Milbank Memorial Fund
In this report clinicians at nine hospitals describe how they and their colleagues established formal programs of palliative care. Clinicians and managers at each of these institutions negotiated innovative clinical and institutional arrangements and made effective use of the reimbursement policies of public and private payers. Each of these programs of palliative care is a product of the organizational culture of the institution in which it operates. The report is one result of an ongoing collaboration between two foundations that have similar missions and complementary operating styles.