Abstract: Health care provided in the final year of life is typically costly
and often delivers unintended outcomes. High value can be defined for end of
life care. High value clinical practices exist for end of life care and a
common set of high value processes can be identified. The current system
structure of healthcare delivery does not consistently support those high value
processes. An improved organizational schema could foster sustained delivery of
high value delivery operations. The healthcare ecosystem needs to evolve to
provide appropriate incentives and support for an appropriately designed care
system.