News & Articles

Title: Adaptation
Title: CEO's Job
Moving CAHPs Scores
posted by MVI | Aug 27 2020 - 9:51am

Andrew says, "Money doesn't move quality. Intention moves quality." 

The steps to move your CAHPs scores are simple, but it all comes down to accountability. Do you have the stomach to hold your people accountable?

To move your CAHPs scores you'll need to

  • Intentionally redefine your care system, visits and team design
  • Set standards around your care system
  • Teach it well to staff
  • Hold people accountable to it

Here's a quote from a recent MVI client we worked closely with

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Words about the Medicare Advantage Carve-In
posted by MVI | Aug 27 2020 - 9:45am

In August 2020 the leader of a Managed Care Network spoke about quality and the Medicare Advantage Carve-in. The world of Hospice seems to be looking for partners, groups to speak for them. But Sachin Jain, MD, the CEO of the SCAN Health Plan, is looking for quality. From his perspective quality is king. He said, “Star ratings are not just consumer facing measures — although that’s how a lot of Medicare Advantage plans use them — they also dictate your revenue.

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Hindsight is 20/20
posted by MVI | May 5 2020 - 1:00pm

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 Hospices with fairly respectable success, I jumped at the opportunity to become part of the MVI Team about six months ago helping Hospices directly implement their Models through Magic!. What I have witnessed has blown me away…

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posted by MVI | May 5 2020 - 11:42am

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 planning how to work within their expectation of the next-new-normal. One CEO told me last week, “We were so thankful for the teaching MVI gave to us. We adapted our systems and processes within our Model.” She’s remained operationally profitable and her staff and patients are happy.

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CEO's Job
posted by MVI | Apr 22 2020 - 12:02pm

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 room. The thing is everyone else in the organization already knew this. The CEO tolerated, no perpetuated, a system that was ALWAYS significantly undestaffed, always underpaid market wages and always took months to go from staffing need to position filled.

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COVID-19 Exposes a Truth
posted by MVI | Apr 22 2020 - 11:52am

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?

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Too True Horror Stories
posted by MVI | Apr 16 2020 - 12:21pm


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 and CYMA over two days. Nothing gets resolved because CYMA crack support team hasn’t a clue.

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Things I have seen that might be true
posted by MVI | Apr 16 2020 - 12:11pm
  • 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 profitable than the average Hospice?
  • A little bit of Hospice died when “smart” people took over.

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Just a question . . .
posted by MVI | Apr 15 2020 - 12:23pm

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?

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Three Accountability Systems
posted by MVI | Apr 15 2020 - 12:04pm

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.

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“Thank you for your time Andrew! I found this presentation almost scary at times, exciting and enlightened! I see this Model as VERY sound and can be implemented soundly…”


Lori Cherkessk, Hinds Hospice