara (33:35.426)
It's a very tough song.

Tara (33:47.007)
No, right? That's a good analogy. Yeah. Yeah. Um.

Tom (33:51.414)
Yeah, I'm going to be like, hey, go jump off a bridge. I love my truck. But it's almost like you need a designated hitter from somewhere off in Medicare world to make that connection because you guys are still the angel of death walking into that conversation to the uneducated audience on the other side versus it being presented as a benefit, like family support thing.

Tara (33:55.551)
Right.

Tara (34:05.151)
Correct.

Tara (34:18.047)
Right.

Tom (34:21.75)
it's it's almost like Yeah, you guys need a salesman from Medicaid or somewhere the insurance companies for that matter but if if I may that that does lead me to some thoughts like long term, which is any any type of content in that vein if if you were part of a program that was doing that or

Tara (34:28.927)
Yeah.

Tom (34:50.838)
had interest in initiating that sort of communications, even if you said, well, let's call it a marketing program, but I think that could easily evolve into something that got funding. Because I think as soon as you start doing an effective job of communicating that sort of what we were calling pre -sale family support stuff, I think there's enough people in the food chain who recognize,

Tara (34:59.327)
Oh god, that would be amazing.

Tom (35:19.862)
the benefits that you already brought up. And maybe it's the federal government and the healthcare system. But what I know is this with other people I'm working with, whether it's history, job training.

Tara (35:21.535)
Yeah.

Tara (35:25.279)
Yeah.

Tom (35:35.318)
somebody's writing a check if it's a warm and fuzzy, feel good initiative or cause. So I guess that's the word I should use is if there's a cause that makes sort of threads together all your media content, and if that's like education of people in this process and all the good things that come out of it for all the stakeholders, even financially, some of those stakeholders,

Tara (35:40.511)
Mm -hmm.

Tom (36:03.382)
are probably invested in foundations that write grants every quarter.

Tara (36:07.228)
That would truly be amazing. And I could talk about this like all day long. I've gone off on 10 different tangents. I should have set an agenda up for myself so I didn't lose my train of thought as many times as I have. But I really could talk about this all day long. You know, I go into the doctor's office. I try. I speak with them.

Tom (36:09.206)
in support of their cause.

Tara (36:29.467)
I go, I do library presentations, I go to over 55 communities. I will go anywhere people will listen to me. I will talk to two people or 200 people. I just want people to understand it, to not be so afraid of it. I want to break it down to its most basic level of a benefit. I do like to differentiate red oak because we really are a very different breed of hospice.

Tom (36:52.886)
I do like to differentiate Red Oak because we really are a very different breed of hospice. The majority of hospice programs that are out there are really big corporations. They're in several states. They're doing home health. They're doing home provider visits like a visiting doctor for the day.

Tara (36:58.811)
The majority of hospice programs that are out there are really big corporations. They're in several states. They're doing home health. They're doing home provider visits, like a visiting doctor, like from back in the day. They're doing a lot, but they're doing it in mass quantities. And I've worked for large corporations, and it's kind of a social security mill. You lose that...

Tom (37:19.606)
But they're doing it in mass quantities. And I've worked for large corporations. And it's kind of a social security now. You lose that personal touch. It's not. This is Jones. It's 137. That's what we're building Medicare for. That's not to say that you won't still get maybe a really good nurse or a really good social worker, of course. But the foundation of a small program is just very, very different.

Tara (37:28.123)
personal touch. It's not Mrs. Jones, it's 137, you know, it's what we're billing Medicare for. That's not to say that you won't still get maybe a really good nurse or a really good social worker, of course. But the foundation of a smaller program is just very, very different. It is, you know, when you're answering the phone and saying, hey, Joe, how's Sarah, instead of press this prompt for this and that prompt for that.

Tom (37:48.822)
It's when you're answering the phone and saying, hey Joe, how's Sarah, instead of this front or this.

Tara (37:57.051)
So I love Red Oak because it is a smaller program. It really is a more personal, individualized approach. I call it corner store versus corporation. And that I feel like really gets that feeling of how different we are, that corner store approach. So, you know, we're in Cumberland and Salem counties. We do partner with Autumn Lake. So we service all of those buildings as well outside of Cumberland and County counties. That's also a

Tom (37:58.166)
So I love Reddit because it is a smaller program. It really is a more personal, individualized approach. I call it corner store versus corporation. And that, I feel like, really gets that feeling.

