Mary Ann Crow RN, MSN, APN, CCNS, CCRN

Executive Director

Alabama Coalition for Advanced Care Planning

213 Mayfield Lane Northeast Jacksonville, AL 36265

Phone: (256) 453-2260

Fax: (256) 435-8086

Terry L. Kadel

State Office of Emergency Medical Services

Department of Health and Social Services /Division of Public Health Section of Rural and Community Health Systems 3601 C Street, Suite 424 Anchorage AK 99503

Phone: (907) 748-0004

Masil George, MD

4301 West Markham Slot 748 Little Rock, AR 72205

Phone: (501) 766-8435

Vicki Buchda, MS, RN, NEA-BC

Vice President of Care Improvement

Arizona Hospital and Healthcare Association

2800 N Central Ave, Suite 1450 Phoenix AZ 85004

Phone: (602) 445-4311

Jennifer Ballentine

CEO

Coalition for Compassionate Care of California

2530 River Plaza Drive, Ste. 110 Sacramento, CA 95833

Phone: (916) 489-2222

Fax: (888) 789-9475

Alissa Schramm, MS

Compass Elder Care Specialists, Inc.

2808 Vrain Street Denver, CO 80212

Phone: (720) 314-0871 phone

Hillary Lum, MD, PhD

University of Colorado School of Medicine

12631 E 17th Avenue Aurora, CO 80045

Phone: (303) 724-1911 phone

Kari Degerness, MBA, LNHA

Director of Health Care Programs

Center for Improving Value in Health Care

950 S. Cherry St., Suite 208 Denver, CO 80246

Phone: (720) 583-2095 phone;

Fax: (720) 549-9189 fax

Barbara Cass

Branch Chief, Health Care Quality and Safety

State of Connecticut, Department of Public Health

Phone: (860) 509-7400

John Goodill, MD

Director, Palliative Medicine Education and Outreach

Christiana Care Health System

4745 Ogletown–Stanton Road Newark, DE 19718

Phone: (302) 733-4186

Brian W. Amy, MD, MHA, MPH, FACPM

Chief Medical Officer

D.C. Department of Health / Health Emergency Preparedness & Response Administration

899 North Capitol Street NE, 5th Floor Washington, DC 20002

Phone: (202) 671-0705

Ian L. Cordes, MBA, NHA

Executive Director

The Florida Society For Post-Acute And Long-Term Care Medicine

400 Executive Center Drive, Suite 208 West Palm Beach, Florida 33401

Phone: (561) 689-6321

Paula Sanders

Georgia POLST Collaborative

950 Eagle’s Landing Pkwy Suite 622 Stockbridge, GA 30281

Phone: (404) 323-9397 office / (678) 613-8167 cell

Richard W. Cohen, MD

Georgia POLST Collaborative

950 Eagle’s Landing Pkwy Suite 622 Stockbridge, GA 30281

Phone: (404) 323-9397 office / (678) 613-8167 cell

Jeannette Koijane, MPH

Executive Director

Kokua Mau - A Movement to Improve Care

PO Box 62155 Honolulu, HI 96839

Phone: (808) 585-9977

Rick Bassett, MSN, RN, APRN, ACNS-BC, CCRN

Cardiovascular Clinical Nurse Specialist

Idaho Health Continuum of Care Alliance

1116 S. Vista #393 Boise, ID 83705

Phone: (208) 866-6360

Kady Reese, MPH, CPHQ

Director, Physician, Patient & Clinical Engagement

Iowa Medical Society

515 E. Locust St., Ste. 400 Des Moines, IA 50309

Phone: (515) 421-4781

Jane Dohrmann, LISW, ACHP-SW

Program Director, Palliative Care Services

Iowa City Hospice

Phone: (319) 621-1726

Julie Goldstein, MD

Section Chief, Clinical Ethics and Palliative Medicine | Medical Director, Palliative Care Consultation Service

Advocate Illinois Masonic Medical Center

836 West Wellington Avenue Chicago, IL 60657

Phone: (855) 765-7845

David Mandelbaum, MD, FACS

Polo Camacho, PhD

Ethics Program Manager/American Society of Clinical Oncology

Kansas-Missouri TPOPP Coalition | Center for Practical Bioethics

Salli Whisman, MD

Medical Director

Hospice of the Bluegrass

Christian Davis Furman, MD, MSPH, AGSF

Vice Chair, Geriatric Medicine | Professor, Geriatric and Palliative Medicine, University of Louisville

