Planning for a state-based initiative to improve care at the end of life

This grant supports the planning for a statewide task force in Maryland aimed at improving care of the dying. The Bioethics Institute will undertake a series of interviews with key state leaders in the health care community, religious organizations, public groups, and others to help lay out a road map for the state's effort. The staff of the Institute will work closely with the State Attorney General who is taking the leadership role in this effort on behalf of the Governor. Bioethics Institute staff will focus on three sets of issues: (1) the manner in which the legal system might provide reassurance to physicians that medically appropriate pain management will not result in licensing problems; (2) the characteristics of those institutions that promote more effective care of terminally ill patients in the state's hospitals and nursing homes, and how regulatory remedies, as well as health professional and public education, could help advance the status quo; and (3) whether hospital reimbursement and the incentives created under the rate-setting authority of the Health Services Cost Review Commission affect--or could affect--the institutional commitment to effective palliative care. Upon completion of these interviews, the Bioethics Institute will help to staff a half-day afternoon conference convened by the Governor. This planning work will generate a road map for the state to pursue changes aimed at improving care at the end of life and a set of benchmarks for which data can be collected to assess progress.

Grant Details

Amount Awarded $27,250.00

Awarded on: 5/27/1997

Time frame: 6/1/1997 - 11/30/1998

Grant Number: 31630


Johns Hopkins University Bloomberg School of Public Health

615 North Wolfe Street
Baltimore, 21205-2103


Ruth Gaare Bernheim
Project Director