News & Articles

Your Numbers are your Truth
posted by MVI | Jul 18 2019 - 5:00pm
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 other numbers fall into place.
Two examples I saw just last month at large Hospice organizations.

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Watch out for "Smart" people
posted by MVI | Feb 5 2019 - 8:48am

This ain’t rocket science. Stop hiring smart
people. They just mess up your system.

We have a benign inside joke at MVI. When we say a
CFO, or some other Manager, is a “smart” person, we
are really saying this person is too smart for their own
good. Hospice is full of highly intelligent people who
stumble over simplicity. As predictable as a Hallmark
movie, they add layers of complexity, requiring more
and more staff . . . and provides less actionable
information to prove how smart they are.

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A little Model goes a long way
posted by MVI | Feb 5 2019 - 8:30am

Most Hospice don’t really try. My biggest surprise in
this world is the acceptance of mediocrity. Hospice
Managers throw some money and scowls around and
expect quality to get better. Case in point: I asked
a nurse how much she retained from the required
educational events and organization's teaching
methods. She said, “About 5%, if that.” This story
could be told on nearly every Hospice in the country.
Let’s be Teachers, but let’s carefully choose what
we want to teach . . . and make it stick. Just a little

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CEOs: It's really about the seats on the bus
posted by MVI | Feb 5 2019 - 8:28am

It really is about the seats on the bus.
This is where CEOs earn their keep.

Two Hospices a thousand miles apart. One is 120
ADC, the other 150. The first has an 8-hour a week
Compliance Officer. Smooth. Tells staff what she
wants, and they do it. The other has more than 3
FTEs in Compliance. Crazy busy. I asked them to
communicate deficiencies to staff so they can selfregulate.
Compliance team blow-up ensues. An
example of the right person and wrong person on the

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Think from the Chair
posted by MVI | Feb 5 2019 - 8:26am

Lessons from a year on the road . . .

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Learning from the CNA
posted by MVI | Oct 12 2018 - 11:46am

A few weeks ago I was helping a Hospice build self-learning modules for nurses. We were filming a video for the nurse visit. It was . . . fine. All the points in the visit structure were there. Technically nothing was missed. But something was missing. Warmth. Touch. Caring. I asked who their best CNA was and could she come in. We gave talked with her a bit and got the following bits of information. Then we asked her to show us how she does a visit. It was quite moving. We filmed it of course, and now all the nurses at this Hospice will learn “touch” from this self-learning module.

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Put your website to work
posted by MVI | Apr 16 2018 - 3:43pm

Hospice websites aren't universally bad. Just mostly. Stop thinking of what to put on your website. Instead, think about what you want your website to DO.  Here are the highest uses

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31 Hospice Marketing Insights in March--Numbers 21-31
posted by MVI | Mar 28 2018 - 11:48am

21. Watch out for negative marketing in your facilities. Not by competitors, that's a given. But by your own staff. Negative and complaining clinicians in the facilities are poison. You need to be in the facilities so frequently that you pick on the little indicators of negativity from your team. Then you have to get that person out of the facilities before more damage is done, and better yet, out of the organization.

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31 Hospice Marketing Insights in March--Numbers 11-20
posted by MVI | Mar 16 2018 - 12:26pm
  • If you want to grow, don’t start by hiring another marketer. First, start with the visit and move your quality to a higher standard. Then hire the marketer.

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A Dozen Ways to Maintain Profitability during Census Fluctuations
posted by MVI | Mar 9 2018 - 7:36am

A Dozen Ways to Maintain Profitability during Census Fluctuations

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Program: People Development & the Model:
“I had not received instruction or guidance on how to teach. This workshop has been “eye opening” for me. I have learned so much in such a short time that I can go back and use to train our staff at our Hospice.”


~Lisa Dozier, Roper Hospice