Chapter I: Expanding Academic Geriatrics Programs

3. Fundraising Strategies

The challenge: To add local philanthropy to the mix of funding sources

Summary

Across CoEs, there is tremendous variation in fundraising activities among geriatrics programs, in part because it can be daunting to find one’s way through the development maze at some institutions. Institutional rules for approaching donors and channeling donations vary. For example, at one university, all gifts must be directed to the sole fundraising arm of the university, its 501(c)3 foundation.

Most institutions have development departments. However, geriatrics leaders report varying degrees of fundraising support for geriatrics and aging-related programs. Geriatrics programs also have to contend with the fundraising competition between the medical school and hospital development departments. This can lead to grateful patients and families overlooking the contributions of the medical school in favor of the hospital. Some programs with more resources, including those with high-profile centers on aging, have undertaken their own fundraising activities.

While some leaders are actively engaged in fundraising, others shy away from it because they are uncomfortable asking patients, family members, or community members directly for donations. Only a few geriatrics programs have dedicated development staff (either in the institutional development department or the geriatrics/aging program itself) who are available to manage fundraising, bridge the connections between potential donors and geriatrics leaders, and prepare physicians to talk to donors in an effective manner.

The approaches described here suggest ways that geriatrics leaders might become more actively engaged in local fundraising.

Strategies

People donate for excellence, not to pay the rent. People don’t like to give money for basic needs. Many donors already know from their experiences that a geriatrics program makes a valuable contribution. They may want to help develop excellence in a particular area, so pleading poverty is not a good way to raise money. These views are echoed by healthcare fundraising gurus and authors Fitzpatrick and Deller, who observed: “People give when there is a vision; need alone is not sufficient.” (See Resources below.)

Accentuate the positive. Be firmly convinced that what you are doing is a worthy cause to support. Don’t get into a bunker mentality about caring for aging patients and geriatrics. People want to hear why you are so hopeful—that geriatrics has so many opportunities—not that it’s so bad. And practice that!

Foster relationships with development officers and educate them about your program. Even where there is not an active officer focused on aging, development departments have lists of potential donors about whom they have gathered significant information, including their donor history, level of wealth, and particular interests. Development officers work in a highly competitive environment and are under tremendous pressure. Geriatrics leaders who stay in touch, share information about program successes, and in other ways make it easier for development officers to function, may receive more attention. For example, one geriatrics leader e-mails the development staff at her institution with updates on aging-related projects. She also includes development officers in funded project site visits, which is a perfect way for the officers to learn about the program. Another leader has an annual meeting with faculty and development staff to update them about new geriatrics initiatives, successes, and opportunities.

Give credit where credit is due.

“We want development officers to know that we see them as a friend and we give them public credit for any gift that is sizable. I write a letter to the dean and mention the specific development officer who helped us get the gift.”

Jeff Williamson, MD, Wake Forest University

Build a foundation of reciprocity. Recognize opportunities to establish a give-and-take with development officers. For example, if a development officer asks for a geriatrician referral for a donor or donor’s family member, use this as a time to reinforce your partnership with them. Remind them that when they encounter donors wishing to support geriatrics, they need to honor those wishes and not divert the donors to other areas.

Get word of your accomplishments out to development departments. Because development officers often look to public relations to highlight particular areas of interest to donors, send PR staff your program newsletters and press releases. Also, take advantage of the expanding media coverage of aging-related issues and geriatric medicine. (See Resources below.)

Take credit where credit is due. When the opportunity arises, make sure that patients and families, who are potential donors, recognize which program is responsible for the care received. A little PR about geriatrics is in order. The boundary between the medical school and the hospital is blurred in the patient’s or family’s mind, so the gift is often directed to the hospital. Even faculty can be seen as part of the hospital. This is particularly important because many hospitals have their own development staff who target the same potential donors.

Engage your audience. Be sure to speak to potential donors in lay terms and connect your work to something that is meaningful to them. Develop straightforward explanations of what you do, why you do it, and why it is important. At one institution, a development specialist observed, “We prep clinicians along with our aging center’s administrator. If we are introducing a physician to a donor, we give the physician personal and business background information on the donor. We also coach doctors to speak in lay terms, and tell them to limit graphs, which can be difficult for people to follow.” Physicians who are more at ease with donors are called on more often to discuss their work.

Train clinical faculty so they won’t be tongue-tied with potential donors. Develop practice sessions to help clinical faculty overcome their discomfort with discussing money with patients. Help them learn what to say when grateful patients and/or families express an interest in contributing money to geriatrics, and give them information materials that they can pass on to potential donors.

Create a geriatrics fundraising brochure. Develop a brochure to give to grateful patients and families that identifies opportunities to contribute to the geriatrics program. It should emphasize that any level of funding can make an important difference. Such a brochure can be a useful aide for clinical staff who may be uneasy speaking directly with patients and families about contributions. The brochure can give potential donors something to hang on to after discharge. It should include the contact information of whom to call (a program leader or designated fundraiser) for a detailed and personalized discussion about specific areas and levels of contributions. Ensure that such a brochure is readily available to clinical staff and visible to patients and families at key outpatient and inpatient sites.

