Hospice

Kingsweir Heights Hospice · Hospice · Bellingham, WA

Rafe Bjornsson is the care coordinator at Kingsweir Heights Hospice, a community hospice in Bellingham, and he uses this board to guide each family from the opening conversation to a signed election form and to see which referral sources bring the families who sign.

HealthcareSales pipelineLinked tables4 tables · 6 views · 2 forms · 1 dimension set · 1 digest · 1 notification · 1 stage rule set · 1 agent
Use this template

Inquiry board

Inquiries
New call6
Quartermain family — nursing facility careKH-6194Thessaly Drysdale-Han
Montague-Fong family — home careKH-6197Isadora Thackeray-Mwale
Lindholm family — home careKH-6200Evaristo Lindholm-Cruz
Jessup-Amadi family — assisted living careKH-6203Griselda Penhallow-Adeyemi
Rourke family — home careKH-6206Thaddeus Rourke-Vance
1 more
Eligibility checked7
Quill family — home careKH-6173Kasimir Vanterpool
Tidewell family — hospital to home careKH-6176Evander Tidewell-Park
Langford family — home careKH-6179Odessa Langford-Eze
Kestrel family — assisted living careKH-6182Mortimer Kestrel-Adair
Hargreave family — home careKH-6185Linnea Bellerose
2 more
Intake visit booked6
Abioye family — home careKH-6155Delphine Abioye-Marsh
Whitcombe-Ajay family — home careKH-6158Leander Voss-Ibarra
Achterberg family — assisted living careKH-6161Fenna Montague-Fong
Delgado family — home careKH-6164Zachariah Delgado-Finn
Thorvaldsen family — home careKH-6167Wendeline Whitcombe-Ajay
1 more
Agreement signed11
Ashgrove family — home careKH-6107Ottoline Ashgrove
Quennell family — home careKH-6110Wendeline Zeller-Okon
Lindgard family — assisted living careKH-6113Theodora Lindgard
Quarrington family — home careKH-6116Hamish Quarrington
Reyes family — hospital to home careKH-6119Rosamund Zeller-Okon
6 more
Declined5
Falconer family — home careKH-6140Ravindra Falconer
Castellane family — assisted living careKH-6143Yorick Upshaw-Mori
Wainwright family — home careKH-6146Una Colquhoun-Diaz
Doyle family — hospital to home careKH-6149Marguerite Doyle-Anand
Sorensen family — nursing facility careKH-6152Phineas Sorensen-Bell

Tables

Inquiries

35 sample rows · 25 columns

Every family that has asked about hospice care, from the first call to a signed agreement or a decision to wait.

InquiryInquiry numberCallerCaller isPhoneEmailPerson needing care
Lindholm family — home careKH-6200Evaristo Lindholm-CruzDaughter(360) 555-0141evaristo.lindholmcruz@olympicridgeinbox.comSeraphina Lindholm
Jessup-Amadi family — assisted living careKH-6203Griselda Penhallow-AdeyemiSon(360) 555-0142griselda.penhallowadeyemi@salishpostbox.orgPercival Jessup-Amadi
Rourke family — home careKH-6206Thaddeus Rourke-VanceSibling(360) 555-0143thaddeus.rourkevance@puffinharbormail.netWinnifred Rourke
Strand family — hospital to home careKH-6209Hedda Lockhart-VegaDaughter(360) 555-0144hedda.lockhartvega@olympicridgeinbox.comHumphrey Strand
Quartermain family — nursing facility careKH-6194Thessaly Drysdale-HanSon(360) 555-0139thessaly.drysdalehan@salishpostbox.orgThessaly Quartermain
Montague-Fong family — home careKH-6197Isadora Thackeray-MwaleSpouse(360) 555-0140isadora.thackeraymwale@puffinharbormail.netRhea Montague-Fong
Wolcott family — home careKH-6188Caspian Wolcott-DialloFriend(360) 555-0137caspian.wolcottdiallo@puffinharbormail.netImelda Wolcott
Bergstrom family — home careKH-6191Hortensia Bergstrom-LauDaughter(360) 555-0138hortensia.bergstromlau@olympicridgeinbox.comAlaric Bergstrom
Kestrel family — assisted living careKH-6182Mortimer Kestrel-AdairSon(360) 555-0135mortimer.kestreladair@olympicridgeinbox.comGenevieve Kestrel
Hargreave family — home careKH-6185Linnea BelleroseDaughter(360) 555-0136linnea.bellerose@salishpostbox.orgBarnabas Hargreave
Tidewell family — hospital to home careKH-6176Evander Tidewell-ParkDaughter(360) 555-0133evander.tidewellpark@salishpostbox.orgPhilippa Tidewell
Langford family — home careKH-6179Odessa Langford-EzeSpouse(360) 555-0134odessa.langfordeze@puffinharbormail.netReginald Langford

23 more rows

Follow-ups

92 sample rows · 6 columns

Each call, text, email or visit with a family while their inquiry is open, and how long it took.

