Caring vs. Cashflow

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Abstract
The administration and delivery of human services often involve apparently conflicting goals, such as the desire to offer quality services to those most in need while maintaining a sound financial status for an agency. Using the example of needs for caring vs. cashflow in a hospice, this article describes how computer simulation was used to explore possible solutions for this common dilemma in human service organizations. A system dynamics model was developed to represent student and staff beliefs about the causal relationships between processes of caring and cashflow. A generic system dynamics computer application, STELLA, was used to simulate and explore varying assumptions and beliefs about agency functioning. The simulation period proved very useful as an educational tool, and as a motivator for staff to pursue a solution to the caring vs. cashflow dilemma.

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