Tom (38:15.542)
that corner store approach. So, you know, we're in Cumberland and Salem counties. We do partner with Autumn Lake, so we service all of those buildings as well outside of Cumberland and County counties. That's also for Salem. Salem and Cumberland, where we do the whole community. And then in Canton County, we service in Autumn Lake building. And in Canton County, we service three Autumn Lake buildings. But on

Tara (38:28.057)
So we're Salem, I messed that up, Salem and Cumberland, where we do the whole community. And then in Catena County, we service an Autumn Lake building. And in Camden County, we service three Autumn Lake buildings. But our core is that Cumberland and Salem County, where we treat everyone everywhere, in their home, assisted living, a skilled nursing facility, you know, over 55 buildings. We do all of that.

Tom (38:46.134)
We treat everyone everywhere. In their home, assisted living, a school nursing facility, you know, over 55 buildings. We do, we do all of them. But it's nice to work some with the tables. You get so much more done. Because in a large corporate structure, about 15 to 20 % of all of the money that comes into each individual branch of that corporate structure goes back to corporate headquarters to cover...

Tara (38:54.872)
But it's nice to work small potatoes. You get so much more done because in a large corporate structure, about 15 to 20 % of all of the money that comes into each individual branch of that corporate structure goes back to corporate headquarters to cover the VP of this and the VP of that and the blah, blah, blah, all these regional leadership positions.

Tom (39:14.87)
regional leadership positions. But when you work for a small program, all that money stays in the program and you're able to put it back into number one, patient care, and number two, your staff salaries so you're able to keep good nurses. So you're able to hire good nurses because you got what you pay for. You don't just hire anybody from that into the hospital.

Tara (39:17.528)
But when you work for a small program, all that money stays in the program and you're able to put it back into, number one, patient care, and number two, your staff salaries so you're able to keep good nurses, right? You're able to hire good nurses because you get what you pay for and you really, you know, you don't just hire anybody to go out and do hospice. This is big deal. The people are dying, you know, it's not the high school.

Tom (39:42.102)
It's not the high school student nurse. This had better be the right nurse. And sadly I saw in the book restructuring that they were hired. You want bodies that check the box, okay, you have all the credentials.

Tara (39:47.192)
student nurse. This had better be the right nurse. And sadly, I saw in the corporate structure that they would hire warm bodies that checked the box. Okay, you have all the credentials, but are you a hospice nurse? Come on, that's a different route.

Tom (40:01.654)
And Red Oak, you're at the point, and I know Red Oak Nurses, and it's a part of the community to the point where you get requested often because somebody took care of your aunt and they call in, they think that person was great and they're comfortable with them in their house and so obviously they want them. It's very...

Tara (40:16.568)
Uh -huh.

Tom (40:33.59)
genuinely relationship based and community based. And like you said about the corner store, the general store, it's like, you don't walk into shop, right? Bump into the owner and chat about the weather so much, but that's like more of a general store thing. And the people who've worked with local.

Tara (40:37.333)
Mm -hmm. Mm -hmm.

Tara (40:55.893)
Yeah. Yeah.

Tom (41:01.558)
red <|la|> <|translate|> <|0.00|> red <|la|>ocospis, no red <|la|>ocospis, no, the people bump into them out and about bump into them at the Amish market, you know, it's, it's, I see that because I hear stories like, oh, I'm, you know, I'm, I have this case now, and I had his brother and, and their mother. That's like such a familiar.

Tara (41:06.581)
mm -hmm yeah word of mouth for sure

Tara (41:19.732)
Yep, yeah. In fact, one of our team members, we took care of their family member years ago, and now she's one of our chaplains. So yeah, it's very much, we get volunteers that way, that, you know, six months or a year when they feel ready, you know, because it takes some time. So yeah, I really do, I would struggle to work in a corporate arena structure of hospice ever again. I really would.

Tom (41:39.094)
I'm sure.

Tara (41:48.82)
Number one, I don't think I would do well in any corporate arena. I'm at spreadsheets, conversations, you know. So it's special. Red Oak really is special.

Tom (42:05.462)
The, I'm trying to say, it's also would be a great source of, there are just stories and stories. I mean, you know, in terms of, you guys have potential family stories, you guys have potential just decades of stories from some of the nurses who,

Tara (42:33.395)
Mm -hmm.

Tom (42:34.39)
you know, just have incredible experiences to share. Sometimes absolutely hilarious. Like what people are willing to bring up on their deathbed is apparently quite different than what they bring up on an ordinary Tuesday.

