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# The Watershed Group

## Sitemaps

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## Posts

- [Blog](https://thewatershedgroup.com/blog/)
- [What Will Your Legacy Be?](https://thewatershedgroup.com/what-will-your-legacy-be/) - I have been thinking a lot about legacy these days. The start of a new year always puts me in the mood to be more intentional about what I want for the next 12 months. Yes, it’s goal setting time, but more importantly, I want be more deliberate in how I show up and leave
- [Remembering Mary Oliver](https://thewatershedgroup.com/remembering-mary-oliver/) - I was taking a news hiatus last week when a friend’s email came, telling me that my favorite poet, Mary Oliver, had died. What an important voice to be extinguished! The first time I ever heard a poem by Mary Oliver was 1993 in a spiritual study group I was in, when one of the
- [Four Secrets of Great Leadership](https://thewatershedgroup.com/four-secrets-of-great-leadership/) - Are great leaders born or made? Does the man or woman make the times, or do the times make the man or woman? In uncertain times, understanding how leadership works (or doesn’t) is ever more imperative, and sometimes, it takes a historian’s perspective to unravel the present. Recently I listened to Doris Kearns Goodwin discuss
- [Are You The Leader Your Staff Need?](https://thewatershedgroup.com/are-you-the-leader-your-staff-need/) - As someone who’s been an executive, a management consultant, and a leadership coach, I know that there are all kinds of effective leaders out there. Some styles are more effective in certain situations than another. Great leaders do share some important traits, and I talked about four of these in a recent post; resilience, ambition,
- [Could You Survive A P.R. Shipwreck?](https://thewatershedgroup.com/could-you-survive-a-p-r-shipwreck/) - It seems like every day brings a new horror story in the news, around healthcare gone terribly wrong. A nursing home patient is abused by staff members who put videos of the abuse on the Internet. Hospice management is accused of fiscal misdoings, even outright fraud. A nurse administers the wrong medication with fatal results.
- [What I Learned From A Buddhist Monk](https://thewatershedgroup.com/what-i-learned-from-a-buddhist-monk/) - My first real, significant job out of grad school was as the executive director of Hospice of North Central Florida, now known as Haven Hospice. When I joined the team there were three staff members and double that number of volunteers. Yet, tiny as it was, our organization was part of a great social movement,
- [Ask Not For Whom The Robot Cometh…](https://thewatershedgroup.com/ask-not-for-whom-the-robot-cometh/) - Did you see the story about the robot doctor that was sent to deliver bad news to a terminal patient? His daughter was with him when the telehealth machine rolled up to his bedside. On the flickering screen, a physician informed the patient that he was going to die, very soon – perhaps too soon
- [The Heart of a Volunteer: Bettye Zowarka](https://thewatershedgroup.com/the-heart-of-a-volunteer-bettye-zowarka/) - It was 1985, I was the Executive Director of Hospice of North Central Florida, a tiny hospice program in Gainesville, FL. when I was approached by a woman who lived in a small rural town to offer our hospice services there. Bettye Zowarka was very active in her community and volunteered for many groups. She
- [News From The Front](https://thewatershedgroup.com/news-from-the-front/) - Last week I attended the National Hospice and Palliative Care Organization’s annual springtime meeting in Washington DC, cherry blossoms and all! It was a time to catch up on all the issues facing our hospice and palliative care movement, to reconnect with old friends... Jeanne Dennis, Susan Bruno, Patti Moore and Andrew Reed Pauline Taylor,
- [Nurses Rock!](https://thewatershedgroup.com/nurses-rock-2/) - It’s National Nurses Week! I say, let’s pause to offer up a “thank you” to a nurse who made a difference in our lives – like the night nurse in the ICU who cared for my father and took time out to call me when he took a turn for the worse; “I just wanted
- [Reflections on 20 years of The Watershed Group](https://thewatershedgroup.com/reflections-on-20-years-of-the-watershed-group/) - Today is the 20th anniversary of The Watershed Group. As I look back 20 years I am reminded of the fear and exhilaration I had when I stepped away from my conventional job as the executive director of the Hospice of North Central Florida (now Haven Hospice), to go out on my own. I loved
- [Our Endangered Nurses And Doctors: Depression, Denial, And Ptsd](https://thewatershedgroup.com/our-endangered-nurses-and-doctors-depression-denial-and-ptsd/) - As a nurse myself, I’ve been following with interest the ongoing conversation about a critical issue that has gone too long unaddressed; the crisis-level suicide rates of our nurses (and doctors, too). A recent article on the MedPage website, Nurse Suicide: Under the Radar, used as an example the suicide of Dana, a bright, energetic
- [The View From The Exam Table](https://thewatershedgroup.com/the-view-from-the-exam-table/) - When was the last time you found yourself on the patient end of a healthcare interaction? While I wouldn’t recommend it, it’s certainly an educational experience, and one every one of us in healthcare could probably benefit from. A minor procedure recently renewed my perspective on what the view is like from the other side
- [HAPPY SUMMER!](https://thewatershedgroup.com/happy-summer/) - Summer is in full swing! Martha's Vineyard 2018 I hope you all have fun plans for the big July 4th Birthday Celebration! Since I LOVE American History, I usually try to watch parts of the beautiful HBO mini-series on John Adams which describes the first 50 years of our young country. Then the evening of
- [The Hidden Value of Vacations](https://thewatershedgroup.com/the-hidden-value-of-vacations/) - My husband and I recently took a trip of a lifetime to celebrate the 20th anniversary of my company The Watershed Group and our 37th wedding anniversary. Starting in a small alpine village in the Austrian Alps, then journeying to north of the Arctic circle to the Lofoten Islands off the coast of northern Norway.
