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Caring Hospice History (1997:silhouettes: (2011 :silhouettes: (2013 …

- - - - 2016 :silhouettes:
        
        2017 :silhouettes:
        
        Outcome
        
        Stress decreased
        
        paperwork filed
        in timely fashion
        
        Office tension less
        
        Office space
        more friendly
        
        Remaining staff pull
        a heavier load
        
        Remaining staff support
        one another in the change
        
        Patient Care Manager
        leaves
        
        Cause
        
        Inefficient at job
        
        Created hostile
        work environment
        
        2017 :silhouettes:
        
        2018 :silhouettes:
        
        Medicare tightens
        guideline oversight
        
        Potential:question:
        Cause
        
        Too many patients being served
        who are not properly documented
        
        Too many hospices
        looking for money,
        not caring for people
        
        Outcome
        
        Census drops
        
        2 more items...
        
        Stress increases
        
        1 more item...
        
        Staff support each other
        in improving accuracy
        of paperwork
        
        2018 :silhouettes:
        
        Cause
        
        1 more item...
        
        Potential:question:
        Outcome
        
        1 more item...
        
        Census climbing near 70
        
        Program Director Paul
        retires
        
        Census drops to low 40's
        
        Nurse hired, then quit
        
        Cause
        
        poor fit for Team
        
        didn't like "mixing
        religion & work"
        
        Outcome
        
        Stress increases as
        nurses have more patients
        
        Reflections at Team Meetings
        must be less "Christian"
        
        We are told we cannot pray
        "in Jesus' Name"
        
        Census floats in 50's
        
        Census soars to over 70
        then into 50's
        
        I was hired
        
        Census 60+
        
        Cause
        
        Census growing:
        need for third chaplain
        
        One of the other chaplains
        knew my wife
        
        Outcome
        
        Opportunity to
        increase census
        
        New facility added
        due to new chaplain's
        connections
      - Paul R hired
        Program Director
      - Census: 18
      - Cause
        
        Paul desired relationships
        with patients
        & to make a positive
        impact on Final Good bye
        
        Business growing
        in Lancaster County
        
        Outgrowing small
        office space
      - Outcome
        
        Paul begins to grow
        the Lancaster Team
        "building a better mousetrap"
        
        Returned Bucks County
        census to them
        
        Office could support
        more field staff
        (nurses, social workers,
        chaplains & aides)
      - Moved to present
        office location
    - - Opportunity for
        business/owners
      - Compete to serve
        hospice population
    - - Started with patients
        from Bucks County
      - Provided improved
        service to patients
  - - - Fort Washington, PA hospice
        
        . . . other areas begun
        
        . . .