Tara (42:48.275)
Oh absolutely and it's the good, the bad, and the ugly too. You see a lot of caregivers who just, it's a very interesting family dynamic, how family dynamic plays into that. But it is the good, the bad, and the ugly, no question about it.

Tom (43:05.974)
Well, let me think. I was going to say if at any point you guys can use the Bridged and Beacon for just general announcements or you have any events or stuff like that, we can always jump on a Zoom just like this. And you can be like, hey, there's a Red Oak fundraising, whatever, at the VFW, whatever is going on. Any of that would be fair game. One of the...

Tara (43:19.891)
Okay.

Tom (43:36.022)
One of the sort of action items from the Beacon is to open that door to any local causes. You know, whether it's Wheaton Arts or the Bridgerton Public Library or Red Oak, those are all places that really put something on the table for the community. And so as Meg tries to grow the Bridgerton Beacon as local media, the more you guys can use this in any way, shape or form in that manner.

Tara (44:03.411)
I'm sorry.

Tom (44:03.862)
feel free, like the doors open. And then if there's any sort of marketing. So for example, if you didn't want to start a podcast, you know, maybe we don't have buy -in from your stakeholders on that, but you wanted to do some sort of series, we could do a featured series through the Beacon Media facilities, local to you. There's a studio right on, was it Laurel Commerce? Shoot, that's embarrassing. 107 Commerce, I want to say.

And for the Bridgerton Beacon, like if for anything from like education to round tables to like, and if that was moving you in a direction to where if you had a little resume of creating content that addresses that monstrous vacuum we mentioned, I think there's a real potential plan for you guys to get funded.

Tara (44:41.395)
Mm -hmm.

Tom (45:00.918)
And so you could, at the bare minimum, underwrite continued production in that vein, which is, it would fit right into your business and your lifestyle. And it's not about growing red oak to 10 ,000 clients. Like that's not the model. The model is like just to make it, pardon the pun, a beacon supporting that messaging.

Tara (45:21.715)
Mm -hmm.

Absolutely. So...

Tom (45:26.39)
And to me, from a production standpoint, I can totally make the argument because as long as there's potential funding out there as the production guy, I'm like, well, that makes it viable. But I truly think there's, I haven't done any research. I guarantee there's foundations. I don't know that you couldn't get in spirit to underwrite something like this or whoever.

Tara (45:28.787)
I'm sorry.

Tara (45:37.107)
Yeah.

Tara (45:50.675)
Just Inspira's tricky because they're partnered with Beata. It's literally Beata at Inspira. It's like a big, so.

Tom (45:59.446)
Well, if they don't want to support local nonprofits in the Cumberland County region, I'd say, hey, that's on Inspira. If they don't want to work with the Bridgestone Beacon, you know.

Tara (46:03.955)
I know, right?

Tara (46:08.915)
No, but I agree. I would love to do panels. I belong to a group, really like senior care specialty group, or we've changed our name five times, but there is an elder care attorney. There's a home physical occupational and speech therapy group, myself with hospice and palliative care. There's a representative from subacute rehab and long -term care, and then also from assisted living.

So we try and get to over 55 communities. We'll do little mini health and wellness fairs. We will present each of us five, 10 minutes on, you know, cliff notes on what we do. And then we have tables. In fact, I'm trying to set one up at Four Seasons. Your mom's helping me. And then we have refreshments to entice people to come. We have our door prize to entice people to come. And then after we each do our 10 minute cliff notes on our individual...

section of that spectrum of services that allows people to come to us, oh, I want to hear more about this, I want to hear more about that. We have tables set up and we can do individual, you know, mini consultations or just conversations with people. So, you know, that you're absolutely right that chances are if you need one service, you need the other services for sure. Definitely the elder care attorney, the in -home care, home healthy to come and, you know, beyond that hour and a half.

Tom (47:16.566)
through many consultations.

Mm -hmm.

Tara (47:35.219)
hours so that the hospice provides. That's not enough all the time so we need a partner agency that we can get them additional services through. So that is definitely important. It's like a network, just like any network. You know your builders work with electricians and plumbers and you know but and we work with nurses and physical therapists so we all have our own different networks but that we have like this preferred provider group because we've found them to be

Tom (47:47.926)
Mm -hmm.

Tom (47:59.382)
I think this preferred provider group because we found them to be the most cohesive to work with and most patient -centered so I don't want to force them to do this.

