Sign Up for Email Alerts Visit us on Twitter Visit us on Facebook Visit us on YouTube Subscribe to RSS Feeds


Home > Past Briefings > Briefing Detail Page
 

Briefing Detail Page

Change Text Size:   Smaller Text Size   Larger Text Size   Default Text Size    

QUALITY CARE AND COMFORT AT THE END OF LIFE: Changes Needed?


Friday, June 08, 2007

The American health system is focused on curing, and spends billions of dollars on treatment at the end of life. But now more than 40 million adult Americans suffer with life-altering, chronic health conditions. They and their families are often more concerned with pain management, comfort care, and coordinating care as they transition from setting to setting. As people live longer with grave chronic illness are they getting quality care? Where in the delivery of care spectrum should palliative care come into play? Sponsored by the Alliance and the Robert Wood Johnson Foundation.

Speakers

Joan Teno, Brown University, Speaker
Diane Meier, Mount Sinai School of Medicine, Speaker
Brad Stuart, Sutter VNA and Hospice, Speaker
Steve McConnell, Alzheimer's Association, Speaker

Transcript, Event Summary and/or Webcast and Podcast

Transcript: Quality of Care and Comfort at the End of Life: Changes Needed? (Adobe Acrobat PDF), 6/8/2007
Full Webcast/Podcast: QUALITY CARE AND COMFORT AT THE END OF LIFE: Changes Needed?

The transcript, full webcast and podcast for this briefing are provided by Kaiser Family Foundation.

Speaker Presentations

Teno - Embracing NH as the Place of Care and Site of Death for Older, Frail Americans (Adobe Acrobat PDF), 6/8/2007
Meier - Palliative Care in Hospitals (Adobe Acrobat PDF), 6/8/2007
Stuart - Hospice and Home Care (Adobe Acrobat PDF), 6/8/2007
McConnell - Barriers to Quality End of Life Care for People with Dementia (Adobe Acrobat PDF), 6/8/2007

(If you want to download one or more slides from these presentations, contact us at info@allhealth or click here for instructions.)

Source Materials

Approaching Death: Improving Care at the End of Life (executive summary) (Adobe Acrobat PDF), Institute of Medicine, 1/1/1997
Culturally Diverse Communities and End-of-Life Care (Adobe Acrobat PDF), American Psychological Association, 1/1/2001
Do rules hamper remedies for pain? (Adobe Acrobat PDF), Seattle Times, 5/21/2007
Fixing America's Hospitals (Adobe Acrobat PDF), Newsweek, 10/16/2006
End-of-Life Care: An Agenda for Policy Improvement (selected) (Adobe Acrobat PDF), Clinics in Geriatric Medicine, 2/1/2005
End-of-Life Care in Nursing Homes: Experiences and Policy Recommendations (executive summary) (Adobe Acrobat PDF), AARP Public Policy Institute, 11/1/2004
An Evaluation of the Advanced Illness Management (AIM) Program: Increasing Hospice Utilization (Adobe Acrobat PDF), Journal of Palliative Medicine, 11/6/2006
Family Perspectives on End-of-Life Care at the Last Place of Care (Adobe Acrobat PDF), Journal of the American Medical Association, 1/7/2004
The Foundation's End of Life Programs: Changing the American Way of Death (Adobe Acrobat PDF), Robert Wood Johnson Foundation Anthology, 1/1/2003
Get Palliative Care (Adobe Acrobat PDF), Center to Advance Palliative Care, 1/1/2006
Implementing a Continuum of Palliative Care (Adobe Acrobat PDF), Supportive Care Coalition, 4/1/2004
Improving Response to Life-Threatening Illness (Adobe Acrobat PDF), Health Progress, 1/1/2004
Living Long in Fragile Health: The New Demographics Shape End of Life Care (Adobe Acrobat PDF), Hastings Center Report, 11/1/2005
Medicare's hospice benefit for Alzheimer's beneficiaries: frequently asked questions (Adobe Acrobat PDF), Alzheimer's Association, 1/1/2006
The Medicare Hospice Payment System: A Preliminary Consideration of Potential Refinements (Adobe Acrobat PDF), RAND Health, 6/1/2006
NHPCO's Facts and Figures: 2005 Findings (Adobe Acrobat PDF), National Hospice and Palliative Care Organization, 11/1/2006
PACE is a Model for Excellence in End-of-Life Care (Adobe Acrobat PDF), Support Care Coalition, 7/1/2006
Palliative Care (Adobe Acrobat PDF), Center to Advance Palliative Care, 11/1/2005
Palliative Care Stories (Adobe Acrobat PDF), Center to Advance Palliative Care, 1/1/2005
Patterns of Functional Decline at the End of Life (Adobe Acrobat PDF), Journal of the American Medical Association, 5/14/2003
Redefing and Reforming Health Care for the Last Years of Life (Adobe Acrobat PDF), RAND Health, 1/1/2004
Quality End of Life Care for Individuals with Dementia in Assisted Living and Nursing Homes (Adobe Acrobat PDF), Alzheimer's Association, 8/1/2007
What is Comprehensive Cancer Care? (Adobe Acrobat PDF), National Coalition for Cancer Survivorship, 6/1/2007
Capps, Davis Introduce Legislation to Improve the Care of Cancer Patients (Adobe Acrobat PDF), Rep. Lois Capps, 5/24/2006
SELECTED SOURCES: Quality Care and Comfort at the End of Life (Adobe Acrobat PDF), Alliance for Health Reform, 6/6/2007
SPEAKER BIOGRAPHIES: Quality Care and Comfort at the End of Life (Adobe Acrobat PDF), Alliance for Health Reform, 6/6/2007

Photos

Steve McConnell of the Alzheimer's Association -- speaker at the June 8th briefing cosponsored by the Robert Wood Johnson Foundation.

