"EXCEL" Meeting Minutes
January 23, 2002
 


Present:
Tim Thompson, M.D., Ginny Fry, Judy Murphy, Diana Peirce, John Campbell, Denise Niemira, M.D., Tasseli McKay, Stephanie Lane, Madeleine Mongan

Regional Reports:
Denise Niemira, M.D. reported on activities in her area. The ethics committee there is pushing the issue of advanced directives in the community. Denise is also working on bereavement counseling, and met with funeral directors to see what they are doing. The wellness center is starting a bereavement support group.

Upcoming Meetings:
January 28, 2002 - Palliative and End-of-Life care: How Policy and Pragmatics can put an end to unnecessary suffering.

April 4th & 5th, 2002 - American Alliance of Cancer Pain Initiative, held by the Vermont Cancer Society and the Burlington VNA. A structured clinical program on pain management.

April 25th - 27th - The Green Mountain End-of-Life Conference. To be held at the University of Vermont (more details to follow). Ginny Fry will be among those speaking.

Action: Steph/Tassi will email Elizabeth Wood to ask her to email the final agenda to us or to the list serve.

June Meeting
Ginny passed around a draft agenda to give the committee an idea of what the day would look like. She reported that it did not look like Kathy Foley would be able to speak at the meeting, but that Joe O'Donnell would be great to speak. Diana or Tim will contact Joe O'Donnell to check on his availability for speaking at the ExCEL meeting. There was also discussion of asking DHMC to do a presentation on Friday morning. Tim also suggested that new things in symptom management should be included in the program as tid bits and fast facts.

If ExCEL were to request a grant, the question was raised as to whose tax ID # would be used. Tim suggested using the Hospice Council's ID#. Diana and Ginny agreed that that could be done. If the company did agree to sponsor the meeting they would received vendor space and dinner with the providers.

Action: Everyone think more about the June meeting. Send comments to Ginny. Think about the shape of the meeting and what you want the two days to look like. The flyer will need to go to print in February.

Need to reach out to Burlington. We don't get as much representation from them as we should.

Fundraising:
Tim met with Purdue Pharma. They are trying to get back into palliative care. They expressed great interest in educating primary care physicians on pain management. Tim threw out the range of $25,000 - $50, 000 for ExCEL to be able to do a statewide palliative care program. Purdue was interested in receiving a request for an educational grant. The group expressed concern with there being strings attached when accepting money from pharmaceutical companies. It was agreed that Tim would begin by asking for a $5,000 unrestricted educational grant for the June meeting of Hospice and ExCEL.

Tim raised the issue of securing a non-profit status for ExCEL. He said that it would clear up questions on whether we are lobbying or representing physician interests. VMS has a non-profit arm that ExCEL could use, but it was decided that that would not be a good way to go. Diana asked if ExCEL should be part of the Hospice Council. Discussion ensued.

Tim told the group that he was going to suggest to DHMC that he go half time with them and work the rest of the time to build a statewide palliative care project. If ExCEL could get non-profit status, and received a grant, then it could pay half of Tim's salary or that of someone else who would like to come on. Denise Niemira, M.D. expressed skepticism about accepting pharmaceutical money. She would rather see the group get a grant from Robert Wood Johnson. She also discussed the issue of getting a grant writer and the necessity to build a structure to hire people and get things going. Judy Murphy from VPQHC, stated that RWJ will talk to us and go through our previous grant and tell us what we should be doing and showing to get a grant. Ginny will follow up.

John Campbell asked how it would look if ExCEL received money from a pharmaceutical company. Judy Murphy said that there is suspicion if a group receives continuing support. She continued by saying that it would look better to have two or three supporters.

Madeleine told the group that it was possible to set up a non-profit organization. She said that foundations are more comfortable giving to a 501(c)3 instead of a 501(c)6, or lobbying organization, like VMS. She said that a lawyer would be necessary, but that we could get a good start with forms from the Secretary of State's office web page.

How to proceed:
There are still a lot of questions about strings attached when receiving money from pharmaceutical companies. It is agreed that we will go for the funding of the conference from Purdue separate from any larger funding. Tim will get in writing any strings attached for any larger funding. Tim will also pursue other leads.

Another avenue to explore is the PDIA (Project on Death in America), which is headed up by Kathleen Foley, M.D.

Who would go to get funding:
A collaborative effort with ExCEL and DAD. ExCEL needs to get non-profit status. We need separate staff and resources. Madeleine was asked to review and give suggestions. ExCEL would be a more powerful organization if it was independent.

OTHER BUSINESS:
Tim suggested that we need to form a relationship with VPQHC to see if we make a difference in palliative care. Diana Peirce stated that she is now on the VPQHC board, so she can see what it will take to make this happen.

Tim asked DHMC if they would support a regional plan and reported that it was clear that they would not.

Action: Stephanie will ask Mark to track each separate link on the ExCEL web page to see how many hits the sites are getting.

Next Meeting
March 6, 2002 at VMS, 2:00 P.M. to 4:00 P.M. May 8, 2002 at VMS, 2:00 P.M. to 4:00 P.M.

 

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