Completing the hospice organizational model

Hospices must be thought of as still being in their formative stages. We need not be satisfied with staffing arrangements and practices that, largely for reasons of expediency and the lack of other models, were inherited from other healthcare agencies or foisted on us by federal bureaucrats and third party payers. These external demands will be countered and features unique to hospices created only to the extent that all of us are clear about what we most need and want for ourselves as staff. That is how we created the patterns used in working with clients. Now let us use the same ingenuity in fashioning ways of working among ourselves.