Increased access to palliative care and hospice services: Opportunities to improve value in health care

Milbank Quarterly

Volumn 89, Issue 3, 2011, Pages 343-380

  Meier, Diane E ^a  

^a MOUNT SINAI SCHOOL OF MEDICINE   (United States)

Author keywords

health care quality; hospice care; Palliative care; Patient Protection and Affordable Care Act

Indexed keywords

ARTICLE; CHRONIC DISEASE; COMMUNITY CARE; CRITICALLY ILL PATIENT; DEPRESSION; EMERGENCY WARD; FAMILY; HEALTH CARE ACCESS; HEALTH CARE COST; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HOME CARE; HOSPICE CARE; HOSPITALIZATION; HUMAN; NURSING HOME; OUTCOME ASSESSMENT; PAIN; PALLIATIVE THERAPY; PATIENT CARE; PATIENT SATISFACTION; POPULATION; PRIORITY JOURNAL; QUALITY OF LIFE; SYMPTOM; UNITED STATES;

CHRONIC DISEASE; HEALTH SERVICES ACCESSIBILITY; HOSPICE CARE; HOSPICES; HUMANS; NEEDS ASSESSMENT; PALLIATIVE CARE; PATIENT-CENTERED CARE; QUALITY OF HEALTH CARE; QUALITY OF LIFE; UNITED STATES;

EID: 80053211072     PISSN: 0887378X     EISSN: 14680009     Source Type: Journal    
DOI: 10.1111/j.1468-0009.2011.00632.x     Document Type: Article

References (117)

1. AAHPM (American Academy of Hospice and Palliative Medicine). 2008. Fellowship Program Directory. Chicago.
2. AAHPM (American Academy of Hospice and Palliative Medicine). 2011. Mid-Career Pathway. Available at (accessed May 8, 2011).
3. AAMC (Association of American Medical Colleges). 2009. Recent Studies and Reports on Physician Shortages in the U.S.
4. AHRQ (Agency for Healthcare Research and Quality). 2002. Healthcare Cost and Utilization Project (HCUP): Hospitalization in the United States, 2002. Available at (accessed August 5, 2009).
5. American Board of Hospice and Palliative Medicine. 2006. ABMS Votes to Make Hospice and Palliative Medicine an ABMS Subspecialty.
6. American Hospital Association. 2009. AHA Hospital Statistics. Chicago.
7. AmMedNews. 2009. Bill Would Raise Cap on Medicare-Funded Residency Slots. Available at (accessed October 19, 2010).
8. Anderson, G.F., and, D.A. Squires,. 2010. Measuring the U.S. Health Care System: A Cross-National Comparison. Issue Brief (Commonwealth Fund) 90: 1-10.
9. Anderson, G.M., and, J. Horvath,. 2002. Chronic Conditions: Making the Case for Ongoing Care. Available at (accessed June 17, 2011).
10. Arnold, R.M., and, D.E. Weissman,. 2004. Broaching the Topic of a Palliative Care Consultation with Patients and Families no. 42. Journal of Palliative Medicine 7: 472-73. (Pubitemid 38980584)
11. Atlas, the Dartmouth. 2006. Hospice Days per Decedent During the Last 6 Months of Life, 2001-2005.
12. Back, A.L., Y.-F. Li, and, A.E. Sales,. 2005. Impact of Palliative Care Case Management on Resource Use by Patients Dying of Cancer at a Veterans Affairs Medical Center. Journal of Palliative Medicine 8: 26-35. (Pubitemid 40144249)
13. Bakitas, M., K. Lyons, M. Hegel, S. Balan, F. Brokaw, J. Seville, J. Hull, Z. Li, T. Tosteson, I. Byock, and, T. Ahles,. 2009. Effects of a Palliative Care Intervention on Clinical Outcomes in Patients with Advanced Cancer: The Project ENABLE II Randomized Controlled Trial. JAMA 302: 741-49.
