Diane E. Meier, MD, FACP, FAAHPM
Dr. Diane E. Meier, FACP, FAAHPM, is director of the Center to Advance Palliative Care, a national organization devoted to increasing access to quality health care in the United States for people living with serious illness. Under her leadership the number of palliative care programs in U.S. hospitals has tripled in the last twenty years.
Meier is codirector of the Patty and Jay Baker National Palliative Care Center; professor of geriatrics and palliative medicine and Catherine Gaisman Professor of Medical Ethics; and was the founder and, from 1997 to 2011, director of the Hertzberg Palliative Care Institute, all at the Icahn School of Medicine at Mount Sinai in New York City.
In September 2008, Dr. Meier was awarded a MacArthur Foundation Fellowship (MacArthur Genius Award). She was named one of “20 People Who Make Healthcare Better in the United States” by HealthLeaders Media in 2010, and was elected to the National Academy of Medicine of the National Academy of Sciences in 2013. In 2017 she received both the Gustav O. Lienhard Award of the National Academy of Medicine and the American Hospital Association’s HRET TRUST Award. Dr. Meier served as a Health and Aging Policy Fellow in Washington, DC, in 2009–10, working on the U.S. Senate Committee on Health, Education, Labor & Pensions (HELP) and at the Department of Health and Human Services.
Dr. Meier has published more than two hundred works in peer-reviewed medical literature. Her most recent book, Meeting the Needs of Older Adults with Serious Illness: Challenges and Opportunities in the Age of Health Reform, was published by Humana in 2014.
- Kelley AS, Meier DE, (eds.). Meeting the Needs of Older Adults with Serious Illness: Challenges and Opportunities in the Age of Health Care Reform. Humana Press: 2014. ISBN 9781493904068
- Hughes RG, Isaacs SL, Meier DE, (eds). Palliative Care: Transforming the Care of Serious Illness. Wiley/Jossey-Bass: March 2010. ISBN 9780470527177
- Cassel CK, Leipzig RM, Cohen HJ, Larson EB, Meier DE, (eds). Geriatric Medicine. 4th ed. New York: Oxford University Press, 2003. ISBN 0387955143
- Cassel CK, Leipzig RM, Cohen HJ, Larson EB, Meier DE, eds. Geriatric Medicine: An Evidence-Based Approach. 4th ed. New York: Springer-Verlag, 2003. ISBN 0387955143
- Morrison RS, Meier DE (eds). Geriatric Palliative Care. New York: Oxford University Press, 2003. ISBN 0195141911
- Meier DE, Lim B, Carlson MD. Raising the standard: palliative care in nursing homes. Health Affairs (Millwood) 2010 Jan-Feb;29(1):136-40. PMID 20048372
- Adler ED, Goldfinger JZ, Kalman J, Park ME, Meier DE. Palliative care in the treatment of advanced heart failure. Circulation 2009 Dec 22;120(25):2597-606. Review. PMID 20026792
- Weissman DE, Meier DE. Operational features for hospital palliative care programs: consensus recommendations. Journal of Palliative Medicine 2008 Nov;11(9):1189-94. PMID 19021479
- Morrison RS, Meier DE, Fischberg D, Moore C, Degenholtz H, Litke A, Maroney-Galin C, Siu AL. Improving the management of pain in hospitalized adults. Archives of Internal Medicine 2006;166:1033-1039.
- Meier DE. Palliative care as a quality improvement strategy for advanced, chronic illness. Journal of Healthcare Quality 2005;27: 33-39.