Tara (48:02.387)
you know, the most cohesive to work with, the most patient centered. So I belong to one of those groups, which is nice.

Tom (48:29.43)
This is coming. This is coming. You know, if you don't want to be at your sibling's throats for the rest of your lives, why don't you all sit down with an elder care lawyer real quick.

Tara (48:36.563)
Absolutely, such a good point. Yep.

Tom (48:41.526)
And so again, you've got at your fingertips every resource you would need to put together a version of, like I said, that podcast. Like if you had all those people offer their two cents on, here's what you need to not get bamboozled when that responsibility shift happens.

Tara (48:55.347)
Yeah.

Tom (49:06.806)
Yeah, it's it's who within that group has the highest profit margin on intake They should be the ones who who pony up a little bit We sell a little project you guys do a little curriculum one time through the beacon which makes the whole thing a charitable Contribution because you're doing good things for the community, but I think that's sellable to get you guys funding

Tara (49:14.131)
Yeah, right.

Tara (49:24.499)
And what would something like that look like for us to, you know, and you feel that once we have that established, we would sell with that for funding? I don't know anything about funding.

Tom (49:33.942)
Well, or maybe, I think as long as you had a demonstrated track record to some extent of pushing that message that Medicaid sees value in, and if they see value in it, there's other people in the food chain that see value in it. There might even be local versions of those people in the food chain. For example, physical therapy is one of them. I think that might be one. I don't know how they fit in to the payables, but like,

Tara (49:43.091)
Mm -hmm.

Tara (49:54.451)
with me.

Tom (50:02.55)
That might be the kind of thing where it's a great lead gen for them in a lot of ways. Because if they're being introduced to a family, not just a patient, they're being introduced to a family, well, gee, I don't know. Does their brochure, in a tasteful way, reflect the fact that everybody in the family can take advantage of their services? There's opportunities in here if you guys are presented as the resource. And what I'm saying is,

Tara (50:10.739)
Mm -hmm. Mm -hmm.

Tara (50:21.555)
Breath.

Tom (50:30.87)
I think the funding opportunities arise either someone in your group might know exactly who to call who would support this message in terms of an association or a foundation in New Jersey who'd be like, yes, that's what we're trying to get people to know. You guys are going to do YouTube videos. Hell yeah, we'll pay for that. And I don't know that it wouldn't be a great tool if you had a series of videos or call it a limited run podcast or something like that. That was all that education.

maybe you actually design it as a thing that should be shared by doctors in primary care. So maybe the whole gist behind it is that we're not talking just to the family members. We've crafted this so that it's very easy for a primary care to forward it and say, hey, I sign off on this. You should be thinking about this. But do their homework for them, because a primary care can probably then

Tara (51:23.283)
Right.

Tara (51:28.147)
Thank you.

Tom (51:30.742)
put that out in their email newsletter and say, hey, do you have a parent who's over 65? Here's a checklist, that type of thing. But.

Tara (51:39.987)
Click this link to get additional information and then it could be links to different videos. Have you ever heard of Tipa Snow? Tipa Snow is a dementia care guru. She, I believe, started as an occupational therapist and now she has a whole series on YouTube of silly little things to help caregivers of people with dementia kind of navigate the challenges of that caregiving role. And she's...

Tom (52:09.558)
Boy, I bet that's valuable to people.

Tara (52:10.579)
Holy cow, man, did she not explode. I think just starting with what you and I are doing. Like one of her examples, and again, it's not rocket science, but people who are caregiving are so deep in the forest they can't see the trees. But like one of her ideas was if you couldn't get the person to eat, next time you go to McDonald's or Burger King or wherever, save the little container.

and then put the food in the container and now it's fun. They're flashing back to their childhood and it might be a peanut butter and jelly in there, but there's something about, oh, that cardboard box and you open it and it's just another one. A gentleman could no longer feed himself and the wife was feeling very overwhelmed because while he was feeding himself, she was able to unload the dishwasher and clean the, you know, and do a few things, but now she's spoon feeding him and she's burdened by that.

they put a mirror in front of him and he was able to, oh, I see where I'm missing. Okay, got it. But he couldn't do that. He needed that. So it's so interesting because so many of the solutions are just not rocket science. But again, and I recently lost my dad and you're trying so hard to do everything right.

Tom (53:08.534)
able to.

Tom (53:14.838)
So it's so interesting because so many of the solutions are just not rocket science. But again, and I recently lost my...