14. Billings, J., and, S. Block,. 1997. Palliative Care in Undergraduate Medical Education. JAMA 278: 733-38.
15. Brody, A., E. Ciemins, J. Newman, and, C. Harrington,. 2010. The Effects of an Inpatient Palliative Care Team on Discharge Disposition. Journal of Palliative Medicine 13: 541-48.
16. Brumley, R., S. Enguidanos, P. Jamison, R. Seitz, N. Morgenstern, S. Saito, J. McIlwane, K. Hillary, and, J. Gonzalez,. 2007. Increased Satisfaction with Care and Lower Costs: Results of a Randomized Trial of In-Home Palliative Care. Journal of the American Geriatrics Society 55: 993-1000. (Pubitemid 47024627)
17. CAPC (Center to Advance Palliative Care). 2008. America's Care of Serious Illness: A State-by-State Report Card on Access to Palliative Care in Our Nation's Hospitals. Available at (accessed September 19, 2010).
18. CAPC (Center to Advance Palliative Care). 2010. Analysis of U.S. Hospital Palliative Care Programs, 2010 Snapshot. Available at (accessed June 17, 2011).
19. Carlson, M., J. Herrin, Q. Du, A. Epstein, C. Barry, R. Morrison, A. Back, and, E. Bradley,. 2010. Impact of Hospice Disenrollment on Health Care Use and Medicare Expenditures for Patients with Cancer. Journal of Clinical Oncology 28: 4371-75.
20. Casarett, D., A. Pickard, F. Bailey, C. Ritchie, C. Furman, K. Rosenfeld, S. Shreve, Z. Chen, and, J. Shea,. 2008. Do Palliative Consultations Improve Patient Outcomes? Journal of the American Geriatrics Society 56: 593-99. (Pubitemid 351473505)
21. Casarett, D., S. Shreve, C. Luhrs, K. Lorenz, D. Smith, M. De Sousa, and, D. Richardson,. 2010. Measuring Families' Perceptions of Care across a Health Care System: Preliminary Experience with the Family Assessment of Treatment at End-of-Life Short Form (FATE-S). Journal of Pain Symptom Management 40: 801-9.
22. Cassel, J.B., T.J. Smith, P. Coyne, M.A. Hager, and, S.J. Baker,. 2002. A High Volume, Specialist, Standardized Care Palliative Care Unit Generates Revenue Sufficient to Cover End of Life Care Costs. Proceedings of the American Society of Clinical Oncology 21: 2002 (abstract 1412).
23. Christakis, N.A., and, T.J. Iwashyna,. 2003. The Health Impact of Health Care on Families: A Matched Cohort Study of Hospice Use by Decedents and Mortality Outcomes in Surviving, Widowed Spouses. Social Science & Medicine 57: 465-75. (Pubitemid 36677507)
24. CMS (Centers for Medicare & Medicaid Services). 2003. Medicare and Medicaid Programs; Hospital Conditions of Participation: Quality Assessment and Performance Improvement. Final Rule. Federal Register 68: 3435-55.
25. CMS (Centers for Medicare & Medicaid Services). 2010a. Continuity Assessment Record and Evaluation (CARE).
26. CMS (Centers for Medicare & Medicaid Services). 2010b. What Are QIOs ? Available at (accessed May 8, 2011).
27. Connor, S.R., B. Pyenson, K. Fitch, C. Spence, and, K. Iwasaki,. 2007. Comparing Hospice and Nonhospice Patient Survival among Patients Who Die within a Three-Year Window. Journal of Pain Symptom Management 33: 238-46. (Pubitemid 46349540)
28. Currow, D.C., K. Eagar, S. Aoun, D. Fildes, P. Yates, and, L.J. Kristjanson,. 2008. Is It Feasible and Desirable to Collect Voluntarily Quality and Outcome Data Nationally in Palliative Oncology Care? Journal of Clinical Oncology 26: 3853-59.
29. Dartmouth Institute for Health Policy and Clinical Practice. 2008. The Dartmouth Atlas of Healthcare. Available at (accessed July 14, 2008).
