Promoting Excellence : Completing the Picture

Nurse & Patient In 1997, The Robert Wood Johnson Foundation launched a national program, Promoting Excellence in End-of-Life Care, with a mission of improving care and quality of life for dying Americans and their families. We soon realized that the metaphor of a jigsaw puzzle seemed apt in describing our efforts to expand access to services and improve quality of care in a wide range of settings and with diverse populations. No single approach would suffice-a variety of strategies, models of care, and stakeholders are necessary to successfully complete the picture. This monograph represents one aspect of our work and one piece of the puzzle of ensuring that the highest quality of care, including palliative care, is available to all seriously ill patients and their families.

This publication was produced by Promoting Excellence in End-of-Life-Care, a national program office of The Robert Wood Johnson Foundation. Primary authors of this report are:

  • Julie Emnett, Communications Officer
  • Ira Byock, MD, Director
  • Jeanne Sheils Twohig, MPA, Deputy Director

  • A special thanks to Jennifer Matesa for her assistance in writing this report, and to the advanced practice nurses featured in this report for spending countless hours to ensure this project's success.

    July 2002

    Promoting Excellence in End-of-Life Care was a national program of the Robert Wood Johnson Foundation dedicated to long-term changes in health care institutions to substantially improve care for dying persons and their families. Visit for more resources.

    Promoting Excellence logo and link to home page