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Although not a Quaker himself, Diffey sees a great deal of harmony
between Quaker values and his own leadership ethic. Quakerism, which
was founded in seventeenth-century England as an alternative to the
complex, institutional Christian churches of the time, values inclusion
to the extent that all decisions must be arrived at through consensus—which
might sound daunting to most CEOs, but does not faze Diffey. "Leadership
is more about inspiration and inclusion than it is about telling
people what to do," Diffey says. "What Kendal does and
how we operate and how Quakers think about resolving conflict is
remarkably similar to best practices I was taught in my M.B.A. program."
Diffey's leadership has helped guide Kendal from a small
nonprofit organization just starting to outgrow its base in southeast
Pennsylvania into a nationally recognized star in its field. "Kendal
is one of the forerunners of consciously setting out to create
ULRCs," says Ronald Manheimer, director of the University
of North Carolina's Center for Creative Retirement, adding
that the field has begun to blossom and diversify in recent years.
Manheimer says the current popularity of ULRCs derives from the
lifelong-learning movement that flourished as the many college-educated
members of the G.I. generation retired.
Pace agrees. "The collegiate atmosphere is one of the strongest
selling points people who are marketing [ULRCs] use. Because, typically,
if you're moving into independent living, you're not
moving there for the medical part of the facility, you're
moving for the social aspect."
Today, experts say there are anywhere from thirty to 100 ULRCs,
depending on how the term is defined. Duke is connected to two
retirement communities: The Forest at Duke, situated a few miles
from campus, and Galloway Ridge, located at Fearrington Village
in Pittsboro, North Carolina, south of Chapel Hill, and affiliated
with Duke University Health System.
On an unseasonably warm winter day, Bartlett, Hewitt, and Elizabeth
Mather, another resident, are gathered around a table in the coffee
shop just outside the community dining hall. Other residents pass
through on their way to lunch, and the din of animated conversation
resounds around the small room. Residents usually eat one meal
each day in the dining hall and prepare the rest in their apartments.
Bartlett is a dynamo, darting from topic to topic; Mather punctuates
her points with wit and precision; and Hewitt, the most reserved
of the three, exhibits an almost scholarly manner. But as they
talk about themselves, the similarities in their personal histories
emerge. All are retired, white-collar professionals. All have traveled
extensively. And, it gradually emerges, all are Quakers.
But not everyone at Kendal is Quaker, they immediately rush to
say. For a moment, they strain to think of the residents who would
seem to be most at odds with pacifist Quakerism.
"We now have three ex-admirals!" Mather exclaims.
"And a retired three-star general!" Bartlett adds excitedly.
Nevertheless, Quakerism, a non-hierarchical religion that Diffey
describes as "seeking, rather than doctrinal," informs
life at Kendal.
"The most important Quaker value is the importance of everybody
having the opportunity to express their opinions—everybody
is listened to," Bartlett says.
"In the effort to seek some diversity, to value the notion
of diversity," Mather adds. This emphasis on diversity is
manifested in Kendal's pricing plans, which are weighted
so that the high costs for larger units help subsidize the lowest-cost
units. Comprehensive fee structures serve two purposes: They eliminate
the à la carte approach to retirement living that can tack
on unanticipated medical and living expenses as residents age,
and they generate subsidies that can serve as supplements or cover
a resident's insolvency.
This notion of inclusion spills over to the medical care provided.
Unlike most modern nursing facilities that segregate cognitively
impaired residents from the general population, Kendal places residents
who require nursing care in the same facility, regardless of their
level of mental and physical ability. Geriatric studies consistently
show that cognitively impaired older people decline more rapidly
if surrounded only by other cognitively impaired people.
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