for the Institute for Healthcare Improvement, End of Life Collaborative. He received his M.D. from Tufts University School of Medicine in 1969, completing his internship and residency with Harvard Medical Service, Boston City Hospital. Dr. Della Penna is currently licensed to practice medicine in the State of California. He is American board certified in family practice with added qualifications in geriatrics.

Penny Hollander Feldman, Ph.D., is vice president for research and evaluation and director of the Center for Home Care Policy and Research at the Visiting Nurse Service of New York (VNSNY). Prior to joining VNSNY, Dr. Feldman served on the faculties of the Kennedy School of Government and the Department of Health Policy and Management at the Harvard School of Public Health, where she continues as visiting lecturer. At VNSNY, she directs research projects focused on improving the quality, outcomes, and cost-effectiveness of home-based care; supporting informed policy making by federal, state, and local decision makers; promoting equitable access and outcomes for older persons, especially those who are disadvantaged; and strengthening methods for home care research. Dr. Feldman is the program director of the Home Care Research Initiative, a national research program established by the Robert Wood Johnson Foundation in 1995. She has served as the chair of the Strategic Planning Committee and on the Board of Directors of the Visiting Nurse Affiliates of Cambridge as well as on the Board of Directors of the Health Action Forum of Boston and the Policy Advisory Committee of Health Care for All of Boston. She earned her Ph.D. in political science from Harvard University.

Janet E. George, R.N., M.A., is recently retired from the positions of assistant vice president, director of clinical systems, with HCR ManorCare and was previously vice president of quality improvement with ManorCare, Inc. In these capacities, Ms. George developed and directed quality improvement programs and supervised quality improvement specialists who facilitated and trained facility staff in the integration of the quality process into management and delivery of care. Until her retirement after 22 years of long-term care experience, Ms. George contributed to the development of practice standards within HCR ManorCare and to clinical practice guidelines in the long-term care industry. Ms. George is a past member of American Healthcare Association's Ethics Subcommittee and of its Professional Development Work Group and Clinical Practice Guidelines Subcommittee. Ms. George is a registered nurse with a bachelor's degree in nursing and a master of arts degree in human resource development.

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