- Meier, DE; Morrison, RS. Palliative Care. New England Journal of Medicine 2004 (June)
- Meier DE; Thar W; Jordan A; Goldhirsch SL; Siu A; Morrison RS. Integrating case management and palliative care. Journal of Palliative Medicine 2004; Feb. 7(1):119-134
- Meier DE, Morrison RS. Autonomy reconsidered. New England Journal of Medicine 2002 Apr 4;346(14):1087-1089
- Meier DE, Back AL, Morrison RS. The inner life of physicians and care of the seriously ill. JAMA 2001 Dec 19;286(23):3007-3014
- Morrison R, Siu A, Leipzig R, Cassel C, Meier D. The hard task of improving the quality of care at the end of life. Archives of Internal Medicine 2000 Mar 27;160(6):743-7
Selected Original Peer-Reviewed Reports:
- Cassel JB, Spragens L, Bowman B, Rogers M, Meier DE. Palliative Care Leadership Centers are key to the diffusion of palliative care innovation. Health Affairs 2018;37:231-9.
- Meier DE, Back AL, Berman A, Block SD, Corrigan JM, Morrison RS. A national strategy for palliative care. Health Affairs 2017;36(7):1265-73.
- Spetz J, Dudley N, Trupin L, Rogers M, Meier DE, Dumanovsky T. Few hospital palliative care teams meet national staffing recommendations. Health Affairs 2016;35:1690-7.
- Meier DE. Measuring quality of care for the sickest patients. NEJM Catalyst February 2016 - http://catalyst.nejm.org/measuring-quality-of-care-for-the-sickest-patients/
- Dumanovsky T, Rogers M, Spragens LH, Morrison RS, Meier DE. Impact of staffing on access to palliative care in U.S. hospitals. Journal of Palliative Medicine 2015;18:998-9.
- Peter May, Melissa M Garrido, J Brian Cassel, Amy Kelley, Diane E. Meier, Charles Normand, Thomas J Smith, Lee Stefanis, and R. Sean Morrison. Prospective cohort study of hospital palliative care teams for inpatients with advanced cancer: earlier consultation is associated with larger cost-saving effect. Journal of Clinical Oncology 2015;33:1-10.
- Meier DE. Focusing together on the needs of the sickest 5%, who drive half of all healthcare spending. Journal of the American Geriatrics Society 2014;62:1970-72.
- Meier DE. ‘I don’t want Jenny to think I’m abandoning her’: views on overtreatment. Health Affairs 2014;33(8):1492
- Tamura MK, Meier DE. Five policies to promote palliative care for patients with end stage renal disease. Clinical Journal of the American Society of Nephrology 2013, June 6.
- Unroe K, Meier DE. Quality of hospice care for individuals with dementia. Journal of the American Geriatrics Society 2013; 61:1212-14.
- Smith TJ, Temin S, Alesi ER, Abernethy AP, Balboni TA, Basch EM, Ferrell BR, Loscalzo M, Meier DE et al. American Society of Clinical Oncology provisional clinical opinion: the integration of palliative care into standard oncology care. Journal of Clinical Oncology 2012;30:880-7.
- Morrison RS, Augustin R, Souvanna P, Meier DE. America’s care of serious illness: a state-by-state report card on access to palliative care in our nation’s hospitals. Journal of Palliative Medicine 2011; 14:1094-6.
- Meier DE. Increased access to palliative care and hospice: Opportunities to improve value in healthcare. Millbank Quarterly 2011;89:343-380.
- Morrison RS, Dietrich J, Ladwig S, Quill T, Sacco J, Tangeman J, Meier DE. Palliative care consultation teams reduce hospital costs for Medicaid beneficiaries. Health Affairs 2011;30:454-463.
- Carlson MD, Lim B, Meier DE. Strategies and innovations for delivering palliative care in nursing homes. Journal of the American Medical Directors Association 2011;12:91-98.
- Kelley A, Meier DE. Palliative care: A shifting paradigm. New England Journal of Medicine 2010;363:781-2.
- Meier DE, Lim B, Carlson, MD. Raising the standard: Palliative care in nursing homes. Health Affairs 2010;29:136-40.
From the Blog
Letter to the Field on Recent Events
We in palliative care are colleagues with shared values about the worth and dignity of each human life, and our community must be united against the racism that is killing our fellow humans.