What happenedInquiryChannelOutcomeContact dateMinutes
Lindholm family, contact 1: Left a message with a direct number for the care team.Lindholm family — home careTextLeft messageOct 5, 202645
Penhallow family, contact 1: Left a message with a direct number for the care team.Jessup-Amadi family — assisted living careEmailLeft messageOct 5, 202610
Rourke family, contact 1: Left a message with a direct number for the care team.Rourke family — home careCallLeft messageOct 5, 202625
Lockhart family, contact 1: Left a message with a direct number for the care team.Strand family — hospital to home careCallLeft messageOct 5, 202615
Wolcott family, contact 2: Asked the referring office to send recent notes and the latest medication list.Wolcott family — home careTextRecords requestedOct 4, 202620
Bergstrom family, contact 2: Asked the referring office to send recent notes and the latest medication list.Bergstrom family — home careEmailRecords requestedOct 4, 202630
Drysdale family, contact 1: Left a message with a direct number for the care team.Quartermain family — nursing facility careHome visitLeft messageOct 4, 202610
Thackeray family, contact 1: Left a message with a direct number for the care team.Montague-Fong family — home careTextLeft messageOct 4, 202620
Kestrel family, contact 2: Asked the referring office to send recent notes and the latest medication list.Kestrel family — assisted living careCallRecords requestedOct 3, 202625
Bellerose family, contact 2: Asked the referring office to send recent notes and the latest medication list.Hargreave family — home careCallRecords requestedOct 3, 202620
Wolcott family, contact 1: Talked through what hospice covers and answered questions about care at home.Wolcott family — home careTextSpoke with familyOct 3, 202610
Bergstrom family, contact 1: Talked through what hospice covers and answered questions about care at home.Bergstrom family — home careTextSpoke with familyOct 3, 202640

80 more rows

Referral sources

8 sample rows · 8 columns

The hospitals, clinics and facilities that send families, and how many of them end up signing.

SourceKindOffice phoneWorking with us sinceInquiries
Alder Grove Care CenterNursing facility(360) 555-0104Oct 5, 2024Abernethy family — nursing facility care, Oakhurst-Ngo family — nursing facility care, Sorensen family — nursing facility care, Thornbury-Nkosi family — nursing facility care, Quartermain family — nursing facility care
Found us onlineOnline(360) 555-0100Oct 5, 2016Holt family — home care, Delgado family — home care, Hargreave family — home care, Montague-Fong family — home care
Lindqvist Family MedicinePrimary care(360) 555-0102Oct 5, 2016Quarrington family — home care, Whitcombe-Ajay family — home care, Langford family — home care, Lindholm family — home care
Neighbor or friend of a familyFamily or friend(360) 555-0107Oct 5, 2015Tuckerman family — home care, Wolcott family — home care
Northshore Heart & VascularCardiology clinic(360) 555-0106Oct 5, 2022Ashgrove family — home care, Wainwright family — home care, Achterberg family — assisted living care
Seaview Cancer ClinicOncology clinic(360) 555-0103Oct 5, 2018Quennell family — home care, Aldritch-Sen family — home care, Falconer family — home care, Abioye family — home care, Quill family — home care, Bergstrom family — home care, Rourke family — home care
St. Marks Medical discharge planningHospital discharge planner(360) 555-0101Oct 5, 2021Reyes family — hospital to home care, Dunmore-Aiyar family — hospital to home care, Doyle family — hospital to home care, Thorvaldsen family — home care, Tidewell family — hospital to home care, Strand family — hospital to home care
Willowmere Assisted LivingAssisted living(360) 555-0105Oct 5, 2024Lindgard family — assisted living care, Castellane family — assisted living care, Kestrel family — assisted living care, Jessup-Amadi family — assisted living care

Views

Intake visits

Inquiries
October 2026
Sun
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Sat
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6Abioye family — home careWhitcombe-Ajay family — home care
7Achterberg family — assisted living careDelgado family — home care
8Thorvaldsen family — home careThornbury-Nkosi family — nursing facility care
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Forms and booking

Ask about hospice

Form
Ask about hospiceThe page where a family asks the hospice for information or a first conversation about care.
In a few words, who is the care for? *
What name should the coordinator ask for?
Which number can we ring you on?
Which email can we send information to?
Where is your loved one now? *HomeAssisted livingNursing facilityHospital to home
What would you like us to know about how things have been?Shared only with the care team.
Ask for a call

Log a call

Form
Log a callWhat the intake desk completes whenever a family phones to ask about care.
Who is the call about? *
Who is calling?
What number did they leave?
Where is the patient now? *HomeAssisted livingNursing facilityHospital to home
Who sent them?
Who takes the next step?
Save the call

Also included

  • Inquiry boardStage rules
  • Visits bookedDigest
  • New callNotificationTells the coordinator the moment a family asks about care so the callback is made before the day gets busy.