Blog Post | July 29, 2019

Invictus: Increasing Patient Choice in Advanced Illness and End-of-Life Care


Randall Krakauer, MD, FACP, FACR

Author:  Randall Krakauer, MD, FACP, FACR, participates on the Advisory Board for Turn-Key Health

When this article was originally published in 2011, it pointed to many of the identical concerns that we have in 2019: in many cases of serious or advanced illness, people are given the choice of where to die too late, or not at all… few people would aspire to end their lives in intensive care units, on various forms of life support, in pain and isolated from loved ones.

At that time, I called upon the healthcare system and our culture to come together and recog­nize supportive end-of-life care as a feature of the compassionate society we wish to be.

Thankfully, we are finally witnessing the introduction of specialized palliative care that meets the expectations of patients with advanced illness and at the end-of-life.  The Turn-Key community-based palliative care solution is the change we have been seeking, improving how we deal with care at the end-of-life, offering patients opportunities to choose the kind of care and treatment they want and enhancing quality of life for both patients and their families.

Perhaps it was simply prescience that I was optimistic in 2011 about the attention this issue was receiving and the good people and organizations devoted to working on it.  Today, I am honored to be a part of the Turn-Key Advisory Board and look forward to continuing to help the leadership team solve for the problem of high cost, poor quality end-of-life care.  The Turn-Key Health Home-Based Palliative Illness Management -PIM™ Solution is deserving of adoption among payers throughout the country.

Improving how we approach care at end-of-life has been my mission for more than twenty years, and with Turn-Key Health, I believe we can do a better job identifying, engaging and supporting the nation’s sickest and most vulnerable individuals and their caregivers.  We can and will conquer this seemingly invincible challenge.

Interested in reading the full article? Click here.

Note:  Dr. Krakauer authored this article while serving as the National Medicare Medical Director at Aetna. He was responsible for medical management nationally for Medicare members, including program development and administration. Other key areas of responsibility included the complex geriatric case management program; care management and care coordination programs including Compassionate Care; and evaluation and implementation of new medical management opportunities.

Originally published in Frontiers of Health Services Management, Spring 2011 issue. Copyright 2011 The Foundation of the American College of Healthcare Executives.


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