30. Elsayem, A., K. Swint, M.J. Fisch, J.L. Palmer, S. Reddy, P. Walker, D. Zhukovsky, P. Knight, and, E. Bruera,. 2004. Palliative Care Inpatient Service in a Comprehensive Cancer Center: Clinical and Financial Outcomes. Journal of Clinical Oncology 22: 2008-14. (Pubitemid 41095194)
31. Fallowfield, L., and, V. Jenkins,. 2004. Communicating Sad, Bad, and Difficult News in Medicine. The Lancet 363: 312-19. (Pubitemid 38142417)
32. Fellowes, D., S. Wilkinson, and, P. Moore,. 2004. Communication Skills Training for Health Care Professionals Working with Cancer Patients, Their Families and/or Carers. Cochrane Review, Cochrane Library. Chichester: Wiley.
33. Field, M.J., and, R.E. Behrman,. 2003. When Children Die: Improving Palliative and End-of-Life Care for Children and Their Families. Washington, DC: National Academies Press.
34. Field, M.J., and, C.K. Cassel,. 1997. Approaching Death: Improving Care at the End of Life. Washington, DC: Institutes of Medicine and National Academy of Sciences.
35. Fisher, E., J. Bynum, and, J. Skinner,. 2009. Slowing the Growth of Health Care Costs-The Lessons of Regional Variation. New England Journal of Medicine 360: 849-52.
36. Foundation, Henry J., Kaiser Family. 2005. Kaiser Family Foundation Analysis of the CMS Medicare Current Beneficiary Survey Cost & Use File.
37. Gelfman, L.P., and, R.S. Morrison,. 2008. Research Funding for Palliative Medicine. Journal of Palliative Medicine 11: 36-43.
38. Goldsmith, B., J. Dietrich, Q. Du, and, R.S. Morrison,. 2008. Variability in Access to Hospital Palliative Care in the United States. Journal of Palliative Medicine 11: 1094-1102.
39. Gomes, B., R. Harding, K.M. Foley, and, I.J. Higginson,. 2009. Optimal Approaches to the Health Economics of Palliative Care: Report of an International Think Tank. Journal of Pain Symptom Management 38: 4-10.
40. Hager, M., and, S. Russell,. 2009. Revisiting the Medical School Educational Mission at a Time of Expansion. NY: Josiah Macy, Jr. Foundation. Available at.
41. Hammes, B., B. Rooney, and, J. Gundrum,. 2010. A Comparative, Retrospective, Observational Study of the Prevalence, Availability, and Specificity of Advance Care Plans in a County That Implemented an Advance Care Planning Microsystem. Journal of the American Geriatrics Society 58: 1249-55.
42. Harding, R., B. Gomes, K.M. Foley, and, I.J. Higginson,. 2009. Research Priorities in Health Economics and Funding for Palliative Care: Views of an International Think Tank. Journal of Pain Symptom Management 38: 11-14.
43. Heyland, D., D. Cook, G. Rocker, P. Dodek, D. Kutsogiannis, Y. Skrobik, X. Jiang, A. Day, and, S. Cohen,. 2010. The Development and Validation of a Novel Questionnaire to Measure Patient and Family Satisfaction with End-of-Life Care: The Canadian Health Care Evaluation Project (CANHELP) Questionnaire. Palliative Medicine 24: 682-95.
44. Hickman, S., C. Nelson, N. Perrin, A. Moss, B. Hammes, and, S. Tolle,. 2010. A Comparison of Methods to Communicate Treatment Preferences in Nursing Facilities: Traditional Practices versus the Physician Orders for Life-Sustaining Treatment Program. Journal of the American Geriatrics Society 58: 1241-48.