Tara (53:30.371)
and you think that you're doing the best that you can and then hospice comes in with these simple solutions that you're like, oh, wow, that's brilliant. You know, like for example, helping my dad to move. They said fold the sheet up and put it under him and rather than grabbing them under the shoulders and moving them here or there, everybody takes four corners. You lift, you move and so much more comfortable for them. We're not retching our back. It's so wonderful to have those tidbits. So I feel like,

Tom (53:31.51)
And you think that you're doing the best that you can and then hospice comes in with these simple solutions that you're like, wow, that's brilliant. Like for example, helping my dad to move. He said, hold the sheet up and put it in.

Tom (53:52.374)
We're not reaching our back. It's so...

I think it's how long it's a conversation. I mean the the five most popular podcasts in the world all over average over an hour

Tara (54:00.867)
Like I could really put some thought into this and come up with several different topics that we've brushed on this morning that could be full of like how long is a podcast or how long is a...

Tom (54:24.15)
and the podcasts that are my favorite all average over two hours. I listen to two and a half, three hour interviews regularly because if you think about it, I'm listening to people who are experts in a niche. Like you can't work through real information in, you know, a 30 minute TV show, which is really 22 minutes or an hour TV show, which is really only 40 minutes. It's like, and interrupted.

Tara (54:38.594)
Mm -hmm.

Tom (54:54.582)
I say the conversation is over when the conversation is over and some podcasts are 28 minutes and some podcasts are two hours and 28 minutes and it's funny how many.

Tara (54:57.729)
Thank you.

Thank you.

So that's what I think I'm trying to figure out. Like, would I come up with five 30 -minute snippets? Hey, let's start with the history of hospice. We talked about that? Okay.

Tom (55:11.414)
No, don't I think it's a mistake to plan anything like whoever said I'm gonna have a 30 -minute anything That was like you got to be a genius to say I'm gonna make something 30 minutes long and that's how the like Just make the thing and maybe it's 30 minutes long But I don't

Tara (55:32.448)
It's like a good jam. You don't put, right? Like you don't put parameters on the music. You let them play.

Tom (55:38.87)
Yeah, you don't work for Fox or ABC. Do whatever the heck you need to do to do the thing. It's the thing that matters. And if the thing is a certain message, I wouldn't think you get two episodes in a row that are the same length unless you're talking about the same exact thing in the same exact way. It's like...

Tara (55:42.529)
Okay.

Tara (55:56.128)
Right.

Tom (55:59.19)
Why would you set some weird line to say, you know what, I'm just going to stop giving these people information after 30 minutes. That's the weirdest freaking, you know, that's just like, that's the value of doing what we're doing is when you get to do exactly what you want. But what I recommend people never do is much planning or prep. I recommend if you do a podcast, you always do it with somebody because talking about what you do.

is always less impactful than talking to someone about what you do. And you don't need to plan. Like for example, if you were talking to an elder care attorney for an hour and a half, well, what do you think we'd have at the end of that hour and a half? We'd have exactly what people don't know. Might not be everything, might not be perfect. We have a bunch of stuff you cared about discussing. And so people who are talking about what they wanna talk about, talk about it with passion and it's much more interesting to listen to.

Tara (56:29.279)
Oh, absolutely.

Tara (56:41.951)
Mm -hmm.

Tara (56:51.263)
Yeah.

Tom (56:54.966)
And if you miss something, that's just an excuse to invite the elder care attorney back next quarter for another conversation. Because guess what? You're never going to cover it all. But it's like, what's the easiest way? You record an hour and a half with an elder care attorney, you've got social posts for a hundred days. And you've got, you know, not only that, but it's like a sales and marketing tool.

Tara (57:14.59)
So.

Tom (57:22.678)
Maybe there's organizations that you feel like should be in your world or that there's other nonprofits that they'd be great chocolate to your peanut butter. Invite the CEO of that nonprofit on, if only to get an hour and a half of their time. Because if you call them up on a Tuesday and say, hey, I think your nonprofit would help my nonprofit, or I think your foundation would help Red Oak, they're going to be like, well, I don't have time for that.

Tara (57:36.541)
Mm -hmm.

Tom (57:52.214)
If you call them up and say, you guys are so cool, I want to have you on my podcast, clear at least an hour and a half. All of a sudden, it's the softest selling tool ever to develop relationships.