- [Unintentional Teachers](https://thewatershedgroup.com/unintentional-teachers/) - "People facing death can be our greatest teachers. Their lessons may not come with lightning speed or in conventional ways. But they often come straight from the heart, and are more lasting than any other lessons we can learn" Patti Moore, APRN, RN This quote is from my book No Mission No Margin: Creating A
- [When We Give a Little Too Much](https://thewatershedgroup.com/when-we-give-a-little-too-much/) - “It’s better to give than receive”: As noble an ideal as that is, there’s a limit to giving that too many of us involved in caregiving choose to ignore. Where does it lead us? Those of us in healthcare and other service fields have been taught that giving is honorable and receiving is selfish. So,
- [3 Tips to Coping, Even With Mother Nature](https://thewatershedgroup.com/3-tips-to-coping-even-with-mother-nature/) - Has your summer flown by? School’s in session already, Gator football has begun, and Hurricane season is in full swing. The big Labor Day arrival of Hurricane Dorian in my home state Florida has everyone on edge. With Floridian’s anxiety meters shifting from low gear to high, it’s easy to begin to dread what this
- [IS ANYONE LISTENING?!](https://thewatershedgroup.com/is-anyone-listening/) - photo by Damon Hall Have you noticed all of the “noise” in your life lately? The constant chatter on emails, texting, Face Book, Twitter, political debates, talk radio and talking head news, it is endless. It seems everyone is talking but is anyone really listening? Social media offers so many options to “connect” with anyone,
- [7 Tips For Survival From CMS And NHPCO Leaders](https://thewatershedgroup.com/7-tips-for-survival-from-cms-and-nhpco-leaders/) - If we in healthcare had one wish, we’d probably ask for a glimpse of the future. What impact will the coming wave of regulations have on the care we deliver? Is the Accountable Care Act a boon, or a bust? Dr. Paul McGann, Chief Medical Director for Quality Improvement at the Centers for Medicare and
- [Generosity and Healing](https://thewatershedgroup.com/generosity-and-healing/) - Last week I had the opportunity to attend and participate in the 2016 Kaiser Philanthropy Innovation Institute in Phoenix, Arizona. A select group of representatives from not for profit healthcare systems, hospitals and hospice’s from across the country participated in the three day event where the healing power of Generosity was the lead topic of
- [GENEROSITY AS LEGACY](https://thewatershedgroup.com/generosity-as-legacy/) - Leland Kaiser said it well: “Great compassion and unconditional love can change the world; they are the only things that can”. I’d like to share with you the stories of two people whose donations of time, influence and money, along with great compassion and unconditional love, changed our community and left a legacy. Retired bank
- [HOW OUR WHY WILL SHAPE OUR HOW](https://thewatershedgroup.com/how-our-why-will-shape-our-how/) - Simone Sinek, author of the book Start With Why, wrote that companies that deeply understand why they are in business are much more effective and last longer than those that just want to produce a product. He used the Wright brothers as an example. The Wright brothers were not well funded, nor did they have college
- [What is "hospice" really?](https://thewatershedgroup.com/what-is-hospice-really/) - Is hospice a commodity? Is it a payment system for the dying? Is it only for the final days of life? Is it only about giving morphine until a patient is no longer in pain? Last week I attended the National Summit of the Coalition to Transform Advanced Care (C-TAC) in Washington DC. The speakers were
- [Intentions vs. Goals](https://thewatershedgroup.com/intentions-vs-goals/) - I have been thinking a lot about intentions: Merriam Webster dictionary defines intention as “a determination to act in a certain way”, and goal as “the end to which effort is directed”. When I ask myself what my intentions for the day/week/year are, versus what my goals are, I come up with very different answers. Last week,
- [5 Trends To Watch In Hospice In 2018](https://thewatershedgroup.com/5-trends-to-watch-in-hospice-in-2018-2/) - Time to warm up the crystal ball, and kick off the annual roundup of trends to watch in hospice for 2018. Some of them are encouraging; others we’re just going to have to grin and bear. Hopefully all of them will support us in the vital work we do as a new generation of people
- [Finish Strong](https://thewatershedgroup.com/finish-strong/) - As 2017 draws to its close most of us are going to find ourselves reflecting on the year that’s passing, and taking stock of our personal balance sheet to see how we did. Did we squander our capital – our time, our health, our relationships – or did we build on it, by following through
- [High Performance Habits 1.0](https://thewatershedgroup.com/high-performance-habits-1-0/) - High performance; everyone talks about it, but what does it really look like in practice? To me, high performance can’t just be an on again/off again thing where I hit that mark, then settle back down to where I was. I need to sustain that high-functioning vibrancy over time. It doesn’t come naturally – at
- [The Rest of the Story...](https://thewatershedgroup.com/the-rest-of-the-story/) - “You have everything we’re looking for - you’re hired!” Have you ever said those words at an interview, only to find yourself wondering, “What was I thinking?” three months later? Somehow, that “perfect hire” you so enthusiastically took on turned out to be a sub-par employee, and nothing like the candidate that presented so well
- [Where Have All The Nurses Gone?](https://thewatershedgroup.com/where-have-all-the-nurses-gone/) - I’ve had a very busy summer consulting with hospices all across the US. In talking with administrators about their biggest worries, I heard one alarm sounded everywhere I went: Hospice is in the grip of a critical nursing shortage. Certainly, in some areas the problem is greater than in others, but make no mistake; recruiting
- [Are You A Player, Or A Fan?](https://thewatershedgroup.com/are-you-a-player-or-a-fan/) - Even in a year in which I’d stretched myself past what I thought were my limits, October was the most intense month of growth I could imagine. There were days I felt like my brain might actually explode (fortunately for those around me, it didn’t.) My October quest began with a question; How is the