45. Higginson, I.J., I. Finlay, D.M. Goodwin, A.M. Cook, K. Hood, A.G. Edwards, H.R. Douglas, and, C.E. Norman,. 2002. Do Hospital-Based Palliative Teams Improve Care for Patients or Families at the End of Life? Journal of Pain Symptom Management 23: 96-106. (Pubitemid 34158641)
46. Jordhoy, M.S., P. Fayers, J.H. Loge, M. Ahlner-Elmqvist, and, S. Kaasa,. 2001. Quality of Life in Palliative Cancer Care: Results from a Cluster Randomized Trial. Journal of Clinical Oncology 19: 3884-94. (Pubitemid 32880067)
47. Jordhoy, M.S., P. Fayers, T. Saltnes, M. Ahlner-Elmqvist, M. Jannert, and, S. Kaasa,. 2000. A Palliative-Care Intervention and Death at Home: A Cluster Randomised Trial. The Lancet 356: 888-93.
48. Kelley, A., and, D. Meier,. 2010. Palliative Care-A Shifting Paradigm. New England Journal of Medicine 363: 781-82.
49. Krakauer, R., C.M. Spettell, and, M.J. Wade,. 2009. Opportunities to Improve the Quality of Care for Advanced Illness. Health Affairs (Millwood) 28: 1357-59.
50. Lilly, C.M., D.L. De Meo, K.J. Haley, A.F. Massaro, R.F. Wallace, and, S. Cody,. 2000. An Intensive Communication Intervention for the Critically Ill. American Journal of Medicine 109: 469-75.
51. Lorenz, K.A., J. Lynn, and, S. Dy,. 2006. Cancer Care Quality Measures: Symptoms and End-of-Life Care. Evidence Report Technology Assessment, no. 137. Rockville, MD: Agency for Healthcare Research and Quality.
52. Lu, H., E. Trancik, F. Bailey, C. Ritchie, K. Rosenfeld, S. Shreve, C. Furman, D. Smith, C. Wolff, and, D. Casarett,. 2010. Families' Perceptions of End-of-Life Care in Veterans Affairs versus Non-Veterans Affairs Facilities. Journal of Palliative Medicine 13: 991-96.
53. Lupu, D., 2010. Estimates of Current Hospice and Palliative Medicine Physician Workforce Shortage. Journal of Pain and Symptom Management 40: 899-911.
54. Manfredi, P.L., R.S. Morrison, J. Morris, S.L. Goldhirsch, J.M. Carter, and, D.E. Meier,. 2000. Palliative Care Consultations: How Do They Impact the Care of Hospitalized Patients Journal of Pain Symptom Management 20: 166-73.
55. MedPAC. 2008. Evaluating Medicare's Hospice Benefit in Reforming the Delivery System: A Report to the Congress. June. Washington, DC.
56. MedPAC. 2009. Reforming the Medicare Hospice Benefit, in Medicare Payment Policy: Report to the Congress. March. Washington, DC.
57. MedPAC. 2010a. A Data Book: Healthcare Spending and the Medicare Program. June. Washington, DC.
58. MedPAC. 2010b. Report to the Congress: Aligning Incentives in Medicare. June. Washington, DC.
59. MedPAC. 2010c. Report to the Congress: Medicare Payment Policies. March. Washington, DC.
60. Meier, D.E., and, L. Beresford,. 2009. POLST Offers Next Stage in Honoring Patient Preferences. Journal of Palliative Medicine 12: 291-95.
61. Meier, D.E., S.L. Isaacs, and, R.G. Hughes, eds. 2010. Palliative Care: Transforming the Care of Serious Illness, 3-76. New York: Jossey Bass.
62. Morrison, R.S., J.B. Cassel, M. Caust-Ellenbogen, L. Spragens, and, D. Meier,. 2007. Substantial Cost Savings Associated with Hospital-Based Palliative Care Programs. Journal of the American Geriatrics Society 44: S7.
63. Morrison, R.S., S. Flanagan, D. Fischberg, A. Cintron, and, A.L. Siu,. 2009. A Novel Interdisciplinary Analgesic Program Reduces Pain and Improves Function in Older Adults after Orthopedic Surgery. Journal of the American Geriatrics Society 57: 1-10.
64. Morrison, R.S., and, D.E. Meier,. 2004. Clinical Practice. Palliative Care. New England Journal of Medicine 350: 2582-90.
65. Morrison, R.S., D. Meier, and, M. Carlson,. 2011. The Healthcare Imperative: Lowering Costs and Improving Outcomes, ed., P. Yong, 498-504. Washington, DC: Institute of Medicine.