Phone: (502) 588-4260

Monique Tyler

Louisiana Health Care Quality Forum

8550 United Plaza Boulevard, Suite 301 Baton Rouge, LA 70809

Phone: (225) 300-4825

Fax: (225) 334-9847

Kandyce Powell

Executive Director

Maine Hospice Council and Center for End-of-Life Care

P.O. 2239 295 Water Street, Suite 303 Augusta, ME 04338-2239*

Phone: (207) 626-0651

Fax: (207) 622-1274

Tricia Tomsko Nay, MD, CMD, CHCQM, FAAFP, FAIHQ, FAAHPM

Medical Director, Office of Health Care Quality

Maryland Department of Health and Mental Hygiene

55 Wade Avenue, Room 246 Catonsville, MD 21228

Phone: (410) 402-8055

Fax: (410) 402-8211

Paul J. Ballard

Assistant Attorney General | Counsel for Health Decisions Policy and the Office of Health Care Quality

Maryland Department of Health and Mental Hygiene

300 West Preston Street, Suite 302 Baltimore, MD 21201

Phone: (410) 767-6918

Fax: (410) 333-7894

Kathryn Downes

Director of Policy

Massachusetts Executive Office of Elder Affairs

Executive Office of Elder Affairs 1 Ashburton Place 5th Floor Boston, MA, 02108

Phone: (617) 727-7750

Lara Clary-Lantis, D.O.

Trinity Health IHA Medical Group Ann Arbor, MI

Phone: 407-247-6251

Karen Smith, LMSW, Ph.D., HEC-C

Director of Ethics Integration

Henry Ford Hospital & Health System

Phone: (313) 916-4401

Victor M. Sandler, MD

Hospice and Palliative Medicine specialist, Geriatrician

Chair, Minnesota Network of Hospice and Palliative Medicine Physicians Co-Chair University of Minnesota Bioethics Committee, 2000-2020 Assistant Professor of Family Medicine and Community Health, University of Minnesota

Eileen Weber, DNP, JD, BSN, PHN, RN

Clinical Associate Professor, Population Health and Systems, School of Nursing, University of Minnesota

Founder, Healthcare Legal Partnership (HLP) Collaborative

Phone: (651) 276-1730

LaDarion Ammons, JD

Louisiana Mississippi Hospice and Palliative Care Organization (LMHPCO)

200 North Congress St. Jackson, MS 39209

Phone: (601) 750-0791

Polo Camacho, PhD

Ethics Program Manager/American Society of Clinical Oncology

Kansas-Missouri TPOPP Coalition | Center for Practical Bioethics

Kathryn Borgenicht, MD

Jacob Dahlke

Ethics Director

Office of Healthcare Ethics, Nebraska Medicine

987400 Nebraska Medical Center Omaha, NE 68198-7400

Phone: (402) 552-3647

Patti Pollina RN, APRN, ACHPN, NP-C

Chair

Nevada POLST

10709 Balsam Creek Ave Las Vegas, NV 89144

Phone: (702) 524-9363

Janice McDermott

Health Care Decisions Coalition

125 Airport Road Concord, NH 03301

Phone: (603) 415-4270

Paul Drager

Health Care Decisions Coalition

125 Airport Road Concord, NH 03301

Theresa Edelstein

Senior Vice President

New Jersey Hospital Association

Partnerships Transforming Health New Jersey Hospital Association 760 Alexander Road, PO BOX 1 Princeton, NJ 08543-0001