- [Leading In Chaos](https://thewatershedgroup.com/leading-in-chaos/) - Being a leader in uneventful times takes focus and attention. Leading in times of chaos is a whole different thing. Nowadays, organizations all over the country hone their readiness for emergencies with “disaster drills” that prepare them to function in all manner of catastrophes; calamitous weather events, onsite shooter drills, and multi-casualty incidents like train
- [On The Road Again, And Again...](https://thewatershedgroup.com/on-the-road-again-and-again/) - “Travel is fatal to prejudice, bigotry, and narrow-mindedness” Mark Twain How much time do you spend in planes, trains, cars and hotel rooms? I love traveling thanks in part to Mark Twain’s quote above. Getting to see my clients while traveling is the bonus! Travel for work can feel like an endless sprint of stuffing
- [](https://thewatershedgroup.com/1067-2/) - Bad bosses - they’re the inspiration for movie comedies, great literature (Charles Dickens and Shakespeare wrote more than a few) and hilarious dinner party stories. But there’s nothing funny about having a bad boss, much less being one. Bad managers drive good employees away, undermine their workplace’s success, and cost their organizations in dollars and
- [Bad News](https://thewatershedgroup.com/bad-news/) - Are you distressed by the many negative news stories we’ve seen about hospice in recent days? I certainly am. From the headlines last week in the Dallas Morning News - Frisco hospice exec admits overdosing patients ‘to hasten their deaths’ and make more money- to the report out this week from the Office of the
- [Flying Without a Net](https://thewatershedgroup.com/flying-without-a-net/) - What does pushing past our limits look like? At this moment in my life, it looks an awful lot like me, standing in the wings of the famous Improv Comedy Club in Los Angeles, waiting to go onstage. And no, I’m not joking – though believe me I will be, and with all my might,
- [Promises to Keep](https://thewatershedgroup.com/promises-to-keep/) - November is National Hospice Month; a month in which the nation’s attention should be on the wonderful care and support hospice organizations provide to dying people and their loved ones. Unfortunately, this month we are still reeling from Time magazine’s October 25th article, No One is Coming: Hospice Patients Abandoned at Death’s Door. I have dedicated my professional life
- [Thanks-Giving](https://thewatershedgroup.com/thanks-giving/) - In honor of the beautiful holiday of Thanksgiving I want to share a story about saying "thank you". Have you ever had a friend that simply made you want to be a better person just by knowing them? Laura Carmichael was that person for me. Ms. Laura was my role model for living a purposful
- [7 Ways To Be An Exemplary Leader In 2018](https://thewatershedgroup.com/7-ways-to-be-an-exemplary-leader-in-2018/) - Whether or not we make New Year’s resolutions, most of us find ourselves looking for ways to improve as the new year arrives. If your goal for 2018 is to become an exemplary leader, here are some ideas to help you get there. 1. Support your staff: Hospice work can take its toll. When a staff
- [Cutting The Cord](https://thewatershedgroup.com/cutting-the-cord/) - What if most of what we know about the process of growing older is wrong? What if we could free ourselves from our presumptions about aging’s inevitable decline, and by doing so come to a new, richer understanding of what our late-life years could and should be? Visionaries are those who see how tied they
- [High Performance](https://thewatershedgroup.com/high-performance/) - Every couple of years, I get the irresistible urge to change things up; to try something new, to push myself past my previous limitations – in short, to grow. I had a business growth spurt that pushed me to publish a book, and a spiritual growth spurt engaging in the Alembic Program offered by the
- [Remembering Mary](https://thewatershedgroup.com/remembering-mary/) - MARY J. LABYAK August 27, 1948 - February 4, 2012 "I think hospice is the greatest single honor that has ever occurred in my life. To have the opportunity to be a part of building something that makes such a difference to society. And I think what is really important is that hospice is a
- [Notes from DC](https://thewatershedgroup.com/notes-from-dc/) - I was in Washington D.C. recently for the winter meeting of members of the National Partnership for Hospice Innovation group. A vibrant lineup of speakers was there to share their insights on the current state of healthcare and hospice. One surprise speaker was Brian Blase, Special Assistant to the President on Healthcare Policy. I admit
- [High Performance Habit: Influence](https://thewatershedgroup.com/high-performance-habit-influence/) - High performance; everyone talks about it, but what does it really look like in practice? Here is my story of Habit #5, Influence: No man or woman is an island, though we might occasionally wish we were! When the action or inactions of those around us frustrate us, we’re tempted to imagine that life would
- [Courage: High Performance Habit](https://thewatershedgroup.com/courage-high-performance-habit/) - “A hero is no braver than an ordinary man, but he is brave five minutes longer.” - Ralph Waldo Emerson Courage isn’t just something we muster up when we’re called on to slay dragons or play the hero. Our courage is tasked every day, and how we answer its call (or don’t) is a powerful
- [Productivity: High Performance Habit](https://thewatershedgroup.com/productivity-high-performance-habit/) - When you’re a High Performer, productivity is not just about ticking things off your “To Do” lists; it’s about focusing on your higher purpose and whether or not you are living your mission – and encouraging, inspiring, and leading those around you to be a part of its accomplishment. Is your workday all about getting
- [What Do People Want?](https://thewatershedgroup.com/what-do-people-want/) - What is the number 1 thing in the world everyone wants? Can you answer that? What does everyone want so desperately? I believe that the answer, quite simply, is: MORE. They want more success at work. They want more happiness in life. They want more passion in their relationships. They want more money. More energy.
