ADRC webinar – Partnering to empower consumer independence with assistive technology

good afternoon this is Dawn Rustrum with the state unit on Aging before we get started I’d like to do a quick sound check to make sure that everyone can hear me if you can hear if you could just comment in the chat box or in the question box to let me know okay it looks like the audio is working fantastic thanks so much for responding to that for me so welcome to the state unit on Aging monthly webinar series the topic this month is partnering to empower consumer independence by connecting consumers with assistive technology and this webinar is being recorded and can be viewed afterwards please feel free to submit questions throughout the presentation all participants are on mute for the presentation but using the functionality the questions functionality through the GoToWebinar and feel free to to submit questions at any point throughout the presentation and we’ll be pausing at different points to respond to the questions with us today available on the line to help build some of these questions we have Janet Castle Darwin Frankenhoff Christine Maciel and Sandy Abrams with that I’d like to go ahead and introduce Laurie Brooks with Access Technologies Inc who will be hosting this webinar today Thank You Dawn yes this is Laurie Brooks I am the president of access technologies and I think well I created today’s training so I just think it’s really exciting it is about partnering in order to increase independence of Oregonians with disabilities and I believe that’s a goal that is near and dear to all of us Dawn just explained to you about the wealth of information on our panel today so yeah send the questions in and I will try to do a good job of remembering to ask if there are questions so how did we get to this point in 2016 the administration for community living released in no wrong door long-term support and services grant opportunity for ADRC’s to increase their collaboration with the state programs in many if not all of the states at least from the AT program perspective we were doing some form of collaboration whether it was formal or non formal with our ADRCs but this grant helped to solidify the partnership and that particular grant is designed to improve the provision and utilization of assistive technology for individuals with disabilities across their lifespan as well as for their family members and that’s really important because we know that we need to be able to support not only the individuals but the family members are asking the questions because of the services that we provide I can’t imagine to be surprising to know that life expectancy is almost 80 years in America now and most of us as we age we’re going to require some type of assistance whether that’s with our everyday personal care activities eating bathing dressing or with our independent living activities preparing meals doing our housework doing our laundry etc we also know that from experience that if we provide the right assistive technology devices and services as well as the correct specialized medical equipment more of our seniors individuals with intellectual or developmental disabilities physical disabilities mental illness etc will be able to live in their own home or community rather than in institutions or isolated settings you might also know that unlike five years ago many of today’s seniors did not shy away from technology many have smartphones they embrace wearable technology like the Fitbit and smartwatches many use smart technology in their homes as well as in the cars in their clothing that includes shoe laces and smart souls that have GPS tracking systems in them and many of our seniors have sensors placed in their homes that allow family members to check in on them to make certain that they take their medication on time they haven’t left the stove on they don’t have a sink overflowing I expect you have heard about cars that break

automatically when they sense that you’re too close to an object that’s in front of you or that assist with parallel parking but I recently heard a lady say that she had a new car that prevents her from changing lanes and unless she has the turn signal activated so when I step back and I think about that I’m not sure if that’s a smart safety technology or a hazard there’s a lot of situations when you make that really quick turn and if you don’t have her signal on your car’s not going to go I’m not sure anyway it’s no surprise to me that the market for senior technology is rising and that can be both costly and dangerous to our seniors because whether it’s the individual themselves or a well intended family member that learns about a new gadget that’s assured to increase someone’s independence if it’s not the right fit for the individual specific needs and their environment then it’s a waste of money and you can’t ultimately cause harm to the individual as part of the AT program our staff eat sleep and breathe technology so we hear stories of people buying the wrong accommodations regularly for example in the right situation a grab bar with suction cups might be a good accommodation after all most now include a color indicator to let the endividual of it we’ll know if the grab bar is attached correctly however further research of the product will show that those devices are intended for stability only they are not intended to support the full body weight so if your loved one is using that type of a grab bar and there were just a little unsteady in the shower it might be fine but if they accidentally slipped and or lost their balance and implied too much weight on the bar they may wind up with a broken hip or worse and the same hazards apply to traditional grab bars when they’re not installed correctly on this slide you would see the images of grab bars as well as assistive listening devices so when you’re thinking about the traditional assistive listening devices there are some devices that are not designed for individuals who wear a pacemaker so those are just some of the other questions that are important when you’re selecting devices for your loved ones as the assistive technology program our activities are mandated by Congress and those activities are designed to increase access and acquisition to assistive devices and services we’re going to talking briefly about what those look like and then we’ll take a deeper dive into that a little bit later so as the AT program we are all about interagency coordination and collaboration public awareness activities and we provide training technical assistance to professionals a lot we do individuals when it’s in a group environment but the training technical assistance is not designed to be like training an individual on how to use a specific device the AT programs also support a range of state financing activities it’s important to help consumers be able to acquire the devices that are right for them and then we manage a device loan library and also provide device demonstrations I think we lost a slide in here so we’re just gonna kind of back it up a minute so with this partnership it was again decided or designed to allow the programs and the ADRCs to really work closer together and when I first met with the ADRCs to talk about what that partnership might look like we talked about the collaboration activities that we could do together we talked about having ATI reviewing the

