So far, my biggest take-away from Hospice’s response to COVID-19 is the rate at which Hospice ADAPTED. I am so proud of my friends in Hospice and how quickly they learned, taught, moved and changed to meet the needs of their patients and staff. And a corollary to this: Hospices I work with are already […]
Hindsight is 20/20 by Kent Brooks “I wish I knew then what I know now”, “I wonder what might have happened if…?” These are phrases that have come out of my mouth over the past six months. After a 12-year career in Hospice Administration (Exec Director/CEO/COO), where I employed many MVI tactics at NFP […]
Just the other day, we were in a meeting with a client, and he says, “COVID has exposed our indirects.” He went on to say that some of his indirect staff who are presently working from home are finished with their work much sooner than when they’re in the office. What does this mean? It […]
Andrew says the job of the CEO is to create the “Conditions for Success” for her staff.I was with an organization once during what Andrew calls my “professional obligation”. I told the CEO that her HR person needed to learn how to recruit in the digital age. Explosion. Face red. Outside voice in a small conference […]
Story 1: First the backstory. In 2018 a good client called us with a CYMA issue. A report is fuzzy. Don’t know why. It just is. It’s legible, but just a hair fuzzy. So the accounting team swings into action. All focus goes to this report. Phones calls and emails fire between client, MVI […]
Hospice CEOs would rather hold on to poorly performing leaders than go through the pain of replacing them. We’re more afraid of our nurses than we are of bad CAHPs scores. It’s easier to play the “greed” card against for-profit Hospices than to fix our Hospice. Wouldn’t you think that “shared-services” Hospices would be more […]
It was an offhand comment, but quite powerful to me. We were talking about how her organization had changed in the past two and half years since we began implementing the Model. She’s the Director of Clinical Services for an organization in Southwest. When we started working closely, they were at 85 average daily census […]
When I help Hospice build their Model, we always talk caseloads and visit models. I always ask what the “right” number of visits is for a nurse. And, predictably, I always get 20 to 22 visits a week. Like clockwork. They say that, but do they believe that? Here’s why I wonder: We have this […]
Three Accountability Systems I’m sure there are more than three legal accountability systems we can use to tie performance to standards. I teach three. I want to know more. Here are the three I teach. Compensation. This is the biggie. Grand-Daddy of them all. MVI has taught this for years, and it works. Offer […]
Which is better, to run a Hospice with a census of 30 with top CAHPS scores or to run a giant 1000 ADC Hospice with mediocre scores? Which Executive Director gets more respect at big Hospice association events? Here’s what we have learned: When you focus on the visit first, your quality first, then your […]
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