- [Does Your Hospice Need Hospice Care?](https://thewatershedgroup.com/does-your-hospice-need-hospice-care/) - Where do you turn for help when your hospice’s health is in question? Once it begins, the problems can seem to cascade one on top of another. The organization is leaking money, and your market share is atrophying. Your staff is unhappy; anonymous letters of complaint are sent in to your Board of Directors, and
- [Reflections Of A Woman Entrepreneur](https://thewatershedgroup.com/reflections-of-a-woman-entrepreneur/) - This month is a very special one for me; I am celebrating my 19th year in business as The Watershed Group, a big anniversary for my “baby” and a good moment to reflect on the adventures I’ve had so far as a startup founder and proprietor. I was Executive Director of Hospice of North Central
- [What Do You Bring To The Table?](https://thewatershedgroup.com/what-do-you-bring-to-the-table/) - The days are getting longer and warmer; kids are getting out of school, and the season of family reunions, picnics and long days at the beach are upon us. Relaxed, convivial afternoons will stretch into evenings as families and friends sit together, sharing meals, stories and laughter. The food will be great, because everyone’s brought
- [What Does a Revolutionary Look Like?](https://thewatershedgroup.com/what-does-a-revolutionary-look-like/) - What comes to mind when you hear someone described as a “revolutionary”? An angry bomb-hurling renegade, overturning the established order and setting fire to it? History has plenty of those to show us, some successful and others less so; some with genuinely lofty goals, and others whose stated ideology didn’t match their actions once in
- [Happy Half-Year End!](https://thewatershedgroup.com/happy-half-year-end/) - Hi everyone! A quick note here to say Happy Half-Year End! July marks the end of the first half of 2018 and the beginning of the END of 2018. Yikes! How are you doing at meeting your goals for the year? Realizing your dreams for the year? You have 6 months left! It’s time to
- [I Won’t Back Down](https://thewatershedgroup.com/i-wont-back-down/) - I Won’t Back Down is one of the best-known songs written and performed by Tom Petty, Rock and Roll Hall of Fame legend and leader of the Heartbreakers, who died suddenly this past October 3rd. Like all of his music, it resonated for me, and it’s not a stretch to say that the Heartbreakers have been
- [To Give Is To Receive](https://thewatershedgroup.com/to-give-is-to-receive/) - When I talk with my clients lately, it seems nearly everyone has been grappling with a decrease in census. Are people just not dying as frequently as in the past? Are other providers stepping up to offer similar types of care thus sidestepping hospice or is it some other mysterious thing that is happening?! We
- [Harry 8/18/17](https://thewatershedgroup.com/harry-81817/) - Last time, I wrote about the importance of taking a moment and “taking a knee” to acknowledge the human being in our care; of looking beyond the chart, if you will, to honor our common humanity. It’s easy to lose sight of that when care providers are running on empty, overwhelmed and skating on the
- [Take A Knee](https://thewatershedgroup.com/take-a-knee/) - A recent email from my physician friend Dr. Ariel Malamud, a Gastroenterologist in a large metropolitan health system resonated powerfully with me, and I wanted to share it with you, with his kind permission. He begins by describing how moved he was when, during his daughter’s lacrosse game after a player was injured, the members
- [The Greatest Leadership Skill? Inspiration](https://thewatershedgroup.com/the-greatest-leadership-skill-inspiration/) - Courage, passion, commitment, communication, humility – these make every list of critical leadership skills, and they’re certainly required in abundance of anyone who leads or manages in hospice. But to me, the most important gift is the ability to inspire and motivate those around you. Why? Hospice work is demanding, physically and emotionally – but
- [What Great Leaders Know](https://thewatershedgroup.com/what-great-leaders-know/) - Have you heard the term "nurses eat their young"? Generally, that phrase describes the rough treatment new nurses are subjected to by more experienced peers when we enter the profession, but sometimes in my work I’ve seen it used as a management style. It’s counterproductive, it’s damaging, it undermines both the worker and the work
- [When Nurses "Eat Their Young"](https://thewatershedgroup.com/when-nurses-eat-their-young/) - Have you heard the term "nurses eat their young"? Generally, that phrase describes the rough treatment new nurses are subjected to by more experienced peers when we enter the profession, but sometimes in my work I’ve seen it used as a management style. It’s counterproductive, it’s damaging, it undermines both the worker and the work
- [My Hospice Journey](https://thewatershedgroup.com/my-hospice-journey/) - The recent 50th anniversary of the founding of the modern hospice movement by Dame Cicely Saunders made me think about my own journey in hospice, and how it began. Back in 1977 I attended a lecture by Dr Elizabeth Kubler Ross., who had come to Orlando to talk about her groundbreaking work. I was tremendously
- [WWDCD?](https://thewatershedgroup.com/wwdcd/) - What Would Dame Cicely Do? That was the question posed to attendees at the National Hospice and Palliative Care Organization's Management and Leadership Conference in Washington DC by the incoming President and CEO, Edo Banach recently. He told us NHPCO's focus will be bringing value to members and focusing on innovation. We were reminded of
- [Nurses Rock!](https://thewatershedgroup.com/nurses-rock/) - I am a nurse. I still define myself as a nurse, even though I have not tended to a patient in that role for many years. I renew my license every two years (just in case this consulting gig doesn't work out), and I still think like a nurse in terms of how I assess
- [Let's Celebrate Volunteers!](https://thewatershedgroup.com/lets-celebrate-volunteers/) - It’s National Volunteer Week; and time to celebrate! This past week, I was in Cleveland working with the Hospice of the Western Reserve. They held two banquets celebrating their 3,000 remarkable volunteers. The speaker was local Clevelander, Alex Sheen, founder of “Because I Said I Would” movement for the “…betterment of humanity through promises made
- [Excellence: It Starts With Your Staff Part 2](https://thewatershedgroup.com/excellence-it-starts-with-your-staff-part-2/) - In my last newsletter I introduced Danny Meyer the famous NYC restauranteur with radical ideas about "enlightened hospitality". His commitment to extraordinary customer service begins first with an excellent staff. How do you hire - for skills, or for people smarts? My philosophy has always led me to look first for personality, a sense of