Tara (58:04.111)
So I love all of this, but it's very new to me. So I would definitely... So are you suggesting that Red Oaks start a chain of podcasts to which I invite said elder care attorney and said geriatric care manager and blah, blah, blah, blah. I invite all of those different pieces of the puzzle and have discussions with them. And if that is...

Tom (58:30.902)
That's it. Yeah, I would I would pitch it because you well you're saying just to put in your marketing chair exclusively having nothing to do with the beacon or anything, but just like You know coffee shop talk here. I find out you're in marketing that's gonna be my pitch to you nine out of ten times and especially if those people if they have access to the audience you Need to talk to or the families that will be your clients and the next

decade, then they're perfect partners to start that sort of dissemination. Like maybe you partner with, maybe it's not the people who are in your circle, like the elder care attorney, maybe you just bring on primary care physicians and that's your podcast. But that would be a tool. And maybe you design a conversation with a primary care physician and say, Hey,

You come in, talk to us, and it'll be something you can share with your patients. The whole point of your podcast then is to serve the audience of the doctors you invite in. So every week, every month, whatever, you're really doing a podcast to send out to the newsletter or the email list of a primary care physician's office. And that's the beginnings of this initiative where you're doing the education you talked about. But it's also...

fantastic marketing that kills a ton of birds with one stone from a workflow perspective. You would have clips till the cows come home that are all titled with subject niche keywords that are really powerful for you. You'd be developing relationships with these doctors. So this is a straight up marketing sales and marketing referral networking slash customer education thing is if you're doing it like.

Yeah, I think if I was just pitching you marketing services, because I met you at a conference, yeah, I'd say a hospice. Here's what I'd do. I'd start a podcast. I'd invite a bunch of knowing what I know now. Those would be the various pitches. But I also think you can also just sort of dip your toe in. Anytime you have something to announce, just shoot me an email and say, hey, let's record some stuff for the beacon. I'll say yes, and you'll get a couple clips.

Tara (01:00:43.417)
Thank you.

Tom (01:00:50.998)
But if you really had an interest in sort of planning a flag as the, and changing your Google forever, like in terms of when people are searching the subject, you know, maybe, heck, maybe you get a call when the New Jersey State Senate is having hearings about stuff because one of their, you know, clerks,

said we got to find experts on this. If you've recorded 18 podcasts on this topic and it's New Jersey centric, you're the one they're going to find because I don't know how many other people, but that's it. And I know this is all foreign. It's like usually people are saying, oh, let's do marketing and get somebody to sign up. I'm like, no, let's do marketing to get the government to write you checks to keep doing marketing or let's do marketing to establish relationships with foundations or with doctors or whatever. But yeah, you can get it. It's, it's,

Tara (01:01:27.864)
Yeah, that would be amazing.

Tara (01:01:41.56)
No, I love that. I...

Tom (01:01:50.038)
It's wild. They're all different models than I thought they would be four years ago when I started helping people start podcasts. The models that have evolved are very non -traditional and are the most effective ones. Cause you don't, you could have a podcast with an audience of 75 doctors that could change your business. If you have a podcast with the audience of a hundred thousand of the general public, that's almost meaningless, but it's like,

Tara (01:02:17.783)
Yeah, you're right.

Tom (01:02:19.446)
75 doctors in New Jersey in South Jersey all of a sudden that would become something you could get sponsorship for Easier than if you had 75 ,000 Joe Schmoe's like I could go to somebody who sells something they sell freaking office management software or something say I've got 75 doctors in South Jersey and We talked to them every every week or every two weeks that is worth

a lot of money to somebody which is counterintuitive. I'm literally talking about 75 doctors in South Jersey.

Tara (01:02:52.918)
But how do I get the doctors to participate in?

Tom (01:03:01.046)
I'll tell you what, if you throw a rock you're gonna hit a doctor who thinks they're smart and should have a mic in front of them.

Tara (01:03:07.83)
Okay, that's a good point.

Tom (01:03:10.102)
It's not a hard sell to call somebody up and say, you're so smart. I want to talk to you and we should share it with your patients. We should share it with your audience. We think you're an important part of this message. We're sure you understand it. And we'd like to, it's uncomfortable for you to go through a lifetime of, I'm going to keep your family alive. And then you're the person who draws the line and is saying, let us be.

Tara (01:03:25.973)
Mm.