ADRC database and providing recommendations for any services that might be missing talked about how to work with you all to increase your knowledge and awareness about assistive technology so that if you are referring people and/or just talking to individuals about assistive technology you’d be more comfortable with that making sure that you know you had the right information to provide to to individuals we talked about how to work with specific outreach activities is there a way that when we’re out doing conference exhibit tables can we you know be sharing ADRC information at the same time and could you guys be sharing information about our programs at the same time we also talked about the possibility of developing assistive technology demonstration kits that would be available in some of the ADRCs centers that the staff would use for outreach and education not for device loan we talked about the way to support those kits would be to provide specific training and technical assistance to stop what those kits as well as information on how to maintain those kids and we talked about ways to develop and strengthen our cross referrals between the agencies and the importance to have ATI participate on the ADRCs Advisory Council I think that’s really exciting that out of the whole list of measurable objectives that we looked at the only activities that were not included in the proposal were those focused around the AT demonstration kits so that’s how we got to where we are to date so now we’re going to just take a step and look at who access technologies Inc is and then talk about the services we provide and how we can work closer together so before we go into that part are there questions yet that we should be looking at no questions that have come in yet just a point of clarification of not sure if it’ll be mentioned later on but rather than doing the traditional demonstration kits we are doing sort of a different version of that we’re creating assistive technology toolkit that could be offered to staff to take in the field to show to consumers that would have pictures images of different assistive technology devices and would have some limited information available about those devices and hopefully also a video demonstration for each of the devices as well going forward they just wanted to make sure that you all were aware of that as well great yes thank you okay so access technologies Inc is a 501-c3 non-profit and we conduct a number of fee-for-service activities under our nonprofit umbrella but we’re also very pleased to manage two federal grants our vision and mission statements guide the services that we provide I’m sorry I have a pop-up that came up oh I think I’m too close to my microphone sorry and so so all of our services have to follow our vision and our mission so our vision statement is noted on the slide that we are a society where all people are valued and respected and where all people have the knowledge opportunity and power to improve their lives and the lives of others and our service has also helped to follow our mission which is to ensure that persons with disabilities in Oregon are able to secure and effectively use assistive technologies so I think you hear that you know throughout everything that we do that that really is what drives us under our non-profit umbrella we provide a range of assessments we’re not they’re not just conducted in your typical home office and education settings our assessments are performed in orchards and wineries and machine shops they’re conducted with law enforcement officers as well as individuals who work is outdoor advertiser’s these include a ADA and workplace as well as economic risk assessments assessments to help individuals and their team identify the correct assistive technology devices to allow them to be independent at home at work at school during their play as well as in their community and assessments

that allow individuals to access and use their computer and smart technologies we also know that having the right technology or workplace accommodation is only the start of gaining one’s independence and the real barrier can be learning to use the devices to its fullest potential so we provide individualized training on all types of assistive technology softwares and apps computers tablets as well as economic and workplace accommodation ATI believes that every American should have the ability to use our nation’s communication services and we believe that the ability to communicate enables people to be independent productive safe and secure so we were excited when we received the opportunity to manage the I can connect Oregon national deaf-blind equipment distribution program grant as you can tell from that slide this program allows us to work with individuals who have combined hearing and vision loss and it provides assessments to help the individual identify the right technologies that will help them with their telecommunication needs so anything that is not face to face it could be email it can be surfing the internet it could be doing Skype using a cell phone the program buys the equipment for them and then it provides training so that they are able to independently use of that technology so we work with individuals throughout the state of Oregon and we work with individuals of all ages we have provided services to individuals as young as seven and as old as 93 and in all parts of the state when we were first putting the program together our stakeholders thought that oh prime airily the individuals would be you know residing up and down the i-5 corridor and our very first people were at the very far corners of the Oregon coast one way at the very southern tip and one very north so it was it was really not what was expected but very surprising and this program allows us to meet a lot of really really wonderful people so we also manage the Oregon assistive technology program and this is where we’re going to spend most of our time today talking so under the AT program we conduct device demonstrations and it’s important to understand what a true demonstration is there’s a difference between scheduling a demonstration with our specialists and having guided hands-on demonstration then going to say your local you know best buy and looking on your own at devices so we think it’s important for people to be able to compare features and functions of devices and talk to people that that might have good knowledge about that and we believe that it’s important whether you’re looking for a bath bench for you is following a surgery or if you’re looking for our alternative communication devices it’s just helping to make sure that that the individual has the right equipment to match not only their needs but what their environment so last year we provided personalized device demonstrations to over 4,200 Oregonians the program is also designed to provide device loans we have over two thousand devices in our lending library some of the devices are only available for demonstration and then some are available just for use maybe in our Salem office because they’re too big to transport around so people come in here to to see a demonstration we’re going to look at our website a little bit so that you can get an idea of the the loan library but one of the questions that we are asked is how is equipment selected for the library that equipment is brought in based on requests from our consumers and professionals that we work with sometimes the equipment is purchased through grants and other programs in which case the technologies have to follow that grantors request so if we were working with say an employment agency and received some