- [Excellence: It Starts With Your Staff Part 1](https://thewatershedgroup.com/excellence-it-starts-with-your-staff-part-1/) - Inspiration and great ideas for hospice management often come from surprising sources. For instance, what could we in hospice possibly learn from a top-flight New York restaurateur like Danny Meyer? As it turns out, plenty - especially if we’re looking for insight on how to find and keep great staff. I shouldn’t have been surprised
- [March Madness](https://thewatershedgroup.com/march-madness-2/) - March is the teasing harbinger of spring, when the saying “March comes in like a lion and goes out like a lamb” could easily be flipped by the fickle weather. March was the month of my brother’s birthday, which meant a party on or about the 24th. March, a transition month from the solid cold
- [On the Death of a Tree](https://thewatershedgroup.com/on-the-death-of-a-tree/) - I’ve always loved trees. I loved climbing trees as a kid. We had our favorite "big tree" where my friends would meet, a giant live oak that had grown up around a telephone pole. As elementary school kids we would ride our bikes to the "big tree” and climb up its enormous, gentle trunk. Then
- [The Purpose Driven SEO: 5 Steps For Finding Your Next Leader](https://thewatershedgroup.com/the-purpose-driven-seo-5-steps-for-finding-your-next-leader/) - A big part of what I do is executive matchmaking, helping hospices connect with leaders who can pilot them safely through the shifting seas to the future. For those of you who are knee-deep in the search process, or who foresee an executive search in your future, here are some of the things I’ve learned
- [Re-imagining Hospice](https://thewatershedgroup.com/re-imagining-hospice/) - The San Francisco Examiner announced their 2016 Reader's Choice Winners, naming Zen Hospice Project "Best Hospice Care" in the San Francisco Bay Area. Chosen by thousands of Examiner readers in northern California, these polls took place earlier this summer. You can read the story about this organization here (check out page 26). I find it
- [The Purpose-Driven Employee](https://thewatershedgroup.com/the-purpose-driven-employee/) - The Predictive Index’s Matt Poepsel recently wrote about the major human capital trends that will shape the coming year in hiring, defining “human capital” as, “…the collective value of the knowledge, skills, creativity, and other factors of any group of people performing work”. What does today’s workforce look like, as seen through this lens? For
- [A Day In The Life](https://thewatershedgroup.com/a-day-in-the-life/) - We live in a world where healthcare leaders must move as fast as they can to keep up with the changes that confront them daily. It is easy to get so caught up in the budget shortfalls, the regulations, the competition and so much more, that the actual work done by the hospice staff may
- [Ms. Melanie](https://thewatershedgroup.com/ms-melanie/) - In hospice, we don’t have anything to sell other than the services we provide. We don’t make a product; we don’t offer goods or trade. What we offer is love and care to people who are dying, and to their loved ones. Generally, the first order of hospice business is relieving someone’s physical suffering; we
- [The Abundant Future](https://thewatershedgroup.com/the-abundant-future/) - I hear it every day from the leaders in the not-for-profit hospice world: We’re losing ground. Caught between a rock – reduced federal dollars – and a hard place – the crushing proliferation of regulations – hospice leaders are adopting a bunker mentality, hunkering down to provide the basics to those in their care, while
- [The Value of Volunteers](https://thewatershedgroup.com/the-value-of-volunteers/) - I was touring a hospice care center when the smell of freshly baked chocolate chip cookies drew me to the kitchen, where I found a group of girls from the local high school. They told me that once a week they come to bake cookies for the families and patients in the care center. What
- [MY FIRST EXPERIENCE WITH DEATH](https://thewatershedgroup.com/my-first-experience-with-death/) - For most people, death is something that happens at the periphery of their lives – but some of us choose to make it the focus of our careers. I knew early on I wanted to care for the sick, but my path to caring for the dying was more circuitous. As a kid I was
- [9 FUND-RAISING STRATEGIES THAT WORK](https://thewatershedgroup.com/9-fund-raising-strategies-that-work/) - Do you see the future as one of shortage, lack, and ever-harsher governmental funding reductions? Or are you focused on an abundant future filled with new opportunities and innovative ways for people to engage and contribute? Let’s talk about how we can create that abundant future through development strategies that will enhance your organizations. Success
- [5 Steps to Creating A Culture of Care](https://thewatershedgroup.com/5-steps-to-creating-a-culture-of-care/) - How can we in hospice management create a robust culture of care in our organizations? In the past I consulted with a hospice run by an autocratic leader who really didn’t want to know what the staff thought or cared about; his big concern was his bottom line, not his front lines. How is staff
- [Best Practices Of Hospice](https://thewatershedgroup.com/best-practices-of-hospice/) - In today’s podcast Patti speaks about some of the best practices of Hospice work.
- [Replacing the CEO](https://thewatershedgroup.com/replacing-the-ceo/) - Patti discusses the questions that must be asked when looking for a new executive director or CEO.
- [It Starts With Staffing](https://thewatershedgroup.com/it-starts-with-staffing/) - In hospice, your only product is service, and nothing is more important to that than proper staffing. No matter how powerful your mission statement is or how beautiful your facility, your people have to be service-oriented and fully committed to the work. Hospice doesn’t run on a nine-to-five, five-day week; it’s 24/7, and we can
- [10 WAYS YOUR HOSPICE CAN STAND OUT FROM THE COMPETITION, Part I](https://thewatershedgroup.com/10-ways-your-hospice-can-stand-out-from-the-competition-part-i/) - When hospice began, there was no competition between us because there was no money involved. But the last ten years has brought an explosion in hospice growth, and today many good hospices find themselves jostling for market share in an ever-more-crowded field. Beyond offering superb care, delivered consistently, and unfailingly going above and beyond what
- [Leadership Change-The 3 things a CEO Needs To Do](https://thewatershedgroup.com/leadership-change-the-3-things-a-ceo-needs-to-do/) - Patti shares three things that a CEO needs to do to prepare for a leadership change.
- [The Importance Of Succession Planning](https://thewatershedgroup.com/the-importance-of-succession-planning/) - In this podcast, Patti explains the importance of succession planning for your Hospice.
- [What Does Your Community REALLY Want From You?](https://thewatershedgroup.com/what-does-your-community-really-want-from-you/) - Patti asks: What have you done lately to determine what your community really needs or wants from your Hospice?