Tune in to donors’ interests. Avoid trying to steer a potential donor towards a favorite project that may not be what the donor is ultimately interested in. Instead, tune in to donors’ own interests and find a match.

Offer a variety of opportunities to give. To the extent possible, provide options for different ways to give. One useful strategy is to set up targeted accounts with the development department so donors can direct their donations to areas that interest them, such as specific research areas, fellowship or junior faculty training, or clinics. At one institution, a year-end solicitation letter is accompanied by a wish list of specific items needed by researchers. When a specific option catches a donor’s attention, a $100 check could turn into a $400 fax/copier or a $1,000 chair scale, particularly for an older person who has previously teetered on a standard stand-up scale.

Get up close and personal. While mounting a gala event can generate large dollars, it also demands tremendous resources. An alternative—or additional—approach is to offer opportunities for more intimate discussions. At one institution with an active center on aging, small groups of potential donors are invited to meet with junior researchers, hear presentations about their research, ask questions, take a tour of a lab, and have lunch with them.

Find someone who is comfortable talking money if you are not. Some programs are able to afford at least a part-time dedicated fundraiser. But if you cannot count on your institution’s development department to manage fundraising for geriatrics, consider getting the names and information about potential donors and then creating your own fundraising opportunities. Some programs gently yet enthusiastically guide the potential donor(s) from the front-line clinical staff to the program leader, who is more comfortable talking about money.

Learn to be comfortable asking for money.

“Geriatricians create tremendous good will, yet are uneasy asking people for money, creating a group of donors from family members, or cultivating wealthy family members. My advice is, get over it! Wealthy people want to give, and they will give to someone!”

Christine Cassel, MD, American Board of Internal Medicine

Engage and educate estate lawyers. Geriatricians sometimes work on competency issues with lawyers who also do bequests and trusts. Ask lawyers you work with to keep your program in mind when they are discussing bequests with clients. At one institution, a leader reported that the largest gift it ever received was a settlement from a lawsuit in which the client wanted the money to go to the medical school to help the geriatrics program. When you get a call from a lawyer about a possible donation, give her very specific information about how to direct the donation to your program and not to the institution at large.

Close-ups

An activist for fundraising. For the University of Hawaii’s geriatrics department, fundraising from local donors accounts for 15 percent of their overall funding. The department chair, Patricia Blanchette, MD, stays actively engaged with the university’s development staff, because at times there is no development officer assigned to the medical school. “I continuously build relationships and send e-mails about important goings-on within our department. They say that I am one of the few department heads that keeps them in the loop, so they think of us when there is a potential major donor who is not committed.”

To address competition from the hospital’s development department, Dr. Blanchette teaches junior physicians that “if a family sounds grateful, one of the things they can say is, ‘I don’t know a lot about donating to the medical school, but may I introduce you to the school’s foundation officer?’ Even though our geriatrics ambulatory clinic is ‘very small potatoes,’ it has generated several large gifts given its size.” She believes this clinic and another small clinic dedicated to Alzheimer’s disease have received donations because of clear communication with the public. For example, signs identify that care is provided by the University of Hawaii School of Medicine, and that the clinics are part of the medical school and train practitioners. As a result, “grateful patients have come to us to support our clinical operations with both small and large gifts,” she said.

While the typical fund-raising process involves introducing families and patients to foundation officers, sometimes Dr. Blanchette takes the lead. “I have learned that it is important to know the donor’s wishes, and whether they may want to work directly with me rather than with a development officer. A particular donor did not like the way the university’s foundation wrote their thank-you letters, so now I write my own thank you worded in a way that I know she will appreciate. She now gives quite a lot of money and our program is in her will.” Dr. Blanchette also consults with estate lawyers on guardianship issues. “Because they know about our program, they have directed contributions from other clients’ estates or from lawsuits to our program.” Her largest gift to date—$600,000—came in this manner.

Allies in fundraising for aging and geriatrics. At the Baylor College of Medicine, the Huffington Center on Aging gives 100 percent of funds it receives to geriatrics education and research. Supporting clinical fellows has become the shared mission of George Taffet, MD, Baylor’s CoE director, and the Huffington Center director, Roy Smith, MD. “We have developed relationships with members of the development board and provided clinical care for them and their families,” Dr. Taffet explained. Along with funding second-year fellows, money raised by the Huffington Center has supported research. “We had a young Alzheimer’s researcher whose lab received $200,000 from local donations, Huffington Center money, families and others, including funds raised from the Huffington Gala, its Spring Forum, and a raffle.” Dr. Taffet works with a part-time, salaried development specialist at the Huffington Center. She has established cordial working relations with the college’s development department, which provides names of (and information about) potential donors to the center. For their part, she and center leaders keep development department staff informed and work to ensure that they “do not step on anyone’s toes.”

