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 […]
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 […]
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 […]
Lessons from a year on the road . . . Andrew put me on the road last year. I made 37 trips to Hospices helping them implement their Model. These organizations engaged us to help them raise quality, instill accountability, and drive census and profitability. (And it works! See the sidebar, next page.) Here’s what […]
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 […]
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 […]