66. Morrison, R.S., J.D. Penrod, J.B. Cassel, M. Caust-Ellenbogen, A. Litke, L. Spragens, and, D.E. Meier,. 2008. Cost Savings Associated with US Hospital Palliative Care Consultation Programs. Archives of Internal Medicine 168: 1783-90.
67. National Consensus Project for Quality Palliative Care. 2004. Clinical Practice Guidelines for Quality Palliative Care. New York.
68. NHPCO (National Hospice and Palliative Care Organization). 2008. Hospice Facts and Figures. Available at (accessed June 2, 2011).
69. NHPCO (National Hospice and Palliative Care Organization). 2010a. A Closer Look at the Health Care Reform Provisions Impacting Hospice. Available at (accessed September 26, 2010).
70. NHPCO (National Hospice and Palliative Care Organization). 2010b. NHPCO Facts and Figures: Hospice Care in America, 2010 Edition. Available at (accessed June 2, 2011).
71. NIH (National Institutes of Health). 2004. National Institutes of Health State-of-the-Science Conference: Statement on Improving End-of-Life Care. Available at (accessed April 15, 2007).
72. Nilsson, M.E., P.K. Maciejewski, B. Zhang, A.A. Wright, E.D. Trice, A.C. Muriel, R.J. Friedlander, K.M. Fasciano, S.D. Block, and, H.G. Prigerson,. 2009. Mental Health, Treatment Preferences, Advance Care Planning, Location, and Quality of Death in Advanced Cancer Patients with Dependent Children. Cancer 115: 399-409.
73. NPCRC (National Palliative Care Research Center). 2010. Available at (accessed September 26, 2010).
74. NQF (National Quality Forum). 2006. A National Framework and Preferred Practices for Palliative and Hospice Care Quality. Available at (accessed May 8, 2011).
75. NQF (National Quality Forum). 2009. National Quality Forum National Priorities Partnership. Available at (accessed June 3, 2011).
76. NQF (National Quality Forum). 2010. National Quality Forum Endorsed Standards. Available at (accessed June 17, 2011).
77. NQF (National Quality Forum). 2011. Palliative Care and End-of-Life Care. Available at (accessed May 7, 2011).
78. Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services, and The Lewin Group. 2010. Individuals Living in the Community with Chronic Conditions and Functional Limitations: A Closer Look. Washington, DC. Available at (accessed June 17, 2011).
79. Partnership, National Quality Forum National Priorities. 2008. National Priorities and Goals-Aligning Our Efforts to Transform America's Healthcare. Washington, DC.
80. PCEP (Palliative Care Education and Practice). 2011. Harvard Medical School Program in Palliative Care Education and Practice. Available at (accessed May 8, 2011).
81. Penrod, J.D., P. Deb, C. Luhrs, C. Dellenbaugh, C.W. Zhu, T. Hochman, M.L. Maciejewski, E. Granieri, and, R.S. Morrison,. 2006. Cost and Utilization Outcomes of Patients Receiving Hospital-Based Palliative Care Consultation. Journal of Palliative Medicine 9: 855-60. (Pubitemid 44289907)
82. Portenoy, R.K., D.E. Lupu, R.M. Arnold, A. Cordes, and, P. Storey,. 2006. Formal ABMS and ACGME Recognition of Hospice and Palliative Medicine Expected in 2006. Journal of Palliative Medicine 9: 21-23. (Pubitemid 43201765)
83. Pyenson, B., S. Connor, K. Fitch, and, B. Kinzbrunner,. 2004. Medicare Cost in Matched Hospice and Non-Hospice Cohorts. Journal of Pain Symptom Management 28: 200-210. (Pubitemid 39158802)
84. Rabow, M.W., J. Petersen, K. Schanche, S.L. Dibble, and, S.J. McPhee,. 2003. The Comprehensive Care Team: A Description of a Controlled Trial of Care at the Beginning of the End of Life. Journal of Palliative Medicine 6: 489-99. (Pubitemid 36807928)
85. Reynolds, P., 2008. Title VII Innovations in American Medical and Dental Education: Responding to 21st Century Priorities for the Health of the American Public. Academic Medicine 83: 1015-20.
