Delegate Shirley Nathan-PulliamDelegate Shirley Nathan-PulliamDistrict 10District 10

……Objectives…Objectives…

Should the Council begin with a Should the Council begin with a broadbroad public public engagement process? How would this best engagement process? How would this best be done?be done?

– Discuss a successful faith-based initiative in Discuss a successful faith-based initiative in Harlem, New YorkHarlem, New York

– Identify an professional education offering for Identify an professional education offering for providers caring for African American’s at life’s providers caring for African American’s at life’s endend

Patient Centered Decision Making (Advance Care Planning)

Dr. Richard PayneDuke Institute Care at the End of Life

Funded by RWJ and Aetna Foundations

……ObjectivesObjectives

Would it be better to start a discrete project, Would it be better to start a discrete project, perhaps something that has been successful perhaps something that has been successful elsewhere? If so, what do you recommend?elsewhere? If so, what do you recommend?

Discuss racial and ethnic differences in end Discuss racial and ethnic differences in end of life care in California and lessons learnedof life care in California and lessons learned

Racial, Cultural, and Ethnic Factors Affecting the Racial, Cultural, and Ethnic Factors Affecting the Quality of End-of-Life Care In California: Findings Quality of End-of-Life Care In California: Findings

and Recommendations (March 2007)and Recommendations (March 2007)

Prepared for Prepared for California HealthCare FoundationCalifornia HealthCare Foundation

ByBy

Lead AuthorLead AuthorLaVera Crawley, MD, MPHLaVera Crawley, MD, MPHStanford University Center for Biomedical EthicsStanford University Center for Biomedical Ethics

Co-AuthorCo-AuthorMarjorie Kagawa Singer, PhD, RN, MNMarjorie Kagawa Singer, PhD, RN, MNUCLA School of Public Health and Asian American Studies CenterUCLA School of Public Health and Asian American Studies Center

Deaths by Race/Ethnicity, 2004 Deaths by Race/Ethnicity, 2004 CaliforniaCalifornia

Leading Causes of Death and Share of Leading Causes of Death and Share of Total Number, by Race in California, 2004Total Number, by Race in California, 2004

Where do Californians Die?Where do Californians Die?

Advance Directives: Cultural Advance Directives: Cultural Differences by EthnicityDifferences by Ethnicity