- [Hospice And Philanthropy](https://thewatershedgroup.com/hospice-and-philanthropy/) - Patty shares some Hospice history and encourages the Hospices of today to ask their communities to give of their time, ideas, goods, services and dollars to fund needed programs.
- [Leonard](https://thewatershedgroup.com/leonard/) - April is National Volunteer Month. Celebrating remarkable people who give of their time and talents in service to others. Please enjoy this beautiful story of “Leonard” written by a friend who volunteers at the Alive Hospice Inpatient facility in Nashville, TN. “Leonard” By Heidi O’Neil Alive Hospice Volunteer March 2016 Leonard is 98 His
- [Beyond The Basics](https://thewatershedgroup.com/beyond-the-basics/) - In today’s podcast Patti discusses thinking beyond the basics and asking the community how they want to contribute to the quality care they desire.
- [Innovation In Hospice](https://thewatershedgroup.com/innovation-in-hospice/) - In today’s podcast Patti shares innovative ideas on how hospices can create the next level of care for the dying and their families.
- [What’s Your Superpower?](https://thewatershedgroup.com/whats-your-superpower/) - One of the things I love most about facilitating leadership workshops and retreats is giving people an opportunity to look at themselves with appreciative eyes. When we talk about our superpowers, we’re not talking about x-ray vision or leaping tall buildings, but the special strengths we bring to our teams; qualities of character or personality
- [Department of Health and Human Services Report](https://thewatershedgroup.com/department-of-health-and-human-services-report/) - Get ready folks, those of you with freestanding and leased Inpatient Units be aware: In my March 24, 2016 Newsletter Don Schumacher CEO of NHPCO spoke about Medicare Part A, B and D “Leakage”. Thursday March 31, 2016, the HHS Office of Inspector General released a report on the use and misuse of hospice inpatient
- [Everything Matters](https://thewatershedgroup.com/everything-matters/) - Whether it’s what an employee is wearing, how the offices look, or empty cups on a table Patti reminds us that image is more than your company logo.
- [A Client Success Story](https://thewatershedgroup.com/a-client-success-story/) - Patti shares one of her favorite client success stories.
- [Lives That Inspire](https://thewatershedgroup.com/lives-that-inspire/) - Ask anyone who had the honor of working with the late Dr. Robert "Bob" McCollough, M.D., and chances are good they’ll share a story about his kindness, his insight, and the respect and gentleness that informed his interactions with everyone around him, from patients and their families to his peers and co-workers. Here’s mine: The
- [Engaging A Consultant Vs. Internal Resources](https://thewatershedgroup.com/engaging-a-consultant-vs-internal-resources/) - Patti discusses five reasons you should use her consulting experience rather than do it yourself with internal resources.
- [Why I Wrote The Book “No Mission No Margin <sup>™</sup>”](https://thewatershedgroup.com/why-i-wrote-the-book-no-mission-no-margin/) - Patti shares her thoughts on why she wrote her book “No Mission No Margin ™.”
- [Recruiting Management at the Executive Level](https://thewatershedgroup.com/recruiting-management-at-the-executive-level/) - So - your CEO is leaving, and you’re faced with the challenge of finding a new leader who’s the right fit for your organization. This may have been a planned exit, or an unexpected change of course: In either case, getting the right CEO/ED is key to the health of any organization, and no more
- [Everything Begins With Culture](https://thewatershedgroup.com/everything-begins-with-culture/) - Patti shares seven insights to create a culture of care and competence in your organization.
- [How Patti Helps Her Clients](https://thewatershedgroup.com/how-patti-helps-her-clients/) - Patti explains the focus of her work and how she helps clients create thriving organizations.
- [Key Challenges My Clients Face](https://thewatershedgroup.com/key-challenges-my-clients-face/) - Patti shares three examples of key challenges her clients face and how she helps resolve them.
- [Leadership Listening](https://thewatershedgroup.com/leadership-listening/) - Welcome to the inaugural blog of Acknowledgings.com! The aim of this blog is to offer perspectives on what it takes to be a great leader, what it takes to be a great human being and what it takes to enjoy your life. Because it seems to me that if you enjoy all aspects of your
- [Lessons From The Field](https://thewatershedgroup.com/lessons-from-the-field/) - In my work as a consultant I have the good fortune to meet and interview all types of people. I interview everyone from Board members, community leaders, internal staff, housekeepers to executives. It is always my delight when I meet someone who is “real”; someone who is comfortable in their own skin, with a sensibility
- [Humility](https://thewatershedgroup.com/humility/) - April 9, 2011Last night I witnessed that rare quality in a leader, humility. I attended the National Hospice and Palliative Care Organizations’ Foundation Gala in Washington DC. There were lights and flowers and diamonds and glamor. The nations’ hospice leaders and donors were decked out in their finery to give out awards and celebrate.This year
- [Finding your Self](https://thewatershedgroup.com/finding-your-self/) - Socrates said “Know Thyself”. There is no one more important to get to know than you. Who are you, what roles do you play, what do you love, what makes you laugh what makes you cry? When was the last time you asked yourself those questions?In life we play many roles, some are chosen, others
- [Thoughts on Mary Labyak CEO of Suncoast Hospice](https://thewatershedgroup.com/thoughts-on-mary-labyak-ceo-of-suncoast-hospice/) - August 27, 1948 to February 4, 2012"I think hospice is the greatest single honor that has ever occurred in my life. To have the opportunity to be a part of building something that makes such a difference to society. And I think what is really important is that hospice is a dream that’s come true,