86. Ringdal, G.I., M.S. Jordhoy, and, S. Kaasa,. 2002. Family Satisfaction with End-of-Life Care for Cancer Patients in a Cluster Randomized Trial. Journal of Pain Symptom Management 24: 53-63.
87. Rodgers, P., 2010. Palliative Care in the Patient-Centered Medical Home. Journal of Pain and Symptom Management 39: 401 (abstract).
88. Rothen, H., K. Stricker, and, D. Heyland,. 2010. Family Satisfaction with Critical Care: Measurements and Messages. Current Opinion in Critical Care 16: 623-31.
89. Salsberg, E., 2002. The Supply, Demand and Use of Palliative Care Physicians in the U.S.: A Report Prepared for the Bureau of HIV/AIDS, HRSA. Albany, NY: Center for Health Workforce Studies.
90. Salsberg, E., P.H. Rockey, K.L. Rivers, S.E. Brotherton, and, G.R. Jackson,. 2008. US Residency Training before and after the 1997 Balanced Budget Act. JAMA 300: 1174-80.
91. Scharfenberger, J., C.D. Furman, J. Rotella, and, M. Pfeifer,. 2008. Meeting American Council of Graduate Medical Education Guidelines for a Palliative Medicine Fellowship through Diverse Community Partnerships. Journal of Palliative Medicine 11: 428-30. (Pubitemid 351440552)
92. Scott, J.O., and, L. Hughes,. 2006. A Needs Assessment: Fellowship Directors Forum of the American Academy of Hospice and Palliative Medicine. Journal of Palliative Medicine 9: 273-78.
93. Siu, A.L., L.H. Spragens, S.K. Inouye, R.S. Morrison, and, B. Leff,. 2009. The Ironic Business Case for Chronic Care in the Acute Care Setting. Health Affairs (Millwood) 28: 113-25.
94. Smith, A., M. Schonberg, J. Fisher, D. Pallin, S. Block, L. Forrow, and, E. McCarthy,. 2010. Emergency Department Experiences of Acutely Symptomatic Patients with Terminal Illness and Their Family Caregivers. Journal of Pain Symptom Management 39: 972-81.
95. Smith, T.J., and, J.B. Cassel,. 2009. Cost and Non-Clinical Outcomes of Palliative Care. Journal of Pain and Symptom Management 38: 32-44.
96. Smith, T.J., P. Coyne, B. Cassel, L. Penberthy, A. Hopson, and, M.A. Hager,. 2003. A High-Volume Specialist Palliative Care Unit and Team May Reduce In-Hospital End-of-Life Care Costs. Journal of Palliative Medicine 6: 699-705. (Pubitemid 38435446)
97. Spettell, C.M., W.S. Rawlins, R. Krakauer, J. Fernandes, M.E. Breton, W. Gowdy, S. Brodeur, M. MacCoy, and, T.A. Brennan,. 2009. A Comprehensive Case Management Program to Improve Palliative Care. Journal of Palliative Medicine 12: 827-32.
98. Taylor, D., 2009. Effect of Hospice on Medicare and Informal Care Costs: The United States Experience. Journal of Pain and Symptom Management 38: 110-14.
99. Taylor, D.H. Jr., J. Ostermann, C.H. Van Houtven, J.A. Tulsky, and, K. Steinhauser,. 2007. What Length of Hospice Use Maximizes Reduction in Medical Expenditures Near Death in the US Medicare Program? Social Science & Medicine 65: 1466-78. (Pubitemid 47314416)
100. Temel, J., J. Greer, A. Muzikansky, E. Gallagher, S. Admane, V. Jackson, C. Dahlin, C. Blinderman, J. Jacobsen, W. Pirl, J. Billings, and, T. Lynch,. 2010. Early Palliative Care for Patients with Metastatic Non-Small-Cell Lung Cancer. New England Journal of Medicine 363: 733-42.
