May 19-20, 2010

The 17th Princeton Conference: Examining End of Life Care: Creating Sensible Public Policies for Patients, Providers, and Payers

Co-Sponsored by The Council on Health Care Economics

Medicare beneficiaries are living longer with chronic diseases, blurring the boundary between curative and end of life care. This meeting examined how chronic disease and dying in the U.S. has changed, and discussed policy options that address variations in care and patient preferences through both an economic and ethical decision-making framework.

Agenda

Conference Report

Presentations

Perspectives: "End of Life" Care
Joanne Lynn, MD, MA, MS, Clinical Improvement Expert, Colorado Foundation for Medical Care

Trends in Medicare Payments for Beneficiaries in the Last Year of Life, 1978-2006
James Lubitz, MPH, and Gerald Riley, CMS

Getting to "No" You: Ethical Issues in End of Life Care
Norman Fost, MD, MPH, Director, Program in Bioethics, University of Wisconsin - Madison

The aggressiveness of cancer care near the end of life: Is it a quality of care issue?
Craig Earle, MD, MSc, Director, Health Services Research Program, Cancer Care Ontario and the Ontario Institute for Cancer Research

Transforming End-of-Life Care: The British Approach
Bradford H. Gray, PhD, Senior Fellow, The Urban Institute

Differences in Approach, Cost, and Ethical Framework in the US and other Countries
Andrea Kabcenell, RN, MPH, Vice President, Institute for Healthcare Improvement

Does improving end-of-life cancer care require reforming clinical care or system capacity?
David C. Goodman, MD, MS, Professor of Pediatrics and of Health Policy; Director, Center for Health Policy Research, The Dartmouth Institute for Health Policy and Clinical Practice

Variation in End of Life Services: Is it the Providers or the Patients?
Amber E. Barnato, MD, MPH, MS, Associate Professor of Medicine, University of Pittsburgh

Care Transitions: Perspectives on palliative and end-of-life care
Tom Ventura, MS, MSPH, Health Data Analyst, Evaluation Specialist, Colorado Foundation for Medical Care

Improving End of Life Care for Nursing Home Residents
David Stevenson, SM, PhD, Assistant Professor of Health Policy, Harvard Medical School

Mechanisms to Promote High Quality End of Life Care
Shari M. Ling, MD, Medical Officer, Office of Clinical Standards and Quality, CMS

Funders Improving Care at the End-of-Life
Karen Wolk Feinstein, PhD, President and CEO, Jewish Healthcare Foundation

POLST: Honoring Treatment Preferences Across Settings of Care
Susan Tolle, MD, Director, Center for Ethics in Health Care, and Professor of Medicine, Oregon Health Science University

Ready Today for the Future of Health Care and Optimal Hospice Care
Randall S. Krakauer, MD, FACP, FACR, Head of Medicare Medical Management, Aetna

Transforming VA Care at the End of Life
Thomas Edes, MD, MS, Director, Home and Community-Based Care, U.S. Department of Veterans Affairs

Building On Success: Innovations in End-of-Life Care
Angie Montes Truesdale, Director, Public Policy, National Hospice and Palliative Care Organization

The Next Workplace Management Challenge: End-of-Life Issues
Brent Pawlecki, MD, MMM, Corporate Medical Director, Pitney Bowes Inc.

We Can't Fix the End of Life by Merely Fixing Health Care
Ira R. Byock, MD, Director of Palliative Medicine, Dartmouth-Hitchcock Medical Center