Phone: (916) 813-5212


       7 out of 10 deaths among Americans each year are from chronic diseases. Heart disease, cancer and stroke account for more than 50% of all deaths each year

      As Ellen Goodman noted in her recent Harvard Business Review article “Die the Way You Want To”, 25% of Medicare expenditures are incurred by the 5% who are in their last year of life

      In 2009, Medicare spent 50 billion dollars on hospital and doctor bills in the last two months of life and 20-30% may have had no meaningful impact


STEP 1: SETTING UP the Interview

STEP 2: Assessing the Patient’s PERCEPTION

STEP 3: Obtaining the Patient’s INVITATION

STEP 4: Giving KNOWLEDGE and Information to the Patient

STEP 5: Addressing the Patient’s EMOTIONS with empathic responses

STEP 6: Strategy and Summary