Defining palliative care, which patients need it, how it is delivered, and how palliative care differs from hospice.
Conducting a comprehensive pain assessment to guide safe and effective treatment.
Selecting a safe and appropriate analgesic for patients with serious illness based on the pain assessment.
Patient and family factors that influence prescribing decisions for patients with serious illness.
Integrating routine risk assessment for substance use disorder when considering or using opioid therapy.
Designing a safe and effective opioid trial for the patient with serious illness.
Safe and appropriate opioid prescribing for the opioid-naive patient with serious illness.
Four indications for using short-acting opioids.
Ongoing evaluation of opioid benefits, risks, and side effects for the patient with serious illness.
Guidance on safe conversion to long-acting opioids for patients with serious illness.
Prescribing practice for long half-life opioids, converting from one opioid to another, and accounting for incomplete cross-tolerance.
Changing the route of opioid delivery, rotating opioids, advanced opioid conversions, and tapering opioids.
Safe opioid prescribing in older adults, cognitively impaired patients, children, and the imminently dying, including patient-controlled analgesia.
Pain management for patients with serious illness and high risk for substance use disorder, including risk assessment, monitoring, and when to refer for safe pain management.
Safe opioid prescribing for patients with serious illness, using the Federation of State Medical Boards (FSMB) Guidelines for the Chronic Use of Opioid Analgesics.
Identifying and managing nausea and vomiting for patients living with serious illness and their caregivers.
Reducing physical and emotional suffering from dyspnea for patients with serious illness.
Assessing and managing constipation in people with serious illness.
Prevalence, screening recommendations, and evidence-based strategies to treat anxiety in patients with serious illness.
Prevalence, screening recommendations, and evidence-based strategies to treat depression in patients with serious illness.
How to discuss patient prognosis in a manner that is sensitive, clear, and supportive.
Strategies for eliciting patient goals and preferences to inform treatment decisions.
How to initiate and conduct conversations about advance care planning.
Disclosing a dementia diagnosis to patients and caregivers in a way that is sensitive, clear, and supportive.
Helping patients and caregivers understand challenges they may face as dementia worsens.
Enabling patients and caregivers to plan ahead for the financial, legal, and other impacts of dementia.
Assessing for caregiver burden and connecting caregivers to needed support systems.
Strategies for understanding and addressing the sources of behavioral symptoms for people living with dementia.
Addressing common sources of suffering for people living with dementia.
Addressing common sources of suffering for people living with advanced dementia.
Identifying and addressing the sources of suffering for patients and families living with dementia.
Assessing and addressing sources of suffering for people living with chronic obstructive pulmonary disease (COPD) and their caregivers.
Interventions to reduce suffering along the disease trajectory for people living with congestive heart failure (CHF) and their families.
Guidance for collaborating with treating providers to ensure that members who would benefit receive palliative care.
Communication and assessment techniques for case managers to elicit goals of care and address suffering for people with serious illness.
The role of the direct care worker in observing and reporting suffering in patients with serious illness.
Assessing and supporting caregivers of people with serious illness.
Guidance for all clinicians on improving communication and ensuring smooth transitions of care for patients living with serious illness.
Evaluating patient need, service requirements, and stakeholder priorities for the inpatient program.
Incorporating needs assessment and stakeholder priorities into design of a high-quality inpatient program.
Building a budget and a business plan for the inpatient program. Includes business planning tools.
Defining community-based palliative care: which patients need it, how it is delivered, and how it differs from inpatient palliative care.
Evaluating patient need, service requirements, care settings, and stakeholder priorities for the community-based palliative care program.
Designing and implementing an office-based palliative care program, including clinical model and operational considerations.
Translating needs assessment into service design for the community-based palliative care program.
Building a budget and a business plan for the community-based program. Includes business planning tools.
Strategic planning for new or veteran programs, and a framework for identification of barriers to team efficiency and team health.