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Updated: May 2, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Palliative care hits a triple win: access, quality, and cost
1Karol DiBello, MSN, RN, FNP-BC, ACHPN, DNPc, is the Associate Director, SPARK Program, Visiting Nurses Service of New York Hospice and Palliative Care, New York City, New York. Noreen Coyne, MSN, RN, OCN, is a Clinical Product Development Specialist, Visiting Nurse Service of New York, New York City, New York.
Abstract:
Like the generation before them, an ever-increasing proportion of baby boomers in the United States have a chronic illness and often multiple chronic illnesses, using ever-increasing national healthcare resources. With the Triple Aim, Don Berwick's overarching goals to help guide positive transformation to the healthcare system, palliative care can be seen as a valuable ally in the growing arsenal of models of care aimed at addressing the nation's needs. The SPARK Program, the palliative care management program of a large home care agency in a metropolitan area, was created to address the needs of patients with chronic serious illness and palliative care needs.
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