- ["Happy" New Year](https://thewatershedgroup.com/happy-new-year/) - This time of year we are all focusing on new beginnings. Goals are set, resolutions made and thoughts of “this year I’m going to …” are heard around the land.Here is a thought, what if our goals went from how much weight we’ll lose or how much money we’ll make this year to how much
- [March Madness](https://thewatershedgroup.com/march-madness/) - Do you work with a “team of experts”? Or do you work with “expert teams”? The job of a leader is to put together teams who believe in and live the organizations’ mission, who can influence and carry out change and accomplish established goals. All the while trusting one another, respecting one another, and even
- [HOSPICE LEADERS MUST BE FEARLESS](https://thewatershedgroup.com/hospice-leaders-must-be-fearless-2/) - Each day Hospice leaders look death in the face and adjust their organizations to meet the needs of patients, caregivers, staff, donors, volunteers, referral sources, local/state/federal government regulations and the communities they serve; and do it in the midst of revolutionary change. They must be fearless, they must be creative, they must be smart, they
- [Happy 15th Anniversary](https://thewatershedgroup.com/happy-15th-anniversary/) - “Until one is committed there is hesitancy…the moment one definitely commits oneself, providence moves in. So, whatever you do, or dream you can do, begin it. Boldness has genius, power, and magic in it.” GoetheThe Watershed Group is celebrating 15 years in business! When I started TWG in 1999 I was not certain of the

## Pages

- [Home](https://thewatershedgroup.com/)
- [Newsletter Sign Up](https://thewatershedgroup.com/newsletter-sign-up/) - Sign up now for: Moore Mission Moments! Newsletter Archive September 14, 2019 - IS ANYONE LISTENING? August 31, 2019 - 3 Tips on Coping, Even With Mother Nature August 17, 2019 - When We Give a Little TOO Much August 7, 2019 - Unintentional Teachers July 27, 2019 - The Hidden Value of Vacations July
- [Privacy Policy](https://thewatershedgroup.com/privacy-policy/) - This privacy policy has been compiled to better serve those who are concerned with how their 'Personally Identifiable Information' (PII) is being used online. PII, as described in US privacy law and information security, is information that can be used on its own or with other information to identify, contact, or locate a single person,
- [Tips for Living](https://thewatershedgroup.com/resources/tips-for-living/) - 1. LAUGH! Keep life in perspective. Find ways to bring joy into your life. Place a favorite photograph of you and friends or loved ones laughing where you can easily see it on your desk. Spend time with people who make you smile rather than frown. 2. LISTEN TO MUSIC Music can indeed soothe the
- [Testimonials](https://thewatershedgroup.com/clients/testimonials/) - Patti Moore leads The Watershed Group to create transformational change for a wide range of clients. Whether we’re working with hospice organizations, not-for-profit organizations, or others, our commitment is the same: to help our clients achieve meaningful results through wholeness, dignity, respect, and empowerment. Take a look at what some of our clients have to
- [No Mission No Margin <sup>™</sup>](https://thewatershedgroup.com/nomissionomargin/) - About The Book Patti Moore’s most recent book, No Mission No Margin ™: Creating a Successful Hospice with Care and Competence (Advantage Media Group, 2014), shares her expertise on how to build a thriving hospice organization. Drawing on more than three decades in the hospice field as an executive at one of the nation’s leading
- [Press Room](https://thewatershedgroup.com/press-room/) - Here in the press room, you’ll find all the latest news from Patti Moore and The Watershed Group. Thanks for stopping by! Patti Moore Honored by University of Florida Media Review of No Mission No Margin ™ PRESS RELEASE – NO MISSION, NO MARGIN Patti's video honoring Mary Labyak
- [Patti Moore honored by University of Florida](https://thewatershedgroup.com/press-room/patti-moore-honored-by-university-of-florida/) - Patti Moore honored by University of Florida College of Nursing as a Gator Great Local business leader Patrice “Patti” Moore, President of the Watershed Group of Gainesville, Florida, was named by the University of Florida College of Nursing as one of “60 Gator Nurse Greats” in honor of the College of Nursing’s 60th Anniversary at
- [Active Searches](https://thewatershedgroup.com/about/active-searches/) - Director of Home Care Community Hospice of North East Florida communityhospice.com Job description Position Profile Chief Operating Officer Hope Hospice of Rhode Island and Massachusetts www.hopehospiceri.org
- [Consulting](https://thewatershedgroup.com/services/consulting/) - No Mission No Margin ™ Healthcare and hospice organizations today face a fast-changing marketplace, and an ever-growing list of regulations to follow. Here at The Watershed Group, we work with a wide range of organizations to leverage these challenges into efficiencies and productivity. Our founder and president, Patti Moore, is a sought-after consultant with over
- [Speaking & Workshops](https://thewatershedgroup.com/services/speaking-and-workshops/) - No Mission No Margin ™ Patti Moore, president and founder of The Watershed Group, truly understands executives—their challenges, responsibilities, hopes, and ambitions. After all, she was a hospice executive herself for more than 15 years. Drawing on her experience as a longtime leader in the hospice industry, Patti gives inspirational speeches to staff, leadership and
- [Newsletter Sign Up](https://thewatershedgroup.com/newsletter-sign-up/newsletter-thank-you/) - Thank You!
