In 2014, more than 1.6 million patients received services across the U.S. from hospice care agencies. The teams within these agencies are supporting each other to play a vital role in assisting a person’s transition from this life to the next comfortably, as well as catering to the family. Hospice care companies are comprised of a variety of roles that are divided into teams. Staff members vary in age from 21 to 70 years, indicating the presence of mixed-generation teams. Generational diversity can create challenges in understanding different points of view, learning styles, and communication. Generational differences are one of the most fundamental reasons organizations experience difficulty with recruitment, development, and retention. In seeking to develop high performing teams, the concept and practice of accountability may be helpful in keeping employees engaged and committed to their team and the organization. Given differences in perception across multiple generations and the importance of accountability, this study explores the multi-generational concepts of accountability and the role of tight knit teams in the various roles at Hospice Care of California. The results indicated that age difference does not play a significant role in accountability. However, tight knit teams are important to providing accountability within a team. The findings of this study can be used to help management and team members become more aware of generational beliefs and drivers behind accountability. This will enhance trust, commitment, clear communication, as well as create effective and productive teams in the healthcare industry.

Library of Congress Subject Headings

Dissertations (MA) -- Organization Development; Intergenerational relations -- Problems, exercises, etc.; Hospice care -- Case studies; Organizational change

Date of Award


School Affiliation

Graziadio Business School



Degree Type


Degree Name


Faculty Advisor

Jordan, Rita;