funds for equipment that would be good for employment purposes then we need to earmark that technology to be loaned out to individuals that meet that qualification some equipment like I was saying is only for demonstration purposes and that can also be because we need to follow FDA guidelines so technologies that could be used with food or placed in the mouth like eating utensils are for demonstration purposes only we know that it’s possible for individuals who want to compare different types of eating utensils to practice scooping with them without actually putting the utensil in their mouth and so it’s very feasible I want to make sure I don’t jump over or to our website too – too fast I was asked to make sure also that we share consumer stories throughout part of the presentation today so we’re going to talk about one of our individuals that came in for a demonstration they’ll give you an idea of how that process works we always change the name so don’t even try to figure out who the consumer is but the device demonstrations are really designed to empower individuals we want people to make sure that they can make informed decisions and not waste money we hear stories of people who have bought the wrong devices and it might be you know a senior and they’re kind of embarrassed for having found this thing online someplace or through ATV and they bought it and it doesn’t work so it is hide it away in their closet and then there are adult children find these things and like well what in the world were they doing well they were just trying to be a little more independent so if they can just learn about the technology through free demonstrations and it helps them to prevent making wrong purchases that’s what we’re about so last year we had a mom contact us and we’ll call her Pam and she lives in a rural part of Oregon and she has scheduled a demonstration to learn about assistive technology devices that could help her son overcome literacy barriers Pam had explained that her son has struggled with reading since he was in the second grade and he was now in the middle school but he really worried about standing out we know there’s lots of different technologies that could help individuals with literacy difficulties but some are just more apparent than others so Pam and her son explored assistive technologies different devices different apps different software programs that that are specifically designed to accommodate individuals with different learning styles and they did it in our Salem office with one of the specialists and by the end of the demonstration the son himself had identified several different types of technologies that he thought he would be comfortable using in a school setting around his friends and the mom really had a much deeper understanding of the technologies and she was then going to take that information back into her son’s IEP meeting she just gained the confidence that she could do that and then she followed up with us and she was just really excited her you know his IEP meeting went so much smoother because she just knew the technologies that were out there and she didn’t have to just rely on what the school was telling her was going to be right for him and then you know he wasn’t feeling so out of place at the school when he got his new stuff he was able to help select the technologies that were right for him so whether it’s you know kids in middle school or our seniors it’s just super important that they that they get the equipment that’s really really going to work for them so I think I told you we have over two thousand devices in our library and again though the devices selected in the library are are done much the same way as the equipment that’s put in for demonstration purposes let’s go see if we can click into our library ok so when you pop into our homepage this is what our websites going to look like for you and you’re going to come up here on the top and