101. Teno, J.M., B.R. Clarridge, V. Casey, L.C. Welch, T. Wetle, R. Shield, and, V. Mor,. 2004. Family Perspectives on End-of-Life Care at the Last Place of Care. JAMA 291: 88-93. (Pubitemid 38040539)
102. Thorpe, K.E., and, D.H. Howard,. 2006. The Rise in Spending among Medicare Beneficiaries: The Role of Chronic Disease Prevalence and Changes in Treatment Intensity. Health Affairs (Millwood) 25: w378-88.
103. TJC (The Joint Commission). 2011. The Joint Commission Launches Advanced Certification in Palliative Care Program. Available at (accessed May 7, 2011).
104. U.S. Congress. 2009. Life Sustaining Treatment Preference Act of 2009, H.R. 1898. Washington, DC.
105. U.S. Senate. 2009. Advance Care Planning and Compassionate Care Act of 2009, S. 1150. Washington, DC.
106. von Gunten, C.F., 2002. Secondary and Tertiary Palliative Care in U.S. Hospitals. JAMA 287 (7): 875-81. (Pubitemid 34252035)
107. von Gunten, C.F., 2006. Fellowship Training in Palliative Medicine. Journal of Palliative Medicine 9: 234-35.
108. Weissman, D.E., and, L. Blust,. 2005. Education in Palliative Care. Clinics in Geriatric Medicine 21: 165-75, ix. (Pubitemid 40089483)
109. Weissman, D.E., and, D.E. Meier,. 2008. Operational Features for Hospital Palliative Care Programs: Consensus Recommendations. Journal of Palliative Medicine 11: 1189-94.
110. Weissman, D.E., and, D.E. Meier,. 2009. Center to Advance Palliative Care Inpatient Unit Operational Metrics: Consensus Recommendations. Journal of Palliative Medicine 12: 21-25.
111. Weissman, D.E., and, D.E. Meier,. 2011. Identifying Patients in Need of a Palliative Care Assessment in the Hospital Setting: A Consensus Report from the Center to Advance Palliative Care. Journal of Palliative Medicine 14: 17-23.
112. Weissman, D.E., D.E. Meier, and, L.H. Spragens,. 2008. Center to Advance Palliative Care Palliative Care Consultation Service Metrics: Consensus Recommendations. Journal of Palliative Medicine 11: 1294-98.
113. Weissman, D.E., R.S. Morrison, and, D.E. Meier,. 2010. Center to Advance Palliative Care Palliative Care Clinical Care and Customer Satisfaction Metrics Consensus Recommendations. Journal of Palliative Medicine 13: 179-84.
114. Weissman, D.E., P.B. Mullan, B. Ambuel, and, C. von Gunten,. 2002. End-of-Life Curriculum Reform: Outcomes and Impact in a Follow-Up Study of Internal Medicine Residency Programs. Journal of Palliative Medicine 5: 497-506. (Pubitemid 37428603)
115. Wright, A.A., N. Keating, T. Balboni, U. Matulonis, S. Block, and, H. Prigerson,. 2010. Place of Death: Correlations with Quality of Life of Patients with Cancer and Predictors of Bereaved Caregivers' Mental Health. Journal of Clinical Oncology 28: 4457-64.
116. Wright, A.A., B. Zhang, A. Ray, J.W. Mack, E. Trice, T. Balboni, S.L. Mitchell, V.A. Jackson, S.D. Block, P.K. Maciejewski, and, H.G. Prigerson,. 2008. Associations between End-of-Life Discussions, Patient Mental Health, Medical Care Near Death, and Caregiver Bereavement Adjustment. JAMA 300: 1665-73.
117. Zhang, B., A.A. Wright, H.A. Huskamp, M.E. Nilsson, M.L. Maciejewski, C.C. Earle, S.D. Block, P.K. Maciejewski, and, H.G. Prigerson,. 2009. Health Care Costs in the Last Week of Life: Associations with End-of-Life Conversations. Archives of Internal Medicine 169: 480-88.