The Model

The Model is the intentional design of a hospice culture that simultaneously balances purpose and financial realities to create a sustainable World Class experience.

Approach The Model is an approach to operating a hospice as an integrated, coherent and coordinated system where all entities and persons involved experience something special and World Class. The Model approach is needed by hospices for many reasons ranging from quality issues to changes in the hospice economic environment. The Model forces a hospice to define itself, measure performance and challenge itself to be an ever-improving organization.

Framework MVI provides the conceptual framework and many of the supporting systems needed to create and sustain the Model at your hospice. This is “the formula or recipe” we recommend based on years of experience assisting, observing, and measuring hospices. This cumulative and collective insight has led us to the belief that the culture of a hospice is the heart of the matter... and it will be the inability of many hospices to change culture that will be their demise in future years. All other things are subservient to the culture as culture shapes the thinking and behavior of an organization. The definition of the Model displayed above conveys the key concepts.

The Four Areas of Design Work that Impact Everything At the heart of the Model are four areas of design work that are essential to truly successful model implementation; Team Design, Visit Design, Product Design and Supporting Services Design.


Team Design	Visit Design	Product Design	Support Design

The first three of these areas (Team, Visit and Product Design) focus on patients and families since this is the heart of what we do. The design of Supporting Services is important as these functional areas are necessary to serve the people on the front-lines of care, providing help and assistance to make the provision of care possible. When a Model is properly implemented, it results in superior hospice care which is balanced. As we dream about “what” and “how” hospice care can be provided, the Model tools give us a great indication of the financial implications of our design choices.