you’re going to click into a device loan and I have this lovely screen over here so I can’t see everything I don’t know if I can kind of minimize that or just move it I’ll just put it in here ok so when you pop into the device loan library it’s going to give you just a page of unsorted devices and you can see over here that you can filter devices by age category so if you’re just looking for seniors you would click here and if I have tagged everything correctly you will have equipment under seniors most people will sort by device type so let’s say we were looking for hearing technology we’ll click here and we come over here by this other sort feature and I like to sort by the item name and so you’ll see we’ve got alarm clocks that come up first because we have a lot of equipment and I’m still adding devices to the webpage for you to find it that’s in the library we’re trying to put you know a little heading in front of everything so that when it sorts they all stay together so if you’re looking at different types of alarm clocks all the alarm clocks are going to come up together right ok so for everything that we have a photo of you would see a picture of it you can click either on the name or the picture and you’ll go in this is the identifying number for the product in our library and then we should have a model information if it was available your rental terms for most of the equipment it’s just a straight nine dollar maintenance fee for 30 days we do contract individuals fill out a contract indicating that they’ll be responsible for the equipment and we do ask them to leave a credit card on file that way if they decide that they want to extend the time of using the equipment they can just give us a phone call after the initial 30 days then it’s $20 a month for whatever they’re wanting to actually rent after that we provide information on where you might be able to purchase that device or who the manufacturer is depending on what information that we can find available for it and then information about the equipment itself so Laurie this is Dawn we do have a question okay the question the question is can demonstrations be scheduled at a client’s home instead of in the office especially for clients in rural settings with limited access to transportation I could see this being particularly helpful because they are the most inclined to order equipment since there aren’t DME supply stores and rural communities right so thank you yes I probably skipped over that part we do demonstrations both in our office here in Salem and on the road our specialist and a lot of time driving throughout the state and what we try to do because demonstrations are at no cost we try to group them when we’re doing another service in that area or when we can partner up with an agency like yourselves and do what we consider a device demonstration day we call them a AT demo days and then the agency just invites a range of consumers in they’ll put out a press release we’ve done that in in Ontario we worked with the Independent Living Center in Ontario and we had a hearing and ergonomics I think is what they wanted at that time and so they just sent out a press release and had people come in for that day and so yes they do demonstrations in their homes we do demonstrations at their worksite we do it at the schools wherever it makes sense for the individual yes we do demonstrations out in the field unless it’s the heavy stuff you know the stuff that doesn’t transport well and I’m trying to think of something you know sometimes people want to look at the height adjustable workstations we’ll just pick on something that’s not traditional you know that’s in here because you know to to haul it around okay so give you an idea enough on our loan library there okay so if a client without a credit card would like to use

the living libraries you accept third party credit cards for holding the rentals such as credit card from an agency or nonprofit no individuals traditionally will use their credit card or a family member would use their credit card to to secure the equipment occasionally an agency will rent equipment but it’s primarily the individuals that are renting the equipment let me give you a scenario so we do a lot of work with vocational rehabilitation on our fee for service activity and if we’ve done an assessment and we’ve identified technology that could work for them but the individual wants to borrow the equipment for an extended period of time while they’re waiting for the equipment to be purchased for them VR might agree to rent that equipment for them however who is going to sign the contract who is ultimately going to be responsible for that equipment if something should happen to it maybe it’s a laptop computer the individual needs to complete the contract and so we work really close with VR they might secure it with an authorization but if the consumer harms the equipment the consumer has signed the contract that ultimately they’re responsible for it but I would say 90% of the equipment that we loan out is directly to consumers so we know that you know education is important we know that work is important but we also know that playtime is important so we have equipment in our lending library for recreation and I’m trying to find something I wanted to show you okay so you thought up here we have toys for young children because it’s important to use toys to help children learn cause and effect to learn how to play together we have this race car set we put different types of switches on the pinguin roller coaster take it to exhibits and let kits race they’re penguins around on the little roller coaster using a switch and we work with individuals with hunting and fishing and all types of recreation so you will see down in here that we have high quad pistol mount system for someone to use it sits upon an individual’s wheelchair this particular picture is of a high quad individual using it and so you would see right here that the it’s the trigger activation is done by a switch that’s in his mouth and although this picture is not really easy to see it is a compound bow mount system there’s a platform right here if it’s underneath the seat of the wheelchair cushion and the way it is set up it’s designed for somebody that has upper body strength and this particular compound bow mount system was checked out to an archery 4-h club the 4-h leader had found this system on our website and he made all the arrangements with us he is in a very rural part of the state and he met up with the specialist as they were traveling around that area and they did the contract signing and everything along side the freeway basically is what they did in order to take the mount system into the 4-h club the leader had to secure additional insurance and he had to have permission from the Extension Service a lot of Hoops to jump through but he did all of that and then he borrowed it from so that his 4-h youth could participate in practice with archery with his you know fellow 4-h’ers and they found out that it was working so well for him that he was able to compete with it and then his family had purchased him a mount system for himself to continue to use so you know those are they’re just exciting stories that we know about the individuals who have the chance to borrow the technology to see if it’s going to work you know the mount system when we bought it it was about four hundred and seventy-five dollars and that’s a lot of money for someone to put out because maybe it’s gonna work for the kids and maybe it’s not it’s the same thing for our adults you know we