Tom (01:03:39.798)
Like a function of that for you. Like, and I think that's the relationship you could put. And again, I don't know anything. There were only one called deep. So any take any suggestion I'm making with a grain of salt, but they're, they're as human as anybody. So if you're calling them up saying, Hey, we have a little program. We want to be the people who you dump that on. Like when it's, it's the draw the line in the sand comfort versus just feeling like you're doing stuff as a family member.

Tara (01:03:54.996)
Yeah.

Tara (01:04:01.364)
Yeah.

Tom (01:04:08.982)
keep mom alive, which ain't helping mom at all. And at that rate, I think if you made 20 calls to doctor's offices, I'd be shocked if you didn't get a dozen yeses. And to be honest with you, I think you'd probably get 18.

Tara (01:04:23.924)
Yeah.

Tara (01:04:27.732)
Alright, and I'm already thinking about doctors right now. So how does it work then? Like, are people members of The Beacon? Is it all online or is it all associated to the newspaper? Talk to me more about The Beacon and how people access it and how you promote what you're doing.

Tom (01:04:50.614)
Oh, the beacon is all online. And it takes, like the beacon could mean a spin -off. Like you could do your own thing through the beacon. It doesn't have to be on the beacon. The beacon is really a nonprofit media company. It just so happens for people who want to leverage an existing platform. You know, the beacon is on YouTube, Spotify, iTunes.

But mostly the traffic is all driven to the website, the bridgedandbeacon .com and it's articles, it's podcasts, it's interviews. And it started mostly as just interviews with the old timers in town. Sort of, you know, they're talking about the good old days. And it sort of grew from that to like, you know,

businesses. We had a bunch of nurseries come through two years ago. We had a bunch of wineries come through a couple years ago and then it got converted into a non -profit. And as a non -profit, it's very young. So this whole concept of sort of just offering it up is a soapbox and megaphone to people. This is like our first round of that. And yeah, I mean, we're doing a so doing big projects and we do some little projects and

It'll be something where people can opt in and do their own, like say, hey, you should do a little feature about these guys, I'll pay for it, here's a donation. Or it's springtime and I run a farm and garden center, so I want a springtime farm and garden center package, here's my donation, we'll run out there with a damn camera and do a springtime farm and garden package. That's what the model looks like, but it is brand new. I think she only turned it into a nonprofit, like,

Tara (01:06:35.184)
Okay.

Tom (01:06:42.774)
nine months ago. I think she's got maybe three state grants already. But yeah, it's, oh, it's, and it's a labor, you know, I've contributed my time on going, I'm not on the board of the Beacon or anything, I'm just a vendor. But I think for somebody like Red Oak, I think the Beacon's a potential partner just because it's so local. I mean, it just really, really, really a good fit.

Tara (01:06:43.729)
Okay.

Tara (01:06:47.28)
Awesome.

Tara (01:07:11.312)
And that's really what we want. We want to be like your hometown hospice. We want to get people to understand that there are other programs out there for them beyond these giant monster corporations because people might want something a little different or a little more personalized or may have had a bad experience with one of those larger. So.

Tom (01:07:12.246)
But I also...

Tara (01:07:37.104)
But if you're going to your main hospitals in that area because of that partnership, that's who they get. But if they say, hey, we'd really like to go home with Red Oak, they'll of course set them up to see Red Oak. But if they're just in crisis, it's here, you're going home with these guys. So if I can get the message, and you said you had some of the old timer, if I can get the message to the community more.

And I don't know that chamber of commerce is necessarily the way to go for us, although I have looked into that too. I just want the community to know you don't have to use whoever they hand you. You have your own voice. You could drive your own healthcare journey. I think the older folks come from that generation of, well, my doctor is God and what he says goes. Why? Why aren't you challenging that? Why aren't you asking why? Right?

Tom (01:08:28.182)
Yeah.

Tara (01:08:33.519)
So yeah, if I could get that Red Oak name more in the community, because again, we're not looking to be in eight, 10 states. We're looking to really take good care of a few counties.

Tom (01:08:46.454)
Well, I think there's gonna be some really good clips out of this in terms of you just selling red oak. So what I'll do, I'll give you the option. I can either use the video or you can send me your favorite glamour shot since I didn't warn you properly about the video recording. But I'll do it either way, because some of this is so good, I should put out clips. And if you, I'll either put your...

Tara (01:08:59.47)
You did not!

Tom (01:09:09.174)
put a glamour shot on the screen with a background like they do on the news like you're reporting in if you want to give me your favorite so you can do that but I want to use video so I'm going to warn you in advance some of this is so good I should I should definitely put your words out well just just know in advance I don't have a conversation without recording it because people say smart things all the time and I've become addicted to capturing that and sharing it when I can.