Phone: (609) 275-4102

Lorrie Griego

Program Manager

Presbyterian Home Health Care

8100 Constitution Place Northeast, Suite 400 Albuquerque, NM 87110

Phone: (505) 559-6053

Fax: (505) 559-1155

Katie Orem, MPH

Geriatrics & Palliative Care Program Manager

Excellus BlueCross BlueShield

eMOLST Administrator 165 Court Street Rochester, NY 14647

Phone: (585) 453-6306

Fax: (585) 453-6365

Patricia Bomba MD, MACP, FRCP

Founder, NY MOLST & eMOLST Program

Linda Darden, MHA, CPA

CEO

Trellis Supportive Care

101 Hospice Lane Winston-Salem, NC 27103

Phone: (336) 768-3972

Fax: (336) 201-5222

Nancy Joyner, RN, MS, APRN-CNS, ACHPN

POLST Program Coordinator for Honoring Choices North Dakota

Honoring Choices North Dakota

702 Belmont Road Grand Forks, ND 58201

Phone: (701) 746-4728

Rev. Sara Schwarz, MA

Chaplain

Phone: (701) 390-4111

Susan Wallace, MSW, LSW

Director of Government Relations & Public Affairs

LeadingAge Ohio

2233 North Bank Drive Columbus, OH 43220

Phone: (614) 545-9026

Anne Shelley

Director of Regulatory Affairs

LeadingAge Ohio

2233 North Bank Drive Columbus, OH 43220

Phone: (614) 545-9030

Jan Slater, JD, MBA

Executive Director

Oklahoma POLST Task Force

4502 East 41st Street Tulsa, OK 74137

Phone: (918) 688-6732

Anthony Antoville, BFA, CMC

Executive Director

Oregon Health & Science University, Center for Ethics in Health Care

3181 SW Sam Jackson Park Road, Mail Code: UHN-86 Portland, OR 97239

Phone: (503) 494-3965

Fax: (503) 494-1260

Lisa George, MPH, CHES

Senior Communications and Program Specialist

Coalition for Quality at the End of Life (CQEL)

Jewish Healthcare Foundation 625 Liberty Avenue, Suite 2500 Pittsburgh, PA 15222

Phone: (412) 586-6719

Kelly Baxter, DNP, FNP-BC, ACHPN

Improving Care Coalition of RI

55 Cherry Lane Wakefield, RI 02879

Therese (Terry) Rochon, MSN, MA RNP, ACHPN

Improving Care Coalition of RI

51 Health Lane Warwick, RI 02886

Karen Reeves, BSN, MHHA, FACHE

Vice President, Risk Management & Accreditation

South Carolina Hospital Association

1000 Center Point Road Columbia, SC 29210-5802

Phone: (803) 280-0527

Wilma Rice, MSN, RN, CEN

Roper St. Francis Healthcare

316 Calhoun St. Charleston, SC 29401

Phone: (843) 573-4905

Michelle (Shelly) Roy DNP, FACHE, NEA-BC

ACNO Nursing Professional Practice

Rapid City Regional Hospital

353 Fairmont Blvd Rapid City, SD 57701

Phone: (605) 755-8063

Judy Eads

President

Tennessee End of Life Partnership

711 Shenandoah Drive Brentwood, TN 37027

Phone: (615) 289-4275

Fax: (615) 246-2773

Kim Callanan

Executive Director

Texas Talks... supporting the conversations that matter

Phone: (817) 675-6821

Emmie Gardner, MSW, LCSW

CEO

Holy Cross Ministries

860 East 4500 South, Suite 204 Salt Lake City, UT 84107

Phone: (385) 257-2377

Cindy Bruzzese, MPA

Executive Director

Vermont Ethics Network

61 Elm Street Montpelier, VT 05602

Phone: (802) 828-2909

Karen Dotson

Program Coordinator, Virginia POLST Collaborative

Capital Caring Health - Home of the Virginia POLST Collaborative

3180 Fairview Park Dr, Ste 500 Falls Church, VA 22042

Phone: (703) 957-1763

Matthew G. Kestenbaum, MD, FAAHPM

Medical Director, Virginia POLST Collaborative

Capital Caring Health - Home of the Virginia POLST Collaborative

3180 Fairview Park Dr, Ste 500 Falls Church, VA 22042

Phone: (703) 957-1888

Bruce Smith, MD, MACP, FAAHPM

Phone: (206) 437-0158

Renee Foutz, MD

Wisconsin POLST Coalition

9200 W Wisconsin Avenue Milwaukee, WI 53226

Phone: (414) 805-4607

Helen Matheny

The West Virginia Center for End-of-Life Care

PO Box 9022 64 Medical Center Drive Room 1168F Health Sciences North Morgantown, WV 26506-9022

Phone: (877) 209-8086 toll free or (304) 293-0695

Fax: (844) 616-1415

Mark Kelly

Program Manager

WyoPOLST Program

Wyoming Department of Health

Phone: (307) 777-7988

James Eggert, MD

Resident Physician

Family Medicine Residency Program at Cheyenne

820 East 17th St Cheyenne WY 82001

Phone: (307) 632-2434

Fax: (307) 634-7691