just have to be sure it’s going to work sometimes when an individual is going to access the lending library they need to have a little bit of training on the equipment so they will need to meet with a specialist or have it shipped to them and then do training remotely with that device to make sure that they’re going to be able to use it appropriately so if the equipment is going to be shipped somewhere then the individual is also responsible for the shipping and any insurance that they need to put on that device a lot of times individuals will again just meet up with us when we’re in their area and borrow the equipment how does remote training work so we do remote training in a number of ways if we’re doing it because a person is trying to learn the device that they’re borrowing from our lending library then we need to have two devices they need to have one in their you know physically with them and then we have one here and we can do it over the phone or if it’s you know using a video system and doing a computer training that way with them we can do it that way too so it just depends on what works best for the individual what they’re comfortable with you know if we need to Skype them we we use Skype if we are doing something or they really need to see what we’re running our computer will use TeamViewer with them or you know whatever works better for that individual does that work for your question no follow up to it okay let’s see if it’ll move on now here we go okay Congress also requires the AT programs to manage state financing activities and what is really fascinating what the AT program is every AT program can design the activities in a manner that makes sense in their state okay so for Oregon our finance activities include an assistive technology purchasing plan so we partnered with Northwest Access Fund and they provide low-interest loans to Oregonians with disabilities to allow them to be able to purchase modified vehicles the vehicle modification home remodel assistive technologies depending on the funding stream that Northwest access fund has that dictates the type of AT funding that they can do so just like our loan library and demonstration library has to be dictated by where our funding comes from there’s there’s does to so this is the early part of our partnership were just starting the third year and so Northwest access fund has been really busy doing outreach to Oregon they initially were set up in just the state of Washington and so last year they made 12 loans to Oregonians there were some vehicle mods a number of hearing aids those are their primary primary loans just last month the director and two of the outreach folks from Northwest access funds spent a number of days in Oregon so they came down here to tour our Center and see what the difference was between the Oregon AT program being ran under a non-profit compared to the Washington AT program that’s ran through a university and then they were out doing a lot of outreach with audiologists around the state we also managed a cooperative buy program so when you come into our storefront that’s what you see first is our cooperative buy piece it’s also called the assistive technology marketplace so we work with a

number of durable medical equipment providers to bring in equipment at low cost because primarily individuals purchasing equipment through the marketplace are doing so because they don’t not have insurance to cover that equipment or the process for buying the equipment is really really long and they just need to to acquire that technology so common equipment in the marketplace would be I can’t see out there it makes a little harder bath chairs transfer benches manual wheelchairs three and one commodes that kind of stuff hip kits so people that are having hip replacement surgery Salem Hospital refers a lot of individuals over here for that equipment that they will need following surgery for their recovery we have portable ramps in the marketplace now because we found that even though they’re in our loan library people are needing them for a lot longer some you know permanently and so we put some portable ramps in the marketplace what else odds and ends of smaller items we’ll we can do a tour I think I’ve got that link in here to to do a tour of the marketplace to if we have time to do that let’s see also under the state financing is the device reutilization program which is used equipment so because access technologies is a non-profit we can receive in donations of clean gently used equipment we clean it we sanitize it we do minor and we stress minor repairs to get the equipment back up and ready for its next home and then we don’t actually sell the equipment we just charge a service fee if you will for what it costs to get that equipment ready for its next home so it’s very common to find a power wheelchair that has been donated in cleaned and put back up for sale to somebody if you will for $75 because we traditionally will not go out and buy new batteries for a power chair if that sorry about that phone if the power chair needs batteries then we will have test batteries for it for the consumer to to try it with and then we will give them the information on the batteries that they would need what we found was if we buy the batteries you know say about the batteries today you know the warranty for that battery starts now and if the chair doesn’t move quickly then the person is losing out on their warranty for their batteries in addition you know that’s just more work that we’d have to do on keeping the batteries charged and it was just not cost-effective for the program to do it that way people would look at the price of the chair with a pair of you know new batteries that are probably four or five hundred dollars and really balked at the price of the chair because what they were doing was actually buying the batteries but the battery warranty was you know dwindling the longer the chair was here so we found that when we have power chairs come in particularly that if we just sell them at the cost of getting it ready to go on the floor which is about seventy five dollars that the chairs are unless there are a really unique chair they’re just kind of in and out really fast we didn’t have a volunteer for years and years and years that would come in once a week and go through the power equipment specifically with us helping us make sure that it was up and ready to go but you know we all get older and hafta back away from some of those volunteer activities and he did so now we’re without our volunteer and really are looking for another person who is good in that area so if you know anybody please point them our way as equipment ages out of our library it becomes not available for purchase for new but it still has a good benefit to a lot of people we will place that up

