This is a very rich thread. I am in the process of obtaining more details from a sister VNA (Visiting Nurse Association - home health and hospice care) about involving front line staff in the cultivation of grateful patients. The Power Point slides which were shared with me - without benefit of the whole program - indicate that a general effort to educate nurses and aides about the importance of charitable contributions will probably fall flat. But when staff are pulled into the loop after significant donations are received, they recognize how valuable their involvement was, and they are more willing to talk about charitable giving with patients - while still NOT soliciting. I liked the reference to "Heroes" - this VNA's program called the staff "Heroes." To Mark, I can't speak to Maine laws, but I know that HIPAA (sp?) privacy laws do NOT prevent the fundraising arm from receiving names and addresses for subsequent solicitation. Tracie speaks well to the need for scrubbing. Thank you all. Betsy DeGory, VNA of Indiana County, PA