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Prior to her move to Perth, she served as a Senior Health Policy Analyst at the RAND Corporation, an internationally recognized public policy think tank in Washington, DC, where she led numerous nationally funded research projects and was a Co-founder, along with Dr. Joanne Lynn, an internationally known Geriatrician and hospice physician, of the Palliative Care Policy Center (PCPC), a clinical quality improvement, education, and health services/public policy research centre in the Health Division at the RAND Corporation.
A particular area of focus has been “action” research and she has led numerous quality improvement initiatives in advanced chronic illness and end of life (both national and regional) involving over 400 health care providers in the US. She has published numerous articles on her research focusing on the reform of health care systems to more effectively support appropriate advanced chronic illness and end of life care, and she is a principal author of two volumes on quality improvement at the end of life: The Common Sense Guide to Improving Palliative Care and Improving Care for The End of Life, both published by Oxford University Press in 2007.