in the marketplace and so that and then use those monies to purchase new equipment into the library so I think we can try to take a quick peek at our marketplace online Laurie have two questions awesome all right so if a client purchases an item through the co-operative marketplace how do repairs work my understanding is that insurance typically only repairs equipment that is purchased through the insurance directly right so let’s let’s look at the type of equipment that’s in the marketplace and that might help to answer your question you might be and I know I’m not sure you know if you have a specific example of equipment that you’re looking at maybe you’re thinking of a power chair that might be new insurances we’ll would tend to work on a repair for new power equipment where they might frown against and I can’t say a hundred percent but I hear they tend to frown against repairs on previously owned electrical equipment so in that case that is you know the consumers responsibility if it is and we’ll look at it so say it’s let me put these in a little manual wheelchair sort it’s a manual wheelchair that they purchased through us or bath bench or something like that that’s new the warranties are with the manufacturers but because we buy directly from a manufacturer an individual can’t go to the manufacturer for repairs so they work through us for for any appropriate repairs and and when you think about what’s in equipment in the marketplace when individuals submit to their insurance company for reimbursement so you can see like the manual wheelchair here is going to be a hundred and eighty five dollars because we do not bill insurance companies and because we’re nonprofit managing the Oregon AT program the providers that we work with to acquire this equipment in the marketplace really work with us to get as low a price as possible for the consumers so a lot of times if an individual has a choice between two items that their insurance will purchase could be a manual wheelchair and a walker will say you know they’ll look at which one might they need more support through their insurance company for in the long term and that’s the one that they will go and have their insurance purchase and then they will privately pay for the other item and so that helps with that question that you had there too did you have a follow-up for that one I did have a second question I think you answered it it was a lot of our Medicaid consumers can’t afford devices do you bill Medicaid for any of these items right yeah so I did can answer that huh yeah we have not we have not set up that process we go back and forth and if we did then we would look like most of your other durable medical providers and the cost of the equipment would be a lot more expensive some of the state AT programs have worked through that process and they are billing insurance companies again that’s just an avenue that Oregon has chose not to do yet when you’re looking at the marketplace it’s going to look very similar as the loan library but you’re going to have your prices right here let’s just open this one up so it would have a contact name of an individual so this is an individual who has an ad on our marketplace to sell their item so that is through our exchange program and it’s just basically like I want ad they can post equipment that they want to sell on our website it doesn’t cost them anything and I think you’ll see that most people have submitted a picture of their item we traditionally leave the ad up for 90 days we do ask people to please let me know when the item has sold or you’ve donated it so we can take it down otherwise if it just looks like it’s been there for you know six months or nine months I try to take it back down

if it’s equipment that is new that’s in the marketplace and it’s something that we have when you look at it it would say the content name is ATI and in the description someplace it will say new in the last part of it and then if it is something that is here as a used item again it would show ATI as the contact but it would show used in its description when you’re here that equipment is pretty visible that it’s used because we put yellow tags on that equipment so individuals know that when they walk in but oh hey that’s a good bargain because that was you know previously owned so under the AT program we do a number of public awareness activities our staff do approximately forty exhibit tables indoor presentations a year we also have a newsletter that we send out quarterly at least quarterly sometimes I have enough articles to write because I serve as the editor for it when I can get the articles written I do it every other month and that newsletter serves more as a wrap around our marketplace so we’re sending out examples of what is in the cooperative by marketplace as well as what consumers have listed on the website to sell we traditionally send that out I think my print mailing list is up around 3000 and then we have an electronic list of people who have you know requested to receive it electronically and then I also post it up on our website so people can get it whichever mode makes more sense to them information and assistance is another huge activity that we that we provide those are our eight hundred-number calls or local calls people that walk in here for information people that are just asking for information and referral type stuff the general information at conferences so last quarter we provided over 8,600 I&A services to consumers and professionals well I thought my slide one advanced let’s see here we go so Dawn wanted to make sure that I talked about what are appropriate referrals what is our referral process and what’s the consumers experience when they contact ATI and I’m like gosh I really don’t know how to answer that a question I think anything that pertains to assistive technology services and devices I think that’s an appropriate referral and I don’t know that there are any referrals that are not appropriate because like you guys were tasked with helping individuals find the right source even yesterday someone came in looking for toilet seat covers I don’t like wonder why they came here for that but you know it doesn’t matter what they’re asking for if it’s something that we don’t have we’re going to pop online we’re going to help them find it wherever it is so I guess don’t send everybody to us that we wouldn’t want that but if you ever wondered geez would it be appropriate to to have people call you for that just just ask if you have a lot of the same type of questions you know or maybe we can provide you with some additional information and you’ll be able to better answer that question instead of having to refer them I think it’s learning how the two agencies can work better together in that process that’s going to really help our consumers in the long run so what is the referral process well you know if it’s a call or an email whoever gets