The Huffington Center’s development board, which is made up of prominent leaders in the community who meet four times a year, also plays an important role, particularly in supporting second-year geriatrics fellows. To give potential donors a choice and allow flexibility, the center has a variety of donation opportunities. A year-end solicitation letter, sent to approximately 3,000 former and potential donors, includes a “wish list” of specific items needed by the researchers in aging, such as a microscope.

The center’s face-to-face meetings between geriatrics leaders, junior faculty, and potential donors are a highly successful effort. The largest event is an annual luncheon called the Women’s Health Summit, which raises money for fellows. Prior to the luncheon, physicians from Houston and elsewhere speak to the lay audience about aging-related topics. To make things “more real,” the center hosts small luncheons that incorporate several consecutive lab tours and a talk by a researcher. These well-received and highly appreciated meetings usually attract 15 to 20 people, including new potential donors recommended by the center’s board. The development specialist added, “We bring in a young physician to speak to the board about what they are working on. It could be someone who is treating their family members. This makes the results of donations tangible. A young physician doing research is an easier sell than speaking about aging in general. It is a struggle to get people interested in aging, and there are other competing local charities, such as the MD Anderson Cancer Center and a children’s hospital. We also have a newsletter and we feature updates on fellows’ research.”

A low-key fundraising strategy that works. At Wake Forest University, Dr. Jeff Williamson, CoE director, has created a fundraising process that:

  • respects the doctor-patient relationship
  • minimizes the potential conflict of interest faced by physicians thrust into the fundraising role
  • addresses physicians’ discomfort with directly asking for money.

The strategy is a response to patients and families who wish to support the mission of the geriatrics program “because they believe in what we do,” Dr. Williamson said. “While clinical faculty have never asked one person for money, over the past eight years our program has garnered $7.5 million in philanthropic gifts.” Contributions range from $100 to $500,000.

Dr. Williamson holds an annual session with clinical faculty to help them respond to inquiries from patients and families who wish to donate to geriatrics. He uses practice scenarios of patients/families who inquire about making a contribution—situations in which faculty might get tongue-tied and miss an opportunity. Faculty members are given a script to work from that begins with expressing gratitude to the potential donors. They then share a brochure that describes opportunities to contribute to the geriatrics program mission, with Dr. Williamson’s contact information. Patients and families are reassured that Dr. Williamson will be happy to talk with them about the program’s needs. The program brochures are also displayed prominently in waiting rooms, clinics, and the hospital’s acute care unit.

“When potential donors call, I explain that without community support we could not do what we do and there are a number of ways to support us.” He mentions a range of options, such as “training doctors about caring for older adults, interesting scientific pilot studies that are ‘shovel ready’ but do not require a lot of money to get started, and major programs we want to develop.” He tells them he will send information and also asks what they are interested in. When they tell him, he responds, “I would love for your [patient’s] doctor and me to put together a list of possible things you could support, and we could have lunch with you in the next month or so.”

Before introducing the potential donor to the development office, Dr. Williamson prefers to wait until he has a pretty firm idea about what the donor wants to support. Sometimes he invites a development officer to the lunch to underscore the donor’s commitment to geriatrics. Each year, he also arranges for the development office to meet with faculty to hear what they are doing individually and what the program’s needs are. In turn, Dr. Williamson periodically speaks about geriatrics at one of the quarterly dean’s donor forums or the annual planned giving advisory board meeting. “Identify a development officer who will work closely with you, and be very generous with your credit to them in particular. Our VP for development has become such a strong believer in our work that he developed a named fund in honor of his parents. This fund sponsors a junior faculty member’s research project each year—evidence that we are on the same team.” He recalled advice from one of his mentors and former chair, William Hazzard, MD: “Always make sure that whatever you accomplish, the people supporting you feel that your success is their success.”

Dr. Williamson urges his colleagues to stay true to the primary mission: “To provide the best care and exemplary research and teaching, not convert to being a fundraiser.” He sees his program’s fundraising success as “30 percent brochures and 60 percent learning what to say, in the context of superb research, education, and clinical care.” He also urges his faculty to view gifts as donations to the entire group. “While much of a gift might go toward a specific person, no one is an island and sharing success across all missions is part of the fabric of our program. You might call it ‘translational fundraising!’ ”

Resources

For more about coverage of aging issues in the media, see The New Old Age Blog of the New York Times: http://newoldage.blogs.nytimes.com

See also the American Geriatrics Society’s Press Room on its web site: http://www.americangeriatrics.org/news/

For resources on fundraising for health, see the Getting Started: Fundraising for Health resource list at the Foundation Center web site: http://foundationcenter.org/getstarted/topical/health.html

See also a book from two development specialists: Fitzpatrick JJ and Deller SS. Fundraising Skills for Health Care Executives. New York, NY: Springer Publishing Company, Inc.; 2000.


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