Tara (01:09:12.846)
Oh, okay.

Tara (01:09:16.654)
That's fine.

Next time though, you should let me know.

Tara (01:09:33.518)
I love it. So I'm so excited about this. I'm really excited about this. Talk to me about what we're looking at in terms of cost for different models, different potentials, just because I do need to share it with the powers that be.

Tom (01:09:53.302)
I wouldn't even, I don't know, I'd say let's keep talking even first and see, because maybe what I do with the footage and audio from this might inform our conversation next time. Like, I mean, it's such a foreign concept and it's the hardest. I've never gotten off a first call with somebody where we ended up explaining all this stuff.

Tara (01:10:06.51)
Okay.

Tom (01:10:19.542)
that's available in terms of AI and efficiencies and how media can be leveraged as like sales or marketing or network marketing, or can get funded and underwritten just because you can use the words podcast or YouTube intelligently in a meeting with a foundation or a nonprofit. Like that's all it takes to get a check written because they're dying for good media. And so many of them haven't figured it out, but.

Tara (01:10:42.414)
It's so good to know because it's definitely an unexplored and and

Tom (01:10:49.046)
Yeah, it's weird. And my guess would be, with all the crazy ideas, we'll probably just have more crazy ideas. This is a conversation worth letting it shake out, as opposed to assuming that any of the assumptions I made here today are accurate. The last thing I want to do is put a price and sell you something. No way. Because I had you.

Tara (01:11:03.854)
Mm -hmm.

Tom (01:11:18.038)
The more we talk about it, somebody's going to walk into your world or into your office or bump into you at a conference. And they're going to be the one who's like dying to write a check for this. Like if you start talking to people in your circle about, we might do a podcast, you might be surprised if somebody's ears perk up and say, I have a corporate directive just to get involved in podcasts. I have no idea what to do. What are you doing? Who are you talking to? Like if just bringing up podcasting in a room,

Tara (01:11:46.574)
Thank you.

Tom (01:11:47.062)
with enough people in it, it'll be worth it. Like just sort of, if we talk about this for another 60 days, I bet 60 days we got a really smart idea.

Tara (01:11:57.742)
I'm so excited about this. I really am. And again, it's not anything, it's not my comfort zone. It's not, I really rarely listen to podcasts just because I'm so into music that if I'm driving it's music. But my husband listens to them all the time. My kids listen to them all the time. And I need to get more into it because this is definitely the direction that we're going. And you...

You said we just hit so many more people and there's so many more opportunities this way. And I'm like beating the street, right? But this is a more direct yet more expansive way to do that rather than driving all over three counties, you know? I'm not saying I would stop doing that, but did you lose me?

Tom (01:12:42.71)
Uh oh.

Tom (01:12:47.99)
I lost you for 15 seconds.

Tara (01:12:49.934)
Okay, anyway, I'm just super excited about it, but really gonna lean on you for direction and I'm looking forward to learning more and definitely seeing where this can go.

Tom (01:13:03.478)
Yeah, and I'm because I'm dealing with other people in the space. I think there'll be opportunities that arise that I haven't conceived either. Like I'm just dealing with other people who are having this conversation. And I think that might lend itself to something fruitful for everybody involved. Because, yeah, like I said, I'm total layman, but I keep seeing this messaging come up and this void of information and these people who are all surprised. So it seems to me like.

Tara (01:13:19.47)
Yeah.

Tara (01:13:31.406)
Mm -hmm.

Tom (01:13:32.342)
Somebody somewhere is going to serve that. But yeah, we'll keep chatting. I'll send you a link and I'll shoot you an email after this and I'll put together some artwork and get some clips out for this. But I think that might also give you some ideas. But I'm at your service. Holler anytime.

Tara (01:13:46.35)
Yeah. Okay. Well, let's do you want to schedule another call?

Tom (01:13:52.47)
No, I want to see what comes of this, shoot it to you, and then I'll get the energy up to try and sound smart again. But I really just want to give this to you, give you time to maybe share it with people. Like, I'll give you a whole probably media kit from this call. Yeah, so let me focus on delivering something really good before I even worry about talking about anything else.

Tara (01:13:56.142)
Okay.

Tara (01:14:12.334)
well.

Tara (01:14:20.494)
That sounds like a great plan.