that call or email in here it’s going to answer it for you we might ask each other hey do you know where you know such and such as the best I don’t know vendor for this whatever that is they’re asking for sometimes our questions are where can I donate this because it’s an item that we cannot accept and CPAP machines is a huge one we had a good source for CPAP machines and we don’t have that source anymore so sometimes that’s what our referral information is about so we just handle it and what do they experience when they contact us they better have a hundred percent quality customer service is what they better experience um I have new staff and they’re great if if they don’t have that heart to give that customer service when that person comes in regardless if they’re asking for toilet seat covers or they’re you know asking about information on a product though that we can help them with they’re going to get that same that same level of customer service that they need they need to leave us or hang up the phone or be satisfied with their email that they know where to go to acquire the technology that’s going to help them to be more independent and successful with their life I think that’s probably a good place to see if we have more questions especially about the referral piece of it now there aren’t any questions in the queue we’re just doing a great job Dawn no and so you know I think you could have you covered some of this earlier as well so my question around let’s talk about the consumer experiences like what’s really around that device loan library process and somehow it would work but I think you did a good job of covering that earlier as well okay we’re going to move on to our reference sheet but I think this is a good time to let me just say yeah every time my door opens our front door opens and work goes off in here and so it’s really distracting I’m very sorry okay so you’re a couple so it says we are having a very big problem with clients waiting many months for their DME to arrive after being requested through their insurance and a DME store can you help clients to keep on track of these requests and help them get their equipment earlier and keeping some homebound for many months while waiting for equipment so that is where that’s one of the activities that the loan library is designed for also we have to answer five or six questions when somebody uses the library why are why are they using it that’s the question are they using it to make a decision as to whether or not assistive technology is right for them not is that device right is assistive technology right for them and sometimes the answer is no I’m quite fine you know I borrowed that assistive listening device and I found out that I hear just as well without an additional device as they do with my hearing aids right or it’s Wow yeah yeah yeah I realized that this particular writing aid is just the cat’s meow and boy I can just do a much better job and I can sign my checks now but another question is are we borrowing it for a long-term accommodation or are we borrowing the device to serve in between while we’re waiting to receive our device has being funded for us so it is possible that the lending library may have equipment that the person can borrow while they’re waiting for that to come through their insurance company we wouldn’t be able to and I’m hope I’m not misunderstanding that question we wouldn’t be able to reach out to the insurance company you know and prod them along and if you’re working with a DME provider who is going to bill insurance companies we probably can’t prod them along either they have so many rules and regulations that they have to follow when they bill insurance companies which is you know obviously one of the reasons that we choose not to do that so is there a specific example that you want to see if if we have that type of equipment in the library do you want to talk further about what other items you might wish us to consider to be in the library or is that a little

premature and you want to just poke around on our on our website and see what’s there first feel free to yeah type any and all of those responses in that chat for now this is what we’ll take we’ll take a look first thank you all right great and feel free to call me you know anytime you have any of those questions we can talk about it you can you I have great gatekeepers if you haven’t phoned in our office and asked for me I have good gatekeepers their question will be something like is she expecting your call will she know what this is about just say hey we’re with the ADRC would like to do a follow up from the from the training and still they’ll get you right through to me otherwise they’re gonna try to answer your questions for you so and that’s okay also I don’t care okay experience from you where you do work together to implement something like this let us know so that we can share it with the rest of the network as well in case other folks similar problem and we can miss information to help you able to better support consumers examine their area exactly okay so we’re going to talk about the activity that Dawn and I are working with oh yes so I threw this slide up here and then I’m looking at it going oh my gosh it’s kind of small I hope you guys have a large monitor there so we’re working together to develop Dawn talked about it a little bit early on and outreach activity so rather than providing equipment in an AT demonstration kit part of that will be to develop posters and Dawn will probably be able to speak better at this so let me just butcher up and then she can clean it make it all pretty for you so we’re looking at different technologies that could be on the poster as well as providing information about those devices so this is an example of a poster project that was created with the New Hampshire assistive technology and a ADRC program so you can see on their poster they had a rocking tee knife a Reacher some silverware with larger groups different types of jar openers and then on the flip side of the poster it has a description of the device the name the description and then a QR code about that so we’ve been busy taking pictures of devices they were all kinds of photo shoot opportunities in here I guess you will and Dawn would be pleased to know that as of this afternoon I finished my rough draft of writing up information on all the devices and tagging those numbers for the pictures onto the devices I know I did you know like two steps in one which was helpful because two of the items that we did with our photo shoot have been discontinued so there was like medicines putting those on the pictures or on the poster and I figured that out as I went through looking up additional information on the on the devices show a couple of items won’t be on there so Dawn do you want to take a minute and kind of elaborate on this project I’d be happy yeah yeah I’d be happy to and so so a couple things there are two products that were that we’re developing one is the poster and that Laurie speaks of and this this would be a poster to display in offices as an awareness part of the project to really promote the ADRC and the access technologies inc. program and the second product would be a tool kit for staff to be able to be using the field and that’s sort of what you saw on the left side that Laurie showed is that you could have and I’m not sure you know exactly what it’s going to look like in terms of form but pages that have images of the assistive device with some brief information about it so a description of it and a QR code that link you to the document that’s being maintained online and that would have a

