Promoting Excellence : Living and Dying Well with Cancer : Acknowledgements

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Completing the Picture of Excellence
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 of The Robert Wood Johnson Foundation, directed by Ira Byock, M.D. Primary authors of this report are:

Renie Schapiro, M.P.H.
Ira Byock, M.D., Director
Susan Parker
Jeanne Sheils Twohig, M.P.A., Deputy Director

Editorial assistance was provided by Karyn Collins, M.P.A., Communications Officer. We extend special appreciation to the individuals in the projects featured who gave their time to provide information for this report.

About the Artists:
The black and white photographs included in this report were taken by Bastienne Schmidt and Philippe Cheng at the Rhode Island Hospital Intensive Care Unit in January 2001 as part of a project entitled "Compassionate Care in the ICU: Creating a Humane Environment," funded by Ortho Biotech and Critical Care/Surgery. The photographers are deeply indebted to Dr. Mitchell Levy and his staff at Rhode Island Hospital and especially to the patients and their families who allowed them into their lives during this time.

The Project ENABLE photo was taken by Amy Thompson, Valley News, Lebanon, N.H.

April 2003

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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.

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