- [Books by Patti Moore](https://thewatershedgroup.com/books/) - In addition to her role as founder and president of The Watershed Group, Patti Moore is the author of two books. No Mission No Margin ™ Patti’s most recent book, No Mission No Margin ™: Creating a Successful Hospice with Care and Competence, shares her expertise in how to build a thriving hospice company with
- [Press Release – No Mission No Margin <sup>™</sup>](https://thewatershedgroup.com/press-room/press-release-no-mission-no-margin/) - New Book on Health Care Management is a Guidebook for Building a Transformational Culture Focused on Mission, Resulting in Increased Financial Success Gainesville, Florida October 31, 2014 – President and Founder of The Watershed Group, Patrice “Patti” Moore, has published her second book, No Mission No Margin ™: Creating a Successful Hospice with Care and
- [About Patrice C. Moore](https://thewatershedgroup.com/about/about-patrice-c-moore/) - Patrice “Patti” Moore, RN, BSN, MSN, ARNP, has always been passionate about end-of-life care. She began her career in the nursing profession, where her commitment to service and compassionate leadership first took root. Patti then spent 16 years as the executive director of Hospice of North Central Florida (now known as Haven Hospice), growing it
- [Case Studies](https://thewatershedgroup.com/clients/case-studies/) - Since our launch in 1999, The Watershed Group has helped over 100 hospice care companies and not-for-profit organizations turn potential crises into positive change. Our clients have achieved increased productivity, financial stability, and business growth when they work with us. Below, you can find several case studies that show the many ways we can positively
- [Executive Retreats](https://thewatershedgroup.com/services/executive-retreats/) - No matter the industry, all organizations thrive under a unified leadership team. As an executive and consultant in the hospice care industry for over three decades, Patti Moore has seen first-hand that a cohesive management strategy is critical to business success. To help organizations embrace this reality, Patti has developed powerful executive retreats for both
- [About The Watershed Group](https://thewatershedgroup.com/about/about-the-watershed-group/) - Every organization has its “watershed moments”: periods of transition and/or turning points that can either make or break a company. In 1999, Patti Moore founded a unique consulting firm to help organizations make the most of those turning point moments—transforming potential crises into organizational growth and financial stability. She called this firm The Watershed Group.
- [How Goes It With Your Soul](https://thewatershedgroup.com/how-goes-it-with-your-soul/) - About The Book This attractive collection of watercolors and inspirational quotes by Patrice Moore and Peggy I. Dyson, How Goes It With Your Soul, is a little gem of a book. Written by two of the country’s leading experts on service and compassion, this book will make you smile, give you insight and provide perspective
- [Contact](https://thewatershedgroup.com/contact/) - Here at The Watershed Group, we’re committed to working with our clients to achieve extraordinary results. We look forward to working with you! Contact us today to start transforming your business. Address: THE WATERSHED GROUP5745 SW 75th St. #323Gainesville, Florida 32608 Telephone: 352.495.2800Fax 352.495.1810 Email: PattiMoore@thewatershedgroup.com
- [Strategic Advising](https://thewatershedgroup.com/services/strategic-advising/) - Being a CEO is a lonely job. Few people understand the intricate complexities of what it takes to be the leader of an organization. Finding a trusted advisor to help you confront your deepest fears and greatest challenges and identify your wildest hopes and ambitions is a gift. Patti Moore has lived it—and that’s why
- [Talent Acquisition & Management](https://thewatershedgroup.com/services/talent-acquisition-management/) - Finding the right people to lead an organization is an art and a science. Here at The Watershed Group, we’ve mastered both. Our president and founder, Patti Moore, combines her executive experience, keen eye for talent, and intuitive understanding of human nature to help clients find the best professional candidates. The Watershed Group offers comprehensive
- [Our Mission](https://thewatershedgroup.com/about/our-mission/) - To uplift and inspire individuals and organizations to live andperform to their full potential. The Watershed Group is a strategic consulting firm dedicated to helping organizations and individuals to achieve meaningful results by aligning their vision and mission. Our core values are rooted in several key concepts of hospice care: wholeness, dignity, respect, and empowerment.
- [Sitemap](https://thewatershedgroup.com/sitemap/)
- [Videos](https://thewatershedgroup.com/resources/videos/)
- [Patti’s Book List](https://thewatershedgroup.com/resources/pattis-book-list/) - A Whole New Mind by Daniel H. Pink This book will tell you why the future belongs to the designers, inventors, teachers and storytellers, to those who are creative “right brain” thinkers. Setting The Table by Danny Meyer This book will reveal how a successful New York City restaurateur provides “enlightened hospitality” and how you
- [Patti’s “Links to Living”](https://thewatershedgroup.com/resources/pattis-links-to-living/) - www.metmuseum.org for The Metropolitan Museum of Art www.louvre.fr/louvrea.htm for The Louvre Museum www.phillipscollection.org for The Phillips Collection gos.sbc.edu/a/angelou.html for Maya Angelou’s poem, On The Pulse of Morning www.parallax.org site on mindfulness by Vietnamese Buddhist monk Thich Nhat Hann www.historyplace.com/unitedstates/adams/ for the Best of Ansel Adams at The History Place www.nps.gov Visit one of our magnificent
- [About](/about/about-patrice-c-moore/)
- [Resources](/blog/)
- [Clients](/clients/case-studies/)
- [Services](/services/consulting/)

## Videos

- [Patti Moore - Introduction](https://thewatershedgroup.com/video/patti-moore-introduction/)
- [Patrice Moore - Empowering](https://thewatershedgroup.com/video/patrice-moore-empowering/)
- [Patti Moore - Passion](https://thewatershedgroup.com/video/patti-moore-passion/)
- [History of The Watershed Group](https://thewatershedgroup.com/video/history-of-the-watershed-group/)
- [Patti’s video honoring Mary Labyak](https://thewatershedgroup.com/video/pattis-video-honoring-mary-labyak/)

## Categories

- [Uncategorized](https://thewatershedgroup.com/category/uncategorized/)
- [Podcast Series: The Mission Strategist](https://thewatershedgroup.com/category/the-mission-strategist-podcast-series/)
- [Leadership](https://thewatershedgroup.com/category/leadership/)
- [Team work](https://thewatershedgroup.com/category/team-work/)
- [Process Visuals](https://thewatershedgroup.com/category/process-visuals/)
- [Moore Mission Moments](https://thewatershedgroup.com/category/moore-mission-moments/)
- [Staffing](https://thewatershedgroup.com/category/staffing/)
- [Hospice](https://thewatershedgroup.com/category/hospice/)

## Tags

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- [Culture of Care](https://thewatershedgroup.com/tag/culture-of-care/)
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- [strategies](https://thewatershedgroup.com/tag/strategies/)
- [hospice](https://thewatershedgroup.com/tag/hospice/)
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