From Russia with Love

As some of you may know, I am part owner of a Home Health Care company is Moscow Russia called First Home Care, I also do some consulting work in Eastern Europe in all areas of hospice and palliative care. My company in Moscow works closely with several hospices because in Moscow, hospices typically only care for cancer patients. So for patients with end of life care needs, with cardiac disease and other illnesses that we can care for we try to assist.

Can you believe this?

I’m embarrassed to even share this story with you, but as a strong hospice advocate and professional for over 17 years, I feel that it is my duty to inform. This story is about a specific hospice that not only makes it difficult for people to obtain care, it is also a glaring example of an unhealthy corporate culture that is unsuitable for for growth.

Hospital Based Hospice

There is a built in challenge for hospices that are owned by a health system. The largest challenge being that hospital based hospices are departments within a health system and are treated as such. The biggest impact being some of these hospices are under-capitalized and it affects their ability to compete in the market place. During the budgeting process in a hospital, precious capital is being competed for to fund a new MRIs, surgery suites, etc. Most times, the hospice and home care departments are at the bottom of the list.

For-Profit vs. Not-For Profit Hospice: Which One Is Best?

The Diane Rehm show on NPR today had a panel discussion to react to a Washington Post article entitled “Dying and Profit: the Evolution of Hospice”.

For-Profit vs. Not-For Profit Hospice: Which One Is Best?

The Diane Rehm show on NPR today had a panel discussion to react to a Washington Post article entitled “Dying and Profit: the Evolution of Hospice”. (http://wapo.st/1CZiHGc)

The Wall Street Journal article basically said that For-Profit Hospices offer sub-par care. Both the article and NPR panel, in my humble opinion, were both misleading and didn’t address the true issue which was “what do consumers need to know in selecting the best hospice for them?”

Ukraine Struggles for Palliative Care and Hospice

Efforts to advance Ukraine’s move to give their people a better health system including the development of hospice and palliative care services.

Ukraine Struggles for Palliative Care and Hospice

Hello from the capital of Ukraine, Kiev! A wonderful and historic city I have been blessed to have visited many, many times. It was one-year ago that I last visited Kiev. The conflict with the Russians that started in January 2014 created much turmoil and unrest.

The conflict not only changed the political landscape, it hampered efforts to advance Ukraine’s effort to give their people a better health system including the development of hospice and palliative care services. One of the reasons for my visit back to Ukraine.

5 Signs Your Culture Will Not Support Growth

Most hospice and home care organizations want to grow, but not all organization do (or are not willing to do) what is necessary to grow. Where does your organization stand?