link to a video of that device and the videos haven’t been created yet but the video would have a demonstration of that particular device so that you would be able to take these pages into the field with consumers flip through the pages to show images the device have the the brief information all the descriptions available to share with consumers and if you have a smartphone or an iPad you would be able to by clicking on the QR code go to the page that has the Big Easy link to be able to actually show the brief video demonstration to the consumer field and their home they come into your office and so those are the things that we’re working on this is that that included at least for this around of the project are devices that are available through the AT loan library program so there are items that your consumers would be able to access that then after and and then go on to purchase they would be able to access them to to borrow them to use them to see if it’s what they need and then make the purchase great thanks so I’ll back up one slide here this is an example of some of the devices that we took pictures of they’re great pictures there’s multiples of everything that’s kind of the way the pages came to me so I didn’t pretty that for you so all kinds of different types of magnification devices some mobility devices some hearing devices writing aids we’re trying to keep it I guess come in general for the first go-around and see what what additional information you’ll need and then the pages will probably look something like this so like Dawn said you’d have the little description of the devices the name of a your video link an average cost of it if it’s a like one item if it’s grouped together or it’s you know depending upon the I don’t know features and functions of the device the price could vary so in those cases we couldn’t really give them a price going most of them we can give them an approximate price and how to purchase it I think everything that we will put initially on in this project an individual could always contact us for purchasing information if it’s something that we cannot save somebody money with we’re gonna let them know that and point them off in another direction we like to make sure that people always are aware of their options so you know people will buy stuff online sometimes we can save them money and they’ll just buy it from us I can’t give you lots of examples of them what’s on this page right here the big rip pen holder I doubt we would save anybody money so if they were not comfortable purchasing online they may have us purchase it and they just buy it directly from us because they don’t like put their credit card online for example you know they don’t want to phone and give somebody else to a credit card because they can’t see that person face to face something sometimes like that people would just assume just purchase it through us so that’s the ending of our slides so if you have other questions comments do let us know the monitor to see if anything’s coming in and and those of you on the call please again and we have our experts on on the line as well if you have any assistive technology related questions that are more APD related and less access technologies related you’re welcome to throw those out there as well here comes one and you may have covered this but do you perf by the delivery of the item for the new items we will meet anybody anywhere let me tell you that so sometimes they’ll have somebody purchasing something out of the marketplace and they want to just pay a small delivery fee to have it delivered that it’s outside of our traveling area so the answer to that is yes we do for those

oh loan library as well same way yes yeah next question how do you coordinate Commission for the blind so that again how or do we do you and how do we and how so yes we do coordinate with the the Oregon Commission for the blind and how do we coordinate with the Oregon Commission for the wine well first I have a representative from the Oregon Commission for the blind on my Advisory Council and second we do assessments for some of their individuals and they also borrow equipment from time to time from the lending library and we do trainings for their staff we need to see if anyone else may be typing in a question what I also encourage any of you if you want to do a demo day in your area it’s a great way to learn about the equipment whether it’s just for your staff or you want to invite the public to come in and do a hands-on on if you want to keep it focused on particular equipment you know just hearing and vision or you wanna open it up so it’s I don’t know hearing vision and daily living or whatever let us know we’d be happy to do it we’re trying to do a better job of using our Facebook to say where we’re going to be for events events particularly that are open to the public we do a lot of specific agency requested events you know so they’re not open for the public so you wouldn’t see those there but we’re trying to do something so that people would know that we’re going to be in their area one of the questions that I would be asked from our Advisory Council is well you know I know you’re up and down the i-5 corridor but are you ever in Bandhan like oh I’m not telling you that enough okay so we try to put something on the facebook that says you know the staff are in Timbuktu today I don’t know and then the Advisory Council have to sit through a report that tells them every city we’re always in so they know they can’t ask that question anymore so we travel all the corners of Oregon alright so I don’t see any remaining questions so please feel free even after the webinar to the that feel free to submit questions as well thank you so much Laurie for being with us today and for hosting this webinar Rachael Jacobson says thank you this is helpful and thank you so much for two APD sock for being on the line to social questions excel we really appreciate and everyone have a wonderful sunny yeah great thank you so much