Senator Susan Collins (R-ME), co-chairman of the Alliance for Health Reform -- keynote speaker at the June 8th briefing cosponsored by the Robert Wood Johnson Foundation.

Joan Teno, M.D., of Brown University -- speaker at the June 8th briefing cosponsored by the Robert Wood Johnson Foundation.

Brad Stuart, M.D., of Sutter VNA and Hospice -- speaker at the June 8th briefing cosponsored by the Robert Wood Johnson Foundation.

Diane Meier, M.D., of Mount Sinai School of Medicine -- speaker at the June 8th briefing cosponsored by the Robert Wood Johnson Foundation.

 


Uwe Reinhardt Questions Bundled Payment Savings Prospects


Video (2:58)

A new Alliance for Health Reform video features Princeton’s Uwe Reinhardt questioning whether bundling payments for medical services might actually lead to higher – not lower – costs.

"The ACO's, the accountable care organizations, could create local monopolies that could dictate to you what that bundled price would be, and some of us fear that bundled prices might be even more than what the fee-for-service for that bundle would be today. … You really should align all the payers and say, 'Let us jointly negotiate with the ACOs what those bundles should be so that they cannot divide and rule and sort of make us on the buy side weak.'"

FULL TRANSCRIPT

Read More 


Sister Carol Keehan on Health Law Enrollment Challenges this Year


Video 3:00

A new Alliance for Health Reform video features Sister Carol Keehan of the Catholic Health Association of the United States addressing the challenges of quickly enrolling millions of Americans for health insurance this fall. Open season begins October 1 of this year, yet she says that up to 85 percent of those who will be newly eligible for Medicaid or for subsidies to buy private insurance in state-based exchanges don't know it.  FULL TRANSCRIPT

Read More 


Jonathan Blum on CMS Efforts to Keep Medicare Spending Growth Down


Video (2:54)

Jonathan Blum, acting principal deputy administrator and director of the Center for Medicare at the Centers for Medicare and Medicaid Services (CMS), addresses the slower growth of Medicare spending over the last few years, and what his agency is doing to try and continue the trend. “There are promising signs that this strategy to change the payment system, to change the payment models, to focus on waste and abuse, is paying off," he said. "We are taking a whole new approach to addressing fraud in the program. Much more data resources, much more on the ground reaction. We have seen dramatic spending declines in areas of spending, such as home health and durable medical supplies that historically fueled lots of the fraud.”  FULL TRANSCRIPT

Read More 


Two Former Medicare Administrators Discuss How to Save the Program


A new Alliance for Health Reform video features two former Medicare administrators -- Gail Wilensky and Bruce Vladeck -- on their ideas about how to save the program.

Ms. Wilensky, who ran Medicare in a Republican administration, argued for increasing the eligibility age of Medicare for future retirees, while still making the program available at age 65 for those who are disabled.

Watch at http://www.youtube.com/watch?v=GQjsfam9-w0

Read More 


Douglas Holtz-Eakin: Health Care Spending Lull Only Temporary


Video (3:11)

A new Alliance for Health Reform video features Douglas Holtz-Eakin of the American Action Forum, and a former director of the Congressional Budget Office, arguing that recent slower spending growth in health care won’t continue.

"We also saw a slowdown in the mid-90s, and we all declared victory and it came right back. I think next year we’ll see a noticeable uptick. There will be lots of new people entering the insurance markets because of the exchanges and the subsidies that come along with them, and those subsidies are very generous. … These are an invitation for people to get coverage and to buy more health care. I think that’ll place a lot of pressure on spending."

FULL TRANSCRIPT

Read More 

Marketplace Enrollment Helpers Toolkit


Beginning October 1, insurance marketplaces open for enrollment, and millions of people will be eligible to purchase plans. To guide them in the application process, the federal government has invested in programs to train community organizations and hired staff.

Read More 

The Employer Mandate of the Patient Protection and Affordable Care Act


The Toolkit, available here, details the ACA’s employer requirements and penalty. It also includes information about the delay in the mandate to 2015, and analysis about its impact on employer-based coverage.

Read More 

Toolkit: Replacing the SGR


A new Alliance for Health Reform Toolkit summarizes the recent policy debate surrounding the decade-long problem In the last six months, the House Energy and Commerce Committee, House Ways and Means, and Senate Finance committees all put forth similar bills to repeal and reform the flawed Medicare physician payment formula. Further, with the CBO estimating the cost of repeal at $116.5, the lowest since 2006, many health policy experts are speculating that 2014 is the year that policymakers enact a permanent change to the SGR.

Read More 

Copyright 1997-2014 Alliance for Health Reform
1444 Eye Street, NW, Suite 910 Washington, DC 20005-6573      202-789-2300      202-789-2233 fax      info@allhealth.org      Sitemap